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Generate impression based on findings. | Altered mental status, rule out bleed No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits for age without evidence of hydrocephalus. No extra-axial collect... | 1. No evidence of intracranial hemorrhage or mass effect. Compared to 2007, there is a new but age-indeterminant hypodensity in the left frontal lobe with suggestion of mild sulcal effacement. Finding may represent a subacute to chronic infarct and MRI should be considered for further evaluation as clinically indicated... |
Generate impression based on findings. | Female 44 years old Reason: position of PleurX within empyema requested by Interv Pulm? Readmit of 44F with metastatic breast ca with fever 102; empyemia; little drainage from PleurX History: Fever, empyema; little drainage from PleurX. LUNGS AND PLEURA: Again seen are innumerable bilateral pulmonary nodules compatible... | Interval mild decrease in size of right sided multiloculated pleural collection and increase in right subpulmonic pneumothorax, with Pleurx catheter unchanged in position. |
Generate impression based on findings. | Assess for increased edema/swelling No intracranial hemorrhage is identified. As seen on recent MRI from 2/24/2015, there is a lesion involving the left occipital resection cavity with local mass effect which may represent necrosis related to treatment versus tumor recurrence. No interval change. There is sulcal efface... | As seen on recent MRI from 2/24/2015, there is a lesion involving the left occipital resection cavity with mass effect which may represent necrosis related to treatment versus tumor recurrence. No interval change. No evidence of acute hemorrhage. |
Generate impression based on findings. | NECK: There is a large 87 x 52 x 38 mm heterogeneously enhancing conglomerate mass in the left level 2 cervical chain on series 3 image 126, with areas of central non-enhancement suggesting possible necrosis. There is clear evidence of extracapsular spread and lack of fat planes between the mass adjacent sternocleidom... | 1.Large heterogeneously enhancing exophytic left-sided conglomerate neck mass centered at level 2 extending from the left mastoid inferiorly to C4-5 level with minimal central necrosis. There is extracapsular spread and invasion of the left sternocleidomastoid muscle. No osseous erosions in the left mastoid or the left... |
Generate impression based on findings. | Female 63 years old Reason: Evaluate for pulmonary embolus History: Persistent tachycardia, desaturation to low 90s on room air, recent ortho surgery. PULMONARY ARTERIES: Examination is mildly limited by patient's body habitus and suboptimal opacification of the pulmonary artery. Within this limitation, there appears t... | 1.Right upper lobe acute pulmonary embolus.2.Bibasilar airspace consolidations may be due to aspiration or infection.3.Multiple bilateral ground glass opacities as described above suspicious for infectious versus neoplastic etiology. Follow-up imaging to resolution is recommended.PULMONARY EMBOLISM: PE: Right upper lob... |
Generate impression based on findings. | Left arm pass pointing since this a.m. Rule out ICH. No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. No extra-axial collections. Ventricles are within normal limits without evidence of hydrocephalu... | No evidence of acute intracranial hemorrhage or mass effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion. |
Generate impression based on findings. | Female 56 years old Reason: Evaluate RUQ for cholecystitis, biliary duct dilation History: elevated LFTs, hx of cholelithiasis, epigastric pain LIVER: Liver measures 13 cm. No focal liver lesions. Normal echogenicity.BILIARY TRACT: Gallbladder is distended with multiple stones. There is mild to moderate gallbladder wal... | Acute cholecystitis with cholelithiasis.Dr. Keren was notified and acknowledged about these findings at the time of the dictation. |
Generate impression based on findings. | Male 48 years old Reason: eval for cholecystitis History: right upper quadrant abdominal pain Focused evaluation of the gallbladder was performed because the patient already had a CT abdomen and pelvis. There is gallbladder wall thickening, measuring up to 4 mm, layering biliary sludge and pericholecystic fluid consist... | Acute cholecystitis. |
Generate impression based on findings. | Male 24 years old; Reason: eval for testicular torsion History: R testicular pain, absent cremasteric reflex RIGHT TESTIS: 2.9 x 2 x 4 cm normal echogenicity without evidence of any focal lesions.LEFT TESTIS: 2.8 by 2 x 4.4 cm. Normal echogenicity without evidence of any focal lesions.RIGHT EPIDIDYMIS: No significant a... | No evidence of testicular torsion is questioned. Bilateral varicoceles. |
Generate impression based on findings. | Status post fall, evaluate for bleed No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. There is global parenchymal volume loss appropriate for age. No hydrocephalus. No extra-axial collections. There... | No evidence of intracranial hemorrhage or mass effect. No calvarial fracture. |
Generate impression based on findings. | Male 81 years old Reason: 81yo M w/ aspiration PNA, now w/ dobhoff placed History: as above Residual enteric contrast is noted in the colon segments. Enteric feeding tube tip projects over the gastric fundus/ gastric body. The pelvis is excluded from the field of view. Incompletely imaged bowel demonstrates gaseous dis... | Enteric tube with its the in the proximal stomach/gastric body |
Generate impression based on findings. | Female 78 years old Reason: constipation History: abd discomfort, no bm Nonobstructive bowel gas pattern. Residual enteric contrast noted in the transverse and descending colon. No free air. | No free air. |
Generate impression based on findings. | Female 62 years old Reason: evidence of PE and evidence of ILD? History: patient admitted with significant hypoxia, reported CP at home, tachycardic and relatively hypotensive. Concern for PE, and CXR was confcerning for possible ILD. PULMONARY ARTERIES: Technically adequate study without evidence of acute pulmonary em... | 1.No acute pulmonary embolus.2.Upper lobe predominant emphysema.3.Dense reticular interstitial lung changes compatible with interstitial lung disease.4.Mildly prominent paratracheal, perivascular, and hilar lymph nodes may be inflammatory or infectious in nature. PULMONARY EMBOLISM: PE: No PE.Chronicity: Not applicable... |
