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Generate impression based on findings. | Male 73 years old; Reason: 73 y/o male with urothelial cancer, evaluate for disease progression, CT urogram, 3D reconstruction, delayed views History: urothelial cancer LUNG BASES: No nodule or mass detected.LIVER, BILIARY TRACT: Exophytic soft tissue arising from segment 4b of the liver has not significantly changed, ... | Significant interval decrease in lymphadenopathy in the abdomen and pelvis. No evidence of recurrence. |
Generate impression based on findings. | 55-year-old male -- staging study for metastatic prostate cancer. 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: ... | 1. Status post prostatectomy without evidence of recurrent or metastatic prostate carcinoma. |
Generate impression based on findings. | 43-year-old female with lymphoma and thyroid cancer. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure is unremarkable. There is redemonstration of postsurgical findings from thyroidectomy. The previously seen hypoattenuating focus in the left... | 1. Postsurgical findings from thyroidectomy with resolution of a small hypoattenuating focus in the left surgical bed, which may be postsurgical in etiology.3. No evidence of local tumor recurrent or cervical lymphadenopathy. |
Generate impression based on findings. | 80 year-old male with anemia -- rule-out intra-abdominal hematoma ABDOMEN: Within the limits of a non-IV contrast enhanced examination it limits evaluation of solid proximal organs and vascular structures, the following observations can be made:LUNG BASES: Bilateral large pleural effusions and basilar atelectasis.LIVER... | Large right retroperitoneal and psoas muscle hematoma.Findings reported to Dr. Staisch at 2:10 PM |
Generate impression based on findings. | 13-year-old female with generalized nausea and diarrhea. ABDOMEN:LUNG BASES: No focal pulmonary opacities or pleural effusions.LIVER, BILIARY TRACT: The liver enhance normally. The gallbladder is distended and normal. No intra-or extrahepatic biliary ductal dilatation.SPLEEN: Normal splenic enhancement and morphology.P... | Normal exam without specific findings to account for the patient's pain. |
Generate impression based on findings. | History of left lower lobe non-small cell lung cancer, follow-up. CHEST:LUNGS AND PLEURA: Severe upper lobe predominant centrilobular emphysema with apical scarring and architectural distortion.Nodule in the superior segment of the left lower lobe (series 4, image 46) appears less convex and decreased in size, measurin... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 67-year-old female status post Whipple in 7/11, now with elevated white blood cell count. Concern for abscess or leak ABDOMEN:LUNG BASES: Bibasilar subsegmental atelectasis. No pleural effusions.LIVER, BILIARY TRACT: Status post Whipple procedure. Mild pneumobilia, decreased compared to prior. SPLEEN: No significant ab... | 1. Multiple collections of fluid and air, centered at the pancreatic head surgical bed and afferent limb blind loop, predominantly without loculation. While the extent of these findings can be seen in a small subset of 1-week post-op patients, a leak cannot be excluded. 2. Mild dilatation of the post-surgical afferent ... |
Generate impression based on findings. | 60 year old female with sepsis, right heart failure encephalopathy and cardiac symptoms CHEST:LUNGS AND PLEURA: Left sided chest tube with tip at the left lung base. Left lower lobe atelectasis and areas of patchy consolidation. Moderate right-sided pleural effusion with near complete collapse of the right lower lobe. ... | 1.Large amount of complex fluid in the pericardium with a loculated component extending into the superior mediastinum which most likely represents hemorrhage.2.Moderate right pleural effusion with complete collapse of the right lower lobe and patchy bilateral areas of consolidation/atelectasis.3.Moderate abdominopelvic... |
Generate impression based on findings. | 23 year-old male with history of Hodgkin's lymphoma and status post SCT. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear except for moderate left maxillary and ethmoid sinus mucosal thickening. Limited view of the intracranial structure is unremarkable. The oral cavity, oro/nasopharyn... | No cervical lymphadenopathy or mass. |
Generate impression based on findings. | 52-year-old male. History of smoking. Recently diagnosed tongue cancer, replacing entire tongue. Cervical lymph nodes. 30-pound weight loss. As indicated in the history, nearly the entire tongue is replaced by an ill-defined heterogeneously enhancing mass. The lesion is predominantly right-sided, but at the level of th... | Large, predominantly right-sided but bilateral tongue mass extending from the oral tongue into the floor of mouth and likely the preepiglottic space.Bilateral cervical adenopathy as above.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 78-year-old male with history of CLL with lymphoma of the GI tract -- for reevaluation. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Enlargement is noted in the pre-and paratracheal lymph nodes seen on prior examination. The Reference lymph node (series 401, image 29) measures 2.5 x 1 .... | Marked increase in size and number of lymph nodes throughout the mediastinum, abdomen and to a lesser degree pelvis, representing relapse of lymphoma this involvement.. |
Generate impression based on findings. | 75 year-old female with incidental large right renal mass ABDOMEN:LUNG BASES: Bibasilar subsegmental atelectasis.LIVER, BILIARY TRACT: Fatty liver. Subcentimeter left hepatic lobe hypodensity, which is too small to characterize. No focal hepatic lesions seen otherwise. No intrahepatic or extrahepatic biliary ductal dil... | 1. Three enhancing renal masses suspicious for malignancy, as described above.2. Hepatic steatosis. |
Generate impression based on findings. | Left upper lobe pulmonary nodule. Cough and COPD. LUNGS AND PLEURA: Severe emphysema. Linear scarring in the upper lobes bilaterally. Previously seen nodular opacity seen in association with left upper lobe scar has resolved; the medial border of the scar no longer produces mass effect upon the adjacent lung parenchyma... | 1. Left upper lobe scarring with resolution of the nodular component. No further follow-up of this lesion is required.2. Severe emphysema.3. 14 x 19 mm hypoattenuating lesion at the hepatic dome is incompletely characterized due to phase of contrast enhancement. As it may have been faintly present on the outside exam o... |
