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Generate impression based on findings. | 32-year-old male with history of melanoma with known hemorrhagic brain metastases now with left -sided weakness. There is an oval shaped, hyperattenuated lesion measuring 11 x 12 x 17 millimeters in the right frontal lobe with extensive vasogenic edema involving the posterior right frontal lobe and some parietal lobe. ... | 1. Hyperdense, probable hemorrhagic, nodule with extensive surrounding edema with moderate associated mass effect located in the right frontal lobe.2. Punctate focus of hyperattenuation in the posterior left cerebellar hemisphere. May be due to dystrophic calcification or small amount of blood product. |
Generate impression based on findings. | History of non-small cell lung cancer, followup. CHEST:LUNGS AND PLEURA: Increasing size of the right apical and lower lobe masses with air bronchograms, adjacent ground glass opacities and interstitial nodularity. The reference right lower lobe nodule is now indistinguishable from the right lower lobe consolidation.Le... | Increased bilateral tumor burden with increased pericardial effusion and unchanged mediastinal lymphadenopathy. |
Generate impression based on findings. | Reason: s/p LUL resection for lung cancer History: sob LUNGS AND PLEURA: Postsurgical scarring and staples in the left upper lobe.Biapical scarring and 5 mm stable nodule in the right upper lobe (arrow).Focal nodular scar like opacity in the right middle lobe, unchanged.Mild upper zone emphysema.MEDIASTINUM AND HILA: M... | No specific evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Reason: neuroendocrine tumor of lung, s/p chemo and RT to lung and pancreas ,pls c/w previous study and evaluate dz status. History: neuroendocrine tumor of lung. CHEST:LUNGS AND PLEURA: Bilateral paramediastinal radiation reaction.Multiple nonspecific micronodules, unchanged.Reference left posterior costophrenic angle... | Stable disease with very slight increase in a left cardiophrenic angle lymph node.. |
Generate impression based on findings. | 72 year-old female with metastatic thyroid cancer. CHEST:LUNGS AND PLEURA: Stable appearance of the numerous bilateral pulmonary metastatic nodules. The reference left lower lobe nodule is unchanged at 1.4 x 1.2 cm (5/92).MEDIASTINUM AND HILA: Increased size of the reference of right paraesophageal mass, measuring 2.8 ... | Increased size of the paraesophageal and right iliac bone metastatic foci. Stable pulmonary metastatic disease. |
Generate impression based on findings. | 84-year-old female with history of abdominal pain, gas, blotting 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: B... | Distended mid small bowel loops with decompressed proximal and more distal small bowel loops suggestive of closed loop obstruction. Etiology is unknown but may be secondary to internal herniation.Likely parapelvic cysts in bilateral kidneys. |
Generate impression based on findings. | Right lung nodule slowly growing in time since 2008 to 2013 from 7.8 to 1.1-cm based on most recent 2013 reports. LUNGS AND PLEURA: Slightly lobulated nodule in the lateral segment of the right middle lobe extends to the right minor fissure causing slight retraction and a spiculated appearance. Lesion measures 1.1 x 1.... | 1. Interval increase in size and density of right middle lobe nodule. Although it contains internal lipid attenuation and could represent a hamartoma, the presence of irregular margins and tethering of the adjacent right minor fissure are atypical features which may indicate malignancy. Therefore further assessment wit... |
Generate impression based on findings. | 53 year old male with intracranial hemorrhage status post external ventricular drain placement. There is an anterior approach ventriculostomy shunt through the previously described right frontal burr hole terminating in the third ventricle. There is some air within the right lateral ventricle, anterior horn as well as ... | 1. Relatively stable left cerebellar hemorrhage with relatively stable local mass effect.2. Anterior approach ventriculostomy shunt terminates in the third ventricle.3. Decrease in prominence of the right frontoparietal subdural hematoma. |
Generate impression based on findings. | History of cough with mediastinal mass. LUNGS AND PLEURA: Azygous fissure. No significant abnormality noted.MEDIASTINUM AND HILA: Large, lobulated, homogenous anterior mediastinal mass in the prevascular space measuring 8.7 x 3.9 cm axially and 9.5 cm in the craniocaudal dimension, likely lymphoma. This lesion is parti... | Large anterior mediastinal mass most likely lymphoma, less likely teratoma or thymoma. |
Generate impression based on findings. | Lung cancer and chylothorax. CHEST:LUNGS AND PLEURA: Persistent stable appearing dense consolidation in the associated atelectasis and cavitation the right upper lobe. Note apparent interval change. Decreased lung volumes with associated large left pleural effusion also unchanged. No new suspicious intrapulmonary left ... | 1. Marked right subclavian and questionable right jugular stenosis with associated extensive collateral blood flow.2. Stable pulmonary disease and effusions. Reference measurements provided |
Generate impression based on findings. | Right-sided chest pain per patient. Dyspnea on exertion. Evaluate for PE. PULMONARY ARTERIES: Adequate infusion quality. Main pulmonary artery is enlarged, measuring 32 mm in diverse dimension, suggesting pulmonary hypertension. No filling defects within the pulmonary arteries. In the subpleural regions, peripheral sma... | 1. No evidence of acute pulmonary embolus.2. Multiple peribronchovascular distribution pulmonary nodules, most of which have spiculated or poorly defined margins and at least one that demonstrates possible enhancement. These appear to have increased in size and number compared to the prior examination where they had a ... |
Generate impression based on findings. | 66-year-old female with history of ovarian cancer status post hysterectomy and oophorectomy, chemotherapy with right pleural effusion status post thoracentesis and shortness of breath CHEST:LUNGS AND PLEURA: Interval resolution of right-sided pleural effusion. No focal consolidation. Biapical scarring. 5-mm right lower... | 1.Markedly improved omental and peritoneal carcinomatosis.2.Decreased lymphadenopathy in the retroperitoneum and pelvis.3.Interval resolution of right-sided pleural effusion.4.Nonspecific scattered irregular pulmonary nodules and micronodules may be post infectious, however continued follow-up is recommended.5.New left... |
