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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2,900 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: Trauma, fall. COMPARISON: CT head without contrast 6/5/2021 TECHNIQUE: CT Head wo contrast. Scan field of view: 223 mm. DLP: 1525 mGy cm. FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. Age-appropriate cerebral atrophy. Confluent periventricula... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. Age-appropriate cerebral atrophy. Confluent periventricular hypoattenuating areas, compatible with mild chronic microangiopathic disease. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Ex vacuo dilatation. ORBITS: Bilat... | FINDINGS: BONES/JOINTS: There is a comminuted fracture of the lateral process of the talus extending into the posterior facet with intra-articular extension into the talocalcaneal and talonavicular joints. Numerous osseous fragments are present within the subtalar joint. There is an oblique, nondisplaced fracture of th... |
2,901 | RADIOLOGIC EXAM: CT Cervical Spine wo contrast, CT Thoracic Spine wo contrast CLINICAL INFORMATION: pain post fall COMPARISON: 1/22/2021 TECHNIQUE: CT Cervical Spine wo contrast, CT Thoracic Spine wo contrastScan field of view: 194 mm. DLP: 385 mGy cm. (accession CT220003460), Scan field of view: 222 mm. DLP: 1601.80 m... | 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. There is diffuse osteopenia. ATLANTODENTAL INTERVAL: Normal ( | 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... |
2,902 | RADIOLOGIC EXAM: CT Cervical Spine wo contrast, CT Thoracic Spine wo contrast CLINICAL INFORMATION: pain post fall COMPARISON: 1/22/2021 TECHNIQUE: CT Cervical Spine wo contrast, CT Thoracic Spine wo contrastScan field of view: 194 mm. DLP: 385 mGy cm. (accession CT220003460), Scan field of view: 222 mm. DLP: 1601.80 m... | 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. There is diffuse osteopenia. ATLANTODENTAL INTERVAL: Normal ( | Findings: There is a comminuted fracture of the posterior midline tibia with multiple small fragments avulsed at the PCL attachment site. Fragments are mildly distracted. The main articular surfaces of the tibial plateau are intact. There is a small lipohemarthrosis in the knee. There is a minimally displaced avulsion ... |
2,903 | EXAM: CT Hip Left wo contrast CLINICAL INFORMATION: Femoral neck fracture COMPARISON: None. TECHNIQUE: CT Hip Left wo contrast Scan field of view: 267 mm. DLP: 1376 mGy cm. FINDINGS/CONCLUSION: Interval internal fixation of the left femoral neck fracture with near anatomic alignment of the fracture fragments. No immedi... | FINDINGS/CONCLUSION: Interval internal fixation of the left femoral neck fracture with near anatomic alignment of the fracture fragments. No immediate hardware complication. Unchanged left acetabular fixation hardware. No new acute osseous abnormality. Expected postsurgical soft tissue changes are noted of the left hip... | FINDINGS: STRUCTURED REPORT: CTA Abdomen Pelvis VASCULATURE: Scattered mild mixed atherosclerosis. DISTAL DESCENDING THORACIC AORTA: Mild mixed atherosclerosis. ABDOMINAL AORTA: Mild mixed atherosclerosis. CELIAC AXIS: No significant abnormality. SMA: Mild calcified atherosclerosis. No intraluminal thrombus. RIGHT RENA... |
2,904 | EXAM: CT Hip Right wo contrast CLINICAL INFORMATION: Evaluate right femoral neck fracture COMPARISON: None. TECHNIQUE: CT Hip Right wo contrast Scan field of view: 207 mm. DLP: 882 mGy cm. Findings: Femoral necks screws traverse a comminuted fracture of the basicervical right femoral neck. Major fragments are in near-a... | Findings: Femoral necks screws traverse a comminuted fracture of the basicervical right femoral neck. Major fragments are in near-anatomic alignment. The right femoral head is properly positioned within the acetabulum. There is a moderate right hip joint effusion. There is a small amount of postoperative soft tissue ga... | Findings: There is no evidence of acute infarction, hemorrhage or hydrocephalus. There is no vasogenic edema or mass effect. There are bilateral maxillary sinus, left greater than right mucus retention cysts. Dental caries is partially noted. The remaining visualized paranasal sinuses and mastoid air cells are clear. T... |
2,905 | RADIOLOGIC EXAM: CT Angio Neck CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Angio Neck 3-D CT MIP and Volume rendered angiographic images were generated in post processing. Patient weight: 150 lbs. IV contrast: Omnipaque 350, 110 ml, per protocol. Saline flush: 40 ml. IV contrast injection rate: 4 ml p... | FINDINGS: AORTIC ARCH and PROXIMAL GREAT VESSELS: Unremarkable. RIGHT CAROTID: There is no evidence of irregularity, narrowing, occlusion or flap to indicate acute arterial injury or dissection. LEFT CAROTID: There is no evidence of irregularity, narrowing, occlusion or flap to indicate acute arterial injury or dissect... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Focal tree-in-bud nodularity in the dependent aspect of the right lower lobe as seen on series 4 image 170 and in the left lower lobe on series 4... |
2,906 | CT Head wo contrast 1/6/2022 9:13 PM Clinical information: unresponsive Comparison: CT head from earlier today 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: 1076.70 mGy cm. Findings: There is que... | Findings: There is questionable hypoattenuation in the left frontal and temporal lobes and to a lesser extent in the right frontal and temporal lobes with loss of gray-white matter differentiation. This might be artifactual due to beam hardening artifacts. Otherwise no significant change compared to prior. No intracran... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis Chest findings to be dictated separately. ABDOMEN and PELVIS: LIVER: Normal for technique. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal for technique. SPLEEN: Surgic... |
2,907 | EXAM: CT Chest wo contrast CLINICAL INFORMATION: 41-year-old female with dyspnea. COMPARISON: CT chest 11/16/2021. TECHNIQUE: CT Chest wo contrast. Scan field of view: 350 mm. DLP: 213.30 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LO... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Central airways are patent. Diffuse areas of groundglass opacity with prominence of the interstitial markings and bronchiectatic changes, most si... | Findings: The gray-white matter differentiation is intact. There is no evidence of acute infarct, hemorrhage, mass or mass effect. The ventricular system and extra-axial spaces appear normal. The visualized paranasal sinuses and mastoid air cells are aerated. No calvarial fracture is identified. |
2,908 | CT Angio Head wo+w contrast Clinical Information: Status post resection of left wrist acoustic neuroma. Follow-up. Comparison: MRI brain 12/7/2021. Technique: Nonenhanced axial CT images of the brain were obtained. During the IV infusion of contrast, arterial phase and delayed phase postcontrast axial images were then ... | Findings: CT Head without and with contrast: Postsurgical changes related to left acoustic neuroma resection with packing material in the resection space around the petrous left temporal bone. Temporal craniotomy changes. Scattered pockets of gas in the resection space and in the left frontal region. Fluid collection w... | 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 ( |
2,909 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: Shortness of breath and elevated d-dimer. History of lung cancer. COMPARISON: CT of the chest with contrast dated 2/10/2021 TECHNIQUE: CT Angio Chest wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. P... | 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: Stable appearance of the masslike consolidation in the right middle lobe, measuring 2.9 x 2.7 cm (series 402, image 82), ... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. Minimal dependent lower lobe atelectasis is present with trace left pleural effusion without pneumothorax. There is no free air or fluid in the abdomen. Visualized liver, spleen, well distended gallbladder, atrophic pancreas, ... |
2,910 | RADIOLOGIC EXAM: CT Head wo+w contrast CLINICAL INFORMATION: AMS, history of hepatocellular carcinoma with metastatic brain mass. COMPARISON: MR 11/11/2021 TECHNIQUE: CT of the head without and with intravenous contrast. Patient weight: 130 lbs. IV contrast: Omnipaque 350, 100 ml, per protocol. Saline flush: 70 ml. IV ... | FINDINGS: Peripherally enhancing mass centered in the vermis has increased in size, measuring 3.1 x 3.5 x 3.8 cm (TR x AP x CC, series 203 image 23, series 205 image 34), previously 2.2 x 2.1 x 1.6 cm. Stable enhancing dural based nodules along the frontal convexities as well as along the margin of the right cerebellar... | Additional successful 3-D reformats of the maxillofacial structures were obtained. Please refer to initial concomitant routine CT of the face for complete description of findings. |
2,911 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 64-year-old female with abdominal pain. History of hepatocellular carcinoma. COMPARISON: CT abdomen pelvis dated 12/3/2021. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 130 lbs. IV contrast: Omnipaque 350, 100 ml, per protocol. Saline flush: 7... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Stable 7 mm nodule in the right middle lobe. Dependent atelectasis. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Interval increase in size of the left hepatic lobe lesion measuring 2.6 x... | FINDINGS: The quality of the study is excellent. Well opacified pulmonary arteries and its branches demonstrate no intraluminal filling defects. The main pulmonary artery is normal in caliber measuring 24 mm in image 45, series 2. Thoracic aorta is unremarkable except for minimal atherosclerotic disease changes. There ... |
