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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2,800 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Primary lung cancer, metastatic workup COMPARISON: CT abdomen pelvis dated 12/15/2019 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 119 lbs. IV contrast: Omnipaque 350, 80 ml, per protocol. Saline flush: 75 ml. IV contrast injection rate: 3 ml ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis Examination is significantly degraded by motion artifact. ABDOMEN and PELVIS: LIVER: Subcentimeter hypodensity in the left hepatic lobe, possibly seen on the prior exam, likely representing a cyst. GALLBLADDER: Probable gallstones, the gallbladder is not well evaluated due... | 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 ( |
2,801 | EXAM: CT Foot Right with contrast CLINICAL INFORMATION: Evaluate right foot osteomyelitis COMPARISON: None. TECHNIQUE: CT Foot Right with contrast Patient weight: 280 lbs. IV contrast: Omnipaque 350, 99 ml, per protocol. Saline flush: 100 ml. IV contrast injection rate: 2 ml per sec. Scan delay: 180 sec Scan field of v... | Findings: There is a large soft tissue ulceration along the lateral and plantar aspects of the forefoot. Soft tissue gas tracks throughout the dorsal and plantar fascial planes, into the mid tarsal joints. There are multiple pockets of fluid in the soft tissues and plantar tendon sheaths. Fluid and gas tracks proximall... | Findings: No enlarged hilar or mediastinal nodes are present. The mediastinum is normal. Mild centrilobular emphysema is seen. Tiny peripheral LUL nodule series 3 image 57 has actually decreased in size from series 201 image 30 on the prior. Tiny peripheral RLL nodule on image 134 is unchanged from August 2020 and most... |
2,802 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: 34-year-old male with flank pain. COMPARISON: None available. TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 405 mm. DLP: 1487.17 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. S... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Peripheral left lower lobe consolidation with air bronchogram. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: L... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Moderate partially loculated right-sided pleural effusion with associated atelectasis. DISTAL ESOPHAGUS: Unremarkable. HEART / VESSELS: The patient appears anemic. Cardiomegaly. Mild calcified atherosclerotic disease of the coronary arteri... |
2,803 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: History of COPD with lung mass COMPARISON: Same-day chest radiograph TECHNIQUE: CT Angio Chest wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient weight: 140 lbs. IV contrast: Omnipaque 350, 60 ... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Full diagnostic quality LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus LUNGS / AIRWAYS / PLEURA: There is an irregular mass within the left lower lobe measuring up to 7.3 x 5.9 cm axially (series 401, image 82). There ... | FINDINGS: STRUCTURED REPORT: CTA Aorta Runoff VASCULATURE: DISTAL DESCENDING THORACIC AORTA: No significant abnormality. ABDOMINAL AORTA: Mild scattered circumferential atherosclerotic calcification of the abdominal aorta, particularly within the infrarenal region. CELIAC AXIS: Mild ostial atherosclerotic calcification... |
2,804 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: HCC, staging CT chest. COMPARISON: CT chest 5/16/2018. CT abdomen and pelvis 11/24/2021. MR abdomen 12/14/2021. TECHNIQUE: CT Chest wo contrast. Scan field of view: 342 mm. DLP: 286 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnost... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Noncalcified 5 mm pulmonary nodule in the right middle lobe (image 61, series #2), stable since 2018. Tiny pleural-based nodule in the right lower lobe is also stable and li... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Pelvis Renal Transplant VASCULATURE: LOWER ABDOMINAL AORTA: No calcified atherosclerotic disease. RIGHT COMMON / INTERNAL ILIAC ARTERIES: No calcified atherosclerotic disease. RIGHT EXTERNAL ILIAC ARTERY:... |
2,805 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: Concern for aortic dissection. During chest pain extending into the abdomen. Negative cardiac workup. COMPARISON: Chest radiograph from the same day. TECHNIQUE: CT Angio Chest wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or... | FINDINGS: STRUCTURED REPORT: CTA Chest VASCULATURE: The unenhanced CT demonstrates no evidence of intramural hematoma. Scattered atherosclerotic calcification in the thoracic aorta. CORONARY ARTERIES: There are minimal atherosclerotic calcifications of the native coronary arteries. PULMONARY ARTERIES: No central pulmon... | FINDINGS/IMPRESSION: No stress fracture or acute osseous injury is detected. However, MR is more sensitive for detection of early stress reaction. Mild degenerative changes at the anterior right SI joint. There is no free pelvic fluid, iliac or inguinal lymphadenopathy. |
2,806 | EXAM: CT Angio Abdomen wo+w contrast CLINICAL INFORMATION: Concern for dissection. COMPARISON: None. TECHNIQUE: CT Angio Abdomen wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient weight: 150 lbs. IV contrast: Omnipaque 350, 94 ml, per protocol. IV co... | FINDINGS: STRUCTURED REPORT: CTA Abdomen VASCULATURE: Unenhanced CT images demonstrate no evidence of intramural hematoma. There are scattered mild to moderate atherosclerotic calcification in the aorta. DISTAL DESCENDING THORACIC AORTA: No significant abnormality. ABDOMINAL AORTA: No significant abnormality. CELIAC AX... | 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. MAXILLOFACIAL: There is a markedly comminuted fracture of the parasymphyseal mandible... |
2,807 | EXAM: Dual-energy CT Hand Bilateral wo contrast CLINICAL INFORMATION: Hand pain, possible gout COMPARISON: None. TECHNIQUE: Dual-energy CT was performed of bilateral hands using protocol for monosodium urate crystal analysis. Additional 3-D postprocessing was done with MIP and volume rendered images which were reviewed... | Findings: Calcifications from crystal deposition are present throughout the carpal bones bilaterally. The majority of calcifications show no significant anterior monosodium urate, with only a few punctate "positive" foci in the left wrist. There are a few punctate monosodium urate crystals around the left long finger P... | 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. MAXILLOFACIAL: There is a markedly comminuted fracture of the parasymphyseal mandible... |
2,808 | EXAM: CT Bone Pelvis w soft tissue no charge CLINICAL INFORMATION: Trauma. COMPARISON: 1/6/2022 radiograph. TECHNIQUE: CT Bone Pelvis w soft tissue no charge Scan field of view: 304 mm. STRUCTURED REPORT: CT Bone vDec2021 FINDINGS: BONES/JOINTS: Left iliac wing fracture which extends into the sacroiliac joint which is ... | FINDINGS: BONES/JOINTS: Left iliac wing fracture which extends into the sacroiliac joint which is slightly widened. Zone II left sacral fracture with involvement of the left S1, S2 and likely S3 neuroforamen. Moderately displaced mildly comminuted fractures of the left superior pubic ramus and left ischiopubic ramus. N... | 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. MAXILLOFACIAL: There is a markedly comminuted fracture of the parasymphyseal mandible... |
2,809 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: Acute kidney injury and bilateral flank pain radiating to the midline, rule out kidney stone COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 329 mm. DLP: 270 mGy cm. FINDINGS: CT imaging was performed without IV cont... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Minimal dependent atelectasis seen in the lung bases bilaterally. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS... | 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. MAXILLOFACIAL: There is a markedly comminuted fracture of the parasymphyseal mandible... |
2,810 | EXAM: CT Sinus wo contrast CLINICAL INFORMATION: Female patient 37 years with Sinusitis, chronic or recurrent, J32.9 Chronic sinusitis, unspecified Spec Inst: sinus stealth protocol TECHNIQUE: 0.6 mm thick serial axial images were obtained through the paranasal sinuses without intravenous contrast. Sagittal and coronal... | FINDINGS: The frontal, ethmoid, sphenoid and maxillary sinuses are clear. No air-fluid levels are present. The walls of the paranasal sinuses are intact. The ostiomeatal complexes are patent bilaterally. The frontal sinuses outflow tracts are patent bilaterally. There is moderate rightward deviation of the nasal septum... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Subsegmental atelectasis. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Coronary calcifications. No pericardial effusion. ABDOMEN and PELVIS: LIVER: Normal aside from small focal fat adjacent to the gallbladder fossa. Otherwise normal BILIARY... |
2,811 | EXAM: CT Head wo contrast, CT Maxillofacial wo contrast, CT Angio Neck, CT Cervical Spine From Reformat CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacial wo contrast, CT Angio Neck, CT Cervical Spine From Reformat 3-D CT MIP images were generated in post processing. Scan f... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. Small subgaleal scalp hematoma at the cranial vertex. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. MAXILLOFACIAL: Open-mouth position of the TMJs at the time of imaging. There ... | FINDINGS: BRAIN PARENCHYMA and ventricles: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Diffuse age-appropriate brain parenchymal volume loss is again seen, resulting in ex vacuo dilatation of the ventricular system. Scattered periventricular and subcortical whi... |
2,812 | EXAM: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast. Patient weigh... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Normal. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Residual thymic tissue. Small hiatal hernia. DIAPHRAGM: Intact. LYMPH NODES: None enlarged. CHEST WALL: No significant abnormality. ABDOMEN and PE... | Findings: Bilateral cerebral white matter hypoattenuation likely related to chronic microvascular ischemic disease. Mild generalized prominence of the extra-axial spaces is seen, likely age related. There is no evidence of acute intra- or extra-axial hemorrhage. There is no midline shift, mass effect, or other space-oc... |