Generate impression based on findings. | Check for pulmonary embolus. Patient with difficulty breathing and altered mental status. Neoplasm of the kidney. PULMONARY ARTERY: Exam is severely limited due to patient size and poor signal to noise ratio. In addition, all as timing is suboptimal with poor visualization of the pulmonary vasculature. Evaluation can o... | 1. No findings to suggest pulmonary embolus in the limited exam, See detail provide2. Moderate nonspecific cardiomegaly with suspected mild CHF. |
Generate impression based on findings. | Male 59 years old; Reason: assess for hematuria History: assess for hematuria ABDOMEN:LUNGS BASES: 2 x 2.5-cm nodular density right middle lobe is incompletely characterized on CT of the abdomen pelvis. There is suggestion of right hilar lymphadenopathy although incompletely seen. Lymphangitic spread of tumor cannot be... | 1.Enhancing exophytic mass off of the posterior aspect mid pole right kidney worrisome for RCC.2.Stone at the right ureterovesicular junction, correlate for passed stone.3.2 x 2.5-cm nodule in the right middle lobe with associated right hilar lymphadenopathy and completely characterized on this examination. CT chest ad... |
Generate impression based on findings. | History of pulmonary nodule, please reevaluate LUNGS AND PLEURA: Interval continued resolution of the previously described left lower lobe nodular density with only a small residual flat scar (image 16 series 5). Stable mild postradiation changes and additionally stable small focal ground glass nodule in the anterior s... | 1. Interval resolution with minimal residual scarring of the left lower lobe nodule, likely postinflammatory.2. Pericardial effusion |
Generate impression based on findings. | 57 year-old female with history of pancreatitis, now with high drain output and fever ABDOMEN:LUNG BASES: Unchanged small bilateral pleural effusions with collapse of the bilateral lower lobes.LIVER, BILIARY TRACT: No significant abnormality noted. Status post cholecystectomy.SPLEEN: No significant abnormality noted.AD... | Interval increase in the abdominal and pelvic ascites. |
Generate impression based on findings. | 85 year-old woman with urothelial cancer. Evaluate for recurrence status post cystectomy in 2007. Ileal conduit. Delayed views, CT urogram with 3-D reconstructions. ABDOMEN:LUNG BASES: Small bulla and minimal subsegmental atelectasis. No masses. Calcified subcarinal lymph node. Coronary artery calcifications.LIVER, BIL... | Mild intrahepatic biliary ductal dilatation of unclear etiology; correlate with bilirubin. Small retroperitoneal nodes as measured above. Chronic left hydronephrosis with significant cortical atrophy. |
Generate impression based on findings. | Clinical question: rule out intracranial hemorrhage. Signs and symptoms: Altered mental status. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for dictation acute nonhemorrhagic ischemic strokes.Extensive periventricular and subcortical low attenuation of white matter is highly ... | 1.No evidence of acute intracranial process.2.Extensive small vessel ischemic strokes of indeterminate age.3.Right frontal and left occipital chronic ischemic strokes. |
Generate impression based on findings. | Clinical question: Rule out bleed. Signs and symptoms: Syncope while sitting on Coumadin. Nonenhanced head CT:No evidence of acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic stroke.Left occipital encephalomalacia consistent with a chronic ischemic stroke is noted. Prominence ... | No acute intracranial process. |
Generate impression based on findings. | Clinical question: Rule out stroke. Signs and symptoms: Very vision and headache. Nonenhanced head CT:No detectable acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter differen... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Evaluate for bleed. Signs and symptoms: Headache. Nonenhanced head CT:No accurate intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic strokes. Examination however demonstrates extensive periventricular and subcortical low attenuation of white matter concerning for a... | 1.Advanced age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Clinical question: Patient presents with altered mental status. Rule out hemorrhage. Signs and symptoms: More somnolent. Nonenhanced head CT:No evidence of acute intracranial process. CT however is insensitive for detection of acute non-hemorrhagic ischemic strokes.Cerebral cortex, cortical sulci, ventricular system, C... | No acute intracranial process. |
Generate impression based on findings. | Clinical question: Rule out intracranial hemorrhage. Signs and symptoms: Syncope. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic stroke.Cerebral cortex, cortical sulci, ventricular system, and CSF cisterns and gray -- white matter differenti... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Evaluate intracranial hemorrhage. Signs and symptoms: Dizziness, recent falls. Nonenhanced head CT:Focus of encephalomalacia along the posterior aspect of right cerebellum is consistent with a chronic ischemic stroke. There is resultant mild ex vacuo prominence of the fourth ventricle.Images through ... | 1.No acute intracranial process.2.Right cerebellar chronic stroke, small right superior frontal gyrus chronic ischemic stroke and a small right basal ganglia/caudate nuclei lacunar infarct and unremarkable exam otherwise. |
Generate impression based on findings. | Clinical question: Evaluate. Signs and symptoms: Weakness and headache. Nonenhanced head CT: No detectable acute intracranial process. CT is however intensity for detection of acute ischemic stroke.Minimal periventricular and subcortical low attenuation of white matter believed to represent age indeterminate to small v... | 1.No acute intracranial process.2.Minimal small vessel ischemic strokes of indeterminate age.3.Evidence of prior right sided craniotomy and placement of two aneurysm clip on the right as detailed. |
Generate impression based on findings. | Clinical question: Evaluate subdural hematoma. Signs and symptoms: Subdural hematoma. Nonenhanced head CT:A previously known large left hemispheric mixed density subdural remains essentially similar to prior study in size, mass effect, extent and density.Postoperative changes of a small high convexity left paramedian f... | 1.No convincing evidence of new hemorrhage since prior exam.2.Stable large left hemispheric subdural in density, extent and overall mass effect.3.Stable postoperative changes of left frontal burr hole and a small intracranial hematoma under the burr hole.4.Stable approximately 12 mm midline shift to the right since pri... |