Generate impression based on findings. | Female 76 years old Reason: NG History: NG Enteric feeding tube projects over the pyloric area. The pelvis is excluded from the field of view. Nonobstructive bowel gas pattern. Left lower lobe opacity is again noted. | No free air. |
Generate impression based on findings. | Female 68 years old Reason: abdominal distension, assess for ileus History: abdominal distension, assess for ileus Air distended colon is again noted. No air is in the rectum. Mildly dilated small bowel loops. This may represent an ileus or obstruction. No free air. | Small bowel ileus or obstruction. CT is recommended for further evaluation. |
Generate impression based on findings. | Ataxia, headache. History of trigeminal neuralgia. No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits for age without evidence of hydrocephalus. No extra-... | No evidence of intracranial hemorrhage or mass effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion. |
Generate impression based on findings. | Male 53 years old Reason: R/o VAD driveline fracture History: driveline fault alarms Low lung volumes with nonspecific raise her opacities that may represent atelectasis. AICD and LVAD pump are unchanged compared to prior examination. Nonobstructive bowel gas pattern. No free air. | No free air. |
Generate impression based on findings. | Male 83 years old Reason: abdominal pain and distension History: abdominal pain, distension The tip of the enteric tube is curled in the gastric fundus, unchanged from previous study. There is increased distention of small bowel and colonic loops with air. These findings are present ileus. However obstruction cannot be... | Interval worsening of the gaseous distention of the bowel segments which may represent an ileus versus obstruction. CT of the abdomen and pelvis may be helpful for further evaluation. No free air. |
Generate impression based on findings. | Male 59 years old Reason: dht positioning History: dht positioing Enteric tube terminates at the antropyloric region, unchanged from previous study. Multiple lines, tubes and support devices project over chest and abdomen. Cardiomegaly and left lower lobe pulmonary opacity, unchanged. | No free air. |
Generate impression based on findings. | Female 69 years old Reason: recent cystectomy, now with abdominal distension, assess for ileus versus obstruction History: see above Nonobstructive bowel gas pattern. No free air. Bilateral double-J stents project over the kidneys and the ureters. No free air. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Female 71 years old Reason: 71 y/o lady w/ nausea/vomiting History: nausea/vomiting Nonobstructive bowel gas pattern. No free air. Multiple phleboliths in the pelvis. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Male 18 years old Reason: Evaulate for toxic megacolon, history of colitis History: abd pain and fever Nonobstructive bowel gas pattern. No free air. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Male 64 years old Reason: ileus? History: abd distension Nonobstructive bowel gas pattern. No free air. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Male 45 years old Reason: r/o PE History: SOB, tachycardia, new O2 requirement. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. Pulmonary artery caliber is within normal limits. There is no evidence of right heart strain.LUNGS AND PLEURA: There are patchy areas of airspace opacitie... | 1.No acute pulmonary embolus.2.Airspace and interstitial opacities may be due to infection/aspiration, with possible underlying interstitial lung disease.3.Incompletely evaluated liver lesions, particularly in the left lobe of the liver. Dedicated liver imaging is recommended.PULMONARY EMBOLISM: PE: No pulmonary embolu... |
Generate impression based on findings. | Male 66 years old Reason: Pt undergoing transplant work up. He has a small thoracic aortic aneurysm on his CT Chest wo and needs a full study to further eval before proceding with OHT History: Hx of thoracic aortic aneurysm CHEST:LUNGS AND PLEURA: Mild emphysema scattered micronodules.MEDIASTINUM AND HILA: There is a f... | Distal thoracic abdominal aortic aneurysm as described above. Diffuse atherosclerotic changes involving the abdominal aorta and its branches.Right lower lobe pulmonary artery embolus. |
Generate impression based on findings. | There are stable posttreatment/postsurgical changes in the neck without evidence of mass lesions or significant cervical lymphadenopathy. There is ill-defined soft tissue thickening and enhancement in seen involving the right floor of mouth and sublingual space measuring approximately 35 x 17 mm, unchanged. It was sho... | Stable exam with no evidence of tumor recurrence or significant cervical lymphadenopathy.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female 66 years old Reason: rule out PE History: tachypnea, malignancy, shortness of breath. Study is limited by patient motion artifact.PULMONARY ARTERIES: Technically adequate opacification of the pulmonary artery without evidence of acute pulmonary embolus to the subsegmental level. There is no evidence of right hea... | 1.No acute pulmonary embolus.2.No interval change of large right breast mass with extensive metastatic involvement including the contralateral breast and diffuse axillary and appendicular skeletal involvement.3.Possible new right breast fistula with underlying infection of the above. Clinical correlation is recommended... |
Generate impression based on findings. | Male 36 years old Reason: stone History: n-v, hematuria spasmodic abdo pain on right This study is limited due to lack of oral and intravenous contrast. Bowel loops cannot be optimally evaluated.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No signific... | Limited study due to lack of oral and intravenous contrast. Mild wall thickening involving the cecum and terminal ileum which cannot be optimally evaluated. The appendix is not visualized. Acute appendicitis and other acute inflammatory conditions involving the right lower quadrant cannot be optimally evaluated with th... |