2,912 | CT Head wo contrast 1/7/2022 4:22 AM Clinical Information: Post op Spec Inst: Stealth Comparison: Brain MRI 1/4/2022 Technique: Unenhanced axial brain CT with coronal and sagittal reconstructions. Scan field of view: 250 mm. DLP: 1636 mGy cm. Findings: There are interval postsurgical changes from right parieto-occipita... | Findings: There are interval postsurgical changes from right parieto-occipital craniotomy for underlying lesion resection. There is an underlying extra-axial collection with fluid/hemorrhage and gas. There is a drainage catheter from a parietal approach traversing the resection cavity and terminating in the right tempo... | 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: Normal configuration. No hydrocephalus. Basal cisterns: There is no significant effacement of the basilar cisterns. Extra-axial sp... |
2,913 | RADIOLOGIC EXAM: CT Head wo contrast, CT Cervical Spine wo contrast CLINICAL INFORMATION: sp trauma COMPARISON: CT head 9/26/2016 TECHNIQUE: CT of the head without intravenous contrast. Following CT of the neck, reformatted images were produced to optimize visualization of the osseous structures of the cervical spine. ... | FINDINGS: HEAD: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. Scattered white matter hypodensities, likely microangiopathic changes. Bilateral basal ganglia, corona radiata, and left thalamic remote lacunar infarcts. Diffuse atrophy. EXTRA-AXIAL SPACES: No hemorrhage. Partially empty sella. SKULL AND SKULL BA... | Findings: The sagittal images demonstrate mild dextrocurvature of the cervicothoracic junction, with straightening of the cervical lordosis, without subluxations. The vertebral bodies maintain normal height, without acute fractures or suspicious osseous lesions. Mild intervertebral disc space loss with associated anter... |
2,914 | EXAM: CT Abdomen and Pelvis wo IV contrast, CT Chest wo contrast CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis wo IV contrast, CT Chest wo contrast Scan field of view: 393.50 mm. (accession CT220003482), Scan field of view: 393.50 mm. DLP: 1811.20 mGy cm. (accession CT220003481) FINDIN... | FINDINGS: LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Scattered streaky atelectasis. HEART / VESSELS: Coronary calcification. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: Intact. LYMPH NODES: None enlarged. CHEST WALL: No significant abnormality. ABDOMEN and PELVIS: LIVER: Several indeterminate hypodensities, t... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Normal. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: Intact. LYMPH NODES: None enlarged. Calcified left hilar and subcarinal nodes. CHEST WALL: Trace contusion over the anterior ri... |
2,915 | EXAM: CT Abdomen and Pelvis wo IV contrast, CT Chest wo contrast CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis wo IV contrast, CT Chest wo contrast Scan field of view: 393.50 mm. (accession CT220003482), Scan field of view: 393.50 mm. DLP: 1811.20 mGy cm. (accession CT220003481) FINDIN... | FINDINGS: LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Scattered streaky atelectasis. HEART / VESSELS: Coronary calcification. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: Intact. LYMPH NODES: None enlarged. CHEST WALL: No significant abnormality. ABDOMEN and PELVIS: LIVER: Several indeterminate hypodensities, t... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Normal. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: Intact. LYMPH NODES: None enlarged. Calcified left hilar and subcarinal nodes. CHEST WALL: Trace contusion over the anterior ri... |
2,916 | RADIOLOGIC EXAM: CT Head wo contrast, CT Cervical Spine wo contrast CLINICAL INFORMATION: sp trauma COMPARISON: CT head 9/26/2016 TECHNIQUE: CT of the head without intravenous contrast. Following CT of the neck, reformatted images were produced to optimize visualization of the osseous structures of the cervical spine. ... | FINDINGS: HEAD: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. Scattered white matter hypodensities, likely microangiopathic changes. Bilateral basal ganglia, corona radiata, and left thalamic remote lacunar infarcts. Diffuse atrophy. EXTRA-AXIAL SPACES: No hemorrhage. Partially empty sella. SKULL AND SKULL BA... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. The brain parenchyma volume appears normal. The white-gray matter differentiation is preserved. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. SOFT TISSUES: Mild contusive change over the right frontal scalp. Sm... |
2,917 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: AMS COMPARISON: 1/1/2022 TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 230 mm. DLP: 1310 mGy cm. FINDINGS: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. Periventricular white matter hypodensities, likely microangiopathic ... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. Periventricular white matter hypodensities, likely microangiopathic changes. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. SOFT TISSUES: Normal. | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Unremarkable. CHEST: LUNGS / AIRWAYS / PLEURA: There is trace paraseptal emphysema at the right lung apex. There is bilateral dependent atelectasis. No pleural effusion or pneumothorax present. The central airways are patent. HEART / VESSELS: The heart is normal in... |
2,918 | CT Head wo contrast Clinical Information: Altered Mental Status Comparison: None available Technique: Unenhanced axial brain CT with sagittal and coronal reformats. Scan field of view: 230 mm. DLP: 1306 mGy cm. Findings: CT head: BRAIN PARENCHYMA: No hemorrhage, intracranial mass, large territory infarct, or edema. Gra... | Findings: CT head: BRAIN PARENCHYMA: No hemorrhage, intracranial mass, large territory infarct, or edema. Gray-white matter differentiation maintained. There are two focal areas of hypoattenuation adjacent to the bodies of the bilateral lateral ventricles and left thalamus, likely representing remote infarctions. There... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Unremarkable. CHEST: LUNGS / AIRWAYS / PLEURA: There is trace paraseptal emphysema at the right lung apex. There is bilateral dependent atelectasis. No pleural effusion or pneumothorax present. The central airways are patent. HEART / VESSELS: The heart is normal in... |
2,919 | CT Head wo contrast 1/6/2022 9:06 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: 270.40 mm. DLP: 1479.60 mGy cm. Findings: There is no evidence of acute... | Findings: There is no evidence of acute intracranial hemorrhage, infarction, brain edema, mass effect or hydrocephalus. Mild diffuse brain volume loss with ex vacuo ventricular prominence The visualized paranasal sinuses, mastoid air cells and middle ear cavities are clear. Both orbits appear normal. | Findings: The sagittal images demonstrate mild straightening of the cervical lordosis, without subluxations. The vertebral bodies maintain normal height, without acute fractures or suspicious osseous lesions. Multilevel intervertebral disc space loss, endplate sclerosis and osteophytosis, moderate at C5-C6, mild at C3-... |
2,920 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: 46-year-old female with dyspnea. Evaluate for pulmonary embolism. COMPARISON: Left breast ultrasound dated 7/24/2019. TECHNIQUE: CT Angio Chest wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Mildly suboptimal quality with incomplete evaluation of subsegmental pulmonary arteries. LOWER NECK: Enlarged left thyroid gland. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus LUNGS / AIRWAYS / PLEURA: Scattered mostly subpleural peripheral grou... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Unremarkable. CHEST: LUNGS / AIRWAYS / PLEURA: There is trace paraseptal emphysema at the right lung apex. There is bilateral dependent atelectasis. No pleural effusion or pneumothorax present. The central airways are patent. HEART / VESSELS: The heart is normal in... |
2,921 | CT Thoracic Spine wo contrast, CT Lumbar Spine wo contrast 1/7/2022 5:10 AM Clinical Information: Sp spinal reconstruction Comparison: Spine radiographs 12/3/2021 Technique: Reformatted axial, sagittal and coronal images of the lumbar spine were obtained. Scan field of view: 179 mm. DLP: 1001.70 mGy cm. (CT220003490), ... | Findings: There are extensive postsurgical changes from T11-12 corpectomy, laminectomies and facetectomies with vertebral construct placement. There is posterior fixation hardware from T8 to L3 with bilateral rods and pedicle screws. The previously seen T11-12 centered kyphosis has significantly improved. The spinal al... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Unremarkable. CHEST: LUNGS / AIRWAYS / PLEURA: There is trace paraseptal emphysema at the right lung apex. There is bilateral dependent atelectasis. No pleural effusion or pneumothorax present. The central airways are patent. HEART / VESSELS: The heart is normal in... |
2,922 | CT Thoracic Spine wo contrast, CT Lumbar Spine wo contrast 1/7/2022 5:10 AM Clinical Information: Sp spinal reconstruction Comparison: Spine radiographs 12/3/2021 Technique: Reformatted axial, sagittal and coronal images of the lumbar spine were obtained. Scan field of view: 179 mm. DLP: 1001.70 mGy cm. (CT220003490), ... | Findings: There are extensive postsurgical changes from T11-12 corpectomy, laminectomies and facetectomies with vertebral construct placement. There is posterior fixation hardware from T8 to L3 with bilateral rods and pedicle screws. The previously seen T11-12 centered kyphosis has significantly improved. The spinal al... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. The brain parenchyma volume appears normal. The white-gray matter differentiation is preserved. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. SOFT TISSUES: Mild contusive change over the right frontal scalp. Sm... |
2,923 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: Bifrontal contusions. COMPARISON: 1/5/2022 TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 239 mm. DLP: 1721 mGy cm. FINDINGS: BRAIN PARENCHYMA: Stable scattered hemorrhagic contusions in the left greater than right frontal lobes. St... | FINDINGS: BRAIN PARENCHYMA: Stable scattered hemorrhagic contusions in the left greater than right frontal lobes. Stable to minimally increased anterior bifrontal parenchymal herniation, more prominent on the left. EXTRA-AXIAL SPACES: Stable scattered left frontoparietal subarachnoid hemorrhages near the vertex. Slight... | 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: Domin... |
