instruction stringclasses 1 value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | Male 4 years old Reason: foreign body History: laceration from glassVIEWS: Right elbow AP, lateral and oblique 3/22/15 (3 views) Soft tissue laceration with no fracture, malalignment or joint effusion. No radiopaque foreign bodies. | Soft tissue laceration with no fracture. |
Generate impression based on findings. | Clinical question: Right parietal skull fracture. Signs and symptoms: Open comminuted parietal skull fracture. Nonenhanced head CT:There are no prior exams for comparison.Examination demonstrates a depressed comminuted right parietal skull fracture. The fractured fragment measures approximately 20 mm in length and width 4.5-mm depression intracranially. Small adjacent pneumocephalus and minimal hemorrhage likely extra-axial is suspected. There is no convincing evidence of parenchymal hemorrhage or edema however follow-up exam is highly recommended for further assessment. Soft tissues of the scalp demonstrates multiple metallic staple at the level of fracture. There is also subgaleal hemorrhage and a small soft tissue emphysema at the surgical/fracture site and measuring maximum of 8-mm in height and 50-mm in length. There is no convincing evidence of any additional calvarial fractures.Intracranially the cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter differentiation is otherwise unremarkable.Bilateral mastoid air cells and middle ear cavities remain well pneumatized.Limited view of the orbits demonstrate no abnormalities.Partially visualized paranasal sinuses demonstrate extensive opacification of left maxillary and minimally of the sphenoid. There is no convincing evidence of any associated bony changes and slight fracture in this region however if there is clinical concern for maxillofacial fracture follow-up with dedicated studies is recommended. | 1.Comminuted depressed right parietal skull fracture. There is 4.5-mm depression of the fractured fragment. No convincing evidence of parenchymal hemorrhage or edema at this site. Minimal epidural hemorrhage and emphysema at the fracture site.2.Subgaleal hematoma overlapping of fracture measuring 8mm in thickness and 50-mm in length.3.Unremarkable intracranial contents otherwise. |
Generate impression based on findings. | Female 5 months old Reason: interval change History: intubated, change in position of tubeVIEW: Chest AP (one view) 3/21/15 at 1210 hrs ET tube terminates at the right mainstem bronchus. NG tube and central lines unchanged. Cardiac silhouette size is normal. Worsening in bibasilar and right upper lobe opacity, likely atelectasis on a background of diffuse lung haziness. Left upper lobe appears to be more expanded. | Misplaced ET tube with worsening in multifocal opacities, as described. |
Generate impression based on findings. | Motor vehicle collision Marked soft tissue swelling along the dorsal aspects of the wrist without evidence of underlying acute osseous abnormality. Mild radiocarpal osteoarthritis. Specifically no fracture or malalignment | Marked soft tissue swelling and mild osteoarthritis |
Generate impression based on findings. | Right shoulder pain from fall Essentially nondisplaced anatomic humeral neck fracture with mild underlying osteoarthritis. A questionable associated Hill-Sachs deformity. | Humeral neck fracture |
Generate impression based on findings. | Patient fell , postproduction Interval relocation and near anatomic alignment of the middle fifth phalanx neck fracture. Minimal to insignificant angulation and impaction persists. Overlying soft tissue swelling and scattered degenerative changes | Middle fifth phalangeal neck fracture in near-anatomic alignment |
Generate impression based on findings. | Male 3 days old Reason: assess ETT placement History: 2 day old male, reintubated , perinatal acidosis.VIEW: Chest AP (one view) 3/31/15 at 1650 hrs Esophageal temperature probe terminates at the mid esophagus. ET tube tip is below the thoracic inlet. Misplaced NG tube unchanged. UVC terminates at the RA/SVC junction. Persistence of tissue edema. Cardiac silhouette size is upper normal or mildly enlarged. Large lung volumes with interval improvement in multifocal streaky opacities. No effusions or pneumothorax. | Interval improvement in lung aeration as described there is |
Generate impression based on findings. | Pain and swelling Mildly angulated and impacted middle fifth phalanx fracture. Subsequent images demonstrate postproduction imaging | Right fifth phalanx neck fracture |
Generate impression based on findings. | Clinical question: ICH. Signs and symptoms: ICH. Unenhanced head CT:There is no significant change in size or density of a large right thalamic hematoma measuring approximately 30 mm in size. There is subtle interval decreased intraventricular hemorrhage since prior exam however significant residual blood within the right lateral ventricle and to a lesser degree in the other ventricles is still present. There is also a slight interval decreased size of supratentorial ventricular system since prior study and the stable left frontal approach ventricular catheter with the tip at the level of the left foramen of Monro. | 1.Stable right thalamic acute hemorrhage in size and density.2.Slight interval decreased shunted ventricular system and stable ventricular catheter.3.Subtle interval decreased intraventricular hemorrhage since prior study. |
Generate impression based on findings. | Left elbow pain Moderate effusion with moderate underlying osteoarthritic changes. No findings to support an acute superimposed process, specifically no fracture or malalignment, however serial imaging may be indicated given mild demineralization decreasing sensitivity | Elbow effusion without specific underlying findings to support occult fracture, consider serial imaging if suspicion remains high. |
Generate impression based on findings. | Check for foreign body. Pain and discomfort along the inside of lateral hand. No visible soft tissue trauma Old fracture deformity of the fifth metacarpal head without evidence of new definite acute abnormality. The soft tissues appear within limits and specifically a small crescentic density is observed adjacent to the fifth metacarpal head on the AP view. This finding is not in the area of indicated pain and although the small abnormality may be an artifact given that it is not observed and ultra projections (may be due to overlapping tissues), follow-up serial imaging may be indicated.The remainder of the hand is otherwise unremarkable | Old fracture deformity and questionable small radiopaque foreign body, possibly glass; see description above |
Generate impression based on findings. | Female; 74 years old. Reason: Hypoxia History: Hypoxia PULMONARY ARTERIES: No evidence of pulmonary embolism.Enlarged main pulmonary artery measuring up to 4.0 cm in diameter consistent with pulmonary hypertension.LUNGS AND PLEURA: Bibasilar atelectasis/consolidation with collapse of the left lower lobe.Bilateral upper lobe patchy groundglass opacities are non-specific. These may represent infection or edema however follow up is recommended to exclude underlying malignancy.1.5-cm left upper lobe nodule is new compared to the prior study and concerning for malignancy.Mild centrilobular emphysema.MEDIASTINUM AND HILA: Postsurgical changes of thyroidectomy.No suspicious lymphadenopathy.Cardiomegaly. No pericardial effusion.CHEST WALL: Degenerative changes affect the thoracic spine.UPPER ABDOMEN: Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. | 1.Patchy groundglass opacities in the upper lobes are non-specific. These may represent infection or edema however follow up is recommended to exclude underlying malignancy.2.1.5-cm left upper lobe lung nodule concerning for malignancy. Follow-up is recommended.3.Enlarged main pulmonary artery compatible with pulmonary hypertension.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 9 year old female with head trauma. There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. | No evidence of intracranial hemorrhage or skull fracture. |
Generate impression based on findings. | Two pain, check for abscess Marked dental caries involving the molars bilaterally in both upper and lower rows. Residual roots are observed in the upper row with near complete loss of the tooth body. Similar retained roots observed involving the first left lower molar yet complete absence on the right. Additional dental caries are also observed scattered throughout the remaining visual teeth, specifically the lower rowVisualized portions of the sinuses are clear. No distinct superimposed radiographic findings to support an abscess | Extensive dental caries and changes involving all of the molars |
Generate impression based on findings. | Pain following trauma laceration involving distal tip Minimal degenerative changes with a nondisplaced distal tuft fracture. Mild soft tissue swelling | Nondisplaced distal tuft fracture |
