instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | Male 59 years old Reason: view VAD History: BiVAD Biventricular assist device and multiple support lines project over the abdomen. No free air. Nonobstructive bowel gas pattern. | No free air. |
Generate impression based on findings. | Third digit pain and swelling. Evaluate fracture. There is mild soft tissue swelling about the PIP joint, but I see no fracture or dislocation. A small lucency in the third metatarsal head probably represents a degenerative cyst. | No fracture evident. |
Generate impression based on findings. | Male 23 years old Reason: severe stomach pain History: diabetic w/ stomach pain, vomiting ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Mild hepatomegaly.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS,... | CT UPPER ABD AND PELVIS W 4/3/2015 5:28 PMCLINICAL INFORMATION:TECHNIQUE: COMPARISON: FINDINGS:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnorm... |
Generate impression based on findings. | LVAD. Abdominal pain and vomiting. The exam is limited secondary to lack of intravenous contrast. Streak artifact from the LVAD device and the right shoulder arthroplasty also makes evaluation suboptimal.LUNGS AND PLEURA: There are streaky opacities in the lung bases bilaterally, right greater than left, consistent wit... | 1. LVAD is unchanged in position without evidence of complication. There has been interval resolution of the previous small fluid collection adjacent to the outflow cannula.2. New diffuse ground glass opacities with bronchial wall thickening. There is an absence of septal lines or pleural effusions, which makes edema u... |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. Minimal periventricular white matter hypoattenuation is nonspecific, likely representing age indeterminate microvascular ischemic changes. There is mild age-related sulcal prominence. There is no midline shift or herniation. The imaged paranasal... | No acute intracranial hemorrhage or mass-effect.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Pain, swelling evaluate fracture. There is mild soft tissue swelling overlying the metacarpal heads on the lateral view, but I see no fracture or malalignment. | Mild soft tissue swelling without fracture evident. |
Generate impression based on findings. | Male 59 years old Reason: rule out hematoma/bleeding History: decreased hemoglobin This study is limited due to lack of intravenous contrast.ABDOMEN:LUNG BASES: Bilateral pleural effusions and atelectasis. Small pericardial effusion. Left ventricular assist device is in place.LIVER, BILIARY TRACT: No significant abnorm... | Limited study due to lack of intravenous contrast. Large left inguinal hematoma extending into the left retroperitoneum as described above. Bilateral vascular lines which cannot be optimally evaluated. Moderate hydrocele.Bilateral pleural effusions, more on the right compared to the left and dependent atelectasis. |
Generate impression based on findings. | [ Reason: Needs imaging today for OR I\T\D tomorrow AM History: Abscess/cellulitis ] Evaluation of the hip, proximal femur, as well as the surrounding soft tissues is limited secondary to streak artifact arising from the patient's total hip arthroplasty. There is no radiographic evidence of hardware complication. Revie... | 1.Postoperative changes of a presumed femoral-peroneal bypass, as described above. 2.Findings compatible with cellulitis in the lower thigh and upper leg.3.Findings compatible with recent incision and drainage of an abscess within the posteromedial subcutaneous fat of the distal thigh, with low density collection inter... |
Generate impression based on findings. | Female 80 years old Reason: eval for masses in pelvis History: fullness ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter hypodense lesion in the left lobe of the liver, most likely benign.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLA... | Large fungating mass in the sigmoid colon. Further evaluation with colonoscopy is recommended. Distention of the proximal colonic segments.Bilateral adrenal nodules, which cannot be optimally characterized with this noncontrast CT but are likely adenomas. Further evaluation with MRI may be helpful.Dr. Podoleg was notif... |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. 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 acute intracranial hemorrhage or mass effect. CT is insensitive for detection of early nonhemorrhagic stroke. If there is continued clinical suspicion for acute ischemia, MRI is recommended.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 33 day old female with hypoxiaVIEWS: Chest AP/lateral (two views) 4/3/15, 1715 Cardiothymic silhouette is normal. Improved bilateral granular diffuse haziness. Streaky left upper lobe opacity likely represents atelectasis. Lung volumes are large. Subtle right middle lobe opacity may represent atelectasis. | Atelectasis on a background of bronchiolitis. |
Generate impression based on findings. | No acute intracranial hemorrhage is identified. No evidence of intracranial mass, mass-effect, or midline shift. No extra-axial fluid collections. Gray-white matter differentiation is preserved. Redemonstration of cerebral volume loss advanced for age. The imaged paranasal sinuses and mastoid air cells are clear. The ... | 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 cerebral volume loss, advanced for age. |
Generate impression based on findings. | Reason: fracture History: pain Three views of the left shoulder demonstrate normal anatomic alignment, without evidence of acute fracture or dislocation.Two views of the left forearm demonstrate perhaps minimal soft tissue swelling along the dorsal aspect, without evidence of acute fracture or malalignment. | Minimal soft tissue swelling along the dorsal aspect of the forearm, but no fracture or other findings to account for patient's pain. |
Generate impression based on findings. | 6 year old male with neck painVIEWS: Cervical spine AP, lateral, odontoid (3 views) 4/3/15 at 1839 Head is tilted to the right. Vertebral body heights and disk spaces are maintained. No fracture or subluxation. No significant prevertebral soft tissue swelling. Mildly prominent adenoids.The distance between the lateral ... | Distance between the lateral border of the odontoid and the lateral mass of C2 is greater on the right. This may be due to patient positioning, however Type 1 atlanto axial rotary subluxation cannot be excluded. A cervical spine CT for rotary subluxation is recommended.These findings were discussed with ER attending Dr... |