2,813 | EXAM: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast. Patient weigh... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Normal. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Residual thymic tissue. Small hiatal hernia. DIAPHRAGM: Intact. LYMPH NODES: None enlarged. CHEST WALL: No significant abnormality. ABDOMEN and PE... | FINDINGS: Scouts: No additional findings. Lines and tubes: None. Lungs and pleura: 8 mm nodule in the right lower lobe along the hemidiaphragm (series 2 image 80, series 601 image 82). No pulmonary consolidation. No central endobronchial masses. No pleural effusion. No pneumothorax. Esophagus, Mediastinum and neck: Sma... |
2,814 | EXAM: CT Head wo contrast, CT Maxillofacial wo contrast, CT Angio Neck, CT Cervical Spine From Reformat CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacial wo contrast, CT Angio Neck, CT Cervical Spine From Reformat 3-D CT MIP images were generated in post processing. Scan f... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. Small subgaleal scalp hematoma at the cranial vertex. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. MAXILLOFACIAL: Open-mouth position of the TMJs at the time of imaging. There ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separately dictated CT chest. ABDOMEN and PELVIS: LIVER: Multiple new metastases in and adjacent to the liver. The largest metastasis in the inferior right hepatic lobe measures 5.8 x 3.1 cm on image 88 series 3. BILIARY TRACT: Mild extrahepatic duc... |
2,815 | EXAM: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast. Patient weigh... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Normal. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Residual thymic tissue. Small hiatal hernia. DIAPHRAGM: Intact. LYMPH NODES: None enlarged. CHEST WALL: No significant abnormality. ABDOMEN and PE... | FINDINGS: New patchy groundglass parenchymal opacities are now seen in the transplanted right lung. The previously noted linear subpleural parenchymal changes in the right middle lobe are stable. There is persistent minimal narrowing of the right bronchial anastomosis. The native left lung also shows patchy groundglass... |
2,816 | EXAM: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast. Patient weigh... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Normal. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Residual thymic tissue. Small hiatal hernia. DIAPHRAGM: Intact. LYMPH NODES: None enlarged. CHEST WALL: No significant abnormality. ABDOMEN and PE... | FINDINGS: SOFT TISSUES: Bilateral tonsilloliths. Otherwise normal. LYMPH NODES: No pathologic adenopathy by imaging size criteria. AERODIGESTIVE STRUCTURES: No asymmetric contrast enhancement or asymmetric soft tissue nodularity. PAROTID GLANDS: Normal. SUBMANDIBULAR GLANDS: Normal. THYROID GLAND: Normal. VASCULAR STRU... |
2,817 | EXAM: CT Head wo contrast, CT Maxillofacial wo contrast, CT Angio Neck, CT Cervical Spine From Reformat CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacial wo contrast, CT Angio Neck, CT Cervical Spine From Reformat 3-D CT MIP images were generated in post processing. Scan f... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. Small subgaleal scalp hematoma at the cranial vertex. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. MAXILLOFACIAL: Open-mouth position of the TMJs at the time of imaging. There ... | FINDINGS: Scouts: No additional findings. Lines and tubes: None. Lungs and pleura: No pulmonary consolidation. No central endobronchial masses. No pleural effusion. No pneumothorax. Esophagus, Mediastinum and neck: Fluid distended distal esophagus. Anterior mediastinal soft tissue likely residual thymus. The thyroid gl... |
2,818 | EXAM: CT Head wo contrast, CT Maxillofacial wo contrast, CT Angio Neck, CT Cervical Spine From Reformat CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacial wo contrast, CT Angio Neck, CT Cervical Spine From Reformat 3-D CT MIP images were generated in post processing. Scan f... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. Small subgaleal scalp hematoma at the cranial vertex. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. MAXILLOFACIAL: Open-mouth position of the TMJs at the time of imaging. There ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis CHEST: Please see separately dictated report for CT chest. ABDOMEN and PELVIS: LIVER: Noncirrhotic. Few scattered subcentimeter hypoattenuating foci in the liver, likely simple cysts. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal in s... |
2,819 | EXAM: CT Head wo contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat, CT Angio Neck, CT Cervical Spine From Reformat, CT Abdomen and Pelvis w contrast, CT Chest with contrast CLINICAL INFORMATION: COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine fro... | FINDINGS: BRAIN PARENCHYMA: No acute hemorrhage, mass effect or edema. Bilateral posterior PCA chronic infarcts in the bilateral parieto-occipital territories. Superimposed mild diffuse cortical atrophic changes. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. Posterior scalp contusive changes. VENTRICUL... | FINDINGS/CONCLUSION: Comminuted, displaced fracture of the medial malleolus. Comminuted, displaced fracture of the posterior malleolus. Comminuted fractures of the distal fibula. Multiple osseous fragments are noted within the tibiotalar joint as well as at the distal tibiofibular syndesmosis. There is slight lateral t... |
2,820 | EXAM: CT Head wo contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat, CT Angio Neck, CT Cervical Spine From Reformat, CT Abdomen and Pelvis w contrast, CT Chest with contrast CLINICAL INFORMATION: COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine fro... | FINDINGS: BRAIN PARENCHYMA: No acute hemorrhage, mass effect or edema. Bilateral posterior PCA chronic infarcts in the bilateral parieto-occipital territories. Superimposed mild diffuse cortical atrophic changes. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. Posterior scalp contusive changes. VENTRICUL... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Redemonstration of large right pleural effusion with minimal pleural thickening and associated partial right middle and complete right lower lobe atelectasis. Small left-sided pleural effusion is also present DISTAL ESOPHAGUS: Normal. HEAR... |
2,821 | EXAM: CT Head wo contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat, CT Angio Neck, CT Cervical Spine From Reformat, CT Abdomen and Pelvis w contrast, CT Chest with contrast CLINICAL INFORMATION: COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine fro... | FINDINGS: BRAIN PARENCHYMA: No acute hemorrhage, mass effect or edema. Bilateral posterior PCA chronic infarcts in the bilateral parieto-occipital territories. Superimposed mild diffuse cortical atrophic changes. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. Posterior scalp contusive changes. VENTRICUL... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Minimal left apical pleural parenchymal scarring, otherwise normal. No evidence of interstitial lung disease. No air trapping. No significant dynamic airway collapse. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESO... |
2,822 | EXAM: CT Head wo contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat, CT Angio Neck, CT Cervical Spine From Reformat, CT Abdomen and Pelvis w contrast, CT Chest with contrast CLINICAL INFORMATION: COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine fro... | FINDINGS: BRAIN PARENCHYMA: No acute hemorrhage, mass effect or edema. Bilateral posterior PCA chronic infarcts in the bilateral parieto-occipital territories. Superimposed mild diffuse cortical atrophic changes. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. Posterior scalp contusive changes. VENTRICUL... | FINDINGS: Scouts: No additional findings. Lines and tubes: None. Lungs and pleura: Interval increase in size of lobulated mass in the left upper lobe now measuring 71 x 54 mm (series 2 image 70), previously 40 x 37 mm. It again abuts the mediastinum medially with loss of fat planes, and is in close proximity with the a... |
2,823 | EXAM: CT Head wo contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat, CT Angio Neck, CT Cervical Spine From Reformat, CT Abdomen and Pelvis w contrast, CT Chest with contrast CLINICAL INFORMATION: COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine fro... | FINDINGS: BRAIN PARENCHYMA: No acute hemorrhage, mass effect or edema. Bilateral posterior PCA chronic infarcts in the bilateral parieto-occipital territories. Superimposed mild diffuse cortical atrophic changes. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. Posterior scalp contusive changes. VENTRICUL... | Findings: There are postsurgical changes from left frontal parietal craniotomy with resection of underlying meningioma. There is underlying extra-axial collection with gas in small and of hemorrhage. Small amount of hemorrhage is also seen in the resection cavity. Extensive left frontal edema is again noted with mass e... |
2,824 | EXAM: CT Head wo contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat, CT Angio Neck, CT Cervical Spine From Reformat, CT Abdomen and Pelvis w contrast, CT Chest with contrast CLINICAL INFORMATION: COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine fro... | FINDINGS: BRAIN PARENCHYMA: No acute hemorrhage, mass effect or edema. Bilateral posterior PCA chronic infarcts in the bilateral parieto-occipital territories. Superimposed mild diffuse cortical atrophic changes. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. Posterior scalp contusive changes. VENTRICUL... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. Mild frontoparietal age-appropriate brain parenchymal volume loss is again seen, resulting in mild exvacuo dilatation of the lateral ventricles. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. Mild under pneumatization of the left mastoid t... |
2,825 | EXAM: CT Head wo contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine from Reformat, CT Angio Neck, CT Cervical Spine From Reformat, CT Abdomen and Pelvis w contrast, CT Chest with contrast CLINICAL INFORMATION: COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Thoracic Spine from Reformat, CT Lumbar Spine fro... | FINDINGS: BRAIN PARENCHYMA: No acute hemorrhage, mass effect or edema. Bilateral posterior PCA chronic infarcts in the bilateral parieto-occipital territories. Superimposed mild diffuse cortical atrophic changes. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. Posterior scalp contusive changes. VENTRICUL... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Small bilateral pleural effusions. Bilateral dependent atelectasis. DISTAL ESOPHAGUS: Small hiatal hernia. Small amount of fluid in the distal esophagus, likely secondary to reflux. Periesophageal varices present. HEART / VESSELS: Pacemake... |
