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Generate impression based on findings. | 82 year old female evaluate for pleural fluid, history of recent empyema CHEST:LUNGS AND PLEURA: 1.4 by 0.8-cm nodule in the right upper lobe. This nodule is not significantly changed from previous CT dated 3/11/2013. The etiology is still unknown in follow-up imaging is recommended. There are multiple subcentimeter pu... | Interval resolution of previously mentioned right-sided pleural effusion.No significant change in the size and number of bilateral pulmonary nodules compared to previous chest CT dated March 2013. Follow-up chest CT in 6 months maybe helpful for further evaluation.Biliary dilatation and pancreatic ductal dilatation is ... |
Generate impression based on findings. | 35-year-old male with abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality no... | No CT findings to explain patient's abdominal pain. |
Generate impression based on findings. | 38-year-old female with weight loss and elevated alkaline phosphatase This study is limited due to respiration artifacts.ABDOMEN:LUNG BASES: Trace bilateral pleural effusions.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL G... | Limited study due to respiration artifacts, especially for the upper abdomen. Within these limitations, No CT findings to explain patient's abdominal discomfort. |
Generate impression based on findings. | 72-year-old male with history of nodular lymphoma CHEST:LUNGS AND PLEURA: Biapical scarring and cysts are unchanged. Scattered bilateral micronodules are unchanged.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Punctate hypodensities in th... | No significant change from previous study. |
Generate impression based on findings. | 52 year-old female with weight loss and abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No signific... | Unremarkable study. |
Generate impression based on findings. | 102year-old woman presenting with fever and diarrhea ABDOMEN:LUNG BASES: Dependent atelectasis at the lung bases.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No si... | Findings compatible with decubitus ulcers. There is surrounding inflammation on the coccyx. Osteomyelitis of the coccyx cannot be excluded.Dr. Checkett was notified and acknowledged about the above findings at the time of dictation. |
Generate impression based on findings. | 42 year-old female with abdominal pain This study is limited due to lack of IV contrast. Oral contrast opacification is also suboptimal due to patient's vomiting.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No... | Limited study due to lack of IV contrast and poor oral contrast opacification. Appendix is slightly dilated. Although these findings are not conclusive for acute appendicitis, if there is any clinical suspicion for acute appendicitis, a repeat study with optimal contrast administration may be helpful.These findings wer... |
Generate impression based on findings. | 62-year-old male with right lower quadrant pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Mild right-sided h... | Right distal ureteral stone causing right-sided hydronephrosis. These findings were discussed with Dr. Dr. Checkett at the time of dictation. |
Generate impression based on findings. | 36 year-old female with abdominal pain, white count and rebound ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No... | Single intrauterine pregnancy. No CT findings to explain patient's acute abdominal pain. |
Generate impression based on findings. | Rule out CVA. Head: There is a prominent right-sided sulci consistent with hemiatrophy. There is patchy ill-defined periventricular and subcortical white matter disease in addition more focal areas of hypoattenuation adjacent the right anterior ventricular horn (series 4 image 41), centrum semiovale (image 47) and trig... | 1. Occlusion of the right ICA at its origin.2. Hypoattenuation in likely representing sequela of prior watershed infarcts in the right MCA territory as well as sequela of chronic small vessel ischemia.3. Basilar artery which demonstrates a moderate stenosis at its mid section and a small outpouching on the single image... |
Generate impression based on findings. | 19 year-old female with headache. There is no evidence of intracranial hemorrhage, mass or edema. Redemonstrated are chronic extraaxial fluid collections bilaterally, unchanged.A shunt catheter traverses the right frontal calvarium via a burr hole with tip terminating at the level of the anterior third ventricle, uncha... | Stable intracranial findings as described above. No acute intracranial abnormality or interval change. |
Generate impression based on findings. | 93 year-old female status post fall. There is mild right frontal scalp swelling. There are moderate small vessel ischemic disease and small bilateral occipital infarcts, likely chronic, which appear similar to that on the prior. The ventricles, sulci, and cisterns are symmetric and prominent, representing brain volume ... | 1. No acute intracranial abnormality. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. 2. Moderate small vessel ischemic disease of indeterminate age. Small bilateral occipital infarcts, likely chronic. |
Generate impression based on findings. | Trauma. Near drowning. ABDOMEN:LUNG BASES: Dependent consolidation is present. Hazy opacities are seen in the rest of the basesLIVER, BILIARY TRACT: Mild periportal edema is noted. Enhancement is normal. No laceration or hematoma is identified. Gallbladder is distended.SPLEEN: Intact and normal in size.PANCREAS: Normal... | No evidence of solid or hollow viscus trauma.Lung base opacities. |
Generate impression based on findings. | Drowning. Trauma. ABDOMEN:LUNG BASES: A ground glass and nodular opacities are present. Dependent opacities are noted as well.LIVER, BILIARY TRACT: Enhancement is normal. Moderate periportal edema is seen most likely as a result of vigorous fluid resuscitation.SPLEEN: Intact and normal in size.PANCREAS: Normal in appea... | No evidence of hollow or solid viscus trauma. |