Generate impression based on findings. | Reason: rule out fracture History: fall, tenderness, swelling The soft tissues of the leg are poorly visualized secondary to technical factors. Two views of the right lower leg demonstrate chronic deformity of the distal tibia and fibula with syndesmotic osseous fusion. There is persistent diffuse soft tissue swelling.... | Soft tissue swelling and other findings as described above, appearing similar to prior study. We see no acute fracture. |
Generate impression based on findings. | 14-week-old male with tachypneaVIEW: Chest and abdomen AP (two views) 4/3/15, 1947 Tracheostomy tube tip is below thoracic inlet. Mandibular distraction devices are noted. The cardiothymic silhouette is increased in size. Coarse bilateral perihilar opacities have worsened. No pleural effusion or pneumothorax.Interval p... | Increase in size of cardiac silhouette may be secondary to edema from a PDA, infection, or sepsis. Worsening perihilar pulmonary opacities. Bowel gas pattern is abnormal but nonobstructive. |
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. The imaged paranasal sinuses and mastoid air cells are clear. The imaged orbits are intact. The osseous structures are unrem... | 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.No evidence of mastoiditis as clinically questioned. |
Generate impression based on findings. | Male 52 years old Reason: signs of vasculitis, aneurysm, plaque, or thrombus? ischemic foot wound with unknown source. History: as above CHEST:LUNGS AND PLEURA: Bilateral small pleural effusions and dependent atelectasisMEDIASTINUM AND HILA: No evidence of thoracic aortic aneurysm.CORONARY ARTERY CALCIFICATION: None.CH... | Normal chest CT angiography. Bilateral small pleural effusions and atelectasis. |
Generate impression based on findings. | Reason: swollen right arm after mechanical fall on 3/22/2015 History: swollen arm Two views of the right forearm demonstrate a comminuted, minimally angulated fracture of the mid ulnar diaphysis. There is overlying soft tissue swelling of the forearm. The radius appears normal, as do the wrist and elbow joints.Three vi... | Comminuted ulnar diaphyseal fracture, as above.Findings discussed with the ordering provider, Dr. Hofmann-Bowman, on 4/4/15 at 10 a.m. She is aware of fracture; patient already has orthopedic clinic appointment scheduled. |
Generate impression based on findings. | Female 30 years old Reason: eval for cholecystitis History: abd pain, ruq ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There are multiple hypoattenuating and rim enhancing lesions within and around the liver with lobulated contours. The largest lesion is within the left lobe of the liver an... | Multiple intrahepatic anterior hepatic hypoattenuating rim enhancing lesions as described above. Their exact etiology is unknown. Differential diagnosis includes hepatic abscesses versus less likely metastatic disease. Retroperitoneal adenopathy.Significant ductal dilatation of the pancreas with abrupt transition at th... |
Generate impression based on findings. | Previously seen hyperattenuation along the left cerebral vertex is not well seen on this study, and may have represented artifact or minimal blood that resolved. No definite intracranial hemorrhage is identified. No evidence of intracranial mass, mass-effect, or hydrocephalus. No extra-axial fluid collections. Stable ... | 1.Previously seen hyperattenuation along the left cerebral vertex appears resolved on this study.2.No evidence for acute intracranial abnormality. |
Generate impression based on findings. | 17 year-old male with left chest pain after hit by batVIEWS: Bilateral ribs, chest PA, lower ribs PA, right oblique, left oblique (4 views) 4/3/15 at 2027 The aortic arch, cardiac apex, and stomach are left-sided. The cardiothymic silhouette is normal. No focal pulmonary opacities. No pleural effusion or pneumothorax. ... | No rib fractures. |
Generate impression based on findings. | Reason: fracture? avascular necrosis? History: worsening pain Two views of the left hip demonstrate minimal osteoarthritis, without evidence of avascular necrosis or acute fracture. Three views of the left shoulder again demonstrate a crescentic lucency within the medial humeral head, indicative of a subchondral fractu... | Avascular necrosis of the left humeral head as described above, with equivocal mild articular surface collapse. |
Generate impression based on findings. | Male 94 years old Reason: source of bleeding History: LGIB ABDOMEN:LUNG BASES: No significant cardiomegalyLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Bilateral re... | CT findings compatible with acute lower GI bleed in the sigmoid colon. |
Generate impression based on findings. | Head: There is left thalamic hematoma measuring 2.9 x 2.0 cm (series 4 image 17) with dissection into the ventricular system. There is layering of blood products in the bilateral atria of the lateral ventricles. There is surrounding edema of the brain parenchyma. At the level of the thalamus, 8mm rightward midline shi... | 1.Intracranial hemorrhage centered in the left basal ganglia with extension into the third and lateral ventricles. Associated edema and mild midline shift.2.Soft tissue swelling of the right face and scalp with underlying subgaleal hematoma and small subarachnoid hemorrhage.3.Right neck soft tissue fullness with deviat... |
Generate impression based on findings. | 20 year-old male with history of ulcerative colitis status post proctocolectomy ABDOMEN:LUNG BASES: Mild dependent bibasilar atelectasis.LIVER, BILIARY TRACT: No focal hepatic lesion. No intra-or extrabiliary ductal dilatation. The portal vessels appear patent. No gallstones.SPLEEN: The spleen is normal in appearance. ... | Minimal bowel wall thickening of the J-pouch, decreased compared to the prior exam. No obstruction. |
Generate impression based on findings. | Female 30 years old Reason: 30F recently post-partum 1.5 months ago, p/w pedal edema, nausea, found to be tachycardic with new RBBB. Evaluate for pulmonary embolus. PULMONARY ARTERIES: The main pulmonary artery is normal in caliber. There is no right heart strain. There is no evidence of pulmonary embolus to the segmen... | 1. No acute pulmonary embolus to the segmental level. 2. Hepatomegaly with incompletely evaluated large hypodense region in the left hepatic lobe. Please refer to CT study of the abdomen and pelvis from the same day for further characterization.3. Nonspecific subcarinal lymphadenopathy. PULMONARY EMBOLISM: PE: Negative... |
Generate impression based on findings. | 14-year-old male status post trauma to faceVIEWS: Skull waters, nasal bones right lateral, nasal bones left lateral (three views) 4/4/15 at 0359 Soft tissue swelling is noted on the left side of the nose. The nasal septum is midline. The maxillary spine is intact. Transver lucency in the left nasal bone is due to a fra... | Fracture of the left nasal bone. |