Generate impression based on findings. | Reason: evaluate for etiology of hypoxia (hx of heart/renal transplant) History: hypoxia LUNGS AND PLEURA: The present scan was performed in the partial expiration, possibly due to the patient's inability to cooperate fully. There is also motion artifact at the lung bases.Nonspecific micronodules are not as well visual... | Mild dependent atelectasis and possible pulmonary hypertension. Note that this is a nonenhanced scan and therefore pulmonary embolism cannot be excluded. |
Generate impression based on findings. | 35-year-old male with constipation associated with scrotal and lower abdominal pain status post right inguinal hernia repair ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hepatic hypodensities are too small to characterize but most likely represent cysts.SPLEEN: No significant abnormality no... | 1.Mild bowel wall thickening with pericolonic inflammatory changes in the rectum and proximal sigmoid colon and trace adjacent free fluid may represent a mild proctocolitis.2.Large amount of stool within the colon. |
Generate impression based on findings. | Female 42 years old; Reason: rule out malignancy History: no improvemnt in lower extremity weakness, incontinence, lesions on MRI t/l spine CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Right Port-A-Cath with its tip in the cavoatrial junctio... | 1.No evidence of primary cancer seen or metastatic disease detected. |
Generate impression based on findings. | 88-year-old female with right lower quadrant abdominal soreness with prior radiotherapy to cecum for cecal adenocarcinoma CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusion. Right middle lobe nodule is not significantly changed measuring 0.8 x 0.7 cm (5/76), previously 0.7 x 0.7 cm. Additional nodules a... | 1.Irregular thickening of the cecum and ascending colon appears slightly larger than the prior exam.2.Lytic lesion in the left iliac wing is stable.3.Stable bilateral pulmonary nodules. |
Generate impression based on findings. | 83-year-old male with history of metastatic/recurrent head and neck cancer. Pre-therapy evaluation. CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules are increased in size since the prior chest CT and are hypermetabolic on the recent PET scan suggestive of metastatic disease. Pleural-based lesion in the superior left ... | 1.Interval increase in size of bilateral pulmonary nodules since the prior chest CT which correlate with hypermetabolic lesions seen on recent PET CT from 7/2/13 and are compatible with pulmonary metastatic disease.2.Postoperative changes in the left parotid bed and left neck soft tissues with soft tissue thickening co... |
Generate impression based on findings. | Reason: Pt with mucosal melanoma evaluate for progression. History: Mucosal melanoma. CHEST:LUNGS AND PLEURA: There is a micro-nodule within the right upper lobe (series 4 image 27) that measures approximately 4 mm. No other nodules are identified. The pleural spaces are clear.There are several foci of ground glass inv... | 1.Indeterminant right upper lobe pulmonary micronodule measuring 4 mm. Continued observation is recommended.2.Subcutaneous nodule within the anterior left inferior thoracic wall measuring 13 x 15 mm suspicious for metastasis.3.Left adrenal gland is mildly thickened at 15 mm transverse. |
Generate impression based on findings. | Clinical question: Rule out hemorrhage. Signs and symptoms: Syncope. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for picture nonhemorrhagic ischemic strokes.There is slight prominence of cortical sulci, supratentorial ventricular system which are likely within normal range fo... | No acute intracranial findings. |
Generate impression based on findings. | Clinical question: CT myelogram of the neck to cervical medullary mass. Signs and symptoms: Weakness bilateral lower extremities, mass seen on neck CT. Cervical myelogram:Under sterile technique an oblique lumbar puncture at L2 -- L3 was performed.8 cc of Omnipaque 180 is was administered into the thecal sac.Due to pat... | 1.Successful lumbar puncture at L2 -- L3 and placement of 8 cc of Omnipaque 180 into the thecal sac. Obtaining myelographic images were only for confirmation of placement of the needle and contrast within the subarachnoid space. 2. Significant central spinal stenosis, mass effect, flattening and posterior displacement ... |
Generate impression based on findings. | Male 32 years old; Reason: hematuria History: hematuria ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Two subcentimeter tiny hypodense foci in the liver are too small to characterize, but likely cysts.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL G... | 1. 4 mm nonobstructive right nephrolith in the proximal right ureter with subtle right ureteritis and hydroureter. No hydronephrosis or perinephric stranding. |
Generate impression based on findings. | Reason: dissection follow up History: s/p arch repair CHEST:LUNGS AND PLEURA: The lungs are clear. No pleural effusions.MEDIASTINUM AND HILA: The patient is status post ascending aortic dissection repair and aortic valve replacement. A dissection flap extends from the level of the rightinnominate artery throughout the ... | 1. Interval repair of ascending aorta and aortic valve replacement.2. Aortic dissection extending from the level of the right innominate artery into theright common iliac artery with involvement of all the major branch vessels of the thoracicaorta. These findings are stable. |
Generate impression based on findings. | 37 year-old female with abdominal pain status post renal and pancreatic transplant ABDOMEN: Please note that this examination is limited in sensitivity for solid organ pathology due to lack of IV contrast.LUNG BASES: No significant abnormality noted. No pleural effusions.LIVER, BILIARY TRACT: No significant abnormality... | 1. Diffuse enlargement of the transplant pancreas suspicious for pancreatitis. 2. There is a collection of contrast and air immediately superior to the pancreatic head, which possibly represents an edematous duodenal stump with refluxed contrast. However, a leak in this region cannot be entirely excluded.Findings were ... |
Generate impression based on findings. | 27 year old female with left lower quadrant abdominal pain and leukocytosis ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomySPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URET... | Partially obstructing 2 mm stone at the left ureterovesicular junction with mild left-sided hydroureteronephrosis and perinephric stranding. An additional punctate stone is present in the distal left ureter. |
Generate impression based on findings. | Female, 61 years old, history of ALL, pre-stem cell transplant. The frontal sinuses and frontoethmoidal recesses are clear. Sphenoid sinuses are not clearly identified. In addition, there is a linear radiopaque structure embedded within the sphenoid bone along the anterior margin of the sella. Correlation with history ... | No active sinus disease. |
