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Generate impression based on findings. | History of unruptured aneurysm with growth over the last few years. New vision changes. There is an 8 x 4 mm aneurysm with a 2.2 mm neck at the junction of the clinoid and ophthalmic portion of the right internal carotid artery with possible incorporation of the ophthalmic artery origin. This extends medially contactin... | 8 x 4 mm aneurysm with a 2.2-mm neck at the junction of the clinoid and ophthalmic portion of the right internal carotid artery, possibly incorporating the origin of the ophthalmic artery. This is not significantly changed since 2010. It is unruptured. |
Generate impression based on findings. | 54-year-old male female with right-sided 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 pituitary gland appears thin an... | 1. No evidence for acute intracranial hemorrhage mass effect or edema.2. Partial frothy opacification of bilateral sphenoid sinuses consistent with acute sinusitis. |
Generate impression based on findings. | Female; 23 months old. Reason: evaluate for vasculitis History: elevated inflammatory markers, fever The right innominate and left common carotid arteries exhibit a common origin from the aortic arch. There is normal aortic arch origin of the left subclavian artery. The arch vessels exhibit normal contrast opacificatio... | Normal examination. |
Generate impression based on findings. | Reason: 72 y/o M w/ AML now w/ NF and hemoptysis and sinus congestion. please evaluate History: fever, cough LUNGS AND PLEURA: Severe emphysema.Mild increase in interstitial and interlobular septal thickening, particularly in the right upper lobe, posteriorly.Pleural thickening, unchanged from the prior exam. No eviden... | 1.Mild interval increase in interstitial and interlobular septal thickening, most pronounced in the posterior aspect of the right upper lobe, compatible with mild increasing interstitial pulmonary edema.2. Severe centrilobular and paraseptal emphysema.3. No specific evidence of acute infection |
Generate impression based on findings. | 64 year old female with history of gist tumor status post incomplete resection complicated by abdominal pelvic infections/abscess, restaging CHEST:LUNGS AND PLEURA: Right apical scarring. No focal consolidation or pleural effusions. 6-mm left lower lobe pleural based nodule was not within the field of view on the prior... | 1.Large heterogeneous solid and cystic mass in the pelvis is not significantly changed in size. 2.Interval dilatation of multiple small bowel loops in the midabdomen with relative collapse of distal loops raises the suspicion for mild partial small bowel obstruction, likely secondary to pelvic mass.3.Stable retroperito... |
Generate impression based on findings. | Melanoma CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Stable reference right paratracheal lymph node, best seen on image 25 of series 3, measuring 0.9 x 0.5 cm.CHEST WALL: Stable postsurgical changes within the right axilla. Stable reference soft tissue focus within the right axilla be... | Stable examination |
Generate impression based on findings. | Reason: eval postop changes History: s/p AVM embolization Since the prior examination the patient has undergone a right fusiform gyrus arteriovenous malformation embolization. There is no evidence for acute intracranial hemorrhage mass effect or edema.The visualized portions of the paranasal sinuses are clear. The visu... | 1.Since the prior examination the patient has undergone a right fusiform gyrus arteriovenous malformation embolization without evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | 70 year-old female with encephalocele, CSF leak for evaluation for changes. The floor of the middle cranial fossa is asymmetrically thin and has an irregular appearance interspersed with tiny rounded lucencies, extending cranially to the level of the mid-orbits. There is a 6-mm osseous defect in the medial aspect of th... | 1. There is a 6-mm defect in the medial aspect of the right middle cranial fossa floor and roof of the lateral right sphenoid sinus, with small focal outpouching of CSF and associated air-fluid levels within the sinus, relatively unchanged compared to prior MR. This is consistent with a known encephalocele and source o... |
Generate impression based on findings. | 39 year old female. Lung cancer with metastatic disease. Evaluate and compare to prior. Four cycles of chemotherapy. Redemonstration of postsurgical changes of resection of the left anterior chest wall tumor, including removal of the anterior left first, second and third ribs as well as the medial left clavicle and the... | Postoperative changes in the left anterior chest wall are again seen. No evidence of residual or recurrent tumor. No cervical lymphadenopathy is evident. |
Generate impression based on findings. | History of mesothelioma, follow-up. LUNGS AND PLEURA: Status post right pneumonectomy and diaphragmatic graft with large amount of fluid in the right hemithorax. Previously noted thickening along the inferior right pleura anterior to the liver appears grossly unchanged, but the reference area measurement is not include... | 1.Postsurgical changes with no evidence of local recurrence or metastatic disease in the chest.2.Right inferior chest wall mass appears grossly unchanged but is incompletely visualized on this study. Please see separate CT abdomen/pelvis report for further characterization. |
Generate impression based on findings. | 65 years old year-old female history of non-Hodgkin's lymphoma. The paranasal sinuses and mastoid air cells are clear. The orbital contents are normal. The visualized intracranial contents are unremarkable.No cervical lymphadenopathy is seen by CT criteria. There are only scattered subcentimeter lymph nodes without agg... | No cervical lymphadenopathy. |
