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Generate impression based on findings. | Esophageal CA in follow-up CHEST:LUNGS AND PLEURA: Peripheral scarlike stellate lesions in the right upper lobe appear unchanged compared to the 10/24/11 scanner where the solid component on both scans measured 7 x 9 mm. Similar smaller peripheral groundglass opacities are seen in the left upper lobe. The apical segmen... | Interval increase in size of subcarinal lymph nodes and mild increase in thickening of the esophagus distal to the level of the stent. Stable pulmonary lesions may be related to prior RT and/or could be treated lesions. |
Generate impression based on findings. | Reason: Eval posterior circulation History: vertigo Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is approximately 60% s... | 1.There is a 85% stenosis at the origin of the left vertebral artery.2.There is 67% stenosis at the origin of the right vertebral artery.3.There is 60% stenosis origin of the right internal carotid artery with associated ulceration at the right carotid bifurcation4.there is a 50% stenosis at the right internal carotid ... |
Generate impression based on findings. | Reason: lung cancer History: 3 years s/p LUL for T1aN0 carcinoid LUNGS AND PLEURA: Postsurgical changes reflect left upper lobectomy. Stable, multiple scattered bilateral micronodules, some of which are calcified. No new suspicious pulmonary nodule or pleural effusion.MEDIASTINUM AND HILA: Heart size remains stable. No... | 1.Stable scattered micronodules, some of which are calcified. No suspicious pulmonary nodules.2.No interval mediastinal or hilar lymphadenopathy. |
Generate impression based on findings. | 75-year-old male with liver failure and ascites LUNG BASES: Prominent mediastinal lymph nodes. Normal sized heart without pericardial effusion. Moderate sized left pleural effusion with overlying atelectasis of the left lower lobe. Right chest tube in place, which contains debris/fluid. Small right sided pneumothorax. ... | Cirrhotic hepatic morphology with numerous varices and moderate ascites. |
Generate impression based on findings. | 68 year-old male with history of NPH and status post VPS. Examination shows postsurgical change of a right frontal ventriculostomy, with a catheter tubing terminating in the left lateral ventricle. The catheter has been stable in position. The previously seen pneumocephalus has resolved. The ventricular system has decr... | 1. Acute/subacute on chronic bilateral cerebral subdural hemorrhages. 2. Interval decrease in size of the ventricular system. Ms. Aranas was notified with the findings at 2:05 pm. |
Generate impression based on findings. | 52-year-old female with colon cancer and pulmonary nodule, evaluate for recurrence CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusions.Right apical pulmonary nodule is not significantly changed in size measuring 5 mm (5/28). No new suspicious nodules or masses.MEDIASTINUM AND HILA: A pretracheal lymph n... | Stable examination. |
Generate impression based on findings. | History of pulmonary fibrosis with left upper lobe nodule on prior CT. LUNGS AND PLEURA: Reticulation, fibrosis, and traction bronchiectasis predominantly seen in the lung bases and periphery with sparing of the subpleural parenchyma. These findings are consistent with a fibrosing-type NSIP pattern of interstitial lung... | 1.Nearly resolved left upper lobe nodule, likely inflammatory.2.Fibrosing-type NSIP pattern of interstitial lung disease, unchanged. |
Generate impression based on findings. | Metastatic breast cancer status post chemotherapy restaging. No new symptoms. CHEST:LUNGS AND PLEURA: Few scattered pulmonary micronodules unchanged and without new lesions. No pleural fluid.MEDIASTINUM AND HILA: Prominent right hilar lymph node, unchanged. Normal heart size. No pericardial fluid.CHEST WALL: Mild right... | Nodal metastases with improved reference measurements. Stable skeletal metastases. Colonic mass cannot be accurately measured but subjectively appears slightly improved. |
Generate impression based on findings. | 42 year old female with pleuritic chest pain, elevated d-dimer. PULMONARY ARTERIES: Technically adequate study. No pulmonary embolus.LUNGS AND PLEURA: A 10 x 9 mm round pleural-based lesion is noted along the inferior right upper lobe (series 10, image 63), which contains internal calcification. Focal clustered subpleu... | 1.No pulmonary embolus. 2.Calcified mediastinal and right hilar lymph nodes, along with calcified pleural nodule and clustered subpleural nodules in the right upper lobe are consistent with prior granulomatous exposure, likely histoplasmosis. |
Generate impression based on findings. | 64-year-old female with metastatic thyroid cancer and treatment, evaluate for disease progression with measurements. Redemonstrated are postsurgical changes secondary to thyroidectomy and right neck dissection which appears stable. Reference heterogeneous enhancing mass in the region of the right thyroid bed again meas... | 1.Stable size of a reference right thyroid bed soft tissue mass and additional nodule located more superiorly.2.No new areas of enhancing soft tissue in the neck. |
Generate impression based on findings. | Reason: Patient lost motor function to right side of body, fell in the shower 1 month ago. Lasted 2-3 hours. History: Right sided hemiparesis, bowel incontinence. There is a some atrophy of the left parietal lobe more than the right and to lesser degree some left frontal lobe atrophy.The visualized portions of the para... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Asymmetric atrophy of the left the parietal lobe and left frontal lobe is nonspecific. if clinically appropriate MRI of the brain may be of further benefit in evaluating this. |
Generate impression based on findings. | 64 year-old male with lung cancer. CT head:There is no evidence of enhancing lesions within the brain to indicate cerebral metastasis. There is no evidence of cerebral edema or mass-effect. The ventricles and sulci are once again prominent suggestive of diffuse cerebral volume loss. Stable periventricular hypodensities... | 1. New postsurgical changes and stable extensive old posttreatment changes of the neck without evidence of enhancing mass or lymphadenopathy to suggest tumor recurrence in the neck.2. Partial left mandibulectomy. Stable appearance of radionecrosis in the residual mandible. 3. Soft tissue mass in the right supraclavicul... |
