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Generate impression based on findings. | 88 year-old female with history of lung cancer, follow up examination. Currently doing well. CHEST:LUNGS AND PLEURA: Right paramediastinal and apical opacities compatible with radiation fibrosis are again noted and not significantly changed compared to prior studies.Paramediastinal atelectasis adjacent to the ascending... | Stable post radiation changes without acute abnormality. No new sites of disease identified. |
Generate impression based on findings. | Evaluate for worsening and new infiltrates. IPF trial, research protocol. LUNGS AND PLEURA: Chronic subpleural reticulation with traction bronchiectasis and scattered areas of honeycombing consistent with UIP/IPF. Findings are stable in severity and distribution. Scattered punctate micronodules are unchanged and presum... | Stable severity and distribution of interstitial disease consistent with known UIP/IPF. |
Generate impression based on findings. | 57 year old female with metastatic melanoma CHEST:LUNGS AND PLEURA: Multiple lobulated nodule are again seen in all lobes, appearing similar to the prior exam. The reference left upper lobe nodule is unchanged at 1.7 x 1.2 cm (4/54). The reference left lower lobe nodule measures 2.9 x 1.9 cm (4/48), previously 2.8 x 2.... | Stable pulmonary metastases. No evidence of disease progression. |
Generate impression based on findings. | Reason: h/o parotid ca, s/p CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Continued almost complete resolution of the previously noted right upper lobe nodule present on the exam dated 12/9/12. Residual 4-mm groundglass opacity is noted in this location .No new pulmonary nodules or ma... | 1.Stable to decrease in size of the residual groundglass nodular opacity in the right upper lobe. No new pulmonary nodules identified.2.Stable subcentimeter superior mediastinal lymph node.3.No new sites of disease identified. |
Generate impression based on findings. | Reason: Patient with a H/O relapsed DLBC Lymphoma now s/p 2 cycles of R DHAP in need of restaging. Please compare to prior. History: Patient with a H/O relapsed DLBC Lymphoma Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy.2.Lack of contrast enhancement decreases the sensitivity for neck lymphadenopathy or other mass lesions in the neck. For example, an enhancing mass previously noted in the right masticator space and another i... |
Generate impression based on findings. | Reason: NHL, baseline staging History: NHL There is a 19 x 12 mm in dimension left posterior cranial lymph node present at the level of the thyroid cartilage. There is a 16 x 22 mm axial dimension lymph node present in left supraclavicular region . There is any 16 x 20 mm right suprahyoid jugular chain lymph node prese... | 1.There is lymphadenopathy identified in the suprahyoid and infrahyoid neck as described above.2.Supraclavicular and axillary lymphadenopathy3.calcific lesion in left thyroid gland lobe4.There are multilevel degenerative changes present in the cervical spine worst at C6-7 where there is spinal stenosis due to endplate ... |
Generate impression based on findings. | Reason: NHL, staging History: NHL CHEST:LUNGS AND PLEURA: No nodule or mass detected. No pleural or pericardial effusion seen.MEDIASTINUM AND HILA: There is no mediastinal, or hilar adenopathy. There is posterior paraspinal and paravertebral adenopathy.CHEST WALL: Extensive bilateral axillary adenopathy noted, with ind... | 1. Extensive lymphadenopathy compatible with lymphoma with index nodal masses as described above.2. Bilateral hydronephrosis due to retroperitoneal nodal encasement of the ureters.3. Cholelithiasis without cholecystitis |
Generate impression based on findings. | 69 year old male with follicular NHL CHEST:LUNGS AND PLEURA: Moderate to severe centrilobular emphysema. Stable right middle lobe pulmonary nodule since 2009. Bibasilar subsegmental atelectasis.MEDIASTINUM AND HILA: Markedly increased mediastinal and hilar lymphadenopathy. The reference pretracheal lymph node measures ... | Markedly increased lymphadenopathy in the chest and lower neck. |
Generate impression based on findings. | 74 year old female with neuroendocrine cancer status post two cycles of therapy, evaluate left liver lesion and right upper lobe pulmonary nodule CHEST:LUNGS AND PLEURA: Small to moderate right pleural effusion with associated atelectasis is increased from prior exam. Small left pleural effusion.Reference right upper l... | 1.Stable pulmonary nodule.2.Marked hepatomegaly with innumerable hepatic metastases is unchanged.3.Osseous metastatic disease is unchanged.4.Increased bilateral pleural effusions, right greater than left.5.Increased perihepatic ascites. |
Generate impression based on findings. | Female; 11 months old. Reason: 11mo, liver failure, pre-transplant, evaluate for fluid pockets or abscesses. History: liver failure CHEST:LUNGS AND PLEURA: Bilateral lower lobe airspace opacities compatible with pulmonary edema. Small pleural effusions. MEDIASTINUM AND HILA: Mildly enlarged heart. No pericardial effusi... | 1.Mild-moderate intraperitoneal free fluid but no fluid pocket/collection in the abdomen or pelvis.2.Bilateral lower lobe airspace opacities, compatible with atelectasis or pneumonia.3.Umbilical and left inguinal hernias as described above. |
Generate impression based on findings. | 70 year-old female with hematuria ABDOMEN:LUNG BASES: Centrilobular emphysema. Right middle lobe scarring or atelectasis.LIVER, BILIARY TRACT: Normal liver morphology. Small subcentimeter hypervascular lesion in the right lobe, possibly representing a flash filling hemangioma. No intrahepatic or extrahepatic biliary du... | 1. No renal or ureteral stone or mass. 2. Tortuous right ureter without evidence of obstruction. |
Generate impression based on findings. | Reason: pulmonary nodules seen on last CT 6-12 month f/u recommended History: pulmonary nodules LUNGS AND PLEURA: 5-mm smoothly marginated right middle lobe nodule, unchanged, likely an intrapulmonary lymph node or granuloma.Bronchial thickening and nonspecific interstitial opacity, especially in the middle lobe, sugge... | 1.Stable small right middle lobe nodule, almost certainly benign.2. Evidence of bronchitis and bronchiolitis. |