Generate impression based on findings. | 77 year old female with throat swelling. There is no evidence of mass lesions or significant cervical lymphadenopathy. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent although there is mild atherosclerotic calcification of both the proximal and distal internal carotid arteries. The osseous structures are unremarkable with the exception of minimal degenerative cervical spine changes. The airways are patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. There is mild mucosal thickening within the right anterior ethmoid air cells and minimal secretions within the right sphenoid sinus. | No evidence of abscess or significant lymphadenopathy. |
Generate impression based on findings. | Female 18 months old Reason: interval change History: increased O2 requirementVIEW: Chest AP (one view) 3/22/15 at 609 hours. Tracheostomy tube and left-sided porta-cat unchanged. Cardiac silhouette size is normal. Left lower lobe opacity, likely atelectasis with no effusions or pneumothorax. | Left lower lobe opacity with no effusions or pneumothorax. |
Generate impression based on findings. | Female 38 years old; Reason: eval for renal stone, hydronephrosis History: left flank pain 2d ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Spleen is enlarged.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No hydronephrosis or nephrolithiasis in the right kidney. There is a 3-mm calculus at the lower pole of the left kidney which is nonobstructive. No hydronephrosis in the left kidney. The left distal ureter is mildly prominent.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Small periumbilical fat containing hernia.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No distal ureteral or bladder calculi. There is mild prominence of the left distal ureter which may signify a recently passed stone.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted. | 1.Nonobstructive left renal calculus.2.Mild prominence of the left distal ureter which may indicate a recently passed stone. No specific signs of infection however, this can be correlated with urinalysis. |
Generate impression based on findings. | Male 39 days old Reason: Please assess lung volumes/disease s/p surfactant History: Intubated on ventilatorVIEW: Chest and abdomen AP (two views) 3/22/15 at 523 hours. ET tube terminates above the thoracic inlet. Central line tip is in the SVC. PDA clip again noted. NG tube terminates at the stomach.Cardiac silhouette size is top normal. Bilateral diffuse lung haziness and there is normal opacity, likely today to see. No effusions or pneumothorax.Disorganized, nonspecific abdominal gas pattern. No evidence of obstruction, free air, pneumatosis intestinalis or portal venous gas. | Bilateral diffuse lung haziness and left lower lobe atelectasis.Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | Male 40 years old; Reason: eval for pancreatic fluid collection History: hx of pancr pseudocyst, abdominal pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver has normal morphology without a focal suspicious hepatic lesion. Intrahepatic portal vein is normal in caliber. There are extensive peri hepatic portal venous collaterals.Scattered intrahepatic pneumobilia.SPLEEN: Extensive perisplenic and gastric varices. The splenic vein is thrombosed.PANCREAS: Cystic lesion in the tail of the pancreas measures 9.2 x 8.9 cm (image 56/series 3). The remainder of the pancreas is atrophic.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small bowel is normal in caliber. The colon is not distended.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: Urinary bladder is moderate to severely distended.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted. | 1.Cystic lesion near the tail the pancreas likely represent a pseudocyst given the prior fluid collection in this region history of pancreatitis. Follow up is recommended.2.Distention of the urinary bladder. Decompression is suggested.3.Thrombosis of the splenic vein with extensive upper abdominal venous collaterals. |
Generate impression based on findings. | Female; 54 years old. Reason: Evaluate for pe History: chest pain, dyspnea, tachycardia, metastatic rcc PULMONARY ARTERIES: Exam is limited due to bolus timing. No central pulmonary embolism.LUNGS AND PLEURA: Numerous bilateral pulmonary metastases are again seen. The reference left upper lobe nodule measures 1.5 x 1.3 cm (series 11/35), unchanged.Ground glass opacity and consolidation in the right upper lobe is new. Consolidation in the right middle lobe is again seen.MEDIASTINUM AND HILA: Right paratracheal length node conglomerate with central necrosis measures 4.4 x 5.1 cm (series 8/58), previously 4.0 x 5.1 cm. Additional non-reference mediastinal and hilar lymph nodes appear similar to the prior study.Heart size is normal. There is no pericardial effusion. No visible coronary artery calcification.CHEST WALL: Multiple soft tissue nodule are seen throughout the chest wall. The reference right breast nodule measures 2.8 x 2.6 centimeters (series 8/90), previously 2.2 x 2.0 cm. Nodules within the left breast appear stable.Left anterior abdominal wall nodule (series 8/288) was not seen on the prior study but was likely below the most inferior image.Nodules in the soft tissues posterior to the right scapula are stable in appearance.Degenerative changes affect the thoracic spine. A sclerotic lesion is seen in the mid sternum, unchanged from prior study, and likely represent metastasis .UPPER ABDOMEN: Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Vague hypodensities within the liver correspond to lesions seen on the prior study. | 1.No pulmonary embolism.2.New ground glass opacity and consolidation in the right upper lobe most consistent with post obstructive pneumonia.3.Stable pulmonary and soft tissue metastases. Interval increase in hilar nodal metastasis.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Male 4 months old Reason: Interval change History: ETT, ARDSVIEW: Chest AP (one view) 3/22/15 at 810 hours NG tube terminates in the stomach. ET tube tip is below the thoracic inlet. Cardiac silhouette size is top normal. Persistent although improved left upper and bibasilar opacities, likely atelectasis. No effusions or pneumothorax. | Improving in multifocal opacities as described. |
Generate impression based on findings. | Female 38 years old; Reason: eval for pathology related to lab band History: lap band 2011, and abd pain/bloating ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology without a focal hepatic lesion. There is trace perihepatic ascites.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Lap band is noted in the midportion of the stomach. There is some mesenteric edema within the small bowel loops in the right abdomen however, there is no bowel obstruction. There is right lower quadrant ascites.Some of the small bowel loops are positioned lateral to the ascending colon in the right hemiabdomen.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: IUD. A corpus luteal cyst is noted in the right adnexa.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: As aboveBONES, SOFT TISSUES: Right labial thickening.OTHER: No significant abnormality noted. | 1.Lap band noted in the midportion of the stomach and has to been repositioned.2.Abdominal ascites without small bowel obstruction. Follow up is recommended. |
Generate impression based on findings. | 38 year old male with stage 4 melanoma. There are unchanged postoperative findings related to soft tissue flap reconstruction in the left posterolateral neck. A reference left level IIa lymph node is unchanged, measuring 6 x 5 mm. A reference left level IIb lymph node is unchanged, measuring 7 x 5 mm. a reference right level III lymph node is unchanged, measuring 4 x 4 mm. There is no evidence of mass lesions. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. The osseous structures are unremarkable. The airways are patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear with the exception of an unchanged 4-mm partially calcified granuloma within left upper lobe. There are multiple dental caries. | 1.Unchanged, non-enlarged reference lymph nodes and no new masses. Please note that PET-CT is more sensitive and specific in the evaluation of melanoma.2.Multiple dental caries. |
Generate impression based on findings. | Female 54 years old; Reason: Assess for HCC History: Cirrhosis ABDOMEN:LUNG BASES: Subcentimeter right middle lobe nodule (image 2/ series 10)LIVER, BILIARY TRACT: Findings suggestive of fatty infiltration of the liver.No focal hypervascular lesion has developed. The hepatic and portal veins are patent. Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Renal cysts. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: There are enlarged portacaval lymph nodes. The reference portacaval lymph node measures 2.7 x 2.1 cm (image 52/series 12). BOWEL, MESENTERY: Postsurgical changes in the stomach.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted. | 1.No hepatic lesions that meet the criteria for HCC.2.Patent hepatic and portal vasculature. |
