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Generate impression based on findings. | Male 38 years old; Reason: staging History: adenocarcinoma right ring finger CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Diffuse fatty infiltration of the liver is noted. No focal... | 1.No evidence of metastatic disease. PET scan is a more sensitive examination for detecting metastatic disease. |
Generate impression based on findings. | History of prostate cancer, currently receiving treatment. LUNGS AND PLEURA: Scattered punctate calcified and noncalcified pulmonary nodules are unchanged. Residual scarring at the site of the index pulmonary nodule (image 65/109) in the left lower lobe.MEDIASTINUM AND HILA: Stable borderline mediastinal lymph nodes. C... | No evidence of metastatic disease. |
Generate impression based on findings. | Female; 35 years old. Reason: eval for PE History: pleuritic chest pain with + d-dimer PULMONARY ARTERIES: No evidence of pulmonary embolism. Normal main pulmonary trunk diameter.LUNGS AND PLEURA: Minimal basilar atelectasis. No focal airspace opacity or pleural effusion. No suspicious pulmonary nodules or masses. MEDI... | No evidence of pulmonary embolism. No acute cardiopulmonary abnormalities noted. |
Generate impression based on findings. | 65 year old female with newly diagnosed colonic plasmacytoma. Please evaluate for lymphadenopathy/lymphoma CHEST:LUNGS AND PLEURA: No suspicious nodules or masses. Right upper lobe granuloma. No pleural effusions.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy. Calcified hilar and mediastinal lymph nodes,... | No thoracic, abdominal, or pelvic lymphadenopathy. |
Generate impression based on findings. | Reason: lung cancer s/p 2 cycles of chemo. please evaluate for disease and compare with previous scans History: lung cancer CHEST:LUNGS AND PLEURA: Significant interval reduction in the right lower lobe mass (image 59, series 6) , now measuring 5.4 cm x 4.9 cm, previously measuring 7.7 cm x 8 cm.Significant interval re... | 1.Significant interval reduction in this patient's right lower lobe mass as well as pulmonary metastases, mediastinal lymphadenopathy and right pleural effusion.2.Presumed osseous metastases can not well visualized on CT. Would recommend MRI and/or nuclear bone imaging for further evaluation. |
Generate impression based on findings. | Male 73 years old; Reason: 73 y/o male with urothelial cancer, evaluate for disease progression, CT urogram, 3D reconstruction, delayed views History: urothelial cancer LUNG BASES: No nodule or mass detected.LIVER, BILIARY TRACT: Exophytic soft tissue arising from segment 4b of the liver has not significantly changed, ... | Significant interval decrease in lymphadenopathy in the abdomen and pelvis. No evidence of recurrence. |
Generate impression based on findings. | Reason: chronic sinusitis History: chronic sinusitis The left ostiomeatal complex unit is patent bilaterally. There is mucosal thickening narrowing the right ostiomeatal complex unit. Within the nasal cavity no obstructive lesions are appreciated. There is nasal septal deviation towards the rightThe frontal sinuses are... | 1.Findings are suggestive of acute sinusitis stir post on chronic sinusitis involving the right maxillary sinus. Please correlate with clinical symptoms. |
Generate impression based on findings. | Female; 75 years old. Reason: Parotid carcinoma. Assess for recurrence/lymphadenopathy/metastases. CHEST:LUNGS AND PLEURA: Cluster of small left lower lobe nodules has resolved since the prior study. Scattered punctate micronodules are again noted but no suspicious lesions are seen. No focal air space opacity or pleura... | 1.No evidence of metastatic disease in the chest or abdomen.2.Interval resolution of clustered left lower lobe nodules, likely secondary to aspiration/infection.3.No significant interval change in incidental findings as detailed above. |
Generate impression based on findings. | 78 year old female with metastatic mesenteric neuroendocrine tumor CHEST:LUNGS AND PLEURA: Mild to moderate centrilobular emphysema. Scattered pulmonary micronodules, similar to the prior exam. MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. No pericardial effusion.CHEST WALL: No axillary lymphadenopathy... | Stable size of the mesenteric mass. No evidence of disease progression. |
Generate impression based on findings. | 70 year-old female with history of metastatic thyroid cancer, one-month follow-up after beginning therapy. Stable irregular left paratracheal mass within the postsurgical bed again measuring 33 x 18 cm. This mass again extends cranially and caudally in a similar extent with more superiorly mass component again measurin... | 1.Stable left paratracheal mass within the surgical bed.2.Previous level 2 lymph nodes which had demonstrated interval increase, have now decreased in size.3.Stable right level 6 lymph node4.Redemonstrated pulmonary opacities, likely metastasis. Please refer to CT chest report from the same date. |
Generate impression based on findings. | Female, 2 years old, status post craniofacial reconstruction for craniosynostosis. Evaluate reconstruction and for hemorrhage. Evidence of prior cranioplasty is redemonstrated consistent with history of sagittal synostosis repair. Superimposed upon these old surgical changes is evidence of recent revision cranioplasty.... | 1. Evidence of interval revision cranioplasty. The vertex has been elevated from the underlying calvarium and is held in place with bilateral distraction devices. Multiple new parietal and occipital osteotomies are also demonstrated.2. Although much of the brain is poorly evaluated secondary to streak artifact from dis... |
Generate impression based on findings. | 61-year-old male with history of colon perforation from nephrostomy tube. Evaluate for hepatic abscess The study is limited to lack of IV contrast.ABDOMEN:LUNG BASES: Moderate right-sided small left-sided pleural effusion and dependent atelectasis.LIVER, BILIARY TRACT: CT findings the distal chronic liver disease. Hypo... | Limited study due to lack of IV contrast. Bilateral pleural effusions. Loculated fluid collection around the liver containing air.Small amount of parasplenic fluid.CT findings suggestive of chronic liver disease.Extensive sclerotic bone metastases suggestive of metastatic disease lactic from prostate cancer.Bilateral p... |