Generate impression based on findings. | Male, 50 years old, with right sided vision changes, history of sinus polyps and asthma. Redemonstrated is evidence of functional endoscopic sinus surgery including partial resection of the bilateral ethmoid air cells, resection of the uncinate processes, and widening of the maxillary ostia.The frontal sinuses remain c... | 1. Persistent bilateral soft tissue opacification of the frontal sinuses. On the right, there is resultant deficiency of the superior orbital wall with extension of the soft tissue process into the orbit itself, perhaps representing a mucocele. The degree of orbital encroachment has improved since the prior examination... |
Generate impression based on findings. | 78-year-old female with tachycardia. Evaluate for PE. The patient is status post left nephrectomy with recently diagnosed bowel obstruction. PULMONARY ARTERIES: Technically adequate examination. No pulmonary emboli to the segmental arterial level.LUNGS AND PLEURA: Small bilateral pleural effusions, left greater than ri... | 1.No pulmonary embolus to the segmental arterial level.2.Small bilateral pleural effusions left greater than right with overlying compressive atelectasis.3.Pneumomediastinum and subcutaneous emphysema appearing similar to the prior study which is presumably postsurgical in etiology.4.Marked gastric distention again not... |
Generate impression based on findings. | 32-year-old male with right lower quadrant pain, evaluate for acute 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 notedKID... | CT findings compatible with likely perforated acute appendicitis. |
Generate impression based on findings. | 63 year old female. History of bilateral breast cancer in 1999 on the left and 2012 on the right status post left lumpectomy and chemotherapy, 2/13. Reason: Evaluate for signs of CAD. CHF, having runs of NSVT. History of squamous lung cancer. Cardiac Morphology:Left Ventricle:EDV: 168 ml The left ventricle is dilated w... | 1. Mildly dilated left ventricle. Minimal coronary artery calcification. Small amount of atherosclerotic calcification in the aorta. 2. Small diameter right coronary artery is not seen distally, presumably due to occlusion. |
Generate impression based on findings. | Non-Hodgkin's lymphoma CHEST:LUNGS AND PLEURA: Bilateral small pleural effusions. Carefully calcified, non-enhancing probably cystic lesion in the right middle lobe adjacent to the lung measures 5.6 x 6.2 cm image number 49, series number 41. Its etiology is unknown, however, other than peripheral calcification, it has... | Interval decrease in the size of the retroperitoneal and pelvic adenopathy.Bilateral axillary adenopathy and right supraclavicular adenopathy. Bilateral small pleural effusions. |
Generate impression based on findings. | 63 year old female with history of metastatic breast cancer on treatment. Follow-up examination. Motion artifact limits evaluation of fine detail.CHEST:LUNGS AND PLEURA: Persistent right upper lobe subpleural opacities are noted compatible with history of radiation. Right apical scar-like opacity is again noted (series... | Interval decrease in paratracheal lymphadenopathy compared to the prior study. No new sites of disease identified. |
Generate impression based on findings. | Lung cancer status post 4 cycles of chemotherapy LUNGS AND PLEURA: Reference left upper lobe mass no measures 15 x 14 mm are image 19/101, unchanged.Findings consistent with pulmonary fibrosis are unchanged in severity or distribution. Postop change on the right.MEDIASTINUM AND HILA: Right chest port with tip at the SV... | 1. Stable reference pulmonary nodule.2. Stable mediastinal adenopathy. |
Generate impression based on findings. | 30 year-old female with history of right hydroureter with fat stranding on previous noncontrast CT around the right ureter, presenting with right lower quadrant pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS... | Interval improvement in the dilatation of the right collecting system and right ureter. Etiology for the dilatation is unknown and transition point is in the pelvis where the ureter crosses the right iliac vessels. An underlying neoplasm cannot be excluded.Prominent cervix. Correlation with pelvic exam is recommended. |
Generate impression based on findings. | 65-year-old female with history of metastatic lung cancer CHEST:LUNGS AND PLEURA: Status post left upper lobectomy. Interval increase in the size of the apical mass which now measures 5 x 3.7 cm in image number 13, series number 4. Again noted multiple metastatic nodules in both lungs which are increased in size. Index... | Interval increase in the size of the bilateral lung masses and interval development of small left pleural effusion. |
Generate impression based on findings. | Reason: pt with small cell lung ca s/p 2 cycles of chemo History: now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Marked interval decrease in a right upper lobe mass, now 19 x 13 mm compared to 39 x 53 mm previously.Severe chronic interstitial disease with honeycombing and arc... | Almost complete resolution of right upper lobe mass and marked decrease in right paratracheal and right hilar lymphadenopathy. |
Generate impression based on findings. | Reason: evolution of stroke? History: weakness` There is redemonstration of a hypodense focus involving gray and white matter located in the posterior inferior aspect of the right occipital lobe involving part of calcarine cortex and part of fusiform gyrus. There is no associated hemorrhagic conversion appreciated. The... | 1.Since the prior exam and there is no significant interval change. There is redemonstration of a right occipital lobe infarction in subacute phase. There is no evidence for hemorrhagic conversion. |
Generate impression based on findings. | Reason: assess for evolution of infarct/ edema History: worsened speech The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a hypodensity involving the left half of the corpus callosum. This is unchanged in extent since the prior exam but appears more hypodense.No abnormal mass l... | Continued evolution of a left corpus callosum infarction without evidence for hemorrhagic conversion |
Generate impression based on findings. | Clinical question: evaluate for hemorrhage. Signs and symptoms: Pregnant, seizure, headache. Unenhanced head CT:No detectable acute intracranial process. CT however is insensitive for the tectum of acute nonhemorrhagic ischemic stroke.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gr... | 1.No acute intracranial process.2.Mild chronic sinus disease and with occluded bilateral ostiomeatal units. |