Generate impression based on findings. | Clinical question: Any intracranial process. Signs and symptoms: Date post cardiac surgery with complications, questionable mental status change. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes. If ischemic stroke is a clinical concern follow-up with an MRI exam is recommended.There are subtle periventricular and subcortical low attenuation of white matter (right greater than left) which considering patient's stated age of 66 could represent changes of age indeterminant small vessel ischemic strokes.The cerebral cortex, ventricular system, cortical sulci, ventricular system and the CSF spaces remain within normal.Unremarkable calvarium, orbits, paranasal sinuses. Diffuse opacification of bilateral mastoid air cells and left mid and ear cavity consistent with orchitis. | 1.No acute intracranial hemorrhage or mass effect. Follow-up with an MRI is recommended if clinical concern for ischemic stroke persist.2.Findings suggestive of age indeterminate small vessel ischemic strokes.3.Diffuse bilateral mastoid air cell opacification and left mid and ear opacification consistent with orchitis.4. |
Generate impression based on findings. | Male 38 years old; Reason: Re-evaluate disease status following additional immunotherapy; compare to previous scan and provide bi-dimensional measurements- RECIST 1.1 History: Stage IV melanoma CHEST:LUNGS AND PLEURA: Subcentimeter micronodules along the pleural surface in the right middle lobe and right lower lobes are stable. No dominant parenchymal lesion.The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. Reference mediastinal lymph node measures 1.0 x 0.5 cm (image 36/series 3) previously, 1.0 x 0.6 cm.CHEST WALL: No significant abnormality notedOTHER: ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. The hepatic and portal veins are patent.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: Scattered colonic diverticula.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted | 1.Stable exam.2.Subcentimeter peripheral pulmonary nodules are unchanged. |
Generate impression based on findings. | Clinical question: ICH. Signs and symptoms: ICH. Nonenhanced head CT:There is a small acute hematoma in the left basal ganglia measuring at 10.5 x 5.3-mm in transaxial dimensions and 14-mm in length on sagittal reformatted images. The measurements are mildly larger than prior study and suggest increased hemorrhage. There is very subtle surrounding vasogenic edema and no appreciable mass-effect.Unremarkable exam otherwise. | 1.A small left basal ganglial acute hematoma measuring at 10.5 x 5.3 in transaxial and 14-mm on sagittal reformatted images. The measurements are slightly larger than prior study and indicating subtle interval increased size.2.Unremarkable exam otherwise . |
Generate impression based on findings. | There are well-defined rounded sclerotic lesions within the L1 and L3 vertebral bodies that are unchanged in size. There are two additional sclerotic lesions within the left iliac wing that are also unchanged in size as well as multiple sclerotic lesions within the sacrum. These are most compatible with benign enostoses. The vertebral column alignment is within normal limits. There is unchanged mild anterior wedging of T12 and L1 vertebral bodies. The disc space heights are preserved. The paravertebral soft tissues are unremarkable with abnormal enhancement.L1-L2: There is mild facet arthropathy and ligamentum flavum thickening without significant spinal canal or neural foraminal narrowing.L2-L3: There is mild facet arthropathy and ligamentum flavum thickening without significant spinal canal or neural foramen stenosis.L3-L4: There is moderate facet arthropathy and ligamentum flavum thickening resulting in unchanged moderate spinal canal stenosis neural foramen stenosis.L4-L5: There is a mild disc bulge as well as moderate facet arthropathy and ligamentum flavum thickening. These findings result in unchanged moderate spinal canal stenosis and mild bilateral neural foramen narrowing.L5-S1: There is a mild unchanged disc bulge without significant spinal canal or neural foramen stenosis. | 1.Unchanged sclerotic lesions within the L1 and L3 vertebral bodies as well as the left iliac wing and sacrum are most compatible with benign enostosis.2.Unchanged lumbar spine degenerative changes resulting in moderate spinal canal stenosis at L3-L4 and L4-L5. |
Generate impression based on findings. | Male 47 years old; Reason: eval for liver pathology History: transaminitis history, sarcoidosis ABDOMEN:LUNG BASES: Lower lobe reticulonodular interstitial disease with areas of bronchiectasis. There are scattered areas of left basilar honeycombing.LIVER, BILIARY TRACT: Liver is normal in morphology. No focal hepatic lesions. Hepatic and portal veins are patent.SPLEEN: Innumerable hypodense lesions infiltrate the splenic parenchyma. The spleen mildly enlarged.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Subtle patchy cortical enhancement of the renal parenchyma possibly from small cortical lesions. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Mesenteric lymph node in the upper abdomen measures 1.5 x 0.9 cm (image 60/series 3). BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: Enlarged right inguinal lymph node measuring 1.7 x 1.4 cm (image 134/series 3). BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted. | 1.Innumerable hypodense lesions in the spleen compatible with an infiltrative process possibly due to granulomatous disease of the patient's known sarcoidosis.2.No discrete hepatic lesion. Biopsy of the liver would be suggested as granulomatous changes may not be evident by CT.3.Tiny hypodense cortical lesions in both kidneys of unclear etiology. |
Generate impression based on findings. | The paranasal sinuses are clear. There are small haller cells bilaterally that mildly narrow the bilateral maxillary sinus infundibula. The nasal cavity is also clear. The nasal septum is mildly deviated towards the right. The lamina papyracea and ethmoid roofs are intact. The carotid groove and optic canals are covered by bone. The nasopharynx, facial soft tissues, orbits, and imaged intracranial structures appear to be unremarkable. There are bilateral tonsilloliths. | No evidence of sinusitis. |
Generate impression based on findings. | Clinical question: Space-occupying lesion? Neurofibromatosis? Signs and symptoms: Altered mental status, history of Ring chromosome 22 Nonenhanced head CT:Examination demonstrates slight prominence of cortical sulci and the vermian folia for the patient's stated age of 33. No detectable acute intracranial hemorrhage, edema, mass effect, midline shift or hydrocephalus. No evidence of a mass is detected on this nonenhanced study. Calvarium is intact.Images through the orbits are unremarkable.All paranasal sinuses and bilateral mastoid air cells and middle ear cavities are unremarkable | No acute intracranial process and no evidence of mass. Please see above comments. |
Generate impression based on findings. | Clinical question: Neutropenic fever of unknown source. Signs and symptoms: As above. Maxillofacial CT:All nasal sinuses and bilateral mastoid air cells and middle ear cavities remain well pneumatized and without evidence of disease. Unremarkable images through the nasal passage with the exception of nasal septum deviation to the left. Unremarkable images through the orbits. | No evidence of sinus disease and well pneumatized bilateral mastoid air cells and middle ear cavities. |
Generate impression based on findings. | Female 50 years old; Reason: bulging in the left flank with straining. R/o hernia History: pain with Valsalva and bulging, left flank, left abd ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Nonobstructive left renal subcentimeter calculi. No hydronephrosis in either kidney.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small bowel is normal in caliber and course. There is a left inferior lumbar body wall hernia through which portion of the descending colon herniates. The hernia mouth measures 3.4 cm.There is a polypoid luminal mass at the fundus of the stomach measuring 7 mm.BONES, SOFT TISSUES: Post surgical changes in the lumbar spine.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: As aboveBONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted. | 1.Left inferior lumbar hernia with portion of descending colon.2.7-mm gastric polypoid fundal mass for which endoscopy suggested. |
Generate impression based on findings. | Male 44 years old; Reason: rule out ureteric stone, pancreatitis, etc History: subacute abdominal pain ABDOMEN:LUNG BASES: Heart size is enlarged. There is calcification of the pericardium. The left ventricle is dilated.LIVER, BILIARY TRACT: Hepatic parenchyma is hyperdense. Hepatic morphology suggests chronic liver disease. No solid hepatic lesions are identified.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Complex cystic mass in the lower pole of the right kidney likely with solid nodular components measures 6.9 cm. Although the mass is suboptimally evaluated without contrast findings are suspicious for renal cell neoplasm.No hydronephrosis in either kidney.RETROPERITONEUM, LYMPH NODES: Atherosclerotic disease affects the aorta.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small bowel enters a right inguinal hernia without obstruction. There is small amount of fluid within the hernia sac.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted. | 1.Right inguinal hernia containing portion of ileum without proximal bowel obstruction.2.Cystic/solid right renal mass (7cm) highly suspicious for renal cell carcinoma. Follow-up with urologic oncology is suggested. |