2,826 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: 78-year-old man with history of prostate cancer. COMPARISON: There are no prior abdominal or pelvic CTs performed at UAB for comparison. TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 474 mm. DLP: 2437.90 mGy cm. FINDINGS: CT imaging... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. No intravenous contrast was administered secondary to patient's creatinine of 3.1 and GFR of 20 . STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: No nodules are seen in the bases. DISTAL ESOPHAGUS: Norma... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Small right pleural effusion with adjacent atelectasis. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Coronary artery calcifications. Normal heart size. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PA... |
2,827 | EXAM: CT Chest with contrast CLINICAL INFORMATION: Lung nodule. Emphysema. COMPARISON: 9/29/2021 TECHNIQUE: CT Chest with contrast. Patient weight: 200 lbs. IV contrast: Omnipaque 350, 60 ml, per protocol. IV contrast injection rate: 3 ml per sec. Scan delay: 55 sec. Scan field of view: 362 mm. DLP: 320 mGy cm. FINDING... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Hazy bilateral scattered groundglass nodules are again seen, may represent infectious or inflammatory changes. A few tiny less than 0.4 cm pulmonary nodules are seen. The previously seen approximately 0.8 cm groundglass nodule in... | Findings: Enlarged heterogenous enhancing right palatine tonsil with tonsillar abscess measuring up to 1.4 cm in maximal dimension and resulting in leftward deviation of the uvula Enlarged right submandibular lymph nodes as well as mildly enlarged submental nodes nodes. The parotid, submandibular, and thyroid glands ar... |
2,828 | CT Head wo contrast Clinical Information: Head trauma, minor Comparison: 6/29/2005 Technique: Unenhanced axial brain CT with sagittal and coronal reformats. Scan field of view: 230 mm. DLP: 1381 mGy cm. Findings: CT head: BRAIN PARENCHYMA: No hemorrhage, intracranial mass, large territory infarct, or edema. Gray-white ... | Findings: CT head: BRAIN PARENCHYMA: No hemorrhage, intracranial mass, large territory infarct, or edema. Gray-white matter differentiation maintained. Mildly worsened periventricular white matter hypodensities which are nonspecific but likely represent microangiopathy. There is mild age-related atrophy with proportion... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Unremarkable CHEST: LUNGS / AIRWAYS / PLEURA: Central airways are patent. Mild mosaic attenuation. Minimal linear bandlike atelectasis versus scarring in the right upper lobe. No focal consolidation, nodule, pneumothorax, or effusion. HEART / VESSELS: No significant abn... |
2,829 | EXAM: CT Wrist Right wo contrast, CT Forearm Right wo contrast CLINICAL INFORMATION: Trauma follow-up COMPARISON: 12/20/2021 TECHNIQUE: CT Wrist Right wo contrast, CT Forearm Right wo contrast Scan field of view: 160 mm. DLP: 668.67 mGy cm. FINDINGS/CONCLUSION: Significant metallic streak artifact limits evaluation of ... | FINDINGS/CONCLUSION: Significant metallic streak artifact limits evaluation of the study. Progressive interval healing of the distal fracture status post sideplate and screw fixation. There is partial osseous bridging of the fracture fragments. No hardware complication. Again noted is a fracture deformity of the distal... | Findings: Brain parenchyma: The brain has normal morphology and volume. The brain parenchyma has a normal appearance. The white-gray matter differentiation is preserved. Ventricular system: Mild asymmetric enlargement of the left lateral ventricle, most likely developmental in nature. No hydrocephalus. Basal cisterns: ... |
2,830 | EXAM: CT Wrist Right wo contrast, CT Forearm Right wo contrast CLINICAL INFORMATION: Trauma follow-up COMPARISON: 12/20/2021 TECHNIQUE: CT Wrist Right wo contrast, CT Forearm Right wo contrast Scan field of view: 160 mm. DLP: 668.67 mGy cm. FINDINGS/CONCLUSION: Significant metallic streak artifact limits evaluation of ... | FINDINGS/CONCLUSION: Significant metallic streak artifact limits evaluation of the study. Progressive interval healing of the distal fracture status post sideplate and screw fixation. There is partial osseous bridging of the fracture fragments. No hardware complication. Again noted is a fracture deformity of the distal... | FINDINGS: Mosaic attenuation of the lung parenchyma with partial atelectasis in the right middle lobe. An indeterminate 4 mm nodule is noted in the right lower lobe in image 59, series 2. Bilateral lower lobe bronchiectasis and linear atelectasis. The main pulmonary artery is dilated measuring 43 mm in diameter in imag... |
2,831 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: Encephalopathy. COMPARISON: None. TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 235 mm. DLP: 1033 mGy cm. FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. EXTRA-AXIAL SPA... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Mild left greater than right maxillary mucosal thickening. SOFT TISSUES: Partially visualized ... | indings: Postsurgical changes from right thalamic lesion debulking are again noted with heterogeneous density and hemorrhage within the lesion. Intraventricular hemorrhage extension is unchanged. The ventricles are stable in size and configuration with left frontal approach ventricular shunt catheter in place. Addition... |
2,832 | 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: STRUCTURED REPORT: CT Abdomen LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Persistent mild thickening. HEART / VESSELS: No significant abnormality. ABDOMEN: LIVER: Unchanged appearance of nonenhancing lesion with central hyperattenuation in segment VII measures 1.3 x 1.0 cm (series 2, image 60)... |
2,833 | CT of cervical, thoracic and lumbar spine with contrast. INDICATION: Female aged 70 years with Lower extremity weakness, ro leukemic involvement v. other causes COMPARISON: CT of the abdomen and pelvis 10/8/2021. TECHNIQUE: CT examination of the cervical, thoracic and lumbar spine was performed without contrast and thi... | FINDINGS: Cervical spine: Extensive heterogenous attenuation of visualized osseous structures suggesting myelodysplastic/mild proliferative process. Vertebral body heights and alignment are maintained. Craniovertebral junction is within normal limits. No acute or pathologic fractures. Multilevel discogenic, facet relat... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Cerebral volume is appropriate for patient's age. EXTRA-AXIAL SPACES: No epidural, subdural, or subarachnoid hemorrhage. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SOFT TISSUES: Mild right... |
2,834 | CT of cervical, thoracic and lumbar spine with contrast. INDICATION: Female aged 70 years with Lower extremity weakness, ro leukemic involvement v. other causes COMPARISON: CT of the abdomen and pelvis 10/8/2021. TECHNIQUE: CT examination of the cervical, thoracic and lumbar spine was performed without contrast and thi... | FINDINGS: Cervical spine: Extensive heterogenous attenuation of visualized osseous structures suggesting myelodysplastic/mild proliferative process. Vertebral body heights and alignment are maintained. Craniovertebral junction is within normal limits. No acute or pathologic fractures. Multilevel discogenic, facet relat... | Findings: There is a small (1 cm) apparent meningioma along the upper aspect of the right tentorial leaf near its insertion into the petrous bones laterally. The parenchyma appears normal with no other mass and there is no hemorrhage or extracerebral collection. There is preservation of gray-white margins. There is no ... |
2,835 | CT of cervical, thoracic and lumbar spine with contrast. INDICATION: Female aged 70 years with Lower extremity weakness, ro leukemic involvement v. other causes COMPARISON: CT of the abdomen and pelvis 10/8/2021. TECHNIQUE: CT examination of the cervical, thoracic and lumbar spine was performed without contrast and thi... | FINDINGS: Cervical spine: Extensive heterogenous attenuation of visualized osseous structures suggesting myelodysplastic/mild proliferative process. Vertebral body heights and alignment are maintained. Craniovertebral junction is within normal limits. No acute or pathologic fractures. Multilevel discogenic, facet relat... | Findings: Lines and Tubes: None. Body Wall and Abdomen: No destructive osseous lesions. Small-moderate hiatal hernia. CT of abdomen and pelvis will be reported separately. Lymph Nodes, Mediastinum and Neck: No axillary adenopathy. No mediastinal adenopathy. A few shotty hilar and right lower lobe bronchial lymph nodes ... |
2,836 | EXAM: CT Chest with contrast CLINICAL INFORMATION: 95-year-old male with left upper lung opacity on chest radiograph. COMPARISON: Chest radiograph 1/4/2022 TECHNIQUE: CT Chest with contrast. Patient weight: 150 lbs. IV contrast: Omnipaque 350, 60 ml, per protocol. Saline flush: 75 ml. IV contrast injection rate: 2 ml p... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Right thyroid nodule measuring up to 3.0 cm. CHEST: LUNGS / AIRWAYS / PLEURA: Postsurgical changes from right upper lobectomy. Left upper lobe consolidation with multifocal narrowing and occlusion of the left upper lobe apical segmental bronchi. Atelectatic changes and ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separately dictated CT chest. ABDOMEN and PELVIS: LIVER: Lateral segment left hepatic lobe cyst. No suspicious liver lesions. Geographic steatosis in the right lobe of BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Nor... |
2,837 | EXAM: CT Sinus wo contrast CLINICAL INFORMATION: Male patient 76 years with Sinusitis, chronic or recurrent, J32.9 Chronic sinusitis, unspecified TECHNIQUE: 0.6 mm thick serial axial images of the paranasal sinuses were obtained without intravenous contrast. Sagittal and coronal reformatted views were also obtained. Te... | FINDINGS: There is moderate mucosal thickening within the left frontal sinus and very mild mucosal thickening within the right frontal sinus. There is mild scattered mucosal thickening within both ethmoid air cells. There is very mild mucosal thickening within the left sphenoid sinus and minimal mucosal thickening with... | FINDINGS: STRUCTURED REPORT: CT Adrenal Washout LOWER CHEST: LUNG BASES / PLEURA: Bibasilar scattered subsegmental atelectasis. No focal lung consolidation or pleural effusion.. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN: ADRENALS: There is no discrete adrenal nodule. Dotatate uptake... |