Generate impression based on findings. | 77 year-old female with history of non-small cell lung cancer and radiation. Follow-up examination. CHEST:LUNGS AND PLEURA: Paramediastinal and perihilar airspace opacities are again noted compatible with prior radiation. Mild right pleural thickening unchanged.Scattered micronodules in the left upper lobe appear simil... | 1. Stable radiation reaction in the right lung. Interval resolution of left lower lobe clustered nodular opacities suggest resolving aspiration/inflammation. Other scattered micronodules are stable.2. No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Reason: Trauma, bleeding? History: head trauma with LOC 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. Atherosclerotic calcifications... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Male, 62 years old, history of left monocular vision deficit, concern for left retinal infarct. Brain parenchymal morphology is within normal limits. No focal attenuation abnormalities. No mass-effect or midline shift. No intracranial hemorrhage or abnormal extra-axial fluid collection. The ventricular system is patent... | 1. Moderate atherosclerotic narrowing at the carotid bifurcations, worse on the left.2. Moderate to severe atherosclerotic narrowing of the cavernous ICAs bilaterally, worse on the right. 3. No significant focal stenoses are detected more distally in the intracranial vasculature.4. Mild apparent prominence of the dista... |
Generate impression based on findings. | Reason: lung nodule noted on previous scan, follow up. super D protocol History: cough LUNGS AND PLEURA: Previously described, predominantly perivascular distribution of pulmonary nodules have decreased in number and size. For example, within the left lower lobe (series 6 image 80), the well defined nodules are smaller... | 1.Perivascular pulmonary micronodules extending from the apices to the bases have decreased in number and size. Interval decreased bronchial wall thickening and patchy tree in bud opacities. Given the interval partial resolution over the last year, the appearance is suggestive of a benign process, such as granulomatous... |
Generate impression based on findings. | Eyelid cancer rule out lung mets LUNGS AND PLEURA: Please note that comparison to the outside study is extremely limited due to slice thickness (5-mm versus 3-mm), reconstruction algorithm and severe motion artifact present on the outside study. Scattered micronodules are seen bilaterally, which are well circumscribed ... | No specific evidence of metastatic disease. |
Generate impression based on findings. | Reason: hx H\T\N ca, s/p CRT, evaluate dx and compare measurements to previous scans History: as above Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is apprec... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.stable heterogeneous thyroid gland |
Generate impression based on findings. | 64-year-old female with hypokalemia and hyperaldosteronism, evaluate adrenal glands ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: There is a left adrenal nodule ... | 1.Enhancing mass within the wall of the gastric cardia near the GE junction is concerning for neoplasm; upper endoscopy recommended. This finding was discussed with clinical service at time of dictation.2.Retroperitoneal lymphadenopathy.3.Left adrenal adenoma. |
Generate impression based on findings. | Reason: 68 year-old female with history of base of tongue cancer with now multiple pulm nodes. please re-eval and compare to prior scans History: as above CHEST:LUNGS AND PLEURA: Multiple very small pulmonary nodules some solid and some non-solid, are unchanged since the previous scan and may have been present on earli... | 1.Stable nonspecific small pulmonary nodules, not typical for metastases. Further follow-up is recommended as the differential diagnosis includes primary adenocarcinoma.2. Focal ground glass opacity in the right upper lobe suggestive of aspiration.3. No other evidence of metastatic disease. |
Generate impression based on findings. | Lung cancer on oral Tarceva for 6 months CHEST:LUNGS AND PLEURA: Right middle lobectomy with associated volume loss. Moderate right pleural effusion with anterior loculation slightly smaller. Air in the pleural space is likely iatrogenic, related to right chest tube. Interval collapse and consolidation of the right bas... | Mixed response with interval increase in index lesions near the suture line but decrease in subjective size of right cardiophrenic angle mass. Other reference measurements are stable to improved in size. Thickening of the right visceral and parietal pleural surface has progressed which may be secondary to inflammatory ... |
Generate impression based on findings. | 52-year-old female with brain metastases experiencing altered mental status. Redemonstrated are foci of hypodensity within the white matter. Previously identified two new punctate foci of enhancement within the right precentral gyrus indicating pial based metastases are not evident with noncontrast head CT technique.No... | 1.Redemonstrated are foci of hypodensity within the white matter which correlate with previous MRI T2 hyperintensity, evidence for small vessel ischemic disease.2.Previously identified two new punctate foci of enhancement within the right precentral gyrus indicating pial based metastases are not evident with noncontras... |
Generate impression based on findings. | Reason: ?Thymoma History: diplopia, symptoms concerning for MG LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: There is no evidence of thymoma in the anterior mediastinum. Although there is no evidence of thymoma, lymphoid follicular hyperplasia may not always show an enlarged thymus. If there ... | There is no evidence of thymoma in the anterior mediastinum. Although there is no evidence of thymoma, lymphoid follicular hyperplasia may not always show an enlarged thymus. If there is high suspicion for a lymphoid follicular hyperplasia as etiology for myasthenia gravis, consider (201)TL SPECT evaluation. |
Generate impression based on findings. | Male 34 years old; Reason: Abdominal Pain History: nausea ABDOMEN:LUNGS BASES: No significant abnormality noted.Lack of IV Contrast limits evaluation of abdominal organs.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLA... | No intra-abdominal pathology detected on this limited noncontrast exam.Contrast extravasation description:Supervising radiologist: Michael BaadMinor or major extravasation: Major Contrast type:90 cc of Contrast Type were administered. Comment on saline chaser if appropriateAmount extravasated90 ccLocation of extravasat... |
Generate impression based on findings. | Male 54 years old; Reason: Metastatic melanoma evaluate for progression. History: Metastatic melanoma. CHEST:LUNGS AND PLEURA: Calcified granuloma right upper lobe. Noncalcified micronodules, including a 0.4-cm right lower lobe (series 6 image 67). No pleural effusions.MEDIASTINUM AND HILA: Small mediastinal lymph node... | 1. Small mediastinal lymph nodes not enlarged by size criteria. Borderline enlarged and mildly enlarged abdominal lymph nodes are nonspecific. These findings are stable.2. Mild hepatosplenomegaly. Likely hepatic steatosis.3. Pulmonary micronodules stable |