Generate impression based on findings. | Reason: metastatic head and neck SCC on treatment. Evaluate for disease progression with measurements History: as above CT neck:There is a right paratracheal mass present measuring 18 x 16 mm in axial dimensions previously measured 16 x 8 mm axial dimensions.Within the suprahyoid neck on the basis of size criteria for ... | 1.Since the prior exam the patient has a developed or mediastinal lymphadenopathy in the right paratracheal region.2. No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy3.some infiltration along the left neck is likely post treatment change and is stable since p... |
Generate impression based on findings. | 71-year-old male with mesothelioma now with short-term memory loss, evaluate for metastatic disease. There are patchy areas of hypoattenuation involving the periventricular white matter consistent with minimal age indeterminant small vessel ischemic disease. With respect to the remainder of the sulci, there is a promin... | No gross evidence for intracranial metastatic disease. Please note that MR is a more sensitive technique for this evaluation. |
Generate impression based on findings. | Metastatic head and neck SCC on treatment. CHEST:LUNGS AND PLEURA: Reference left anterior upper lobe nodule measures 2.0 Cm (series 6 image 43), previously measured 1.8 cm. As on prior there is some pleural involvement just lateral to the internal mammary vessels (image 41/162). Left lower lobe reference nodule measur... | 1. Reference pulmonary metastases stable to marginally increased in size but stable in number.2. Reference intrathoracic lymph nodes are stable. A nonreference high right paratracheal lymph node has slightly increased in size.3. No new sites of disease. |
Generate impression based on findings. | 75-year-old female with abdominal pain evaluate for pelvic abscesses ABDOMEN:LUNG BASES: Subsegmental left lower lobe atelectasis. A 2.5 by 0.8-cm right paravertebral soft tissue, best seen in image number 16, series number 4. This may represent adenopathy.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: N... | Status post pelvic exenteration. Significant interval decrease in the amount of pelvic collection.Right-sided moderate hydronephrosis with a peripherally calcified indeterminate lesion in the distal ureter at the site of the transition. The etiology of this lesion is unknown but may represent a stone. Indeterminant lin... |
Generate impression based on findings. | History of mesothelioma. LUNGS AND PLEURA: Multiple bilateral nodular opacities which are stable to slightly increased in size: The right apical reference nodule (series 5, image 48) measures 1.6 x 1.5 cm, previously 1.8 x 1.2 cm.The left posterior upper lobe nodule (series 5, image 90) has slightly increased in size, ... | Stable to slightly increased pulmonary nodules. See separate abdomen pelvis CT report for further details. |
Generate impression based on findings. | 71-year-old male with peritoneal mesothelioma ABDOMEN:LUNG BASES: Persistent small to moderate right pleural effusion with overlying atelectasis. The consolidation in the left lung base is also unchanged. Multiple scattered nodules. Please refer to the separate chest CT report for complete evaluation.LIVER, BILIARY TRA... | 1. Slightly increased extensive omental, peritoneal, and mesenteric nodularity.2. Please refer to the separate chest CT report for evaluation of the thoracic disease. |
Generate impression based on findings. | 77-year-old female with history of diverticulitis ABDOMEN:LUNG BASES: Bilateral moderate pleural effusions and atelectasis. These are unchanged from previous study.LIVER, BILIARY TRACT: Mild cardiomegaly, unchanged.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No sign... | Three fluid collections in the pelvis secondary to patient's known history of diverticulitis. Interval drainage placement into the right perirectal collection with interval decrease in size. Other tube collections are stable.No other significant change from previous study. |
Generate impression based on findings. | Female; 86 years old. Reason: 86 F , probable lung cancer, presented with CP and afib with rvr, possible filling defect in the aorta on outside CT scan (which is in Epic) History: chest pain PULMONARY ARTERIES: No evidence of pulmonary embolism. Normal main pulmonary trunk diameter.LUNGS AND PLEURA: There is a mass in ... | 1.No evidence of pulmonary embolism.2.Mass and post obstructive changes in left lower lobe highly suggestive of lung cancer. Intrathoracic lymphadenopathy. |
Generate impression based on findings. | 75 year-old female with incidental large right renal mass ABDOMEN:LUNG BASES: Bibasilar subsegmental atelectasis.LIVER, BILIARY TRACT: Fatty liver. Subcentimeter left hepatic lobe hypodensity, which is too small to characterize. No focal hepatic lesions seen otherwise. No intrahepatic or extrahepatic biliary ductal dil... | 1. Three enhancing renal masses suspicious for malignancy, as described above.2. Hepatic steatosis. |
Generate impression based on findings. | Reason: Eval for post-op hemorrhage History: headache Since the prior MRI exam there is a redemonstration of a ventriculomegaly with third and lateral ventricular enlargement. Biventricular diameter on coronal imaging at the level of foramen of Monro is approximately 44 mm on the current exam there third ventricular di... | 1.There is a ventriculomegaly present.2.There is a mass in the posterior fossa which has been previously demonstrated associated with a herniation at the foramen magnum and tentorial notch and compression of the fourth ventricle with resultant ventriculomegaly. The patient is status post recent posterior fossa surgical... |
Generate impression based on findings. | Clinical question: out bleed. Signs and symptoms: Status post assault, intubated. Nonenhanced head CT:No detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation.Un... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Rule-out intracranial hemorrhage prior to heparin. Signs and symptoms: Elevated LDH. Nonenhanced head CT:There is no detectable acute intracranial process. CT is insensitive for detection of acute non-hemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF c... | Unremarkable head CT. |