Generate impression based on findings. | 9-year-old male with elbow painVIEW: Right elbow lateral (one views) 4/4/15, 0620 Repeat lateral radiograph was obtained and demonstrates an appropriate anterior humeral line. Soft tissue swelling is noted. Lucency through the condyle indicates a lateral condylar fracture which may be a Salter Harris II or Salter-Harri... | Lucency through the lateral condyle indicates a lateral condylar fracture which may be a Salter Harris II or Salter-Harris IV. No angulation. |
Generate impression based on findings. | Female 71 years old Reason: Evidence of left atrial thrombus in setting of atrial fibrillation History: Atrial fibrillation CHEST:LUNGS AND PLEURA: Chronic fibrotic changes in bilateral lungs associate with honeycombing and cysts suggestive of UIP. Small right-sided pleural effusion.MEDIASTINUM AND HILA: Cardiomegaly. ... | Changes secondary to UIP. Mediastinal adenopathy of certain etiology.. no evidence of left axial thrombus as questioned. |
Generate impression based on findings. | 9-year-old male with elbow swelling and painVIEWS: Right elbow AP, oblique and lateral (3 views) 4/4/15, 0506 Mild soft tissue swelling about the elbow. Suboptimal positioning on the lateral radiograph. Lucency through the lateral condyle indicates a lateral condylar fracture which may be a Salter Harris II or Salter-H... | Lateral condylar fracture.Findings were discussed with Dr. Heilbrunn at 1020 on 4/4/15 |
Generate impression based on findings. | Female 32 years old Reason: rule out appendicits History: RLQ pain ABDOMEN:LUNG BASES: Again noted bilateral large airspace opacities in the lung bases accompanied by a small solid nodules. These are stable since August/2014.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedP... | No CT findings to explain patient's right lower quadrant pain.Bilateral large airspace opacities stable from August 2014. There etiology is unknown. Further evaluation with chest CT is recommended. Differential diagnosis includes chronic pneumonia due to relative disease, atypical mycobacterium, histoplasmosis or aspir... |
Generate impression based on findings. | Male, 16 years old, status-post VP shunt placement. Assess for hemorrhage. Again seen is evidence of right retrosigmoid craniotomy/craniectomy for resection of a right CP angle tumor. A fluid collection centered on the craniectomy spanning both the intracranial and extracranial spaces has decreased in size. Again noted... | 1. Redemonstration of findings compatible with recent right retrosigmoid surgical approach for resection of a right CP angle tumor. A fluid collection at the craniotomy site has decreased in size.2. Interval placement of a left frontal approach ventricular shunt catheter. The caliber of the ventricles has likely decrea... |
Generate impression based on findings. | Female 68 years old Reason: refractory relapsed multiple myeloma presents with chronic sinus tachycardia x several months; no hypoxemia; rule out PE History: see above PULMONARY ARTERIES: The main pulmonary is enlarged measuring up to 38 mm suggestive of pulmonary arterial hypertension. The right heart is enlarged. The... | 1. No acute pulmonary embolus to the segmental level.2. Ground glass and airspace opacities with bronchial wall thickening in the right upper lobe suggestive of an acute infectious process which may be secondary to aspiration.3. Left lower lobe segmental atelectasis.4. Age-indeterminate compression fractures of C7, T4 ... |
Generate impression based on findings. | 1-day-old male newly intubated with desatsVIEW: Chest and Abdomen AP (two views) 4/3/15 at 1816 Endotracheal tube tip between the thoracic inlet and the carina. Enteric tube tip is at the GE junction with proximal sideholes in the esophagus.Situs cannot be determined on this radiograph. Chest has long narrow configurat... | Large gastroschisis. Abnormal configuration of the chest, similar to giant omphalocele. |
Generate impression based on findings. | Female 36 years old Reason: rule out renal stone History: RLQ pain The 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 ... | Left nephrolithiasis or milk of calcium, unchanged from previous study without evidence of hydronephrosis.Right ovarian dermoid. Given the ipsilateral abdominal pain torsion cannot be excluded by CT imaging. |
Generate impression based on findings. | Female 38 years old Reason: rule out diverticulitis History: abd pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Slightly hyperdense 1.7 x 1.1 cm lesion in the left lobe of the liver anteriorly on image number 40, series number 4. Etiology of this lesion is unknown but likely benign. Hepa... | Hepatomegaly. Fatty infiltration of the liver. Indeterminant but likely benign hyperdense lesion in the left lobe of liver. |
Generate impression based on findings. | 1-day-old male with prematurity and gastroschisisVIEW: Chest AP (one view) 4/3/15, 1915 Interval placement of right PICC with tip at the SVC right atrial junction. Endotracheal tube tip is between thoracic inlet and carina. Enteric tube tip is likely at the gastroesophageal junction with proximal sideholes in the esoph... | Long narrow configuration of the chest secondary to large gastroschisis. |
Generate impression based on findings. | Female 58 years old Reason: abscess in RLQ - tracking? History: drainage, pain and swelling ABDOMEN:LUNG BASES: Bilateral dependent atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormali... | Inflammatory changes in the right lower quadrant subcutaneous tissues with small amount of fluid. Diffuse bone metastases and other findings are unchanged from previous study. |
Generate impression based on findings. | Female, 50 years old, with seizure. Multiple right calvarial bur holes are demonstrated compatible with history of prior depth electrode placement and right mesial temporal laser ablation.A small area of encephalomalacia is seen within the posterior right frontal lobe, better depicted today than on the prior study. Hyp... | 1.Expected evolution of postoperative findings subsequent to depth electrode recording and laser ablation of the right medial temporal lobe.2.No new mass or edema is detected. No acute intracranial abnormalities are seen.3.Redemonstration of findings compatible with Chiari I malformation. |
Generate impression based on findings. | BRAIN: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is moderate nonspecific periventricular and subcortical white matter hypoattenuation with old lacunar infarcts in the bilateral corona radiata and basal ganglia. The ventricles and basal cisterns are prominent but without hydrocepha... | 1.No acute intracranial hemorrhage or skull fracture or cervical spine fracture.2.Deformity of the right nasal bone representing age indeterminate fracture, suspected to be chronic due to absence of overlying soft tissue swelling.3.Moderate nonspecific periventricular white matter hypoattenuation suspected to be second... |