Generate impression based on findings. | Metastatic thyroid cancer on treatment CHEST: LUNGS AND PLEURA: Multiple pulmonary metastases grossly similar in size and number though difficult to visualize due to significant motion artifact. Motion artifact limits assessment of right lower lobe reference nodule. An accurate measurement cannot be provided. An approx... | Grossly unchanged size and number of pulmonary metastases within the limitations of severe motion artifact. Improving thoracic lymphadenopathy. |
Generate impression based on findings. | History of left upper lobe non-small cell lung cancer, now with medial chest wall mass. LUNGS AND PLEURA: Postsurgical changes of left upper lobectomy with volume loss. New calcified granulomata in the right lower lobe with previously mentioned granulomas unchanged in appearance.Increase in size of posterior left lower... | 1.Soft tissue mass of the left anterior chest wall invading the 3rd and 4th ribs, pericardium and epicardial fat. This lesion may represent metastatic disease or new primary malignancy. This was discussed at time of dictation with Dr Jaskowiak.2.Slow growth of left lower lobe groundglass nodule, highly suspicious for i... |
Generate impression based on findings. | Reason: pt with hx of lung ca History: sob, reportedly stage IV lung cancer versus aspergillosis. No imaging available to us. LUNGS AND PLEURA: Solid lobulated mass within the right middle lobe measuring 2.6 x 4.1 cm (series 5 image 215). There is associated internal calcification, surrounding spiculation and volume lo... | Solid lobulated mass within the right middle lobe measuring 2.6 x 4.1 cm suspicious for pulmonary neoplasm.1.Left lower lobe pleural-based cavitary mass 5.3 x 4.7 cm. Differential considerations include cavitary neoplasm with associated bacterial colonization and obstructive pneumonitis. However, abscess is a considera... |
Generate impression based on findings. | Reason: compare to previous History: dyspnea LUNGS AND PLEURA: Interval resolution of pulmonary opacity suggestive of edema and bilateral pleural effusions.Mild basilar scarring.Very mild ground glass opacity in the superior segment of the right lower lobe may be due to residual scarring or mild aspiration.MEDIASTINUM ... | 1.Mediastinal and hilar lymphadenopathy, slightly decreased, possibly due to sarcoidosis. 2. Very mild ground glass opacity in the dependent right lower lobe and no other significant pulmonary abnormalities. |
Generate impression based on findings. | H&N ca status post CRT CHEST:LUNGS AND PLEURA: Subpleural scarring consistent with prior radiation therapy. Scattered small bronchial mucous plugs and punctate granulomas but no suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Large hiatal hernia. Unchanged subcentimeter left supraclavicular lymph node, ple... | Small lymph nodes in the low neck, please refer to dedicated neck CT for significance of these findings. Stable soft tissue thickening surrounding the right breast prosthesis of unclear clinical significance, chronic. |
Generate impression based on findings. | 57-year-old female with HCV cirrhosis ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Cirrhotic liver morphology. Unchanged appearance of the right hepatic dome and segment 4 hemangiomas seen on prior MR. Subcentimeter hypoattenuating focus in the lateral left lobe seen only on delayed images... | 1. Cirrhosis without lesions suspicious for HCC. No ascites2. Stable appearance of two hepatic hemangiomas |
Generate impression based on findings. | Reason: Right upper lobe nodule last seen in May History: none LUNGS AND PLEURA: The sharply defined slightly lobulated solid right upper lobe nodule with a few adjacent micronodules measuring 11 x 9 mm, unchanged since 5/9/2012. On the source image series the nodule contains high density material ranging up to 120 Hou... | Stable partially calcified right upper lobe nodule consistent with a healing granuloma, likely secondary to histoplasmosis. A chest radiograph could be obtained in approximately 12 months for further assurance and to confirm stability. |
Generate impression based on findings. | S.O.B. Collagen vascular disease. Had left heart cath yesterday. Rule out PE. PULMONARY ARTERIES: Adequate infusion quality. No filling defects suggest presence of acute pulmonary embolus.LUNGS AND PLEURA: Mild central bronchial wall thickening. No pleural fluid or pneumothorax. No focal air space opacities. Minimal sc... | No evidence of acute pulmonary embolus or other acute pulmonary abnormality. 3-mm right lower lobe micronodules too small accurately characterize. Patient is at high risk for malignancy, one year follow-up may be obtained otherwise, no CT follow-up is required if the patient is considered risk. Mildly enlarged gastrohe... |
Generate impression based on findings. | 84 year old female. Multiple oral cancers. Mouth, pain. Rule out recurrent cancer. Redemonstration of postoperative changes status post right neck dissection. Soft tissue prominence in the left submental region appears similar to prior exam. There are no pathologically enlarged lymph nodes by CT criteria. Thyroid gland... | 1.No pathologically enlarged lymph nodes. 2.No specific evidence of residual or recurrent tumor.3.Right apical lung nodule, please refer to CT of the chest for full report. |
Generate impression based on findings. | Reason: please compare to head CT from 7/17/13 to assess status of hemorrhagic brain metastasis from melanoma History: left senosri-motor deficits There is a lesion in the right middle frontal gyrus are associated with vasogenic edema and mass effect which is stable compared to the prior exam. It measures approximately... | 1.There is no significant change since the examination from two days ago. There is a right middle frontal gyrus mass which is stable in associated with edema and mass-effect. In addition, there is a right frontal lobe lesion and a left cerebellar lesion which are also stable but not associated with significant mass-eff... |
Generate impression based on findings. | Female; 68 years old. Reason: r/o fracture History: weakness, pain There is a minimally displaced, slightly comminuted fracture of the body and superior ramus of the right pubic bone. The proximal femur is intact. Intermediate density in the proximal femoral diaphysis likely represents red marrow and is similar to that... | Fracture of the right pubic bone. |