Generate impression based on findings. | Reason: r/o aneyruism or central venous thrombosis, OBTAIN VENOUS AND ARTERIAL PHASES. History: HA 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 ... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease3.No intracranial venous occlusive disease4.No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Reason: r/o bleed and evaluate sinus History: headache 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 p... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.There are opacities in the paranasal sinuses with finding suggestive of chronic sinusitis involving the left maxillary sinus |
Generate impression based on findings. | Reason: evaluate sinusitis History: sinusitis with unremitting HA The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated. There is very mild nasal septum deviation towards the left with a bone spur. There is concha bullosa on the right side with opacificatio... | 1.Chronic sinusitis involving the left maxillary sinus. The left ostiomeatal complex unit is narrowed due to mucosal thickening.2.Linear opacity in the left sphenoethmoidal recess |
Generate impression based on findings. | Reason: CVA History: CVA 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. There is no evidence for acute intracranial hemorrhage mass effect or edema.Punctate hypodensities are present in the b... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Periventricular and subcortical white matter changes of a moderate degree are nonspecific. At this age they are most likely vascular related. 3.Punctate lesions in the brain stem, thalami and basal ganglia could be related to lacunar infarcts age in... |
Generate impression based on findings. | Clinical portion: Rule out stroke. Signs and symptoms: Right-sided paresthesia Nonenhanced head CT:There is no detectable acute intracranial process. CT Homer is insensitive for detection of acute non-hemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray --... | 1.Unremarkable nonenhanced head CT.2.Chronic long-standing right maxillary sinusitis with associated bony thickening of sinus wall and significant bulge of sinus content into the right nasal passage. |
Generate impression based on findings. | 33 year old male with fevers, evaluate for lymphoma. CHEST:LUNGS AND PLEURA: New small pleural effusions, right greater than left, with associated atelectasis. MEDIASTINUM AND HILA: Left thyroid nodule, unchanged. Left sided subclavian catheter with tip at the cavoatrial junction. Mild cardiomegaly. Pericardial thicken... | 1.Heterogeneous enlargement of the right psoas muscle likely represents hematoma.2.Ill-defined peripheral renal hypodensities, left greater than right, are new from the prior exam. This finding is nonspecific but lymphomatous involvement or infectious etiologies are favored.3.Decreased size of fluid collection along th... |
Generate impression based on findings. | Female 56 years old; Reason: 56 year old female with h/o lymphoma. S/p auto SCT about day 30 History: Evaluate CHEST:LUNGS AND PLEURA: Post operative changes are noted in the right with spiculated nodular densities in the right middle lobe, stable in size from previous exam. Reference nodular density measures 12 x 8 mm... | 1.No evidence of recurrence or adenopathy detected.2.Nonspecific pericholecystic fluid or gallbladder wall thickening, which could be due to hypoalbuminemia or other systemic causes. No evidence for cholecystitis. |
Generate impression based on findings. | 66 year-old female with right lower quadrant pain 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: 6 mm (in short axis) calculus in the right proximal ur... | 6 mm (in short axis) calculus in the right proximal ureter with mild hydroureter and hydronephrosis. |
Generate impression based on findings. | 65 year old female with hypoxia and acute mental status changes. PULMONARY ARTERIES: Technically adequate study with no evidence of pulmonary emboli. A curvilinear lucency in the proximal left pulmonary artery favors artifact over web of chronic embolus. LUNGS AND PLEURA: There is a new large right apical mass extendin... | 1.No evidence of pulmonary embolus.2.Large right apical mass extending into the mediastinum, contralateral hilum and subcarinal location with compression of the right main bronchus and possible invasion of the posterior trachea. If outside imaging becomes available, comparison to assess growth may be performed.3.Mass i... |
Generate impression based on findings. | Reason: evaluate for altered mental status History: altered mental status, head and neck cancer 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 pa... | 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 right pterygopalatine fossa mass involving the right foramen rotundum stable since the prior exam. As per MRI from 7/10/13 for further comments. |
Generate impression based on findings. | 33-year-old male status post fall, hit head on floor. There is soft tissue swelling with subgaleal component over the left occiput. There is no underlying calvarial fracture.The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No int... | No evidence for acute intracranial abnormality. Left occipital scalp soft tissue swelling. |
Generate impression based on findings. | 53-year-old female with persistent cough, tachycardia. History of malignant peripheral nerve sheath tumor. PULMONARY ARTERIES: Technically adequate study. No pulmonary embolus.LUNGS AND PLEURA: Large pulmonary and pleural metastatic lesions are again noted. There is been a continued interval increase in size of these l... | 1.No pulmonary embolus.2.Continued interval increase in size of large pleural and pulmonary metastatic lesions compared to recent prior examinations. The left lower lobe is now completely collapsed, and there is continued invasion into the pulmonary veins and left atrium. Tumor also abuts the lateral wall of the left v... |
Generate impression based on findings. | Right lower quadrant abdominal pain. ABDOMEN:LUNG BASES: Subsegmental atelectasis is present dependently right greater than left.LIVER, BILIARY TRACT: Normal enhancement. No biliary ductal dilatation. The gallbladder is distended.SPLEEN: Normal in size and enhancement.PANCREAS: Normal in appearance.ADRENAL GLANDS: No s... | No evidence of appendicitis. |