Generate impression based on findings. | Female 86 years old; Reason: bladder cancer, staging History: bladder cancer, staging CHEST:LUNGS AND PLEURA: Calcified granuloma in the right middle lobe. No dominant lung lesion. The pleural spaces are clear.MEDIASTINUM AND HILA: Right atrial enlargement. Left chest wall pacer with leads terminating in the heart.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. The hepatic and portal veins are patent.SPLEEN: Nonspecific cystic lesion in the spleen.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Small cortical left renal cyst. No hydronephrosis or nephrolithiasis in either kidney.RETROPERITONEUM, LYMPH NODES: Mild calcific arteriosclerotic disease affects the aorta. There are subcentimeter retroperitoneal lymph nodes.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Uterus is absent or atrophic.BLADDER: There is a soft tissue nodule along the inferior aspect of the bladder measuring 2.5 x 1.9 cm (image 170/series 3).LYMPH NODES: No evident pelvic lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Degenerative changes affect the lumbar spine.OTHER: No significant abnormality noted. | 1.No evidence of pelvic or upper abdominal lymphadenopathy.2.Soft tissue bladder mass. |
Generate impression based on findings. | Female 68 years old; Reason: eval for causes of abd pain, diarrhea History: abd pain, cramping ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: 1.2-cm pancreatic tail cystic mass (image 46 series 4) slightly more prominent than prior.There is mild pancreatic atrophy.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right kidney is mildly atrophic. The previously noted stone has passed. No residual calculi. Left kidney is unremarkable.RETROPERITONEUM, LYMPH NODES: Severe calcific arteriosclerotic disease affects the aorta.BOWEL, MESENTERY: Small bowel is normal in caliber and course. The colon is not distended.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Status post hysterectomy.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted. | 1.Right renal calculus has passed.2.Cystic pancreatic mass - follow up MRI/MRCP is recommended |
Generate impression based on findings. | Male 59 years old; Reason: Re-evaluate disease status following additional immunotherapy; compare to previous scan and provide bi-dimensional measurements per RECIST 1.1 History: Stage IV melanoma CHEST:LUNGS AND PLEURA: There are at least four pulmonary lesions. The reference right lower lobe pulmonary lesion measures 0.6 x 0.5 cm (image 91/series 5) previously, 0.9 x 0.7 cm.Reference left lower lobe pulmonary lesion has resolved. A new reference lesion is provided as follows. A left lower lobe pulmonary nodule measures 1.4 x 0.9 cm (image 98/series 5) previously (remeasured), 1.3 x 0.9 cm.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Chronic right lower lung healed rib fractures.OTHER: ABDOMEN:LIVER, BILIARY TRACT: Reference left hepatic lobe lesion measures 1.7 x 1.4 cm (image 135/series 3) previously, 1.6 x 1.5 cm.Subcentimeter hypodense lesions in the liver are too small to characterize.The hepatic and portal veins are patent. There are no new suspicious hepatic lesions.SPLEEN: Hypervascular splenic lesion unchanged.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Mild hyperemia of the colon without significant pericolonic inflammation possibly representing mild colitis.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: Sclerotic lesion in the sacrum on the left is unchanged and may represent a small bone island.OTHER: No significant abnormality noted | 1.No significant change in the left hepatic lobe liver lesion.2.New reference left lower lobe pulmonary lesion with measurements provided above. (Note this nodule was there previously and has been remeasured as the previous reference lesion in the left lower lobe is too small to measure accurately and is considered resolved.) |
Generate impression based on findings. | 74 year old male with small cell lung cancer, left cranial nerve III palsy, and ventriculomegaly. There is no evidence of intracranial hemorrhage. There are unchanged patchy foci of low-attenuation within the supratentorial white matter as well as within the right cerebellar hemisphere. The ventricles are borderline enlarged but unchanged in size. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. There is an unchanged left-sided sellar and suprasellar mass with clival invasion and left lateral cortical destruction adjacent to the cavernous sinus that was better assessed on the recent MRI. There are degenerative changes of both temporomandibular joints. | 1.Unchanged slightly enlarged ventricles that may be secondary to treatment related volume loss or early absorptive hydrocephalus secondary to leptomeningeal disease.2.Unchanged left-sided sellar and suprasellar mass with clival invasion that is not well assessed on this exam. 3.The right cerebellar lesion is not well assessed on this exam. |
Generate impression based on findings. | Female 54 years old; Reason: 54 y/o F with C diff and dilated bowel, interval change History: improved abdominal pain and symptoms Decrease in the distention of the transverse colon. The bowel gas pattern is nonobstructive.No definite free intraperitoneal air. | 1.Decreased colonic distention. |
Generate impression based on findings. | Male 69 years old; Reason: 69M intubated in MICU in septic shock, lactic acidosis, new abdominal distension/pain and loose stool output History: 69M intubated in MICU in septic shock, lactic acidosis, new abdominal distension/pain and loose stool output VP shunt type device projects over the right abdomen.Enteric tube terminates in the region of the distal gastric body.Bowel gas pattern is nonobstructive. | 1.Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Male 55 years old Reason: assess for VOD, pv thrombosis History: assess for VOD, pv thrombosis LIVER: The liver has a smooth contour. Liver measures 19.4 cm in length. The parenchyma is mildly coarse and echogenic . No focal hepatic lesions. Main portal vein is patent with normal directional flow peak velocity is 0.3 m/sec.BILIARY TRACT: The gallbladder contains layering sludge. Wall measures 4-mm in thickness. Common duct measures 3 mm. PANCREAS: The pancreas is obscured due to bowel gas.KIDNEYS: The right kidney measures 10.4 cm. The cortex is normal in echogenicity. No shadowing calculi or hydronephrosis is present. The left kidney measures 10.7 cm. The cortex is normal in echogenicity. No shadowing calculi or hydronephrosis is present. SPLEEN: The spleen measures 20 cm. in length. OTHER: Upper abdominal ascites; pleural effusion. | 1.Patent hepatic vasculature.2.Gallbladder sludge.3.Splenomegaly and ascites most suggestive of portal hypertension.4.Echogenic hepatic parenchyma suggestive of parenchymal dysfunction. |
Generate impression based on findings. | Male 82 years old; Reason: constipation r/o History: poor flow and small BMS Bowel gas pattern is nonobstructive. There is scattered gas within the colon which is nondistended.Calcification of the vasculature.Degenerative changes affect the hips and lumbar spine. | 1.Nonobstructive bowel gas pattern |
Generate impression based on findings. | Male 29 years old; Reason: eval for megacolon History: chronic diarrhea/cramps x 2 years Nonobstructive bowel gas pattern with gas within nondistended small bowel loops. Radiodensity in the right and transverse colon possibly due to prior oral contrast injection. | 1.Nonobstructive bowel gas pattern |
Generate impression based on findings. | Male 61 years old; Reason: eval abd distension History: same Diffuse gaseous distention of the small bowel and colon. There is small amount of gas in the descending colon and rectum. A surgical staple line is noted in the rectum.Small bowel loops are dilated measuring up to 3.3 cm.Free intraperitoneal air is noted adjacent to the liver on the right portable radiograph. This may be postoperative in nature. | 1.Distended loops of small bowel and ascending/transverse colon likely due to an ileus although a distal obstruction can have a similar appearance.Abdominal free air possibly due to recent postoperative state. If there is suspicion of perforation a CT scan is recommended. Findings discussed with Abdul on the surgical team at the time of dictation |
Generate impression based on findings. | Female, 63 years old.Comments: Surgical Case Information | Procedure(s): Procedure(s): | EXPLORATORY LAPAROTOMY | Operating Room: CDOR 17 CENTRAL | Surgeon(s) and Role: | * Yolanda Tai Becker, M.D. - Primary Enteric tube terminates in the region of the gastric body.Surgical clip in the right upper quadrant. No unexpected radiopaque foreign body. | No unexpected radiopaque foreign body.These findings were discussed by telephone with Dr. Eckert, the attending surgeon, on 3/22/2015 at 4:45 a.m. |
Generate impression based on findings. | Female 63 years old; Reason: obstruction, volvulus History: generalized abdominal pain, hypotension, obstipation, elevated lactate Dilated loops of bowel in the right upper abdomen a bowel obstruction | 1.Findings suspicious of bowel obstruction. |
Generate impression based on findings. | Male 72 years old; Reason: free air? stool burden History: abdominal pain, constipation Bowel gas pattern is nonobstructive with scattered gas in nondistended small bowel loops. Moderate amount of colonic fecal matter in the ascending colon.Supine views nondiagnostic for detecting of free air. | 1.No specific signs of bowel obstruction.2.Moderate fecal matter in the ascending colon. |