Generate impression based on findings. | Clinical question: Evaluate for sinusitis. Signs and symptoms: Fevers, NG tube. Maxillofacial CT:Frontal sinuses demonstrate minimal callosal thickening/retention cyst and unremarkable otherwise.Ethmoid sinuses demonstrate minute because of thickening and unremarkable otherwise.Sphenoid sinus demonstrates minute mucosa... | 1.No evidence of acute sinusitis.2.Very minimal patchy mucosal thickening and small retention cyst as detailed above.3.Mastoid air cells and bilateral middle cavities are well pneumatized. |
Generate impression based on findings. | 82 year old female with history of abdominal aortic aneurysm. ABDOMEN:LUNG BASES: Right lower lobe atelectasis.LIVER, BILIARY TRACT: High density within the gallbladder lumen likely represents stones.SPLEEN: Punctate calcifications likely represent granulomas.PANCREAS: No significant abnormality notedADRENAL GLANDS: 1.... | 1.Stable abdominal aortic aneurysm.2.Cholelithiasis without evidence of cholecystitis.3.Interval compression deformity at T9 |
Generate impression based on findings. | Clinical question: Hemorrhage. Signs and symptoms: Altered, loss of consciousness. Nonenhanced head CT:A dissecting hematoma in the left cerebellum with extension of hemorrhage into the fourth ventricle is again identified. There is no convincing evidence of any increased size of left cerebellar hematoma.The fourth ven... | 1.No evidence of any new acute finding since prior study.2.Stable large left cerebellar hematoma with dissection into the fourth ventricle in size, extent and overall mass effect.3.Stable shunted supratentorial ventricular system without evidence of hydrocephalus. |
Generate impression based on findings. | 43-year-old with history of hysterectomy and oophorectomy for endometriosis presenting with right lower quadrant. Evaluate for adhesions or recurrent endometriosis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: The liver parenchyma is normal with no enhancing lesions detected. Subcentimeter ... | No evidence of obstruction. No free fluid or fluid collections to suggestrecurrent endometriosis. |
Generate impression based on findings. | History of RCC status post left nephrectomy and right partial nephrectomy ABDOMEN: Please note that this examination is limited in sensitivity for solid organ pathology due to lack of IV contrastLUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant ab... | Interval resection of the interpolar mass. No contour-deforming mass is evident. If further non-contrast screening is warranted, non-contrast MR would be helpful for detection of small lesions. |
Generate impression based on findings. | Clinical question: Evaluate for intracranial abnormality. Signs and symptoms: Fever is and headache. Enhanced head CT:There is no detectable abnormal parenchymal or leptomeningeal enhancement.No convincing evidence of an acute intracranial process however CT is insensitive for detection of acute nonhemorrhagic ischemic... | 1.Negative enhanced head CT.2.Well pneumatized paranasal sinuses, mastoid air cells and bilateral middle ear cavities. |
Generate impression based on findings. | 85 year old patient. Rule out subarachnoid hemorrhage. Decrease in mental status. Within the right cerebral peduncle (axial image 14) there is a relatively superficial lesion with CSF attenuation which does not demonstrate any mass effect or associated edema. This has enlarged since an examination performed in 2010 and... | No intracranial hemorrhage. A lesion in the right cerebral peduncle has increased in size since an examination in 2010 and most likely represents a perivascular space, though given history of malignancy further characterization with MRI is recommended. |
Generate impression based on findings. | 85 year-old female with history of worsening shortness of breath, lung cancer. PULMONARY ARTERIES: Technically adequate study. No pulmonary embolus.LUNGS AND PLEURA: Left upper lobe cavitary lesion with thin wall measures 32 x 30 mm (series 11, image 18) slightly decreased in size compared to the recent prior study.Int... | 1.No pulmonary embolus.2.Interval development of bilateral small pleural effusions, left greater than right.3.Left upper lobe cavitary lesion and mediastinal lymphadenopathy not significantly changed compared to the recent prior study. |
Generate impression based on findings. | Male 72 years old; Reason: Brain lesion, unknown whether Primary or met. Eval for other location/source History: headaches, visual changes CHEST:LUNGS AND PLEURA: Dependent atelectasis is present. A calcified granuloma is seen in the right lung base. No suspicious pulmonary nodule or masses present.No consolidation or ... | 1.No evidence of primary malignancy. No lymphadenopathy.2.Bilateral subcentimeter adrenal nodules are incompletely characterized. |
Generate impression based on findings. | 68 year-old male with abdominal pain ABDOMEN:LUNG BASES: Trace right and small left pleural effusion with overlying atelectasis. Cardiomegaly with LVAD device.LIVER, BILIARY TRACT: Extensive portal venous gas. While vascular gas may be seen in the setting of an LVAD, however the patient's extent of portal venous gas wa... | 1. Severe gastric wall thickening with apparent foci of gas within the wall. This may simply represent a pocket of air within a wall fold or air within venous structures; however, given the diffuse gastric wall thickening and extensive portal venous gas, ulceration or emphysematous gastritis must be considered.2. 4.1 c... |
Generate impression based on findings. | Left lower extremity weakness, positive Romberg, mild left pronator drift. Rule out intracranial hemorrhage. There is patchy ill-defined hypoattenuation within subcortical and periventricular white matter in keeping with sequela of chronic small vessel ischemic disease. There is a small chronic infarct within the left ... | No visualized acute pathology which could account for patient's symptoms. Evidence of chronic small vessel ischemic disease and chronic lacunar infarcts and left superior cerebellar artery territory infarct. If there is concern for CVA, MRI could be considered given its increased sensitivity. |
Generate impression based on findings. | Male 52 years old; Reason: pancreatic cancer with liver mets. Please measure disease using recist criteria History: pre chemo CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Left Port-A-Cath is noted with its tip in the cavoatrial junction. No ax... | 1. Pancreatic lesion compatible with provided history of pancreatic adenocarcinoma with metastatic disease to the liver and lymph nodes and thrombosis of the splenic vein. |