Generate impression based on findings. | Clinical question: Evaluate for acute intracranial process. Signs and symptoms: Generalized weakness and headache. M. Unenhanced head CT:There is no detectable acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic strokes.Crowding of cerebellar tonsils at the level of foramen magnum of app... | 1.No acute intracranial process.2.Ectopia of cerebellar tonsils of approximately 5 mm similar to prior exam from 2010.3.Sclerotic bony changes of right anterior clinoid and lesser wing of the sphenoid with associated dural-based heavy calcification remain similar to prior study and suspicious for meningioma. This findi... |
Generate impression based on findings. | Clinical question: R/O bleed. Signs and symptoms: Alteration of mental status. Nonenhanced head CT:A large focus of encephalomalacia in the left anterior temporal tip with resultant prominence of adjacent cortical sulci likely representing a focus of chronic ischemic stroke.No detectable acute intracranial process. CT ... | 1.No acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic strokes.2.Excessive age indeterminate small vessel ischemic strokes and left anterior temporal tip encephalomalacia.3.Bilateral symmetrical parietal bony thickening of the skull of unknown etiology. |
Generate impression based on findings. | Reason: Bleed History: Altered mental status 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 edema is identified within the brain parenchyma.The visualized portions of the paranasal s... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Clinical question: Dizziness, history of stroke. Signs and symptoms: Evaluate. Unenhanced head CT:There is no detectable acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic strokes.Prominence of the cerebral cortical sulci and slightly of the supratentorial ventricular system is within n... | No acute intracranial process. |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: CVA. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Periventricular and subcortical low attenuation of white matter although nonspecific is suspected for age indeterminant... | No acute intracranial process. |
Generate impression based on findings. | Clinical question: Prior left centrum semiovale hyperdensity noted. Please evaluate for change. Signs and symptoms: Dysarthria. Nonenhanced head CT:There is revisualization of two well demarcated punctate foci of high density in the left centrum semiovale without interval change. The findings are highly suggestive of c... | 1.Stable two small well demarcated punctate foci of high density in the left centrum semi-a moderate are believed to represent calcification.2.Extensive age indeterminate small muscle ischemic strokes as was noted on prior exam.3.No evidence of any acute new finding since prior study. |
Generate impression based on findings. | 32-year-old female with right costovertebral acute tenderness -- history of L5 -- S1 diskectomy -- rule-out stone. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: N... | No abnormality seen to account for patient's symptomatology. Normal examination. |
Generate impression based on findings. | 52-year-old female with possible IPMN, evaluate for pancreatic cysts. History of chronic pancreatitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hypoattenuating lesion in the left lateral lobe appears similar to the prior exam and likely represents focal fatty infiltration. Status post c... | Cystic lesion in the pancreatic tail is unchanged in size. Differential includes an IPMN (Intrapancreatic mucinous neoplasm) or pseudocyst with an IPMN favored. |
Generate impression based on findings. | Cyclist involved in a bicycle-automobile MVA. Head: There is no intracranial hemorrhage, fluid collection, mass, hydrocephalus or evidence of acute ischemia. Gray-white matter is appropriate in the midline is intact. Visualized portions of the orbits and paranasal air sinuses are normal. There are no visualized bony ab... | 1.No traumatic sequela visualized.2.Degenerative changes at the C5-6 level associated neural foraminal encroachment . |
Generate impression based on findings. | 47-year-old male with chest pain, shortness of breath, atelectasis/consolidation on chest x-ray. PULMONARY ARTERIES: Technically adequate study. Extensive right-sided pulmonary emboli are noted including a large saddle embolus at the distal right main pulmonary artery as well as multiple emboli affecting right upper an... | 1.Extensive pulmonary emboli as described. Mild enlargement of the main pulmonary artery raises the question of pulmonary arterial hypertension.2.6-mm right middle lobe nodule. Follow up CT is recommended in 6-12 months depending on the patient's risk factors. |
Generate impression based on findings. | 68-year-old male status post pancreatic cyst drain placement during course of pancreatitis -- assess current status drains and pancreatic cysts size. ABDOMEN:LUNG BASES: Bibasal are moderately large effusions are again seen with bibasilar atelectasis.LIVER, BILIARY TRACT: No significant change in appearance the liver i... | 1. Interval insertion of 3 gastric -- pancreatic cysts stents with significant reduction in size of cyst collections. 2. Decreasing inflammation around body and tail of pancreas. 3. Decreasing but persistent ascites. 4. Probable intramural gastric small cyst collection unchanged. 5. Several other non-pancreatitis relat... |
Generate impression based on findings. | Reason: fall at home two days prior to presentation, no neuro signs - evaluate for acute intracranial process History: fall There has been a decrease in size of a mass involving the right nasal cavity including the superior and middle turbinates and inferior turbinate and right ethmoid air cells which extends through t... | 1.There is no evidence for acute intracranial hemorrhage mass effect or edema2.the patient is status post partial treatment of a right-sided skull base mass. Overall this mass appears smaller on the current exam when compared to the prior. |
Generate impression based on findings. | Male; 63 years old. Reason: ?reduced History: shoulder pain CT of the upper extremity without contrast enhancement demonstrates persistent mild anterior subluxation of the humeral head in relation to the glenoid. There are subchondral cysts present in the glenoid as well as joint space narrowing and osteophyte formatio... | Persistent mild anterior subluxation of the humerus. If clinically warranted, MRI of the shoulder is suggested to further evaluate the joint and soft tissues. |
Generate impression based on findings. | 23-year-old female with left parietal blunt head trauma, + LOC, + EtOH. Head:There is a scalp laceration with subcutaneous air over the left lateral parietal bone with no underlying fracture or acute intracranial abnormality.The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal ... | 1. No evidence for acute intracranial abnormality. Scalp laceration without fracture.2. No acute fracture or subluxation of the cervical spine. |