Generate impression based on findings. | Male 43 years old; Reason: Eval for signs of obstruction History: Generalized lower abdominal pain Constipation No obstructive bowel gas pattern. Nonspecific sclerotic lesion in the left femoral neck. There is opacification of the left basilar hemithorax. | 1.No obstructive bowel gas pattern |
Generate impression based on findings. | Male 62 years old; Reason: ureteral stent in place? History: ureteral stent retracted Bowel gas pattern is nonobstructive. Chronic changes are noted in the right hip.A stent projects over the left ilium and extend past the film near midline. The stent was previously located along the course of the left ureter. | 1.Displacement of the left ureteral stent. |
Generate impression based on findings. | Female 68 years old; Reason: NG tube placement History: NG tube placement Enteric tube terminates in the region of the gastric body.Vascular catheter projects over the region of the superior vena cava. Multiple surgical clips are noted in the lower chest and upper abdomen. Two catheter type device is projected over the right hemiabdomen.There is a right pleural effusion. | 1.Enteric tube terminates in the region of the gastric body. |
Generate impression based on findings. | Female 63 years old; Reason: DHT location History: new DHT Enteric tube terminates at the antropyloric region.Bowel gas pattern is nonobstructive.Multiple lines and tubes project over the chest and upper abdomen.Postsurgical changes from median sternotomy. | 1.Enteric tube tip terminates at the antropyloric region |
Generate impression based on findings. | Male 24 years old; Reason: r/o free air History: as above Bowel gas pattern is nonobstructive. Hyperdense material is present within the gallbladder.Enteric tube terminates in the antropyloric region. | 1.Enteric tube terminates in the antropyloric region |
Generate impression based on findings. | Male 24 years old; Reason: NG History: NG The bowel gas pattern is nonobstructive. Enteric contrast has reached the colon.Enteric tube terminates in the antropyloric region. Hyperdense material has collected within the gallbladder | 1.Enteric tube terminates at the antropyloric region |
Generate impression based on findings. | Female 76 years old; Reason: eval for retained barium History: none Contrast outlines the abscess pocket and enterocutaneous fistula. Enteric contrast now resides within the colon. This progression is unchanged.Nonobstructive bowel gas pattern. | 1.No significant change in the retained barium. |
Generate impression based on findings. | Male 58 years old; Reason: assess stool burden, r/o obstruction History: abdominal distension Enteric tube terminates in the region of the distal gastric body. A vascular catheter projects over the pelvis and lumbar spine.There is gaseous distention of the small bowel and colon with gas in the rectum. The overall findings are suggestive of ileus. No significant colonic fecal matter in the colon. | 1.Findings most suggestive of an ileus. |
Generate impression based on findings. | Male 62 years old; Reason: Dobbhoff placement History: Dobbhoff Mild gaseous distention of the small bowel. Moderate fecal matter is noted in the rectum.Postprocedural changes in the lumbar and thoracic spine.Enteric tube terminates in the region of the gastric body. Catheter type device projects in the right upper abdomen. | 1.Enteric tube terminates in region of the gastric body |
Generate impression based on findings. | Male 56 years old; Reason: NGT History: NGT Bowel gas pattern is nonobstructive. Enteric tube terminates at the antropyloric region. | 1.Tube tip is at the antropyloric region |
Generate impression based on findings. | Back pain Minimal lower lumbar spine degenerative changes, not significantly different from the prior study. Vertebral body heights, disk spaces and alignment preserved throughout. SI joints unremarkable.A focal calcification is observed in the left upper quadrant, presumably a calcified lymph node and or within the colon. Cholecystectomy clips | Minimal osteoarthritic changes |
Generate impression based on findings. | Reason: eval for malignancy vs infection History: cough, immunosuppression LUNGS AND PLEURA: Pleural effusion this left larger than right, small to moderate in size.Basilar opacities left greater than right most likely is passive atelectasis and aspirated secretions.There is no reliable evidence of infection.Lower lung zone bronchial wall thickening and bronchiectasis is mildMEDIASTINUM AND HILA: Status post heart transplant with severe coronary artery calcification.There is no mediastinal or hilar lymphadenopathy.Moderate cardiomegaly, with a very large left atrium.CHEST WALL: Median sternotomy for heart transplant.UPPER ABDOMEN: Absence of enteric contrast material limits sensitivity for abdominal pathology. Vascular calcifications are noted. | Pleural effusions left larger than right, with left basilar atelectasis most likely compressive. No reliable evidence of infection. |
Generate impression based on findings. | altered mental status Demonstration of left cerebellar hemispheric and right occipital ICH, SAH and IVH with mass effects.Ventricle size appears to be slightly decrease comparing to prior study.Prior surgical clip, inserted stent and aneurysm coils are seen with metallic artifacts, no change since prior scan.Right frontal craniotomy is again demonstrated.The paranasal sinuses and mastoid air cells are clear. | Interval development of left cerebellar and right occipital ICH, SAH and IVH with mass effects. |
Generate impression based on findings. | Reason: eval malignancy vs infection (TB) History: see above LUNGS AND PLEURA: Moderate to severe centrilobular predominant emphysema.Basilar predominant bronchial wall thickening and bronchiolitis is noted.Scarlike opacities affect the left lung base, and there is a moderate sized right upper lobe calcified granuloma. MEDIASTINUM AND HILA: There is no mediastinal or hilar lymphadenopathy.Calcified hilar and mediastinal lymph nodes or the sequela of prior granulomatous disease.There are no visible coronary calcifications, the heart and pericardium appearing normal.CHEST WALL: Tracheostomy tube in proper position.UPPER ABDOMEN: Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. | Moderate to severe centrilobular predominant emphysema and prior granulomatous disease. No evidence of tumor or active infection. |
Generate impression based on findings. | 34 year-old male patient with abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Focal fatty infiltration noted along the ligament Teres.SPLEEN: There is a wedge-shaped area of hyperattenuation in the splenic parenchyma with mild adjacent perisplenic inflammation. No fluid collection identified.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Heterogenous attenuation in the lower pole of the left kidney is noted. No hydronephrosis, hydroureter, or perinephric fat stranding.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.CALCIFICATIONS IN ABDOMINAL AORTA AND ITS BRANCHES: None.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted. | Peripheral wedgeshaped defect in spleen as above, appearance consistent with a splenic infarct and findings suspicious for additional infarct in the lower pole of the left kidney. No significant atherosclerotic disease is seen. Correlate with clinical history for etiology of infarcts. |
Generate impression based on findings. | Reason: Evaluate for sarcoidosis given suspicion for granulomas noted on CXR History: Pls see above LUNGS AND PLEURA: Numerous calcified granulomata are typical of prior infection such as histoplasmosis.There is no other parenchymal lung disease.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy is seen.Calcified hilar and mediastinal lymph nodes or small, characteristic of prior granulomatous infection.There are mild coronary artery calcifications, but the heart and Urquhart in otherwise appear normal.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Cholecystectomy clips, otherwise unremarkable partially visualized upper abdomen. | Healed granulomatous disease, findings suggestive of prior histoplasmosis. There is no evidence of sarcoidosis, or other significant abnormality. |
Generate impression based on findings. | Reason: persistent fever History: persistent fever s/p transplant LUNGS AND PLEURA: Minimal dependent atelectasis, otherwise unremarkable.There is no evidence of pneumonia.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy noted.There are no coronary artery calcifications, and the heart and pericardium appear normal.Bilateral jugular catheters terminate in the SVC.CHEST WALL: Extensive lytic lesions affect nearly all bones visualized, consistent with the patient's known multiple myeloma.UPPER ABDOMEN: Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. | No evidence of infection.No myelomatous lesions affect nearly all bones visualized. |
Generate impression based on findings. | generalized weakness No evidence of acute ischemic or hemorrhagic lesion.Focal linear tissue defect on the right cerebellar hemisphere was seen. The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The mastoid air cells are clear. Frontal sinus, ethmoid sinus and sphenoid sinus show mucoperiosteal thickening. Bilateral maxillary sinuses were not fully included in this scan. | No evidence of acute ischemic or hemorrhagic lesion.Mucoperiosteal thickening of paranasal sinuses. |