Generate impression based on findings. | Omphalocele repair. Wound dehiscence. Evaluate for pneumonia and abdominal fluid collections. CHEST:LUNGS AND PLEURA: Dependent opacities are present in right upper and left lower lobes. A segment of the right lower lobe is hyperlucent. This segment is most likely have normal and most likely is a segmental region of lo... | Multiple lung opacities. These may be atelectasis or pneumonia. Fluid collection in the subcutaneous soft tissues anterior to the liver. Multiple visceral anomalies associated with omphalocele. |
Generate impression based on findings. | 39 year old patient with history of metastatic melanoma. On heparin drip (for PE) with acute symptoms to rule out intracranial hemorrhage. There is no intracranial hemorrhage, fluid collection, hydrocephalus or evidence of acute ischemia. Gray-white matter differentiation is maintained bilaterally and the midline is in... | 1. No acute intracranial abnormality including hydrocephalus or hemorrhage.2. Multiple lytic lesions throughout the skull and involving the clivus which most likely represent metastatic deposits in this patient is being treated for metastatic melanoma.3. Small subcutaneous nodule in left temporal area which could repre... |
Generate impression based on findings. | Crohn's disease increasing abdominal pain and stool output. Borderline amylase/lipase. Evaluate for toxic megacolon or complication from pancreatitis. ABDOMEN:LUNG BASES: A scar is present in the left lower lobe. The rest of the lungs are normal in appearance.LIVER, BILIARY TRACT: Liver enhancement is normal. No biliar... | The cause of abdominal pain is not elucidated |
Generate impression based on findings. | VP shunt function. There is a VP shunt catheter with its tip entering from a right superior frontal approach to cross the septum pellucidum of the lateral ventricles and its tip in unchanged location at the superior aspect of the left basal ganglia. There is a catheter fragment within the right trigone posteriorly.When... | Interval stability in position of ventricular shunt catheters and size/configuration of ventricles. |
Generate impression based on findings. | 73-year-old male with history of hypoxia, tachypnea. PULMONARY ARTERIES: Limited evaluation of the segmental arteries due to contrast opacification. No central or lobar PE is seen.LUNGS AND PLEURA: Bilateral dependent bronchiectasis and bronchiolectasis is present. Bibasilar atelectasis/scarring.No focal airspace opaci... | 1.Limited evaluation with no evidence of PE.2.Diffuse bronchiectasis and bronchiolectasis with bibasilar atelectasis. This is nonspecific but may be due to chronic aspiration or related to prior infection. A chronic interstitial lung disease such as UIP or NSIP is also a consideration. |
Generate impression based on findings. | 34-year-old female with right lower quadrant pain and vomiting, rule out appendicitis/small bowel obstruction ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No sig... | 1.No evidence of appendicitis or small bowel obstruction.2.Nonspecific bilateral striated nephrograms are unchanged. |
Generate impression based on findings. | 62 year-old female with concern for neoplasm on x-ray. LUNGS AND PLEURA: Moderate centrilobular emphysema.Moderate-sized left pleural effusion with mild overlying compressive atelectasis and a small nodular focus which may represent rounded atelectasis (image 60/106). There may be some septations or adhesions associate... | 1.No suspicious pulmonary masses as clinically questioned. Right apical nodule stable since 2005 and most compatible with a benign etiology.2.Severe atherosclerotic disease affecting the thoracic/abdominal aorta and coronary arteries as described. The abdominal aortic aneurysm is only partially visualized but is increa... |
Generate impression based on findings. | 77-year-old male with hematuria. ABDOMEN: Please note that this examination is limited in sensitivity for solid organ pathology to lack of IV contrast.LUNG BASES: Bibasilar subsegmental atelectasis. Right lower lobe calcified nodule, likely a granuloma.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No s... | 1. No nephrolithiasis or ureteral stone. No hydroureteronephrosis. 2. 5.5 interloop fluid collection in the right lower abdominal quadrant near the appendix, without. CT with oral and IV contrast is recommended if further evaluation is clinically warranted.2. Severe degenerative changes of the thoracolumbar spine with ... |
Generate impression based on findings. | History of non-small cell lung cancer status post resection and chemotherapy, surveillance. CHEST:LUNGS AND PLEURA: Postsurgical changes of the right lower and middle lobes with volume loss, unchanged. Right basilar atelectasis with bronchiectasis and mild pleural thickening, unchanged. Scattered micronodules and intra... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 64-year-old female with the right pain, rule out retroperitoneal mass. History of breast cancer and recent kidney biopsy and aortic aneurysm repair. ABDOMEN:LUNG BASES: Scattered irregular nodular opacities in the right middle and lower lobes are new from the prior exam. Small right sided effusion.LIVER, BILIARY TRACT:... | 1.Small right-sided perinephric hematoma.2.Scattered irregular nodular opacities in the right middle and lower lobes with a small right pleural effusion, infectious etiology is favored.3.Mildly dilated small bowel loops in the distal ileum without an identifiable transition point. |
Generate impression based on findings. | Reason: concern for renal stone History: flank pain ABDOMEN:LUNG BASES: Centrilobular emphysema is noted. Right pleural thickening is noted.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality n... | No evidence of ureteral stone or hydronephrosis. |
Generate impression based on findings. | 44 year old female with pseudocyst from VP shunt. Now with right upper quadrant abdominal pain, headache, dizziness, nausea, vomiting Please note this examination is limited in sensitivity for solid organ pathology due to lack of IV contrastABDOMEN:LUNG BASES: Bibasilar subsegmental atelectasis.LIVER, BILIARY TRACT: No... | 4.9 cm CSF-oma in the anterior mid abdomen |