Generate impression based on findings. | 44-year-old female with history of CLL CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusion. Nonspecific scattered calcified and noncalcified micronodules.MEDIASTINUM AND HILA: Supraclavicular lymphadenopathy is partially visualized. For findings in the neck, please refer to dedicated neck CT performed on... | 1.Lymphadenopathy in the chest, abdomen and pelvis as described above with reference measurements.2.Hepatosplenomegaly. |
Generate impression based on findings. | 30-year-old patient with history of syncope, headache, nausea, blurred vision and memory deficit. Head: There is no intracranial mass, fluid collection, hemorrhage, hydrocephalus or CT evidence of acute ischemia. Gray-white matter differentiation is maintained bilaterally in the midline is intact. Visualized portions o... | 1.No visualized pathology including cause of or sequelae of the patient's syncopal episode. 2.No evidence for acute internal hemorrhage mass effect or edema.3.CT is insensitive for the early detection of nonhemorrhagic CVA |
Generate impression based on findings. | History of hypertension. Rule out intracranial hemorrhage. There are 3 ventriculostomy catheters. The first enters through a left frontal burr hole and extends through the left lateral ventricle with its tip at the third ventricle. A second catheter approaches from a right frontal burr hole through a hypoattenuating re... | 1.Unchanged position of ventriculostomy catheters without ventriculomegaly 2.No intracranial hemorrhage. 3.Stable hypoattenuating region in the right frontal lobe which may represent porencephalic cyst or encephalomalacia. 4.Calcification of the basal ganglia which has been long-standing -- this is nonspecific and may ... |
Generate impression based on findings. | 44-year-old female with asthma, history of PE, status post gynecologic surgery, now with tachycardia. PULMONARY ARTERIES: Study limited by poor opacification of pulmonary arteries and significant motion. No large pulmonary emboli to the proximal lobar level. PE beyond this level cannot be excluded. Main PA mildly enlar... | 1.Technically limited study but no evidence of pulmonary emboli to the proximal bulbar level. Main PA is mildly enlarged, suggesting pulmonary hypertension.2.Bilateral atelectasis/consolidation.3.Trace right medial pneumothorax which can be monitored by plain films, discussed with Dr Lengyel at time of dilatation. |
Generate impression based on findings. | 74 male with abdominal mass and pain. History of renal cell carcinoma of throat cancer Please note that not enhanced CT is not sensitive for the detection of solid organ lesions. With this limitation, the following observations are made.ABDOMEN:LUNG BASES: A new right middle lobe nodule measures 6 mm (4/8). Multiple ad... | 1.Increase in size in left sided renal mass2.Hepatic metastatic disease has increased with new lesions present.3.Increased retroperitoneal lymphadenopathy.4.New pulmonary nodules and micronodules are concerning for metastatic disease.5.Lucent lesion in the left T11 vertebral pedicle is unchanged.6.Increased moderate ab... |
Generate impression based on findings. | Female 63 years old; Reason: 63yoF NASH cirrhosis with OSH showing subtle exophytic liver lesion in left lobe anterior right lobe, also with question hernia History: reported liver lesions, needs f-up scan ABDOMEN:LUNGS BASES: No nodular mass detected. Pacer Leads are seen in the heart with a mildly enlarged heart.LIVE... | 1.No evidence of hepatocellular carcinoma as previously suggested in this cirrhotic patient. 2. No hernia as clinically questioned3. Nonspecific distal esophageal thickening, upper endoscopy could help characterize.Dr. Jun notified of the findings at 9:05 on 7/19/13 |
Generate impression based on findings. | Female 65 years old; Reason: C.diff colitis History: diarrhea CHEST:LUNGS AND PLEURA: Right pleural effusion with right basilar atelectasis is noted. Scattered pulmonary micronodules are again noted, some of which are calcified. MEDIASTINUM AND HILA: Calcified mediastinal lymph nodes are again noted consistent with pri... | 1.No evidence of colitis.2.Splenic artery aneurysm difficult to visualize, but increased in size from 4/7/2011.3.Cystic pancreatic lesions are also likely unchanged in size.4.Right pleural effusion with compressive atelectasis.These findings were discussed with Dr. Byam at 8:54am 7/19/2013. |
Generate impression based on findings. | Reason: Eval for post-op hemorrhage History: headache The patient status post fall craniotomy for removal of a left frontal lobe mass. There is redemonstration of a intracranial air and postsurgical changes.Atherosclerotic calcifications are present along the distal internal carotid arteries.The visualized portions of ... | 1.Status post left frontal lobe surgery. There are associated postoperative changes. There is no evidence for acute intracranial hemorrhage. |
Generate impression based on findings. | 9-year-old female with MRSA bacteremia of unknown origin ABDOMEN:LUNG BASES: Moderate bilateral pleural effusions, left greater than right, and basilar consolidation.LIVER, BILIARY TRACT: Periportal edema is present. No focal hepatic lesions or biliary ductal dilatation. The gallbladder is distended and normal. A small... | 1. Bilateral pleural effusions and basilar consolidation consistent with pneumonia.2. Reticulation of the subcutaneous tissues about the thighs and lower pelvis may reflect edema/cellulitis. |
Generate impression based on findings. | Reason: Eval for post-op hemorrhage History: headache The patient status post frontal craniotomy for removal of a left frontal lobe mass. There is intracranial air and postsurgical change.Atherosclerotic calcifications are present along the distal internal carotid arteries.The visualized portions of the paranasal sinus... | 1.Status post left frontal lobe surgery. There are associated postoperative changes. There is no evidence for acute intracranial hemorrhage. |
Generate impression based on findings. | Male; 72 years old. Reason: Heart transplant pt on HD with diabetic foot ulcer. Eval for osteo History: As above There is moderate soft tissue swelling about the foot. There is diffuse reticulation and attenuation of the soft tissues of the foot and ankle likely representing edema. There is no frank osteolysis to sugge... | Diffuse soft tissue swelling and other findings as described above without radiographic evidence of osteomyelitis. |