Generate impression based on findings. | Female, 64 years old, with infarct. Assess for hydrocephalus. Findings are redemonstrated compatible with a wide left frontal craniectomy for hematoma evacuation and decompression.The pattern of patchy parenchymal hemorrhage centered predominantly in the left parietal lobe with extension to the left frontal lobe is unc... | 1. Stable findings related to left calvarial craniectomy for evacuation and decompression of a large left cerebral hemorrhage.2. The quantity and morphology of intracranial hemorrhage have not substantially changed.3. A small amount of intraventricular hemorrhage remains visible, but the ventricles are stable and nondi... |
Generate impression based on findings. | Male 65 years old Reason: H/o NHL. now some night sweats and sternal discomfort x 1 month History: sternal pain, fatigue, night sweats CHEST:LUNGS AND PLEURA: Right apical scarring.Scattered micronodules are unchanged.MEDIASTINUM AND HILA: No significant abnormality notedCORONARY ARTERY CALCIFICATION: Severe.CHEST WALL... | No significant change from previous study. |
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. Parenchymal volume loss with mild ex vacuo dilatation of the ventricles. Septum cavum pellucidum is noted. Hypoattenuation traversing the right cerebral deep white matter e... | 1.No acute intracranial hemorrhage is identified. Please note CT is not sensitive for detection of acute nonhemorrhagic ischemia and MRI can be considered for further evaluation.2.Parenchymal volume loss.3.Sequela of remote injury in the right cerebral hemisphere with findings suggestive of Wallerian degeneration.4.Sca... |
Generate impression based on findings. | Female 64 years old Reason: r/o pe History: hypoxia, sob PULMONARY ARTERIES: The main pulmonary artery is normal in caliber. There is no evidence of right heart strain. There is no pulmonary embolus to the segmental level. The pulmonary artery feeding the left upper lobe demonstrates decreased filling, however there is... | 1. Progression of metastatic lung disease with multiple new and enlarging solid nodules. 2. No acute pulmonary embolus to the segmental level. 3. Nonspecific, new diffuse ground-glass and airspace opacities which may represent aspiration or pulmonary hemorrhage. 4. Interval increase in the size of the left pleural effu... |
Generate impression based on findings. | Head: Ill-defined round focus of hyperattenuation measuring 9-mm along the left ambient cistern. There is smaller hyperattenuating focus along the right aspect of the tectum. Left tectum is bulbous compare to the right. The ventricles are not enlarged. No extra-axial fluid collections. No significant scalp soft tissue... | 1.Hyperattenuation along the left ambient cistern and right tectum with asymmetric bulging of the left tectum. Findings could represent an unusual pattern of traumatic injury with hemorrhage and edema, but further evaluation with contrast MRI is recommended to exclude an incidental underlying process. 2.Fracture of the... |
Generate impression based on findings. | Female 52 years old Reason: source of hemoptysis History: cough with hemoptysis LUNGS AND PLEURA: There is a large right upper lobe perihilar cavitating lesion with adjacent ground glass opacity and additional inflammatory changes. The lesion is adjacent to the right major fissure and measures 3.4 x 4.4 cm (series 6, i... | 1. Right upper lobe cavitary lesion with adjacent ground glass and nodular opacities. Differential considerations includes infection versus neoplasm. The imaging features favor an infectious etiology, likely bacterial or fungal, such as histoplasmosis or blastomycosis. Tuberculosis is a possible cause but considered le... |
Generate impression based on findings. | Female, 85 years old, intracerebral hemorrhage. A parenchymal hemorrhage is redemonstrated involving the vermis and right cerebellar hemisphere, without significant interval change in size or morphology. The degree of associated edema and mass-effect is also unchanged.A right frontal approach ventricular catheter remai... | 1.No significant interval change in size or distribution of a cerebellar hematoma.2.Stable mild prominence of the ventricular system.3.No new intracranial abnormality. |
Generate impression based on findings. | Male, 68 years old, with history of subdural hemorrhage. Assess for hemorrhage reaccumulation. A subdural drain remains in stable position along the left cerebral hemisphere. The left subdural space contains air and mixed attenuation fluid. Since prior examination, some of the subdural air has been resorbed. A mild exp... | 1.Mild increase in the thickness of a mixed attenuation subdural collection along the left cerebral hemisphere.2.Stable right-sided subdural collection. |
Generate impression based on findings. | Soft tissue fullness of the right neck related to very large goiter with associated airway deviation to the left. No evidence of acute fracture or subluxation. Loss of cervical lordosis, otherwise alignment is within normal limits. Multilevel degenerative spondylosis with mild central canal stenosis and near foraminal... | 1.No evidence of acute fracture or subluxation.2.Multilevel degenerative spondylosis.3.Soft tissue fullness of the right neck related to large goiter with associated airway deviation to the left. |
Generate impression based on findings. | 1-day-old male with gastroschisis, and desaturationsVIEW: Chest AP (one view) 4/4/15, 0042 Endotracheal tube tip between the thoracic inlet and the carina. Right PICC with tip in the SVC. Enteric tube with tip in expected location of the stomach. Silo device overlying the upper abdomen.Cardiothymic silhouette is normal... | Long narrow configuration of the chest without focal pulmonary opacity. |
Generate impression based on findings. | Chronic granulomatous disease. Endoscopy. Rule out perforation.VIEW: Abdomen AP (one view) 04/04/15, 0745 Central line tip is at junction of right atrium and inferior vena cava.Multiple mildly dilated bowel loops are noted centrally. No free peritoneal air is seen.Incomplete ossification of the posterior elements of L1... | No perforation identified. |
Generate impression based on findings. | Liver failure. Respiratory failure.VIEW: Chest AP (one view) 04/04/15, 0822 Endotracheal tube tip is above the carina. Right central line tip is in right atrium. Left upper extremity PICC tip is at junction of superior vena cava and right atrium. Feeding tube tip is distal to the first portion of duodenum and not inclu... | Continued enlargement of cardiac silhouette. Small bilateral pleural effusion. Focal opacity in left lower lobe. |