Generate impression based on findings. | 65-year-old female with history of nodular lymphoma CHEST:LUNGS AND PLEURA: Calcified granuloma in the right lower lobe is unchanged.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant a... | Stable or slightly decreased in size index lymph nodes. |
Generate impression based on findings. | Reason: lung cancer with new onset of neck pain. please evalute for metastatic disease History: lung cancer 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 a... | 1.No evidence for neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.there are partially calcified left supraclavicular lymph nodes present which are borderline for lymphadenopathy. There is a CT of the chest from 5/28/13 and 1/29/13 showing no significant interval change.3.please note that lack... |
Generate impression based on findings. | Male; 27 years old. Reason: evaluate scaphoid healing History: s/p bone grafting scaphoid As seen on prior radiographs, there is a cannulated screw affixing a fracture at the waist of the scaphoid in near anatomic alignment. Although portions of the fracture plane remain visible, there is bony bridging across the major... | Orthopedic fixation of healing scaphoid fracture. |
Generate impression based on findings. | 79-year-old male with history of lung cancer status post chemotherapy. Follow-up examination. CHEST:LUNGS AND PLEURA: Multiple ground glass and solid pulmonary nodules are again identified bilaterally, which are overall not significantly changed in size compared to recent prior studies.Reference 14-mm groundglass nodul... | Redemonstration of numerous solid and groundglass nodules, without significant interval change compared to recent prior studies. The solid nodules in the left lower lobe are suggestive of metastatic disease, and the groundglass nodules may represent atypical adenomatous hyperplasia or minimally invasive adenocarcinoma. |
Generate impression based on findings. | Female 39 years old; Reason: lung cancer with metastatic disease. please evaluate for disease and compare to last scan s/p 4 cycles of chemo History: lung cancer CHEST:LUNGS AND PLEURA: Stable postsurgical changes right upper lobe. Subpleural fibroticchanges in the anterior left upper lobe, stable.Pleural-based partial... | 1. Stable thoracic postsurgical changes2. Stable right basilar partially calcified pleural-based mass3. Decreased size of reference right pulmonary nodule. Other nonreference pulmonarynodules are stable.4. Previously measured cardiophrenic lymph node is not evident on current study. |
Generate impression based on findings. | Reason: evaluate for pe History: sob and hypoxia PULMONARY ARTERIES: The quality of this examination is diagnostic to the segmental level secondary to timing of the bolus. No pulmonary embolus is identified to the segmental level.LUNGS AND PLEURA: There are large bilateral pleural effusions with associated compressive ... | 1. Large bilateral pleural effusions with associated atelectasis.2. No evidence of pulmonary embolus to the segmental level.3. Central bronchial thickening and linear thickening of the secondary lobular septate suggestive of edema. |
Generate impression based on findings. | Metastatic breast carcinoma CHEST:LUNGS AND PLEURA: Significant improved aeration and decrease in conspicuity of multifocal right upper lobe and middle lobe opacities.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Stable right axillary loculated fluid collection best seen on image 43 of series 3 mea... | New left axillary adenopathy. While this may represent reactive/inflammatory adenopathy, metastatic disease cannot be excluded. Would pay special attention to these lymph nodes on future surveillance scans. Improved aeration and interval decrease in conspicuity of multifocal right lung air space opacities. |
Generate impression based on findings. | 72-year-old female with metastatic adenocarcinoma at the GE junction, restaging CHEST:LUNGS AND PLEURA: Bilateral large pleural effusions, right greater the left, with associated dependent atelectasis is new from the prior exam.MEDIASTINUM AND HILA: Right internal jugular catheter with tip terminating in the SVC. Dilat... | 1.Increased left hepatic metastases.2.Increased omental nodularity.3.Increased bilateral pleural effusions, right greater than left.4.Stable ascites. |
Generate impression based on findings. | 49-year-old male with history of colon cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Postresection changes involving the liver. No focal lesions within the liver.SPLEEN: Mild ... | Postsurgical changes in the liver. No evidence of metastatic disease in the chest abdomen or pelvis. |
Generate impression based on findings. | 42-year-old female with persistent ileus ABDOMEN:LUNG BASES: Postoperative changes secondary to gastric pull through. Cholelithiasis, unchanged.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormali... | Interval improvement of the proximal small bowel dilatation. On this study cecum and right colon are significantly dilated likely secondary to cecal ileus.Right adnexal cystic lesion concerning for ovarian cystic neoplasm, unchanged.Cholelithiasis, unchanged. |
Generate impression based on findings. | 70-year-old male with metastatic renal cell carcinoma on pazopanib CHEST:LUNGS AND PLEURA: Numerous bilateral pulmonary nodules and masses consistent with metastatic disease, appearing overall similar to the prior exam. Stable reference left upper lobe nodule measuring 1.0 x 0.8 cm (4/32), previously 1.1 cm x 0.9 cm.ME... | Stable examination without significant interval change in the left renal mass or reference metastatic lesions |