2,924 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: Delirium. COMPARISON: None. TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 240 mm. DLP: 1395.90 mGy cm. FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. Periventricular wh... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, acute infarct, or cerebral edema. No midline shift or mass effect. Periventricular white matter hypodensities, likely microangiopathic changes. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. Chronically nonunited posterior C1 arch. VENTRICULAR SYSTEM: Normal. O... | Findings: Brain parenchyma: Interval postsurgical right frontal craniotomy for resection of underlying complex appearing mass, demonstrating residual pneumocephalus, fatty packing material and small amount of hemorrhage along the resection cavity, with confluent vasogenic edema in the underlying right frontoparietal lo... |
2,925 | EXAM: CT Cystogram CLINICAL INFORMATION: Trauma follow-up. COMPARISON: CT abdomen pelvis dated 1/6/2022. TECHNIQUE: CT Cystogram. Patient weight: 126 lbs. IV contrast: Omnipaque 350, 10 ml, per protocol. Scan delay: 0 sec. Scan field of view: 360 mm. DLP: 637.90 mGy cm. FINDINGS: CT imaging was performed without IV con... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Pelvis LOWER ABDOMEN: BOWEL: Diverticulosis. PERITONEUM: Nonspecific hemorrhage and stranding in the anterior pelvis. OTHER: No other abnormality. PELVIS: VESSELS: Mild calcified atherosclerosis. LYMPH NO... | Findings: There is a right frontal approach ventricular shunt catheter terminating in the right frontal horn. The ventricles remain mildly enlarged but stable in size. Left greater than right frontal and bilateral temporal encephalomalacia is again noted. There is dural thickening/residual collection underlying the lef... |
2,926 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: AMS. COMPARISON: 9/28/20 TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 257.70 mm. DLP: 1505.80 mGy cm. FINDINGS: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. Diffuse atrophy. Scattered white matter hypodensities, likely ... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. Diffuse atrophy. Scattered white matter hypodensities, likely microangiopathic changes. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. Calcified atherosclerosis of the vertebral arteries and carotid siphons. VENTRICULAR SYSTEM: Ex vacuo d... | FINDINGS: RIGHT TEMPORAL BONE: The fibrocartilaginous and osseous external auditory canal is intact. The middle ear cavity and mastoid air cells are opacified, obscuring the tympanic membrane. The ossicular chain articulates appropriately, without erosions. The inner ear structures (vestibule, cochlea, and semicircular... |
2,927 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 56-year-old male with scrotal pain. COMPARISON: CT abdomen and pelvis 12/30/2021 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 156 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 30 ml. IV contrast injection rate: 2.80 ml p... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Patchy opacities in the bilateral lung bases. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Mild cardiomegaly. Coronary artery calcifications. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Mi... | Findings. Head CT: Right frontotemporal craniotomy changes are again noted. There are small developing fluid collections within the right frontal scalp (coronal image 31 and coronal image 37). These appear to communicate with the craniotomy. There is however no significant peripheral enhancement. There is also mildly i... |
2,928 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: Right flank pain. COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 438 mm. DLP: 541 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen P... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No ab... | FINDINGS/CONCLUSION: Posterior dislocation of the right hip with comminuted transverse fracture of the right acetabulum involving the anterior and posterior columns. Impaction fracture of the anterior inferior femoral head (image 171, series 509). Comminuted fracture of the posterior left ilium extending into the left ... |
2,929 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: Abdominal pain COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis wo IV contrast Scan field of view: 436.90 mm. DLP: 450.40 mGy cm. FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Approximately 1 cm pleural-based nodular d... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Approximately 1 cm pleural-based nodular density in the right lung base. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Coronary calcification. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Mild intra and extrahepatic biliary dilatation. G... | Findings: There is mild limitation due to motion artifact. There is mild diffuse cerebral volume loss. There is no evidence of acute infarction, hemorrhage or hydrocephalus. There is no vasogenic edema or mass effect. Atherosclerotic calcifications are noted. The visualized paranasal sinuses and mastoid air cells are c... |
2,930 | RADIOLOGIC EXAM: CT Lumbar Spine wo contrast CLINICAL INFORMATION: Fracture COMPARISON: 6/5/2021 TECHNIQUE: CT Lumbar Spine wo contrastScan field of view: 182 mm. DLP: 775.80 mGy cm. FINDINGS: Vertebral body cement at T12. Age-indeterminate L2 compression/burst fracture with lucent region in the central vertebral body.... | FINDINGS: Vertebral body cement at T12. Age-indeterminate L2 compression/burst fracture with lucent region in the central vertebral body. Minimal bony retropulsion with about 30% height loss. Lumbar vertebral body heights and alignment are otherwise preserved. Inferior endplate Schmorl's nodes at L3 and L4. Chronic app... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Circumferential thickening of the distal esophagus. Small hiatal hernia. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Focal fatty change along the falciform ligament. BILIARY TRACT: Norm... |
2,931 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: Speech changes. COMPARISON: None. TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 221 mm. DLP: 1190 mGy cm. FINDINGS: BRAIN PARENCHYMA: Loss of gray-white matter differentiation in the right temporal lobe (for example, series 601 ima... | FINDINGS: BRAIN PARENCHYMA: Loss of gray-white matter differentiation in the right temporal lobe (for example, series 601 image 29). Hyperdense right MCA. No acute hemorrhage, midline shift or mass effect. Scattered white matter hypodensities, likely microangiopathic changes. EXTRA-AXIAL SPACES: Mild sulcal effacement ... | FINDINGS: BRAIN PARENCHYMA: 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 mild exvacuo dilatation of the ventricular system. Mild periventricular frontal white matter hypoattenuatio... |
2,932 | CT Head wo contrast 1/7/2022 1:22 AM Clinical Information: AMS Comparison: CT head 9/13/2021. Technique: Unenhanced axial brain CT. Bone and soft tissue windows were reviewed. Sagittal and coronal images were generated from the axial data. Scan field of view: 200 mm. DLP: 870 mGy cm. Findings:Mild age-appropriate brain... | Findings:Mild age-appropriate brain involution. Mild periventricular white matter hypoattenuation in a pattern compatible with mild small vessel ischemic disease. Bilateral cerebral hemispheres are symmetric in appearance. Gray and white matter attenuation differentiation is maintained. No acute intracranial hemorrhage... | Findings: There are interval postsurgical changes from right frontoparietal craniotomy at the vertex with resection of the underlying meningioma with extension to the superior sagittal sinus. There is underlying extra-axial hemorrhage with pneumocephalus and packing material extending along the posterior falx. There is... |
2,933 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: 67-year-old male with evaluation for dyspnea, aspiration pneumonia and pulmonary embolism. COMPARISON: CTA chest dated 1/30/2020. TECHNIQUE: CT Angio Chest wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered ima... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Moderately suboptimal quality with incomplete evaluation of segmental and subsegmental pulmonary arteries. This is secondary to respiratory motion artifact in the mid and lower lung zones. Bolus timing is optimal. LOWER NECK: No abnormality. CHEST: PULMONAR... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Mild paraseptal emphysema. Scattered nodules measuring less than 6 mm, for example, a left lower lobe nodule measuring 5 mm (series 2 image 58). Scattered subsegmental atelectasis. Elevation of the left hemidiaphragm with associated atelec... |
2,934 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 51-year-old female with diarrhea, epigastric and right lower quadrant pain. COMPARISON: CT abdomen pelvis dated 3/1/2021. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 332 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 70 ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Worsening bibasilar atelectasis. DISTAL ESOPHAGUS: Small hiatal hernia. HEART / VESSELS: Similar cardiomegaly. ABDOMEN and PELVIS: LIVER: No suspicious lesion. BILIARY TRACT: Normal. GALLBLADDER: Wall thickening with edema in the gallbladd... | FINDINGS: Orbits/Paranasal Sinuses/Skull Base: The bony orbits are intact. Unchanged bilateral lens replacements. The bilateral globes, optic nerves, and retrobulbar soft tissues are normal appearance. Interval resection of previously described left maxillary gingival fornix mass and the adjacent maxillary sinus alveol... |
2,935 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT of the head and maxillofacial region without intravenous contrast. Scan field of view: 230 mm. DLP: 1370 mGy cm. (accession CT220003504), Scan field of view: 200 mm. DLP: 1071 mGy cm. (accessi... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. EXTRA-AXIAL SPACES: Normal. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SKULL AND SKULL BASE: Nondisplaced right occipital condyle fracture. Healed pterygoid plate fractures. Vessels are partially opacified with contrast. FACIAL BONES: No acute fracture.... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Bilateral dependent atelectasis. No pleural effusions are seen. DISTAL ESOPHAGUS: Unremarkable. HEART / VESSELS: The visualized heart is normal in size. ABDOMEN and PELVIS: LIVER: Hepatic steatosis. BILIARY TRACT: Mild prominence of the ce... |