Generate impression based on findings. | 59-year-old male with history of esophageal cancer status post 4 cycles of chemotherapy. Now doing pretty good. Follow up examination. CHEST:LUNGS AND PLEURA: No significant abnormality noted. Faint groundglass nodules are noted in the right upper lobe (series 4, image 30), and superior right lower lobe (image 48) alon... | 1.Continued interval increase in size of large periportal and retroperitoneal soft tissue mass as described with suspected hepatic invasion. Multiple subcapsular hepatic and mesenteric nodules again noted, some of which are increased in size. 2.Faint groundglass nodules are noted in the right upper lobe, and superior r... |
Generate impression based on findings. | 15-year-old male. Headache. No intracranial mass, fluid collection, hemorrhage, hydrocephalus or CT evidence of acute ischemia. Gray-white matter differentiation is maintained bilaterally and the midline is intact. There is some mild thickening of the maxillary sinus mucosa. Orbits and mastoid air cells are unremarkabl... | No visualized abnormality that would account for the patient's headache. No evidence for acute intracranial hemorrhage, mass effect or edema. CT is insensitive for the early detection of nonhemorrhagic CVA |
Generate impression based on findings. | Staging CT for newly diagnosed anal cancer. CHEST:LUNGS AND PLEURA: 10 x 7 millimeter nodule in the right middle lobe (image 64; series 5) should be followed.MEDIASTINUM AND HILA: Subcentimeter lymph nodes in the mediastinum can be followed. Coronary artery calcifications are noted.CHEST WALL: Subcutaneous emphysema fr... | Small right middle lobe pulmonary nodule. Scattered small lymph nodes. |
Generate impression based on findings. | 60-year-old male with relapsed Hodgkin's lymphoma after prior stem cell transplant CHEST:LUNGS AND PLEURA: 6 mm nodule in the right upper lobe (6/46), previously 5 mm. Unchanged scattered micronodules.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy by CT criteria. Prominent cardiophrenic lymph node. Norma... | Interval increase in disease throughout the chest, abdomen, and pelvis. |
Generate impression based on findings. | Male 56 years old; Reason: Pt w/ liver lesion, needs liver biopsy History: liver lesion Motion artifact and patient agitation limits the study.ABDOMEN:LUNG BASES: Bilateral small pleural effusions are present with compressive atelectasis. Bronchial wall thickening and mild bronchiectasis is seen in the left lung base.L... | 1.Multiple nonspecific ill-defined liver lesions are suspicious for liver metastases. These lesions are not amenable to biopsy.2.Multiple sclerotic osseous lesions likely represent metastases.3.Bowel wall thickening along the descending colon consistent with colitis which may be infectious or inflammatory.4.Dilated ure... |
Generate impression based on findings. | 28 year-old patient. Rule out intracranial mass. There is no intracranial mass, fluid collection, hemorrhage, hydrocephalus or CT evidence of acute ischemia. Gray-white differentiation is maintained bilaterally and the midline is intact. There is a circumscribed, expansile soft tissue mass located immediately posterior... | 1.No evidence for acute intracranial hemorrhage, mass effect or edema. CT is insensitive for the early detection of nonhemorrhagic CVA. 2.An expansile soft tissue mass extending into the left maxillary sinus could represent a benign mucocele or possibly antrochoanal polyp. |
Generate impression based on findings. | Male, 44 years old, history of dural AV fistula resection with worsening headaches for 3 days. Left parieto-occipital craniotomy redemonstrated. Minimal hypoattenuation of the underlying posterior temporal lobe is unchanged. Hyperdense embolic material redemonstrated along the brain surface deep to the craniotomy with ... | Stable post treatment changes. No specific findings are seen to account for the patient's increased headaches. |
Generate impression based on findings. | Female 82 years old; Reason: bilateral flank side pain and rule out abdominal etiology/ assess for arthrtic changes in both hips History: pain The lack of intravenous contrast limits evaluation.ABDOMEN:LUNG BASES: Large hiatal hernia, unchanged. Extensive calcification in the aortic valve and coronary vessels. LIVER, B... | 1. Right renal angiomyolipoma is stable in size; is amenable to embolization if desired clinically. No evidence of hydronephrosis, kidney stone, or hydroureter. Suggestion of left renal lesion is incompletely characterized given lack of intravenous contrast. Dedicated renal imaging could help characterize lesion. 2. Th... |
Generate impression based on findings. | 18 year-old female with abdominal pain near shunt, evaluate for etiology ABDOMEN:LUNG BASES: Mild basilar atelectasis.LIVER, BILIARY TRACT: Normal hepatic morphology. SPLEEN: The spleen enhances normally.PANCREAS: Normal pancreatic morphology.ADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: The kidneys... | Intact distal VP and lumboperitoneal shunt catheters without evidence of pseudocyst or abscess. |
Generate impression based on findings. | 81-year-old female with nausea and abdominal pain, rule out bowel obstruction. History of lung cancer (squamous cell carcinoma). Please note that nonenhanced CT is not sensitive for the detection of solid organ lesions. With this limitation, the following observations are made.ABDOMEN:LUNG BASES: Left basilar atelectas... | 1.Punctate nonobstructive stone in the right renal pelvis. 2.Small ventral hernia containing a loop of bowel. No evidence of obstruction.3.Stable left adrenal nodule is compatible with an adenoma. |
Generate impression based on findings. | Female, 60 years old, encephalopathy, history of cardiac symptoms complicated by seizures, shock, sepsis, right heart failure, history of rapid correction of hypernatremia during volume resuscitation for shock. Image quality is degraded both due to patient motion and portable technique. Given this the following observa... | No definite findings to account for the patient's symptoms. Please note that if suspicion for osmotic demyelination or other subtle brain pathology persists, MRI would provide a more sensitive evaluation. |
Generate impression based on findings. | 36 year old female. Headache and tenderness at left occipital scalp. Assess for scalp abscess, ischemic process. There are left suboccipital post craniotomy changes including bony defect, soft tissue stranding and underlying encephalomalacia. No subtle infection cannot be excluded, the appearance of the soft tissues ca... | 1. Stable left suboccipital craniotomy changes including soft tissue stranding. Though subtle infection cannot be excluded definitively on CT, this pattern could be accounted for by postsurgical changes.2. No evidence for acute intracranial hemorrhage, mass effect or edema. CT is insensitive for the early detection of ... |