Generate impression based on findings. | Male 53 years old Reason: assess for necrotizing pancreatitis, abscess History: abd pain since 3am, N/V, hx pancreatitis; elevated lipase \T\ lactate ABDOMEN:LUNG BASES: New bilateral pleural effusion and dependent atelectasisLIVER, BILIARY TRACT: There is mild biliary prominence up to the intrapancreatic portion of th... | Acute on chronic pancreatitis without evidence of necrosis or pseudocyst formation. Small amount of fluid around the pancreas extending inferiorly along the left pararenal fascia. |
Generate impression based on findings. | Female 19 years old Reason: Appendicitis vs. TOA? History: Abdominal pain, RLQ ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNE... | CT findings compatible with acute appendicitis. |
Generate impression based on findings. | Fall, rule out bleed No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. There is encephalomalacia in the right frontal lobe similar to 7/1/2008. There is also encephalomalacia involving the right anterior temporal lobe, which is new since prior. There is diffuse supratentorial as... | 1. No evidence of intracranial hemorrhage or mass effect. 2. Advanced supratentorial and infratentorial parenchymal volume loss. Encephalomalacia in the right frontal lobe is unchanged. Encephalomalacia in the right anterior temporal lobe is new since 2008 and may be related to prior trauma. |
Generate impression based on findings. | There are posttreatment findings related to total thyroidectomy and bilateral neck dissection with no detectable mass or significant cervical lymphadenopathy. There is a stable small left tonsillolith, and a small air-filled left internal laryngocele. The major salivary glands show no focal lesions. The osseous struct... | 1.Posttreatment findings without evidence of locoregional tumor recurrence or significant cervical lymphadenopathy.2.Please refer to separate CT chest report for findings in the chest. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Fever, altered mental status, rule out shunt malfunction There is no evidence of acute intracranial hemorrhage. Again seen is absence of the septum pellucidum with monoventricle appearance of the lateral ventricle superiorly. The bilateral frontal and occipital lobes are unfused. There is no significant change in size ... | 1. No evidence of acute intracranial hemorrhage or mass effect. Unchanged size and appearance of the shunted ventricular system and small extra-axial collections. The visualized portion of the shunt catheter is intact.2. Extensive volume loss involving the posterior temporal, occipital, and parietal lobes. Dilated vent... |
Generate impression based on findings. | There is an unchanged large infiltrative mass within the thyroid bed measuring up to 65 mm on series 8 image 42 which appears similar to December 2014. The mass again is noted to and invade the paraglottic and glottic tissues, trachea, and thyroid cartilage. The airway inferior to the tracheostomy is patent although s... | 1. Compared to most recent exam from 2/13/2015, there is no appreciable interval change. However, compared to the more remote exam from December 2014, there appear to be slight interval worsening with enlarging metastatic subcutaneous lesion abutting the manubrium superficially with osseous erosion. 2. Again seen is th... |
Generate impression based on findings. | 14-week-old former 27 week gestational age patient with pleural effusion. Where is chest tube located?VIEW: Chest crosstable lateral (one view) 03/01/15, 0723 Left chest tube tip is located anteriorly. Feeding tube tip is in stomach. Central line has its tip at junction of superior vena cava and right atrium. Left ante... | Chest tube tip located anteriorly. |
Generate impression based on findings. | Respiratory distress. 10-day-old former 30 week gestational age patient.VIEWS: Chest and abdomen AP (two views) 03/01/15, 0825 Feeding tube tip is in the stomach and side-port is at GE junction. Umbilical venous line tip is at level of left hepatic vein. Endotracheal tube has been removed.Cardiothymic silhouette size i... | Central lung opacities. Probable early NEC. |
Generate impression based on findings. | Male 75 years old Reason: r/o stone History: RUQ pain, vomiting, Abd ultrasound benign, LFTs wnl; hx stones ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signi... | Bilateral lung obstructing nephrolithiasis. Small stone in the bladder.Subcentimeter new high density lesion in the upper pole of the right kidney which cannot be optimally characterized due to lack of intravenous contrast. An ill-defined hypodense lesion in the mid left kidney is also indeterminate in origin.Interval ... |
Generate impression based on findings. | Constipation and fever. Dilated bowel on chest radiographVIEW: Abdomen AP (one view) 03/01/15, 1029 A gastrostomy tube is present. Surgical clips are seen in left upper quadrant. Moderate to large amount of feces is present in rectosigmoid. Small to moderate amount is seen in the rest of the bowel. No significantly dil... | Moderate to large amount of feces in rectosigmoid. |
Generate impression based on findings. | Female 63 years old Reason: PE History: CHest pain; SOB. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus to the subsegmental level. Pulmonary artery caliber is within normal limits. There is no evidence of right heart strain.LUNGS AND PLEURA: No pleural effusions or focal air space ... | No pulmonary embolus.PULMONARY EMBOLISM: PE: No pulmonary embolus to the subsegmental level.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Male 37 years old Reason: Hx of ALL on chemo History: Dyspnea, tachycardia, neutropenic fevers, diarrhea This study is limited due to lack of intravenous contrast.CHEST:LUNGS AND PLEURA: There are upper lobe predominance centrilobular groundglass nodules bilaterally throughout the lungs. There is also accompanying grou... | Limited study due to lack of intravenous contrast. Bilateral groundglass nodules and opacities predominantly in the upper lobes. Scattered mediastinal enlarged lymph nodes. These findings are nonspecific and may represent respiratory bronchiolitis, hypersensitivity pneumonia versus other infectious etiology given patie... |