Generate impression based on findings. | Reason: r/o stroke History: AMS 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 are present along the di... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Reason: Eval for post-op hemorrhage History: headache The CSF spaces are appropriate for the patient's stated age with no midline shift. The patient is status post recent right-sided craniotomy and older left suboccipital cr there is an extra-axial collection adjacent to the right frontal lobe at the craniotomy site as... | 1.Status-post recent right frontal craniotomy with attendant post operative changes including a small amount of blood products at the craniotomy site with mild mass effect2.hyperdense mass is present adjacent to the left tentorium at the craniotomy site which may represent recurrent or residual tumor. Please refer to M... |
Generate impression based on findings. | 50 year-old female with chest pain, evaluate for aneurysm/dissection CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Small scattered mediastinal lymph nodes not enlarged by CT criteria. No hilar lymphadenopathy. Heart size normal without pericardial effusion. Aorta is normal in caliber wit... | 1.No evidence of aortic aneurysm or dissection.2.Sclerosis adjacent to the sacroiliac joints is suggestive of sacroiliitis. |
Generate impression based on findings. | 71-year-old male with abdominal pain Please note that this examination is limited in sensitivity for solid organ pathology due to lack of IV contrast.ABDOMEN:LUNG BASES: Right lower lobe calcified nodule, likely a granuloma. Mild bibasilar scarring/atelectasis.LIVER, BILIARY TRACT: Multiple subcentimeter hypodense lesi... | Extremely limited exam due to lack of oral contrast, IV contrast, and mesenteric fat. No specific CT findings to account for the patient's pain. If there is continued clinical concern, a repeat CT with oral and IV contrast is recommended. |
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 The appearance of the pharyngeal mucosal space is stable. The tonsillar beds are unchangedWithin the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infr... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.enlarged and heterogeneous thyroid gland is stable since prior exam. Please correlate with clinical history symptoms |
Generate impression based on findings. | 49-year-old male with AMS, fall. There is insufficient scan coverage over the high convexity of the head. Clinical examination is recommended at this level since is not visualized on this study. The CSF spaces are appropriate for the patient's stated age with no midline shift. Within the occipital horn of the bilateral... | 1. No evidence for acute intracranial hemorrhage mass effect or edema.2. Nondisplaced right mandibular fracture with the fracture line involving the alveolar fossa of the third molar and mandibular canal. Nondisplaced left mandibular fracture with the fracture line involving the alveolar fossa of the canine. There is a... |
Generate impression based on findings. | 50 year-old female with left groin soft tissue infection, now appearing worse than prior ABDOMEN:LUNG BASES: Trace bilateral pleural effusions with bibasilar subsegmental atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted within the liver. No intrahepatic or extrahepatic biliary ductal dilatation. Contr... | Unchanged CT appearance and extent of the diffuse subcutaneous soft tissue edema centered at the left groin. There is no loculated fluid collection or subcutaneous gas. |
Generate impression based on findings. | Clinical question: AMS, agitation with fall as admitting diagnosis, concern for intracranial hemorrhage versus subdural. Signs and symptoms: AMS. Nonenhanced head CT:No detectable acute intracranial process. CT Homer is insensitive for detection of acute nonhemorrhagic strokes.Small hypodensity right anterior frontal f... | 1.No accurate intracranial process.2.Minimal age indeterminate small vessel ischemic strokes.3.Small right frontal chronic cortical stroke similar to prior exam from 2011. |
Generate impression based on findings. | 27-year-old male with abdominal pain, rule out pancreatitis ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No sig... | Findings compatible with acute appendicitis. |
Generate impression based on findings. | 73-year-old male with a history of hemoptysis, esophageal cancer. LUNGS AND PLEURA: Interval development of extensive ground glass opacities, left greater than right, which may represent edema or hemorrhage. Interval increase in right basilar consolidation since the prior study.Scattered pulmonary and pleural nodules a... | 1.Interval development of extensive ground glass opacities, left greater than right, which are nonspecific and may represent edema and/or hemorrhage. 2.Interval increase in right basilar consolidation since the prior study which may represent atelectasis, aspiration, and possibly pneumonia.3.Redemonstrated pulmonary an... |
Generate impression based on findings. | History of left upper lobe pulmonary nodule. LUNGS AND PLEURA: Spiculated left upper lobe nodule (series 4, image 55) unchanged in appearance and measures approximately 9 mm, previously 10 mm on 4/22/2013. As this lesion has not resolved and demonstrates increased activity on PET imaging on 2/21/2013, this is highly su... | 1.Left upper lobe spiculated nodule unchanged and highly suspicious for indolent adenocarcinoma.2.Lingular nodule increased in size from 1/22/2013 and suspicious for metastatic disease. Findings discussed with clinical service at time of dictation. |
Generate impression based on findings. | Male; 7 years old. Reason: RLQ abdominal pain r/o appendicitis History: RLQ abd pain, vomiting ABDOMEN:LUNG BASES: No focal opacities or pleural effusions.LIVER, BILIARY TRACT: No focal hepatic lesions or biliary ductal dilatation.SPLEEN: The spleen is normal in appearance.PANCREAS: Normal pancreatic contours without f... | 1.No evidence of acute appendicitis or bowel obstruction.2.Focal distention and mild wall thickening of a proximal small bowel loop may be infectious/inflammatory in etiology. |
Generate impression based on findings. | 59-year-old male with retromolar trigone cancer. Limited intracranial views are unremarkable. The orbits are unremarkable. Opacification of the ethmoid air cells, mucosal thickening of the maxillary and sphenoid sinuses. The mastoid air cells are clear. The ostiomeatal units are opacified bilaterally.Bilateral jugulodi... | No evidence of local tumor recurrence in the soft tissue of the neck. Stable reference lymph nodes. |
