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Generate impression based on findings. | Male 41 years old; Reason: rule out PE History: SOB, hemoptysis. PULMONARY ARTERIES: Adequate evaluation of the pulmonary arteries. No evidence for pulmonary emboli. The main pulmonary artery measures 41 cm in diameter suggestive of pulmonary artery hypertension.LUNGS AND PLEURA: Focal nodular and ground ground glass o... | 1.No pulmonary emboli.2.Pulmonary artery hypertension.3.Focal consolidation in the right lower lobe with cavitation suggestive of atypical bacterial infection or fungal infection.4.Bilateral diffuse nodular and groundglass opacities in the lung bases consistent with additional areas of multifocal infection or component... |
Generate impression based on findings. | Osteosarcoma LUNGS AND PLEURA: Again noted multiple nonspecific pinpoint nodules throughout both lungs, measuring 1-2 mm in size not significantly changed allowing for slice differences. No consolidations, effusions or pneumothorax. No pleural thickening.MEDIASTINUM AND HILA: Normal heart size. Again noted soft tissue ... | Again noted multiple nonspecific pinpoint pulmonary nodules in both lungs not significantly changed in size and number when compared to the prior study. |
Generate impression based on findings. | Female 77 years old; Reason: respiratory difficulty, concern for developing PNA History: shortness of breath, smoking history, history of COPD. LUNGS AND PLEURA: Centrilobular emphysematous changes.Bilateral pleural effusions left greater than right with overlying consolidation. Diffuse ground glass opacifications bila... | 1.Bilateral pleural effusions with overlying consolidation, diffuse ground glass opacities with interlobular septal thickening, and cardiomegaly all suggestive of congestive heart failure superimposed on a background of emphysema.2.The consolidation in the left lung base contains air bronchograms. Superimposed infectio... |
Generate impression based on findings. | 89-year-old female. Clinical question: Occult malignancy? Signs and symptoms: areflexia, AMS. CHEST:LUNGS AND PLEURA: Extensive bibasilar atelectasis or consolidation. Rule out pneumonia. Moderate bilateral pleural effusions. Also there are patchy areas of airspace disease particularly in the lingula and left and right... | Prominent in caliber stool filled rectum with wall thickening and. Rectal fluid and fluid in the presacral space. Correlate for stercoral colitis.Extensive bibasilar consolidation and effusion. Rule out aspiration pneumonia.Thyroid nodules. Atherosclerotic disease. |
Generate impression based on findings. | Evaluate left subdural hematoma. Acute seizure. Allowing for differences in technique and patient positioning, there is been no slight interval change in overall thickness of a mixed density left frontoparietal subdural collection. There has been redistribution of some of the more acute blood products likely related to... | No new intracranial hemorrhage. No significant interval change in appearance of mixed density left subdural hematoma with associated mild midline shift and minimal mass effect, when allowing for differences in technique and patient positioning. |
Generate impression based on findings. | 62 year-old female. Transaminitis, abdominal pain, hep C. cirrhosis, pancreatic CA. Clinical question: Acute intra-abdominal process? ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Probable cirrhotic morphology. Biliary stent with expected pneumobilia and persistent mild biliary dilatation bu... | No evidence of acute process. Multiple findings as above. |
Generate impression based on findings. | 54-year-old male left lower quadrant abdominal pain. Diverticulitis versus nephrolithiasis. Exam is not sensitive at detecting lesions in the bowel is solid organs due to lack of oral or intravenous contrast. Given those limitations, the following observations are made.ABDOMEN:LUNG BASES: Bibasilar atelectasis.LIVER, B... | Obstructing calculus distal left ureter with associated hydronephrosis and perinephric fat stranding.Some heterogeneity in the osseous structures of small sclerotic foci in the pelvic bones it should be evaluated further. Compare any prior scans if available. If not please correlate with PSA and possible bone scan. |
Generate impression based on findings. | 63-year-old male with subdural hematoma experiencing altered mental status. Redemonstrated is a large left hemispheric mixed density subdural hematoma which remains unchanged in size, mass effect, extent and density. As before, there is a well-demarcated acute blood collection measuring approximately 15 x 23-mm in size... | 1.No interval new hemorrhage.2.Stable large left hemispheric subdural in density, extent and overall mass effect including stable 12 mm midline shift to the right.3.No interval ventricular dilatation. |
Generate impression based on findings. | 61-year-old male with acute onset of leaning to the right, unable to sit up straight Redemonstrated is extensive periventricular and subcortical low attenuation of white matter remains without evidence of mass effect. Ventricular system is unchanged without interval dilatation. Images through posterior fossa also demon... | 1.Extensive periventricular and subcortical low attenuation of white matter is again noted, not significantly changed. No advanced white matter disease such as this could mask underlying acute ischemia, and if there remains clinical concern for this, MRI would be recommended.2.No acute intracranial hemorrhage. |
Generate impression based on findings. | Reason: Eval for stroke History: TIA hx, now with 24h LUE numbness 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 porti... | 1.No evidence for acute intracranial hemorrhage mass effect or edema. Examination stable since the prior exam.2.CT is insensitive for the early detection of nonhemorrhagic CVA |