2,936 | 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. Patient weigh... | FINDINGS: Exam is degraded by motion artifact which can limit diagnostic accuracy. STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Endotracheal tube tip is seen approximately 1.3 cm above the carina. Consolidations with air bronchograms in the dependent portions of the lungs. No pn... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Dependent atelectatic changes bilaterally with right small pleural effusion. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: The heart is enlarged. Small perica... |
2,937 | 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. Patient weigh... | FINDINGS: Exam is degraded by motion artifact which can limit diagnostic accuracy. STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Endotracheal tube tip is seen approximately 1.3 cm above the carina. Consolidations with air bronchograms in the dependent portions of the lungs. No pn... | 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: Normal configuration. No hydrocephalus. Basal cisterns: There is no significant effacement of the basilar cisterns. Extra-axial sp... |
2,938 | RADIOLOGIC EXAM: CT Cervical Spine From Reformat, CT Angio Neck CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Cervical Spine From Reformat, CT Angio Neck Following CT of the neck, reformatted images were produced to optimize visualization of the osseous structures of the cervical spine. 3-D CT MIP and vo... | FINDINGS: CERVICAL SPINE: SKULL BASE AND CERVICOCRANIAL JUNCTION: Minimally displaced right occipital condyle fracture. ATLANTODENTAL INTERVAL: Normal ( | FINDINGS: CT of the head with and without contrast: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Diffuse age-appropriate brain parenchymal volume loss is seen, resulting in mild exvacuodilatation of the ventricular system. No abnormal enhanceme... |
2,939 | 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. Patient weigh... | FINDINGS: Exam is degraded by motion artifact which can limit diagnostic accuracy. STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Endotracheal tube tip is seen approximately 1.3 cm above the carina. Consolidations with air bronchograms in the dependent portions of the lungs. No pn... | 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: Redemonstration of subdural hemorrhage layering along the falx and left tentorial leaflet. The parafalcine com... |
2,940 | 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. Patient weigh... | FINDINGS: Exam is degraded by motion artifact which can limit diagnostic accuracy. STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Endotracheal tube tip is seen approximately 1.3 cm above the carina. Consolidations with air bronchograms in the dependent portions of the lungs. No pn... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. EXTRA-AXIAL SPACES: No epidural, subdural, or subarachnoid hemorrhage. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SKULL AND SKULL BASE: No acute fracture. FACIAL BONES: No acute fracture. ... |
2,941 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT of the head and maxillofacial region without intravenous contrast. Scan field of view: 230 mm. DLP: 1370 mGy cm. (accession CT220003504), Scan field of view: 200 mm. DLP: 1071 mGy cm. (accessi... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. EXTRA-AXIAL SPACES: Normal. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SKULL AND SKULL BASE: Nondisplaced right occipital condyle fracture. Healed pterygoid plate fractures. Vessels are partially opacified with contrast. FACIAL BONES: No acute fracture.... | FINDINGS: LOWER NECK: Left lobe of the thyroid is absent. CHEST: LUNGS / AIRWAYS / PLEURA: Small right pneumothorax. Right fissural calcified granuloma. HEART / VESSELS: Trace calcified atherosclerosis. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: Intact. LYMPH NODES: Calcified right hilar nodes. CHEST WALL: Mildly disp... |
2,942 | RADIOLOGIC EXAM: CT Cervical Spine From Reformat, CT Angio Neck CLINICAL INFORMATION: Trauma COMPARISON: None. TECHNIQUE: CT Cervical Spine From Reformat, CT Angio Neck Following CT of the neck, reformatted images were produced to optimize visualization of the osseous structures of the cervical spine. 3-D CT MIP and vo... | FINDINGS: CERVICAL SPINE: SKULL BASE AND CERVICOCRANIAL JUNCTION: Minimally displaced right occipital condyle fracture. ATLANTODENTAL INTERVAL: Normal ( | FINDINGS: LOWER NECK: Left lobe of the thyroid is absent. CHEST: LUNGS / AIRWAYS / PLEURA: Small right pneumothorax. Right fissural calcified granuloma. HEART / VESSELS: Trace calcified atherosclerosis. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: Intact. LYMPH NODES: Calcified right hilar nodes. CHEST WALL: Mildly disp... |
2,943 | Radiologic Exam: CT Angio Head Code Stroke, CT Angio Neck Clinical Information: Speech changes. Comparison: Same day noncontrast CT TECHNIQUE: CT Angio Head Code Stroke, CT Angio Neck. 3-D CT MIP and volume rendered angiographic images were generated in post processing. Patient weight: 220 lbs. IV contrast: Omnipaque 3... | FINDINGS: CT OF THE HEAD WITH CONTRAST: Similar appearance of right temporal evolving infarct. No evidence of hemorrhagic transformation. No enhancing intracranial abnormality. Please also see separate same day noncontrast CT head report. CT ANGIOGRAM OF THE HEAD AND NECK: AORTIC ARCH AND PROXIMAL GREAT VESSELS: Trace ... | 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 ( |
2,944 | Radiologic Exam: CT Angio Head Code Stroke, CT Angio Neck Clinical Information: Speech changes. Comparison: Same day noncontrast CT TECHNIQUE: CT Angio Head Code Stroke, CT Angio Neck. 3-D CT MIP and volume rendered angiographic images were generated in post processing. Patient weight: 220 lbs. IV contrast: Omnipaque 3... | FINDINGS: CT OF THE HEAD WITH CONTRAST: Similar appearance of right temporal evolving infarct. No evidence of hemorrhagic transformation. No enhancing intracranial abnormality. Please also see separate same day noncontrast CT head report. CT ANGIOGRAM OF THE HEAD AND NECK: AORTIC ARCH AND PROXIMAL GREAT VESSELS: Trace ... | FINDINGS: LOWER NECK: Left lobe of the thyroid is absent. CHEST: LUNGS / AIRWAYS / PLEURA: Small right pneumothorax. Right fissural calcified granuloma. HEART / VESSELS: Trace calcified atherosclerosis. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: Intact. LYMPH NODES: Calcified right hilar nodes. CHEST WALL: Mildly disp... |
2,945 | CT Perfusion 1/6/2022 10:30 PM Clinical Information: Concern for stroke. speech changes Comparison: CT head performed earlier on the same day. Technique: A CT perfusion study was performed during single pass of 50 cc contrast bolus. Axial images were acquired at 8 axial locations and time-attenuation curves generated f... | FINDINGS: RAPID images demonstrate CBF less than 30% volume: 0 mL and T. Max greater than 6seconds volume: 55 mL. Mismatch volume is 55 mL. Elevated Tmax in the right cerebral hemisphere as described above predominantly in the right frontal region corresponding to right MCA territory ischemia. No CT perfusion evidence ... | FINDINGS: LOWER NECK: Left lobe of the thyroid is absent. CHEST: LUNGS / AIRWAYS / PLEURA: Small right pneumothorax. Right fissural calcified granuloma. HEART / VESSELS: Trace calcified atherosclerosis. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: Intact. LYMPH NODES: Calcified right hilar nodes. CHEST WALL: Mildly disp... |
2,946 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: Head Injury COMPARISON: 8/26/2021 TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 235 mm. DLP: 1109 mGy cm. FINDINGS: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. Scattered white matter hypodensities, likely microangiopath... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. Scattered white matter hypodensities, likely microangiopathic changes. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. Calcified atherosclerosis of the vertebral arteries and carotid siphons. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SIN... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. EXTRA-AXIAL SPACES: No epidural, subdural, or subarachnoid hemorrhage. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SKULL AND SKULL BASE: No acute fracture. FACIAL BONES: No acute fracture. ... |
2,947 | RADIOLOGIC EXAM: CT Head wo+w contrast, CT Cervical Spine wo contrast CLINICAL INFORMATION: Headache, neck pain COMPARISON: None. TECHNIQUE: CT of the head without and with intravenous contrast. Following CT of the neck, reformatted images were produced to optimize visualization of the osseous structures of the cervica... | FINDINGS: HEAD: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. No enhancing abnormality. EXTRA-AXIAL SPACES: Thin near CSF density collection along the right frontoparietal convexity. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. SOFT TISSUES: Normal. C-SPINE: ... | 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 ( |
2,948 | CT Neck Soft Tissue w contrast 1/7/2022 2:43 AM Clinical Information: Dyspnea. Concern for epiglottitis. Comparison: CT chest 1/7/2022. Technique: Axial images of the neck were obtained following the administration of intravenous contrast. Reformatted coronal and sagittal images were also obtained. Patient weight: 176 ... | Findings: Study limited by streak artifact and quantum mottle. Minimal layering of secretions in the nasopharynx and oropharynx. Adenoidal hypertrophy. Otherwise, nasopharynx and oropharynx are normal in appearance. The base of the tongue and lymphoid tissue within Waldeyer's ring are unremarkable. Mild asymmetric effa... | FINDINGS: STRUCTURED REPORT: CT Chest PE and Abdomen Pelvis OVERALL DIAGNOSTIC QUALITY: Full diagnostic quality LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus LUNGS / AIRWAYS / PLEURA: Endotracheal tube terminates approximately 3 cm above the carina. Dependent opacities in the lef... |