Generate impression based on findings. | 66-year-old male with history of RCC and lymphadenopathy CHEST:LUNGS AND PLEURA: Increased size of the left upper lobe parenchymal nodule, measuring 1.8 x 1.6 cm (5/32), previously 1.6 1.4 cm, with increased surrounding groundglass opacities. Unchanged nonspecific left posterior pleural plaques.MEDIASTINUM AND HILA: Sl... | 1. Slightly increased lymphadenopathy, particularly in the chest and abdomen.2. Enlarged left upper lobe pulmonary nodule3. No new soft tissue in the left renal surgical bed to suggest residual or recurrent disease. |
Generate impression based on findings. | 56 year old female with abdominal pain and history of gallstone pancreatitis, rule out abscess/pyelonephritis. ABDOMEN:LUNG BASES: Partially visualized patchy left lingular consolidation. No pleural effusions.LIVER, BILIARY TRACT: No focal hepatic lesions. No gallbladder wall thickening or pericholecystic fluid.SPLEEN:... | 1.Patchy left lingular consolidation may represent pneumonia.2.Findings compatible with chronic pancreatitis. |
Generate impression based on findings. | Male 61 years old; Reason: Hx of Bladder Cancer s/p cystectomy with neobladder. Eval for recurrent or metastatic disease History: See Above. LUNG BASES: The left lower lobe tree in bud opacities have resolved in the interim.5-mm right middle lobe nodule is unchanged.LIVER, BILIARY TRACT: Bilateral subcentimeter nonenha... | 1.No CT evidence of local recurrence or metastatic disease.2.Stable atrophy of the left kidney and right lower lobe nodule.3.Interval resolution of the aspiration pneumonia. |
Generate impression based on findings. | 60-year-old male with chest pain and neurological deficits CHEST:LUNGS AND PLEURA: Bibasilar subsegmental atelectasis. No focal air space opacities or pleural effusions. Subpleural bullae without pneumothorax.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Normal sized heart without pericardial effusion.... | No evidence of aortic dissection. No specific findings to account for the patient's chest pain. |
Generate impression based on findings. | Reason: eval for facial fx History: pain s/p assault There are two fractures through the left mandible. One which is minimally displaced crossing the left coronoid process into the ramus of the left mandible extending just proximal to the orifice of the left inferior alveolar canal and the second one which is displaced... | Left bipartite mandibular fracture with mild displacement especially at the left mandibular canine tooth socket there the second component of this fracture at the current process is minimally displaced. |
Generate impression based on findings. | 52 year old female with recurrent ovarian cancer, restaging CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusions. No new suspicious nodules or masses.Scattered micronodules are unchanged.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size is normal without pericardial effusion.CHEST... | Stable left upper quadrant soft tissue nodule may represent residual splenic tissue. No new lesions to suggest recurrent or metastatic disease. |
Generate impression based on findings. | 83-year-old male. History of alveolar cancer. Evaluate for recurrent disease. Redemonstration of postsurgical changes of right-sided partial mandibulectomy, with bone graft interposed, with no significant interval change. The right submandibular gland is absent. Surgical clips are again noted in the right floor of the ... | 1.Postsurgical changes of right partial mandibulectomy, without significant interval change. 2.No evidence of residual/recurrent disease or cervical lymphadenopathy. |
Generate impression based on findings. | 61 year old female with pancreatic cancer CHEST:LUNGS AND PLEURA: Unchanged calcified and noncalcified nodules and micronodules, compatible with prior granulomatous disease. No pleural effusions. MEDIASTINUM AND HILA: Unchanged peripherally calcified round lesion anterior and superior to the left main pulmonary artery,... | 1. Decreased size of the pancreatic head mass with continued arterial vascular encasement. 2. Near complete resolution of the peritoneal carcinomatosis. |
Generate impression based on findings. | 52-year-old female with history of papillary urothelial cancer. ABDOMEN:LUNG BASES: Paraseptal emphysema, unchanged.LIVER, BILIARY TRACT: Numerous subcentimeter hypoattenuating lesions in both hepatic lobes. The largest of these lesions is in the right hepatic lobe measuring 1.0 x 1.0 cm (7/33).SPLEEN: Scattered spleni... | 1.New soft tissue lesion in the left lower pelvis is suspicious for local recurrence.2.Numerous hepatic hypodensities likely represent metastatic disease. |
Generate impression based on findings. | 77-year-old female with cough, shortness of breath, evaluate for ILD LUNGS AND PLEURA: Mild subpleural reticulation, septal thickening, and traction bronchiectasis involving both the upper and lower lung zones. There is no evidence of honeycombing, groundglass opacities, or air trapping.Paraseptal emphysema and increas... | Nonspecific mild/moderate interstitial fibrosis without evidence of honeycombing or groundglass opacities. Underlying etiologies may include mixed connective tissue diseases, drug toxicity, or chronic hypersensitivity pneumonitis. |
Generate impression based on findings. | Female 62 years old; Reason: 62 yo female with amyloidosis with liver and peritoneal involvement s/p transplant; interval scan, please compare to prior studies History: amyloidosis The exam is not sensitive for detecting lesions in the bowel or solid organs dueto lack of oral or intravenous contrast. Given those limita... | Limited by lack of intravenous contrast. Stable examination when compared to the previous. Redemonstration of ascites without measurable solid carcinomatosis. |
Generate impression based on findings. | 66-year-old male with metastatic melanoma, evaluate for growth in lung lesion, possible TB versus primary lung cancer versus metastasis. LUNGS AND PLEURA: A lobulated mass is again noted in the superior segment of the right lower lobe which contains internal cavitation. This mass is increased in size compared to the pr... | 1.Interval increase in size of lobulated right lower lobe mass and new left lower lobe nodule are compatible with pulmonary metastatic disease given the patient's history of metastatic melanoma.2.New lucent lesion in the T5 vertebral body compatible with a new focus of osseous metastatic disease.3.New splenic hypodense... |