Generate impression based on findings. | 4-year-old male, evaluate for progression of lung nodules. LUNGS AND PLEURA: New left basilar consolidation and additional bilateral patchy pulmonary opacities indicate infection. There is a new left pleural effusion. Stable postsurgical change in the left lobe.MEDIASTINUM AND HILA: A right central venous catheter tip ... | 1. New left basilar consolidation, pleural effusion and multifocal bilateral patchy airspace opacities consistent with infection.2. Radiodensity adjacent to the central venous catheter which most likely represents an intravascular calcification as described above. |
Generate impression based on findings. | 64 year old female with history of dyspnea on exertion, tachycardia. PULMONARY ARTERIES: Technically adequate study. No pulmonary embolus. Lobar branches of both the right and left pulmonary arteries are encased or partially encased by tumor. The main pulmonary artery is mildly enlarged suggestive of pulmonary arterial... | 1.Technically adequate examination. No pulmonary embolus.2.Significant interval increase in size of bilateral large pulmonary masses since the recent prior study from 6/14/13. These masses are hypervascular with with evidence of parasitization of bronchial arteries, with a focally dilated artery in a right upper lobe m... |
Generate impression based on findings. | 86-year-old female with right upper quadrant and left lower quadrant pain. Rule-out diverticulitis, liver pathology. ABDOMEN:LUNG BASES: Left basilar atelectasis, cardiomegalyLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: Three unilocular near water density lesio... | 1. Three small unilocular cystic lesions in the pancreas -- most likely diagnosis is multiple sidebranch IPMN but other causes of small cystic pancreatic lesions cannot be differentiated. 2. Innumerable bilateral renal cysts most of which all have benign appearance, however definitive characterization is not possible w... |
Generate impression based on findings. | 37 year old female with clinical signs of pelvic inflammatory disease with left lower quadrant and suprapubic tenderness and purely on cervical discharge, rule out appendicitis ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality no... | 1.Tubular pelvic fluid colelction most consistent with dilated fallopian tube with salpingitis and pelvis inflammatory disease. 2.Periappendiceal inflammatory changes with mild dilatation of the appendix is thought to be most likely reactive.3.Small amount of pelvic ascites. |
Generate impression based on findings. | 81-year-old female with slurred speech. The CSF spaces are appropriate for the patient's stated age with no midline shift. There is mild age indeterminant periventricular white matter disease, likely secondary to a ischemic microvascular disease. There is age-appropriate cerebral atrophy. There are atherosclerotic calc... | 1. No evidence for acute intracranial hemorrhage mass effect or edema.2. Minimal age indeterminant ischemic microvascular disease.3. Atherosclerotic calcifications of vertebral arteries. |
Generate impression based on findings. | Prior CVA. Please evaluate for aneurysm, stenosis. Head: There has been interval evolution of the hypoattenuating foci within the left occipital, right frontoparietal, and left cerebellar regions from CVAs demonstrated on June 22. There is a decreasing amount of hypoattenuation and decrease in overall size of these les... | 1. Hypoattenuating regions intracranially consistent with evolving sequela of the CVAs characterized on June 22, 2013.2. No significant vascular plaque or stenosis within vessels of the neck, anterior or posterior circulations.3. Hypoplastic left superior cerebellar artery. |
Generate impression based on findings. | 77-year-old female with history of perforated diverticulum. Concern for intra-abdominal infection or access ABDOMEN:LUNG BASES: Small bilateral pleural effusions, right greater than left, with overlying atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted. Distended gallbladder without specific evidence o... | Slightly decreased size of the three fluid collections associated with the sigmoid colon compared to 6/28/13. |
Generate impression based on findings. | 54-year-old female with abdominal pain, right lower quadrant. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted in liver. Prior cholecystectomy. A moderately dilated common hepatic duct with maximum diameter 1.1 cm -- this measured 0.9 cm and 2011. No obstructing... | 1. Diverticular changes seen in descending and sigmoid colon without evidence of complication. 2. No findings seen to account for patient's current symptoms. 3. Post cholecystectomy with slightly increased diameter common hepatic duct without other associated findings to suggest obstruction. |
Generate impression based on findings. | History of mesothelioma, now with shortness of breath and pleuritic pain. PULMONARY ARTERIES: Technically adequate study. No evidence of pulmonary emboli.LUNGS AND PLEURA: Right diaphragmatic graft unchanged. Right sided volume loss with overall decreased right basilar atelectasis/consolidation.Persistent loculated sma... | 1.No evidence of pulmonary emboli.2.Loculated right apical pneumothorax unchanged with improvement in right basilar atelectasis and pericardial effusion. |
Generate impression based on findings. | Reason: please eval for bleed, signs for ischemia History: as above. There is severe ventriculomegaly which appears to be unchanged from prior exam. Thin bandlike strip crossing the posterior horn of the left ventricle, unchanged from prior exam. There is thinning of the corpus callosum and absence of septum pellucidum... | 1. Stable supratentorial ventriculomegaly. No CT evidence of acute intracranial hemorrhage or edema.2. Stable multiple parenchymal calcifications.3. Stable right cerebellar encephalomalacia with dystrophic calcifications. |
Generate impression based on findings. | 54-year-old history of tongue cancer status post chemoradiation therapy. Follow up exam. The orbits are unremarkable except for minimal deformity of the left lamina papyracea. The paranasal sinuses and mastoid air cells are clear apart fro polypoid mucosal thickening of the maxillary sinuses, unchanged.. Limited view o... | No evidence of a recurrent soft tissue mass at the tongue base. No cervical lymphadenopathy. |
Generate impression based on findings. | Male 65 years old; Reason: pt with lung ca s/p 3 cycles of chemo History: now with new pain in abd, any abnormalities CHEST:LUNGS AND PLEURA: Previously referenced left lower lobe nodule in an area of scarring has not significantly changed in size now measuring 7 x 4 mm (image 252, series 5). Diffuse bronchial wall thi... | 1.Increase in size and number of liver metastases.2.Multiple osseous metastases in the left pelvis and L1 and L4 vertebral bodies.3.Bronchial wall thickening is unchanged and may represent bronchitis. |