Generate impression based on findings. | 22 year-old female with history of fatigue and question of thymic pathology. LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Residual thymic tissue unremarkable.Small nonspecific lymph nodes in the AP window and right paratracheal space, abnormal in multiplicity. No hilar lymphadenopathy.Heart ... | No CT evidence of thymic pathology. Numerous small mediastinal lymph nodes nonspecific but may be consistent with autoimmune disease, conservative follow-up imaging may be obtained as clinically warranted. |
Generate impression based on findings. | 57-year-old male with history of right upper lobe lung nodule. Evaluate for change. Preoperative evaluation. CHEST:LUNGS AND PLEURA: A nodule is noted in the right upper lobe which measures up to 18 x 16 mm (series 4, image 45), and is not significantly changed in size compared to the outside hospital chest CT dated 5/... | Right upper lobe nodule unchanged in size since recent outside hospital CT dated 5/9/13 and corresponding with hypermetabolic focus on PET CT is highly suspicious for a primary pulmonary neoplasm. Right hilar and mediastinal enlarged lymph nodes which are also hypermetabolic on PET are suspicious for locally advanced d... |
Generate impression based on findings. | 30 yo old fire fighter with hypertension and family history of accelerated coronary artery disease presents with chest pain. He is referred to rule out CAD.CPT Code: 75574 Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of valsalva and bifurcates into the left anterior descendin... | 1.There are no significant coronary artery stenoses present. 2.There is a non-obstructive, non-calcified plaque with complex morphology resulting in a 10% stenosis in the proximal LAD. There is no associated resting myocardial perfusion defect.Findings discussed with ED resident. Patient to be started on aspirin/ stati... |
Generate impression based on findings. | 48-year-old male with left tender abdominal mass ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant ab... | Left rectus sheath lipoma. |
Generate impression based on findings. | 42-year-old female with history of hernia ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormali... | Midline periumbilical hernia containing fat and nonobstructed bowel loops. |
Generate impression based on findings. | Male 76 years old; Reason: abdominal pain with prostate cancer History: pelvic pain, follow up on two pelvic lymph nodes 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: Emphysematous... | 1.Small bowel intussusception with a lipoma acting as a lead point.2.Right adrenal lesion most compatible with an adenoma.3.Soft tissue density adjacent to the rectum which could represent unopacified bowel, however incompletely characterized, |
Generate impression based on findings. | 51 year old man with history of coronary artery disease and a proximal LAD stent who presents with recurrent chest pain. He is referred to rule out obstructive coronary artery disease.CPT Code: 75574 Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and bifurcates into... | 1. There are no significant coronary artery stenoses present. 2. The proximal LAD has a stent in it which is patent and without evidence of in-stent restenosis. The mid-portion of the stent is not completely apposed against the vessel wall. Proximal to the stent there is a partially calcified, non-obstructive plaque. T... |
Generate impression based on findings. | Clinical question: Intracranial hemorrhage? Signs and symptoms: Headache and loss of consciousness. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cistern... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Rule out intracranial mass. Signs and symptoms cor new onset of vertigo worse at rest, nausea. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute non-hemorrhagic ischemic strokes. Examination demonstrates mild age indeterminate small vessel ... | Small vessel ischemic strokes of indeterminate age with interval worsening since prior study from 2007. |
Generate impression based on findings. | Clinical question: Rule out acute stroke. Signs and symptoms: Left upper extremity weakness and numbness. Nonenhanced head CT:No acute intracranial process.CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.There is a slight prominence of cortical sulci in the right posterior frontal and w... | No acute intracranial findings. |
Generate impression based on findings. | Clinical question: TIA. Signs and symptoms: TIA. Nonenhanced head CT:Examination demonstrates extensive (left greater than right) periventricular and subcortical low attenuation white matter and bilateral basal ganglia/thalami consistent with advanced age indeterminate a small associated left frontal encephalomalacia i... | 1.No acute intracranial process. CT is insensitive for detection of acute ischemic nonhemorrhagic strokes.2.Advanced age indeterminate a small muscle ischemic strokes.3.Chronic left anterior temporal and anterior frontal ischemic cortical strokes.4.Chronic blow out fracture of right lamina papyracea.5.Hypoplastic right... |
Generate impression based on findings. | Clinical question: Head trauma, loss of consciousness, rule out subdural. Signs and symptoms: Headache. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gra... | No acute intracranial process. Unremarkable nonenhanced head CT. |
Generate impression based on findings. | 86-year-old male with abdominal distention/tension and CHF exacerbation, rule out small bowel obstruction, perforation and gross inflammation Please note that nonenhanced CT is not sensitive for the detection of solid organ lesions. With this limitation, the following observations are made.ABDOMEN:LUNG BASES: Moderate ... | 1.Small amount of pelvic ascites is abnormal in a male and may be related to CHF. No acute abdominal process is identified on this exam.2.Moderate right and small left pleural effusions with associated atelectasis.3.Abdominal aortic aneurysm measuring up to 3.7 cm in diameter.4.Complex left renal cysts are incompletely... |