Generate impression based on findings. | 1-day-old male with new central line placementVIEW: Chest and abdomen AP (two views) 4/3/15, 2010 UVC with tip at the IVC right atrial junction. UAC with tip at T10. Endotracheal tube tip at the thoracic inlet. Nasogastric tube tip and proximal sidehole in the gastric fundus.The aortic arch, cardiac apex, and stomach a... | Large lung volumes and mild diffuse lung haziness. Mildly dilated loops of bowel. |
Generate impression based on findings. | 1-day-old male with new central line placement.VIEW: Chest and Abdomen AP (two views) 4/3/15, 2057 Endotracheal tube tip is below the thoracic inlet and above the carina. UVC with tip at the IVC, right atrial junction. UAC tip at T6-T7. Nasogastric tube tip in proximal sidehole in the gastric body.The cardiothymic silh... | Mild diffuse granular lung haziness. Mildly dilated loops of bowel in the right hemiabdomen. |
Generate impression based on findings. | ECMO for diaphragmatic hernia. VIEWS: Chest and abdomen AP (two views) 04/04/15, 0613 Endotracheal tube tip is at thoracic inlet. ECMO cannulas remain in place. Right chest tube is again seen. Feeding tube tip is at GE junction and side holes are in lower esophagus. Umbilical venous line tip is in right atrium. Umbilic... | Increasing opacification of the hemithoraces. Slightly less right mediastinal shift. No bowel gas. |
Generate impression based on findings. | The thyroid gland is diffusely enlarged. The right thyroid lobe measures 26 x 26 mm. The left thyroid lobe measures 28 x 26 mm. The thyroid isthmus measures up to 9 mm in thickness. There is no substernal extension of thyroid goiter. There is no discernible or discrete thyroid mass on this noncontrast exam. There are ... | 1.Diffuse thyroid goiter with no substernal extension or airway compromise. Approximate measurements as described above.2.Near complete opacification of the right maxillary sinus. |
Generate impression based on findings. | Status post left shoulder arthroplasty Hardware components of a reverse total shoulder arthroplasty device are again noted. The glenoid component appears more angulated with respect to the scapula on the current study when compared with the prior study, and hence I cannot exclude the possibility of dislodgment, althoug... | Total shoulder arthroplasty as described above. CT may be considered to assess for positioning of the glenoid component, if clinically warranted. |
Generate impression based on findings. | Appearance of left thalamic hematoma with extension into the ventricular system, surrounding edema, and mild midline shift are stable. Redistribution of the small amount of right sided subarachnoid hemorrhage seen on prior study.Ventricle size is unchanged. Stable soft tissue swelling along the right scalp and face wi... | 1.Stable left thalamic hematoma with extension into the ventricular system, surrounding edema, and mild midline shift.2.Redistribution of the small amount of subarachnoid hemorrhage seen on prior study. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are prominent commensurate with age. There is no midline shift or herniation. There is mild scattered bilateral ethmoid, sphenoid and right maxillary sinus mucosal thickening with possible right maxillary sinus ... | 1.No acute intracranial hemorrhage or mass-effect. CT is insensitive for detection of early nonhemorrhagic stroke.2.Paranasal sinus findings as described above.3.Dental/periodontal disease. |
Generate impression based on findings. | Chronic granulomatous disease and stem cell transplant. Increasing tachypnea after upper GI endoscopy and colonoscopy. Rule-out free air or focal opacities.VIEWS: Chest and abdomen AP upright (two views) 04/04/15 Right central line tip is at junction of right atrium and inferior vena cava. Left upper extremity PICC tip... | No focal lung opacity. No free peritoneal air. |
Generate impression based on findings. | Ventriculperitoneal shunt placement.VIEWS: Shunt series: Skull AP/lateral (two views), chest AP/lateral (two views), abdomen AP/lateral (two views) 04/04/15 Ventriculoperitoneal shunt has been placed in the interval. Ventriculostomy tube tip is adjacent to midline in the middle cranial fossa. Valve reservoir is in the ... | Postoperative changes. No evidence of extracranial shunt malfunction. |
Generate impression based on findings. | Interval progression of the anterolisthesis of C3 over C4 vertebral body, now 5 mm previously 2 mm. Loss of cervical lordosis. Interval progression of the multilevel degenerative spondylosis of the cervical spine. No evidence of acute fracture. The visualized intracranial and paraspinal contents are unremarkable. No p... | 1.Interval progression of C3 over C4 anterolisthesis, now grade 2, with at least moderate central canal stenosis and bilateral severe neural foraminal narrowing. 2.Interval progression of the spondylosis of the cervical spine with multilevel spinal stenosis and neural foraminal narrowing as above. |
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. Mild subcortical and periventricular white matter hypoattenuation compatible with age indeterminant small vessel ischemic disease. The imaged paranasal sinuses and mastoid ... | 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. |
Generate impression based on findings. | Reason: L facial abscess? History: pain, swelling L face The patient is edentulous with the exception of a residual tooth fragment at the expected position of the left maxillary canine. There is a periapical abscess associated with this tooth which extends along the left maxillary subperiosteal space measuring 10 x 9 x... | 1.Periodontal disease with periapical abscess centered in a residual fragment of what may have been the left maxillary canine. Abscess extends into the subperiosteal space along the left maxilla. 2.Left sided facial soft tissue swelling. Findings discussed with Dr. Gluhsak on 4/4/2015 12:10PM. |
Generate impression based on findings. | Ankle injury.EXAMINATION: Left ankle AP/lateral/oblique (3 views) 04/03/15 Moderate soft tissue swelling is present over the lateral malleolus. No joint effusion is identified. A fracture is not seen. | Soft tissue injury. |
Generate impression based on findings. | 8-day-old male with abdominal distention.VIEW: Abdomen AP (one view) 4/4/15, 0510 Central line hs its tip in the right atrium. Enteric tube with tip in the gastric body and proximal sidehole at the GE junction. Mildly disorganized bowel gas pattern. No dilated loops of bowel. No pneumatosis, free air, or pleural venous... | Mildly disorganized bowel gas pattern. No dilated loops of bowel. |