Generate impression based on findings. | 56 are old female status post distal pancreatectomy, splenectomy with metastatic pancreatic neuroendocrine tumor now with elevated white blood cell count, evaluate for leak ABDOMEN:LUNG BASES: Bibasilar consolidation with small left pleural effusion. Bilateral breast implants.LIVER, BILIARY TRACT: The gallbladder is di... | 1.Postsurgical changes of distal pancreatectomy and splenectomy with a fluid collection containing foci of air and an enhancing posterior in the region of prior splenectomy. 2.Interval hepatic wedge resection with perihepatic fluid collection.3.Small foci of pneumoperitoneum is likely postoperative.4.Moderate amount of... |
Generate impression based on findings. | 14 year-old male with seizure followed by head trauma. There is a parietal subgaleal hematoma. There is no calvarial fracture. There is a thin subdural hemorrhage in the right occipital region. There is no mass effect, edema, brain herniation or midline shift. The ventricles, sulci, and cisterns are symmetric and unrem... | Right occipital subdural hemorrhage. Parietal subgaleal hematoma. |
Generate impression based on findings. | 70 year-old male with prior history of gallbladder carcinoma resection -- new onset constipation, evaluate possible recurrence of malignancy. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Postoperative changes noted about the gallbladder bed without evidence of recurrent or residual tumor. L... | 1. No evidence of recurrent malignancy seen. 2. Prior right hemicolectomy with extensive feces seen throughout residual colon. 3. No cause for patient's constipation identified. |
Generate impression based on findings. | 21 year old female. Reason: evaluate small bowel for possible pathology, ?colitis or eosinophilic gastroenteritis, bowel wall inflammation History: abdominal ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Accessory spleen is seen medial to the spleen.PA... | Findings raise concern for SMA syndrome, but no evidence of small bowel inflammation. |
Generate impression based on findings. | One day old male with apnea and seizures. There is soft tissue swelling over the bilateral parietal bones with left-sided subgaleal hematoma, crossing the midline, compatible with caput succedaneum. There does not appear to be any underlying fracture of the calvarium. There is occipital bone depression and mild frontal... | 1. No evidence for acute intracranial hemorrhage mass effect or edema. CT may not show trace hemorrhage. If clinical suspicion persists, MRI is recommended.2. Occipital bone depression and mild frontal bone depression with malalignment of lambdoid and coronal sutures.3. Caput succedaneum. |
Generate impression based on findings. | History of CHF and NSTEMI, now presenting with shortness of breath. PULMONARY ARTERIES: Technically adequate study. No pulmonary emboli.LUNGS AND PLEURA: Moderate centrilobular emphysema with bronchial wall thickening.Interval resolution of right pleural effusion.The reference nodule opacity is no longer visualized, li... | 1.No evidence of pulmonary embolus.2.Right subpectoral fat containing mass has markedly increased in size and this is suspicious for liposarcoma. Further workup of this lesion is recommended and these findings were discussed with Dr Keme Carter at the time of dictation.3.Fat-attenuating lesion of the liver which may re... |
Generate impression based on findings. | 76-year-old female with diffuse abdominal pain, history of ex-lap, aortic aneurysm and cholecystectomy ABDOMEN:LUNG BASES: Moderate cardiomegaly.LIVER, BILIARY TRACT: Large hepatic veins and mottled appearance of the right hepatic lobe likely represents hepatic congestion. SPLEEN: No significant abnormality notedPANCRE... | No specific CT findings to account for the patient's symptoms. |
Generate impression based on findings. | 54-year-old male with end-stage renal disease, left renal mass discovered. Evaluate left renal mass. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Scattered calcification from prior granulomatous change. Small splenule anterior to spleen noted.PANCREAS... | 1. 9-mm benign appearing lesion, probable high density cyst seen exophytic off left kidney. See above discussion. 2. Bilateral atrophic iliac fossa transplant kidneys. |
Generate impression based on findings. | Evaluate for lung nodule and adrenal mass; suspicious for cancer. CHEST:LUNGS AND PLEURA: Moderate centrilobular emphysema. No pleural fluid.19 x 15 mm heterogeneous solid nodule in the left upper lobe with a pseudo-spiculated border likely related to surrounding emphysema (6/24). Immediately cranial to this nodule, br... | 1. 19 x 15 mm left upper lobe nodule is indeterminate for malignancy. Recommend further evaluation with PET and/or tissue diagnosis. Associated cystic lesion with asymmetric wall thickening is likely a related process. No suspicious lesions elsewhere in the lungs. 2. Bilateral hypoattenuating lesions in the adrenal gla... |
Generate impression based on findings. | 70 year-old female with nausea and vomiting. Please assess for bowel obstruction ABDOMEN:LUNG BASES: Small bilateral pleural effusions with overlying atelectasis.LIVER, BILIARY TRACT: No focal hepatic lesions noted. The patient is status post cholecystectomy. Unchanged hepatic granulomas.SPLEEN: No significant abnormal... | High grade small bowel obstruction, without free fluid, pneumatosis, or pneumoperitoneum. |
Generate impression based on findings. | Male 59 years old; Reason: history metastatic renal cancer, assess for progression History: none LUNGS BASES: Slight interval increase in size of referenceright lower lobeperipheral nodule best seen on image 2 of series 6, now measuring 1.1 cm in diameter; this is in comparison to 0.9 cm on 1/17/13. The other right low... | Slight interval increase in size of index right peripheral lung nodule. Otherwise, stable exam. |
Generate impression based on findings. | Prostate cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Index mediastinal lymph node is unchanged measuring 1.4 x 1.5 cm on image number 30, series number 3. Other smaller mediastinal lymph nodes are also unchanged.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY ... | No significant change from previous study. |
Generate impression based on findings. | 56-year-old female with abdominal pain and diarrhea 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... | Unremarkable study. |