2,949 | RADIOLOGIC EXAM: CT Head wo+w contrast, CT Cervical Spine wo contrast CLINICAL INFORMATION: Headache, neck pain COMPARISON: None. TECHNIQUE: CT of the head without and with intravenous contrast. Following CT of the neck, reformatted images were produced to optimize visualization of the osseous structures of the cervica... | FINDINGS: HEAD: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. No enhancing abnormality. EXTRA-AXIAL SPACES: Thin near CSF density collection along the right frontoparietal convexity. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. SOFT TISSUES: Normal. C-SPINE: ... | FINDINGS: STRUCTURED REPORT: CT Chest PE and Abdomen Pelvis OVERALL DIAGNOSTIC QUALITY: Full diagnostic quality LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus LUNGS / AIRWAYS / PLEURA: Endotracheal tube terminates approximately 3 cm above the carina. Dependent opacities in the lef... |
2,950 | RADIOLOGIC EXAM: CT Head wo+w contrast CLINICAL INFORMATION: AMS, Fall, head injury. COMPARISON: MR 1/6/2022 TECHNIQUE: CT of the head without and with intravenous contrast. Patient weight: 260 lbs. IV contrast: Omnipaque 350, 100 ml, per protocol. Saline flush: 70 ml. IV contrast injection rate: 3 ml per sec. Scan del... | FINDINGS: Peripherally enhancing lesion in the right temporal lobe measures 2.9 x 4.2 x 4.2 cm (TR x AP x CC, series 303 image 32, series 305 image 56), previously 3.2 x 3.7 x 5.0 cm. Stable surrounding vasogenic edema. Leftward midline shift measures 5 mm, previously 4 mm. No additional herniation. No acute hemorrhage... | Findings: There is sharp anterior angulation of the sacrum at the S4 level, unchanged from 2017. No adjacent soft tissue edema is seen. There is screw fixation of an old fracture of the anterior right ilium, involving the anterior inferior iliac spine. There are old fracture deformities of the right obturator ring, bri... |
2,951 | 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: 350 mm. STRUCTURED REPORT: CT Bone vDec2021 FINDINGS: BONES/JOINTS: Nondisplaced right inferior pubic rami fracture. Bilateral ... | FINDINGS: BONES/JOINTS: Nondisplaced right inferior pubic rami fracture. Bilateral comminuted pubic body fractures with associated 1 cm pubic symphysis diastases. Right sacral alar fracture with extension into the SI joint. 7 mm of left SI joint diastasis with associated tiny inferior left sacral alar fracture. Nondisp... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Bilateral scattered peripheral predominant consolidative foci and groundglass opacities, most prominent in the left lower lobe. Bilateral linear lower lobe... |
2,952 | RADIOLOGIC EXAM: CT Head wo contrast, CT Cervical Spine wo contrast CLINICAL INFORMATION: Trauma; Trauma, was in high speed rollover car accident, unrestrained, generalized back pain with diffuse thoracic spine tenderness and abdominal tenderness COMPARISON: None. TECHNIQUE: CT of the head without intravenous contrast.... | FINDINGS: HEAD: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. SOFT TISSUES: Normal. C-SPINE: ATLANTODENTAL INTERVAL: Normal ( | FINDINGS: VERTEBRA: Redemonstration of age-indeterminate burst fracture of T12 with less than 25% vertebral body height loss anteriorly, new from CT abdomen and pelvis dated 12/21/2021. Subtle buckling along the posterior cortex without significant retropulsion. No other fracture identified. DISC SPACES AND FACET JOINT... |
2,953 | 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: CT chest and abdomen dated 12/12/2021. TECHNIQUE: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Dependent atelectasis and scattered upper lobe predominant centrilobular emphysema. No effusion, pneumothorax, or suspicious pulmonary nodule. HEART / VESSELS: Mild CAD. Mild atherosclerosis of the thoracic aorta. MEDIASTINU... | FINDINGS: STRUCTURED REPORT: CTA Abdomen Pelvis VASCULATURE: DISTAL DESCENDING THORACIC AORTA: No significant abnormality. ABDOMINAL AORTA: No significant abnormality. CELIAC AXIS: No significant abnormality. SMA: No significant abnormality. RIGHT RENAL: No significant abnormality. LEFT RENAL: No significant abnormalit... |
2,954 | 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: CT chest and abdomen dated 12/12/2021. TECHNIQUE: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Dependent atelectasis and scattered upper lobe predominant centrilobular emphysema. No effusion, pneumothorax, or suspicious pulmonary nodule. HEART / VESSELS: Mild CAD. Mild atherosclerosis of the thoracic aorta. MEDIASTINU... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. LOWER CHEST: Unchanged nodules in the right lung base. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. SPLEEN: Normal. PANCREAS: Normal. ADRENALS: Normal. KIDNEYS: Atrophic native kidneys... |
2,955 | RADIOLOGIC EXAM: CT Head wo contrast, CT Cervical Spine wo contrast CLINICAL INFORMATION: Trauma; Trauma, was in high speed rollover car accident, unrestrained, generalized back pain with diffuse thoracic spine tenderness and abdominal tenderness COMPARISON: None. TECHNIQUE: CT of the head without intravenous contrast.... | FINDINGS: HEAD: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Normal. SOFT TISSUES: Normal. C-SPINE: ATLANTODENTAL INTERVAL: Normal ( | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Cerebral cortical volume is appropriate for patient's age. Small region of old left occipital encephalomalacia likely sequela of focal infarct. EXTRA-AXIAL SPACES: No epidural, subdural, or... |
2,956 | 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: CT chest and abdomen dated 12/12/2021. TECHNIQUE: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Dependent atelectasis and scattered upper lobe predominant centrilobular emphysema. No effusion, pneumothorax, or suspicious pulmonary nodule. HEART / VESSELS: Mild CAD. Mild atherosclerosis of the thoracic aorta. MEDIASTINU... | 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... |
2,957 | 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: CT chest and abdomen dated 12/12/2021. TECHNIQUE: CT Chest with contrast, CT Lumbar Spine from Reformat, CT Thoracic Spine from Reformat, CT Abdomen and... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Dependent atelectasis and scattered upper lobe predominant centrilobular emphysema. No effusion, pneumothorax, or suspicious pulmonary nodule. HEART / VESSELS: Mild CAD. Mild atherosclerosis of the thoracic aorta. MEDIASTINU... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Postsurgical changes of the right lower lobe again seen. Multiple bilateral peripheral predominant groundglass and consolidative opacities. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: N... |
2,958 | CT Head wo contrast 1/7/2022 1:30 AM Clinical Information: fall in the bathroom. Recent CT myelogram procedure. Comparison: None. Technique: Unenhanced axial brain CT. Bone and soft tissue windows were reviewed. Sagittal and coronal images were generated from the axial data. Scan field of view: 207 mm. DLP: 1032 mGy cm... | Findings:Extensive contrast staining of the sulcal spaces and cisternal spaces involving the supratentorial and infratentorial compartment likely related to recent CT study myelogram with intrathecal contrast injection. Otherwise bilateral cerebral hemispheres are symmetric in appearance. Extensive contrast staining th... | 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: Normal configuration. No hydrocephalus. Basal cisterns: There is no significant effacement of the basilar cisterns. Extra-axial sp... |
2,959 | RADIOLOGIC EXAM: CT Head wo No Charge CLINICAL INFORMATION:COVID Confirmed AMS COMPARISON: 11/24/2014 TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 303.50 mm. DLP: 1493 mGy cm. FINDINGS: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BAS... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Maxillary mucus retention cysts. SOFT TISSUES: Normal. | FINDINGS: LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: No focal consolidation, pneumothorax, or pleural effusion. Right lower lobe multilobular cystic lesion with wall calcifications. Right upper lobe calcified granuloma. Occasional pulmonary nodule or vascular lower 4 mm in diameter. HEART / VESSELS: Trace cal... |
2,960 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION:PUI for COVID Trauma COMPARISON: None. TECHNIQUE: CT of the head and maxillofacial region without intravenous contrast. Scan field of view: 1370 mm. DLP: 1370 mGy cm. (accession CT220003532), Scan field of view: 200 mm. DLP: 1996 mG... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. EXTRA-AXIAL SPACES: No hemorrhage. Partially empty sella. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SKULL AND SKULL BASE: No fracture. FACIAL BONES: Normal. MANDIBLE: Normal. SINONASAL CAVITIES: Mild mucosal thickening of the maxillary and ethmoid sinu... | FINDINGS: LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: No focal consolidation, pneumothorax, or pleural effusion. Right lower lobe multilobular cystic lesion with wall calcifications. Right upper lobe calcified granuloma. Occasional pulmonary nodule or vascular lower 4 mm in diameter. HEART / VESSELS: Trace cal... |
2,961 | 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: Dependent atelectasis without pneumothorax, effusion, or consolidation. No suspicious pulmonary nodule. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: Intact. LYMPH NODES: None enlar... | 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 ( |
2,962 | 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: Dependent atelectasis without pneumothorax, effusion, or consolidation. No suspicious pulmonary nodule. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: Intact. LYMPH NODES: None enlar... | FINDINGS: LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: No focal consolidation, pneumothorax, or pleural effusion. Right lower lobe multilobular cystic lesion with wall calcifications. Right upper lobe calcified granuloma. Occasional pulmonary nodule or vascular lower 4 mm in diameter. HEART / VESSELS: Trace cal... |