Generate impression based on findings. | 20 year-old female following MVC. Head: The is stranding in with an adipose tissue of the scalp in the right occipital region. No intracranial mass, fluid collection, hemorrhage, hydrocephalus or CT evidence of ischemia. Gray-white matter differentiation is maintained bilaterally and the midline is intact. Bones, masto... | No acute abnormalities visualized. |
Generate impression based on findings. | Clinical question: 79 year old female with worsening new lower extremity weakness and mental status changes, assess for stroke. Signs and symptoms: As above. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic stroke. Very subtle minimal subcorti... | 1.No acute intracranial findings.2.Minimal age indeterminate small vessel ischemic strokes.3.Unremarkable exam otherwise. |
Generate impression based on findings. | Clinical question: Status post Omaya placement. Signs and symptoms: As above. Unenhanced head CT:Examination demonstrates interval placement of an Ommaya catheter entering through a high convexity right paramedian anterior frontal burr hole, traversing the right frontal lobe, entering the anterior aspect of body of rig... | Expected postoperative changes of a right-sided frontal approach Omaya catheter placement with the tip of the catheter in the right frontal horn. Stable exam otherwise and without evidence of an acute intracranial process. |
Generate impression based on findings. | Clinical question: Cerebellar ischemia. Signs and symptoms: On heparin. Nonenhanced head CT:Examination demonstrates no evidence of any acute intracranial process in particular no evidence of hemorrhage in the cerebellar ischemic stroke. Low-attenuation along the left paramedian cerebellum with subtle associated mass e... | 1.No evidence of an acute new finding since prior exam and in particular no evidence of hemorrhage in the left cerebellar ischemic stroke.2.Stable normal size of ventricular system. |
Generate impression based on findings. | 71 year old female with pleuritic chest pain. PULMONARY ARTERIES: Technically adequate study with multiple bilateral filling defects in the pulmonary arteries at the segmental level. No evidence of main pulmonary artery dilatation.LUNGS AND PLEURA: Moderate bilateral pleural effusions with adjacent atelectasis; multipl... | 1.Multiple bilateral pulmonary emboli at the segmental level with mild right heart strain.2.Bilateral lower lobe areas of hyperperfusion suspicious for early infarct. Left upper lobe localized hemorrhage.3.Bilateral pleural effusions with atelectasis.4.Abdominal abnormality suspicious for metastatic disease, better cha... |
Generate impression based on findings. | 56 year old female with shortness of breath. Evaluate for pulmonary embolus, worsening pneumonia. PULMONARY ARTERIES: Technically adequate study. No pulmonary embolus. The main pulmonary artery is mildly enlarged raising the question of pulmonary arterial hypertension.LUNGS AND PLEURA: Severe emphysema. Right basilar c... | 1.No pulmonary embolus.2.Severe centrilobular emphysema and bibasilar atelectasis which is increased compared to the prior study. |
Generate impression based on findings. | 57 year old female status post Whipple for pancreatic cancer on 5/29/13. Now with abdominal pain and leaking around the incision site ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal morphology without focal hepatic lesions. Status post Whipple procedure with pneumobilia.SPLEEN... | 2.1 cm hypodensity with surrounding soft tissue stranding at the anterior abdominal wall, suspicious for developing abscess. |
Generate impression based on findings. | 70-year-old female status post fall. HeadThere is a prominence of cortical sulci bilaterally and ex vacuo dilatation of the third and lateral ventricles suggesting cortical volume loss more than expected compared to patient's age. There is patchy periventricular white matter hypoattenuation consistent with age indeterm... | 1. Asymmetric thickening and hyperattenuation in part of the right tentorium may represent tentorial calcifications or, given patient's history of fall, hemorrhage. Follow-up study is recommended.2. No cervical spine fractures or subluxations. No significant compromise to the spinal canal and neuroforaminal levels of t... |
Generate impression based on findings. | 83-year-old male. Metastatic thyroid cancer on treatment. Additional history of metastatic squamous cell carcinoma of larynx. Evaluate for progression. Significant interval decrease in size of the bilateral exophytic masses in the neopharynx. The lesion on the right now measures 11 x 8 mm (series 4 image 47) previously... | 1. Interval decrease in size of bilateral neo-pharyngeal exophytic masses as detailed above.2. Grossly stable appearance of enhancing cuff of nonspecific prevertebral soft tissue from the C3 through C7 levels. |
Generate impression based on findings. | 61-year-old female with fever, open wound in indwelling drain, evaluate for fluid collection/infectious process. History of enterovaginal fistula and bladder cancer ABDOMEN:LUNG BASES: Left lower lobe linear scarring.LIVER, BILIARY TRACT: Scattered hepatic granulomas. No focal hepatic lesions. Cholelithiasis without ev... | 1.Redemonstrated of a vaginocutaneous fistula. Oral contrast is seen within the vagina with communication to a bowel loop compatible with an enterovaginal fistula.2.Interval resolution of small abscess in the right pelvis along the internal iliac vessels with removal of drainage catheter. An additional small abscess in... |