Generate impression based on findings. | 79 years, Male. Reason: eval for g-tube placement History: recent g-tube replacement Following administration of Omnipaque 350 via the patient's gastrostomy tube, contrast filled the stomach, duodenum and proximal small bowel without evidence of extravasation to suggest leak. There is a nonobstructive bowel gas pattern. Linear density in the mid hemipelvis may represent a T-Tac. Degenerative changes of the lower lumbar spine and bilateral hips. | Gastrostomy tube with intraluminal position without evidence of contrast extravasation to suggest leak. |
Generate impression based on findings. | 68 years, Male, Reason: 68yo with multiple co-morbidities, admitted with PNA. Concern for underlying ILD. Pulm request CT scan for eval History: SOB. LUNGS AND PLEURA: Small bilateral pleural effusions, slightly increased from prior exam. Patchy basilar and lingular opacities are improved from the prior exam. There is some persistent patchy sub-solid opacities in the lingula, particularly adjacent to the left heart. Basilar, lingular and right middle lobe traction bronchiectasis is unchanged. Subpleural reticulation, most predominant in the mid to upper lung is unchanged. No suspicious nodules or masses. Mild centrilobular emphysema is unchanged.MEDIASTINUM AND HILA: Moderate mediastinal lymphadenopathy is unchanged. A right lower paratracheal node measures 40 x 17 mm (3/27), previously 42 x 18 mm. Mild atherosclerotic calcifications of the aorta and its branches. Mild cardiomegaly. Severe atherosclerotic calcifications of the coronary arteries. No pericardial effusion.CHEST WALL: No axillary lymphadenopathy. Mild degenerative changes and leftward curvature of the visualized spine.UPPER ABDOMEN: Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. | 1.Scattered patchy consolidation is improved from the prior exam.2.Subpleural reticulation and traction bronchiectasis is unchanged and likely reflects a nonspecific fibrotic lung disease.3.Small bilateral pleural effusions are slightly increased.4.Stable mediastinal lymphadenopathy. |
Generate impression based on findings. | Male, 16 years old. Reason: R/o vascular abnormality vs clot of right lower extremity History: 16 y/o male with May-Thurner's syndrome of left common iliac now with right lower extremity swelling PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: Increased diameter of the right thigh, similar to prior.OTHER: Left common iliac stent is again noted, unchanged.Compared to the prior exam, there is better contrast opacification of the venous system, however evaluation is still limited due to suboptimal contrast timing. The common femoral, external iliac, and common iliac veins are visualized without evidence of thrombus. | Suboptimal exam without evidence of venous thrombus. Recommend pelvic/upper thigh sonogram for further evaluation. |
Generate impression based on findings. | 55 years, Male. Reason: evaluate for obstruction, free air History: abdominal distention, septic shock, respiratory failure There is a nasogastric tube with its tip projecting over the antrum of the stomach. Residual contrast opacifies the ascending and transverse. There is a paucity of bowel gas. There are bibasilar opacities with associated air bronchograms suggesting atelectasis/consolidation. Probable bilateral pleural effusions. Extensive sclerosis of the bones consistent with known myelofibrosis. | Paucity of bowel gas. Nasogastric tube with its tip projecting over the antrum of the stomach |
Generate impression based on findings. | 75 years, Male. Reason: NG History: NG There is a Dobbhoff tube with its tip projecting over the descending duodenum. There is a nonobstructive bowel gas pattern. There is an IVC filter in place. Pacemaker leads in place, positions unchanged. | Dobbhoff tube with its tip projecting over the descending duodenum. |
Generate impression based on findings. | 78-year-old male with intraventricular hemorrhage and hydrocephalus Redemonstrated is a hemorrhage within the right midbrain as well as intraventricular blood which is decreased in size and density consistent with evolution. Ventricular sizes are unchanged. There is no interval hemorrhage.As before, there is embolic material present in the right ambient and quadrigeminal plate cisterns.A ventriculostomy enters the right frontal lobe and courses into the right lateral ventricle with tip in the region of foramen of Monro, unchanged in position.There is redemonstration of a hypodense focus in the right basal ganglia and right cerebellar hemisphere. Periventricular and subcortical white matter hypodensities of a moderate degree are again present.Atherosclerotic calcifications are present along the distal internal carotid arteries. Atherosclerotic calcifications are present along the distal vertebral arteries. | 1.Redemonstrated is a hemorrhage within the right midbrain as well as intraventricular blood which is decreased in size and density consistent with evolution. There is no interval new hemorrhage.2.The ventricles are stable in size. |
Generate impression based on findings. | 75 years, Female. Reason: patient with SBO now s/p NGT placement History: N/V There is a nasogastric tube with its tip projecting over the antrum of the stomach. There is persistent diffuse gaseous distention of the stomach. There is gaseous distention of several loops of small bowel measuring up to 4.6 cm in maximal diameter, which may represent a small bowel obstruction. Evaluation limited by patient motion and under exposure. | Limited exam. Nasogastric tube with its tip projecting over the antrum of the stomach. Findings worrisome for small bowel obstruction. |
Generate impression based on findings. | 9-year-old male with fall from tree, history of fractureVIEWS: Right foot AP, oblique and lateral (3 views) 3/22/15 at 2258 Splint material obscures fine bone detail. Flexion is present at the MTP joints. No fracture or malalignment is identified. | No fracture is identified. If there is concern for acute fracture repeat imaging without splint material is recommended. |
Generate impression based on findings. | 56 year old male with intracranial hemorrhage There is no significant change in size or density of a right thalamic hematoma measuring approximately 30 mm in size. Intraventricular hemorrhage is also stable. Ventricular sizes are unchanged. A left frontal approach ventricular catheter with the tip at the level of the left foramen of Monro is unchanged in position. | 1.Stable right thalamic acute hemorrhage in size and density.2.Stable shunted ventricular system and ventricular catheter.3.Stable intraventricular hemorrhage. |
Generate impression based on findings. | Prematurity. Line placement.VIEW: Chest AP (one view) 3/22/15 at 1829 hrs. Right upper extremity venous access terminates at the right subclavian vein. Proximal side-port of NG tube is above GE. junction. Cardiac silhouette size is normal. Large lung volumes and diffuse lung haziness unchanged. No focal opacities, effusions or pneumothorax. | Interval retraction of central line.No change in diffuse lung haziness. |
Generate impression based on findings. | 75 years, Female. Reason: s/p sigmoid resection, now with N/V History: N/V There is diffuse gaseous distention of the stomach. There is gaseous distention of several loops of small bowel measuring up to 4.6 cm in maximal diameter, which may represent a small bowel obstruction. Evaluation limited by patient motion and under exposure. | Findings worrisome for small bowel obstruction. |
Generate impression based on findings. | 55 year female with intracranial hemorrhage Redemonstrated is hemorrhage within the ventricular system, casting the left lateral ventricle, with mild midline shift to the right. Redemonstrated is a hematoma centered within the left posterior parietal lobe. These findings are stable. There is extensive right hemispheric encephalomalacia and ex vacuo dilatation of right lateral ventricle. A right frontal approach ventricular catheter with the tip in right foramen of Monro is stable in position. | 1.Stable left posterior parietal hematoma and extensive intraventricular hemorrhage.2.Stable enlarged ventricular system and right frontal approach ventricular catheter. |
Generate impression based on findings. | Female, 19 years old. Neutropenic fever. Evaluate for pneumonia.VIEW: Chest AP (one view) /22/2015, 1237 Left arm PICC, tip at the SVC/RA junction. Surgical clips in the mediastinum the suture material in the right lung.The cardiothymic silhouette is normal.Mild bronchial wall thickening. No focal pulmonary opacities, pleural effusions, or pneumothorax. | No evidence of pneumonia. |
Generate impression based on findings. | Persistent pulmonary hypertension of the newborn. ET tube placement.VIEW: Chest AP (one view) 3/23/15 at 440 hours ET tube terminates at the thoracic inlet. NG tube is present. UVC tip is at the RA/IVC junction. Interval removal of esophageal temperature probe. Persistent soft tissue edema.Cardiac silhouette size is normal. Interval worsening in right upper, left upper, and left lower lobe opacity likely atelectasis. No pneumothorax. Superimposed pleural effusions cannot be excluded. | Worsening multifocal opacities with possible superimposed pleural effusions. |