Generate impression based on findings. | 68-year-old female with left flank pain ABDOMEN:LUNG BASES: Right lower lobe granuloma.LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: Splenic granulomas.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No focal renal lesions. No hydronephrosis. Punct... | Punctate nonobstructing stone in the left renal pelvis. There are numerous tiny phleboliths in the region of the left distal ureter, which is not well visualized and a distal ureteral stone cannot be entirely excluded. No hydroureteronephrosis. |
Generate impression based on findings. | Reason: multiple oral cancers History: r/o lung mets LUNGS AND PLEURA: Extensive centrilobular emphysema unchanged. Interval development of a solid right upper lobe pulmonary nodule measuring 9 x 12 mm (series 4 image 63). This is highly suspicious for pulmonary neoplasm, either primary or metastatic, given multiple or... | 1. New solid right upper lobe pulmonary nodule measuring 9 x 12 mm (series 4 image 63). This is highly suspicious for pulmonary neoplasm, either primary or metastatic, given multiple oral cancers.2. No mediastinal or hilar lymphadenopathy.3. Hiatal hernia with thickening of the GE junction and proximal duodenum which c... |
Generate impression based on findings. | Hemoptysis question PE PULMONARY ARTERIES: Adequate infusion quality. No filling defects identified to suggest presence of acute pulmonary embolus to the segmental level. Main pulmonary artery is normal in caliber.LUNGS AND PLEURA: No pleural fluid . Focal ground glass opacity in the posterior aspect of the right apex ... | 1. No signs of acute pulmonary embolus.2. Moderate bronchial wall thickening and endobronchial debris in the lower lobes bilaterally.3. Mildly prominent subcarinal and right interlobar lymph nodes are likely reactive.4. Subcentimeter micronodules the costophrenic angles are too small to accurately characterize most lik... |
Generate impression based on findings. | Metastatic breast cancer with bilateral pleural effusions status post bilateral pleurex catheters. Evaluate for interval change in effusions and pulmonary metastases. Dyspnea and hypoxia. LUNGS AND PLEURA: Bilateral pleurex catheters are in place, terminating in the posterior costophrenic angle on the right and postero... | Small bilateral loculated pleural fluid collections. On the left, a fine nodular pattern of enhancement is identified which favors pleural metastatic disease over empyema. Extensive pulmonary parenchymal abnormality which may reflect a combination of diffuse metastatic disease with superimposed necrotizing pneumonia in... |
Generate impression based on findings. | 76-year-old female with history of MAI in 2010, now presents with cough and fatigue x 3 months. LUNGS AND PLEURA: Bilateral apical scarring unchanged.Right middle lobe bronchiectasis unchanged, however increasing consolidation with new tree in bud opacities of the surrounding lung consistent with active MAI.Persistent ... | Bronchiolitis consistent with active, recurrent MAI infection. |
Generate impression based on findings. | Reason: lung cancer, please evaluate for disease s/p 4 cycles of chemotherpay. please compare with previous scan using same reference lesions History: lung cancer CHEST:LUNGS AND PLEURA: Interval development of patchy consolidation and ground glass in a predominantly upper lobe distribution with associated traction bro... | Interval development of patchy consolidation and ground glass in a predominantly upper lobe distribution with associated traction bronchiectasis. There is a partially loculated moderate right pleural effusion. This process obscures the previously referenced pulmonary lesions. It is highly suggestive of hypersensitivity... |
Generate impression based on findings. | History of newly diagnosed with cancer, evaluate for metastases. LUNGS AND PLEURA: Post inflammatory changes of the right middle and lower lobes with fibrosis and bronchiectasis. Focal ground glass opacities and consolidation within the right lower lobe likely inflammatory and can be evaluated after treatment.Multiple ... | 1.Multiple small lung nodules. The largest measures 5 x 5 mm and is indeterminate; follow-up recommended per protocol.2.Bronchiectasis and associated volume loss of the right middle and lower lobes appear postinflammatory. Groundglass opacity of the right lower lobe may represent infection.3.Exophytic mass of the right... |
Generate impression based on findings. | 65-year-old male with history of prostate cancer, question of right seventh rib lesion. LUNGS AND PLEURA: Scattered bilateral micronodules.MEDIASTINUM AND HILA: Heart and pericardium unremarkable. Mild aortic calcifications.CHEST WALL: Focal sclerosis without cortical rupture of the anterolateral right seventh rib whic... | 1.Sclerosis without cortical rupture of the right seventh rib. Punctate sclerotic foci of the left 9th and 10th ribs which may also represent early osseous metastases.2.Scattered pulmonary micronodules. |
Generate impression based on findings. | Reason: Evaluate for participation in clinical trial. Please comment on upper vs lower lung predominance and presence/absence of nodules. or bronchiectasis History: History of smoking induced COPD. LUNGS AND PLEURA: There is mid to upper zone centrilobular emphysema. Associated mild diffuse bronchial wall thickening an... | 1. There is mid to upper zone centrilobular emphysema. Associated mild diffuse bronchial wall thickening and central bronchiectasis affecting all lobes. The major fissures extend to the pleural surface 2. Soft tissue nodularity at the medial segment of the right middle lobe. This is extrapericardial and is contiguous w... |
Generate impression based on findings. | 19 year old male. Reason: Fever, leukocytosis, r/o abscess. Sickle cell anemia ABDOMEN:LUNG BASES: Cardiomegaly. LIVER, BILIARY TRACT: Cholelithiasis. SPLEEN: The spleen is small and dense, compatible with history of sickle cell disease. PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormali... | No abscess. No acute abnormality to explain fever and abdominal pain. Chronic changes of sickle cell disease. |
Generate impression based on findings. | 21-year-old male. Reason: Evaluate for tumor burden, possible obstruction, pancreatitis, fluid collection History: RCC s/p nephrectomy and cholecystectomy with percutaneous drains presenting with 3 days of nausea, vomiting and abdominal pain Evaluation of solid organ and vascular pathology is limited without intravenou... | 1.No evidence of small bowel obstruction.2.Liver masses appear increased in size and extent. 3.Extensive extrahepatic metastatic disease is grossly unchanged. |
Generate impression based on findings. | 69-year-old male. Reason: AML s/p liver biopsy on 7/19 now with new epigastric abd pain 7/10, please evaluate for free air/bleeding. The evaluation of solid organ pathology and lymphadenopathy is limited by the lack of IV contrast. ABDOMEN:LUNG BASES: Minimal bibasilar atelectasis or scarring. Coronary artery calcifica... | 1. New subcapsular hematoma of the right hepatic lobe.2. Resolution of the uncomplicated diverticulitis affecting the descending/proximal sigmoid colon since the prior exam. |