Generate impression based on findings. | Reason: baseline images before starting integrillin infusion for VAD thrombosis History: baseline images before starting integrillin infusion for VAD thrombosis The CSF spaces are appropriate for the patient's stated age with no midline shift. Atherosclerotic calcifications are present along the distal internal carotid... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Reason: rule out large vessel occlusion on patient with left sided weakness and altered mentation History: as above. 54 years old male 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... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease3.no evidence for acute intracranial hemorrhage mass effect or edema.4.Encephalomalacia involving the left inferior parietal lobule. An adjacent calcification is probably dystrophic in nature.5.Generalized brain atrophy somewhat more than exp... |
Generate impression based on findings. | 57-year-old male for chest pain. ? pneumonia or SBO. Please note that this study is limited in sensitivity for solid organ pathology due to lack of IV contrast.CHEST:LUNGS AND PLEURA: Small bilateral hydropneumothoraces, right greater than left and slightly increased compared to 5/23/13. Right basilar opacities and ate... | 1.Small bilateral hydropneumothoraces, right greater than left2.Right basilar opacities and atelectasis, likely representing aspiration and/or infection. 3.Moderate-sized pericardial effusion4.No bowel obstruction. |
Generate impression based on findings. | 82-year-old male with weakness. There are patchy areas of hypoattenuation in the periventricular white matter consistent with ischemic small vessel disease, unchanged compared to prior MRI. There are bilateral basal ganglia and cerebellar hemisphere calcifications, unchanged compared to prior MRI, likely dystrophic. Th... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Redemonstration of bilateral basal ganglia and cerebral hemisphere calcifications, likely dystrophic.3.The pituitary gland is enlarged and measures 10 mm, relatively unchanged compared to prior MR. |
Generate impression based on findings. | 80 year-old female with hypoxia, chest pain. PULMONARY ARTERIES: Technically adequate study with no evidence of pulmonary emboli.LUNGS AND PLEURA: Bilateral basal atelectasis/scarring with mild pleural thickening. Small calcified granuloma in the posterior segment of the upper lobe. No suspicious pulmonary nodules or m... | 1.No pulmonary emboli.2.Mild basilar scarring/atelectasis |
Generate impression based on findings. | Male 42 years old; Reason: r/o SBLO History: abdominal pain Please note that this examination is limited in sensitivity for solid organ pathology due to lack of IV contrast.ABDOMEN:LUNGS BASES: Bibasilar subsegmental atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted within the liver. Status post cholec... | Small bowel obstruction with transition point in the mid abdomen, likely secondary to adhesions. The appearance is similar to the prior exam. |
Generate impression based on findings. | Reason: 40 year old female r/o appy vs abscess History: RLQ pain The exam is not sensitive for detecting lesions in the solid organs due to lack of intravenous contrast. Given that limitation, the following observations are made.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant ab... | No acute intra-abdominal pathology detected. No significant changes since previous exam. |
Generate impression based on findings. | 61 year old male with left flank pain. The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No focal hepatic lesions or biliary ductal ... | Nonobstructing left renal stone, however no ureteral stone is seen. |
Generate impression based on findings. | Male, 79 years old, retromolar trigone squamous cell carcinoma, staging exam. Areas of encephalomalacia involving the right cerebellar hemisphere and perhaps the left as well are consistent with old ischemia. A focal lucency within the right thalamus is unchanged and probably represents a chronic lacunar infarct. Periv... | 1. Expected postoperative change consistent with resection of a left retromolar trigone tumor. No definite evidence of residual or recurrent disease is seen in the operative bed.2. Prominence and heterogeneity of the left palatine tonsil is demonstrated. This may be secondary to surgical alteration and/or radiation cha... |
Generate impression based on findings. | 70 year-old male with acute ischemia and intracranial hemorrhage on recent MRI and CT, now encephalopathic with altered mental status. Redemonstrated is gyral hyperdensity along the left parietal lobe which is slightly decreased in density, consistent with evolution. Adjacent to this is hypodensity representing the pat... | 1.Redemonstrated is gyral hyperdensity along the left parietal lobe which is slightly decreased in density, consistent with evolution. Adjacent to this is hypodensity representing the patient's known acute ischemia as demonstrated on previous brain MRI.2.No acute intracranial hemorrhage. |
Generate impression based on findings. | 81 year old female. Recurrent tongue cancer (squamous cell). Pre-therapy scans. Neck:Enlarged cervical lymph nodes have increased in size. Reference left level 4 lymph node measures 20 x 13 mm (series 4 image 60) previously 8 x 6 mm. Enlarged necrotic lymph node adjacent to the thyroid now measures 30 x 24 mm (image 66... | 1.Interval increase in size of enlarged cervical lymph nodes.2.No CT evidence of intracranial metastases.3.Mediastinal and hilar lymphadenopathy, as well as chest and subpleural masses, please refer to CT of the chest for full report. |
Generate impression based on findings. | 22-year-old male with history of hydrocephalus now with gait abnormality. Bilateral posterior approach ventricular catheter shunts course anteriorly with both catheter tips terminating adjacent to the midline in the middle cranial fossa, with no interval change since prior exam. Both posterior fourth ventricle catheter... | 1. No evidence for acute intracranial hemorrhage mass effect or edema.2. Unchanged positioning of multiple ventricular catheter shunts.3. Unchanged configurations and dimensions of CSF spaces. |
Generate impression based on findings. | 43-year-old female, Please eval for colitis or History: diarrhea, pain in a patient with ALL status post bone marrow transplant ABDOMEN:LUNG BASES: No significant abnormality detected.LIVER, BILIARY TRACT: The liver measures 17.6 cm in craniocaudal dimension. No focal lesions. SPLEEN: The spleen measures 12 cm in crani... | 1. Possible colonic thickening might correlate to pancolitis given patient's symptoms and immune status. 2. Hepatomegaly. |