Generate impression based on findings. | Need to clear C-spine. Head: There is no visualized intracranial mass, fluid collection, hemorrhage or hydrocephalus. The head is positioned eccentrically within the CT gantry. There is relative hypodensity without sulcal effacement along the right parietal lobe. Otherwise gray white differentiation is appropriate for ... | 1.Step configuration of the bones at the lambdoid suture posteriorly with some sutural widening. This could be associated with trauma the time of delivery with subsequent remodeling. Correlation with clinical history is recommended in this regard. No intracranial or C-spine abnormality abnormality visualized. Findings ... |
Generate impression based on findings. | 28-year-old female with increased abdominal distention, shortness of breath, and aphasia. History of melanoma, please evaluate for change in metastatic disease CHEST:LUNGS AND PLEURA: Innumerable pulmonary metastases some of which have increased in size and number. There is right upper lobe subpleural nodule measures 1... | 1. Increased diffuse metastatic disease, particularly in the thorax with narrowing of the right mainstem bronchus and compression/invasion of the mid esophagus.2. Slightly increased left hydroureteronephrosis.3. Stable high density abdominal fluid, suggestive of ascites and blood products. |
Generate impression based on findings. | 70 year-old female with headaches. Patchy areas of hypoattenuation of white matter likely representing mild chronic ischemic disease.The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No ed... | No evidence for acute intracranial abnormality. Mild chronic small vessel ischemic changes. |
Generate impression based on findings. | Reason: staging for lung cancer History: cough CHEST:LUNGS AND PLEURA: Solid right upper lobe nodule with spiculated margins measuring 13 x 10 mm (series 5, image 50) and which is unchanged in size, however there is interval placement of a small metallic density, likely a clip or biopsy marker. Predominantly apical sev... | 1. Single spiculated lesion in the right upper lobe, compatible with Non-Small Cell Carcinoma without evident metastasis.2. Adrenal lesion without evident PET avidity. On previous non-contrast CT, HU measured less than 10. This is most compatible with lipid rich adenoma. |
Generate impression based on findings. | Male; 19 months old. Reason: pelvic mass concerning for neuroblastoma History: right hip pain CHEST:LUNGS AND PLEURA: No suspicious nodules or masses. Small bilateral pleural effusions.MEDIASTINUM AND HILA: Normal heart size without pericardial effusion.CHEST WALL: Normal in appearance.ABDOMEN:LIVER, BILIARY TRACT: No ... | Large heterogeneous pelvic mass partially obstructs the right iliac veins, displaces the bladder to the left, and compresses the right ureter. While imaging findings are most suggestive of neuroblastoma, other differential considerations include rhabdomyosarcoma, other sarcomas, and other tumors. |
Generate impression based on findings. | Reason: evaluate for small bowel inflammation or stenosis History: abdominal pain after eating 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... | No evidence of bowel obstruction or definite small bowel inflammation. |
Generate impression based on findings. | Almost life-threatening event. PEA arrest CHEST:LUNGS AND PLEURA: Bibasilar airspace opacities right greater than left and ground-glass haziness throughout almost both lungs.MEDIASTINUM AND HILA: No significant abnormality noted. ET tube tip is above the carina. An NG tube is present.CHEST WALL: No significant abnormal... | 1.Bibasilar airspace opacities, atelectasis or pneumonia are considerations.2.Periportal edema.3.Air and fluid distended bowel loops with no evidence of obstruction.4.Bilateral non incarcerated inguinal hernias. |
Generate impression based on findings. | 80 year-old female with altered mental status, elevated lactate in atrial fibrillation, evaluate for mesenteric ischemia. ABDOMEN:LUNG BASES: Bibasilar atelectasis with a trace right pleural effusion.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant a... | 1.Mild nonspecific bowel thickening and pericolonic inflammatory changes of the cecum, ascending and transverse colon are decreased. No pneumatosis, portal venous gas or pneumoperitoneum.2.2.1 x 1.7 cm cyst in the right adnexa. Recommend ultrasound for further evaluation. |
Generate impression based on findings. | Reason: lung cancer mets to pelvis ck response to chemo History: lymphedema CHEST:LUNGS AND PLEURA: The previously referenced lingular nodule has increased in density compared with the prior study and now measures 1.4 x 1.2 cm (image 55, series 5).The previously referenced left lower lobe nodule has increased in size a... | 2.Multiple pulmonary nodules consistent with metastases, some of which have increased in size.3.New moderate left hydronephrosis.4.Enlarged left inguinal lymph node likely representing a metastasis.. |
Generate impression based on findings. | History of medullary thyroid carcinoma with metastases. CHEST:LUNGS AND PLEURA: Right middle lobe nodule appears unchanged on axial section (series 5, image 53), however review of coronal (image 76) and sagittal (image 38) sections demonstrates increase in size of nodular opacity when compared to 12/2012. This lesion m... | 1.Gradual increase in size of right middle lobe nodule since 12/2012 concerning for progression of metastatic disease.2.Interval increase in size of mediastinal lymphadenopathy. 3.Hyperdense liver lesions consistent with metastases, recommend dedicated imaging for better evaluation of extent and progression. |
Generate impression based on findings. | CVA There is a wedge-shaped region of hypoattenuation occupying the inferior/lateral right occipital lobe (series 4 image 16). There is some associated local mass effect on the right ventricle trigone which is partially effaced. There is no midline shift. This most likely represents sequelae of prior infarct which may ... | A wedge shaped area of hypoattenuation within the right occipital lobe most likely represents sequela of prior infarct. This is most likely early or late subacute given local mass effect on the ventricular trigone. |
Generate impression based on findings. | 41 year-old female with dropping hemoglobin after renal biopsy ABDOMEN:LUNG BASES: Small-to-moderate right pleural effusion with overlying atelectasis. Small pericardial effusion.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Nonspecific hypodense lesion in the spleen, statistically most likely a hemang... | 1. Right perirenal and posterior pararenal hematoma, with compression of the right kidney and extension into the retroperitoneum.2. Bilateral nonspecific adnexal cysts with calcifications. Correlation with pelvic ultrasound is recommended. |