2,838 | CT Angio Head Code Stroke, CT Angio Neck 1/6/2022 4:56 PM Clinical information: blurred vision, LUE weakness Comparison: None available. Technique: 5 mm axial images of the head were obtained without contrast. After the administration of IV contrast bolus, 2.5 mm images were obtained from below the level of the clavicl... | Findings: CTA head: There is a small 3 mm inferiorly directed saccular aneurysm in the ophthalmic segment of right ICA best seen on axial image #658, series 401 and sagittal image #61, series 410. Otherwise bilateral intracranial ICAs, MCAs, ACAs and their proximal branches show no flow-limiting stenosis. Intradural ve... | Findings: The gray-white matter differentiation is intact. There is bilateral basal ganglia and cerebellar mineralization. There is no evidence of acute infarct, hemorrhage, mass or mass effect. The ventricular system and extra-axial spaces appear normal. The visualized paranasal sinuses and mastoid air cells are aerat... |
2,839 | CT Angio Head Code Stroke, CT Angio Neck 1/6/2022 4:56 PM Clinical information: blurred vision, LUE weakness Comparison: None available. Technique: 5 mm axial images of the head were obtained without contrast. After the administration of IV contrast bolus, 2.5 mm images were obtained from below the level of the clavicl... | Findings: CTA head: There is a small 3 mm inferiorly directed saccular aneurysm in the ophthalmic segment of right ICA best seen on axial image #658, series 401 and sagittal image #61, series 410. Otherwise bilateral intracranial ICAs, MCAs, ACAs and their proximal branches show no flow-limiting stenosis. Intradural ve... | Findings: Lines and Tubes: No central line. PFO closure device is present. Body Wall and Abdomen: No destructive osseous lesions. The CT of the abdomen and pelvis will be reported separately. Small hiatal hernia. Lymph Nodes, Mediastinum and Neck: Bilateral breast implants. No axillary adenopathy. No asymmetric axillar... |
2,840 | CT Head wo No Charge 1/6/2022 4:38 PM Clinical Information: Blurred vision, LUE weakness Comparison: None available Technique: Unenhanced axial brain CT with coronal and sagittal reconstructions. Scan field of view: 247.50 mm. DLP: 1446 mGy cm. Findings: There is no evidence of acute infarction, hemorrhage or hydroceph... | Findings: There is no evidence of acute infarction, hemorrhage or hydrocephalus. There is no vasogenic edema or mass effect. The visualized paranasal sinuses and mastoid air cells are clear. There is no acute osseous abnormality. | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis CHEST: Chest findings will be reported separately. ABDOMEN and PELVIS: LIVER: Normal. No suspicious hepatic lesion. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: No abnormal parenchymal enhancement. The main duct is normal in caliber. The simple cystic lesi... |
2,841 | CT Perfusion 1/6/2022 4:43 PM Clinical Information: Blurred vision, LUE weakness Comparison: No prior perfusion studies are available for comparison. Technique: A CT perfusion study was performed during single pass of 40 cc contrast bolus. Axial images were acquired at 16 axial locations and time-attenuation curves gen... | Findings: RAPID images demonstrate CBF less than 30% volume: 0 ml and T. Max greater than 6seconds volume: 0 ml . Mismatch volume is 0 ml. There is no abnormal MTT, T max, CBV and CBF to suggest significant ischemia or infarction at the territory of the major intracranial arteries. | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Left basilar subsegmental atelectasis. Diffuse increased peribronchial thickening is present. There is no pleural effusion or pneumothorax. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Normal. Tiny air in... |
2,842 | CT Head wo contrast Clinical Information: visual hallucinations Comparison: 1/5/2022 Technique: Unenhanced axial brain CT with sagittal and coronal reformats. Scan field of view: 212 mm. DLP: 1032 mGy cm. Findings: CT head: BRAIN PARENCHYMA: No hemorrhage, intracranial mass, large territory infarct, or edema. Gray-whit... | 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 global cerebral volume loss. EXTRA-AXIAL SPACES: There is a small area of hy... | FINDINGS/CONCLUSION: Nondisplaced fracture of the cuboid extending into the calcaneocuboid joint. Numerous small osseous fragments are present inferior to the medial malleolus possibly representing avulsion fractures of indeterminate age. Well-corticated ossific fragments are present adjacent to the posterior medial na... |
2,843 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: 60-year-old female with dyspnea on exertion, flu positive. Patient has a history of multiple myeloma with known mediastinal mass. COMPARISON: PET/CT dated 10/26/2021. TECHNIQUE: CT Chest wo contrast. Scan field of view: 345 mm. DLP: 365 mGy cm. FINDINGS: CT imaging was p... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. The posterior mediastinal mass measures 8 x 10.4 cm and series 3 image 34 [10.8 cm on coronal series 4 image 56] and was 7.5 x 10.5 cm on the previous PET/CT. The mass compresses the trachea in the proximal portions of both ri... | Findings: CTA neck: The top of the aortic arch and the brachiocephalic arteries have have expected appearance. No aneurysm, AVM or intrinsic vascular lesion expected appearance. The common carotid arteries and bifurcations are essentially negative. The cervical ICAs are normal. Both vertebral arteries are sizable with ... |
2,844 | CT angiography of the pulmonary arteries to exclude PTE Indication:Tachycardia, abnormal EKG, high probability PE suspected Technique: A scout image was obtained for localization, before injection of contrast medium. 1.5 mm axial images were obtained. Coronal reformatted images were also reconstructed and reviewed. Add... | The quality of the examination is good with some streak artifact over both main pulmonary arteries. No pulmonary thromboembolism is identified. The main pulmonary artery is normal in caliber. No CT evidence of right heart strain. No enlarged intrathoracic lymph nodes are identified. Minimal coronary artery calcificatio... | Findings: CTA neck: The top of the aortic arch and the brachiocephalic arteries have have expected appearance. No aneurysm, AVM or intrinsic vascular lesion expected appearance. The common carotid arteries and bifurcations are essentially negative. The cervical ICAs are normal. Both vertebral arteries are sizable with ... |
2,845 | CT Head wo contrast 1/7/2022 1:48 AM Clinical Information: SP craniotomy Comparison: CT head 1/5/2022 Technique: Unenhanced axial brain CT. Bone and soft tissue windows were reviewed. Sagittal and coronal images were generated from the axial data. Scan field of view: 200 mm. DLP: 537.20 mGy cm. Findings: Interval posts... | Findings: Interval postsurgical changes of anterior frontal intracranial mass resection with surgical packing material within the resection cavity. Extra-axial gas and fluid collections in the anterior frontal region. Changes related to bifrontal craniotomy. Scattered blood product in the postsurgical region. Right fro... | Findings: The parenchyma appears normal with no mass, hemorrhage, visible infarct or extracerebral collection. There is preservation of gray-white margins. This is seen in the white matter. There are features of Chiari I malformation. The posterior fossa contents are otherwise unremarkable --------------- |
2,846 | CT Head wo contrast 1/6/2022 4:54 PM Clinical information: HA Comparison: CT head 1/6/2004. Technique: 5 mm axial images were obtained without contrast from the base of the skull to the vertex with sagittal and coronal reformats. Scan field of view: 231 mm. DLP: 1136 mGy cm. Findings: There is no evidence of acute intr... | Findings: There is no evidence of acute intracranial hemorrhage, infarction, brain edema, mass effect or hydrocephalus. There is white matter hypoattenuation in right frontal lobe, along previous biopsy tract. Small hypodensity in the left frontal lobe, likely microangiopathy or sequela of old traumatic brain injury. T... | Findings: There is normal CBV and CBF and Tmax times are normal. Color parametric maps show no ischemia or area predicted infarction. --------------- |
2,847 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Right lower quadrant pain COMPARISON: CT of the abdomen and pelvis without contrast dated 9/4/2019 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... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Stable lingular pulmonary nodule measuring 5 mm, grossly unchanged dating back to 8/29/2019. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No a... | FINDINGS: The previously seen right extra-axial hemorrhages now form a confluent chronic right cranial convexity subdural hematoma measuring up to 9 mm (series 2, image 41) likely secondary to redistribution or mild interval progression. No midline shift or hydrocephalus. Unchanged ex vacuo ventriculomegaly. The previo... |
2,848 | EXAM: CT Pelvis wo IV contrast CLINICAL INFORMATION: Renal transplant evaluation. COMPARISON: None. TECHNIQUE: CT Pelvis wo IV contrast. Scan delay: 0 sec. Scan field of view: 400 mm. DLP: 485.20 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT ... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Pelvis Renal Transplant VASCULATURE: LOWER ABDOMINAL AORTA: Moderate calcified atherosclerotic disease. RIGHT COMMON / INTERNAL ILIAC ARTERIES: Mild calcified atherosclerotic disease. RIGHT EXTERNAL ILIAC... | Findings: Hypoattenuation associated with the large left MCA distribution infarct is again noted. There is no significant superimposed hemorrhagic transformation. There is localized mass effect with a 3 mm rightward midline shift. There is minimal effacement of the left lateral ventricle. There is no hydrocephalus. The... |
2,849 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: Worsening shortness of breath and hypoxia, evaluate for pulmonary embolism. COMPARISON: Chest CT dated 5/12/2021 TECHNIQUE: CT Angio Chest wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient weig... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Full diagnostic quality LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus LUNGS / AIRWAYS / PLEURA: Trachea and central airways are patent. Redemonstration of diffuse centrilobular emphysema with paraseptal emphysema at t... | Findings: Lines and Tubes: None. Body Wall and Abdomen: No destructive osseous lesions. Cirrhotic liver, splenomegaly, varices, and ascites are present within the included portions of the upper abdomen, also seen on CT 1/19/2022. Lymph Nodes, Mediastinum and Neck: Mild symmetric gynecomastia. No axillary or mediastinal... |