Generate impression based on findings. | Male 74 years old Reason: HNSCC. Compare to previous. History: see above CHEST:LUNGS AND PLEURA: There is new interval development of airspace and tree-in-bud opacities highly compatible with aspiration. There is a new right upper lobe dense opacity with air bronchograms which is likely infectious in etiology.The previ... | 1. New air space and small nodular opacities likely secondary to aspiration with possible superimposed infection.2. Interval decrease in size or resolution of previously seen pulmonary nodules with improvement in lymphadenopathy. These findings are compatible with response to therapy.4. Please refer to the dedicated CT... |
Generate impression based on findings. | Reason: compared to 2/28/15 CT chest- being treated for radiation pneumonitis but no improvement on prednisone - evaluate for interval change History: cough LUNGS AND PLEURA: New groundglass and air space opacity in the left upper lobe (series 4/34), suggestive of infection.Left perihilar opacity with surgical staples ... | 1.New areas of air space and groundglass opacity in the left upper lobe and in the right lower lobe are compatible with infection or radiation reaction depending on the radiation fields and timeframe.2.Reference measurements are slightly increased but the change is not necessarily significant. |
Generate impression based on findings. | 40 day old former 25 to 26 week gestational age patient with pneumothorax.VIEW: Chest AP (one view) 04/04/15, 1059 Endotracheal tube tip is at thoracic inlet. Feeding tube tip is in stomach with side port at GE junction. Umbilical venous line tip is in right atrium. Umbilical arterial line has its tip at T8/9. Two righ... | Slight increase in size of right pneumothorax. One of the chest tubes now has its tips located anteriorly. |
Generate impression based on findings. | 8-day-old male with abdominal distentionVIEW: Abdomen AP (one view) 4/4/15, 0504 Central line has its tip in the right atrium. Enteric tube tip in the gastric body with side hole proximal to the GE junction.Improved bowel gas pattern. Decreased dilatation of bowel loops in the right hemiabdomen. No pneumatosis, free ai... | Decreased dilatation of bowel loops in the right hemiabdomen. |
Generate impression based on findings. | 8-month-old female with feeding intoleranceVIEW: Chest and Abdomen AP (two views) 4/4/15, 0605 Endotracheal tube tip is at the carina. NG tube tip and proximal sidehole are in the gastric body. A second NG tube has tip in the antropyloric region. Right femoral catheter tip is in IVC. Two pigtail chest tubes are in unch... | No large residual pneumothorax. Improved bowel gas pattern. |
Generate impression based on findings. | Reason: h/o HNC, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Right and left upper lobe suture lines compatible with previous resections with some adjacent soft tissue compatible with scarring, unchanged.A 7-mm nodular opacity near the major fissure probably in the superior segment of the righ... | 1. No sign of metastases.2. Small nodule in the right lung which is somewhat suspicious for primary carcinoma and further follow-up is recommended. |
Generate impression based on findings. | Reason: f/u metastatic breast cancer History: chest wall pain CHEST:LUNGS AND PLEURA: Reference right apical nodule (series 6/16) slightly increased, measuring 11 x 10 mm, compared to 9 x 7 mm previously. A smaller adjacent nodule has also slightly increased.Small triangular left apical nodule compatible with an intrap... | 1. Slightly increased right apical reference lesion and clearly increased hepatic metastases.2. New subpleural nodular opacity at the right base suspicious for an infarct, likely more than one week old, and less likely a metastasis.3. Slightly increased right chest wall lesion. |
Generate impression based on findings. | Male, 58 years old, with history of maxillary sinus squamous cell carcinoma. Please note that the frontal sinuses are not completely included within the field of view this examination. Within this limitation, no masslike sinonasal lesions are detected. Evidence of endoscopic sinus surgery is redemonstrated. Mild periph... | 1.No mass lesions are detected within the visualized sinonasal region. Please note that part of the frontal sinuses is not included in the field of view of this examination.2.No pathologic adenopathy or any additional concerning lesions are seen in the neck. |
Generate impression based on findings. | Reason: Evaluate for vascular abnormality ICH History: SDH Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no significa... | 1.Large right PCOMA aneurysm with findings suggesting recent rupture.2.Right medial temporal lobe intraparenchymal hematoma with mild uncal herniation.3.Right sided subdural hematoma with mass effect.4.Small left ACOMA aneurysm5.Findings were discussed with Dr Yamini.6.Airspace opacities are present in the upper lung f... |
Generate impression based on findings. | Male, 47 years old, with headache and intracerebral hemorrhage. A 3 mm hyperattenuating focus is demonstrated within the anterior right thalamus with mild surrounding hypoattenuation, not significant changed in size. No new hyperattenuating lesions are suspected.Extensive periventricular hypoattenuation is again seen s... | 1.No significant change in the suspected focus of hemorrhage within the anterior right thalamus.2.Stable extensive periventricular hypoattenuation which likely reflects age indeterminate microvascular ischemic disease.3.No new intracranial lesions are suspected. |
Generate impression based on findings. | Female, 54 years old, with unwitnessed fall. Assess for cervical fracture. Please note that motion artifact obscures fine details of the lower cervical spine. Within this limitation, no fracture or acute malalignment is detected. No significant compromise of the spinal canal is suspected. The paraspinal soft tissues ar... | No acute cervical spine fracture or dislocation. |
Generate impression based on findings. | Male, 48 years old, status post L1 through L5 ALIF, L3 corpectomy, L1-L5 posterior instrumented fusion. Partial L3 corpectomy has been performed with placement of a vertebral body spacer device. Evidence of posterior instrumented fusion is also demonstrated with bilateral pedicle screws at L1, L2, L4 and L5. These are ... | Evidence of recent L3 corpectomy, posterior instrumented fusion from L1 through L5, and anterior lateral sideplate fusion from L2 through L4, is demonstrated.The previously seen severe kyphotic angulation at L2-3, as well as severe posterior subluxation of the L2 vertebral body, have been corrected. There remains some ... |