Generate impression based on findings. | 52-year-old male with history of kidney stones ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hepatic steatosis. Hyperattenuating region in the left hepatic lobe likely represents focal fatty sparing. SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GL... | Multiple stones, the largest measuring 1.8 cm, within the right renal pelvis with mild right-sided hydronephrosis. Stones within the bladder are also seen. |
Generate impression based on findings. | Reason: Intracranial hemorrhage History: facial palsy and hemiplegia There is a hematoma present in the left frontal lobe associated with a halo of hypodensity compatible with vasogenic edema there is again extensive edema are also present in the left temporal lobe and left parietal lobe apparently independent of the h... | 1.There is a left frontal lobe hematoma present associated with vasogenic edema. Underlying etiology cannot be established on this exam. MRI of the brain may be of further benefit in evaluating this2.vasogenic edema is also present in the left temporal lobe and left parietal lobe apparently independent of the hemorrhag... |
Generate impression based on findings. | 63-year-old male with fever and bacteremia -- evaluate nephrostomy tube. Within the limits of a non-IV contrast enhanced examination, the following observations can be made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Punctate calcification from prior... | 1. Right iliac fossa transplant kidney with percutaneous nephrostomy catheter as described above. 2. No other significant abnormality seen and no source for patient's fever identified. |
Generate impression based on findings. | History of shortness of breath and cough with focal opacities on chest radiograph. LUNGS AND PLEURA: Study limited by motion. Branching, tubular, non-enhancing opacities in the anterior right upper lobe (series 4, image 100) are consistent with bronchocele. Diffuse bronchial wall thickening with scattered bronchial muc... | 1.Bilateral small pleural effusions and moderate pericardial effusion.2.Bronchoceles and bronchial wall thickening with scattered mucous plugging.3.Micronodules with splenic calcifications, likely representing prior granulomatous infection. |
Generate impression based on findings. | Reason: ams History: ams There is continued evolution of a intraparenchymal hemorrhage in the left frontal lobe more than the right which has not progressed since the prior exam. There is associated predominantly vasogenic edema and some cytotoxic edema and there is mass effect present with a midline shift towards the ... | 1.There is continued evolution of bilateral frontal lobe hemorrhages left more than right and left parietal lobe hemorrhage with no new hemorrhage. 2.There is some associated mass effect which is stable3.There is some mild increase in size of the lateral ventricles. This is nonspecific and could relate to less mass eff... |
Generate impression based on findings. | Reason: s/p removal of JP History: ams There is a 27-mm left-sided subdural collection present associated with mass-effect and midline shift. There is associated uncal herniation and shift of the third ventricle approximately 9 mm to the right of midline. The septum pellucidum is shifted approximately 12 mm to the righ... | 1.There is a large extra-axial collection present associated with the significant mass effect including uncal herniation. This does not appear to have changed substantially since previous exams. It appears be hemorrhagic in nature. Its configuration suggests an underlying lesion such as a giant aneurysm or a neoplasm. ... |
Generate impression based on findings. | Reason: colon cancer, evaluate for metastases History: colon cancer CHEST:LUNGS AND PLEURA: Scattered nonspecific pulmonary micronodules are seen measuring up to 4 mm (image 62, series 5). No consolidation or pleural effusion is present.MEDIASTINUM AND HILA: Nonspecific hypodense thyroid nodules are present. Prominent ... | 1.Wall thickening in the transverse colon likely represents the patient's known colon cancer.2.Multiple liver metastases. |
Generate impression based on findings. | 56-year-old male with history of perforated diverticulitis and abscess formation Please note that its unenhanced CT is not sensitive for the detection of solid organ lesions or portal vein thrombosis. With this limitation, the following observations are made.ABDOMEN:LUNG BASES: Interval resolution of bilateral pleural ... | 1.Minimal improvement of inflammatory changes adjacent to the sigmoid colon with slightly decreased abdominal fluid collections.2.Resolution of bilateral pleural effusions.3.Thrombosis of the portal venous system cannot be assessed on this nonenhanced study. |
Generate impression based on findings. | 50 year-old female with with history of stem cell transplant with recent groundglass opacities on CT chest. Also now with abdominal pain. Please evaluate progression of pulmonary opacities and any new abdominal findings to account for pain. CHEST:LUNGS AND PLEURA: Slight increase in the bilateral scattered ground glass... | 1. progression of prior noted groundglass opacities now with some areas of consolidation and air bronchograms worrisome for atypical infection. 2. Anterior abdominal wall ventral hernia containing only mesenteric fat. 3. Subcutaneous edema. 4. No intra-abdominal/pelvic abnormality seen to account for patient's symptoms... |
Generate impression based on findings. | 53 year old female. Right lower jaw swelling, tenderness. History of prior abscess. Assess for Ludwig's, abscess. There is subcutaneous reticulation and stranding in the submandibular and submental region bilaterally. There is no fluid collection seen. Multiple bilateral prominent submental and submandibular lymph node... | Subcutaneous inflammation about the submandibular and submental regions compatible with cellulitis with associated prominent nonenlarged lymph nodes which are likely reactive in etiology. Mild enlargement of right submandibular gland could be source of infection or sequela of adjacent cellulitis.No fluid collection is ... |
Generate impression based on findings. | Reason: h/o Crohn's evaluate for inflammation, stricturing dz History: abd pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS,... | Bowel wall thickening predominantly in the jejunum is present without definite stricture or bowel obstruction. |