2,850 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION: assault COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacial wo contrastScan field of view: 230 mm. DLP: 1306.90 mGy cm. (accession CT220003388), Scan field of view: 184 mm. DLP: 1071.30 mGy cm. (accession CT220003389... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. CT maxillofacial: There is irregularity of the left nasal bone, likely old fracture There is no acute maxillofacial or mandibular f... | FINDINGS: Straightening of normal cervical lordosis which could be positional. Mild retrolisthesis of C4 on C5 and C7 on T1. Anterior cervical discectomy and fusion hardware at C5-C7. The left C7 screw head is not flush with the plate, as seen on prior radiograph. No other hardware complication is identified. Soft tiss... |
2,851 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION: assault COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacial wo contrastScan field of view: 230 mm. DLP: 1306.90 mGy cm. (accession CT220003388), Scan field of view: 184 mm. DLP: 1071.30 mGy cm. (accession CT220003389... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. CT maxillofacial: There is irregularity of the left nasal bone, likely old fracture There is no acute maxillofacial or mandibular f... | Findings: A borderline enlarged right paratracheal node is present on series 3 image 69. Calcified nodes are seen in the subcarinal and left hilar regions. No additional enlarged hilar or mediastinal nodes are present. The mediastinum is otherwise normal. A few calcified granuloma are present. A noncalcified 5.8 x 5.8 ... |
2,852 | EXAM: CT Pelvis with contrast CLINICAL INFORMATION: 55-year-old female with abnormal finding on bilateral lower extremity venous ultrasound. COMPARISON: Prior same-day bilateral lower extremity venous ultrasound. TECHNIQUE: CT Pelvis with contrast. Patient weight: 220 lbs. IV contrast: Omnipaque 350, 145 ml, per protoc... | FINDINGS: STRUCTURED REPORT: CT Pelvis LOWER ABDOMEN: BOWEL: No abnormality. Appendix is normal. PERITONEUM: Trace free fluid in the pelvis. OTHER: No other abnormality. PELVIS: VESSELS: No significant abnormality. Visualized portions of bilateral common femoral veins are normal in appearance. LYMPH NODES: None enlarge... | FINDINGS: LINES AND TUBES: None. LOWER NECK: A hypodense right thyroid nodule measures up to 22 mm. CHEST: LUNGS / AIRWAYS / PLEURA: Patchy peripheral groundglass opacities with tree-in-bud nodularity is most pronounced in the posterior segment of the right upper lobe with scattered involvement of the periphery of the ... |
2,853 | EXAM: CT Head wo contrast CLINICAL INFORMATION: CT Head wo contrast 1/6/2022 5:30 PM Clinical information: AMS Comparison: None available. Technique: 5 mm axial images were obtained without contrast from the base of the skull to the vertex with sagittal and coronal reformats. Scan field of view: 238 mm. DLP: 1179.20 mG... | Findings: There is no evidence of acute intracranial hemorrhage, infarction, brain edema, mass effect or hydrocephalus. Small hypodensities in the left cerebellum. The hypoattenuation in the superior cerebellum appears continuous with the cerebellar sulcus. Hypoattenuation in the left inferior cerebellum may represent ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Normal in size without pericardial effusion. Moderate coronary artery atherosclerotic calcification. ABDOMEN and PELVIS: LIVER: Noncirrhotic. No evidence of steatosis. Hypoattenuating lesi... |
2,854 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 35-year-old male with diarrhea and abdominal pain, sepsis. COMPARISON: CT abdomen pelvis dated 12/17/2021. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 124 lbs. IV contrast: Omnipaque 350, 80 ml, per protocol. Saline flush: 75 ml. IV contrast ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Consolidation with air bronchogram in the lingula. Filling defects in the bronchioles of the lingula. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLAD... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis Chest findings to be dictated separately. ABDOMEN and PELVIS: LIVER: Mild focal fat is seen along the falciform ligament. No suspicious hepatic lesions. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Normal.... |
2,855 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: Covid confirmed dyspnea. Right greater than left lower extremity edema. COMPARISON: Chest radiograph from the same day. TECHNIQUE: CT Angio Chest wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patie... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Moderately suboptimal quality with incomplete evaluation of segmental and subsegmental pulmonary arteries. There is respiratory motion artifact. Bolus timing is optimal. LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus L... | FINDINGS: Scouts: No additional findings. Lines and tubes: None. Lungs and pleura: Areas of reticulation and associated atelectasis in the left upper lobe subpleural region anteriorly is unchanged consistent with postradiation changes. No pulmonary consolidation. Scattered noncalcified pulmonary nodules bilaterally (se... |
2,856 | CT Head wo contrast 1/6/2022 5:48 PM Clinical information: EVD troubleshooting Comparison: CT head 1/2/2022 Technique: 5 mm axial images were obtained without contrast from the base of the skull to the vertex with sagittal and coronal reformats. Scan field of view: 250 mm. DLP: 1955 mGy cm. Findings: Image quality is d... | Findings: Image quality is degraded due to motion artifacts. There is a right frontal approach EVD catheter terminating in the frontal horn of right lateral ventricle. Ventricles are slightly larger in size compared to prior head CT from 1/22/2022. There is decrease in size of the right parietal convexity epidural hema... | FINDINGS: STRUCTURED REPORT: CTA Abdomen Pelvis VASCULATURE: DISTAL DESCENDING THORACIC AORTA: Moderate atherosclerosis. ABDOMINAL AORTA: Unchanged severe calcific atherosclerosis. A few areas of ulcerated plaque appear similar. Unchanged mild stenosis just proximal to the bifurcation. No dissection or aneurysm. CELIAC... |
2,857 | CT Head wo contrast 1/7/2022 12:30 AM Clinical Information: Concern for brain bleed in setting of thrombocytopenia Comparison: CT head 10/15/2011. Technique: Unenhanced axial brain CT. Bone and soft tissue windows were reviewed. Sagittal and coronal images were generated from the axial data. Scan field of view: 234 mm.... | Findings:Mild motion and streak artifacts limit evaluation. Bilateral cerebral hemispheres are symmetric in appearance. Gray and white matter attenuation differentiation is maintained. No acute intracranial hemorrhage, intracranial mass, mass effect or midline shift. No abnormal extra-axial fluid collections. Ventricle... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect, or edema. Gray-white matter differentiation is maintained. Mild frontal brain parenchymal volume loss is seen. EXTRA-AXIAL SPACES: No epidural, subdural, or subarachnoid hemorrhage. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SKULL AND SKULL BASE:... |
2,858 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: Small bowel obstruction COMPARISON: CT of the abdomen and pelvis dated 12/7/2021 TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 436.90 mm. DLP: 1483 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce dia... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Subsegmental atelectasis seen within the right lung base. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Mild cardiomegaly is unchanged. ABDOMEN and PELVIS: LI... | FINDINGS: LOWER NECK: Unremarkable. CHEST: LUNGS / AIRWAYS / PLEURA: Small left hemopneumothorax and small right hemothorax. There is bilateral dependent airspace disease.. Endotracheal tube tip 5.8 cm above carina. HEART / VESSELS: The heart is normal in size. MEDIASTINUM / ESOPHAGUS: There is pneumomediastinum and pe... |
2,859 | RADIOLOGIC EXAM: CT Lumbar Spine wo contrast, CT Thoracic Spine wo contrast CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Lumbar Spine wo contrast, CT Thoracic Spine wo contrastScan field of view: 208 mm. DLP: 3780.70 mGy cm. (accession CT220003402), Scan field of view: 223 mm. (accession CT220003401) F... | FINDINGS: There is diffuse osteopenia throughout the thoracolumbar spine Thoracic: VERTEBRA: No fracture. DISC SPACES AND FACET JOINTS: No acute injury. There are mild to moderate multilevel degenerative changes involving the thoracic spine. PREVERTEBRAL SOFT TISSUES: Normal. ALIGNMENT: Normal. Lumbar: VERTEBRA: No fra... | FINDINGS: LOWER NECK: Unremarkable. CHEST: LUNGS / AIRWAYS / PLEURA: Small left hemopneumothorax and small right hemothorax. There is bilateral dependent airspace disease.. Endotracheal tube tip 5.8 cm above carina. HEART / VESSELS: The heart is normal in size. MEDIASTINUM / ESOPHAGUS: There is pneumomediastinum and pe... |
2,860 | CT Maxillofacial wo contrast, CT Head wo contrast Clinical Information: Facial trauma Comparison: None. Technique: Unenhanced axial brain and maxillofacial CT. Scan field of view: 200 mm. DLP: 2300 mGy cm. (accession CT220003406), Scan field of view: 230 mm. DLP: 1237 mGy cm. (accession CT220003405) Findings: CT head: ... | Findings: CT head: BRAIN PARENCHYMA: No hemorrhage, intracranial mass, large territory infarct, or edema. Gray-white matter differentiation maintained. There is a hypoattenuating focus adjacent to the body of the left lateral ventricle and left basal ganglia, likely representing remote infarction. Chronic lacunar infar... | FINDINGS: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull base including occipital bone and occipital condyles are normal. No evidence of skull base fracture. ATLANTODENTAL INTERVAL: Normal ( |
2,861 | CT Maxillofacial wo contrast, CT Head wo contrast Clinical Information: Facial trauma Comparison: None. Technique: Unenhanced axial brain and maxillofacial CT. Scan field of view: 200 mm. DLP: 2300 mGy cm. (accession CT220003406), Scan field of view: 230 mm. DLP: 1237 mGy cm. (accession CT220003405) Findings: CT head: ... | Findings: CT head: BRAIN PARENCHYMA: No hemorrhage, intracranial mass, large territory infarct, or edema. Gray-white matter differentiation maintained. There is a hypoattenuating focus adjacent to the body of the left lateral ventricle and left basal ganglia, likely representing remote infarction. Chronic lacunar infar... | FINDINGS: LOWER NECK: Unremarkable. CHEST: LUNGS / AIRWAYS / PLEURA: Small left hemopneumothorax and small right hemothorax. There is bilateral dependent airspace disease.. Endotracheal tube tip 5.8 cm above carina. HEART / VESSELS: The heart is normal in size. MEDIASTINUM / ESOPHAGUS: There is pneumomediastinum and pe... |