Generate impression based on findings. | 49 year old female. Reason: kidney stone, signs of hydronephrosis, other acute intraabdominal process History: L CVA tenderness, L abd pain with vomiting, blood on POC UA ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPAN... | Nonobstructing calculus at the left lower renal pole. Minimal fat stranding at the left proximal ureter suggests possible recent passage of stone or intermittent obstruction. No hydronephrosis or hydroureter. |
Generate impression based on findings. | 28 year old male. Reason: appy vs infectious colitis. History: diarrhea/n/v, RLQ pain. ABDOMEN:LUNG BASES: Dependent atelectasis. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEY... | Mesenteric and retroperitoneal lymphadenopathy. Normal appendix. |
Generate impression based on findings. | 31 year old female. Reason: Crohn's disease, abd pain. History: abd pain, recent constipation. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnorm... | Bowel wall thickening in terminal ileum, cecum, descending and sigmoid colon and probably rectum compatible with history of Crohn's disease. No abscess or fistula. |
Generate impression based on findings. | 53 year-old male with non-Hodgkin's lymphoma, reevaluate and compare with prior. Reason: tumor anywhere? History: left leg weakness, CNS lymphoma, history of NHD lymphoma. CHEST:LUNGS AND PLEURA: Unchanged left lower lobe micronodule.MEDIASTINUM AND HILA: No mediastinal or hilar adenopathy.CHEST WALL: No significant ab... | Stable examination. Status post right nephrectomy and hemicolectomy with unchanged index lesions. |
Generate impression based on findings. | Gravid patient with shortness of breath and chest pain. PULMONARY ARTERIES: Technically adequate study with no evidence of pulmonary emboli to the sub-segmental level.LUNGS AND PLEURA: Scattered groundglass opacities of the left lower lobe with mild bilateral bronchial wall thickening and mucoid impaction best seen in ... | 1.No evidence of pulmonary emboli.2.Findings consistent with small airway disease such as asthma or bronchitis.3.Left ventricular and atrial enlargement, likely physiologic. Consider echocardiography if there is suspicion of myocardial dysfunction. |
Generate impression based on findings. | History of sickle cell disease, now with tachycardia and hypoxemia. PULMONARY ARTERIES: Study limited by motion with no pulmonary emboli to the segmental level. Enlargement of the main pulmonary artery which can be seen with pulmonary artery hypertension.LUNGS AND PLEURA: Mild basilar atelectasis and scarring with pleu... | No evidence of acute pulmonary emboli. Residual scar at the lung bases. |
Generate impression based on findings. | History of chest pain. PULMONARY ARTERIES: Technically adequate study with no evidence of pulmonary emboli.LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Single 11-mm right hilar lymph node, possibly reactive.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of enteric contra... | No evidence of pulmonary emboli. No acute pulmonary process. |
Generate impression based on findings. | 26-year-old male with intracranial hemorrhage. There is redemonstration of hyperdense area centered in the left anterior thalamic region consistent with hemorrhage. There is a surrounding hypodense area consistent with edema. There is associated local mass effect and partial effacement of the left lateral and third ven... | Redemonstration of an anterior left thalamic hemorrhage, not significantly changed compared to prior exam.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 15-year-old female with right sided abdominal pain, evaluate for stone ABDOMEN:LUNG BASES: Mild left basilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, UR... | Nonobstructive nephrolithiasis as described above. No hydronephrosis, ureteral stones or hydroureter. |
Generate impression based on findings. | 63 year old female with right calf pain and positive d-dimer. PULMONARY ARTERIES: Technically adequate study with no evidence of pulmonary emboli to the subsegmental level.LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Heart and pericardium unremarkable.CHEST WALL: Osteophyte of the lower thor... | No evidence of pulmonary emboli. |
Generate impression based on findings. | 2-year-old male with fever, rule out intra-abdominal process. ABDOMEN:LUNG BASES: Basilar atelectasis.LIVER, BILIARY TRACT: Normal hepatic enhancement. No biliary ductal dilatation.SPLEEN: Normal splenic enhancement.PANCREAS: Normal morphology and enhancement.ADRENAL GLANDS: No significant abnormality notedKIDNEYS, URE... | Fecal distention of sigmoid and rectum. Although the appendix is not identified there is no pericecal fat stranding, abscess or abnormal fluid collection. |
Generate impression based on findings. | 42-year-old female. Reason: fever of unknown origin. History: T cell lymphoma, fever, SLE CHEST:LUNGS AND PLEURA: Mild dependent atelectasis.MEDIASTINUM AND HILA: Cardiomegaly. CHEST WALL: Right sided venous access port is in the expected position. Left axillary adenopathy. Reference node at image 25 of series 5 measur... | Axillary, retroperitoneal, pelvic and inguinal lymphadenopathy are stable. No new adenopathy. No specific acute abnormality was found to explain neutropenic fever. |
Generate impression based on findings. | 56-year-old male with a intracranial hemorrhage, follow-up. Motion artifact limits this study.There is redemonstration of hyperdense area centered in the left anterior thalamic region consistent with hemorrhage surrounded by a rim of hypodensity consistent with edema. These findings have not significantly changed since... | Redemonstration of a anterior left thalamic hemorrhage, not significantly changed compared to prior exam. |
Generate impression based on findings. | 84 year old female. Ovarian carcinoma. Reason: check disease progression History: metastatic ovarian cancer ABDOMEN:LUNG BASES: New small bilateral pleural effusions. Small hiatal hernia. Coronary artery calcifications. Bibasilar lower lobe compressive atelectasis. LIVER, BILIARY TRACT: No change in extensive, multifoc... | No significant change in extensive metastatic disease.New small bilateral pleural effusions with associated compressive atelectasis at the lung bases. |