Generate impression based on findings. | Shortness of breath. Weight loss. Former smoker. LUNGS AND PLEURA: Centrilobular emphysema. Right middle lobe scarring or atelectasis.MEDIASTINUM AND HILA: Calcified right paratracheal and hilar lymph nodes consistent with healed granulomatous disease. Small tracheal diverticulum.CHEST WALL: No significant abnormality ... | Emphysema, but no evidence of pulmonary nodule or mass. The abdomen pelvis CT will be reported separately. Please see this separate report. |
Generate impression based on findings. | 80 year-old with altered mental status. Obliquely oriented artifact is present at the level of the centrum semiovale.Confluent periventricular white matter hypoattenuation likely represents moderate age indeterminate small vessel ischemic disease. There are focal low density foci in the left thalamus and basal ganglia ... | No evidence for acute intracranial hemorrhage. Moderate age indeterminate small vessel ischemic changes. |
Generate impression based on findings. | 41 year-old female with ventral hernia, now with abdominal pain ABDOMEN:LUNG BASES: Mild subpleural cystic scarring. Bibasilar subsegmental atelectasis.LIVER, BILIARY TRACT: Two subcentimeter hypodense foci in the liver, which are too small to characterize, possibly representing cysts. No intrahepatic or extrahepatic b... | Small fat-containing ventral hernia without entrapped bowel. |
Generate impression based on findings. | 74 year-old female with abdominal pain, concern for perforation ABDOMEN: Please note that this examination is limited in sensitivity for solid organ pathology due to lack of IV contrast. LUNG BASES: Bibasilar subsegmental atelectasis.LIVER, BILIARY TRACT: Unchanged known hemangioma in the right hepatic lobe. A common b... | 1. Prominent wall thickening of the right hemicolon, compatible with colitis, likely secondary to infectious or inflammatory etiology. No evidence of obstruction.2. Duodenal stent in place, jejunal loop distention with mild wall thickening without evidence of bowel perforation.3. Interval development of moderate ascite... |
Generate impression based on findings. | 72-year-old male with history of AML with neutropenic fever, evaluate for sinusitis. Previously demonstrated opacification of a few cells of the right ethmoid sinus has improved. Slight mucosal thickening in the right maxillary sinus has nearly resolved. The remainder of the paranasal sinuses and mastoid air cells are ... | 1.Previously demonstrated opacification of a few cells of the right ethmoid sinus has improved. 2.Slight mucosal thickening in the right maxillary sinus has nearly resolved.3.No new findings of sinusitis. |
Generate impression based on findings. | Lung cancer status post chemo and RT. Doing well. Now needs evaluation. CHEST:LUNGS AND PLEURA: Postsurgical changes at the right apex including paramediastinal atelectasis, traction bronchiectasis.Multiple scattered bilateral pulmonary nodules measuring up to 4 mm are stable. The reference nodule in the right lower lo... | Stable nonspecific pulmonary nodules measuring up to 4 mm. |
Generate impression based on findings. | 63-year-old male status post fall. Large area of encephalomalacia predominantly involving the right MCA territory with ex vacuo dilatation of the CSF spaces. There is mild midline shift of the third ventricle to the right due to volume loss. No abnormal mass lesions are appreciated intracranially. No intracranial hemor... | 1. No evidence for acute intracranial abnormality.2. Large area of encephalomalacia predominantly involving the right MCA territory. |
Generate impression based on findings. | 36-year-old female with nausea of vomiting, abdominal pain, and no bowel movement for 5 days with recent obstruction at an outside hospital, rule out obstruction Please note that non-enhanced CT is not sensitive for the detection of solid organ lesions. With this limitation, the following observations are made:ABDOMEN:... | 1.Mild dilatation of the biliary limb with areas of collapsed bowel. Internal hernia with obstruction cannot be excluded. Recommend UGI with small bowel follow through and/or barium enema examinations for further evaluation.2.Distended colon with large stool burden. |
Generate impression based on findings. | Frontal head trauma. There is no intracranial mass, fluid collection, hemorrhage, hydrocephalus or evidence of acute ischemia. Gray-white matter differentiation is maintained bilaterally the midline is intact. The bones of the skull are normal. There are no soft tissue abnormalities or scalp hematoma. Visualized portio... | No visualized intracranial abnormality or sequelae of trauma. |
Generate impression based on findings. | Esophageal cancer status post CRT CHEST:LUNGS AND PLEURA: Previously noted left upper lobe pulmonary nodule is no longer visible. Scattered punctate micronodules are unchanged. Left medial base groundglass opacity with mild bronchiectasis is slightly increased and is more typical of chronic aspiration or radiation chan... | 1. Interval decrease in esophageal mass and wall thickening. Proximal esophageal dilatation with an air fluid level persists.2. Interval decrease in upper abdominal lymphadenopathy. Small nonspecific axillary nodes are unchanged.3. New small pericardial effusion.4. New bilateral lung opacities which are likely to to XR... |
Generate impression based on findings. | 32-year-old female with right lower quadrant pain, evaluate for appendicitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEY... | 1.No evidence of appendicitis. 2.Peripherally enhancing right adnexal lesion with a small amount of pelvic free fluid likely represents a corpus luteum cyst. Pelvic ultrasound may be considered if clinically warranted. |
Generate impression based on findings. | 65-year-old history of rectal cancer status post resection. Evaluate for local recurrence ABDOMEN:Limited study, intravenous contrast was not administered. This limits the sensitivity to detect small lesions in solid organs and bowelLUNG BASES: Status post wedge resection of the left lower lobe lobulated mass. No pleur... | 1. Multiple hypodense lesion in both kidneys most likely representing simple cysts, unchanged from prior study.2. Fatty infiltration of the liver.3. Status post left lung lower lobe wedge resection |