2,862 | RADIOLOGIC EXAM: CT Cervical Spine wo contrast CLINICAL INFORMATION: Neck trauma COMPARISON: None available TECHNIQUE: CT Cervical Spine wo contrastScan field of view: 240 mm. DLP: 340 mGy cm. Unenhanced axial CT of the cervical spine with sagittal and coronal reformats. STRUCTURED REPORT: CT Cervical Spine Trauma FIND... | FINDINGS: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull base including occipital bone and occipital condyles are normal. No evidence of skull base fracture. ATLANTODENTAL INTERVAL: Normal ( | FINDINGS: LOWER NECK: Unremarkable. CHEST: LUNGS / AIRWAYS / PLEURA: Small left hemopneumothorax and small right hemothorax. There is bilateral dependent airspace disease.. Endotracheal tube tip 5.8 cm above carina. HEART / VESSELS: The heart is normal in size. MEDIASTINUM / ESOPHAGUS: There is pneumomediastinum and pe... |
2,863 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat CLINICAL INFORMATION: Trauma, MVC. COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat. per pro... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Central airways are patent. No focal airspace opacities, pleural effusion or pneumothorax. HEART / VESSELS: Heart size is normal. Mild coronary artery calcifications. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: Intact. LYMPH... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect, or edema. Gray-white matter differentiation is maintained. Mild frontal brain parenchymal volume loss is seen. EXTRA-AXIAL SPACES: No epidural, subdural, or subarachnoid hemorrhage. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SKULL AND SKULL BASE:... |
2,864 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat CLINICAL INFORMATION: Trauma, MVC. COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat. per pro... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Central airways are patent. No focal airspace opacities, pleural effusion or pneumothorax. HEART / VESSELS: Heart size is normal. Mild coronary artery calcifications. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: Intact. LYMPH... | FINDINGS: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull base including occipital bone and occipital condyles are normal. No evidence of skull base fracture. ATLANTODENTAL INTERVAL: Normal ( |
2,865 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat CLINICAL INFORMATION: Trauma, MVC. COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat. per pro... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Central airways are patent. No focal airspace opacities, pleural effusion or pneumothorax. HEART / VESSELS: Heart size is normal. Mild coronary artery calcifications. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: Intact. LYMPH... | Findings: The gray-white matter differentiation is intact. There is subdural hemorrhage tracking along the falx and left tentorial leaflet. This measures to 4 mm in thickness. There is otherwise no evidence of acute infarct, hemorrhage, mass or mass effect. The ventricular system appears unremarkable. There is a slight... |
2,866 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat CLINICAL INFORMATION: Trauma, MVC. COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat. per pro... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Central airways are patent. No focal airspace opacities, pleural effusion or pneumothorax. HEART / VESSELS: Heart size is normal. Mild coronary artery calcifications. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: Intact. LYMPH... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Bilateral subcentimeter hypoattenuating thyroid nodules. CHEST: LUNGS / AIRWAYS / PLEURA: No focal consolidation, pneumothorax, or pleural effusion. Diffuse mosaic attenuation, likely air trapping. HEART / VESSELS: Normal heart size. No pericardial effusion. Scatte... |
2,867 | EXAM: CT Head wo contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Angio Neck, CT Cervical Spine From Reformat, CT Abdomen and Pelvis w contrast, CT Chest with contrast, CT Maxillofacial wo contrast, CT Bone Pelvis w soft tissue no charge CLINICAL INFORMATION: Trauma. MVC. COMPARISON: None. T... | FINDINGS: HEAD: The gray-white matter differentiation is intact. There is no evidence of acute infarct, hemorrhage, mass or mass effect. Right choroidal fissural cyst is incidentally noted. The ventricular system and extra-axial spaces appear normal. No calvarial fracture is identified. MAXILLOFACIAL: Multiple dental c... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Bilateral subcentimeter hypoattenuating thyroid nodules. CHEST: LUNGS / AIRWAYS / PLEURA: No focal consolidation, pneumothorax, or pleural effusion. Diffuse mosaic attenuation, likely air trapping. HEART / VESSELS: Normal heart size. No pericardial effusion. Scatte... |
2,868 | EXAM: CT Head wo contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Angio Neck, CT Cervical Spine From Reformat, CT Abdomen and Pelvis w contrast, CT Chest with contrast, CT Maxillofacial wo contrast, CT Bone Pelvis w soft tissue no charge CLINICAL INFORMATION: Trauma. MVC. COMPARISON: None. T... | FINDINGS: HEAD: The gray-white matter differentiation is intact. There is no evidence of acute infarct, hemorrhage, mass or mass effect. Right choroidal fissural cyst is incidentally noted. The ventricular system and extra-axial spaces appear normal. No calvarial fracture is identified. MAXILLOFACIAL: Multiple dental c... | Findings: The sagittal images demonstrate physiologic cervical lordosis, without subluxations. Postsurgical anterior spinal fusion at C3-C4, with solid bony callus formation, without perihardware lucencies, malpositioning or hardware fractures. Acute mildly displaced fracture of the C5 superior endplate, extending into... |
2,869 | EXAM: CT Head wo contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Angio Neck, CT Cervical Spine From Reformat, CT Abdomen and Pelvis w contrast, CT Chest with contrast, CT Maxillofacial wo contrast, CT Bone Pelvis w soft tissue no charge CLINICAL INFORMATION: Trauma. MVC. COMPARISON: None. T... | FINDINGS: HEAD: The gray-white matter differentiation is intact. There is no evidence of acute infarct, hemorrhage, mass or mass effect. Right choroidal fissural cyst is incidentally noted. The ventricular system and extra-axial spaces appear normal. No calvarial fracture is identified. MAXILLOFACIAL: Multiple dental c... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Bilateral subcentimeter hypoattenuating thyroid nodules. CHEST: LUNGS / AIRWAYS / PLEURA: No focal consolidation, pneumothorax, or pleural effusion. Diffuse mosaic attenuation, likely air trapping. HEART / VESSELS: Normal heart size. No pericardial effusion. Scatte... |
2,870 | EXAM: CT Head wo contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Angio Neck, CT Cervical Spine From Reformat, CT Abdomen and Pelvis w contrast, CT Chest with contrast, CT Maxillofacial wo contrast, CT Bone Pelvis w soft tissue no charge CLINICAL INFORMATION: Trauma. MVC. COMPARISON: None. T... | FINDINGS: HEAD: The gray-white matter differentiation is intact. There is no evidence of acute infarct, hemorrhage, mass or mass effect. Right choroidal fissural cyst is incidentally noted. The ventricular system and extra-axial spaces appear normal. No calvarial fracture is identified. MAXILLOFACIAL: Multiple dental c... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Bilateral subcentimeter hypoattenuating thyroid nodules. CHEST: LUNGS / AIRWAYS / PLEURA: No focal consolidation, pneumothorax, or pleural effusion. Diffuse mosaic attenuation, likely air trapping. HEART / VESSELS: Normal heart size. No pericardial effusion. Scatte... |
2,871 | EXAM: CT Ankle Right wo contrast CLINICAL INFORMATION: Fracture COMPARISON: 1/6/2022 TECHNIQUE: CT Ankle Right wo contrast Scan field of view: 200 mm. DLP: 528 mGy cm. The scan was repeated secondary to motion artifact. FINDINGS/CONCLUSION: Acute comminuted fracture of the medial malleolus. Acute, nondisplaced fracture... | FINDINGS/CONCLUSION: Acute comminuted fracture of the medial malleolus. Acute, nondisplaced fracture of the posterior malleolus. Comminuted, mildly displaced fracture of the lateral malleolus at the level of the tibiofibular syndesmosis. Multiple osseous fragments are present adjacent to the posterior talar process lik... | Findings: The gray-white matter differentiation is intact. There is subdural hemorrhage tracking along the falx and left tentorial leaflet. This measures to 4 mm in thickness. There is otherwise no evidence of acute infarct, hemorrhage, mass or mass effect. The ventricular system appears unremarkable. There is a slight... |
2,872 | EXAM: CT Abdomen and Pelvis wo+w contrast CLINICAL INFORMATION: 22-year-old female, evaluation for nephrolithiasis. COMPARISON: CT chest 1/5/2022 TECHNIQUE: CT Abdomen and Pelvis wo+w contrast. Patient weight: 150 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 70 ml. IV contrast injection rate: 3 ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Partially visualized consolidation in the posterior medial right lower lobe. No other significant abnormality. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal BILIARY TRACT: Normal. ... | FINDINGS: VASCULAR FINDINGS: Aortic arch: Patent with no hemodynamically significant stenosis. Three normal vessel aortic arch is noted. Common carotid arteries: Patent with no hemodynamically significant stenosis. Internal carotid arteries: Punctate nonflow limiting atherosclerotic calcifications of the proximal right... |
2,873 | EXAM: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Trauma, fall from standing COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w con... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Multiple left thyroid nodules the largest measuring approximately 1.6 cm. CHEST: LUNGS / AIRWAYS / PLEURA: Minimal bilateral dependent atelectasis. HEART / VESSELS: There is mild calcified atherosclerosis of the aortic arch and origin of great vessels. MEDIASTINUM ... | FINDINGS: Scouts: No additional findings. Lines and tubes: None. Lungs and pleura: Redemonstration of irregular left upper lobe nodule measuring approximately 40 x 12 mm, previously 15 x 30 mm. Previously new clustered nodularity in the right lower lobe is somewhat increased (series 2 image 206). Tree-in-bud nodularity... |