Generate impression based on findings. | Reason: edema, bleeding? History: vertigo, cerebellar stroke The CSF spaces are appropriate for the patient's stated age with no midline shift. Atherosclerotic calcifications are present along the distal internal carotid arteries.There is a hypodensity involving gray and white matter of the left inferomedial cerebellar... | 1.Left cerebellar infarction associated with mass effect but without evidence for hemorrhagic conversion . |
Generate impression based on findings. | 44 year-old female with history of CLL. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure is unremarkable. Examination shows numerous enlarged lymph nodes throughout the soft tissue of the neck, mediastinum and axillary fossae. There is also e... | Extensive cervical lymphadenopathy. The findings are consistent with the patient's history of chronic lymphoid leukemia. |
Generate impression based on findings. | 54 year old female with elevated LFTs and abdominal tenderness ABDOMEN:LUNG BASES: Right lower lobe linear atelectasis.LIVER, BILIARY TRACT: Subcentimeter hypodensities are too small to characterize and unchanged. Status post cholecystectomy. Liver is normal in size measuring 15.3 cm in craniocaudal dimension. No focal... | 1.No specific findings to account for the patient's symptoms.2.Large amount of stool in the colon. Air within nondilated small bowel loops is abnormal but a nonspecific finding. |
Generate impression based on findings. | 25-year-old female with vomiting, constipation, abdominal pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted. The gallbladder is within normal limits.SPLEEN: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: ... | 1. No specific findings to account for the patient's symptoms.2. Suspected uterine fusion abnormality, which is incompletely imaged on CT. Evaluation with HSG or MRI may be performed if clinically warranted. |
Generate impression based on findings. | History of recent CVA. New onset AMS. The patchy hypoattenuation demonstrated within the left hemisphere along the centrum semi-ovale and in periventricular white matter of the left parietal lobe represents evolving sequela of the patient's recent left sided CVAs. Additionally, there is some patchy hypoattenuation in r... | 1. Hypoattenuation representing evolving left sided infarcts in this patient with known left-sided carotid occlusion and recent CVA.2.No new CT findings which would suggest acute CVA. Sensitivity of CT is somewhat limited in this regard and if there is persistent concern, examination with MR is recommended.3.Heterogene... |
Generate impression based on findings. | 52 year old female with pancreatic pseudocyst status post ERCP ABDOMEN:LUNG BASES: Bibasilar subsegmental atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.PANCRE... | Multiple peripancreatic abdominal drains without fluid collection or complication evident. |
Generate impression based on findings. | 86-year-old female with gross hematuria. History of right renal mass and suspected left AML from CT in 2010. ABDOMEN:LUNG BASES: Bibasilar subsegmental atelectasis.LIVER, BILIARY TRACT: Right hepatic lobe cyst. Multiple subcentimeter hypodense lesions, which are too small to characterize, similar to the prior exam.SPLE... | 1. Unchanged left renal angiomyolipoma.2. Minimal change in several enhancing right renal masses since 2010. The differential diagnosis includes lipid-poor angiomyolipomas, oncocytomas, or less likely small renal cell carcinomas. 3. Stable left adnexal cystic lesion. |
Generate impression based on findings. | 80 year-old male with hemoglobin drop, evaluate retroperitoneal hematoma Scout image of the abdomen and pelvis shows residual barium within the ascending and transverse colon. Nonobstructive bowel gas pattern. | Exam terminated due to residual barium within the colon. No cross-sectional images were obtained. |
Generate impression based on findings. | 38-year-old male with anorexia, nausea, vomiting and abdominal pain with pancreatic adenocarcinoma, restaging. CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusion. No suspicious nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size is normal without pericardial effus... | Locally invasive pancreatic adenocarcinoma is slightly increased in size. |
Generate impression based on findings. | Dissection status post aortic repair. The suboptimal phase of contrast enhancement is related to compression of the innominate vein by the dilated aortic root retrosternally. Any repeat examination should be performed via right antecubital injection of contrast. Within the limitations of the technique, note is again ma... | 1.Redemonstration of the aortic root aneurysm/ Stanford Type A dissection extending to involve the brachiocephalic, right and left common carotid arteries. The appearance and extent of dissection has not significant changed since the prior CT angiographic exam. 2.No intracranial vascular abnormality demonstrated. 3.No ... |
Generate impression based on findings. | Female, 53 years old, with nasal congestion, anosmia, status post endoscopic sinus surgery. Complete opacification of the frontal sinuses and frontoethmoidal recesses, unchanged. Near complete opacification of the ethmoid air cell region, unchanged. A focus of calcification is present within the right ethmoids which ma... | 1. Extensive sinus opacification, overall similar in appearance relative to the prior exam. There is evidence of frothy material in fluid levels in the maxillary sinuses suggesting some acute on chronic change.2. Progressive opacification of the nasal cavity. Nasal polyps in this location cannot be excluded.3. Stable c... |
Generate impression based on findings. | Male 63 years old; Reason: Pt has history of pancreatic pseudocyst s/p Open drainage w/ chole 6/11/13 - pt has abd pain, low grade fevers - please eval for re-accumulation of pseudocyst History: Low grade fevers, abdominal pain ABDOMEN:LUNG BASES: New right descending pulmonary artery embolus (image 3, series 8).LIVER,... | 1.New right descending pulmonary artery embolus.2.Decrease in size of pancreatic pseudocyst. 3.New fluid collection in the inferior left posterior pararenal space.These findings were discussed with Dr. Kamm at 10:55am 7/19/2013. |
Generate impression based on findings. | 63-year-old female with history of fever, panhypopituitarism on steroids, right lower consolidation on chest x-ray. LUNGS AND PLEURA: Right lower lobe patchy consolidation with surrounding groundglass opacities and a small right pleural effusion are present, which correlate with findings on recent chest radiograph and ... | Findings consistent with right lower lobe pneumonia correlating with recent chest radiograph. Six-week follow-up with upright PA/lateral radiographs is recommended to document resolution and exclude noninfectious etiology. |