Generate impression based on findings. | 64-year-old male with acute onset of left upper quadrant pain. Evaluate for spleen infarct, Diverticulitis. Within the limits of a non-IV contrast enhanced examination limiting evaluation of the solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: Increased right ... | 1. Bibasilar pleural effusions and atelectasis. 2. Interval insertion of percutaneous gastrostomy tube with expected appearance and no complications identifiable. 3. Non-IV contrast examination spleen appears normal -- see above discussion. 4. No evidence for intrinsic bowel abnormality and specifically no evidence of ... |
Generate impression based on findings. | Reason: pancreatic cancer restaging History: metastatic pancreatic cancer restaging CHEST:LUNGS AND PLEURA: Stable numerous pulmonary nodules. For example, index right lower lobe pulmonary nodule measures 6 mm (series 12, image 84). Interval development of ground glass nodules in atrium by distribution in the right upp... | 1. Stable hypodense mass in the pancreatic tail extending into the splenic hilum with interval decrease in the peritoneal carcinomatosis.2. Persistent small bowel obstruction with nonvisualization of the mesentery mass at the prior noted transition point. Other mesenteric/omental masses have decreased in size or are no... |
Generate impression based on findings. | Reason: mesothelioma, please evaluate for disease and compare with previous History: mesothelioma CHEST:LUNGS AND PLEURA: No evidence of pleural disease. Periseptal nodularity along at the left lung base is unchanged. Additional small nodular densities in the left costophrenic angle are most likely atelectatic lung but... | 1.Peritoneal soft tissue masses compatible with mesothelioma are stable to slightly increased insize. Reference measurements provided.2.Left adrenal nodule is incompletely characterized, stable in size.3. No evidence of pulmonary disease. |
Generate impression based on findings. | History of leiomyosarcoma, evaluate for progression. LUNGS AND PLEURA: Multiple nodular opacities suspicious for metastases with no significant change from the prior exam. The index right apical nodule (series 4, image 15) is unchanged and measures 4.3 mm, previously 4.9mm. No new suspicious nodules.MEDIASTINUM AND HIL... | 1.Nodular lung opacities consistent with metastases without significant change from prior exam.2.Hypodense liver lesions consistent with metastases without significant change from prior exam. |
Generate impression based on findings. | 72-year-old male with history of esophageal cancer, evaluate positive left upper lobe process as well as left adrenal. CHEST:LUNGS AND PLEURA: A tubular opacity is noted in the left upper lobe measuring 20 x 10 mm (series 5, image 37). This opacity is located along the distal aspect of a left upper lobe segmental bronc... | 1.Tubular opacity in left upper lobe as described correlates with area of increased uptake on outside hospital PET CT and appears similar to the prior outside hospital chest CT from 6/13/13. Given its persistence and imaging characteristics, this lesion is highly suspicious for metastatic disease, with a benign etiolog... |
Generate impression based on findings. | Reason: osteosarcoma. History: osteosarcoma right chest wall. LUNGS AND PLEURA: 9-mm right upper lobe sharply defined nodule (series 10239, image 27) suspicious for a metastasis given the clinical context. A smaller subpleural nodule in the right upper lobe (arrow) is also suspicious for a metastasis.Elevation of the r... | 1. Small right upper lobe nodules, suspicious for metastases.2. Large right subdiaphragmatic mass with chest wall invasion consistent with a history of osteosarcoma. |
Generate impression based on findings. | Reason: Pt with hx of HNC s/p CRT >1 year. Please re-eval and compare History: as above CT neck:Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated.W... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.No evidence for brain metastases. |
Generate impression based on findings. | 55 year old female with weakness and history of metastatic breast cancer with known brain and bone metastases, evaluate for progression CHEST:LUNGS AND PLEURA: Resolution of scattered groundglass opacities. Focal nodular opacity in the left upper lobe measures 2.6 x 2.8 centimeters (8/37) and is new from the prior exam... | 1.Increased size of right breast mass.2.Increased right axillary and mediastinal lymphadenopathy.3.Hepatic dome lesion is increased in size and likely represents metastatic disease. Heterogeneity and foci of hypoattenuation within the liver is new and suspicious for diffuse hepatic involvement. Further evaluation with ... |
Generate impression based on findings. | 59-year-old male with mechanical fall with loss of consciousness. There is a soft tissue laceration over the right occipital bone with subcutaneous air. No underlying bone fracture or intracranial pathology.There is mild patchy hypodensity of the white matter consistent with age indeterminate small vessel ischemic chan... | No evidence for acute intracranial abnormality. Mild age indeterminate small vessel ischemic changes. |
Generate impression based on findings. | Reason: Pre-Kidney Transplant Evaluation. Please evaluate aorta and iliac vessels for kidney transplant History: Pre-Kidney Transplant evaluation ABDOMEN:LUNG BASES: Moderate to severe atheromatous calcifications are noted in the coronary vessels.The lack of IV contrast limits evaluation of abdominal organs.LIVER, BILI... | Moderate to severe atherosclerotic disease in the abdominal aorta and iliac arteries. |
Generate impression based on findings. | Reason: Pt with hx of HNC s/p CRT >1 year. Please re-eval and compare History: as above CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant lymphadenopathy.Mild coronary artery calcification.CHEST WALL: Degenerative disease in the thoracic spine.ABDOMEN: Absence of enteric cont... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: pt with history of bladder cancer, s/p 4 cycles of chemotherapy. please assess for disease progression History: bladder cancer CHEST:LUNGS AND PLEURA: Nonspecific peripheral reticulation is unchanged. No consolidation or pleural effusion. No suspicious pulmonary nodule or mass. MEDIASTINUM AND HILA: No mediasti... | Status post cystectomy without evidence of recurrent or residual disease. No pelvic lymphadenopathy. |