Generate impression based on findings. | 67-year-old female with AML, elevated lipase and bilirubin, and abdominal pain. Please note that this examination is limited in sensitivity for solid organ pathology due to lack of IV contrast.ABDOMEN:LUNG BASES: Bibasilar subsegmental atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted. Status post chol... | Subtle haziness about the pancreas, likely representing acute pancreatitis. No loculated fluid collection to suggest abscess formation. |
Generate impression based on findings. | Male 62 years old; Reason: 62 y. o. male with hx of appendiceal goblet cell cancer; please do dedicated Liver protocol CT scan for metastatic disease History: appendiceal cancer ABDOMEN:LUNG BASES: Trace right pleural effusion.LIVER, BILIARY TRACT: Diffuse hypoattenuation of the liver is consistent with fatty infiltrat... | 1.Findings consistent with peritoneal carcinomatosis.2.Hypodense liver lesion consistent with a liver metastasis. Fatty infiltration of the liver limits evaluation for liver lesions, however there are likely multiple liver metastases. |
Generate impression based on findings. | 85 year old female with back pain radiating to the abdomen and hematuria ABDOMEN:LUNG BASES: Bibasilar subsegmental atelectasis. Right lower lobe calcified nodule, likely a granuloma.LIVER, BILIARY TRACT: Calcified granulomata. No focal hepatic lesions are evident. Layering density in the gallbladder likely represents ... | 1. No specific evidence of nephrolithiasis.2. Bilateral hypodense and hyperdense renal lesions, which are incompletely characterized on this noncontrast examination. Dedicated renal CT is recommended if further evaluation is clinically warranted.3. Increased disk space loss and erosive end plate changes at L4/L5 and L5... |
Generate impression based on findings. | History of shortness of breath with question of mesothelioma. LUNGS AND PLEURA: Multiple benign-appearing calcified and noncalcified pleural plaques bilaterally consistent with asbestos exposure. A right medial paravertebral pleural plaque (series 5, image 40) measures 10 mm in thickness. Pleural thickening versus suba... | 1.Signs of asbestos exposure and pulmonary asbestosis but no conclusive CT evidence of pleural mesothelioma at this time. If there is a high level of clinical suspicion, PET CT may be of use.2.Indeterminate possible area of mediastinal pleural thickening versus lymph node measuring 6 mm in thickness, but should be foll... |
Generate impression based on findings. | Male 26 years old; Reason: history of testes cancer with metastasis to liver, lungs, LN's. post chemotherapy. History: metastatic testes ca CHEST:LUNGS AND PLEURA: There are multiple new pulmonary metastatic deposits. The reference of left lower lobe pulmonary lesion measures 2.1 x 2.1 cm (image 58/series 5) previously... | 1.Decrease in the size of the reference pulmonary, hepatic and retroperitoneal nodal stations.2.Sclerotic foci in the left ilium are nonspecific but metastatic disease should be considered. |
Generate impression based on findings. | Male 87 years old; Reason: staging for bladder cancer, please obtain CT urogram History: bladder mass, recent transurethral resection per clinical service. ABDOMEN:LUNG BASES: Basilar reticulation and fibrosis is present.LIVER, BILIARY TRACT: Noncalcified gallstone is seen within a collapsed gallbladder without evidenc... | Air within the space of Retzius raises concern for bladder perforation given recent procedure. This finding was discussed with Dr. Boysen at 9:35 a.m. 7/24/2013. |
Generate impression based on findings. | Male 64 years old; Reason: evaluate for evolution of hepatic metastases History: liver metastases, worsening liver dysfunction ABDOMEN:LUNGS BASES: Examination of the lung bases show interval enlargement of the existing pulmonary lesions.LIVER, BILIARY TRACT: Liver as extensive bilobar metastatic disease. A conglomerat... | 1.Increase in the size of the existing lung base lesions.2.Extensive progression of bilobar hepatic metastases.3.Extensive upper abdominal peritoneal carcinomatosis. |
Generate impression based on findings. | 72 year old female with right upper quadrant pain, rule out small bowel obstruction or biliary obstruction ABDOMEN:LUNG BASES: Bibasilar atelectasis. Cardiomegaly with partially visualized pacemaker leads. No pleural effusions.LIVER, BILIARY TRACT: No focal hepatic lesions. Cholelithiasis without gallbladder wall thick... | 1.Fullness of the head and uncinate process of the pancreas with surrounding edema and fat stranding compatible with acute pancreatitis. While this may be secondary to gallstones, a follow-up exam is recommended to exclude underlying neoplasm.2.Cholelithiasis without evidence of cholecystitis. |
Generate impression based on findings. | 69 year-old female with metastatic pancreatic cancer CHEST:LUNGS AND PLEURA: Multiple scattered predominantly upper lobe bilateral pulmonary nodules, right greater than left. For reference a right upper lobe spiculated nodule measures 1.3 x 1.0 cm (9/20). Bibasilar subsegmental atelectasis without pleural effusions.MED... | 1. Ill-defined hypodense pancreatic mass with marked pancreatic ductal dilatation and invasion of the adjacent vasculature.2. Focal hepatic lesions, most likely representing metastases.3. Multiple scattered pulmonary nodules, suspicious for metastatic disease. The differential diagnosis includes atypical or multifocal ... |
Generate impression based on findings. | 49 year-old female status post AVM embolization. Examination again shows posttreatment change of a right fusiform gyrus arteriovenous malformation embolization. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The ventricles, sulci, and cisterns are symmetric and u... | Stable posttreatment change of a right fusiform gyrus arteriovenous malformation embolization with no evidence of acute intracranial abnormality. |