Generate impression based on findings. | 40 year-old male with altered mental status. The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized portions of the paranasal s... | No evidence for acute intracranial hemorrhage mass effect or edema.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 20 year-old male with trauma to head and face. Head:There is soft tissue swelling along the anterior midline and left anterior soft tissues of the calvarium. No underlying fractures identified.The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated int... | 1. Swelling of the anterior midline and left anterior soft tissues of the calvarium.2. No evidence for acute intracranial hemorrhage mass effect or edema. 3. No calvarial or maxillofacial fractures identified.4. No cervical spine fractures or subluxations. |
Generate impression based on findings. | 92 year-old male with altered mental status. Patchy areas of hypo-density in the periventricular white matter consistent with chronic ischemic small vessel disease, grossly unchanged compared to prior exam. There is a small focus of hypoattenuation in the left cerebellar hemisphere correlating with prior MR findings of... | No evidence for acute intracranial abnormality. Stable chronic ischemic small vessel disease. |
Generate impression based on findings. | 50 year-old female with left-sided weakness and paresthesias. Bilateral patchy areas of hypoattenuation along the periventricular and subcortical white matter compatible with age indeterminant small vessel ischemic disease. No major sulcal effacement. No intracranial hemorrhage is identified. No edema is identified wit... | 1. No evidence for acute intracranial hemorrhage.2. Moderate age indeterminant small vessel ischemic disease of the periventricular and subcortical white matter. CT is insensitive for the detection of acute, nonhemorrhagic ischemic stroke. If clinical suspicion persists, MRI brain is recommended. |
Generate impression based on findings. | History of shortness of breath and hypoxia with pleural plaques on prior imaging. LUNGS AND PLEURA: Bilateral dependent dense consolidation with air bronchograms and surrounding ground glass opacities. Small bilateral pleural effusions with loculated component in the minor fissure and thickening of the major fissures. ... | 1.Bilateral lower lobe consolidation suggestive of bilateral lower lobe pneumonia.2.Pulmonary edema, effusions and cardiomegaly consistent with CHF exacerbation.3.Large calcified plaques of the right and left pleura consistent with prior asbestos exposure. |
Generate impression based on findings. | Reason: 63M with RUL pneumonia, possible abscess/cavitation, eval History: PNA, upon discussion with the primary service, there is possible history of radiation treatment for unknown malignancy LUNGS AND PLEURA: There is a large cavitary lesion involving the right upper lobe containing an air fluid level which is diffi... | 1.Cavitary lesion involving the right upper lobe containing an air fluid level occupying the majority of the upper lobe. Consolidation and dense groundglass extends into the right middle lobe and superior segment of the right lower lobe. This process is contiguous with the superior right mediastinum. Consolidation and ... |
Generate impression based on findings. | History of urothelial carcinoma, evaluate for metastatic disease. LUNGS AND PLEURA: New right middle lobe soft tissue nodule with mild spiculation (series 4, image 61) which measures 15 x 14 mm. This lesion is highly suspicious for metastasis.Scattered nodules, many of which are calcified, the largest of which appears ... | Interval development of metastatic disease involving the right lung, vertebral bodies, superior poles of both kidneys, and likely the right adrenal gland. Retroperitoneal and superior mesenteric necrotic lymphadenopathy. These results were discussed with Dr. William Boysen at time of dictation. |
Generate impression based on findings. | History sickle cell disease with prior PE, evaluate for pulmonary embolism. PULMONARY ARTERIES: Technically adequate study with opacification of the pulmonary arteries to the subsegmental level. No evidence of pulmonary emboli.LUNGS AND PLEURA: Atelectasis and fibrosis with bronchiectasis at the lung bases bilaterally ... | 1.No evidence of pulmonary emboli.2.Slowly progressive mild lympadenopathy. In the absence of pulmonary infection, lymphoma is a consideration in the differential. |
Generate impression based on findings. | 35 year old female with history of stage IV metastatic melanoma, evaluate disease status following additional systemic therapy and provide bidimensional measurements. CHEST:LUNGS AND PLEURA: Right lower lobe pulmonary nodule 4 mm in diameter (series 4, image 74; unchanged). A second peripheral right lower lobe nodule m... | Stable pulmonary nodules.Stable size of right axillary lymph nodes and right posterior chest wall mass.Stable mesenteric lymph nodes. |
Generate impression based on findings. | 39-year-old male with metastatic colon cancer, restaging. CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary nodules, indeterminate but suspicious for metastatic disease. The reference right middle lobe nodule (series 4 image 47 measures 0.5 cm. The pulmonary nodules in the lower lungs appear minimally smaller compar... | 1. Numerous bilobar hepatic lesions consistent with metastatic disease, overall slightly smaller. 2. Bilateral pulmonary nodules suspicious for metastatic disease are stable. |
Generate impression based on findings. | 44-year-old female follow-up shunt placement. There is redemonstration of a right superior frontal approach VP shunt catheter crossing the septum pellucidum and the lateral ventricles with its tip in the superior aspect of the left basal ganglia, unchanged in location compared to prior exam. There is a small area of hy... | Stable positioning of ventriculoperitoneal shunt catheter. Slight decreased size of lateral and third ventricles. |
Generate impression based on findings. | 12-year-old female with history of ALL, hemiplegia, facial palsy status post brain biopsy. Status post left parietal brain biopsy with resolving pneumocephalus and small amount of subarachnoid hemorrhage underlying the calvarial entry site. The calvarial entry site as an overlying side plate with surrounding mild soft ... | 1. Expected post-biopsy findings. There is no post procedure hematoma.2. No significant interval change in appearance of described left hemispheric hemorrhage with associated mass-effect and edema, except for trace increased effacement of left lateral ventricle.3. Relatively stable mild midline shift. |
Generate impression based on findings. | 68-year-old male with clonus, rule out ischemia/hemorrhage. There is a new ill defined area of hypoattenuation in the posterior right temporal lobe white matter with areas of cortical extension with associated effacement of sulci and loss of gray white matter differentiation.The CSF spaces are otherwise appropriate for... | New area of hypoattenuation in the right temporal lobe, most suggestive of a recent infarct. MRI brain may be obtained for further evaluation.Findings were discussed with Dr. Joseph Guenzer over the telephone on 7/20/13 at 4:32p.m. by Dr. Anup Alexander. |