Generate impression based on findings. | Female 18 years old Reason: Appenicitis? History: RLQ pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No sign... | Unremarkable study. |
Generate impression based on findings. | Male 61 years old Reason: R/o kidney stone, ureteral obstruction History: Acute kidney injury, Hydronephrosis on renal US ABDOMEN:LUNG BASES: Bilateral moderate pleural effusions and dependent atelectasis. Mild cardiomegaly.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPA... | Left moderate hydronephrosis with transition point at the level of the left UPJ. The etiology is unknown and this CT is limited due to lack of intravenous contrast. No stones are identified to explain the obstruction. This may be secondary to UPJ obstruction, however, a neoplasm at that location cannot be excluded. Fur... |
Generate impression based on findings. | Male 76 years old Reason: R/O PE History: 76 yo M with hx ptx s/p chest tube and vats pleurodesis, worsening hypoxia and tachypnea. PULMONARY ARTERIES: Patient artifact limits evaluation. Within this limitation there is no evidence of pulmonary embolus to the subsegmental level. Pulmonary artery caliber is within norma... | 1.No pulmonary embolus.2.Right sided pneumothorax with two chest tubes. The tip of the more anterior chest tube appears to be embedded in the the right mediastinum and may be occluded due to this reason. The tip of the posterior chest tube appears to be embedded in the right apical soft tissues and may be occluded. 3.Q... |
Generate impression based on findings. | Slammed left index finger in door.EXAMINATION: Left index finger PA/lateral (one view) 02/28/15 Skin irregularity is noted over the distal fingertip. The bones are normal in appearance. No fractures identified. | No fracture. |
Generate impression based on findings. | Female 42 years old Reason: r/o PE as well as assess for aortic dissection; assess mediastinal mass (thought to be post-surgical changes at Northwestern) History: R chest pain; Tetrology of fallot repair as a child, recent diagnosis CHF; mediastinal mass seen on CXR yesterday CHEST:LUNGS AND PLEURA: No significant abno... | No evidence of pulmonary embolus. Significantly enlarged main pulmonary artery, ectatic and tortuous ascending aorta and postsurgical changes involving the heart. Cirrhosis and portal hypertension. |
Generate impression based on findings. | Male 76 years old Reason: R/O obstruction, evaluate j-tube placement History: J-tube dependent, worsening consitpation/ abdominal distension, ?small bowel dilation on KUB ABDOMEN:LUNG BASES: Chest section of the dated separately.LIVER, BILIARY TRACT: Distended gallbladder with mild gallbladder wall thickening. Acute ch... | Possible acute cholecystitis. Correlation with ultrasound findings is recommended.No evidence of small bowel obstruction.Chest CT findings would be dictated separately. |
Generate impression based on findings. | Male 35 years old Reason: r/o pe History: chest pain with abdominal pain. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. Pulmonary artery caliber is within normal limits. There is no evidence of right heart strain.LUNGS AND PLEURA: No focal air space opacity, pleural effusion, or ... | No pulmonary embolus.PULMONARY EMBOLISM: PE: No pulmonary embolus.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Female 48 years old Reason: SBO? History: abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Mild hepatomegaly, unchanged.SPLEEN: No significant abnormality notedPANCREAS: Changes secondary to distal pancreatectomy and chronic pancreatitis, unchanged.ADRENAL GLANDS: No significant ... | No evidence of small bowel obstruction. |
Generate impression based on findings. | Male 70 years old Reason: r/o PE History: SOB. PULMONARY ARTERIES: Exam is limited to to patient motion artifact. Within this limitation, there is no evidence of pulmonary embolus to the subsegmental level. Pulmonary artery measures 35 mm in diameter. Right cardiac chamber is mildly enlarged.LUNGS AND PLEURA: Right api... | 1.Mildly enlarged pulmonary artery and right cardiac chamber without evidence of pulmonary embolus to the subsegmental level.2.Enlarged mediastinal and hilar lymph nodes and right apical pulmonary ground glass opacities as described above may be inflammatory, infectious, neoplastic in etiology. Follow to resolution is ... |
Generate impression based on findings. | Fall, rule out bleed No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. Sulci and ventricles are prominent but within normal limits for age without evidence of hydrocephalus. No extra-axial collection... | No evidence of acute intracranial hemorrhage or mass effect. No skull fracture. |
Generate impression based on findings. | Male 35 years old Reason: evidence of malignancy or other GI cause of unintentional wt loss over past several months? History: admitted for acute on chronic pancreatitis, significant wt loss over past year, history of vascular disease as well ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No ... | Acute on chronic pancreatitis. |
Generate impression based on findings. | CVA No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits for age without evidence of hydrocephalus. No extra-axial collections. There is mild left greater t... | No evidence of intracranial hemorrhage or mass effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion. |
Generate impression based on findings. | Male 48 years old Reason: r/o abscess or other intraabdominal etiology for pain/infection History: diffuse abd pain, leukocytosis, tachycardic Limited study due to lack of intravenous contrastABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Significant hepatomegaly. Gallbladder is distended wit... | Limited study due to lack of intravenous contrast. Acute cholecystitis which may also be perforated.Hepato- splenomegaly.Right adrenal adenoma and infuses the left adrenal gland. |