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 CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Enlarged and heterogeneously enhancing thyroid, further described on the concurrent neck CT.Unchanged thymic enlargement, probably rebound... | No sign of metastases. Thyroid abnormality discussed above should be reviewed on the neck CT concurrently obtained. |
Generate impression based on findings. | 66 year old male with bladder cancer ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: A left hepatic lobe hypodensity adjacent to the fissure measures 1.0 x 0.7 cm (9/39).SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality... | 1.Enhancing bladder lesion is suspicious for transitional cell carcinoma.2.Left hepatic lobe hypodensity adjacent to the fissure is incompletely characterized but may represent focal fatty sparing. |
Generate impression based on findings. | 34-year-old female postop day 6 lap completion proctectomy, now with pain, nausea, and leukocytosis. Concern for fluid collection, infectious process, or portal venous thrombosis ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted. No evidence of portal venous thr... | 1. Mildly dilated loops of bowel to 4 cm immediately proximal to the ostomy site. This appearance may represent focal ileus or developing obstruction. 2. No fluid collection suggestive of abscess formation.3. No portal venous thrombosis. |
Generate impression based on findings. | 75-year-old male with history of urothelial cancer of the bladder status post radical cystoproctectomy, evaluate for recurrent/metastatic disease. ABDOMEN:LUNG BASES: Right middle lobe atelectasis. Right lower globe granuloma.LIVER, BILIARY TRACT: Multiple hepatic hypodensities, some of which are too small to character... | 1.No definitive evidence of recurrent or metastatic disease in the abdomen or pelvis.2.Partially visualized irregular right middle lobe opacity, recommend dedicated chest CT for further evaluation.3.Stable infrarenal aortic aneurysm and left common iliac artery aneurysm. |
Generate impression based on findings. | 59-year-old male with history of oral cancer. Evaluate for pulmonary metastatic disease. LUNGS AND PLEURA: Scattered micronodules, some calcified, are again noted and unchanged since the prior examination. No new or suspicious pulmonary nodules are identified.Persistent centrilobular and paraseptal emphysema.No pleural... | No evidence of metastatic disease in the chest or upper abdomen. |
Generate impression based on findings. | Reason: H/o lung cancer History: Shortness of breath CHEST:LUNGS AND PLEURA: Previously identified left lower lobe mass and nodules are now obscured by large left pleural effusion and associated compressive atelectasis. The mass can be visualized within the atelectatic left lower lobe, but is difficult to measure.Stabl... | 1. Previously identified left lower lobe mass and nodules are now obscured by large left pleural effusion and associated compressive atelectasis. The mass can be visualized within the atelectatic left lower lobe, but is difficult to measure.2. Necrotic lymph node adjacent to the hiatal hernia has enlarged, now 23 mm (s... |
Generate impression based on findings. | 72 year-old female with bilateral lower extremity pain and diminished femoral pulses ABDOMEN:LUNG BASES: Bibasilar subsegmental atelectasis. Subpleural cysts.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.ADRENAL GLANDS: 3.1 x 2.2 cm enlargement of the left adrenal gland... | 1. Extensive atherosclerotic disease of the iliac arteries, left greater than right. Long segment complete occlusion of the external iliac arteries with faint reconstitution of the femoral arteries. 2. 3.1 cm enlargement of the left adrenal gland with large coarse central calcification, which is benign in appearance. T... |
Generate impression based on findings. | Testicular carcinoma CHEST:LUNGS AND PLEURA: Multifocal scarring, unchanged. Left upper lobe micronodule unchanged.MEDIASTINUM AND HILA: Stable reference subcarinal lesion best seen on image 52 of series 3 measures 2.7 by 1.7 cm.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant ab... | Slight interval increase in size of several retroperitoneal and as well as left external iliac referenced lymph nodes. |
Generate impression based on findings. | Reason: LAD on outside scan; please compare to previous History: cough LUNGS AND PLEURA: Scattered, nonspecific micronodules some, which may represent intrapulmonary lymph nodes (image 43, series 5).No air space opacities.No pleural effusions.MEDIASTINUM AND HILA: Extensive mediastinal and bilateral hilar lymphadenopat... | Extensive mediastinal and bilateral hilar lymphadenopathy increased in size since the prior outside exam dated 5/24/13. This certainly is concerning for a lymphoproliferative disorder., However, other inflammatory etiologies including sarcoidosis should be considered. |
Generate impression based on findings. | Male 58 years old; Reason: Hx of Bladder Cancer s/p cystectomy with Neobladder. Eval for recurrent or metastatic disease. History: See above ABDOMEN:LUNGS BASES: Right middle lobe pulmonary nodule is unchanged.LIVER, BILIARY TRACT: Cholelithiasis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnorma... | 1.No evidence of recurrence or metastatic disease.CT UPPER ABD AND PELVIS WWO 7/23/2013 11:39 AMCLINICAL INFORMATION:TECHNIQUE: COMPARISON: FINDINGS:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant ... |
Generate impression based on findings. | Male 20 years old; Reason: gist History: none ABDOMEN:LUNG BASES: Numerous pulmonary nodules are noted throughout the lung fields. The largest measures 1.7 cm in the lingula, which has grown in the interim, previously measuring 1.1 cm.LIVER, BILIARY TRACT: Hepatomegaly. The liver measures 22 cm in length, stable. The p... | 1. Interval increase in the lung and liver metastases.2. Stable narrowing of the portal veins and IVC by increaseing adenopathy and hypodense masses. |
Generate impression based on findings. | 31 year old female with left lower quadrant pain radiating to the back and hematuria Please note that unenhanced CT is not sensitive for the detection of solid organ lesions. With this limitation, the following alterations are made.ABDOMEN:LUNG BASES: Subcentimeter left lower lobe peripheral micronodules nonspecific.LI... | No nephroureterolithiasis or other findings to explain patient's symptoms. |