2,963 | RADIOLOGIC EXAM: CT Cervical Spine From Reformat, CT Angio Neck CLINICAL INFORMATION:PUI for COVID Trauma COMPARISON: None. TECHNIQUE: CT Cervical Spine From Reformat, CT Angio Neck Following CT of the neck, reformatted images were produced to optimize visualization of the osseous structures of the cervical spine. 3-D ... | FINDINGS: CERVICAL SPINE: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull base including occipital bone and occipital condyles are normal. No evidence of skull base fracture. ATLANTODENTAL INTERVAL: Normal ( | FINDINGS: LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: No focal consolidation, pneumothorax, or pleural effusion. Right lower lobe multilobular cystic lesion with wall calcifications. Right upper lobe calcified granuloma. Occasional pulmonary nodule or vascular lower 4 mm in diameter. HEART / VESSELS: Trace cal... |
2,964 | 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: Dependent atelectasis without pneumothorax, effusion, or consolidation. No suspicious pulmonary nodule. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: Intact. LYMPH NODES: None enlar... | FINDINGS: Soft tissues: Partially visualized moderate right parietal scalp hematoma. Bones: No acute facial bone fractures are identified. No suspicious osseous lesions are seen. The visualized mandible is intact and the bilateral TMJs are congruent. Orbits: The bilateral globes and optic nerves are intact. The retrobu... |
2,965 | 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: Dependent atelectasis without pneumothorax, effusion, or consolidation. No suspicious pulmonary nodule. HEART / VESSELS: No significant abnormality. MEDIASTINUM / ESOPHAGUS: Normal. DIAPHRAGM: Intact. LYMPH NODES: None enlar... | 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 ( |
2,966 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast CLINICAL INFORMATION:PUI for COVID Trauma COMPARISON: None. TECHNIQUE: CT of the head and maxillofacial region without intravenous contrast. Scan field of view: 1370 mm. DLP: 1370 mGy cm. (accession CT220003532), Scan field of view: 200 mm. DLP: 1996 mG... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. EXTRA-AXIAL SPACES: No hemorrhage. Partially empty sella. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SKULL AND SKULL BASE: No fracture. FACIAL BONES: Normal. MANDIBLE: Normal. SINONASAL CAVITIES: Mild mucosal thickening of the maxillary and ethmoid sinu... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: Limited due to respiratory motion. LUNGS / AIRWAYS / PLEURA: Interval development of numerous bilateral groundglass and consolidative opacities throughout both lung with m... |
2,967 | RADIOLOGIC EXAM: CT Cervical Spine From Reformat, CT Angio Neck CLINICAL INFORMATION:PUI for COVID Trauma COMPARISON: None. TECHNIQUE: CT Cervical Spine From Reformat, CT Angio Neck Following CT of the neck, reformatted images were produced to optimize visualization of the osseous structures of the cervical spine. 3-D ... | FINDINGS: CERVICAL SPINE: SKULL BASE AND CERVICOCRANIAL JUNCTION: Visualized portions of skull base including occipital bone and occipital condyles are normal. No evidence of skull base fracture. ATLANTODENTAL INTERVAL: Normal ( | FINDINGS: 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... |
2,968 | Radiologic Exam: CT Angio Head Code Stroke, CT Angio Neck Clinical Information: COVID Confirmed stroke Comparison: CT 11/24/2014. TECHNIQUE: CT Angio Head Code Stroke, CT Angio Neck. 3-D CT MIP and volume rendered angiographic images were generated in post processing. Patient weight: 240 lbs. IV contrast: Omnipaque 350... | FINDINGS: CT OF THE HEAD WITH CONTRAST: No enhancing intracranial abnormality. Please also see separate same day noncontrast CT head report. CT ANGIOGRAM OF THE HEAD AND NECK: AORTIC ARCH AND PROXIMAL GREAT VESSELS: Normal. RIGHT CAROTID: Mild calcified atherosclerosis of the bifurcation and siphon. LEFT CAROTID: Mild ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Unremarkable. CHEST: LUNGS / AIRWAYS / PLEURA: The lungs are clear. No pleural effusion or pneumothorax is identified. The central airways are patent. HEART / VESSELS: The heart is normal in size. The left vertebral artery arises directly from the aortic arch. MEDI... |
2,969 | Radiologic Exam: CT Angio Head Code Stroke, CT Angio Neck Clinical Information: COVID Confirmed stroke Comparison: CT 11/24/2014. TECHNIQUE: CT Angio Head Code Stroke, CT Angio Neck. 3-D CT MIP and volume rendered angiographic images were generated in post processing. Patient weight: 240 lbs. IV contrast: Omnipaque 350... | FINDINGS: CT OF THE HEAD WITH CONTRAST: No enhancing intracranial abnormality. Please also see separate same day noncontrast CT head report. CT ANGIOGRAM OF THE HEAD AND NECK: AORTIC ARCH AND PROXIMAL GREAT VESSELS: Normal. RIGHT CAROTID: Mild calcified atherosclerosis of the bifurcation and siphon. LEFT CAROTID: Mild ... | FINDINGS: STRUCTURED REPORT: CT CAP Trauma LOWER NECK: Unremarkable. CHEST: LUNGS / AIRWAYS / PLEURA: The lungs are clear. No pleural effusion or pneumothorax is identified. The central airways are patent. HEART / VESSELS: The heart is normal in size. The left vertebral artery arises directly from the aortic arch. MEDI... |
2,970 | CT Perfusion 1/7/2022 12:11 AM Clinical Information: COVID Confirmed stroke Comparison: CT of the head performed earlier on the same day. Technique: A CT perfusion study was performed during single pass of 50 cc contrast bolus. Axial images were acquired at 8 axial locations and time-attenuation curves generated from t... | A CT perfusion study was performed during single pass of 50 cc contrast bolus. Axial images were acquired at 8 axial locations and time-attenuation curves generated from this dataset were utilized to calculate cerebral blood flow, mean transit time, time to peak, and cerebral blood volume maps as well as region of inte... | FINDINGS: 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 ( |
2,971 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION:COVID Confirmed AMS COMPARISON: MR 9/2/2021, CT 8/17/2021 TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 230 mm. DLP: 1337 mGy cm. FINDINGS: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. Stable left occipital encephalomalac... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. Stable left occipital encephalomalacia. Scattered white matter hypodensities, likely microangiopathic changes. EXTRA-AXIAL SPACES: No acute hemorrhage. Previously noted right frontoparietal hyperattenuating foci are no longer seen. SKULL AND SKULL BASE: ... | FINDINGS: THORACIC SPINE: VERTEBRA: No evidence of acute fracture. DISC SPACES AND FACET JOINTS: No acute injury. PREVERTEBRAL SOFT TISSUES: Normal. ALIGNMENT: Normal. LUMBAR SPINE: VERTEBRA: No evidence of acute fracture. DISC SPACES AND FACET JOINTS: No acute injury. PREVERTEBRAL SOFT TISSUES: Normal. ALIGNMENT: Norm... |
2,972 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 79-year-old male with confirmed COVID. Evaluate for ureteral stent malpositioning or infection. COMPARISON: CT abdomen pelvis dated 6/29/2021. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 250 lbs. IV contrast: Omnipaque 350, 150 ml, per protoc... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Dependent atelectasis. DISTAL ESOPHAGUS: Small hiatal hernia. HEART / VESSELS: Defects in the pulmonary arteries of the right lower lobe (series 301, image one). Cardiac lead tips are seen in the right atrium and right ventricle. ABDOMEN a... | FINDINGS: THORACIC SPINE: VERTEBRA: No evidence of acute fracture. DISC SPACES AND FACET JOINTS: No acute injury. PREVERTEBRAL SOFT TISSUES: Normal. ALIGNMENT: Normal. LUMBAR SPINE: VERTEBRA: No evidence of acute fracture. DISC SPACES AND FACET JOINTS: No acute injury. PREVERTEBRAL SOFT TISSUES: Normal. ALIGNMENT: Norm... |
2,973 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 43-year-old male with rectal cancer and worsening pain. Patient reports history of end-stage rectal cancer status post recent radiation therapy. COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 200 lbs. IV contrast: Omnipaque 350... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Normal. LYMP... | FINDINGS: No osseous destructive changes are noted involving the second, third, and fourth metatarsals, most severe within the third metatarsal. Additionally, there are erosive changes of the base of the third toe proximal phalanx There is a fluid collection within the plantar aspect of the forefoot area measuring 3.8 ... |
2,974 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: Dyspnea. COMPARISON: None. TECHNIQUE: CT Angio Chest wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient weight: 170 lbs. IV contrast: Omnipaque 350, 60 ml, per protocol. Saline flush: 70 ml. IV ... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Moderately suboptimal quality with incomplete evaluation of segmental and subsegmental pulmonary arteries. LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus LUNGS / AIRWAYS / PLEURA: Nonspecific peribronchial thickening. ... | 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 obstruction of the left lower lobe main bronchus with evidence of extensive collapse and atelectasis of the left... |
2,975 | EXAM: CT Abdomen and Pelvis wo IV contrast CLINICAL INFORMATION: Flank pain, kidney stone suspected, ureteral stent removed today. COMPARISON: 12/26/2021 TECHNIQUE: CT Abdomen and Pelvis wo IV contrast. Scan field of view: 350 mm. DLP: 252 mGy cm. FINDINGS: CT imaging was performed without IV contrast, which can reduce... | 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: Hiatal hernia. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Gray-white matter differentiation is maintained. Decreased cerebral cortical volume. EXTRA-AXIAL SPACES: No epidural, subdural, or subarachnoid hemorrhage. SKULL AND SKULL BASE: No acute fracture. VENTRICULAR SYSTEM: Ex vacuo dilation. OR... |