Generate impression based on findings. | memory changes, left ventricular thrombus No evidence of acute ischemic or hemorrhagic lesion on this scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The mastoid air cells are clear. Left maxillary sinus shows mucoperiosteal thickening. | No evidence of acute ischemic or hemorrhagic lesion on this scan. |
Generate impression based on findings. | No acute intracranial hemorrhage is identified. No evidence of intracranial mass, mass-effect, or hydrocephalus. No extra-axial fluid collections. Gray-white matter differentiation is preserved. There is redemonstration of left frontal encephalomalacia. Hypoattenuation of the periventricular and subcortical white matter compatible with age indeterminant small vessel ischemic disease. Calcification deposition is seen in bilateral globi pallidi and cerebellar dentate nuclei. The imaged paranasal sinuses and mastoid air cells are clear. Left lamina papyracea chronic blowout fracture. The osseous structures are unremarkable. | 1.No evidence for acute intracranial abnormality. Please note CT is not sensitive for detection of acute nonhemorrhagic ischemia and MRI can be considered for further evaluation.2.Redemonstration of left frontal encephalomalacia and white matter small vessel ischemic disease.3.Left lamina papyracea chronic blowout fracture. |
Generate impression based on findings. | 60 years, Female, Reason: 59 yo with nsclc, s/p 2 cycles of chemotherapy. History: f/u chemotherapy. Lung adenocarcinoma. CHEST:LUNGS AND PLEURA: Left apical mass measures 62 x 47 mm (7/16), previously 59 x 46 mm. This lesion is contiguous with the adjacent pleura, unchanged. Sclerosis in the left posterior second rib is unchanged.A large left apical nodule has decreased in size measuring 12 x 14 mm (7/26), previously 23 x 24 mm. However, an additional nodule is increased measuring 14 x 13 mm (7/22), previously 10 x 8 mm. Subcentimeter left lower lobe subpleural nodules have increased (7/62, 65 and 69). Right upper lobe groundglass nodule is unchanged.Basilar scarring and mild bronchiectasis is unchanged.MEDIASTINUM AND HILA: There multiple enlarged mediastinal lymph nodes are overall minimally improved. A right upper paratracheal node measures 26 mm (5/25), previously 26 mm. A subcarinal node measures 24 mm, previously 27 mm. There is increased areas of necrosis within these nodes, likely treatment related. Left hilar node measures 12 mm and 5/44), previously 15 mm. Heart size is normal without pericardial effusion. No coronary artery calcifications.CHEST WALL: No significant abnormality noted.ABDOMEN: Absence of enteric contrast material limits sensitivity for abdominal pathology. LIVER, BILIARY TRACT: Borderline enlarged liver. Diffuse hypoattenuation suggesting steatosis.SPLEEN: No significant abnormality noted.ADRENAL GLANDS: There is mild thickening of the left adrenal gland measuring 30 x 13 mm (5/95) which is unchanged from the study of 4/11/2003 where it measured 31 x 13 mm it is likely benign.KIDNEYS, URETERS: Large right renal cyst. Additional right renal hypodensity is too small to characterize.PANCREAS: Subcentimeter hypodensity within the pancreatic tail is unchanged from study of 2003.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Absence of enteric contrast material limits sensitivity for GI pathology.Small hiatal hernia.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small fat containing umbilical hernia. | 1.Left sulcal mass is not significantly changed in size. There are additional left upper lobe nodules, one of which is increased in size and one of which is decreased in size. Subpleural nodules in the left lower lobe are increased. These findings are compatible with an interval mixed response to treatment.2.Minimally improved mediastinal lymphadenopathy and increase left hilar lymphadenopathy3.Subcentimeter hypodensity in the pancreatic tail and left adrenal thickening are unchanged since 2003 and likely benign. |
Generate impression based on findings. | 9-year-old male history of trauma VIEWS: Cervical spine: AP, lateral; chest AP; pelvis AP (4 views) 3/22/15 at 2016 Cervical spine: No acute fracture or subluxation. The prevertebral soft tissues are normal. The vertebral heights and disk bases are maintained.Chest: The aortic arch, cardiac apex, and stomach are left-sided. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. Pelvis: No acute fracture or malalignment. Femoral heads well seated in the normally formed acetabula. | Normal examinations. |
Generate impression based on findings. | 30 year-old female. Patient with decreased Hgb to 6.1. Status post C-section, with history of stroke, PFO with low HB. ABDOMEN:LUNG BASES: Ill-defined nodule in the left base likely inflammatory. Small right cardiophrenic lymph node.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.CALCIFICATIONS IN ABDOMINAL AORTA AND ITS BRANCHES: None.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXA: Enlarged heterogenous uterus consistent with post gravid state. Foci of air in the lower uterine segment may be post operative, correlate clinically for infection/endometritis.Tubal ligation clips.BLADDER: Foci of air in the bladder, correlate for recent instrumentation.LYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: Scattered small foci of air in the lower abdominal wall, presumably postsurgical.OTHER: No significant abnormality noted | Trace free pelvic fluid. No large hematoma. Foci of air in the lower uterine segment of the uterus is presumably post-surgical, correlate clinically for infection/endometritis. |
Generate impression based on findings. | follow up of left frontal infarction. Re demonstration of the left frontal ischemic infarctions including left side cingulate gyrus and corpus callosum head, genu and body. No significant interval change since prior exam.There is no evidence of hemorrhagic infarction.The ventricles, sulci, and cisterns are symmetric and unremarkable. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. | No change of left ACA territorial ischemic infarction with edema since prior exam. No evidence of hemorrhagic transformation. |
Generate impression based on findings. | 66-year-old female with back pain and lower extremity neuropathy Moderate thoracolumbar dextroscoliosis is redemonstrated. Vertebral body heights are maintained. There are no fractures or subluxations. Note is made of small bilateral pleural effusions, cholelithiasis and right lower quadrant ostomy. Bilateral renal hypodensities may represent cysts and several hyperdensities in the left upper pole renal parenchyma are nonspecific. Splenic granulomata. Moderate degenerative disk disease at T9/10 and T10/11 without stenosis.T11/T12: Moderate degenerative disk disease without significant neuroforaminal narrowing or spinal stenosis.T12/L1: Marked degenerative disk disease with disk bulge and mild right neuroforaminal narrowing.L1/2: Marked degenerative disk disease, left disk osteophyte complex and left facet hypertrophy. Moderate narrowing of the left lateral recess and neuroforamen.L2/3: Marked degenerative disk disease, left disk osteophyte complex and left greater than right posterior element hypertrophy. Moderate narrowing of the left neuroforamen and lateral recess.L3/4: Moderate degenerative disk disease and bilateral facet hypertrophy. Mild disk bulge. There is mild bilateral neuroforaminal narrowing.L4/5: Marked degenerative disease. Severe facet hypertrophy greater on the right and moderate narrowing of the right neuroforamen and lateral recess.L5/S1: Mild degenerative disk disease. Marked facet hypertrophy, greater on the right and disk bulge with moderate right neuroforamen narrowing. | 1. Dextroscoliosis and moderate multilevel degenerative changes and neuroforaminal narrowing as described above.2. Small bilateral pleural effusions.3. Cholelithiasis. |
Generate impression based on findings. | Male, 10 years old. Intermittent diffuse abdominal pain, assess for HSP vs other etiology. ABDOMEN:LUNG BASES: No focal consolidation or pleural effusions.LIVER, BILIARY TRACT: No focal hepatic lesions. No intrahepatic or extrahepatic biliary ductal dilatation. The gallbladder is normal.SPLEEN: The spleen is normal in size and enhancement.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Normal enhancement, without focal lesion or significant hydronephrosis.RETROPERITONEUM, LYMPH NODES: Mildly prominent mesenteric lymph nodes. BOWEL, MESENTERY: No abnormal bowel wall thickening or evidence of obstruction. No significant mesenteric edema. No ileocecal intussusception.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No abnormal bowel wall thickening or evidence of obstruction. No evidence of appendicitis.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted | No acute abnormality to account for the patient's symptoms. |