2,874 | EXAM: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Trauma, fall from standing COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w con... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Multiple left thyroid nodules the largest measuring approximately 1.6 cm. CHEST: LUNGS / AIRWAYS / PLEURA: Minimal bilateral dependent atelectasis. HEART / VESSELS: There is mild calcified atherosclerosis of the aortic arch and origin of great vessels. MEDIASTINUM ... | Findings: There is a heterogeneous mass centered in the region of the left ethmoid air cells which is destroying the fovea ethmoidalis and cribriform plate on both sides but more extensive on the left side. There is extension of abnormal soft tissue into the medial wall of the orbit abutting the superior oblique muscle... |
2,875 | Craniocervical CT angiogram 1/6/2022 7:15 PM Indication: Trauma Comparison: Cervical spine CT, same date Technique: 1.4 mm axial images were obtained during the early arterial phase of a rapid IV infusion of contrast, from the thoracic inlet through the circle of Willis. 3-D CT angiographic images were generated from a... | Findings: CTA neck: The visualized aortic arch appears normal. There is no evidence of traumatic aortic arch injury. There are no great vessel origin stenoses. There is no evidence of irregularity, narrowing, occlusion or flap to indicate acute arterial injury or dissection. The included major intracranial arteries app... | FINDINGS: Scouts: No additional findings. Lines and tubes: None. Lungs: Redemonstration of reticulations in the right lower lobe subpleural region with honeycombing and mild bronchiectasis. Mosaic attenuation in both lungs is unchanged with mild groundglass densities also seen. Nodular density along the fissure on the ... |
2,876 | EXAM: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Trauma, fall from standing COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w con... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Multiple left thyroid nodules the largest measuring approximately 1.6 cm. CHEST: LUNGS / AIRWAYS / PLEURA: Minimal bilateral dependent atelectasis. HEART / VESSELS: There is mild calcified atherosclerosis of the aortic arch and origin of great vessels. MEDIASTINUM ... | FINDINGS: Small dependent bilateral pleural effusions are noted with linear atelectasis in the left lower lobe due to elevated left hemidiaphragm. Spleen is enlarged with multiple hypodense subcapsular lesions with small perisplenic fluid. The spleen is approximately 10.3 cm in craniocaudal extent but overall appears s... |
2,877 | EXAM: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Trauma, fall from standing COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and Pelvis w con... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Multiple left thyroid nodules the largest measuring approximately 1.6 cm. CHEST: LUNGS / AIRWAYS / PLEURA: Minimal bilateral dependent atelectasis. HEART / VESSELS: There is mild calcified atherosclerosis of the aortic arch and origin of great vessels. MEDIASTINUM ... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Predominantly frontotemporal age-appropriate brain parenchymal volume loss is again seen, resulting in ex vacuo dilatation of the supratentorial ventricular system. Periventricular white ma... |
2,878 | Craniocervical CT angiogram 1/6/2022 7:15 PM Indication: Trauma Comparison: Cervical spine CT, same date Technique: 1.4 mm axial images were obtained during the early arterial phase of a rapid IV infusion of contrast, from the thoracic inlet through the circle of Willis. 3-D CT angiographic images were generated from a... | Findings: CTA neck: The visualized aortic arch appears normal. There is no evidence of traumatic aortic arch injury. There are no great vessel origin stenoses. There is no evidence of irregularity, narrowing, occlusion or flap to indicate acute arterial injury or dissection. The included major intracranial arteries app... | FINDINGS: STRUCTURED REPORT: CTA Abdomen Pelvis VASCULATURE: DISTAL DESCENDING THORACIC AORTA: No significant abnormality. ABDOMINAL AORTA: Moderate calcified and noncalcified atherosclerosis. CELIAC AXIS: No significant abnormality. Replaced left hepatic artery arising from the left gastric artery. SMA: No significant... |
2,879 | RADIOLOGIC EXAM: CT Cervical Spine wo contrast CLINICAL INFORMATION: fall COMPARISON: 11/12/2021 TECHNIQUE: CT Cervical Spine wo contrastScan field of view: 223 mm. DLP: 250 mGy cm. Following CT of the neck, reformatted images were produced to optimize visualization of the osseous structures of the cervical spine. STRU... | FINDINGS: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull base including occipital bone and occipital condyles are normal. No evidence of skull base fracture. ATLANTODENTAL INTERVAL: Normal ( | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Minimal bibasilar atelectasis. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Minimal coronary artery calcification. ABDOMEN and PELVIS: LIVER: Normal. BILIARY... |
2,880 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: 102-year-old female, evaluation after fall. COMPARISON: CT pelvis 11/12/2021; CT abdomen and pelvis 12/26/2017. TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 380 mm. 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: Severe coronary artery calcifications. The descending thoracic aorta is borderline dilated measuring 3 c... | Findings: Brain parenchyma: Diffuse age-appropriate brain parenchymal volume loss is seen, resulting in ex vacuo dilatation of the ventricular system. Mild periventricular white matter hypoattenuation is noted, suggestive of mild chronic microvascular ischemic disease. The white-gray matter differentiation is preserved... |
2,881 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 64-year-old male with drain evaluation for COMPARISON: CT abdomen dated 9/15/2021. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 165 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 50 ml. IV contrast injection rate: 2.90 ml... | FINDINGS: Evaluation is limited by motion artifact which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Consolidation with air bronchogram in the left lower lobe. Dependent atelectasis. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Radiodensities are seen along the a... | FINDINGS: Diffuse osteopenia limits evaluation of subtle nondisplaced fractures. 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 ( |
2,882 | EXAM: CT Bone Pelvis w soft tissue no charge CLINICAL INFORMATION: 102-year-old female with left hip pain after fall. COMPARISON: Same day CT abdomen and pelvis without contrast; CT bone pelvis 11/12/2021 TECHNIQUE: CT Bone Pelvis w soft tissue no charge Scan field of view: 380 mm. DLP: 370.90 mGy cm. FINDINGS: BONES/J... | FINDINGS: BONES/JOINTS: No acute fracture or malalignment. Mild degenerative arthrosis of bilateral hips and the pubic symphysis. Chronic degenerative changes of the lumbar spine. SOFT TISSUES: No large hematoma or fluid collection. OTHER: Uncomplicated diverticulosis. Moderate two severe calcified atherosclerotic dise... | FINDINGS: LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Scattered subsegmental atelectasis. Small right posterolateral tracheal diverticulum at the thoracic inlet. HEART / VESSELS: Mild calcified atherosclerosis, including three vessel coronary atherosclerosis. Mild tortuosity of the descending aorta. MEDIASTINU... |
2,883 | EXAM: CT Head wo contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Angio Neck, CT Cervical Spine From Reformat, CT Abdomen and Pelvis w contrast, CT Chest with contrast, CT Maxillofacial wo contrast, CT Bone Pelvis w soft tissue no charge CLINICAL INFORMATION: Trauma. MVC. COMPARISON: None. T... | FINDINGS: HEAD: The gray-white matter differentiation is intact. There is no evidence of acute infarct, hemorrhage, mass or mass effect. Right choroidal fissural cyst is incidentally noted. The ventricular system and extra-axial spaces appear normal. No calvarial fracture is identified. MAXILLOFACIAL: Multiple dental c... | FINDINGS: LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Scattered subsegmental atelectasis. Small right posterolateral tracheal diverticulum at the thoracic inlet. HEART / VESSELS: Mild calcified atherosclerosis, including three vessel coronary atherosclerosis. Mild tortuosity of the descending aorta. MEDIASTINU... |
2,884 | EXAM: CT Bone Pelvis w soft tissue no charge CLINICAL INFORMATION: Fall. COMPARISON: Earlier same day pelvic radiograph. TECHNIQUE: CT Bone Pelvis w soft tissue no charge Scan field of view: 346 mm. FINDINGS: BONES/JOINTS: Mildly displaced comminuted fractures of the right superior and inferior pubic rami with extensio... | FINDINGS: BONES/JOINTS: Mildly displaced comminuted fractures of the right superior and inferior pubic rami with extension into the pubic body. Right zone I sacral fracture with extension to the right SI joint. No SI joint or pubic symphysis diastasis. Diffuse decreased bone mineralization. SOFT TISSUES: Left pelvic si... | FINDINGS: LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Scattered subsegmental atelectasis. Small right posterolateral tracheal diverticulum at the thoracic inlet. HEART / VESSELS: Mild calcified atherosclerosis, including three vessel coronary atherosclerosis. Mild tortuosity of the descending aorta. MEDIASTINU... |
2,885 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: Shortness of breath, hemoptysis, chest pain 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: 140 lbs. IV contrast: Omnipaque 350, 60 ml, per ... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Full diagnostic quality LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus. Pulmonary artery is enlarged. LUNGS / AIRWAYS / PLEURA: Left basilar airspace consolidation. Right middle lobe and bilateral upper lobe patchy gro... | FINDINGS: LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Scattered subsegmental atelectasis. Small right posterolateral tracheal diverticulum at the thoracic inlet. HEART / VESSELS: Mild calcified atherosclerosis, including three vessel coronary atherosclerosis. Mild tortuosity of the descending aorta. MEDIASTINU... |