Generate impression based on findings. | Female 86 years old Reason: r/o dissection History: back pain CHEST:LUNGS AND PLEURA: Right middle lobe peripheral nodule opacity now measures 1.1 x 0.9 cm on image number 77, series number 11, not significantly changed from CT dated September 2014. Redemonstration of a large right upper lobe nodular opacity now measur... | Interval increase in the size of the right upper lobe mass suspicious for a primary lung cancer. Right middle lobe opacity is unchanged.Upper abdominal aortic aneurysm and severe diffuse atherosclerotic changes are again noted. Left renal arteries not visualized. Significant stenosis at the origin of the celiac trunk, ... |
Generate impression based on findings. | The frontal sinuses are hypoplastic. The right frontal sinus is totally opacified. The bilateral anterior and posterior ethmoid air cells are predominately incompletely opacified with mild aeration present in the anteriormost ethmoid air cell. There are tiny foci of gas and a few ethmoid air cells suggesting possible ... | 1.There is extensive bilateral ethmoid, right maxillary and right frontal sinus opacification with hyperdense secretions, which may be due to inspissated secretions versus fungal colonization; overall imaging findings and provided history suggest allergic fungal sinusitis.2.Air-fluid levels with frothy secretions in th... |
Generate impression based on findings. | Syncope, rule out bleed Head: No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. There is global parenchymal volume loss which is again seen. No hydrocephalus. No extra-axial collections. There are sc... | 1. No evidence of intracranial hemorrhage or mass effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion.2. No acute fracture or traumatic subluxation within the cervical spine. Degenerative changes are seen as det... |
Generate impression based on findings. | Female 68 years old Reason: abdominal pain, h/o jejununal resection - assess for abdominal infection, mesenteric ischemia History: abdominal pain, h/o jejununal resection - assess for abdominal infection, mesenteric ischemia This study is limited due to lack of intravenous contrast. ABDOMEN:LUNG BASES: Volume loss and ... | Limited study due to lack of intravenous contrast. Significant focal wall thickening involving the jejunum consistent with patient's known history of lymphoma. Other smaller deposits in the anterior abdominal wall and peritoneum which are hot on PET cannot be well seen on this noncontrast study. Significant amount of a... |
Generate impression based on findings. | Female 72 years old Reason: r/o obstruction History: pain This study is limited due to lack of intravenous contrast.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: ... | Focally dilated right lower quadrant small bowel loops with decompressed distal including the terminal ileum. Further evaluation with MR enterography may be helpful. A distal partial obstruction cannot be excluded. |
Generate impression based on findings. | Female 28 years old Reason: r/o acute intraabdominal process History: acute abdomen, diarrhea, vomiting, cervical motion tenderness on GYN exam ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffuse fatty infiltration of the liver. Mild hepatomegaly.SPLEEN: No significant abnormality notedPAN... | Bilateral ovarian cysts. If there is a clinical concern for ovarian pathology a follow-up transvaginal ultrasound may be helpful for further evaluation of the ovaries. |
Generate impression based on findings. | Male 43 years old Reason: eval for primary lesion History: brain mass CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality... | No CT evidence of a neoplasm in the chest, abdomen or pelvis. |
Generate impression based on findings. | Male 54 years old Reason: r/o ischemia History: abdominal pain, with vomiting, diarrhea, hypotension ABDOMEN:LUNG BASES: Bilateral dependent atelectasis/scarring.LIVER, BILIARY TRACT: Small hypodense lesions in the liver are nonspecific but are most likely benign.SPLEEN: No significant abnormality notedPANCREAS: No sig... | Possible delayed gastric emptying. Chronic degenerative changes involving the left hip joint. No signs of ischemia involving the small bowel segments. |
Generate impression based on findings. | Male 70 years old Reason: r/o diverticulitis History: LLQ abdominal pain ABDOMEN:LUNG BASES: Chest CT will be dictated separately.LIVER, BILIARY TRACT: Chronic liver disease. Focal liver lesions cannot be excluded with this single phase CT.SPLEEN: Significant splenomegaly.PANCREAS: No significant abnormality notedADREN... | Appendix measures 7-mm in diameter, at the upper limit of its normal size. No significant periappendiceal fat stranding. This likely represents a normal appendix, however, if there is a clinical concern for appendicitis an early acute appendicitis cannot be excluded.Atrophic left kidney with multiple stones and mild to... |
Generate impression based on findings. | Female 58 years old Reason: eval intraabdominal infection, fluid collections, free pelvic/abd fluid, bowel obstruction History: fevers, tachycardia, known partial bowel obstruction, clear discharge from vagina s/p negative vesciovaginal fistula test ABDOMEN:LUNG BASES: Bilateral moderate pleural effusions and dependent... | Wall thickening of the left-sided colon and proximal jejunal segments of uncertain etiology. Ischemia cannot be excluded.Proximal dilated small bowel loops with mild distal decompression. This may represent a mild partial small bowel obstruction.Borderline enlarged, nonspecific retroperitoneal lymph nodes.Heterogeneous... |
Generate impression based on findings. | Female 29 years old Reason: r/o stone History: hematuria, flank pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETER... | Significant right-sided hydronephrosis and hydroureter secondary to multiple large distal ureteral stones.Small left renal stones without evidence of hydronephrosis. |