Generate impression based on findings. | 52 year old female with history of urothelial carcinoma and cervical cancer, now status post right nephrectomy and left segmental ureterectomy. ABDOMEN:LUNG BASES: Bibasilar subsegmental atelectasis. Please refer to the separate chest CT report for further details.LIVER, BILIARY TRACT: Unchanged hypodense segment 6 les... | 1. 1.5 cm enhancing polypoid soft tissue surrounding the midportion of the left ureteral stent, likely representing recurrent tumor. 2. Increased nodular infiltration of the omental fat and free fluid, suspicious for carcinomatosis. 3. Interval removal of the left nephrostomy tube with development of moderate hydroneph... |
Generate impression based on findings. | 36-year-old male with history of liposarcoma, evaluate for disease recurrence 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... | Soft tissue focus immediately anterior to the right psoas encasing the appendix, which is mildly dilated. This would be an atypical presentation of appendicitis and if there is no clinical history compatible with appendicitis, special attention should be paid to this region in the future as disease recurrence cannot be... |
Generate impression based on findings. | 15-year-old female, concern for worsening pulmonary infection, pre-stem cell transplant. LUNGS AND PLEURA: Multiple small bilateral pulmonary nodules with hazy margins are unchanged in size and number. The largest left upper lobe nodule measures 6 mm and previously measured 6 mm (image 39, series 4). A left lower lobe ... | Unchanged bilateral pulmonary nodules and cavitation compatible with infection, possibly atypical. |
Generate impression based on findings. | History of smoking and recently diagnosed with tongue cancer replacing the entire tongue. Neck nodes and 30-pound weight loss. LUNGS AND PLEURA: Calcified nodule in the lingula most consistent with a granuloma. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Small hypoattenuating low cervical lymph node... | No specific signs of metastatic disease to the chest. |
Generate impression based on findings. | 86-year-old male. Reason: H/O follicular lymphoma and c/o abd. pain and diverticulitis. Please compare to prior. History: Abdominal pain, diverticulitis and follicular lymphoma. CHEST:LUNGS AND PLEURA: Spiculated right upper lobe, partially calcified nodule measures 1.3 x 1.1 cm image number 20, series number 4, unchan... | No significant change. |
Generate impression based on findings. | Shortness of breath question right mass on CXR, follow-up abnormal CXR findings. LUNGS AND PLEURA: Moderate right pleural fluid collection. Calcified diaphragmatic pleural plaques on the left, but the left lung is otherwise unremarkable.Unilateral pattern of severe axial interstitial thickening surrounding the airways ... | 1. Acute right lower lobe segmental pulmonary embolus extends into subsegmental branches. Clinical service notified at the time of dictation.2. Findings in the right hemithorax are most consistent with lymphangitic spread of tumor most likely arising from the right hilar mass.3. Bilateral nodal metastatic disease, incl... |
Generate impression based on findings. | 34-year-old female with constipation, abdominal pain, vomiting and elevated lipase. Evaluate for pancreatic head mass/cyst/small bowel obstruction ABDOMEN:LUNG BASES: Right lower lobe atelectasis. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: The pancreatic head... | 1.Acute on chronic pancreatitis with interval development of small pseudocysts from prior episode of pancreatitis. No evidence of significant acute peripancreatic collections or necrosis.2.Mild dilatation of the duodenum likely represents focal ileus secondary to an adjacent pancreatic inflammation. |
Generate impression based on findings. | Female 47 years old; Reason: restage neuroendocrine tumor (pancreas) s/p distal pancreatectomy + splenectomy CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormali... | Status post resection of pancreatic tail mass. No evidence for acute,inflammatory, or metastatic process. |
Generate impression based on findings. | Evaluate pleural effusion. LUNGS AND PLEURA: Large left pleural fluid collection occupying greater than one half of the left hemithorax. Opacification of intercostal vasculature, but no conclusive pleural lesions. Left lower lobe near complete collapse from compressive atelectasis. Mild compressive atelectasis of the d... | A1. Large left pleural fluid collection with compressive atelectasis of the adjacent lung, but no signs of pleural or parenchymal lung metastases.2. Small right pneumothorax. Right chest tube appears occluded with debris and fluid. Possible right lower lobe aspiration pneumonia.3. Necrotic mass anterior to the cervical... |
Generate impression based on findings. | 72-year-old female with metastatic thyroid cancer. Brain:The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, midline shift, intra- or extra-axial fluid collection/acute hemorrhage, or abnormal contrast enhancement.The orbits are u... | No evidence of metastatic or recurrent disease in the head or neck. |
Generate impression based on findings. | 57 year-old female with non-Hodgkin's lymphoma CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Normal size heart without pericardial effusion. Stable thymic tissue.CHEST WALL: No axillary lymphadenopathy.ABDOMEN: LIVER, BILIARY TRACT: No significan... | Stable examination. |
Generate impression based on findings. | 48-year-old male with history of recurrent GIST tumor. Reason: follow up of recurrent GIST, evaluate for metastatic disease. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No signific... | Stable examination. |
Generate impression based on findings. | 64 year old female with history of presumed fungal pneumonia on treatment. Follow up examination. History of CMMoL on therapy. LUNGS AND PLEURA: Multiple bilateral pulmonary solid and subsolid nodules are again noted, the majority of which have decreased in size compared to the prior examination. Additionally, some of ... | Overall decrease in size of solid and subsolid pulmonary nodules compared to the prior study from 6/25/13 other than one new nodule in the left upper lobe. This overall decrease in size along with interval cavitation of two of the nodules suggests resolving opportunistic infection, likely fungal in etiology. |
Generate impression based on findings. | Male 80 years old; Reason: eval for metastatic disease History: newly identified rectal carcinoma ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Subcentimeter hypodensity noted in the posterior segment right lobe liver (series 3 image 23). This lesion is too small to reliably characterize.S... | 1.Rectal cancer with extensive lymphadenopathy worrisome for metastatic disease.2. Large heterogeneous prostate - CT cannot characterize prostate parenchyma to differentiate benign hypertrophy from foci of carcinoma..3.Two small sclerotic bone lesions which cannot be characterized on CT. |