Generate impression based on findings. | 55-year-old male with epigastric pain radiating to the back, rule out pancreatitis ABDOMEN:LUNG BASES: Right lower lobe atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No peripancreatic inflammatory changes or fluid collections. No dilatation of the ma... | 1.No evidence of pancreatitis or other finding to explain patients symptoms.2.Trace pelvic free fluid is abnormal in a male, however the etiology is not evident on this exam. |
Generate impression based on findings. | 20 year-old male, evaluation for postop hemorrhage. Previously noted grid has been removed. There is interval decrease in soft tissue swelling and underlying subgaleal hematoma over left craniotomy site when compared to prior exam. Interval placement of a drain over the left parietal bone is noted. There is small colle... | 1. Status post partial temporal lobectomy. No significant intraparenchymal hemorrhage, no significant midline shift.2. Small collection of extra-axial blood and pneumocephalus underlying craniotomy site and middle cranial fossa with no local mass effect. |
Generate impression based on findings. | 84-year-old female with a history of gastric carcinoma. Status post distal gastrectomy. Restaging examination. CHEST:LUNGS AND PLEURA: Centrilobular emphysema with an upper lobe predominance. Bibasilar scarring/atelectasis. No evidence of pleural effusion or pneumothorax.MEDIASTINUM AND HILA: Prominent mediastinal lymp... | 1. Postoperative changes consistent with distal gastrectomy without definite evidence of residual or metastatic disease.2. Nonspecific prominence of the pacreatic tail with multiple nonenlarged lymph nodes in the surrounding area. This finding is stable since the prior exam. |
Generate impression based on findings. | 23 year-old female status post third ventriculostomy. Examination shows postsurgical changes of third ventriculostomy, including a burr in the right frontal bone, mild right frontal scalp swelling and trace air in the frontal pone and right frontal horn. There appears a small focal thinning or defect of the third ventr... | Status post third ventriculostomy with no acute hemorrhage. Stable mild ventriculomegaly. |
Generate impression based on findings. | 69-year-old male. Pancreatic cancer restaging. CHEST:LUNGS AND PLEURA: Reference right middle lobe nodule (series 5 image 53) measures 0.5 cm, and remains suspicious for metastatic disease. Emphysematous changes.MEDIASTINUM AND HILA: Stable small mediastinal lymph nodes. Enlarged right thyroid is unchanged. Heart size ... | 1. Reference hepatic metastatic lesion is stable. 2. Stable examination. No new lesions.3. Stable reference lymphadenopathy |
Generate impression based on findings. | 23 year old female with history of metastatic osteosarcoma status post chemotherapy. LUNGS AND PLEURA: A new 9-mm left lower lobe subpleural nodule with poorly defined margins is identified. No pleural effusions.MEDIASTINUM AND HILA: No mediastinal adenopathy. The heart size is normal. No pericardial effusion. Left cen... | New 9-mm left lower lobe pulmonary nodule. The lesion may be infectious/inflammatory or metastatic. This finding was discussed with Dr. Applebaum (pager 3678) at the time of dictation. |
Generate impression based on findings. | History of metastatic thyroid cancer, follow-up. CHEST:LUNGS AND PLEURA: Multiple calcified and noncalcified pulmonary micronodules, likely prior granulomatous disease, unchanged. No new suspicious pulmonary nodules or masses. Moderate centrilobular emphysema .Near-complete resolution of left lower lobe consolidation a... | 1.Pulmonary micronodules unchanged with no evidence of intrathoracic metastatic disease. 2.Left adrenal nodule unchanged.3.New nondisplaced fracture of the right seventh rib. |
Generate impression based on findings. | 52 year old female with history of metastatic breast cancer to lung and liver, on chemotherapy. Follow up examination. CHEST:LUNGS AND PLEURA: Interval decrease in size and number of numerous bilateral pulmonary metastatic nodules since the prior examination. Previously measured reference lesion in the right upper lobe... | Interval decrease in size and number of numerous pulmonary metastatic lesions since the prior study from 1/17/13 compatible with treatment response. Apparent interval decrease in ill-defined hypodense hepatic lesions and increased sclerosis of numerous osseous metastatic lesions are also compatible with treatment respo... |
Generate impression based on findings. | 74-year-old male with pulmonary nodules on CT and history of prostate cancer CHEST:LUNGS AND PLEURA: Multiple bilateral lower lobe predominant pulmonary nodules are unchanged. A left lower lobe pleural based nodule measures 1.0 cm (5/84), previously 0.9 cm. Mild interstitial thickening and bronchiectasis is unchanged. ... | 1.Stable pulmonary nodules.2.Mildly enlarged left thoracic inlet lymph node is unchanged.3.No evidence of recurrent or metastatic disease in the abdomen or pelvis. |
Generate impression based on findings. | 71 year old male with history of right lung transplant, now with shortness of breath, evaluate for pneumonia or pleural effusion. LUNGS AND PLEURA: Postsurgical changes of right lung transplant.Bronchial wall thickening in the right lung with new nodular ground glass opacities in the posterior right upper and medial ri... | 1.Bronchial wall thickening and ground glass opacities in the right lung with interval progression compared to the prior outside exam. This is consistent with chronic rejection (bronchiolitis obliterans) and/or chronic infection..2.Moderate-sized loculated right pleural effusion increased in comparison to the prior out... |