Generate impression based on findings. | Female, 71 years old, with spinal stenosis, assess for deep infection. Since the prior examination, a posterior instrumented spinal fusion has been performed with bilateral pedicle screws at L1, L2, L4, L5 and S1. An additional iliac screw is present on the right. Left-sided laminectomies have been performed from L1 th... | 1.Interval posterior spinal fusion from L1 through the sacrum. Mild lucency surrounding the proximal aspects of the L1 pedicle screws is of uncertain significance. Otherwise, the surgical instruments are well positioned.2.Interbody spacer devices at L1-2 and L4-5, placed previously, are in stable position. New bone gra... |
Generate impression based on findings. | Male, 69 years old, status post fall with trauma. No evidence of intracranial hemorrhage or abnormal extra axial fluid collection is detected. Gray-white differentiation is preserved. No parenchymal edema or mass effect is seen.Mild prominence of the ventricles relative to sulci is noted. Overall ventricular morphology... | 1. No definite acute abnormality.2. Mild prominence of the ventricles relative to the sulci is a finding of uncertain significance and which may be normal. Correlation with symptomatology is suggested.3. Right-sided sinus inflammation. |
Generate impression based on findings. | If NPO status is not maintained RN to contact IR Dept. 2-1306.OPERATORS: Greg ChristoforidisFLUOROSCOPY TIME:PROCEDURES: 1) cerebral angiogram 2) Intracranial cerebral aneurysm coil embolization with balloon assistance. 3) 3-D reconstructions of intracranial right internal carotid artery Right common carotid artery: No... | 1.Large right PCOMA aneurysm with findings suggesting recent rupture.2.Small left ACOMA aneurysm with narrow neck.3.Embolic coil occlusion of right PCOMA aneurysm using Target coils. These coils are MRI compatible up to 3T.4.Findings were discussed with Dr Yamini and Dr Goldenberg before the procedure and at the end of... |
Generate impression based on findings. | Intractable epistaxis. Reason: embolize the source of epistaxis History: s/p nasal bone fracture one week ago, admitted with epistaxis and severe anemia Right common carotid artery: No stenosis at the carotid bifurcation on the basis of NASCET criteriaRight internal carotid artery: There is opacification of the right a... | 1.Bilateral sphenopalatine artery territory particle embolization for epistaxis.2.Embolic coil occlusion of the left sphenopalatine artery, left greater palatine artery and distal internal maxillary distal to the left infraorbital artery origin.3.There are vascular lesions present in the left lateral geniculate nucleus... |
Generate impression based on findings. | Reason: source of bleeding History: epistaxis Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No aneurysms or intracranial stenosis is appreciated.The anterior communicating artery and the posterio... | 1.No evidence for pseudoaneurysm to account for the patient's epistaxis.2.Calcifications are present along the left geniculate nucleus as well as the right superior colliculus. The possibility of an underlying vascular lesion cannot be excluded.3.No evidence for cerebral vascular occlusive disease.4.Minimally displaced... |
Generate impression based on findings. | Male, 59 years old, with history of recurrent bacterial meningitis. Assess for fistula or fracture with communication between the ears/oropharynx and CNS. Right-sided findings:A small amount of debris is evident within the external auditory canal. The middle ear cavity and mastoids are completely opacified. The malleus... | 1.Severe inner ear malformations bilaterally suggesting incomplete partition type I with perhaps a degree of superimposed cochlear hypoplasia or aplasia on the left.2.The right mastoid air cells and middle ear cavity are completely opacified which may reflect either infection or inflammatory effusion. Although no large... |
Generate impression based on findings. | Female, 41 years old, with altered mental status. Image quality is somewhat limited by motion and streak artifact. Given this caveat, no definite evidence of parenchymal edema, mass effect or loss of gray white distinction is seen. No intracranial hemorrhage or any abnormal extra-axial fluid collection is detected. The... | Slightly limited examination, but no definite acute intracranial abnormality. |
Generate impression based on findings. | Female, 54 years old, status post aneurysm coiling with intracerebral and intraventricular hemorrhage. A round ball of metallic artifact is evident in the right paraclinoid region compatible with interval aneurysm coiling.Streak artifact from the coil material does obscure visualization of the immediate area. There rem... | 1.Interval coiling of a right PCOM region aneurysm.2.Parenchymal hemorrhage in the right anterior temporal lobe is partially obscured by metallic artifact but does remain evident.3.A right hemispheric subdural collection has not significantly changed. Scattered minimal subarachnoid blood product is also unchanged.4.No ... |
Generate impression based on findings. | Female, 71 years old, with altered mental status. Patchy periventricular hypoattenuation is again seen, a nonspecific finding which has not changed. No loss of gray-white distinction, parenchymal edema or mass effect is detected. Focal hypoattenuation within the right cerebellum was not clearly seen on the prior examin... | 1.Age indeterminate small vessel ischemic disease.2.Parenchymal volume loss.3.Small lesion in the right cerebellum which was not clearly evident on the prior examination and may also represent age indeterminate ischemia.4.If clinical concern exists for an acute process, further imaging with MRI should be considered. |
Generate impression based on findings. | Female, 78 years old, with recurrent seizures. Extensive patchy periventricular hypoattenuation is again seen, not significantly changed. Focal lucencies in the bilateral thalami and basal ganglia may be new. Encephalomalacia of the left anterior temporal lobe, and minimally along the posterior superior left temporal g... | 1.Advanced age indeterminate microvascular ischemic disease.2.Stable encephalomalacia in the left temporal lobe likely subsequent to prior ischemia or injury.3.New focal lucencies within the thalami and basal ganglia likely representing progression of lacunar ischemia.4.No evidence of intracranial hemorrhage.5.If clini... |
Generate impression based on findings. | Male, 28 years old, with intracerebral hemorrhage. Stable positioning of two frontal approach ventricular catheters. One of these terminates in the right frontal horn. The other traverses posteriorly and inferiorly to terminate within the cystic components of the midbrain/posterior fossa mass.Since the prior examinatio... | 1.Interval development of parenchymal hemorrhage within the right frontal lobe along the course of the catheter destined for the cystic midbrain/posterior fossa mass.2.New layering hyperattenuating hemorrhage is also seen within the cystic mass itself.3.A small amount of layering blood product is seen within the left o... |