Generate impression based on findings. | 57-year-old female with history of shortness of breath, fever, malaise. Status post lung transplant 6 months ago. LUNGS AND PLEURA: Focal consolidation is noted in the right upper and middle lobes with right middle lobe atelectasis. Patchy consolidation and ground glass opacities are noted in the right lower lobe. Ther... | 1. Focal consolidation in the right upper and middle lobes and patchy consolidation/groundglass opacities throughout the left lower lobe are suggestive of an acute infectious process. Posttransplant lymphoproliferative disorder is also a differential consideration given the history of lung transplantation and the prese... |
Generate impression based on findings. | 58-year-old male history of bladder cancer status post cystoprostatectomy with neobladder. Evaluate for recurrent or metastatic disease. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality ... | 1. Stable appearance to the kidneys with prominent left hydronephrosis unchanged. 2. Prior cystoprostatectomy without evidence of recurrent tumor and normal-appearing continent neobladder. 2. Stable appearance to the loculated fluid collection anterior to left psoas muscle. |
Generate impression based on findings. | 14 year-old male with mandibular hypoplasia and status post mandibular distraction. The external mandibular distractor is in place. There is redemonstration of postsurgical changes of the mandible osteotomy, left mandibular condylar process and right coronoid process resection. There is redemonstration of severely abno... | 1. Status post external mandibular distraction, mandible osteotomy, left mandibular condylar process and right coronoid process resection. 2. Improvement of the severe overbite with the mental portion of the mandible being in the normal position. There is however persistent overbite at the left mandibular body and unde... |
Generate impression based on findings. | Female 56 years old with MET PANCREATIC NEURO ENDOCRINE TUMOR OFF SANDOSTATIN THERAPY. EVALUATE FOR INTERVAL GROWTH OF TUMOR History: PNET LUNG BASES: No nodules or mass detected. Right breast prosthesis seen at highest level. There is situs inversus.ABDOMEN:LIVER, BILIARY TRACT: Numerous arterially enhancing hepatic l... | 1. Numerous hepatic metastases, not significantly changed. 2. Stable lymphadenopathy.3. decrease in size of the nonspecific subcutaneous fat lesions posteriorly.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 67 year old female with mesothelioma status post chemotherapy, compare to outside study CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusions. No suspicious nodules or masses.MEDIASTINUM AND HILA: Left thyroid nodule. No mediastinal or hilar lymphadenopathy. The main pulmonary artery diameter measures 34 ... | 1.Soft tissue within the peritoneum and mesentery compatible with mesothelioma is decreased from the prior exam.2.Pelvic ascites, decreased from prior exam. |
Generate impression based on findings. | Reason: h/o HNC, compare to previous, measurements pls, s/p CRT History: none LUNGS AND PLEURA: Suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy.Cardiac size is normal without evidence of the pericardial effusion.Mild coronary artery calcification.CHEST WALL: Old rib ... | No evidence of metastatic disease without interval change. |
Generate impression based on findings. | Reason: pt with lung ca s/p chemo ended 10/2012 History: now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Right lower lobe reference nodule 25 x 25 mm, slightly increased from 23 x 22 mm.Spiculated mass anterior to the right hilum in the right upper lobe and middle lobe 45 x 37... | Slight increase in multiple pulmonary nodules. |
Generate impression based on findings. | Reason: 67 yo M w know lung cancer, eval for post-obstructive pna History: cough, dyspnea LUNGS AND PLEURA: Severe diffuse centrilobular emphysema.Within the posterior basal segment of the right lower lobe, groundglass opacity suspicious for hemorrhage related related to pulmonary infarct. There is postobstructive atel... | 1.Extensive right-sided pulmonary embolus initiating at the mid right pulmonary artery and extending to right lower lobe subsegmental branches. This embolus extends into the right superior lobar pulmonary artery. Groundglass within the posterior basal segment right lower lobe suspicious for hemorrhage related to pulmon... |
Generate impression based on findings. | Reason: lung cancer screening -- LOW DOSE CONTRAST History: asymptomatic smoker LUNGS AND PLEURA: Scattered, nonspecific micronodules some, which may be intrapulmonary lymph nodes.No suspicious pulmonary nodules or masses.Minimal basilar scarring.No pleural effusions.MEDIASTINUM AND HILA: No mediastinal or hilar lympha... | No significant pulmonary or pleural abnormalities. No suspicious nodules or masses. |
Generate impression based on findings. | Reason: History of prostate and rectal cancer; on therapy for former, on observation for latter; assess for progression History: none ABDOMEN:LUNG BASES: Nonspecific subcentimeter pulmonary micronodules are again seen lung bases. LIVER, BILIARY TRACT: Calcified granulomata are again noted.SPLEEN: Calcified granulomata ... | 1.Increase in right inguinal lymphadenopathy.2.Sclerotic focus in T8 is new from 1/22/2013. Additional osseous metastases are stable. |
Generate impression based on findings. | Reason: h/o HNC, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Interval improvement in the tree in bud and ground glass opacities in the right middle lobe. However, there has been increasing subsegmental atelectasis.Reference nodule in the right middle lobe (image 73, series 4) is stable, ... | 1.Mild interval improvement in the right middle lobe tree in bud and ground glass opacities, most likely were representing aspiration/infection. Interval increase in the subsegmental atelectasis in the right middle lobe.2.Stable right middle lobe nodule and mediastinal/hilar lymphadenopathy.3.No evidence of metastatic ... |
Generate impression based on findings. | Reason: WF w metastatic pancreatic cancer, eval EOD, compare to previous CHEST:LUNGS AND PLEURA: Numerous pulmonary nodules are noted throughout the lung fields, with one selected in reference left lower lobe node measuring 17 x 7 mm. These are compatible with metastatic disease.MEDIASTINUM AND HILA: No significant abn... | 1. Interval placement of a cholecystostomy tube for the previously noted cholecystitis2. Abdominopelvic ascites, some of which is loculated.3. Pancreatic head mass is unchanged in size.4. Stable placement of biliary stent with decreased intrahepatic biliary ductaldilatation as described above.5. Dilatation of the stoma... |