Generate impression based on findings. | 39-year-old female with right flank pain and nausea, rule out hydronephrosis. History of ureteral injury. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant... | 1.Mild hydroureteronephrosis with distal ureteral obstruction from a right pelvic lesion. The partially solid and partially cystic right pelvic lesion is thought to be postsurgical. |
Generate impression based on findings. | 51-year-old male with history of head and neck cancer. Follow-up examination. CHEST:LUNGS AND PLEURA: 5-mm right upper lobe nodule unchanged. No new or suspicious pulmonary nodules identified.No pleural effusions. MEDIASTINUM AND HILA: Scattered left cervical lymph nodes again noted partially visualized.Borderline enla... | No evidence of metastatic disease. |
Generate impression based on findings. | 64-year-old male with history of head and neck cancer status post chemoradiation. Follow up examination. CHEST:LUNGS AND PLEURA: Left apical fibrosis compatible with prior radiation, unchanged.Persistent clustered micronodules and bronchiectasis are again noted primarily in the right middle and right lower lobes compat... | 1.Persistent findings compatible with aspiration bronchiolitis or atypical mycobacterial infection with interval improvement since the prior study. 2.No evidence of metastatic disease.3.Interval placement of gastrojejunostomy tube. |
Generate impression based on findings. | Reason: pt with metastatic melanoma on vemurafenib History: Melanoma CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodule or mass. No consolidation or pleural effusion.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy is seen. The heart is normal in size and there is no pericardial effusion.CHEST WALL: Le... | 1.Ill-defined liver metastases have decreased in size and conspicuity.2.Stable left axillary mass possibly representing post surgical changes versus stable lymph node. |
Generate impression based on findings. | 63-year-old female with microscopic hematuria. CHEST:LUNGS AND PLEURA: Right apical scarring. No focal consolidation or pleural effusions. Small nonspecific micronodules are unchanged. Micronodules along the left major fissure likely represent intrapulmonary lymph nodes. No new suspicious nodules or masses.MEDIASTINUM ... | No CT findings to explain patient's symptoms. |
Generate impression based on findings. | 82 year old female with history of esophageal cancer, presents with dysphagia. Evaluate for metastatic disease. CHEST:LUNGS AND PLEURA: Persistent spiculated nodular opacity in the right upper lobe which measures up to 15 x 13 mm including surrounding groundglass components (series 5, image 30), however is not signific... | 1.Right upper lobe scar-like spiculated opacity has been present on multiple prior examinations and is not significantly changed. 2.No evidence of metastatic disease in the chest or upper abdomen. 3.Small bilateral pleural effusions and bibasilar atelectasis/consolidation new compared to prior exams.4.Interval placemen... |
Generate impression based on findings. | 61-year-old male with squamous cell carcinoma of the floor of the mouth status post surgery and chemoradiation. There is no evidence of cervical lymphadenopathy by CT size criteria. There is redemonstration of right temporal craniotomy, patchy hypoattenuated areas in the anterior and posterior left temporal lobe consis... | Stable treatment related changes in the left floor of mouth without evidence of residual or recurrent enhancing tumor. No cervical lymphadenopathy. |
Generate impression based on findings. | Squamous cell carcinoma on dorsum of left hand status post surgery. Subsequently recurred in left axilla and had axillary dissection with RT. CHEST:LUNGS AND PLEURA: Severe emphysema. Subsegmental atelectasis in left lower lobe with associated bronchial wall thickening, possibly due to aspiration. No definable mass is ... | No evidence of measurable disease. |
Generate impression based on findings. | History recent bilateral thoracenteses, now with cough and shortness of breath. LUNGS AND PLEURA: Large right pleural effusion with atelectasis of the right lower lobe and adjacent atelectasis of the right middle lobe. Moderate left pleural effusion with adjacent atelectasis or of the left lower lobe. Mosaic lung atten... | Bilateral pleural effusions with pulmonary edema and compressive atelectasis. |
Generate impression based on findings. | Hodgkin lymphoma with likely bleomycin toxicity. SOB. Compare to CXR. LUNGS AND PLEURA: Very faint basilarground glass abnormality with areas of peripheral reticulonodular interstitial thickening not significantly changed versus 6/11/2013 study though new versus 2/18/2013 study. There is no associated traction bronchie... | 1. Mild basilar interstitial thickening and ground glass opacity which may represent bleomycin lung toxicity in the appropriate clinical setting. It was not present 2/18/2013 CT but is not significantly changed versus 6/11/2013. There is no associated honeycombing or traction bronchiectasis2. Residual infiltrative medi... |
Generate impression based on findings. | 67-year-old male with history of mesothelioma status post chemotherapy. Follow up examination. CHEST:LUNGS AND PLEURA: Persistent left lung volume loss is noted with circumferential pleural thickening compatible with history of mesothelioma, with reference measurements as follows:At the level of the aortic arch (3, 28)... | Mesothelioma with left pleural thickening reference measurements not significantly changed compared to the prior study. |
Generate impression based on findings. | History of right hepatectomy and gallbladder resection with ascites and pleural effusions. LUNGS AND PLEURA: Large right pleural effusion with collapse of the right lower lobe and basal atelectasis of the right middle lobe, unchanged. Interval placement of pigtail catheter into this effusion.New moderate left pleural e... | 1.Persistent large right pleural effusion with adjacent atelectasis s/p placement of pigtail catheter.2.New moderate left pleural effusion with adjacent atelectasis.3.Interval decrease in perihepatic collection. |