Generate impression based on findings. | Male, 69 years old, with dysphagia and paralyzed right vocal cord. Head:A right posterior parietal approach ventricular catheter remains in stable position, tip situated just past midline within the left lateral ventricle.Since the prior examination, small bilateral hypoattenuating subdural collections have developed a... | 1.Interval development of small bilateral hypoattenuating subdural collections which exert no significant mass effect on the underlying brain. These could reflect chronic subdural hematomas or nonhemorrhagic effusions.2.Stable positioning of the ventricular shunt catheter with perhaps a slight interval decrease in the ... |
Generate impression based on findings. | Male, 76 years old, with intracerebral hemorrhage. No significant interval change is seen in the size or morphology of the left thalamic hematoma. This hemorrhage dissects into the left lateral and third ventricles similar to prior. The degree of surrounding thalamic edema is unchanged. Effacement of third ventricle is... | 1.No significant interval change in the size or morphology of the left thalamic hematoma.2.No significant interval change in the quantity of intraventricular blood products.3.Ventricular system remains prominent but similar to the prior exam.4.No new intracranial lesions. |
Generate impression based on findings. | Male; 75 years old. Reason: eval for pe History: pleuritic chest pain, metastatic urologic ca PULMONARY ARTERIES: No evidence of pulmonary embolism to the level of the lobar arteries. No evidence of right heart strain.LUNGS AND PLEURA: Evaluation is somewhat limited due to patient motion, especially at the lung bases. ... | 1.No evidence of pulmonary embolism to the level of the lobar arteries.2.No suspicious pulmonary nodule or evidence of infection.3.Mesenteric nodules are new compared to the recent abdominal CT and are consistent with metastatic disease.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not appli... |
Generate impression based on findings. | There is a new right transfrontal ventricular catheter terminating in the third ventricle. Again seen is a large left basal ganglia parenchymal hematoma which appears slightly enlarged measuring 4.7 cm compared to 4.3 cm previously. There is decompression of hemorrhage into the ventricles with persistent dilatation of... | 1.New right transfrontal jugular catheter terminating in the third ventricle. 2.Minimally enlarged left basal ganglia parenchymal hematoma with decompression into the ventricles and stable hydrocephalus with evidence of transependymal CSF resorption again seen. 3.Stable mass-effect and midline shift with no definite ev... |
Generate impression based on findings. | Male, 43 years old, altered mental status. The pontine hemorrhage is stable to perhaps slightly smaller when compared to the prior examination. Extensive associated edema tracking from the pons into the middle cerebellar peduncles is unchanged. Edema/hypoattenuation extending superiorly through the brainstem and into t... | 1.Stable to slightly smaller pontine hemorrhage.2.Some interval progression of associated edema tracking through the midbrain into the thalami.3.Mild interval increase in the caliber of the ventricles which are only mildly prominent. Minimal dependent blood product in the lateral ventricles is unchanged. Blood product ... |
Generate impression based on findings. | There is a large left basal ganglia acute hematoma measuring up to 7.4 cm with extension into the ventricles and hemorrhage seen diffusely in the ventricles. There is moderate mass effect and vasogenic edema leading to be sulcal effacement and partial effacement of the left lateral ventricle. There is mild hydrocephal... | Large left basal ganglia acute intraparenchymal hematoma with decompression of the ventricles, mild hydrocephalus and transependymal CSF resorption, moderate mass effect and midline shift to the right of 7 mm. No evidence of herniation.Findings were communicated with the adult emergency department electronically at the... |
Generate impression based on findings. | There is 14 x 8 mm centrally low attenuation lesion in the left palatine tonsil. There is an enhancing 12 x 12 mm left level 2 lymph node. There are scattered mildly enlarged jugular chain lymph nodes on the left, and mildly prominent right level 2 lymph nodes as well. There is an apparent 9 x 7 mm hypoattenuating ovo... | 1.Findings suggesting an infectious or inflammatory etiology with mild level 2 cervical lymphadenopathy, suspected to be reactive. However, given the long history of smoking, follow up imaging or direct visual inspection of the mucosal abnormalities is advised to exclude underlying malignancy.2.An apparent ovoid hypoat... |
Generate impression based on findings. | Female, 64 years old, intracranial hemorrhage. Findings are redemonstrated compatible with a wide left frontal craniectomy for hematoma evacuation and decompression.The pattern of parenchymal hemorrhage centered predominantly in the left parietal lobe with extension to the left frontal lobe is unchanged, though the att... | No significant interval changes. |
Generate impression based on findings. | Female; 53 years old. Reason: decreased O2 saturations. Known femoral chronic DVT History: decreased O2 saturations PULMONARY ARTERIES: No evidence of pulmonary embolism or right heart strain.The main pulmonary artery measures up to 3.5 cm in diameter, compatible with pulmonary hypertension.LUNGS AND PLEURA: Scattered ... | 1.No evidence of acute pulmonary embolism.2.No suspicious pulmonary nodule or evidence of infection.3.Supraclavicular and mediastinal lymphadenopathy.4.Enlarged main pulmonary artery compatible with pulmonary hypertension.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Prox... |
Generate impression based on findings. | Male, 68 years old, status post subdural evacuation. Since the prior examination, the left sided subdural drain has been removed. Mixed attenuation fluid and air persist in the left subdural space measuring up to 10 mm in thickness, unchanged in thickness and the distribution and attenuation. A hypoattenuating subdural... | 1.No significant interval change in the size, distribution or attenuation of the patient's left sided subdural collection. Since the prior examination, the left subdural drain has been removed.2.Interval decrease in the size of the right sided subdural collection. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.