Generate impression based on findings. | Reason: large cell lung ca, s/p chemo and RT in 2008, pls c/w previous study and evaluate dz status. History: lung ca CHEST:LUNGS AND PLEURA: Dense right mediastinal and perihilar radiation reaction.No suspicious pulmonary nodules.Interval clearing of mucus from the left main bronchus.MEDIASTINUM AND HILA: No significa... | Radiation reaction and no sign of recurrent or metastatic disease. |
Generate impression based on findings. | 71 year-old male with lung cancer and recent progression. There is a 6 x 6-mm enhancing focus in the superoposterior vermis. There is no associated mass effect. There is mild patchy hypoattenuation in the cerebral white matter. The ventricles, sulci, and cisterns are symmetric and prominent, representing volume loss. T... | 1. Small enhancing focus in the superoposterior vermis. This is suspicious for metastatic disease given clinical history provided. Other etiology, such as small vascular malformation cannot be ruled out. MRI brain may be considered for further evaluation. 2. Mild small vessel ischemic disease of indeterminate age. |
Generate impression based on findings. | Reason: history of R lung cancer s/p palliative RT in 2/2013, restaging exam History: SOB CHEST:LUNGS AND PLEURA: Interval decrease in the right middle lobe nodule, now 7 x 10 mm compared to 11 x 17 mm previously, likely due to infection.Multiple additional small nonspecific nodular and scar like opacities, without sig... | 1.Decreased right middle lobe nodule, likely inflammatory. No specific evidence of metastases.2. Severe atherosclerotic vascular disease. |
Generate impression based on findings. | 78-year-old male with history of urothelial cancer, on surveillance. CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusions.No suspicious nodules or masses.MEDIASTINUM AND HILA: Moderate coronary artery calcifications. Heart size is normal without pericardial effusion. Calcified mediastinal lymph nodes are... | Stable examination without evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 49 year old female. Shortness of breath. Check for subglottic stenosis. Sarcoidosis on epiglottitis. Sarcoidosis and sinusitis. Neck soft tissue:Multiple subcentimeter lymph nodes are again seen throughout the neck, although they are again not enlarged by CT criteria. The lymph nodes are stable in size. Retropharyngeal... | 1.Widely patent airway, without evidence of stenosis.2.No cervical lymphadenopathy by imaging criteria.3.Acute on chronic paranasal sinusitis and postoperative sinus changes as detailed above. |
Generate impression based on findings. | Reason: stage IVa lung adenocarcinoma not on treatment. Compare with April 2013 images to establish growth trajectory History: none CHEST:LUNGS AND PLEURA: 35 x 32 mm left upper lobe nodule, increased from 29 x 28 mm previously.At least 3 additional small non-solid nodules in the right upper and right lower lobes have ... | 1. Interval increase in size of left upper lobe nodule.2. Slight increase in size of several nonsolid nodules in the right lung over the past year suspicious for independent primary adenocarcinomas. |
Generate impression based on findings. | Reason: Restaging scans after 8 cycles on clinical trial IRB 11-0049 with sutent/peptide. Please provide lesion measurements in accordance to RECIST 1.1. History: hx/o renal cancer CHEST:LUNGS AND PLEURA: Emphysema seen predominantly in the upper lobes. Scattered pulmonary micronodules are again noted, some which are c... | 1.Bowel wall thickening in the ascending colon may represent colitis.2.No significant change in the metastases or retroperitoneal lymphadenopathy. |
Generate impression based on findings. | Male 72 years old; Reason: r/o mets; history of advanced kidney cancer History: none CHEST:LUNGS AND PLEURA: There are multiple metastatic pulmonary deposits. An index lesion in the right lower lobe measures 1.9 x 1.4 cm (image 64/series 5). The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is top normal. N... | 1.Lung lesions compatible with metastases.2.L5 pedicular lesion suspicious for metastatic disease.3.Probable metastatic disease to the liver which is suboptimally evaluated. |
Generate impression based on findings. | Reason: history of testicular cancer, s/p chemo and RPLND; assess for recurrence History: none LUNGS AND PLEURA: Stable 5-mm groundglass nodule within the left lower lobe and adjacent probable intrapulmonary lymph node.No new suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: Stable resid... | 1.No interval change in the 5-mm groundglass nodule in the left lower lobe compared to the prior two exams.2.No evidence of metastatic disease. |
Generate impression based on findings. | Noncontrast ILD protocol, dyspnea and cough LUNGS AND PLEURA: Diffuse honeycombing and bronchiectasis extending from the apices to the bases in a predominantly peripheral distribution. On high resolution images, the spared central lung demonstrates thickened intralobular septal thickening without air trapping. The patt... | 1.Diffuse honeycombing and bronchiectasis extending into the posterior costophrenic sulci consistent with UIP.2.No mediastinal or hilar lymphadenopathy. |
Generate impression based on findings. | 60 female who multiple myeloma. Recent history of diverticulitis with contained rupture of sigmoid colon. Evaluate for abnormality. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Multiple benign cysts seen throughout the liver. No significant lesion seen in liver. Portal veins and hepatic vei... | 1. Diffuse diverticular changes throughout the entire colon -- no active erosive inflammation seen at the current time. See above discussion. 2. Enlarging lytic lesion in left iliac bone when compared with 2011 MR examination which is worrisome for a myeloma. If patient has outside imaging examinations in this region o... |
Generate impression based on findings. | 53-year-old female with history of GI stromal tumor -- evaluate for recurrence. CHEST:LUNGS AND PLEURA: Stable scattered calcified and non-calcified pulmonary micronodules.MEDIASTINUM AND HILA: No adenopathy. No abnormal masses or fluid collections.CHEST WALL: Bilateral breast prostheses Without complication evident..A... | 1. Stable examination with no evidence of recurrent or metastatic disease. 2. Transient intussusception in the jejunum -- see above discussion. |
Generate impression based on findings. | Male 75 years old; Reason: 75 y/o M w/ h/o prostate ca s/p radiation/hormonal therapy presents w/ rising PSA c/w disease progression. please evaluate for metastatic disease History: hematuria CHEST:LUNGS AND PLEURA: No dominant lung lesion. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No per... | 1.No evident metastatic disease.2.Colonic diverticulosis. |