Generate impression based on findings. | Female 39 years old Reason: r/o stone History: R flank pain, hematuria ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality noted. Small splenule.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality n... | 8mm nonobstructing stone in the left kidney. No evidence of hydronephrosis bilaterally. |
Generate impression based on findings. | Male 63 years old Reason: h/o esopahgeal carcinoma w/ brain mets, restaging History: seizures CHEST:LUNGS AND PLEURA: Index right middle lobe nodule measures 11-mm in diameter on image number 44, series number 4, decreased in size compared to previous study.Index left lower lobe subpleural nodule now measures 10 by 8 m... | Interval decrease in the size of the lung nodules and mediastinal adenopathy as described above. |
Generate impression based on findings. | Female 59 years old Reason: concern for MM, dermatomyositis. hip pain History: hip pain. Two views of the left hip show lucencies within the femoral head and neck and proximal femoral diaphysis suspicious for myelomatous deposits. There is no acute fracture or malalignment.Three views of the sacroiliac joints again sho... | Lytic appearing lesions suspicious for myelomatous deposits as described above. |
Generate impression based on findings. | Female 63 years old Reason: History of metastatic thyroid cancer, compare to previous, measurements please History: as above CHEST:LUNGS AND PLEURA: Index left lower lobe nodule measures 7-mm in diameter on image number 67, series number 5, not significantly changed in size. Other multiple bilateral lung nodules are al... | Interval increase in the anterior chest wall masses. Again noted is the extension of the patient's known thyroid mass into the mediastinum.Right renal stone is unchanged. |
Generate impression based on findings. | Male 64 years old Reason: COLON CANCER ON CHEMOTHERAPY History: EVALUATE RESPONE CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Index right hepatic lobe lesion measures 1.3 x 1.2 cm o... | Interval decrease in the size of the cecal mass and hepatic metastases. |
Generate impression based on findings. | Female 43 years old , abdominal pain This study is limited the to lack of intravenous contrast.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter hypodense lesions throughout the liver cannot be characterized with this noncontrast study.SPLEEN: No significant abnormality notedPANCRE... | Limited study due to lack of intravenous contrast. Subcentimeter small hypodense lesions in the liver cannot be optimally characterized with this noncontrast CT. No CT findings to explain patient's acute abdominal pain. |
Generate impression based on findings. | Male 44 years old Reason: pt with melanoma on Temodar please eval response to therapy and compare to previous imaging History: met melanoma CHEST:LUNGS AND PLEURA: Index left lower lobe mass measures 3 by 1.7 cm on image number 44, series number 4, not significantly changed from previous study. Right middle lobe mass m... | Interval increase in the size of the most of the bilateral lung nodules. |
Generate impression based on findings. | Male 59 years old Reason: 59 y/o male with colon ca with mets, receiving chemo. please compare to prior CT History: colon ca with mets CHEST:LUNGS AND PLEURA: Scattered micronodules are unchanged.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Index subcarinal lymph node is unchanged measuring 1.2 by ... | Slight interval decrease in the size of the index pelvic lymph nodes in the abdomen. Otherwise no significant change from previous study. |
Generate impression based on findings. | Male 63 years old Reason: Hx of Follicular NHL History: Evaluate disease; compare w previous CHEST:LUNGS AND PLEURA: Mild emphysema, unchanged. Scattered bilateral micronodules are unchanged.MEDIASTINUM AND HILA: In the mediastinal lymph node measures 9 mm in the image number 52, series number 3 not significantly chang... | Significantly decreased in size left supraclavicular, left axillary, abdominal and pelvic adenopathy as described above. Mediastinal lymph nodes are grossly stable. |
Generate impression based on findings. | There is no retropharyngeal edema or soft tissue swelling. There is no evidence of abscess or significant cervical lymphadenopathy. There is no thickening of the epiglottis. There are scattered prominent bilateral cervical lymph nodes which are subcentimeter in size, and likely reactive. The thyroid and major salivary... | 1.No retropharyngeal abscess or significant cervical lymphadenopathy.2.Suspect 2 x 1.6 cm aneurysmal dilatation of the right subclavian artery. There are surgical clips in this region suggesting prior intervention. Recommend correlation with prior history, and follow-up as clinically warranted.Findings were discussed w... |
Generate impression based on findings. | Female 38 years old Reason: s/p cervical laminectomy and fusion History: s/p cervical laminectomy and fusion . Postoperative changes with laminectomies of the C3, C4, C5, C6, and C7 vertebral bodies. Fusion hardware including vertebral body screws of C3, C4, C5, C6, and C7 appear to be in position without radiographic ... | Postsurgical changes of the cervical spine as described above. |
Generate impression based on findings. | Fall No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. There is global parenchymal line loss without evidence of hydrocephalus. No extra-axial collections. There are extensive areas of hypoattenuatio... | No evidence of acute intracranial hemorrhage or mass effect. Advanced chronic small vessel ischemic disease as seen on recent MRI. |
Generate impression based on findings. | Worsening left visual acuity, hypertensive urgency. No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits for age without evidence of hydrocephalus. No extra... | 1. No evidence of intracranial hemorrhage or mass effect. Please note MRI would be more sensitive for detection of acute ischemia or posterior reversible encephalopathy syndrome.2. Right globe is diminutive and deformed which may be related to prior globe rupture from trauma or other injury. Hyperdense posterior chambe... |