Generate impression based on findings. | 54-year-old male with history of thyroid cancer on sorafenib, reevaluate and compare to prior exams CT Head:Redemonstration of left frontal craniotomy and partial resection of the left frontal lobe extending to the level of the left frontal horn. The resection cavity and surrounding encephalomalacia/gliosis are unchang... | 1.Stable exam with no evidence of neck mass or lymphadenopathy.2.Stable intracranial findings with no evidence of metastatic disease. |
Generate impression based on findings. | Clinical question: Rule out bleed. Signs and symptoms: Fall, on Coumadin. Unenhanced head CT: No detectable acute intracranial process in particular hemorrhage as is questioned clinically.CT of ovaries insensitive for detection of acute non-hemorrhagic ischemic strokes.Mild small was ischemic strokes of indeterminate a... | 1.No acute intracranial process, mild age indeterminate small vessel ischemic stroke as detailed above.2.Focal left frontal scalp hemorrhage and edema.3.Chronic sinus disease in the right maxillary sinus with adjacent bony thickening of sinus wall. |
Generate impression based on findings. | History of smoking greater than 40 years screen for lung cancer. LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. Minimal centrilobular emphysema. No pleural fluid or pneumothorax.Scattered small peripheral ground glass opacity micronodules measuring up to 4-mm (right upper lobe 5/67), too small to characte... | 1. No suspicious pulmonary nodules or masses. Ground glass density peripheral micronodules could reflect areas of atypical adenomatous hyperplasia or possibly small foci of bronchiolitis if the patient is a current smoker. Conservative imaging follow-up with CT thorax in one year is recommended to exclude growth though... |
Generate impression based on findings. | Male 59 years old; Reason: 59 M with metastatic PNET on therapy, please eval for interval change. History: none ABDOMEN:LUNG BASES: Dependent atelectasis is seen in the lung bases.LIVER, BILIARY TRACT: Multiple peripheral arterial enhancing liver lesions have not significantly changed in size and are consistent with me... | 1.Multiple liver metastases are unchanged in size, however appear to have more central necrosis and less peripheral enhancement.2.Pancreatic head lesion with distal pancreatic duct dilation and atrophy has not significantly changed from the prior study. |
Generate impression based on findings. | Reason: Neutropenic fever with new opacities on CXR History: Productive cough LUNGS AND PLEURA: Multiple new large nodular opacities with air bronchograms and surrounding ground glass opacity suggestive of opportunistic fungal infection. Smaller nodules and groundglass opacities are also present in the right lung.MEDIA... | Multiple new large pulmonary nodules and groundglass opacity, compatible with opportunistic fungal infection. |
Generate impression based on findings. | Female 79 years old; Reason: assess for progression of atypical carcinoid cancer History: metastatic cancer CHEST:LUNGS AND PLEURA: Post surgical changes from prior left lower lobectomy, stable.Reference right lower lobe ground glass of solid nodule abutting the fissure is unchanged in size, measuring 5 mm (series 6/im... | 1.Persistent right lower lobe sub-solid ground glass nodule in which is unchanged insize. This is compatible with diagnosis of atypical carcinoid.2.Stable appearing hepatic metastatic lesions.3.Left renal hypodensity enlarging over two year period -- Consider dedicated renal imaging as clinically warranted. |
Generate impression based on findings. | 61-year-old male with metastatic thyroid cancer on treatment. Follow up examination. CHEST:LUNGS AND PLEURA: Innumerable small pulmonary nodules are again noted compatible with metastatic disease, with the overall disease burden appearing similar to prior examinations. The overall disease burden is increased compared t... | Pulmonary metastatic disease without significant interval change compared to recent prior examinations. No new sites of disease identified. |
Generate impression based on findings. | Reason: eval for evidence of septic emboli, infarction History: endocarditis LUNGS AND PLEURA: Small left and trace right pleural effusions with associated atelectasis in the lower lobes and lingula.Subpleural micronodule left upper lobe (series 6 image 33). No specific nodules suggestive of septic emboli at this time.... | 1. Small left and trace right pleural effusions with associated atelectasis in the lower lobes and lingula. No specific nodules suggestive of septic emboli at this time.2. The left breast is not included in the field of view; a nodular opacity at the edge of field (series 4 image 44) which may represent sub-areolar tis... |
Generate impression based on findings. | 43 year old female with non-Hodgkin lymphoma and thyroid cancer, follow-up CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusions.Left upper lobe granuloma. No suspicious nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size is normal without pericardial effusion. Calc... | Stable examination without evidence of lymphadenopathy. |
Generate impression based on findings. | 52 year-old female with history of urothelial and cervical cancer LUNGS AND PLEURA: Few scattered micronodules. No suspicious nodules or masses evident. Mild bibasilar subsegmental atelectasis.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Normal-size heart without pericardial effusion.CHEST WALL: No ax... | No evidence of metastatic disease in the chest. |
Generate impression based on findings. | 68 year-old male with non-Hodgkin's lymphoma, restaging. CHEST:LUNGS AND PLEURA: Mild centrilobular emphysema. No focal consolidation or pleural effusions. Mild dependent atelectasis. Nonspecific scattered micronodules are unchanged.MEDIASTINUM AND HILA: Mild coronary artery calcifications. No mediastinal or hilar lymp... | Stable examination without enlarged lymph nodes identified. |
Generate impression based on findings. | Dizziness, fall, thrombocytopenia. Rule out intracranial hemorrhage. There is no intra-cranial mass, fluid collection, hemorrhage, hydrocephalus or evidence of acute ischemia. Gray-white matter differentiation is name change bilaterally in the midline is intact.Visualized paranasal air sinuses, bones and orbits are unr... | No visualized intracranial abnormality including hemorrhage. |