Generate impression based on findings. | Base of tongue cancer status post CRT, evaluate for disease. LUNGS AND PLEURA: Unchanged scattered micronodules.Centrilobular emphysema.MEDIASTINUM AND HILA: Small subcentimeter mediastinal and right hilar lymph nodes are unchanged.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of enteric contrast ... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: r/o bleed History: left facial droop with preserved V1 motor 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. Hypodense focus in the left frontal subcortical white matter is identified ... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. 3.A calcific lesion is identified in the left cerebellar hemisphere and is most likely dystrophic in nature.4.C... |
Generate impression based on findings. | History of metastatic renal cancer. Assess for progression. Neck pain. LUNGS AND PLEURA: Reference right lower lobe pulmonary nodule measures 11 mm on image 58/110, marginally increased versus 9 mm on 1/17/2013. Small adjacent nodule (image 59/110) has also marginally increased. A subpleural subcentimeter nodule in the... | Versus 1/17/2013, slight increase in some of the subcentimeter pulmonary nodules. Other small nodules are stable. The reference right lower lobe pulmonary nodule is associated with a cluster of other nodules, some of which show some punctate calcification. This imaging appearance may be seen with post inflammatory/infe... |
Generate impression based on findings. | 71-year-old male with history of shortness of breath. PULMONARY ARTERIES: Technically adequate study with no evidence of pulmonary emboli.LUNGS AND PLEURA: Moderate upper lobe predominant centrilobular emphysema Multiple scattered benign-appearing micronodules. No suspicious pulmonary nodules or masses.MEDIASTINUM AND ... | 1.No evidence of pulmonary emboli.2.Moderate centrilobular emphysema. |
Generate impression based on findings. | Reason: r/o acute bleed History: expressive aphasia x 2 days There is a hypodense focus present adjacent to the left inferior parietal lobule and adjacent periventricular white matter. Heart involves gray and white matter. A relatively hyperdense component within this hypodensity has Hounsfield units similar to gray ma... | 1.A hypodense area involving the left inferior parietal lobule is suggestive of a subacute infarction. Please correlate clinical history. There is no convincing evidence for acute intracranial hemorrhage. If clinically appropriate MRI of the brain and a further benefit to further evaluate this.2.There is a calcific les... |
Generate impression based on findings. | 30 year-old female with right flank pain Please note that this examination is limited in sensitivity for solid organ pathology due to lack of IV contrast.ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted within the liver. Cholelithiasis without evidence of chole... | 1. 3-mm (short axis) mid ureteral stone with proximal hydroureter and hydronephrosis. The location of this stone and degree of associated hydroureter and hydronephrosis is atypical. Stricture from prior stone, prior intervention, or tumor should be excluded.2. Punctate nonobstructive left-sided renal calculi |
Generate impression based on findings. | 61 year old female with abdominal pain. ABDOMEN:LUNG BASES: No change in small left lower lobe nodule.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant a... | 1. No evidence of volvulus, colitis, or gallbladder pathology as clinically questioned.2. Decrease in size of the previously noted anterior abdominal fluid collection, likely postoperative in nature.3. Mild postoperative change in the mesenteric fat from prior surgery without fluidcollection in this location. |
Generate impression based on findings. | Reason: r/o bleed History: unilateral transient vision loss 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 ... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of hemorrhagic CVA |
Generate impression based on findings. | Male 22 years old; Reason: pseudocyst? VP shunt History: abd pain, headache ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted. PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.K... | 1.Small amount of fluid in left upper quadrant, probably related to the shut, but not located near the catheter tip. It is uncertain and doubtful if this could affect any of the side holes. |
Generate impression based on findings. | 41-year-old male with altered mental status, syncope. 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 pa... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Reason: r/o INtracranial occlusion History: R side weaknesss 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 no signifi... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease3.encephalomalacia in the left temporal lobe and insular cortex4.Hypodensities in the caudate nuclei and basal ganglia present which most likely represent lacunar infarcts age indeterminate5.CT is insensitive for the early detection of hemorr... |
Generate impression based on findings. | Crackles at bases. Rule out ILD. LUNGS AND PLEURA: Multiple bilateral lower lobe predominant noncalcified pulmonary nodules measuring up to 9 mm (image 90/111, left lower lobe).Mild bilateral interstitial thickening with mild bronchiectasis. No evidence of significant ground glass opacity or honeycombing. Mild pulmonar... | 1. Bilateral subcentimeter nonspecific pulmonary nodules. These could be inflammatory nodules or metastases. Per prior radiology reports the patient has a history of prostate cancer though this would be atypical for prostate cancer. Short-term CT or PET/CT follow-up is recommended to evaluate for change.2. Mild basilar... |
Generate impression based on findings. | 48-year-old female with pleuritic chest pain. PULMONARY ARTERIES: Technically adequate study the level of the segmental branches with no evidence of pulmonary emboli.LUNGS AND PLEURA: No significant abnormalities. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Heart and pericardium unremarkable. No med... | No evidence of pulmonary emboli. |