Generate impression based on findings. | 7-month-old male status post fall from 5ft, hitting left side of face, and one episode vomiting. 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. There is no extraaxial fluid collection.T... | No evidence for acute intracranial abnormality. |
Generate impression based on findings. | 75-year-old female with CVA. There is a crescent shaped, mixed density left frontal-parietal subdural collection containing small focal areas of hyperdensity, suggesting an acute to subacute subdural hematoma measuring about 13 mm in greatest thickness. There is associated effacement of the sulci. There is preservation... | 1. Left sided acute to subacute subdural hematoma producing a 3-mm midline shift to the right and localized mass effect.2. Mild age indeterminant small vessel ischemic disease. |
Generate impression based on findings. | 73-year-old male with altered mental status. Artifact slightly limits evaluation. There are patchy areas of hypoattenuation along the periventricular white matter indicating age indeterminant small vessel ischemic disease. There is age-appropriate cerebral atrophy. The CSF spaces are appropriate for the patient's state... | No evidence for acute intracranial hemorrhage. Moderate age indeterminate small vessel ischemic changes. CT is insensitive for the detection of non-hemorrhagic, ischemic infarct. If clinical suspicion persists, MRI is recommended.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with ... |
Generate impression based on findings. | 23-year-old male new patent right of current drain, positive obturator sign. Clinical question: CT enterography provided for drain placement and for new fluid collections, size of previous abscess cavity. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: N... | No new abscesses. No measurable fluid around the pigtail catheter. Other findings consistent with active inflammation in the terminal ileum. |
Generate impression based on findings. | 54-year-old male with fever, abdominal pain. History diverticulitis common sigmoid abscess with fever, abdominal pain -- evaluate for progression of abscess, diverticulitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality noted... | Progression of CT signs of acute diverticulitis with new air fluid collection consistent with an intramural or pericolonic abscess. It may be a second abscess unchanged from the prior exam abutting the left wall of the sigmoid colon. |
Generate impression based on findings. | 22 -year-old female high fevers on antibiotics times multiple days for right pyelo-. Rule out abscess right kidney. ABDOMEN:LUNG BASES: Small bilateral pleural effusions. Bibasilar atelectasis.LIVER, BILIARY TRACT: Nonspecific hepatomegaly 24 cm cephalocaudad is seen on coronal image 31/93.SPLEEN: Prominent length 15.5... | Findings consistent with pyelonephritis without discrete abscess. Hepatomegaly. Possible splenomegaly. Small bilateral pleural effusions. |
Generate impression based on findings. | 77-year-old female status post ex lap in subtotal colectomy. Now with abdominal pain and leukocytosis. ABDOMEN:LUNG BASES: Bilateral pleural effusions. Left basilar atelectasis and consolidation.LIVER, BILIARY TRACT: Fluid collection in left upper quadrant under the left hemidiaphragm. The baseline purposes measured on... | Loculated fluid collection left upper quadrant. Differential diagnostic considerations groin hematoma and abscess. Other findings as above. These findings were communicated by the radiology resident on call as documented in the stat consult 7/20/13 11:49 p.m. |
Generate impression based on findings. | 58-year-old female bilateral lung transplant, now with sepsis, DIC and concern for GI ischemia. CHEST:LUNGS AND PLEURA: Limited somewhat by respiratory motion. Right chest tube with expected small pneumoperitoneum. Scattered patchy opacities particularly worse in the bases suggestive of atelectasis and possibly edema. ... | Pneumatosis intestinalis involving the right colon etiology uncertain. Ischemia cannot be excluded. Ascites. Generalized anasarca. Postsurgical changes lungs with basilar atelectasis small left pneumothorax and postsurgical changes of interstitial emphysema in the chest wall. Other findings as above.Finding of intersti... |
Generate impression based on findings. | 39-year-old female. Fever, persistent pain. Evaluate for fluid collection, urinoma, abscess. Additional history from patent 7/18/is 13 indicates low anterior resection, radical hysterectomy stent placement and ureteral reimplantation. Status post chemotherapy and radiation. ABDOMEN:LUNG BASES: Bibasilar atelectasis. M... | New hepatic lesions consistent with metastases. Multiple loculated fluid collections seen including region abutting the right ureter and in the pelvis. Bubbles of gas in the retroperitoneum consistent with recent surgery.Findings communicated by the radiology resident on call via stat consult 7/20/13 8:44 p.m. with att... |
Generate impression based on findings. | 73-year-old male. Concern for infection. Tachycardia. Additional history from pathology report indicates proctocolectomy on 7/19/13, invasive adenocarcinoma. CHEST:LUNGS AND PLEURA: Large left pleural effusion. NG tube. No definite lung nodule seen in the aerated lung.MEDIASTINUM AND HILA: No significant abnormality no... | Large left pleural effusion. Unexpected finding of large volume pneumoperitoneum communicated to clinical service by the radiology resident on call 7/20/13 11:59 p.m. Other findings as above. |
Generate impression based on findings. | 57 year-old female. Continued nausea and emesis. Evaluate for obstruction. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholecystectomy clips. No focal liver lesions.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality ... | Nonobstructive adhesions distorting small bowel. Persistent small fluid collection in the subcutaneous tissues interabdominal one. Free versus loculated fluid in the cul-de-sac. |
Generate impression based on findings. | 23-year-old female with likely liver capsule hemorrhage status post liver biopsy. Acute drop in hemoglobin. ABDOMEN:LUNG BASES: 3 mm micronodule right lower lobe series 4 image #1.LIVER, BILIARY TRACT: Large irregular hepatic hypodensity geographic configuration throughout right lobe of the liver distorting hepatic vas... | Large intrahepatic and subcapsular hematomas. These collections might communicate. No evidence of hepatic or portal vein thrombus or there is marked distortion of the hepatic vasculature. No definite evidence of free intraperitoneal fluid.Case discussed with Dr. Te 7/21/13 9:50 a.m. Stat consult by the radiology reside... |