Generate impression based on findings. | Reason: Surveillance Bladder cancer History: H/O urothelial cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No nodal adenopathy detected in mediastinum and hila. The Esophagus is dilated throughout its cervical and thoracic course.CHEST WALL: Patient is status-post CABG with sternot... | Interval resolution of the right iliacus muscle collection, likely hematoma and decrease in the right pelvic lymphocele. No evidence of recurrence. |
Generate impression based on findings. | 12 month old female with head trauma. There is soft tissue swelling in the right forehead and periorbital region. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acu... | No acute intracranial abnormality. Soft tissue swelling in the right forehead and periorbital region, with no evidence of calvarial fracture. |
Generate impression based on findings. | Reason: assessment of chest nodule History: nodule on CXR LUNGS AND PLEURA: There is a heterogeneous right middle lobe nodule that measures approximately 22 x 25 mm (series 5 image 172) . There is associated coarse calcification and macroscopic fat (-66HU), however is atypical for that of a hamartoma, given the surroun... | 1.Right middle lobe pulmonary nodule measures 22 x 25 mm. There are features suggestive of benignity, including macroscopic fat and popcorn-like calcification in the setting of prior granulomatous disease. However, the associated spiculation is atypical. Continued follow-up imaging or comparison to outside cross-sectio... |
Generate impression based on findings. | 37-year-old male with bladder cancer -- rule-out metastases. ABDOMEN:LUNG BASES: No change noted in the peripheral lower lobe reticular opacities and nodularity. No evidence for new masses, nodules or effusions.LIVER, BILIARY TRACT: No significant abnormality noted in liver -- benign perfusion abnormality seen in the a... | 1. Status post cystoprostatectomy without evidence of recurrent tumor. 2. Patent and neobladder with normal expected appearance. 3. Kidneys and ureter appear normal without evidence of urinary tract neoplasm. |
Generate impression based on findings. | Male 22 years old; Reason: 22 yo male with severe nausea/vomiting, left lower quadrant abdominal pain. Evaluate for etiology History: Nausea ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abno... | 1.Unremarkable CT scan of the abdomen and pelvis without definite evident inflammatory changes. |
Generate impression based on findings. | 68-year-old male with history of mantal cell non-Hodgkin lymphoma status post two treatments cycles. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant adenopathy seen.CHEST WALL: Right chest Port-A-Cath with tip the catheter at the confluence of the brachiocephalic veins. Righ... | Decreasing size of right axillary lymph nodes with measurements as provided above. No other enlarged lymph nodes seen in chest abdomen or pelvis. |
Generate impression based on findings. | Reason: pt. with pericardial effusion s/p pericardiocentesis with pericardial drain in place; pt. with poor viewing windows on echo; assess for size of remaining effusion History: chest pain, shortness of breath LUNGS AND PLEURA: Bibasilar and lingular subsegmental atelectasis.MEDIASTINUM AND HILA: There is a pericardi... | No residual pericardial effusion or hematoma. Pericardial drain in excellent position. |
Generate impression based on findings. | Reason: h/o of T1NO oral tongue scca History: post operative surveillance LUNGS AND PLEURA: A scattered calcified and noncalcified micronodules.Mild basilar scarring and dependent atelectasis.No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy.Cardiac size is normal w... | No evidence of metastatic disease. |
Generate impression based on findings. | Male with peritonitis in the right lower quadrant and leukocytosis, evaluate for appendicitis. History of gastric cancer status post gastrectomy and pancreatitis. ABDOMEN:LUNG BASES: Right lower lobe linear atelectasis. Bronchiectasis and consolidation in the right middle lobe. Left lower lobe bronchiectasis with mucus... | 1.Acute gangrenous cholecystitis.2.Mild intrahepatic and extrahepatic biliary ductal dilatation. This may be due to intrinsic occlusion or extrinsic compression of the biliary system.3.Bronchiectasis, mucous plugging and small foci of consolidation are suggestive of an infectious etiology. |
Generate impression based on findings. | 68 year-old male with history of Mantle cell NHL and status post 2 cycles of chemotherapy. The orbits are unremarkable except for lens prostheses. There are postsurgical changes of the endoscopic sinus surgery and minimal mucosal thickening in the paranasal sinuses. The mastoid air cells are clear. Limited view of the ... | No cervical lymphadenopathy by imaging size criteria. |
Generate impression based on findings. | 80 year-old male -- colon cancer restaging CHEST:LUNGS AND PLEURA: Stable appearance since 2011 of nonspecific micronodules and the clustered centriblobular nodules in the left lower lobe.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No s... | 1. Postsurgical changes in the colon without evidence for recurrent tumor. 2. No evidence for metastatic disease identified with stable examination compared with prior. |
Generate impression based on findings. | Reason: h/o of T1NO oral tongue scca History: post operative surveillance Since prior exam the left mandibular gland has been removed. There is a nodule of thickening along the right posterior aspect of the mucosal surface of the lung measuring 5 mm in sizeWithin the suprahyoid neck on the basis of size criteria for ly... | 1.No evidence for neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.a small focus of nodular thickening at the mucosal surface of the right tongue base is nonspecific. Please correlate with visual inspection of the tongue.3.Degenerative changes in the cervical spine worse at C5-6 and C4-5 and C... |
Generate impression based on findings. | 55-year-old female with known abdominal aortic aneurysm status post repair 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 normal pericardial effusion.Thoracic aortic stent graft extending from... | 1.Stent graft across the aortic arch. The aneurysm extends distally beyond the stent graft with a sharp transition in the mid descending aorta.2.Occlusion of the left renal vein with atrophy of the superior left kidney.3.Cholelithiasis without evidence of cholecystitis.4.Hepatic steatosis. |
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