Generate impression based on findings. | Female 65 years old; Reason: evidence of worsening biliary obstruction, liver involvement, etc in patient with known pancreatic Ca History: worsening ab pain; elevated bili and LFTs CHEST:LUNGS AND PLEURA: Biapical scarring and upper lobe predominant emphysema appears unchanged from the prior study.MEDIASTINUM AND HILA... | 1.Increase in size of pancreatic head mass.2.Innumerable new liver lesions likely represent metastases.3.New L1 lytic lesion likely represents an osseous metastasis.4.Dilation of the stomach and duodenum suggests a component of gastric outlet obstruction or possibly SMA syndrome. |
Generate impression based on findings. | 38 year-old female with left lower quadrant abdominal pain. History of diverticulitis ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Subcentimeter bila... | Mild acute sigmoid diverticulitis, which is likely recurrent and less likely residual. No evidence of abscess formation. |
Generate impression based on findings. | Reason: CVA History: CVA There is encephalomalacia involving the left temporal lobe anteriorly is also left insular cortex.A punctate hypodensity is redemonstrated in the right caudate nucleus into another one in the left caudate nucleus. Additionally there are smaller hypodensities in the lentiform nucleiAtherosclerot... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Encephalomalacia in the left temporal lobe and insular cortex3.Hypodensities in the caudate nuclei and basal ganglia present which most likely represent lacunar infarcts age indeterminate4.CT is insensitive for the early detection of hemorrhagic CVA |
Generate impression based on findings. | Reason: workup for subacute L cerebellar infarcts History: subacute cerebellar infarcts dx on MRI, HTN urgency (emergency) 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 ao... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease in please note that the left posterior inferior cerebellar artery may be beyond the resolution of this exam. It is not clearly visualized. The right posterior inferior cerebellar artery is identified and appears to supply the medial aspect o... |
Generate impression based on findings. | 89-year-old male status post fall. There are patchy areas of hypoattenuation along the subcortical and periventricular white matter consistent with ischemic small vessel disease of indeterminate age. Diffuse atherosclerotic calcifications of the intracranial vessels, particularly of the right MCA.The CSF spaces are app... | No evidence for acute intracranial hemorrhage mass effect or edema. Small vessel ischemic disease of indeterminate age. |
Generate impression based on findings. | 72-year-old male with history of prostate cancer currently receiving treatment with Xtandi, please assess disease progression Lack of intravenous contrast limits evaluation of the mediastinum, lymph nodes, and solid organs.CHEST:LUNGS AND PLEURA: Centrilobular emphysema. Scattered pulmonary micronodules, some of which ... | 1.Slight increase in retroperitoneal adenopathy.2.Stable pelvic and mediastinal lymphadenopathy.3.Stable sclerotic osseous lesions. |
Generate impression based on findings. | 28-year-old female with multiple episodes of emesis related to menses ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted. Normal appearing gallbladder.SPLEEN: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No s... | No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | 35-year-old male with non-Hodgkin's lymphoma. Evaluate for disease. CHEST:LUNGS AND PLEURA: The small nodule identified at the left lung base contains calcification consistent with granuloma. No other abnormality.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:L... | Continued decrease in small nodule adjacent to the pancreatic tail. Remainder the exam is unchanged without adenopathy by size criteria. |
Generate impression based on findings. | Reason: workup for subacute L cerebellar infarcts History: subacute cerebellar infarcts dx on MRI, HTN urgency (emergency) 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 ao... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease in please note that the left posterior inferior cerebellar artery may be beyond the resolution of this exam. It is not clearly visualized. The right posterior inferior cerebellar artery is identified and appears to supply the medial aspect o... |
Generate impression based on findings. | Female 49 years old; Reason: r/o kidney stone, additional history from technologist notes right sided pain on and off for 3 months. There exam is not sensitive for detecting lesions in the bowel or solid organs due to lack of oral or intravenous contrast.ABDOMEN:LUNG BASES: Small bilateral pleural effusions are present... | No kidney stone identified. |
Generate impression based on findings. | Question ILD. SOB, DLE LUNGS AND PLEURA: Bilateral subpleural and basilar predominant linear interstitial abnormality with traction bronchiectasis and equivocal honeycombing at a few locations (image 140/312, right upper lobe). No significant ground glass opacity or nodularity.Scattered punctate micronodules, many of w... | Interstitial lung disease in a pattern suggestive of UIP. |
Generate impression based on findings. | Reason: s/p ESS foe removal of inverted papilloma History: h/o inverted papilloma Disapprove this examination the patient's undergone paranasal sinus surgery for removal of nasal cavity mass. The right middle and superior turbinates have been removed and there is been partial ethmoidectomy. There is an opacity present ... | 1.The patient is status post nasal cavity surgery for removal of a superior nasal cavity mass. Some mucosal thickening at the surgical site is present. The possibility of residual tumor cannot be excluded. Please correlate with direct visualization on clinical exam. |
Generate impression based on findings. | 65-year-old female with possible mass arising from the left leg or abdomen PELVIS:UTERUS, ADNEXA: Not well visualized, secondary to atrophy or surgical removal.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: Mar... | Marked infiltration of the perineal and proximal left thigh subcutaneous fat consistent with panniculitis/cellulitis. No abscess formation or subcutaneous gas. |