Generate impression based on findings. | 78-year-old female. Pancreatic adenocarcinoma. Evaluate for fluid collection. Additional history resident on-call, status post ERCP and endoscopic biopsy 7/19/13. The exam is not sensitive detecting lesions in the bowel solid organs due to lack of oral or intravenous contrast. Given those limitations, the following obs... | Foci of air peripancreatic area gastrohepatic ligament and possibly lesser sac suggestive of perforation from endoscopic biopsy.Fluid filled the stomach and duodenum concerning for duodenal obstruction. Intramural gas in the descending duodenum. This is more likely to be related to the biopsy rather than infection.Othe... |
Generate impression based on findings. | 64 year-old female. Atypical chest pain, acute. kidney injury. Evaluate size of known aortic aneurysm. Evaluate known renal hematoma. The exam is not sensitive for detecting lesions in the bowel, solid organs are vasculature due to the lack of oral or intravenous contrast. Given those limitations, the following observa... | New large multiloculated pleural fluid. Hemothorax cannot be excluded. Stable aorta. Other findings unchanged. These findings were reported to the clinical service by the radiology resident on call 7/20/13 11:30 p.m as documented in the stat consult. |
Generate impression based on findings. | 30 year-old female with bloody stool today, fevers x 6 days. Concern for infection or other acute process. Additional history per radiology resident on call and per path report of 5/24/10 indicates history of SLE. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted... | No findings to explain bloody stool. Redemonstration of pelvic lymphadenopathy probably related to the patient's SLE. |
Generate impression based on findings. | 50 old female. Abdominal pain purulent pancreatitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholecystectomy. No biliary dilatation. Possible fatty liver.SPLEEN: No significant abnormality notedPANCREAS: Normal appearing pancreas. No perihepatic hepatic fat stranding or fluid. No pancr... | No evidence of any acute process. Possible fatty liver. Prominent submucosal fat right colon correlate for history of colitis. |
Generate impression based on findings. | Female 42 years old; Reason: pe/air embolus? History: chest tightness. PULMONARY ARTERIES: Adequate evaluation of the pulmonary arteries. No pulmonary emboli. The main pulmonary artery is of normal caliber.LUNGS AND PLEURA: The lungs are clear.MEDIASTINUM AND HILA: No cardiomegaly or pericardial effusion. No significan... | 1.No CT evidence of pulmonary emboli. 2.The lungs are clear. |
Generate impression based on findings. | 51-year-old female right lower quadrant pain. Appendicitis versus ovarian pathology. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality note... | No findings to explain the patient's acute symptoms. |
Generate impression based on findings. | Male 31 years old; Reason: r/o PE History: cavitary lesion, not getting better on maximal abx therapy. h/o CF. Concern for possible PE. PULMONARY ARTERIES: Adequate evaluation of the pulmonary arteries. No pulmonary emboli. The main pulmonary artery is of normal caliber.LUNGS AND PLEURA: Interval increase in the consol... | 1.No pulmonary emboli. 2.Interval increase in the size of the left lobe subpleural cavitary lesion with development of a soft tissue opacity in the cavity which could represent a fungus ball. 3.Stable diffuse tree in bud opacities compatible with chronic mucous plugging in this patient with cystic fibrosis.4.Unchanged ... |
Generate impression based on findings. | 88-year-old male. Right flank pain/RLQ pain. Evaluate for kidney stone, pyelonephritis. The exam is not sensitive for detecting lesions in the bowel or solid organs due to lack of oral or intravenous contrast. Given those limitations, the following observations are made.ABDOMEN:LUNG BASES: No significant abnormality no... | Extensive atherosclerotic disease. Increasing aneurysmal dilatation right internal iliac artery since 2007. Possible nephrolithiasis right lower pole kidney. No evidence of ureteral calcifications or hydronephrosis. Cholelithiasis. Other findings as above. |
Generate impression based on findings. | 25-year-old female with abdominal pain. Rule out obstruction. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: 5.7 x 3.9 cm lesion in the inferior aspect of the liver with peripheral nodular enhancement consistent with hemangioma. This lesion has increased in size. It measured 3.3 x 2.2 cm on 5... | No acute findings. Interval increase in size of hepatic hemangioma. Given patient's age, size of the hemangioma could be followed with ultrasound. |
Generate impression based on findings. | Female 74 years old; Reason: evaluate for PE History: hypoxia. PULMONARY ARTERIES: Pulmonary emboli are visualized in the distal right main pulmonary artery and segmental branch extending into the subsegmental arteries. There is also a subsegmental left pulmonary embolism. The main pulmonary artery is at the upper limi... | 1.Pulmonary emboli located in the right main pulmonary artery and its segmental branches extending into the subsegmental arteries.2.Additional subsegmental left pulmonary embolism.3.Bowing of the interventricular septum with right atrial enlargement suggestive of right heart strain.4.Focal hypoattenuation of the upper ... |
Generate impression based on findings. | Female 23 years old; Reason: PE? History: Chest pain, SOB. PULMONARY ARTERIES: Adequate evaluation of the pulmonary arteries. No pulmonary emboli. The main pulmonary artery is of normal caliber. LUNGS AND PLEURA: Bibasilar subsegmental atelectasis. No pleural effusion or focal consolidation.MEDIASTINUM AND HILA: No car... | 1.No pulmonary emboli. 2.Basilar subsegmental atelectasis. 3.No pleural effusion or significant focal consolidation. |
Generate impression based on findings. | Lactic acidosis ABDOMEN:LUNG BASES: Minimal atelectasis at the right lower lobe and left lower lobe.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abn... | Questionable mild peripheral wall enhancement of the dilated distal ileum. The proximal small bowel loops are normal. Minimal nonspecific wall enhancement of the sigmoid colon. These changes are nonspecific and may indicate inflammatory changes. |
Generate impression based on findings. | Female 53 years old; Reason: R/o PE History: Sudden onset SOB, L sided chest pain after long car trip. PULMONARY ARTERIES: Adequate evaluation of the pulmonary arteries. No pulmonary emboli. Normal caliber to the main pulmonary artery.LUNGS AND PLEURA: The lungs are clear.MEDIASTINUM AND HILA: No cardiomegaly or perica... | No pulmonary emboli. No pleural effusion or focal lung consolidation. |
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