Generate impression based on findings. | Male 52 years old; Reason: Evaluate vasculature to support kidney transplant. History: Diminished Bilaterally: Femoral, dorsalis pedis and posterior tibial pulses. History of Hypertension and Diabetes since age 21. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality no... | 1.Very mild atheromatous calcifications in the abdominal aorta. Iliac vessels appear completely patent without evidence of atherosclerosis. |
Generate impression based on findings. | Female, 37 years old, change in mental status, no focal deficits. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift. The ventricles and basal ci... | No acute intracranial abnormality or other specific findings to account for the patient's symptoms. |
Generate impression based on findings. | 53-year-old male with history of urothelial cell carcinoma CHEST:LUNGS AND PLEURA: Mild centrilobular and paraseptal emphysema. Bilateral dependent atelectasis.Scattered bilateral micronodules are unchanged. No pleural effusion.MEDIASTINUM AND HILA: Heart size is normal with small pericardial effusion, unchanged. No me... | 1.Stable examination with unchanged reference lymph nodes.2.Stable small pericardial effusion. |
Generate impression based on findings. | Male, 83 years old, metastatic/recurrent head and neck cancer (parotid gland), pre-therapy evaluation. Brain:Generalized sulcal prominence consistent with volume loss. Ventricular caliber, except as discussed below, is within normal limits for age.Patchy periventricular and basal ganglia lucencies are seen consistent w... | Since the prior CT not, there has been progression of ill-defined soft tissue thickening involving the left parotid bed, left ear and the cutaneous and subcutaneous tissues of the left neck and face. A focus of nodular thickening at the level of the angle of the mandible is also better demonstrated on this exam than on... |
Generate impression based on findings. | Female 40 years old; Reason: history of stage III melanoma s/p surgery and interferon History: melanoma CHEST:LUNGS AND PLEURA: Stable micronodules. No suspicious pulmonary masses or nodules. No pleural effusions.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy. Cardiac size is normal. No pericardial effus... | Stable exam with no evidence of metastatic disease. |
Generate impression based on findings. | 46-year-old female with ventricular shunt and hydrocephalus experiencing headache, nausea, and vomiting. Stable supratentorial hydrocephalus when measured in the coronal plane at the approximate same locations. Redemonstrated is a right-sided ventricular catheter entering from a right posterior temporal/parietal bur ho... | 1.Unchanged supraventricular ventriculomegaly.2.Unchanged ventricular shunt position. |
Generate impression based on findings. | 84-year-old female with stroke, now with altered mental status and less arousable Redemonstrated is the patient's left middle cerebral artery territory infarction with no evidence for hemorrhagic conversion. Expected evolution is noted with decreased mass-effect. Periventricular and subcortical white matter hypodensiti... | 1.Expected evolutionary changes of left MCA stroke with decreased mass effect.2.No acute hemorrhage. |
Generate impression based on findings. | 74 year old female with liver mass seen on noncontrast CT and hematuria, evaluate for liver and renal cancer ABDOMEN:LUNG BASES: Left basilar dependent atelectasis. LIVER, BILIARY TRACT: Hepatic dome lesion (12/9) seen on the prior exam shows discontinuous peripheral nodular enhancement on arterial phase images and fil... | 1.Multiple hepatic hemangiomas correspond to hypodensities seen on prior exam.2.No suspicious renal lesions or stones.3.Stable compression deformity of the L2 vertebral body. |
Generate impression based on findings. | 50 year-old male history of pancreatitis and pseudocyst. Now with abdominal pain ABDOMEN:LUNG BASES: Bibasilar subsegmental atelectasis.LIVER, BILIARY TRACT: Normal morphology. Subcentimeter hypodense lesion in the right lobe is too small to characterize. The gallbladder is within normal limits..SPLEEN: No significant ... | Abdominal ventral hernias without evidence of obstruction or incarceration. No specific findings to account for the patient's pain. |
Generate impression based on findings. | Male, 63 years old, with slurred speech, status post tPA. No evidence of acute intracranial hemorrhage. No abnormal extra-axial fluid collections are detected.Foci of periventricular lucency are redemonstrated particularly along the right lateral ventricle appearing similar to prior examination. Focal lucency within th... | 1. No evidence of intracranial hemorrhage.2. Redemonstration of parenchymal lucencies which likely reflect the sequelae of chronic ischemic change.3. No new lesions. |
Generate impression based on findings. | Reason: acute event? History: AMS, h/o MS The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a moderate degree are present.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No e... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Periventricular and subcortical white matter signal changes of a mild degree are present which are nonspecific. They could be vascular related, related to demyelination, trauma, vasculitis, sarcoid. They are nonspecific. 3.CT is insensitive for the ... |
Generate impression based on findings. | 56-year-old male with history of lung cancer. Follow-up examination. LUNGS AND PLEURA: Stable postoperative changes of right pneumonectomy. The surgical bed is filled with fluid and unchanged.Scattered micronodules are again noted in the hyperexpanded left lung. No new or suspicious nodules identified.MEDIASTINUM AND H... | Stable postoperative changes of right pneumonectomy. Unchanged right low cervical region lymph nodes which should continue to be monitored. No conclusive evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Reason: evaluate g-tube History: marked pain and tenderness at site of g-tube ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy. Stable segment two hepatic cyst. No change in dilated extrahepatic bile duct with maximal diameter of 1.1 cmSPLEEN: No significant abnormal... | 1. No CT evidence of complication related to gastrostomy tube. No free air, hematoma or ascites. No abscess. Consider release of T-fasteners.2. Interval stability in degree of pancreatic ductal dilatation. The lack of intravenouscontrast precludes the ability to critically evaluate for pancreatic mass. If clinicallyapp... |