Generate impression based on findings. | 58-year-old male with cerebellar ischemic stroke while on heparin. Eval for hemorrhage. Motion artifacts limit the study.There is an area of hypo-attenuation in the left, posterior frontal lobe, likely a subacute infarct, which remains grossly unchanged compared to prior exam. There is mild resolution of hyperdense foc... | 1. Stable diffuse cerebellar hypodensity and swelling without evidence of hemorrhagic conversion.2. Subacute infarction of left frontal lobe remains stable, without evidence of hemorrhagic conversion. |
Generate impression based on findings. | Shortness of breath. Lung transplant evaluation, emphysema. Prior allergic reaction to contrast. LUNGS AND PLEURA: Large lung volumes with flattening of the diaphragm compatible with COPD. Severe centrilobular emphysema pattern. No suspicious pulmonary nodules or masses. No signs of acute infection. No pleural fluid or... | Severe COPD/emphysema without acute abnormality or radiographic signs of malignancy. Coronary artery disease. Trace amount of fluid in the right maxillary sinus, correlate for sinusitis. |
Generate impression based on findings. | 71-year-old male with metastatic renal cell carcinoma -- evaluate for disease progression. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Calcified hilar lymph node from prior granulomatous disease. Small subcentimeter normal appearing lymph nodes seen throughout mediastinum. The referenc... | 1. Decreased size of paraesophageal referenced lymph node -- no enlarged lymph nodes seen else where in the chest. 2. Stable appearance to left iliac small lymph node referenced in prior exams. 3. No change right adrenal mass. 4. Slight increase in size of right posterior 11th rib soft tissues mass/lytic rib lesion. 5.... |
Generate impression based on findings. | Male, 7 months old, with altered mental status, question of seizure. A thin rim of acute subdural blood product is noted tracking along both sides of the posterior interhemispheric falx as well as the tentorium. A small focus of extra-axial clot is also present along the high right frontal lobe. These findings are new ... | 1. Interval development of subdural hemorrhage. This causes no significant generalized mass-effect.2. Redemonstration of a linear lucency through the inferior left aspect of the occipital bone concerning for fracture.3. Interval development of a new horizontally oriented lucency more superiorly in the occipital bone, a... |
Generate impression based on findings. | Patient with lung CA on oral agents in 7/2012. Doing well now. Also history of tuberculosis. CHEST:LUNGS AND PLEURA: Right hemithorax volume loss with perihilar fibrosis and traction bronchiectasis consistent with radiation therapy. No pleural fluid or pneumothorax. No suspicious pulmonary nodules or masses in the aera... | 1. Stable appearance of the right hilum most consistent with post therapeutic change. No conclusive signs of localized recurrence. No evidence of pulmonary metastases.2. Apparent area of focal gastric wall thickening is incompletely assessed due to non-distention of the gastric lumen. Although this could merely reflect... |
Generate impression based on findings. | 23-year-old male with Hodgkin disease -- now status post stem cell transplant -- reevaluation. CHEST:LUNGS AND PLEURA: Clearing is noted of the tree in bud opacities in the right middle lobe and right lower lobe and the lungs now show no infiltrates, nodules or effusions.MEDIASTINUM AND HILA: The soft tissue conglomera... | 1. Stable appearance to the lymph node sizes in the mediastinum and hilar regions. 2. Resolution of the prior noted infiltrates the right middle and right lower lobes with normal lung parenchyma not seen. 3. Stable appearance mildly enlarged pancreaticoduodenal lymph node. |
Generate impression based on findings. | Mild restriction on PFT with DOE, rule out ILD, sarcoid. LUNGS AND PLEURA: Motion artifact degrades image quality. Lung volumes appear low normal, likely related to the patient's bodily habitus. Multiple calcified nodules are present bilaterally, most consistent with granulomas. No pleural fluid, suspicious pulmonary n... | 1. No signs of pulmonary fibrosis or other acute pulmonary abnormality. 2. Enlargement of the main pulmonary artery is suggestive of pulmonary arterial hypertension. 3. Calcified pulmonary nodules and calcified intrathoracic lymph nodes are more suggestive of healed granulomatous infection, though sarcoidosis is not ex... |
Generate impression based on findings. | Female 70 years old; Reason: weight loss, nausea History: weight loss, nausea CHEST:LUNGS AND PLEURA: Patchy fibrotic and fibrocystic changes in the right lung apex. Nodularity and linear septal thickening noted with associated pleural thickening, nonspecific.MEDIASTINUM AND HILA: No significant abnormality noted. Mode... | 1.Nonspecific nodular and fibrous changes noted in the right upper lobe with associated pleural thickening. 2. Changes compatible with chronic pancreatitis 3. Small filling defect in the stomach measuring 1 cm, nonspecific. Further characterization with endoscopy examination advised for further characterization if clin... |
Generate impression based on findings. | Female, 73 years old, status post fall. Evaluate for hemorrhage. Left frontal scalp swelling/subgaleal hematoma noted. No calvarial fractures are detected.No evidence of intracranial hemorrhage or abnormal extra-axial fluid collection. No mass-effect or midline shift. The ventricular system is patent and within normal ... | 1. Left frontal scalp injury.2. No acute intracranial abnormality.3. Age indeterminate small vessel ischemic disease. |
Generate impression based on findings. | Reason: severe uncontrolled asthma History: SOB, wheezing, difficulty breathing, coughing, weakness LUNGS AND PLEURA: Moderate diffuse bronchial thickening, compatible with chronic asthma.A few small scars at the lung bases but no sign of pneumonia.MEDIASTINUM AND HILA: No significant lymphadenopathy. Moderate coronary... | 1. Moderate diffuse bronchial thickening, compatible with asthma.2. Nonspecific hypodensity in the right lobe of the liver, which could be further evaluated by ultrasound though it is most likely benign. |
Generate impression based on findings. | Mass on CXR, cough and hemoptysis. LUNGS AND PLEURA: Right lung mass with epicenter in the posterior segment of the right upper lobe crosses both the right major and minor fissures to extend into the right lower and possibly the middle lobes. The mass is centrally necrotic measuring 25HU with a thin circumferential hyp... | 4.7 x 3.8 cm centrally necrotic mass with epicenter in the right upper lobe; intrapulmonary abscess due to atypical pneumonia is favored over neoplasm. The mass extends across the right major fissure and is associated with consolidation in the superior segment of the right lower lobe as well as patchy areas of groundgl... |
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