Generate impression based on findings. | Clinical question: Concern for vascular dementia versus a reversible cause of dementia/memory loss. Signs and symptoms: Memory loss. Nonenhanced head CT:Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation for patient's stated age of 72.No detectable ac... | 1.Unremarkable nonenhanced head CT for patient's stated age.2.Chronic blowout fracture of left lamina papyracea as was noted on prior brain MRI from 11 -- 28 -- 11. See above comments. |
Generate impression based on findings. | 72-year-old male with history of metastatic squamous cell carcinoma. Baseline restaging examination. CHEST:LUNGS AND PLEURA: Patchy areas of faint groundglass opacity are noted in the right upper lobe which are nonspecific. No suspicious pulmonary nodules or masses are identified. No pleural effusions are present.MEDIA... | 1. No evidence of metastatic disease to the chest or upper abdomen.2. Faint groundglass opacities in the right upper lobe are nonspecific and could represent aspiration or possibly infection. |
Generate impression based on findings. | 76 year old female with history of metastatic lung cancer status post chemotherapy. CHEST:LUNGS AND PLEURA: Large right hilar mass is noted which is increased in size compared to the prior examination. Reference measurement at the level of the main pulmonary artery measures 4.3 x 3.0 cm (series 5, image 44), previously... | 1. Interval increase in size of large right hilar mass since the prior examination, with invasion of the superior right pulmonary vein and left atrium with interval development of bilateral nodular non specific pulmonary opacities. Given the relative short time course (development in under 6 weeks) this appearance must... |
Generate impression based on findings. | Female 61 years old; Reason: Pre-kidney transplant eval History: Evaluation of vasculature 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: There is cardiomegaly with vascular congest... | 1.Mild to moderate atheromatous calcifications of the descending aorta and iliac vessels as above.2.Incorrectly placed central venous catheter which should be withdrawn. |
Generate impression based on findings. | A 66-year-old female with cholangiocarcinoma, restaging CHEST:LUNGS AND PLEURA: Subpleural reticulation and ground-glass opacities. Scattered nonspecific calcified and noncalcified micronodules are unchanged. No pleural effusions or focal consolidation. MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. No ... | 1.Hepatic hilar mass is not grossly changed in size from the prior MRI. Stable intrahepatic biliary ductal dilatation. The portal vein appears patent.2.No definitive evidence of metastatic disease within the chest, abdomen or pelvis.3.Subpleural reticulation and ground-glass opacities is suggestive of an NSIP pattern. |
Generate impression based on findings. | 50 year-old female with asthma and COPD, now with shortness of breath and pulmonary nodule seen on chest x-ray. LUNGS AND PLEURA: Fine apical centrilobular and paraseptal emphysema. Subtle septal thickening also seen at the apices. Multiple peripheral distribution pulmonary micronodules range from groundglass to semiso... | In a smoker, the constellation of findings is suggestive of respiratory bronchiolitis/desquamative interstitial pneumonia. There is no specific CT correlate to the nodule previously identified on conventional radiographs.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this repo... |
Generate impression based on findings. | 59 year old female. Left nasal skin cancer. Status post surgery. Evaluate for recurrence. There has been interval surgery with surgical clips and interposition of fat in the left medial canthal region. There is adjacent defect in the nasal bone, with well-defined borders and no evidence of erosion. In this region there... | Postsurgical changes in the left medial canthal and nasolabial region with subcutaneous thickening and nodularity, which may be granulation tissue, however, tumor cannot be excluded. Follow up is recommended. |
Generate impression based on findings. | 15 month old male status post sagittal synostosis reconstruction. Examination shows postsurgical changes of cranial vault reconstruction with multiple strip craniotomies. Subcutaneous edema has resolved. The cranial vault demonstrates a normal contour and ratio of AP/TR dimension except for minimal flattening of the le... | 1. Status post cranial vault reconstruction. No evidence of significant craniosynostosis. 2. No definite intracranial or maxillofacial abnormality.3. 3-D volume rendering images with measurements of various facial and cranial dimensions were generated for references. |
Generate impression based on findings. | 49-year-old male with history of cough, significant family history of lung cancer. LUNGS AND PLEURA: Scattered micronodules are present measuring less than 4 mm in diameter. No suspicious pulmonary nodules or masses are identified.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Heart size is normal. No pe... | No suspicious pulmonary masses or nodules identified. No acute abnormalities of the chest or upper abdomen. |
Generate impression based on findings. | Female 53 years old; Reason: Colon Cancer: restaging CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules are reidentified, and appear to have grown in the interim. A reference left lower lobe nodule measures 7.1mm previously 4.7 mm (series 5 image 182). Another right lower lobe nodule measures 6mm, previously 3.8mm (ser... | 1. Stable size of the duodenal mass and associated mesenteric lymphadenopathy and stable peritoneal and omental disease.2. Stable number and size of hepatic metastatic lesions and retroperitoneal adenopathy3. Enlarging pulmonary nodules consistent with progression of metastatic disease. |