Generate impression based on findings. | 76 year old female history of subarachnoid hemorrhage. Bilateral frontal ventriculostomy catheters are unchanged in position. Right frontal hematoma surrounding the drainage catheter demonstrates slight interval evolution. Diffuse bilateral subarachnoid hemorrhage extending into the ventricles appears similar to prior.... | Slight evolution of extensive bilateral subarachnoid and intraventricular hemorrhage. Slight evolution of right frontal intraparenchymal hematoma. Minimal interval decrease in size of the ventricular system. No new mass-effect or herniation. |
Generate impression based on findings. | There has been interval improvement in cervical, supraclavicular and upper mediastinal adenopathy. For example, there is a right tracheoesophageal groove lymph node on series 7 image 63 which measures 7 mm in short axis, 9 mm previously. There is a left supraclavicular lymph node on series 7 image 61 measuring 9 mm in... | Response to interval therapy with improvement in cervical, supraclavicular and upper mediastinal adenopathy compared to CT 1/16/2015 as detailed above.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 63 yo male with dermatomyositis and altered mental status. No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits for age without evidence of hydrocephalus. C... | No evidence of intracranial hemorrhage or mass effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is clinical suspicion. |
Generate impression based on findings. | 61 years old Male. Reason: fracture, History: pain, decreased ROM. There is no evidence of acute fracture or dislocation. Mild degenerative changes are noted in the glenohumeral joint. | No evidence of acute fracture or dislocation. |
Generate impression based on findings. | Female 32 years old Reason: fracture History: fell . There is no acute fracture or dislocation. Vertebral body heights and intervertebral disk spaces are maintained. There is no prevertebral soft tissue swelling. There is straightening of the cervical spine. | No acute fracture or dislocation. |
Generate impression based on findings. | Female 91 years old Reason: 91 y/o F with arm swelling eval for DVT History: as above. Two views of the left shoulder show moderate to severe degenerative arthritic changes of the glenohumeral and acromioclavicular joints. There is no evidence of acute fracture or dislocation. The bones appear demineralized. A DVT cann... | Diffuse soft tissue swelling and reticulation of the forearm. A DVT cannot be ruled out on radiographic studies as clinically questioned. If there is continued concern evaluation with ultrasound or CT with contrast is recommended. |
Generate impression based on findings. | 57-year-old female with history of CVA. There is no evidence of acute intracranial hemorrhage. Encephalomalacia within the right posterior temporal-occcipital lobe appear similar to prior. Encephalomalacia in the right basal ganglia is also again seen. Chronic small lacunar infarct in the left frontal periventricular w... | 1. No evidence of acute intracranial hemorrhage or mass effect. 2. Multiple bilateral chronic infarcts as detailed above. No CT evidence of evolving acute infarct compared to 2/28/2015. |
Generate impression based on findings. | Female 64 years old Reason: R/o osteo History: Right 2nd digit and third left with hx ssti, discoloration drainage. Two views of the right hand. Tubing artifact overlies the right wrist. There is some soft tissue reticulation along the distal aspect of the second digit without definite underlying osseous erosion to sug... | No radiographic evidence of osteomyelitis as clinically questioned. Soft tissue gas is seen along the lateral aspect of the left third digit and is compatible with cellulitis. If further imaging is clinically warranted, an MRI or triphasic bone scan is recommended. |
Generate impression based on findings. | 66 years, Female, Reason: evaluate for obstruction, abscess History: abdominal distention, left sided pain, vomiting. ABDOMEN:LUNG BASES: Left basilar opacity is new from the prior exam.LIVER, BILIARY TRACT: Cholecystectomy clips. Hepatic hypodensity is too small to characterize. Prominent common bile duct without obst... | While there is no intra-abdominal pathology on this exam, there is a new left basilar opacity which may represent atelectasis versus infarct/hemorrhage given patient's recent pulmonary embolus and may account for patient's current pain.Findings discussed with Dr. Dong Bo at 8:30 a.m. on 3/2/2015 |
Generate impression based on findings. | 41 year old female with right epigastric abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No signif... | 1.Status post proctocolectomy with right lower quadrant ileostomy without evidence of bowel obstruction or other intrinsic bowel abnormality seen. No hernias are identified. 2.No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | 53 years old Female. Reason: Worsened EF. History: Cardiac sarcoidosis. RADIOPHARMACEUTICAL: 10.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 83 mg/dL. Today's chest CT portion grossly demonstrates two new nodules in the left upper lobe and left lingular lobe. Mild cardiomegaly is noted.Today's PET exami... | 1.Two new lung nodules in the left upper and lingular lobes, suspicious for lung cancer. However, granulomatous disease and sarcoidosis should be included in the differential diagnosis.2.Multifocal abnormal FDG uptake in the mediastinal AP window and left lung hilum without definite CT correlation on the non-diagnostic... |
Generate impression based on findings. | Reason: PE? 46F breast ca and mesothelioma admitted with progressive dyspnea History: progressive SOB PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary artery is mildly enlarged.LUNGS AND PLEURA: New large right pleural effusion with adjacent atelectasis. Left subpulmonic fluid collection appears si... | 1. No evidence of pulmonary embolism.2. New large right pleural effusion and progressive consolidation of the left lung, with increasing adenopathy, compatible with progression of disease.3. New areas of subpleural groundglass in the right upper lobe may be inflammatory in etiology.PULMONARY EMBOLISM: PE: Negative.Chro... |