Generate impression based on findings. | 61-year-old male with history of head and neck cancer. Follow-up examination. LUNGS AND PLEURA: Severe centrilobular emphysema again noted.6-mm right middle lobe nodule unchanged.No new or suspicious pulmonary nodules identified.MEDIASTINUM AND HILA: No new mediastinal or hilar lymphadenopathy.Heart size is normal. Sev... | No evidence of metastatic disease or significant interval change. |
Generate impression based on findings. | AML, neutropenic fever, rule out infiltrate. LUNGS AND PLEURA: Slightly increased interstitial thickening in the posterior aspect of the right upper lobe (image 130/338 of the high-resolution series) of uncertain significance.Severe emphysema, increased in severity. Postero-basal pleural thickening, bilaterally. Calcif... | 1. Slightly increased interstitial thickening in the posterior aspect of the right upper lobe which is not typical of infection. It is more likely due to aspirate or edema, though continued follow up is recommended.2. Increased severity of emphysema.3. Intrathoracic lymphadenopathy. |
Generate impression based on findings. | Reason: Pt with hx of Tonsil Ca s/p CRT 4+ years. Please re-eval and compare History: as above CT neck:There is infiltration of fat planes surrounding the right carotid space similar to the prior examThe right sternocleidomastoid muscle is atrophic as is the right trapezius muscle .Within the suprahyoid neck on the bas... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.No evidence for brain metastases.3.Degenerative changes are present in the cervical spine with findings suspicious for spinal stenosis. This has not changed since prior exams. |
Generate impression based on findings. | History of tonsil cancer status post CRT 4+ years. CHEST:LUNGS AND PLEURA: Apical scarring and emphysema. No suspicious pulmonary nodules.MEDIASTINUM AND HILA: Atherosclerotic calcification of the aorta and its branches. Coronary calcification.CHEST WALL: Thoracic dural ectasia. Bochdalek hernias. Degenerative change i... | No evidence of metastases. |
Generate impression based on findings. | Reason: prostate cancer- History: prostate cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Numerous mediastinal lymph nodes identified. The largest mediastinal node measures 1.0 x 0.9 cm grade There is no hilar or axillary adenopathy. No pleural or pericardial effusions.CHEST WALL: ... | 1. Prostate cancer with multiple foci of bony metastatic disease. Mediastinal lymphadenopathy and pelvic side wall lymphadenopathy as described above. |
Generate impression based on findings. | 43-year-old female with dysuria, hematuria and right CVA tenderness ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hepatomegaly measuring 28.0 centimeters in craniocaudal dimension.SPLEEN: Splenomegaly measuring 15.5 cm in craniocaudal dimension.PANCREAS: No significant abnormality notedADREN... | 1.No nephroureterolithiasis or other CT findings to explain patient's symptoms.2.Hepatosplenomegaly. |
Generate impression based on findings. | Reason: restaging scans s/p rad tx prior to starting new systemic therapy History: hx of metastatic renal cell cancer LUNGS AND PLEURA: Upper lobe predominant centrilobular emphysema.Scattered stable nonspecific micronodules.No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No hilar or mediastinal lymphad... | 1.No evidence of intrathoracic metastatic disease.2.Hepatic hypodensities with reference lesion increased in size suggesting interval progression of metastatic disease .3.Incompletely evaluated large right renal mass.4.Recommend dedicated hepatic and renal imaging with intravenous contrast if possible. |
Generate impression based on findings. | 79 year-old female with GI bleed ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Stable subcentimeter hypodense lesions.SPLEEN: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Unchanged left nephrolithiasis.PANCREAS: No significant abnormali... | 1. Subtle nonspecific hyperdensity at the cecum, which may represent mucosal enhancement or a small amount of blood from diverticular disease. Further evaluation with a tagged RBC scan may be helpful.2. Dilated rectum with perirectal fluid, suspicious for stercoral colitisFindings discussed with covering house staff (p... |
Generate impression based on findings. | Male, 46 years old, history of tongue cancer, status post CRT in 2011 or No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are intact. Mild pharyngeal and supraglottic mucosal thickening is redemonstrated, most likely... | 1. Treatment related change in the neck with no evidence of disease recurrence.2. No intracranial metastatic disease. |
Generate impression based on findings. | 59-year-old male with evidence of appendicitis on CT in March, surgery was not performed. Rule-out appendiceal mass. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Punctate calcification in the right hepatic lobe likely represents a granuloma.SPLEEN: No significant abnormality notedPANCREAS: ... | 1.Interval resolution of periappendiceal inflammation. 2.Soft tissue at the appendiceal orifice protruding into the cecum has decreased from the prior exam with residual soft tissue at the orifice.3.Thrombosis of the left common iliac artery. |
Generate impression based on findings. | Reason: Lung ca screening History: none LUNGS AND PLEURA: Stable scattered calcified granulomas. No suspicious pulmonary nodules or masses.Mild focal scarring/discoid atelectasis at the left lung base.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy.Mild aortic and coronary artery calcification.Cardiac si... | Stable scattered calcified granulomas compatible with prior granulomatous disease. No suspicious pulmonary nodules or masses. |
Generate impression based on findings. | History of head and neck cancer. CHEST:LUNGS AND PLEURA: Patchy faint centrilobular groundglass opacities in the right middle lobe, likely due to aspirate. No suspicious pulmonary nodules. Scattered punctate micronodules are unchanged and presumably post inflammatory. Apical scarring.MEDIASTINUM AND HILA: Scattered sma... | Faint cluster of ground glass opacity in the right middle lobe in association with debris in the central airways highly suggestive of aspiration. No definitive evidence of metastatic disease though continued follow up is recommended. |