Generate impression based on findings. | 59-year-old male with history of diverticulitis and liver abscess ABDOMEN:LUNG BASES: Unchanged small right pleural effusion with overlying subsegmental atelectasisLIVER, BILIARY TRACT: The right hepatic lobe abscess is stable in size, measuring 5.5 x 4.4 cm (4/31), previously 5.5 x 4.0 cm. The pigtail drainage cathete... | 1. Inflammatory changes at the sigmoid colon with sinus tract formation and possible fistula formation to the ileum. Evaluation with MRI may be helpful to further characterize this.2. Stable appearance of the hepatic abscess.3. Decreased hepatic subcapsular and abdominopelvic fluid collections. |
Generate impression based on findings. | 77-year-old female with weight loss and history of cystic pancreatic lesions ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Enhancing lesion in the gallbladder fundus is stable and most likely represents adenomyosis. No focal hepatic lesions.SPLEEN: No significant abnormality notedPANCREAS: ... | 1.Cystic lesion in the pancreatic head most likely represents a serous cystadenoma and is decreased in size from the prior exam.2.Mildly enlarged right pelvic lymph node is new from the prior exam. |
Generate impression based on findings. | 25-year-old female with left lower quadrant and flank tenderness 1 day status post MVA. Concern for solid organ injury or hematoma ABDOMEN:LUNG BASES: Bibasilar subsegmental atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.ADRENAL GLANDS: No significant abnorma... | No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Reason: AML, neutropenic now with new fevers and new pulmonary nodules on chest CT concerning for fungal infxn; evaluate for fungal sinusitis History: fevers The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated. There is periapical lucency is identified wi... | 1.Some mucosal thickening is redemonstrated in the maxillary sinuses not significantly changed since prior exam. This is likely chronic.2.periapical lucencies in the patient's dentition redemonstrated. Please correlate with clinical exam findings to evaluate for dental infection.3.drusen |
Generate impression based on findings. | Reason: cerebellar hemorhage History: alterd LOC There is redemonstration of a left cerebellar hemorrhage measuring 45 x 37 mm axial dimensions which has not changed substantially since the prior exam. It is associated with mass-effect and compression of the fourth ventricle.A ventriculostomy tube is redemonstrated cou... | 1.Left cerebellar hemorrhage with mass effect is stable since the prior exam.2.Ventricular size is not substantially changed3.Periventricular and subcortical white matter signal changes of a marked degree are present which are nonspecific. They could be vascular related, related to demyelination, trauma, vasculitis, sa... |
Generate impression based on findings. | 52 year old female with history of mucosal melanoma, evaluate for disease progression. Neck:Since prior CT, the soft tissue mass in the right nasal cavity has been partially removed. There are now postsurgical changes in the paranasal sinuses and nasal cavity related to tumor resection, with resection of the nasal sept... | Since the prior examination the patient has undergone removal of a mass in the right skull base which previously involved the posterior aspect of the right maxillary sinus, right sphenoid sinus including the medial wall of the right middle cranial fossa, the right pterygo-palatine fossa, the right infraorbital fissure.... |
Generate impression based on findings. | Male, 7 months old, altered mental status with subdural hemorrhage. Hyperdense subdural blood is redemonstrated layering along both sides of the interhemispheric falx and the tentorium. There is also likely a thin layer of subdural blood along the high right vertex. Accounting for some slight interval redistribution, n... | 1. Unchanged subdural hemorrhage. No new hemorrhage.2. Re-demonstration of multiple lucencies through the occipital bone, possibly even extending to the parietal bones, suspicious for fractures. |
Generate impression based on findings. | 64-year-old male with history of lung cancer CHEST:LUNGS AND PLEURA: Previously described cavitary lesion in the right upper lobe is now filled with fluid and now measures 3.5 x 2.5 cm in image number 18, series number 4. An abscess in this location cannot be excluded. Segments of atelectasis in the right upper lobe su... | Interval decrease in the size of the axillary and retroperitoneal lymph nodes.Slight interval increase in the size of the infiltrative right hilar mass and interval local no fluid collection in the previously described right cavitary lesion.Sclerotic/lytic changes involving the first rib and L3 vertebral body are uncha... |
Generate impression based on findings. | 35-year-old patient with ataxia. Rule out change in ventricles. There is interval stability in position of the two ventriculostomy tubes -- the first enters from a right occipital (postauricular) approach to ascend posterior to the cerebellar midline. A second enters from a right frontal approach, extends across the po... | No acute abnormalities. Ventricles are stable.The cerebellum is dysplactic and associated with partial agenesis of the vermis. One suggestion is that this may represent partial rhomboencephalosynapsis. |
Generate impression based on findings. | 53-year-old male with history of bladder cancer, status post radical cystectomy CHEST:LUNGS AND PLEURA: Scattered, nonspecific micronodules are unchanged.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Large hepatic hemangiomas in the liver... | No significant change from previous study. |
Generate impression based on findings. | Reason: 73yoF w intermittent confusion, slow speech, right side weakness unclear if acute/subacute/chronic, no prior CT History: intermittent confusion, slow speech The patient is status post left frontal craniotomy. There are multiple intracranial surgical clips present near the left clinoid and in the left sylvian fi... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA.3.Status post left-sided craniotomy and multiple aneurysm clip placement4.There is a small focus of encephalomalacia along the anterior aspect of the left temporal lobe5.optic hypodensi... |
Generate impression based on findings. | 85-year-old male with history of prostate cancer ABDOMEN:LUNG BASES: Left lower lobe nodular air space densities, incompletely imaged on this study. Further evaluation with chest CT is recommended. Large hiatal hernia.LIVER, BILIARY TRACT: Hepatic cyst is unchanged.SPLEEN: No significant abnormality notedPANCREAS: No s... | Punctate left lower pole renal stone, otherwise no significant change from previous study.Incompletely imaged nodular air space opacities in the left lower lobe. Follow-up imaging with chest CT is recommended. |