Generate impression based on findings. | 59 years, Male, Reason: diverticulitis? SBO? History: abd pain, constipation, active guarding. Lung cancer. ABDOMEN:LUNG BASES: Multiple metastatic nodules bilaterally, many of which are increased in size. A reference left lower lobe nodule is unchanged measuring 1.4 x 1.2 cm (4/23), previously 1.5 x 1.1 cm. However, m... | 1.No evidence of small bowel obstruction.2.Overall progression of disease with increase in size of metastatic lesions in the liver, pancreas, lungs and retroperitoneal lymph nodes.3.Splenic vein thrombosis is unchanged. |
Generate impression based on findings. | 41 year old female with colicky abdominal pain, evaluate for renal stone. Within the limits of a non IV contrast enhanced examination which limits the ability to evaluate solid parenchymal organs and vascular structures, the following observations can be made: ABDOMEN:LUNG BASES: Scattered micronodules and small nodule... | 1.Two nonobstructive left renal calyceal calculi the largest of which measures 4 mm. No hydronephrosis or obstructing calculi.2.Left lower lobe 6mm nonspecific pulmonary nodule, recommend 12 month follow up. |
Generate impression based on findings. | 69-year-old female status post cystectomy and ileal conduit postoperative day 10 now with bacteremia, ileus, and vaginal leakage. ABDOMEN:LUNG BASES: Trace right pleural effusion and bibasilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No signific... | 1.Postsurgical changes of cystectomy and ileal conduit formation. No extravasation of excreted contrast is seen.2.Large postsurgical pelvic fluid collection which extends into the abdomen along the right psoas muscle. Contained mottled foci of gas suggest that the collection may be infected. 3.Status post hysterectomy.... |
Generate impression based on findings. | 74-year-old female with left lower quadrant abdominal pain. ABDOMEN:LUNG BASES: Scattered pulmonary micronodules are present in the lung bases the largest of which measures 4 mm.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Splenic granulomata.PANCREAS: No significant abnormality notedADRENAL GLANDS: No... | 1.No specific findings to account for the patient's pain.2.Mild colonic diverticulosis.3.Nonspecific segment of apparent mild thickening of the sigmoid colon wall which may simply represent fecal material or collapsed bowel. However, cannot exclude mild inflammation or mass, recommend correlation with colonoscopy scree... |
Generate impression based on findings. | 41-year-old female with rectal pain evaluate for perirectal abscess. Per ER physician, perirectal abscess spontaneously drained prior to the exam. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hepatomegaly. Diffuse low-attenuation of the liver compatible with hepatic steatosis. Status post c... | 1.Soft tissue thickening along the bilateral gluteal clefts in the perianal region which is nonspecific but compatible with inflammation related to stated history of recently drained perianal abscess.2.Hepatomegaly with hepatic steatosis.3.Small amount of pelvic free fluid, stable to slightly increased.4.Postsurgical c... |
Generate impression based on findings. | 33 years, Male. Reason: abdominal pain. N/V. assess for obstructive gas pattern and stool burden History: as above Note that the far lateral right abdomen is excluded from the field-of-view. Nonobstructive bowel gas pattern with below average stool burden in the colon. | Nonobstructive bowel gas pattern with below average stool burden in the colon. |
Generate impression based on findings. | photophobia, right parietal pain,, known cavernoma There is about 11mm sized relatively well circumscribed high attenuation lesion on the left frontal lobe just caudal to caudate head/genu which may represent cavernoma with internal hemorrhage or calcification. There is no evidence of surrounding edema or mass effects.... | 11mm sized high attenuation lesion on the left frontal lobe just caudal to caudate head/genu area which may represent cavernoma with possible internal hemorrhage. Brain MRI can be considered for further imaging evaluation.Otherwise unremarkable. |
Generate impression based on findings. | 68 years, Male. Reason: NGT History: see above Enteric feeding tube is looped in the stomach with tip projecting over the gastric fundus. Nonobstructive bowel gas pattern. The pelvis is excluded from the field-of-view. Suture material projects over the right lower quadrant. The lung bases are clear. | Enteric feeding tube is looped in the stomach with tip projecting over the gastric fundus. |
Generate impression based on findings. | Male 61 years old Reason: 61M with NHL and c/o LLQ pain, recent PET with evidence of PD and elevated LDH. History: Evaluation of Abdominal pain ABDOMEN:LUNG BASES: Exam limited by motion artifact making evaluation of fine parenchymal detail suboptimal. Within these limitations, there is bibasilar atelectasis/scarring. ... | 1.Mixed response with improvement in most sites of lymphomatous involvement but interval increase in the left peri-rectal and right posterior peri-renal disease -- see above discussion. 2.No focal abnormality to account for patient's symptomatology. |
Generate impression based on findings. | 81 years, Male, Reason: eval leak History: s/p hepaticojejunostomy, bile in drain. Residual barium is noted within the stomach and colon on scout images. There are midline and right midabdomen staples as well as multiple surgical drains. There is mild dilatation of small bowel loops up to 3.7 cm. | 1.CT abdomen and pelvis not performed due to residual barium within the stomach and colon. Recommend serial abdominal radiographs and repeat CT when barium clears.2.Mildly dilated small bowel loops may be related to ileus or obstruction. |
Generate impression based on findings. | 10-year-old male with puncture wound.VIEWS: Right shoulder AP external and internal rotation (two views) 3/1/2015 Sof tissue defect is seen above the acromioclavicular joint although no radiopaque foreign body is present.No soft tissue swelling or joint effusion. Alignment is normal. No evidence of fracture or dislocat... | Soft tissue defect above the acromioclavicular joint with no evidence of radiopaque foreign body. |
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