Generate impression based on findings. | Female, 19 years old, history of tuberous sclerosis, surveillance scan. Regions of encephalomalacia effecting right temporal lobe are redemonstrated, likely representing surgical change, at least to some degree. Coarse calcifications are present along the margins of the affected parenchyma. These findings are unchanged... | Multiple stigmata of tuberous sclerosis, unchanged relative to the immediate prior examination. When compared to a more remote examination from 2009, a calcified nodule at the level of the right foramen of Monro seems to show mild progressive calcification. This finding is of doubtful significance. Overall, no worrisom... |
Generate impression based on findings. | History of sarcoma of the chest wall status post resection. Evaluate for metastatic disease. LUNGS AND PLEURA: New subcentimeter pulmonary nodules in the left upper lobe (image 22/97) and left lower lobe (image 67/97). Scarring and post XRT changes involving the subpleural left lower lobe. There has been interval decre... | New subcentimeter pulmonary nodules on the left highly suggestive of metastatic disease. Interval increase in nodular opacity in the left lower lobe near an area of radiation fibrosis and scarring which is also presumably secondary to malignancy. This less likely represents rounded atelectasis. |
Generate impression based on findings. | Prenatal diagnosis of an enteric duplication. ABDOMEN:LUNG BASES: Minimal dependent opacities.LIVER, BILIARY TRACT: Normal enhancement. No mass identified. The gallbladder is distended.SPLEEN: Normal in size and enhancement.PANCREAS: Normal in appearance.ADRENAL GLANDS: Normal in appearance.KIDNEYS, URETERS: Symmetric ... | Spherical distal esophageal duplication.Probable 0.4 cm foreign body in the ascending colon. |
Generate impression based on findings. | Reason: 3 month s/p R crani for IPH evac, AMS, left sided weakness. Large IPH/IVH History: possible hydrocephalus There is redemonstration of encephalomalacia along the right temporal lobe and posterior insular cortex extending to the right inferior parietal lobule and associated ex effect or effect along the right lat... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA3.Status post right-sided craniotomy for hematoma evacuation. There is encephalomalacia in the underlying right temporal lobe and parietal lobe.4.Periventricular and subcortical white ma... |
Generate impression based on findings. | Head and neck cancer status post CRT 2011 CHEST:LUNGS AND PLEURA: Scattered punctate micronodules unchanged and presumably postinflammatory.MEDIASTINUM AND HILA: Coronary calcification.CHEST WALL: Degenerative change involving the thoracic spine.ABDOMEN: Absence of enteric contrast material markedly limits sensitivity ... | No evidence of metastatic disease. |
Generate impression based on findings. | Tuberous sclerosis surveillance examination. CHEST:LUNGS AND PLEURA: No focal lung opacity is present. Pleural effusion is not identified.MEDIASTINUM AND HILA: Branching pattern of the great vessels is normal. No hilar or mediastinal lymphadenopathy is. The heart size is normal. A 0.3-cm focus of fat is noted in the le... | Multiple angiomyolipomas in the kidneys, the largest of which has a 2-cm diameter.Small focus of fat in the left ventricular myocardium. |
Generate impression based on findings. | Reason: pe History: chest pain PULMONARY ARTERIES: Technically limited exam with evaluation of the pulmonary arteries to the segmental level. No central pulmonary embolus can be identified.LUNGS AND PLEURA: The examination was performed in expiration limiting evaluation.Bilateral basilar atelectasis.No pleural effusion... | 1.Technically limited exam demonstrates no evidence of a large central pulmonary embolus.2.Bilateral basilar atelectasis.3.Moderate to large sized pericardial effusion. |
Generate impression based on findings. | Female, 60 years old, with stroke. No CT evidence of acute territorial ischemia is demonstrated. There is no evidence of focal parenchymal edema or loss of the gray-white distinction.A punctate focus of hypodensity in the right basal ganglia is nonspecific but could conceivably represent an age indeterminate lacunar st... | 1. No definite evidence of acute territorial ischemia or other acute abnormalities.2. Age indeterminate lacune in the right basal ganglia. |
Generate impression based on findings. | Female 57 years old; Reason: rectal cancer restaging History: rectal cancer, recurrent restaging CHEST:LUNGS AND PLEURA: Nonspecific subcentimeter nodule in the right upper lobe on image 21/series 4. No dominant lesion. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No... | 1.No definite evidenced for metastatic disease.2.Postoperative changes in the presacral space. If an abscess/leak/fistula is considered clinically, an MRI or single contrast barium study to evaluate for fistula can be performed. |
Generate impression based on findings. | 70 year-old female with hepatocellular carcinoma status post ablation CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules. Bibasilar subsegmental atelectasis. No suspicious nodules or masses. No focal air space opacities or pleural effusions.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Normal siz... | Multifocal HCC with decreased size and enhancement of the treated peripheral right hepatic lobe lesion. |
Generate impression based on findings. | History of metastatic breast cancer on treatment. CHEST:LUNGS AND PLEURA: Stable basilar scarring. No suspicious pulmonary nodules.MEDIASTINUM AND HILA: Right thyroid nodule unchanged. Coronary calcification.CHEST WALL: Moderate degenerative disease of the thoracolumbar spine. Small stable nodule in the right breast (i... | Stable metastatic disease. |