2,886 | EXAM: CT Bone Pelvis w soft tissue no charge CLINICAL INFORMATION: Trauma. COMPARISON: Earlier same day pelvic radiograph. TECHNIQUE: CT Bone Pelvis w soft tissue no charge Scan field of view: 394 mm. FINDINGS: BONES/JOINTS: Right mildly comminuted intratrochanteric fracture. Right zone I sacral fracture. No pubic symp... | FINDINGS: BONES/JOINTS: Right mildly comminuted intratrochanteric fracture. Right zone I sacral fracture. No pubic symphysis diastasis or significant SI joint widening. Partially imaged left femoral fixation hardware appears intact. Bilateral L5 pars defects with grade 1 anterolisthesis of L5 over S1. Partially visuali... | 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... |
2,887 | EXAM: CT Bone Pelvis w soft tissue no charge CLINICAL INFORMATION: Concern for femoral neck fracture COMPARISON: None. TECHNIQUE: CT Bone Pelvis w soft tissue no charge Scan field of view: 346 mm. FINDINGS/CONCLUSION: No acute fracture or dislocation. The femoral heads are well-seated within their respective acetabula.... | FINDINGS/CONCLUSION: No acute fracture or dislocation. The femoral heads are well-seated within their respective acetabula. No pubic symphyseal or SI joint diastasis. Please see separately dictated and concurrently obtained CT chest abdomen and pelvis for intra-abdominal findings. | 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... |
2,888 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 33-year-old female with right-sided abdominal pain. COMPARISON: CT abdomen and pelvis 8/9/2020 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 200 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. IV contrast injection rate: 3 ml per sec. Sc... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Small hiatal hernia. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: Surgically absent. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNE... | FINDINGS: STRUCTURED REPORT: CTA CAP VASCULATURE: CORONARY ARTERIES: There is moderate atherosclerotic calcification within the LAD. PULMONARY ARTERIES: No central pulmonary embolus. Normal size. ASCENDING THORACIC AORTA: No significant abnormality. AORTIC ARCH: No significant abnormality. ARCH VESSELS: Conventional th... |
2,889 | CT Angio Head wo+w contrast, CT Angio Neck 1/6/2022 11:26 PM Indication: anisocoria with fixed dilated left pupil Spec Inst: anisocoria with fixed dilated left pupil, rule out aneurysm. Comparison: No prior similar studies are presented for comparison at this time. Technique: Axial noncontrast images from the level of ... | Findings: Conventional CT of the brain: Dual based extra-axial enhancing lesion in the right anterior temporal region likely represents metastatic disease measuring 1.7 x 1.7 cm (image 34, series 26). In addition, there are multiple areas of nodular likely pachymeningeal enhancement with index lesion measuring approxim... | FINDINGS: STRUCTURED REPORT: CTA CAP VASCULATURE: CORONARY ARTERIES: There is moderate atherosclerotic calcification within the LAD. PULMONARY ARTERIES: No central pulmonary embolus. Normal size. ASCENDING THORACIC AORTA: No significant abnormality. AORTIC ARCH: No significant abnormality. ARCH VESSELS: Conventional th... |
2,890 | CT Angio Head wo+w contrast, CT Angio Neck 1/6/2022 11:26 PM Indication: anisocoria with fixed dilated left pupil Spec Inst: anisocoria with fixed dilated left pupil, rule out aneurysm. Comparison: No prior similar studies are presented for comparison at this time. Technique: Axial noncontrast images from the level of ... | Findings: Conventional CT of the brain: Dual based extra-axial enhancing lesion in the right anterior temporal region likely represents metastatic disease measuring 1.7 x 1.7 cm (image 34, series 26). In addition, there are multiple areas of nodular likely pachymeningeal enhancement with index lesion measuring approxim... | Findings: Brain parenchyma: Ill-defined hypoattenuation involving the left inferior frontal lobe is noted. Diffuse age-appropriate brain parenchymal volume loss is again seen, resulting in mild exvacuo dilatation of the ventricular system. Periventricular and subcortical white matter hypoattenuation is again noted, sug... |
2,891 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Metastatic sarcoma COMPARISON: CT 04/27/2021. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 222 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 100 ml. IV contrast injection rate: 3 ml per sec. Scan delay: 70sec Scan field ... | FINDINGS: LOWER CHEST: LUNG BASES / PLEURA: Extensive pleural-based metastatic lesions in both the visualized lung bases, better evaluated on recent chest CT dated 01/06/2022. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Small pericardial effusion. ABDOMEN and PELVIS: LIVER: No focal hepatic lesions. BILIARY TRACT: Norma... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Cerebral volume is normal. EXTRA-AXIAL SPACES: No epidural, subdural, or subarachnoid hemorrhage. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SKULL AND SKULL BASE: No acute fracture. FACIAL... |
2,892 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION: Trauma, MVA. COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacial wo contrast. Scan field of view: 290.40 mm. DLP: 1482.60 mGy cm. (accession CT220003451), Scan field of view: 188.40 mm. DLP: 1100.40 mGy cm. (accessio... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. MASTOIDS: Clear. SOFT TISSUE: Unremarkable. MAXILLOFACIAL: No fracture. The orbits appear intact. The mandible appears intact with ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Small cyst in the right lower lobe, possibly sequelae from prior infection. Calcified granuloma in the left upper lobe. No pneumothorax or pleural effusion. Trace dependent atelectasis. HEART / VESSELS: Normal heart size. No... |
2,893 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat. IV contrast: ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Small left pneumothorax. Mild bilateral dependent atelectasis, left greater than right. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: Intact. LYMPH NODES: None enlarged. CHEST WALL:... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Small cyst in the right lower lobe, possibly sequelae from prior infection. Calcified granuloma in the left upper lobe. No pneumothorax or pleural effusion. Trace dependent atelectasis. HEART / VESSELS: Normal heart size. No... |
2,894 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat. IV contrast: ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Small left pneumothorax. Mild bilateral dependent atelectasis, left greater than right. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: Intact. LYMPH NODES: None enlarged. CHEST WALL:... | Findings: The sagittal images demonstrate physiologic cervical lordosis, without subluxations. The vertebral bodies maintain normal height, without acute fractures or suspicious osseous lesions. No significant intervertebral disc space narrowing or extensive degenerative changes are identified. No significant neural fo... |
2,895 | Craniocervical CT angiogram 1/6/2022 8:14 PM Indication: Trauma Comparison: None Technique: Axial images were obtained during the early arterial phase of a rapid IV infusion of contrast, from the thoracic inlet through the circle of Willis. Following CTA of the neck, reformatted images were produced to optimize visuali... | Findings: CT C-spine: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull base including occipital bone and occipital condyles are normal. No evidence of skull base fracture. ATLANTODENTAL INTERVAL: Normal ( | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Small cyst in the right lower lobe, possibly sequelae from prior infection. Calcified granuloma in the left upper lobe. No pneumothorax or pleural effusion. Trace dependent atelectasis. HEART / VESSELS: Normal heart size. No... |
2,896 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat. IV contrast: ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Small left pneumothorax. Mild bilateral dependent atelectasis, left greater than right. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: Intact. LYMPH NODES: None enlarged. CHEST WALL:... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Small cyst in the right lower lobe, possibly sequelae from prior infection. Calcified granuloma in the left upper lobe. No pneumothorax or pleural effusion. Trace dependent atelectasis. HEART / VESSELS: Normal heart size. No... |
2,897 | EXAM: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Chest with contrast, CT Abdomen and Pelvis w contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat. IV contrast: ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Small left pneumothorax. Mild bilateral dependent atelectasis, left greater than right. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: Intact. LYMPH NODES: None enlarged. CHEST WALL:... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Cerebral volume is normal. EXTRA-AXIAL SPACES: No epidural, subdural, or subarachnoid hemorrhage. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SKULL AND SKULL BASE: No acute fracture. FACIAL... |
2,898 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION: Trauma, MVA. COMPARISON: None. TECHNIQUE: CT Head wo contrast, CT Maxillofacial wo contrast. Scan field of view: 290.40 mm. DLP: 1482.60 mGy cm. (accession CT220003451), Scan field of view: 188.40 mm. DLP: 1100.40 mGy cm. (accessio... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. MASTOIDS: Clear. SOFT TISSUE: Unremarkable. MAXILLOFACIAL: No fracture. The orbits appear intact. The mandible appears intact with ... | FINDINGS: VASCULAR FINDINGS: Aortic arch: Patent with no hemodynamically significant stenosis. Three normal vessel aortic arch is noted. Common carotid arteries: Patent with no hemodynamically significant stenosis. Internal carotid arteries: Patent with no hemodynamically significant stenosis. Vertebral arteries: Codom... |
2,899 | Craniocervical CT angiogram 1/6/2022 8:14 PM Indication: Trauma Comparison: None Technique: Axial images were obtained during the early arterial phase of a rapid IV infusion of contrast, from the thoracic inlet through the circle of Willis. Following CTA of the neck, reformatted images were produced to optimize visuali... | Findings: CT C-spine: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull base including occipital bone and occipital condyles are normal. No evidence of skull base fracture. ATLANTODENTAL INTERVAL: Normal ( | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Scattered subsegmental atelectasis. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Calcified coronary atherosclerosis and aortic valve calcifications. ABDOMEN and PELVIS: LIVER: Subcentimeter hyperattenuating lesions in the inferior right lobe... |
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