Generate impression based on findings. | 46 y/o male patient with history of colon cancer with liver metastases. CHEST:LUNGS AND PLEURA: No suspicious nodules or masses. No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: Cardiac size within normal limits without pericardial effusion. No hilar or mediastinal lymphadenopathy. A right central venous catheter with tip at the cavoatrial junction.CORONARY ARTERY CALCIFICATION: None.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Again seen are multiple bilobar calcified lesions that are not significantly changed in size or number compared to prior exam. Reference segment 8 lesion currently measures 2.9 x 2.6 cm (series 3 image 24), unchanged. No new suspicious liver lesions are identified. Calcified porta hepatis lymph node is unchanged.SPLEEN: No significant abnormality noted.PANCREAS: Calcified peripancreatic lymph node is unchanged.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No retroperitoneal lymphadenopathy.CALCIFICATIONS IN ABDOMINAL AORTA AND ITS BRANCHES: None.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Suture material in the midline anterior abdominal wall.OTHER: No significant abnormality noted.PELVIS:PROSTATE, SEMINAL VESICLES: Enlarged prostate.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Postsurgical changes from prior sigmoid colon resection.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Right hydrocele. | Stable appearing bilobar calcified hepatic lesions compatible with patient's history of metastatic colon cancer without evidence of new liver lesions. |
Generate impression based on findings. | 9-year-old male status post trauma ABDOMEN:LUNG BASES: The lung bases are clear.LIVER, BILIARY TRACT: The liver is normal in appearance. No evidence of traumatic injury. No intra-or extrahepatic biliary ductal dilatation. The portal vessels are patent.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: The adrenal glands are normalKIDNEYS, URETERS: Kidneys enhance symmetrically. No evidence of traumatic injury.RETROPERITONEUM, LYMPH NODES: No retroperitoneal lymphadenopathy or hematoma. BOWEL, MESENTERY: No evidence of obstruction, bowel wall edema, pneumatosis, or free air. The retrocecal appendix is normal.BONES, SOFT TISSUES: The BMI is abnormally increased.OTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: The bladder is moderately distended.LYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No evidence of obstruction, bowel wall edema, pneumatosis, or free air. The appendix is normal.BONES, SOFT TISSUES: No fractures are identified. The osseous structures are normal.OTHER: No significant abnormality noted | No evidence of traumatic injury within the abdomen or pelvis. |
Generate impression based on findings. | Male 4 days old Reason: r/o NEC History: desaturation, bilious drainage from NGTVIEW: Abdomen AP (one view) 3/22/15 at 1958 hrs. ET tube terminates below thoracic inlet. NG tube tip is above GE junction. Esophageal temperature probe terminates in the midesophagus. UVC tip is at the right atrium. UAC terminates at the left iliac artery. Persistent soft tissue edema.Cardiac silhouette size is normal. Interval development of right upper, left upper and left lower lobe opacities, likely atelectasis.Persistent paucity of abdominal gas. | Multifocal opacities development. |
Generate impression based on findings. | The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. Mucosal thickening is present within the right maxillary sinus, anterior ethmoid sinus, and frontal sinus suggestive of sinusitis. The remaining visualized portions of the paranasal sinuses and mastoid air cells are clear. | Mucosal thickening is present within the right maxillary sinus, anterior ethmoid sinus, and frontal sinus suggestive of sinusitis. |
Generate impression based on findings. | 52-year-old female. Increased abdominal girth. Evaluate cause. Lack of intravenous contrast evaluation for solid organ pathology.ABDOMEN:LUNG BASES: Mild coronary artery calcifications.LIVER, BILIARY TRACT: No focal liver mass. Cholecystectomy clips.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: Nonspecific prominent peripancreatic and periportal lymph nodes.CALCIFICATIONS IN ABDOMINAL AORTA AND ITS BRANCHES: Mild calcified atherosclerotic disease of the aorta and its branch vessels.BOWEL, MESENTERY: Normal course and caliber of the small bowel. No bowel obstruction.BONES, SOFT TISSUES: Mild degenerative changes lumbar spine.OTHER: No ascites or fluid collection.PELVIS:UTERUS, ADNEXA: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: Mild degenerative changes of the thoracolumbar spine.OTHER: No ascites or or fluid collection. | No suspicious intraabdominal mass within limits of noncontrast exam, ascites, or fluid collection. |
Generate impression based on findings. | There are multiple dental caries with periapical lucencies including bony dehiscence over the left second maxillary molar with adjacent fluid in the maxillary sinus. Additional, scattered areas of dental and periodontal disease are noted, the largest of which involves a left mandibular incisor with bony dehiscence over the dental root. No discrete abscess is identified.A small amount of nonspecific, irregular soft tissue in a right ethmoid air cell is noted, otherwise the remaining paranasal sinuses, ethmoid air cells, and mastoid air cells are clear. The submandibular glands are small and soft tissue in the sublingual space may represent normal-size lymph nodes or accessory salivary glands. The orbits and nasopharynx are unremarkable. The visualized skull base is unremarkable. | Multiple dental caries and periapical lucencies without discrete abscess identified. |
Generate impression based on findings. | 73-year-old female with ataxia, blurry vision, positive Romberg. No evidence of acute intracranial hemorrhage. Hypoattenuation and volume loss within the left cerebellum is consistent with previously demonstrated chronic infarction. As before there is mild hypodensity within the white matter suggestive of age indeterminate small vessel ischemic disease. There are scattered intracranial vascular calcifications. No midline shift or mass effect. The basal cisterns are unremarkable. Ventricular size is age-appropriate. The visualized paranasal sinuses and mastoid air cells are clear. | 1.Chronic left cerebellar infarct and small vessel ischemic disease of indeterminate ages. If there is continued clinical concern for acute ischemia, MRI would be recommended.2.No acute intracranial hemorrhage. |
Generate impression based on findings. | 61-year-old female with history of Ewing sarcoma. Evaluate for recurrent disease. LUNGS AND PLEURA: Right upper lobe part solid nodule measures 6 mm, previously 6 mm (image 42 series 6). Adjacent cluster of ill-defined nodular opacities are no longer visualized. Postsurgical changes of right middle lobe wedge resection again noted.MEDIASTINUM AND HILA: Right chest port with tip in the SVC. No mediastinal lymphadenopathy. Severe coronary artery calcifications. The heart size is normal with no significant pericardial effusion.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Stable hepatic hypodensity, likely representing benign cysts. | Stable right upper lobe part solid nodule. Adjacent cluster of nodular opacities are no longer visualized. No evidence of metastatic disease. |
Generate impression based on findings. | Pain after fall, felt pop, worse at posterior leg. Question of fracture. Two views of the left tibia/fibula show no acute fracture or malalignment. No soft tissue swelling is identified. | No acute fracture is evident. |
Generate impression based on findings. | 73-year-old female with ataxia, blurry vision, positive Romberg, now exhibiting acute mental status change. No evidence of acute intracranial hemorrhage. Hypoattenuation and volume loss within the left cerebellum is consistent with previously demonstrated chronic infarction. As before there is mild hypodensity within the white matter suggestive of age indeterminate small vessel ischemic disease. There are scattered intracranial vascular calcifications. No midline shift or mass effect. The basal cisterns are unremarkable. Ventricular size is age-appropriate. The visualized paranasal sinuses and mastoid air cells are clear. | 1.Chronic left cerebellar infarct and small vessel ischemic disease of indeterminate ages. If there is continued clinical concern for acute ischemia, MRI would be recommended.2.No acute intracranial hemorrhage. |
Generate impression based on findings. | Concerned about having a fish bone stuck in throat in early February while eating a large portion of fish with rice and thinks a fish bone scraped the back of his tongue or perhaps is still there. There are punctate right palatine tonsilloliths, but no radioattenuating foreign bodies discerned in the upper aerodigestive track otherwise. The airways are patent. There is no evidence of measurable abscess, mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unremarkable. There is a 4 mm wide disc-osteophyte complex at T1-2 with mild spinal canal narrowing. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. | No radioattenuating foreign body in the upper aerodigestive track to suggest a fish bone and no evidence of abscess in the neck. |
Generate impression based on findings. | Pain, decreased range of motion. Question of fracture/dislocation. Three views left shoulder show no acute fracture or malalignment. | No acute fracture is evident. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.