Generate impression based on findings. | 29-year-old female with Hodgkin's lymphoma for restaging. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.P... | No evidence for adenopathy or other mass other than right ovarian cyst. |
Generate impression based on findings. | Male; 66 years old. Reason: 66 y.o m with lung cancer, evaluate extent of disease History: dyspnea CHEST:LUNGS AND PLEURA: Mild basilar scarring and centrilobular emphysema are unchanged. Numerous round subpleural and intrapulmonary nodules are again noted and compatible with metastatic disease. Reference left upper lo... | 1.No significant interval change in large right hilar mass, numerous pulmonary nodules, and mediastinal lymphadenopathy. Findings are compatible with metastatic spread of primary lung neoplasm.2.Diffuse multifocal hepatic metastases and upper abdominal lymphadenopathy as described above. |
Generate impression based on findings. | 56-year-old female with left lower quadrant abdominal pain. Concern for obstruction. ABDOMEN:LUNG BASES: Central lobular emphysema. Patchy basilar air space and interstitial opacities with right lower lobe atelectasis, possibly representing aspiration and/or infection. No pleural effusions.Cardiomegaly with diffuse cor... | 1. Markedly distended large bowel from the cecum to the sigmoid colon, most likely representing a non-mechanical ileus. No specific CT evidence of ischemia. No cecal volvulus. 2. Rectus and left abductor magnus hematomas3. Basilar opacities and right lower lobe atelectasis, possibly representing aspiration and/or infec... |
Generate impression based on findings. | Reason: vertigo for 3 months, possible anxiety, recent tremors History: syncope, dizziness, tremor 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... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA3.There is a soft tissue mass along the right ear lobe which is not entirely included on this exam. Please correlate with direct visual inspection of the patient's right ear lobe. An alp... |
Generate impression based on findings. | Lung cancer status post CRT. CHEST:LUNGS AND PLEURA: Extensive volume loss involving the right upper lobe likely due to a combination of the mass and radiation therapy. Direct comparison of the reference measurements is therefore affected though on current study it measures 33 x 23 mm on image 32/112 (44 x 35 mm on pri... | 1. Interval decrease in right upper lobe mass.2. Slight increase in nonspecific left upper lobe pulmonary nodule.3. Interval clearing of right lung opacities likely resolved aspiration. 4. Other findings stable. |
Generate impression based on findings. | Reason: HL Restaging History: None Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated.A 5-mm right level 4 lymph node is stable a 3 x 5 mm left leve... | 1.No evidence for neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy |
Generate impression based on findings. | Female 35 years old; Reason: evaluate for hernia, bowel obstruction or other abnormality History: luq pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Status post cholecystectomy. No focal liver lesions SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.A... | 1.No acute intraabdominal pathology detected. S/P gastric bypass surgery. |
Generate impression based on findings. | Female; 81 years old. Reason: recurrent tongue ca, pre therapy eval, please give bi-dimensional measurements History: as above CHEST:LUNGS AND PLEURA: Pulmonary metastases have increased in size, with enlarging pulmonary nodules and confluent disease now seen along the left lateral pleural margin. Reference left upper ... | 1.Interval progression of pulmonary metastases and mediastinal and hilar lymphadenopathy.2.Multiple incidental abdominal findings are stable and detailed above. |
Generate impression based on findings. | Male; 79 years old. Reason: RMT SCC CHEST:LUNGS AND PLEURA: Right major fissural nodular opacity is unchanged and likely represents an intrapulmonary lymph node. No suspicious pulmonary nodules or masses are seen. No focal airspace opacity or pleural effusion. Postinflammatory micronodules in the left upper lobe are no... | No evidence of metastatic disease in the chest or abdomen. |
Generate impression based on findings. | Reason: basilar insuff? 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 no significant stenosis at the... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease3.cervical spinal stenosis associated with ossification of the posterior longitudinal ligament4.the right lobe of the thyroid is enlarged and the thyroid gland is heterogeneous in appearance. This is nonspecific. Please correlate with clinica... |
Generate impression based on findings. | Recurrent cutaneous SCC with dermal mets. Malignant neoplasm of base of tongue. CHEST:LUNGS AND PLEURA: Partial right middle lobe atelectasis with no definitive etiology identified. No suspicious pulmonary nodules.MEDIASTINUM AND HILA: Coronary calcification. No pathologically enlarged mediastinal or hilar lymph nodes.... | Multiple incidental findings as noted above, but no definitive evidence of metastatic disease. |
Generate impression based on findings. | 36 year-old female with flank pain and hemoglobin. Concern for retroperitoneal hematoma. History of cervical cancer status post chemoradiation. Please note that this examination is limited in sensitivity for solid organ pathology due to lack of IV contrast.ABDOMEN:LUNG BASES: Basilar subsegmental atelectasis.LIVER, BIL... | 1. No evidence of intra-abdominal hematoma2. Severely atrophic kidneys3. Irregular soft tissue density at the vaginal fornices/cervix containing gas. This could represent primary or recurrent neoplasm. Gas could be due to recent instrumentation or enteric communication. No fluid collection seen with certainty to sugges... |
Generate impression based on findings. | Reason: vertigo History: spinning sensation with standing/walking 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 portio... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA |
Generate impression based on findings. | Evaluate for lung cancer. Nicotine dependence. LUNGS AND PLEURA: Mild centrilobular emphysema. Mild bronchial wall thickening which is nonspecific but most commonly seen with bronchitis. No suspicious pulmonary nodules are present.MEDIASTINUM AND HILA: Coronary calcification. Atherosclerotic calcification of the aorta ... | Emphysema but no evidence of lung cancer. |
Generate impression based on findings. | 9-year-old female with thyroid cancer status post resection, right lower lobe activity focus on thyroid scan. LUNGS AND PLEURA: Two right lower pulmonary nodule are identified (image 32, 43 series 4), the largest measuring 5 mm. (Image 30, series 4). A faint left lower lobe nodule is also note (image 30, series 4). No ... | Lower lobe pulmonary nodules as described above. |
Generate impression based on findings. | Female 75 years old; Reason: 75F s/p IR aspiration and antibiotic therapy for perforated appendicitis, please evaluate for resolution History: perforated appendicitis ABDOMEN:LUNG BASES: Scarring is seen in the lung bases, unchanged from the prior study..LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Mi... | Near complete resolution of periappendiceal abscess. |
Generate impression based on findings. | Female 45 years old; Reason: SLE ADENOPATHY History: ADENOPATHY ABDOMEN:The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant a... | 1.Limited exam, however no acute intraabdominal pathology detected. Retroperitoneal adenopathy which is not pathologically enlarged by CT standards. |
Generate impression based on findings. | History of nodule in the right lower lobe. LUNGS AND PLEURA: Punctate <4 mm micronodule in the right lower lobe abutting the major fissure (series 4, image 203) unchanged versus 2/19/2013 and presumably a benign intrapulmonary lymph node.No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No significant abn... | Punctate micronodule in the right lower lobe unchanged versus 2/19/2013 and presumably a benign intrapulmonary lymph node. These typically do not require imaging follow up as the likelihood of malignancy is very small, though in high risk patients, follow up to one year (from initial detection 2/19/2013) is recommended... |
Generate impression based on findings. | 55-year-old female. Signs and symptoms: Pain, vomiting, nausea. Clinical question: Abdominal pain. ABDOMEN: Exam is limited by lack of the portal venous phase on this dedicated CT angiogram done in the arterial phase.LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No evidence of fatty liver pre-IV con... | Soft plaque causing high-grade narrowing at the superior mesenteric artery which may predispose to intestinal angina and explain the patient's symptoms.Moderate narrowing left common iliac artery.Progressive multifocal scarring left kidney.Stable small exophytic lesion off the lower pole of the left kidney favor benign... |
Generate impression based on findings. | Male 60 years old; Reason: hx of tevar, recent CT without contrast due to renal insufficiency demonstrated finding of enlarging left kidney mass concerning for malignancy History: PLEASE HYDRATE pre and post CT, orders in epic, please eval for renal mass ABDOMEN:LUNG BASES: Unremarkable.LIVER, BILIARY TRACT: Multiple s... | 1.No significant change from previous study. Left renal cystic lesion is stable. There is a possible, punctate mural enhancement in its wall. Follow-up imaging in 6 months may be helpful for further evaluation.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 50 year-old male with pancreatic cancer CHEST:LUNGS AND PLEURA: Bilateral bullae. Calcified granulomas. Bibasilar atelectasis, left greater than right, with left lower lobe opacities.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy. Normal sized heart without pericardial effusion.CHEST WALL: No axillary ly... | 1. Stable size and appearance of the pancreatic mass and intra-abdominal lymph nodes2. Left lower lobe opacities and atelectasis, which may represent aspiration or infection.3. Unchanged moderate right hydronephrosis and dilatation of the proximal right ureterFindings discussed with C. Racette at the time of dictation. |
Generate impression based on findings. | 64-year-old male. History of stage IV A follicular cell non-Hodgkin's lymphoma. Status post 6 cycles of chemotherapy. Restaging. Compare to prior. No significant interval change in the size of the reference lymph nodes. Right level 5 lymph node now measures 9 x 7 mm (series 4 image 37) previously 8 x 7 mm. Left level 5... | No significant interval change in the size of the reference cervical lymph nodes. No pathologically enlarged cervical lymph nodes. |
Generate impression based on findings. | Reason: eval for abscess, occiput through superior chest History: neck pain, swelling There is infiltration of fat planes along the right posterior neck subcutaneous tissues extending deep to and along the right trapezius muscle and also extending superficial to the muscle from approximately the C2 vertebral body level... | 1.There is infiltration of the fat planes surrounding the right trapezius muscle suggestive of a phlegmon/early abscess formation given the patient's clinical symptoms. There is extension of this infiltration along the right posterior triangle visually contiguous with the perivertebral space.2.A borderline-sized lymph ... |
Generate impression based on findings. | Reason: h/o SDH, s/p burr holes History: surveillance There is redemonstration of bilateral subdural collections left more than right. The one on the left previously measured approximately 9 mm in thickness and currently measures approximately 7 mm in thicknessThe patient is status post left-sided craniotomyThe visuali... | 1.Interval decrease in size in subdural collections.2.No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | 66-year-old female with cough, shortness of breath, and family history of ILD LUNGS AND PLEURA: Mild nonspecific subpleural reticulation, most prominent in the upper lung zones, particularly on the left.There is no evidence of groundglass opacities or honeycombing.No significant air trapping.11-mm groundglass nodule in... | 1. Nonspecific upper lobe predominant subpleural fibrotic changes . No definite evidence of interstitial lung disease.2.Left upper lobe ground glass nodule. Recommend follow-up examination in 3 months. |