2,976 | CT Head wo contrast 1/7/2022 6:26 AM Clinical Information: Lymphoma with frontal headaches Comparison: MRI head dated 6/20/2021. Technique: Unenhanced axial brain CT. Bone and soft tissue windows were reviewed. Sagittal and coronal images were generated from the axial data. Scan field of view: 220 mm. DLP: 1104 mGy cm.... | Findings: 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. Ventricles are normal in configuration. No hydrocephalus. B... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Scattered groundglass opacities in the lung bases with a focus of somewhat more confluent consolidation in the right lower lobe. DISTAL ESOPHAGUS: Small hiatal hernia. Mildly dilated and fluid-filled, as can be seen in gastroesophageal ref... |
2,977 | EXAM: CT Foot Right wo contrast, CT Ankle Right wo contrast CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Foot Right wo contrast, CT Ankle Right wo contrast Scan field of view: 282 mm. DLP: 529.60 mGy cm. (accession CT220003554), Scan field of view: 195 mm. DLP: 286.70 mGy cm. (accession CT220003555) ST... | FINDINGS: BONES/JOINTS: Right ankle: Severely comminuted distal fibular diaphyseal fracture with approximately 1.3 cm of foreshortening and medial displacement of the distal fracture fragment. There is a comminuted, mildly displaced fracture of the distal tibial diaphysis with medial angulation of the fracture apex. Th... | 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. Similar appearance of partially empty sella. Redemonstration of cerebellar tonsillar protrusion of approximately 4 mm (series 603 ... |
2,978 | EXAM: CT Foot Right wo contrast, CT Ankle Right wo contrast CLINICAL INFORMATION: Trauma. COMPARISON: None. TECHNIQUE: CT Foot Right wo contrast, CT Ankle Right wo contrast Scan field of view: 282 mm. DLP: 529.60 mGy cm. (accession CT220003554), Scan field of view: 195 mm. DLP: 286.70 mGy cm. (accession CT220003555) ST... | FINDINGS: BONES/JOINTS: Right ankle: Severely comminuted distal fibular diaphyseal fracture with approximately 1.3 cm of foreshortening and medial displacement of the distal fracture fragment. There is a comminuted, mildly displaced fracture of the distal tibial diaphysis with medial angulation of the fracture apex. Th... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: Coronary calcified atherosclerosis and aortic valve calcification. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: Cholelithiasis. PANCREAS: Normal. SPLEEN: Calcifie... |
2,979 | EXAM: CT Knee Right wo contrast CLINICAL INFORMATION: Fibula and tibial fractures. COMPARISON: Earlier same day radiograph. TECHNIQUE: CT Knee Right wo contrast Scan field of view: 233 mm. DLP: 465.90 mGy cm. FINDINGS: BONES/JOINTS: Comminuted proximal metadiaphyseal fibular fracture. Partially visualized fracture of t... | FINDINGS: BONES/JOINTS: Comminuted proximal metadiaphyseal fibular fracture. Partially visualized fracture of the proximal tibial diaphysis with posterior displacement of the distal fracture fragments no extension to the joint/tibial component of the knee arthroplasty. Mildly displaced fracture of the proximal lateral ... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Mosaic attenuation in the lower lobes may be physiologic. No focal consolidation, pleural effusion, or pneumothorax. Subsegmental atelectasis in ... |
2,980 | EXAM: CT Angio Chest wo+w contrast CLINICAL INFORMATION: COVID Confirmed dyspnea. COMPARISON: Radiograph 1/6/22, CT 2/20/2010 TECHNIQUE: CT Angio Chest wo+w contrast. Additional 3D image post-processing was performed to generate MIP and/or volume-rendered images. Patient weight: 170 lbs. IV contrast: Omnipaque 350, 60 ... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Mildly suboptimal quality with incomplete evaluation of subsegmental pulmonary arteries. LOWER NECK: Enlarged substernal thyroid, greater on the left, with left lobe measuring up to 4.9 x 3.9 cm (series 402 image 27), previously 4.9 x 3.3 cm. CHEST: PULMONA... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: See separately dictated same-day CT chest. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: Cholelithiasis. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: No... |
2,981 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION:PUI for COVID HA, ?hx of hemorrhage. COMPARISON: None. TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 238.20 mm. DLP: 1389.40 mGy cm. FINDINGS: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. EXTRA-AXIAL SPACES: Normal. SKULL... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Moderate right and mild left maxillary mucosal thickening. SOFT TISSUES: Normal. | Findings: The gray-white matter differentiation is intact. There is no evidence of acute infarct, hemorrhage, mass or mass effect. The ventricular system and extra-axial spaces appear normal. There is a mucous retention cyst/polyp in the left maxillary sinus. The mastoid air cells are aerated. No calvarial fracture is ... |
2,982 | EXAM: CT Angio Chest wo+w contrast, CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 20-year-old female with dyspnea. Evaluate for pulmonary embolism. Left upper quadrant pain with nausea/vomiting/diarrhea. COMPARISON: CT chest dated 6/2/2021 and CT abdomen dated 11/13/2021. TECHNIQUE: CT Angio Chest wo+w contras... | FINDINGS: STRUCTURED REPORT: CT Chest PE and Abdomen Pelvis OVERALL DIAGNOSTIC QUALITY: Moderately suboptimal quality with incomplete evaluation of segmental and subsegmental pulmonary arteries. LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus LUNGS / AIRWAYS / PLEURA: Left basilar ... | 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... |
2,983 | EXAM: CT Angio Chest wo+w contrast, CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 20-year-old female with dyspnea. Evaluate for pulmonary embolism. Left upper quadrant pain with nausea/vomiting/diarrhea. COMPARISON: CT chest dated 6/2/2021 and CT abdomen dated 11/13/2021. TECHNIQUE: CT Angio Chest wo+w contras... | FINDINGS: STRUCTURED REPORT: CT Chest PE and Abdomen Pelvis OVERALL DIAGNOSTIC QUALITY: Moderately suboptimal quality with incomplete evaluation of segmental and subsegmental pulmonary arteries. LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus LUNGS / AIRWAYS / PLEURA: Left basilar ... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: 4 mm left lower lobe pulmonary nodule, similar to the prior exam. No pleural effusion. DISTAL ESOPHAGUS: Small hiatal hernia. HEART / VESSELS: Leads are seen from a cardiac device. ABDOMEN and PELVIS: LIVER: No suspicious lesion identified... |
2,984 | CT Head wo contrast 1/7/2022 2:24 AM Clinical Information: PUI for COVID ALL patient with dyspnea. Pancytopenia. Fatigue. Comparison: CT head 6/7/2021. Technique: Unenhanced axial brain CT. Bone and soft tissue windows were reviewed. Sagittal and coronal images were generated from the axial data. Scan field of view: 25... | Findings:Old encephalomalacia changes in the right posterior temporal region, stable from prior study. No evidence for acute large vascular territory stroke. Periventricular white matter hypoattenuation, stable from prior study. No intracranial hemorrhage, intracranial mass, mass effect or midline shift. No hydrocephal... | Findings: The gray-white matter differentiation is intact. There is no evidence of acute infarct, hemorrhage, mass or mass effect. The ventricular system and extra-axial spaces appear normal. The visualized paranasal sinuses and mastoid air cells are aerated. No calvarial fracture is identified. |
2,985 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: Weakness. COMPARISON: 10/26/2021 TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 230 mm. DLP: 1425.20 mGy cm. FINDINGS: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. Stable right MCA territory and left cerebellar hemisphere... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. Stable right MCA territory and left cerebellar hemisphere encephalomalacia. Scattered white matter hypodensities, likely microangiopathic changes. EXTRA-AXIAL SPACES: No hemorrhage. Stable dural thickening/dystrophic calcification underlying the right cr... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Scattered subsegmental atelectasis. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: N... |
2,986 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION:COVID Confirmed headache, thrombocytopenia COMPARISON: 1/5/2022 TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 228 mm. DLP: 1032 mGy cm. FINDINGS: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. EXTRA-AXIAL SPACES: No hemorrh... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. EXTRA-AXIAL SPACES: No hemorrhage. Partially empty sella. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Normal. ORBITS: Chronic dehiscence of the right lamina papyracea. SINUSES: Mild mucosal thickening with inspissated secretions in the right m... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Continued evolution of right MCA territory encephalomalacia. Small scattered calcifications within the large infarct. There is approximately 5 mm of rightward midline shift likely secondary to volume loss. EXTRA-AXIAL SPACES: No epidural,... |
2,987 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: AMS COMPARISON: None. TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 230 mm. DLP: 1300 mGy cm. FINDINGS: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. Periventricular white matter hypodensities, likely microangiopathic cha... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. Periventricular white matter hypodensities, likely microangiopathic changes. Mild diffuse cortical volume loss. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. VENTRICULAR SYSTEM: Mild ex vacuo dilation. ORBITS: Normal. SINUSES: Trace left... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Ill-defined focal groundglass consolidation within the left lower lobe measuring approximately 2.4 x 1.2 x 1.8 cm (series 301 image 59). Several calcified granulomas bilaterally. DISTAL ESOPHAGUS: Small hiatal hernia. HEART / VESSELS: No s... |