Generate impression based on findings. | Reason: Post induction scanss/p 2 ccles TPF for BOT History: as above CHEST:LUNGS AND PLEURA: Scattered micronodules, some of which are calcified. Minimal calcified pleural plaque on the right compatible with prior asbestos exposure. No pleural effusion or suspicious pulmonary nodule.MEDIASTINUM AND HILA: Heart size is... | No evidence of metastatic disease. |
Generate impression based on findings. | Clinical question: Intracranial hemorrhage. Signs and symptoms: Fall. Nonenhanced head CT:No detectable acute posttraumatic intracranial or calvarial findings.There is a new foci of soft tissue thickening involving the right supraorbital scalp soft tissues which may represent posttraumatic change from recent fall.Previ... | 1.No active posttraumatic intracranial or calvarial findings. Minimal right supraorbital scalp edema.2.Grossly stable small muscle ischemic strokes of indeterminate age and unremarkable intracranial contents otherwise. |
Generate impression based on findings. | Clinical question: Rule out subdural extension. Signs and symptoms: Subdural. Nonenhanced head CT:There is no evidence of any acute new hemorrhage since prior study.There is also no convincing evidence of any change in the size or extent of left frontal parietal mixed density subdural collection and its associated subt... | The stable size, density and extent of left sided frontal -- parietal mixed density subdural and its associated subtle mass effect on the adjacent cortical sulci. |
Generate impression based on findings. | 60 year-old male with history of gist tumor CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Previously described hypodense lesion near the dome of the liver is smaller now measuring 6-... | Interval decrease in the size of the hepatic lesion and peritoneal metastatic lesions. |
Generate impression based on findings. | 84-year-old male with history of bilateral renal stents. Evaluate bilateral renal arteries ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormalit... | Diffuse atherosclerotic changes with infrarenal abdominal aortic stent graft in place. Approximately 50% stenosis at the origin of the right renal artery and more than 50% stenosis at the origin of the left renal artery. |
Generate impression based on findings. | 77-year-old female with history of recurrent intracortical carcinoma status post two liver resections. Evaluate for recurrence CHEST:LUNGS AND PLEURA: Scattered subcentimeter pulmonary nodules are unchanged.MEDIASTINUM AND HILA: Large lateral hernia, unchanged.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER,... | No significant change from previous study. |
Generate impression based on findings. | 64-year-old male status post cholecystectomy at outside hospital. Pathology showed missions adenocarcinoma CHEST:LUNGS AND PLEURA: Emphysema and bilateral apical scarring.MEDIASTINUM AND HILA: Mediastinal adenopathy. Index pretracheal node measures 1.6 x 1 cm on image number 39, series number 10. There are also borderl... | Mediastinal and hilar adenopathy.Hepatic hemangioma and small hypodense lesions which are too small to accurate characterize on CT. MRI of the liver may be helpful for better characterization of these small lesions, if clinically indicated.Biapical scarring and emphysema. |
Generate impression based on findings. | Reason: h/o oral/alveolar cancer; pls eval for metastatic disease History: none LUNGS AND PLEURA: Bilateral focal scarring is unchanged. Scattered micronodules unchanged.MEDIASTINUM AND HILA: Calcified mediastinal and right hilar lymph nodes compatible with prior granulomatous infection. No mediastinal or hilar lymphad... | No evidence of metastasis. |
Generate impression based on findings. | 62-year-old male with history of metastatic testis tumor CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREA... | No evidence of metastatic tumor. |
Generate impression based on findings. | 83 year-old female with history of head and neck cancer and status post chemoradiation. Head CT:There is no evidence of intracranial mass, hemorrhage or infarction. No enhancing abnormality is seen. Empty expanded sella is again noted and unchanged.There is redemonstration of moderate small vessel ischemic disease. Cal... | 1. Stable posttreatment changes in the neck. No evidence of tumor recurrence or adenopathy.2. No evidence of intracranial metastasis. |
Generate impression based on findings. | 77-year-old male with history of renal cell carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Index pretracheal lymph node measures 1.3 by 0.9-cm image number 33, series number 3, not significantly changed from previous study. Other mediastinal borderline enlarged lymph nodes also ... | Limited study due to lack of IV contrast. Interval increase in the size of the retroperitoneal adenopathy. Mediastinal adenopathy and left renal mass are grossly unchanged. |
Generate impression based on findings. | Reason: oral cancer History: r/o lung mets LUNGS AND PLEURA: Stable centrilobular emphysema. Diffuse calcified noncalcified micronodules unchanged. Subsegmental atelectasis or scar within the left lower lobe persists.No pleural effusion or suspicious pulmonary nodule.MEDIASTINUM AND HILA: Heart size is normal. Moderate... | No evidence of metastatic disease. |
Generate impression based on findings. | 83-year-old male evaluate for diverticulitis ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hepatic cyst is unchanged.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Left adrenal nodule is unchanged measuring 2.3 by 2.6-cm image number 42, ser... | Distal small bowel obstruction with this transition point in the right lower quadrant. |
Generate impression based on findings. | Female 57 years old; Reason: 56yo female with history of endometrial and ovarian CA, assess for disease progression and stability of pelvic LNs History: as above CHEST:LUNGS AND PLEURA: Scattered micronodules unchanged. No new nodules or masses detected. Scarring lung bases unchanged.MEDIASTINUM AND HILA: Port-A-Cath t... | Grossly stable exam when compared to the previous. Nonspecific bilateral adrenal nodules.Cholelithiasis. |
Generate impression based on findings. | Reason: Patient with a h/o scca v/c s/p excison, please evaluate. Patient has a h/o lunge nodule History: lung nodule LUNGS AND PLEURA: Scattered micronodules, some of which are calcified. No suspicious pulmonary nodules. No pleural effusion.MEDIASTINUM AND HILA: Calcified mediastinal lymph nodes compatible with prior ... | Scattered micronodules, some of which are calcified, with evidence of prior granulomatous infection. No mediastinal or hilar lymphadenopathy. |