Generate impression based on findings. | Reason: Pt with Laryngeal Ca s/p CRT 4 weeks ago. Please re-eval and compare to prior scans History: as above CT neck:Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadeno... | 1.There is more mucosal thickening along the laryngeal mucosal tissues. The possibility that this represents recurrent tumor cannot be excluded but most likely represents reaction to treatment. Please correlate with the patient's treatment course.2.No evidence for neck lymphadenopathy on the basis of CT size criteria f... |
Generate impression based on findings. | 64-year-old male with stage IV follicular non-Hodgkin lymphoma This study is limited due to lack of IV contrast.CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Index cardiophrenic lymph node measures 1 x 1 cm on image number 75, series number 3, minimally smaller compared to previous study... | Limited study due to lack of IV contrast. Index lymph nodes are slightly smaller compared to previous study. |
Generate impression based on findings. | 60 old female with acute right flank and right lower quadrant abdominal pain. Evaluate for renal stones. Limited study due to lack of IV contrast.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abn... | Right iliac and femur bone changes consistent with Paget's disease.Postsurgical/inflammatory changes along the midline incision in the lower abdomen and pelvis without definitive abscess. |
Generate impression based on findings. | Reason: CVA History: CVA 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.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified with... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA |
Generate impression based on findings. | 30 year-old female with history of metastatic breast cancer CHEST:LUNGS AND PLEURA: Extensive bilateral irregular interstitial thickening and small parenchymal nodules suspicious for metastatic disease, more prominent on the right compared to the left. An index right parenchymal nodule measures 5-mm in diameter image n... | Bilateral lung metastases more prominent on the right side. Moderate right-sided pleural effusion.Large right breast mass invading the anterior chest wall muscles and anterior chest skin with extensive right axillary adenopathy. |
Generate impression based on findings. | 62 year-old female with new diagnoses of gastric mass ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffuse fatty infiltration of the liver. No focal liver lesions.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality not... | Severe atherosclerotic changes involving the abdominal aorta and its major branches.Patient's known gastric cancer is not well seen on CT. There are borderline enlarged periceliac lymph nodes.Right nephrolithiasis.Fatty infiltration of the liver. |
Generate impression based on findings. | Female, 39 years old, vertigo with headache. Evaluate for space occupying lesion. 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 ventric... | No acute intracranial abnormality. No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Male 36 years old; Reason: Right renal cyst History: Right renal cyst Please note that this examination is limited in sensitivity for solid organ pathology due to lack of IV contrast. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abno... | 1. Non-enhancing hypodense right renal lesion. Given the small size of this lesion, delayed phase imaging is not likely to provide additional information. There is very low suspicion for neoplasm. If further characterization is required, dedicated renal MRI or 6 month follow up with dedicated multiphase CT may be consi... |
Generate impression based on findings. | Male 61 years old; Reason: history of type B dissection and chest mass with chest pain History: history of type B dissection and chest mass with chest pain CHEST:LUNGS AND PLEURA: There is a 2.7 x 2.1 cm mass in the anterior segment right upper lobe. This mass has a low attenuating center, which likely represents necro... | 1.Type B dissection as described above2.Right upper lobe mass with satellite nodules and mediastinal adenopathy, representing neoplasm. |
Generate impression based on findings. | 54 year old female, evaluate for gallbladder leak status post ERCP ABDOMEN:LUNG BASES: Bilateral moderate-sized pleural effusions, increased in size compared to previous study.LIVER, BILIARY TRACT: New metallic common bile ducts stent, in place. There is new periportal edema. Gallbladder is significantly distended with... | Interval placement of a metallic stent in the common bile duct. Interval development of distention of the gallbladder with thickened gallbladder wall and interval development of fluid surrounding the gallbladder, suspicious for perforated cholecystitis. Interval increase in the amount of the bilateral pleural effusions... |
Generate impression based on findings. | Laryngeal cancer status post CRT 4 weeks ago CHEST:LUNGS AND PLEURA: Punctate micronodules are unchanged and presumably benign. No new pulmonary nodules. Scarring at left base unchanged. Emphysema.MEDIASTINUM AND HILA: Venous catheter tip at RA/SVC junction. CHEST WALL: Degenerative change involving the thoracic spine.... | Stable CT with no definitive evidence of metastatic disease. |
Generate impression based on findings. | History of head and neck cancer. LUNGS AND PLEURA: Postop change left upper lobectomy. Scattered punctate micronodules are unchanged and presumably postinflammatory. No new pulmonary nodules. Emphysema.MEDIASTINUM AND HILA: Port tip at confluence of brachiocephalic veins. Coronary calcification. Scattered small subcent... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: shunt , normal pressure hydrocephulus History: weakness legs The patient is status post shunt placement A ventriculostomy tube courses through the left parietal lobe into the left lateral ventricle tense the septum pellucidum to the right of midline. Its tip is located along the medial aspect of the frontal hor... | 1.Since the prior exam the ventricles have become slightly smaller.2.A hyperdense lesion is present adjacent to th right lateral ventricle along the corpus callosum which is stable and is suspected to potentially represent a cavernous malformation based on prior MRI.3. No evidence for acute intracranial hemorrhage mass... |