Generate impression based on findings. | History of normal pressure hydrocephalus and VP shunt placement. The ventriculostomy catheter associated with the VP shunt is demonstrated in stable position -- this enters via a right frontal approach and extends inferior/medially to the right ventricle where its tip abuts the septum pellucidum near the origin of the ... | Interval mild decrease in the biventricular diameter since the examination performed in May, 2012. No other changes are demonstrated. |
Generate impression based on findings. | Evaluation for hydrocephalus and intracranial hemorrhage. Patient presents with new diplopia and decreased vision. History includes grade 1 astrocytoma of the spinal cord with CSF dissemination. There is a curvilinear focus of hypoattenuation within the periventricular white matter adjacent the right frontal horn. This... | Hypoattenuating focus within periventricular white matter and involving the right caudate which was better demonstrated on the recent MR. Refer to the report for further detail. No acute intracranial abnormalities demonstrated. |
Generate impression based on findings. | Reason: h/o NPH and VPS History: surveillance Since the prior exam the patient has developed an extra-axial collection measuring up to 22 mm in thickness which is associated with some mild midline shift with shift of septum pellucidum approximately 1 mm left of midline. There is compression of the right lateral ventric... | 1.Bilateral subdural collection suspected to represent subdural hematomas in the subacute stage. Please correlate with clinical symptoms and history2.status ventriculostomy tube placement for shunt. The lateral ventricles are nondilated in fact the right lateral ventricle is compressed by the above described subdural h... |
Generate impression based on findings. | Lung cancer needs restaging. Contrast allergy. CHEST:LUNGS AND PLEURA: Interval left upper lobectomy with resection of previously seen anterior mass lesion.4-mm micronodule in the lower lobe (5/52) previously 3 mm, not significantly changed. New groundglass subpleural micronodule in the right lower lobe (5/30). Stable ... | 1.Status post left upper lobectomy . Soft tissue in the subaortic space cannot be readily distinguished from postoperative distortion of the left pulmonary artery however its size is suspicious for residual tumor. Correlation with PET scan is suggested. 2. New paraaortic lymphadenopathy. 3. New left lower lobe groundgl... |
Generate impression based on findings. | 41-year-old male with history of testis cancer 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 abno... | Normal study. |
Generate impression based on findings. | 12-year-old female status post brain biopsy. The patient is status post left parietal brain biopsy with expected findings including scattered pneumocephalus, a small amount of subarachnoid hemorrhage underlying the calvarial entry site, a focal calvarial defect with overlying side plate, as well as subcutaneous finding... | 1.Expected left parietal approach brain biopsy findings. There is no postprocedural hematoma.2.Previously described left hemispheric hemorrhage, mass, edema, and local mass effect are otherwise stable. 3.Previously described left temporoparietal lobe edema is stable. |
Generate impression based on findings. | Reason: evaluate ventricles History: s/p VP shunt 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.A ventriculostomy tube course to the ... | 1.Status post ventriculostomy tube placement. The lateral ventricles and third ventricle are stable in size . |
Generate impression based on findings. | Reason: 62yM w hx of actinomycosis of jaw, has worsened pain on R side of jaw, scan to re-assess; NOTE: ON LAST SCAN, JAW WAS NOT VISUALIZED AS NEEDED History: as above There is a bony erosion at the right mandible which although similar in extent to the prior exam of the superficial cortex of the right mandible is thi... | 1.The superficial cortex of the right mandible is thinner on the current exam and compared to the prior exam. The bony defect along the cortex of the superficial portion of the right mandible appears larger on the current exam. The extent of involvement of the right mandible appears to be similar when compared to the p... |
Generate impression based on findings. | Reason: Pt with headaches and gynecomastia. MRI of pituitary ? of extensive (?"fungal" per radiologist) sinusitis. Following up with CT as recommended by radiology History: headaches The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated. There is partial op... | 1.Inspissated secretions in the maxillary sinuses associated with wall thickening compatible with chronic sinusitis. Possibility of a fungal infection cannot be excluded. 2.Opacity left middle meatus may be an obstructive polyp. |
Generate impression based on findings. | Left upper lobe 7 millimeter nodule 6 month follow-up. LUNGS AND PLEURA: Left apical nodule (7/15) measures 7 x 4 mm, previously 7 x 5 mm, stable to slightly smaller which favors a benign lesion.Severe centrilobular emphysema. No pleural fluid or pneumothorax. Linear scarring in the left lower lobe and right middle lob... | Stable left upper lobe nodule, favoring a benign lesion, one year follow-up is CT suggested. 6-mm soft tissue lateral to the right breast prosthesis, suggest correlation with breast ultrasound unless the referring clinical service can obtain and submit remote outside prior studies include this area to prove stability, ... |
Generate impression based on findings. | Reason: Pt with lung cancer, s/p SRS check response History: cough CHEST:LUNGS AND PLEURA: Previous left lower lobe sub-solid nodule is now obscured by patchy consolidation and ground glass involving the superior segment of the left lower lobe and lingula which is consistent with radiation reaction.There is a stable so... | 1.Interval radiation reaction involving the superior segment left lower lobe and lingula which obscures previously described sub-solid neoplasm.2.Stable right lower lobe nodule measuring 7 x 9 mm.3.No interval mediastinal or hilar lymphadenopathy. |
Generate impression based on findings. | Neck cancer status post CRT CHEST:LUNGS AND PLEURA: Previously noted right upper lobe ground glass nodule is now one to 2-mm in size, likely postinflammatory.MEDIASTINUM AND HILA: Atherosclerotic calcifications of the thoracic aorta and its branches. Severe coronary artery calcifications. Aortic valvular and mitral ann... | No evidence of metastatic disease. Severe atherosclerotic disease. |
Generate impression based on findings. | Follicular thyroid carcinoma with planned iodine-131 therapy question pulmonary metastases LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Surgical clips and associated soft tissue in the thyroid bed, nonspecific by CT. Small low cervical region lymph nodes are nonspecific but should continue t... | No evidence of intrathoracic metastases. |
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