2,988 | EXAM: CT Chest with contrast, CT Neck Soft Tissue w contrast CLINICAL INFORMATION: ALL with dyspnea. COMPARISON: Radiograph 1/6/22, CT 6/5/2021 TECHNIQUE: CT Chest with contrast, CT Neck Soft Tissue w contrast. Patient weight: 176 lbs. IV contrast: Omnipaque 350, 60 ml, per protocol. Saline flush: 70 ml. IV contrast in... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Mild centrilobular emphysema. Scattered bilateral patchy ground glass opacities. Scattered subsegmental atelectasis. Trace effusions. Septation/secretion in the right main bronchus. HEART / VESSELS: Mild to moderate atheroscleros... | FINDINGS: STRUCTURED REPORT: CT Chest PE and Abdomen Pelvis OVERALL DIAGNOSTIC QUALITY: Full diagnostic quality LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus LUNGS / AIRWAYS / PLEURA: There are minimal dependent atelectatic changes bilaterally. No evidence of pneumonic consolidat... |
2,989 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Abdominal pain, palpable left abdominal mass, gastric bypass 12/27/2021. COMPARISON: 9/18/2020 TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 235 lbs. IV contrast: Omnipaque 350, 150 ml, per protocol. Saline flush: 75 ml. IV contrast injection r... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Subsegmental atelectasis. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: Absent. PANCREAS: Normal. SPLEEN: Focal wedge-shaped attenuation along ... | FINDINGS: CT imaging was performed without IV contrast, which can reduce diagnostic accuracy. STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Bibasilar pleural scarring. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal... |
2,990 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast, CT Cervical Spine wo contrast CLINICAL INFORMATION: Trauma. COMPARISON: CT head 7/11/2021 TECHNIQUE: CT of the head, maxillofacial region, and cervical spine without intravenous contrast. Scan field of view: 182 mm. DLP: 1112.70 mGy cm. (accession CT22... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. Periventricular white matter hypodensities, likely microangiopathic changes. EXTRA-AXIAL SPACES: Normal. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SKULL AND SKULL BASE: No fracture. FACIAL BONES: Normal. MANDIBLE: Normal. SINONASAL CAVITIES: Tiny maxil... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: There are several tree-in-bud nodularities concentrated at the right middle lobe region may correlate with focal region of infection of unknown chronicity, partially visualized. The pleural spaces are clear. DISTAL ESOPHAGUS: Normal. HEART... |
2,991 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast, CT Cervical Spine wo contrast CLINICAL INFORMATION: Trauma. COMPARISON: CT head 7/11/2021 TECHNIQUE: CT of the head, maxillofacial region, and cervical spine without intravenous contrast. Scan field of view: 182 mm. DLP: 1112.70 mGy cm. (accession CT22... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. Periventricular white matter hypodensities, likely microangiopathic changes. EXTRA-AXIAL SPACES: Normal. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SKULL AND SKULL BASE: No fracture. FACIAL BONES: Normal. MANDIBLE: Normal. SINONASAL CAVITIES: Tiny maxil... | FINDINGS: STRUCTURED REPORT: CT PE OVERALL DIAGNOSTIC QUALITY: Somewhat limited due to motion. LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Positive for pulmonary embolus. - Pulmonary Embolus Distribution: Segmental branches of the right upper lobe anteriorly - Pulmonary Artery Diameter: Slightly enlarged rea... |
2,992 | RADIOLOGIC EXAM: CT Head wo contrast, CT Maxillofacial wo contrast, CT Cervical Spine wo contrast CLINICAL INFORMATION: Trauma. COMPARISON: CT head 7/11/2021 TECHNIQUE: CT of the head, maxillofacial region, and cervical spine without intravenous contrast. Scan field of view: 182 mm. DLP: 1112.70 mGy cm. (accession CT22... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, edema, or mass effect. Periventricular white matter hypodensities, likely microangiopathic changes. EXTRA-AXIAL SPACES: Normal. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SKULL AND SKULL BASE: No fracture. FACIAL BONES: Normal. MANDIBLE: Normal. SINONASAL CAVITIES: Tiny maxil... | Findings: There is a severely comminuted fracture of the proximal humeral metaphysis with extension through the greater tuberosity. The articular surface of the humeral head is intact and properly aligns with the glenoid. No additional fracture is seen in the shoulder. Acromioclavicular joint alignment is normal. There... |
2,993 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: Abdominal pain, nausea and vomiting. COMPARISON: None. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 180 lbs. IV contrast: Omnipaque 350, 115 ml, per protocol. Saline flush: 10 ml. IV contrast injection rate: 3 ml per sec. Scan delay: 70 sec. S... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Normal. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ADRENALS: Normal. KIDNEYS: Normal. LYMP... | FINDINGS: STRUCTURED REPORT: CT Chest PE and Abdomen Pelvis OVERALL DIAGNOSTIC QUALITY: Full diagnostic quality LOWER NECK: No abnormality. CHEST: PULMONARY ARTERIES: Negative for pulmonary embolus LUNGS / AIRWAYS / PLEURA: There are minimal dependent atelectatic changes bilaterally. No evidence of pneumonic consolidat... |
2,994 | EXAM: CT Abdomen and Pelvis w contrast CLINICAL INFORMATION: 61-year-old male with scrotal swelling and perineal pain. COMPARISON: Testicular ultrasound of same date, CT abdomen and pelvis dated 4/7/2021. TECHNIQUE: CT Abdomen and Pelvis w contrast. Patient weight: 220 lbs. IV contrast: Omnipaque 350, 150 ml, per proto... | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: LUNG BASES / PLEURA: Atelectasis without consolidation or effusion. DISTAL ESOPHAGUS: Normal. HEART / VESSELS: No significant abnormality. ABDOMEN and PELVIS: LIVER: Normal. BILIARY TRACT: Normal. GALLBLADDER: No abnormality. PANCREAS: Normal. SPLEEN: Normal. ... | FINDINGS: BRAIN PARENCHYMA: No intraparenchymal hemorrhage, mass effect or edema. Right frontal and parietal encephalomalacia. Otherwise the gray-white matter differentiation is preserved. EXTRA-AXIAL SPACES: No epidural, subdural, or subarachnoid hemorrhage. SKULL AND SKULL BASE: No acute fracture. VENTRICULAR SYSTEM:... |
2,995 | RADIOLOGIC EXAM: CT Head wo contrast CLINICAL INFORMATION: EVD placement. COMPARISON: 1/6/2022 TECHNIQUE: CT of the head without intravenous contrast. Scan field of view: 218 mm. DLP: 1102.10 mGy cm. FINDINGS: BRAIN PARENCHYMA: Mass centered in the cerebellar vermis measures 3.5 x 2.9 cm (series 201 image 106), stable.... | FINDINGS: BRAIN PARENCHYMA: Mass centered in the cerebellar vermis measures 3.5 x 2.9 cm (series 201 image 106), stable. The lesion demonstrates similar surrounding vasogenic edema with slight increase in hyperattenuation compared to prior noncontrast images. EXTRA-AXIAL SPACES: Small volume postprocedural pneumocephal... | FINDINGS: BRAIN PARENCHYMA: No hemorrhage, intracranial mass, large territory infarct, or edema. Gray-white matter differentiation maintained. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE: No fracture. No aggressive osseous lesion. VENTRICULAR SYSTEM: Normal. ORBITS: Normal. SINUSES: Occasional mucosal thickening a... |
2,996 | RADIOLOGIC EXAM: CT Head wo No Charge CLINICAL INFORMATION: Other- Spec Inst: CODE STROKE: Acute Symptoms COMPARISON: 1/3/2022 TECHNIQUE: CT Head wo No ChargeScan field of view: 220 mm. DLP: 1293.80 mGy cm. FINDINGS: BRAIN PARENCHYMA: No hemorrhage, mass effect or edema. EXTRA-AXIAL SPACES: Normal. SKULL AND SKULL BASE... | 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. | FINDINGS: STRUCTURED REPORT: CT Abdomen Pelvis LOWER CHEST: Please see separately dictated CT chest. ABDOMEN and PELVIS: LIVER: Multiple new metastases in both lobes of the liver with the largest in the left hepatic lobe measuring 5.6 x 4.2 cm on image 198 series 201. BILIARY TRACT: Normal. GALLBLADDER: No abnormality.... |
2,997 | Radiologic Exam: CT Angio Head Code Stroke, CT Angio Neck Clinical Information: Asymmetric pupils. Comparison: Same day noncontrast CT head TECHNIQUE: CT Angio Head Code Stroke, CT Angio Neck. 3-D CT MIP and volume rendered angiographic images were generated in post processing. Patient weight: 144 lbs. IV contrast: Omn... | FINDINGS: CT OF THE HEAD WITH CONTRAST: No enhancing intracranial abnormality. Please also see separate same day noncontrast CT head report. CT ANGIOGRAM OF THE HEAD AND NECK: Limited evaluation secondary to motion. AORTIC ARCH AND PROXIMAL GREAT VESSELS: Normal. RIGHT CAROTID: Normal. LEFT CAROTID: Normal. ANTERIOR, M... | FINDINGS: STRUCTURED REPORT: CT Chest LOWER NECK: Normal. CHEST: LUNGS / AIRWAYS / PLEURA: Numerous pulmonary nodules and masses throughout the bilateral lungs, many of which are new from prior examination. The largest pulmonary mass in the right lung extends into the right upper and middle lobes and measures 7.2 x 7.6... |
2,998 | Radiologic Exam: CT Angio Head Code Stroke, CT Angio Neck Clinical Information: Asymmetric pupils. Comparison: Same day noncontrast CT head TECHNIQUE: CT Angio Head Code Stroke, CT Angio Neck. 3-D CT MIP and volume rendered angiographic images were generated in post processing. Patient weight: 144 lbs. IV contrast: Omn... | FINDINGS: CT OF THE HEAD WITH CONTRAST: No enhancing intracranial abnormality. Please also see separate same day noncontrast CT head report. CT ANGIOGRAM OF THE HEAD AND NECK: Limited evaluation secondary to motion. AORTIC ARCH AND PROXIMAL GREAT VESSELS: Normal. RIGHT CAROTID: Normal. LEFT CAROTID: Normal. ANTERIOR, M... | FINDINGS: BRAIN PARENCHYMA: Multiple enhancing lesions at the gray-white matter junction located within the right frontal and bilateral parietal lobes as well as the right cerebellar hemisphere consistent with metastatic disease. The largest lesion is within the left parietal lobe measuring 1.5 x 2.0 x 1.4 cm (series 2... |
2,999 | CT Perfusion 1/7/2022 4:36 AM Clinical Information: Concern for stroke, Comparison: CT head performed earlier on the same day. Technique: A CT perfusion study was performed during single pass of 50 cc contrast bolus. Axial images were acquired at 8 axial locations and time-attenuation curves generated from this dataset... | 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: 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... |
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