Generate impression based on findings. | Reason: R/O CAD History: dyslipidemia Calcium Score: Zero.Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and trifurcates into the left anterior descending, ramus intermedius, and left circumflex coronary arteries. There are no significant stenoses present in the lef... | 1. There are no significant coronary artery stenoses present. 2. Total Calcium score is zero. |
Generate impression based on findings. | History of malleolar soft part sarcoma status post excision and radiation. LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted. Residual thymic tissue.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of IV and enteric contrast material markedly li... | No evidence of pulmonary metastases. |
Generate impression based on findings. | Lung cancer status post chemo and RT. CHEST:LUNGS AND PLEURA: Reference left upper lobe mass has decreased to 47 x 42 mm on image 28/86 (74 x 59 mm on prior). Scattered nonspecific micronodules are unchanged. The reference 6-mm right upper lobe nodule is unchanged (image 34/86).MEDIASTINUM AND HILA: Coronary calcificat... | Interval decrease in size of left upper lobe mass with no new sites of disease. |
Generate impression based on findings. | Acute mental status change 65-year-old female 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 ... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA |
Generate impression based on findings. | Reason: Parotid carcinoma. Assess for recurrence/lymphadenopathy/metastases. History: none The patient is status post right parotidectomy. There is soft tissue thickening demonstrated the main right parotid bed which has remained stable. There is no adjacent osseous erosion appreciated. The appearance of the right paro... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy. Some soft tissue thickening at the surgical site in the right parotid bed is presumed to represent scar tissue based on stability. |
Generate impression based on findings. | Female, 3 years old, with elevated urine catecholamines and abdominal pain. There may be mild enhancement of the wall of the upper esophagus. This could be secondary to mild inflammation, or it may be artifactual. Otherwise, the mucosal tissues of the aerodigestive tract are within normal limits. No abnormal soft tissu... | 1.No mass lesions, pathologic adenopathy or other definite abnormalities in the neck.2.Apparent mild enhancement of the upper esophageal wall may be inflammatory in nature or simply artifactual. |
Generate impression based on findings. | Smoking history with pulmonary nodules on prior CT. LUNGS AND PLEURA: Postsurgical changes of right VATS. Diffuse pulmonary nodules, some of which have resolved some since prior study and some of which have increased in size. The largest of these is in the right lower lobe and measures 10 x 6 mm.Diffuse reticular inter... | 1.Bronchial wall thickening and waxing and waning nodules which suggests atypical infection such as MAI. 2.Malignancy is considered unlikely and the findings do not fit the typical pattern of interstitial pneumonia. |
Generate impression based on findings. | Male; 63 years old. Reason: follow up lung cancer History: fatigue, lower extremity weakness. CHEST:LUNGS AND PLEURA: Large spiculated right upper lobe mass with interval decrease in size is compatible with the patient's known primary lung malignancy and measures 3.3 x 2.9 cm, previously 4.0 x 2.7 cm (series 5, image 3... | 1.Large spiculated right upper lobe mass is compatible with primary lung neoplasm with significant interval decrease in size.2.No significant interval change in right hilar and mediastinal adenopathy, compatible with metastatic disease.3.Interval progression of diffuse metastatic disease in the liver.4.Obstructing lesi... |
Generate impression based on findings. | Reason: hx of proptosis- thyroid nodule, compare w/ imaging from 2007, pt w/ optic neuropathy also w/ stargardt's dz History: fullness of eyes, heavy feeling The orbits are intact with no abnormal mass lesions in either orbit. There is no abnormal enhancement of the optic nerves. The visualized eyeballs are intact lacr... | 1.No orbital mass was identified2.the high right proptotic/exophthalmic appearance there is a nonspecific finding. It appears to be relatively stable since 2006. Please correlate with clinical evaluation. |
Generate impression based on findings. | 73-year-old male with cerebral degeneration. Evaluate for cerebrovascular disease. The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. No ... | No evidence for acute intracranial abnormality. No significant white matter abnormality to suggest significant small vessel ischemic changes. |
Generate impression based on findings. | Reason: Pt with metastatic thyroid ca. Started Sorafenib 1 month ago. Please re-eval History: as above LUNGS AND PLEURA: Motion limits sensitivity.Multiple pulmonary nodules are again identified unchanged in size or number.Reference right lower lobe nodule (image 45, series 4) is unchanged, measuring 11 mm x 10 mm..Ref... | Stable pulmonary metastases and mediastinal / hilar lymphadenopathy. No new sites of disease identified. |
Generate impression based on findings. | 65 year old female with nausea and vomiting. Concern for worsening obstruction Please note that this examination is limited in sensitivity for solid organ pathology due to lack of IV contrast.ABDOMEN:LUNG BASES: Bibasilar scarring and atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No signifi... | Chronic small bowel obstruction, with slightly decreased bowel distension compared to prior |
Generate impression based on findings. | 3-year-old female with elevated HVA. CHEST:LUNGS AND PLEURA: No focal pulmonary opacities or pleural effusions.MEDIASTINUM AND HILA: The heart size is normal. No mediastinal or hilar lymphadenopathy.CHEST WALL: No axillary lymphadenopathy or osseous lesions.ABDOMEN: LIVER, BILIARY TRACT: Normal hepatic morphology witho... | Normal exam. |
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