Generate impression based on findings. | Male 65 years old; Reason: hematuria History: hematuria ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: A few too small to characterize lesions noted in the right lobe of the liver. Gallstones are noted in the gallbladder without evidence of cholecystitis. There is no biliary ductal dilatati... | 1.Enlarged prostate and an associated 5mm stone in the bladder. Negative evaluation of kidneys and upper tracts.2.Nonspecific fat stranding in the mesentery, correlate for mesenteric panniculitis or other old inflammatory process.3. Cholelithiasis. |
Generate impression based on findings. | Pancreatic colloid carcinoma, leiomyoma, and sarcoid CHEST:LUNGS AND PLEURA: Stable biapical scarring. Stable scattered micronodules. Interval appearance of multifocal bilateral tree in bud opacities as well as prominent nodular opacities within the left lower lobe best seen on image 73 of series 5.MEDIASTINUM AND HILA... | Interval appearance of multifocal bilateral tree in bud opacities within the lungs as well as prominent nodular opacities within the left lower lobe. Favor infectious/inflammatory process over neoplasm/metastatic disease. However, would pay special attention to these findings on future surveillance scans to document re... |
Generate impression based on findings. | 56 year old female with metastatic uterine cancer CHEST:LUNGS AND PLEURA: Stable size of the spiculated right upper lobe nodule, measuring 1.3 x 1.0 cm (5/33), previously 1.4 x 1.1 cm. Decreased size of the right lower lobe nodule, measuring 0.7 cm in maximal diameter (5/63), previously 1.1 cm. Decreased size of the le... | 1. Minimal change in metastatic disease in the chest. 2. Numerous new sclerotic metastatic foci throughout the thoracolumbar spine.3. No evidence of disease progression in the abdomen. |
Generate impression based on findings. | 61-year-old male status post EVAR, coiling of the IMA. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Horse shoe ... | 1. Stable Type II endoleak and stable size of the aneurysmal sack with lumbar collaterals retrograde filling. 2. Worrisome right renal pelvis lesion, worrisome for epithelial neoplasm. |
Generate impression based on findings. | 66 sure old female with mesothelioma, compare with prior ABDOMEN:LUNG BASES: For chest findings, please refer to dedicated chest CT performed on the same day.LIVER, BILIARY TRACT: Hepatic hypodensities are too small to characterize but stable. SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality... | Stable extension of mesothelioma along the right lateral chest wall inferiorly along the abdominal wall and into the abdominal cavity. |
Generate impression based on findings. | Reason: Pt with hx of HNC s/p CRT on 2010. Please re-eval for recurrence History: as above CHEST:LUNGS AND PLEURA: Bilateral calcified micronodules consistent with prior granulomatous infection. Stable scarring extending to the apices and posterior right upper lobe pleura.No suspicious pulmonary nodule or interval pleu... | 1. Previously described intratracheal soft tissue density focus is 3 mm transverse and has become more linear in the craniocaudal dimension. It occupies the anterolateral tracheal wall. Because this has incompletely resolved, a metastatic deposit raises higher in the differential but it is smaller at this time. 2. No a... |
Generate impression based on findings. | 44 year-old female with shortness of breath, awaiting lung transplant. LUNGS AND PLEURA: Upper lobe predominant architectural distortion, traction bronchiectasis, honeycombing, and peripheral consolidation is again noted compatible with the patient's pathologic diagnosis of UIP and not significantly changed since the p... | Findings compatible with the patient's known pathologic diagnosis of UIP, without significant interval change since the prior study from 9/2012. |
Generate impression based on findings. | Reason: evaluate right lung nodule seen on CXR History: newly diagnosed renal mass LUNGS AND PLEURA: There is a nodule that demonstrates central coarse calcification corresponding to the pulmonary nodule identified on recent radiograph. This is consistent with a granuloma, such as histoplasmoma. There is associated bra... | 1. Evidence of prior granulomatous disease. Previously identified opacity on recent radiograph corresponds to granuloma, possibly histoplasmoma.2. Scattered micronodules are nonspecific, possibly post inflammatory. In this clinical setting, continued evaluation to ensure stability of these nodules is recommended. |
Generate impression based on findings. | 59-year-old male with history of smoking, dyspnea. Evaluate for lung nodules. LUNGS AND PLEURA: Scattered micronodules are noted which measure less than 4 mm in diameter. No suspicious nodules identified.Mild centrilobular and paraseptal emphysema. Bibasilar scarring/atelectasis.MEDIASTINUM AND HILA: Scattered small me... | 1. No suspicious pulmonary nodules identified.2. Mild centrilobular and paraseptal emphysema. |
Generate impression based on findings. | Female 50 years old; Reason: ovarian cancer serous mucious currently on doxil/avastin, assess disease state History: serous ovarian cancer CHEST:LUNGS AND PLEURA: No change in left upper lobe index nodule, best seen on image 25 ofseries 4, measuring 1.2 x 6cm previously 1.1 x 0.7 cm.MEDIASTINUM AND HILA: Stable extensi... | Status post resection of cystic omental and peritoneal metastatic tumor foci with interval stability to decrease in size and number of the multiple omental and peritoneal metastatic nodules.Stable Pulmonary and mediastinal metastases. |
Generate impression based on findings. | 46 your old female with recurrent endometrial cancer on hormonal therapy, evaluate response CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusions. Left lingular scarring. No suspicious nodules or masses.MEDIASTINUM AND HILA: Mild mediastinal lymphadenopathy is unchanged. No hilar lymphadenopathy. Heart si... | 1.Large pelvic mass compatible with endometrial cancer is not significantly changed in size.2.New low left periaortic lymph node likely represents metastatic disease.3.New bilateral mild hydroureteronephrosis with ureteral dilatation proximal to the pelvic mass. |
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