Generate impression based on findings. | History of Lung cancer status post resection 2.5 yrs ago now with productive cough, followup. CHEST:LUNGS AND PLEURA: Extensive postoperative changes of the right lung with volume loss and small pleural effusion. Thin-walled cyst and cavities with air-fluid levels in the right lower lung unchanged. Persistent scar like... | 1.Multiple scarlike opacities with interval resolution in reference opacities from 1/2013, consistent with aspiration. 2.Right lower lung cyst and cavities with air-fluid levels not significantly changed.3.No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 40 year-old female with new locally advanced breast cancer, invasive ductal carcinoma CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusions. No suspicious nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size is normal without pericardial effusion. Fat-containing lesi... | 1.Soft tissue density mass in the left breast is compatible with known invasive ductal carcinoma.2.Left axillary and subpectoral lymphadenopathy. |
Generate impression based on findings. | Reason: Pt with unknown primary HNC SCC. Please eval for respose s/p CRT competed 6/14/13 History: as above CT neck:A ring enhancing mass located in the right posterior triangle measuring 47 by 45 mm coronal dimensions and now measures 14 x 7 mm coronal dimensions it previously measured 46 x 46 mm axial dimensions and ... | 1.Since the prior examination a right neck mass has continued to decrease in size.2.No evidence for brain metastases.3.Findings are suspicious for retinal detachment left eye. This is stable since the prior exam. |
Generate impression based on findings. | Female 59 years old; Reason: evaluate for panc leak/intraabd fluid collection History: incr WBC, tachycardia, murky fluid from panc drain ABDOMEN:LUNGS BASES: There are bilateral pleural effusions with associated compressive atelectasis, right greater than left. Calcific density noted in the left lung base.Large JP dra... | 1.Status post Whipple's procedure with extensive peri-pancreatic loculated fluid collection. No free air. |
Generate impression based on findings. | Female, 47 years old, with anosmia and angioedema. The frontal sinuses are hypoplastic. The frontoethmoidal recesses are clear. The ethmoid air cells, anterior and posterior, are clear. The sphenoid sinuses are clear. The sphenoethmoidal recesses are not clearly seen but this may be technical.The maxillary ostia and in... | No evidence of active or chronic sinus disease. |
Generate impression based on findings. | Follow-up lung nodule. CHEST:LUNGS AND PLEURA: Irregular nodule in posterior right upper lobe (image 25/118) is unchanged at 7 mm.Emphysema. Right apex and right middle lobe scarring with post XRT changes.MEDIASTINUM AND HILA: Atherosclerotic calcification of the aorta and its branches.CHEST WALL: Diffuse mixed sclerot... | Stable 7-mm spiculated nodule in the right upper lobe suggestive of malignancy. |
Generate impression based on findings. | 60 year-old female with HCV cirrhosis, evaluate for HCC ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cirrhotic liver morphology. No focal hepatic lesions to suggest hepatocellular carcinoma. Non-enhancing low attenuation focus near the hepatic hilum may represent a cyst.Status post cholecys... | 1.No focal hepatic lesions to suggest hepatocellular carcinoma.2.Findings compatible with cirrhosis and portal hypertension are unchanged. |
Generate impression based on findings. | Male, 54 years old, history of parotid cancer, status post CRT. No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are intact. Postsurgical change consistent with left parotidectomy is demonstrated. This includes soft ... | 1. Redemonstration of treatment related change in the neck. No evidence of recurrent primary tumor or pathologic adenopathy.2. No intracranial metastatic disease. |
Generate impression based on findings. | 45-year-old female with with right lower quadrant abdominal pain, evaluate for stone ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality note... | No nephroureterolithiasis or other CT findings to explain patient's symptoms. |
Generate impression based on findings. | Reason: lung cancer s/p 8 cycles of chemo. please evaluate for disease and compare with previous scans History: lung cancer CHEST:LUNGS AND PLEURA: Right lower lobe spiculated nodule, minimally decreased on the axial images but minimally increased on the coronal images, and therefore considered stable. Now 21 x 14 mm o... | Stable pulmonary nodules but increased prevascular mediastinal nodes. |
Generate impression based on findings. | History of non-small lung cancer, follow-up. CHEST:LUNGS AND PLEURA: Unchanged architectural distortion of the left upper lobe with fibrosis and bronchiectasis. Small left pleural effusion with interval decrease compared with prior studies. Multiple pulmonary nodules are again noted with index nodule measurements as be... | Marked decrease in size of hepatic, renal and adrenal lesions with stable pulmonary nodules in comparison to previous studies. |
Generate impression based on findings. | 70 year-old male with hematuria ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Left midpole simple cyst. No ston... | No CT findings to explain patient's symptoms. |
Generate impression based on findings. | Unknown primary head and neck squamous cell carcinoma. Evaluate for response status post CRT completed 6/14/2013 CHEST:LUNGS AND PLEURA: Emphysema. No evidence of pulmonary metastases. Apical scarring. Left upper lobe bulla with surrounding nodular scarring. Punctate perifissural nodule on the right (image 44/124) is u... | No evidence of metastatic disease. |
Generate impression based on findings. | 51-year-old male with history of tonsillar cancer. Evaluate for metastases. LUNGS AND PLEURA: Biapical fibrosis compatible with history of radiation.Scattered micronodules are noted measuring less than 4 mm. No suspicious pulmonary nodules identified.MEDIASTINUM AND HILA: Post therapy changes in the neck partially visu... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: worsening asthma History: cough shortness of breath and increased wheezing LUNGS AND PLEURA: There is scattered nonspecific micronodules.No suspicious pulmonary nodules or masses.Mild bronchial wall thickening.No pleural effusions.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Cardiac size is nor... | Minimal bronchial wall thickening, which may be reactive in origin. No other pulmonary or pleural abnormalities identified. |
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