Generate impression based on findings. | Cavitary lesion follow-up LUNGS AND PLEURA: Stable appearing ovoid nodular density with irregular margins in the left apex adjacent to the midline and vertebro-column. The lesion again measures 1.8 x 0.7 cm (image 13 series 5) with scattered stable appearing left upper lobe scarring. Scattered calcified micronodules ar... | 1. Stable left upper lobe nodular density and scarring, unchanged since 2009.2. Previously described suspected aortic aneurysm difficult to re-evaluate and compare given absence of intravascular contrast. Overall gross stability observed |
Generate impression based on findings. | History of chills with culture positive infection. LUNGS AND PLEURA: Significant respiratory motion and imaging in expiration limits evaluation.Peripheral based posterior right upper lobe and superior right lower lobe opacities have increased in size since prior exam and now demonstrates internal lucency possibly repre... | 1.Increasing right subpleural opacities consistent with ongoing infection.2.Interval decrease in left chest wall fluid collection. |
Generate impression based on findings. | Check for progression of metastatic disease, compare to prior CHEST:LUNGS AND PLEURA: Stable pulmonary appearance with the semisolid left upper lobe lesion remaining similar in size and contours (image 56 series 4). The scattered other noted pleural-based nodules in the left upper lobe with additional treatment but in ... | Interval stability with diffuse scarring. Specifically no superimposed new findings to suggest metastatic disease. Reference measurements provided |
Generate impression based on findings. | 73 year old female with recent gallbladder cancer resection. History of pancreatic head cyst since 2002. Restaging after cholecystectomy 6/10/13. CHEST:LUNGS AND PLEURA: Few subcentimeter poorly-circumscribed pulmonary nodules. A right upper lobe nodule measures 0.5 mm (4/31). Bibasilar subsegmental atelectasis without... | 1. Soft tissue in the surgical bed and lymphadenopathy in the adjacent mesentery, likely related to prior gallbladder carcinoma and recent surgery.2. Enlarged retroperitoneal and pelvic lymph nodes, which are atypical for gallbladder carcinoma, suggestive of a second genitourinary or pelvic malignancy.3. Few scattered ... |
Generate impression based on findings. | 50 year-old male with head and neck cancer. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure is unremarkable. Thickening of the right platysma, atrophy of the right submandibular gland and atrophy of the left tongue likely representing post t... | Stable posttreatment changes of the neck without evidence of tumor recurrence or lymphadenopathy. |
Generate impression based on findings. | 70 year-old male with hematuria. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Geographic increased attenuation within the left hepatic lobe likely represents a perfusion abnormality. Scattered subcentimeter hypodensities are too small to characterize.SPLEEN: No significant abnormality noted... | 1.No CT findings to account for the patient's symptoms.2.Enlarged irregular prostate gland. |
Generate impression based on findings. | Reason: h/o oral cancer, severe kyphosis and recurrent infections of left jaw History: r/o chest mets LUNGS AND PLEURA: Diffuse bronchial / bronchiolar wall thickening with tree and bud opacities compatible with the aspiration bronchiolitis.Bilateral basilar consolidation/atelectasis somewhat improved from the prior ex... | 1.No specific evidence of metastatic disease.2.Dense basilar opacities, diffuse bronchial/bronchiolar wall thickening , and tree in bud opacities compatible with aspiration bronchiolitis and chronic organizing pneumonia.3.ET tube with the tip in the right mainstem bronchus. |
Generate impression based on findings. | History of oral/cheek head and neck cancer. History of RT and chemotherapy. CHEST:LUNGS AND PLEURA: Focal groundglass opacity in the right costophrenic angle too small to accurately characterize, most likely postinflammatory though should be followed on subsequent exams to document resolution.MEDIASTINUM AND HILA: Athe... | No specific signs of metastatic disease or interval change. |
Generate impression based on findings. | 72-year-old female with bladder cancer status post cystectomy and ileal conduit, evaluate for recurrent/metastatic disease. ABDOMEN:LUNG BASES: A small focus of irregular nodular opacities in the anterior right lower lobe with the largest nodule measuring 0.8 cm (6/18) is new from the prior exam. Bilateral lower lobe l... | 1.Small focus of nodular opacities in the right lower lobe with the largest nodule measuring 8 mm, an infectious/inflammatory etiology is favored.2.Postsurgical changes of cystectomy and ileal conduit creation without evidence of local recurrence.3.1.5-cm splenic artery aneurysm. |
Generate impression based on findings. | 40 year-old female history of L4 through S1 fixation with recent increasing falls, left leg weakness and bladder dysfunction. Rule out lumbar spinal stenosis. There has been L4 and L5 laminectomy with placement of pedicle screws at the L4, L5 and S1 levels. All screws demonstrate a transpedicular course with tips at th... | 1. Postoperative changes from prior lower lumbar laminectomy and fusion. Abnormal dorsal positioning of the L4-5 spacer resulting in mild-moderate mass effect on the right ventral thecal sac at this level without any significant spinal stenosis, owing to the laminectomy this level. No imaging evidence of cauda equina c... |
Generate impression based on findings. | Cough for 3 months and 20+ pack year smoker. Assess for infiltrate, malignancy, nodule. Please note that there is significant artifact related to the patient's bodily habitus, causing image noise and limiting the detection and characterization of pulmonary and soft tissue lesions.LUNGS AND PLEURA: 11 x 10 mm ground gla... | 1. Limited exam due to artifact produced by the patient's bodily habitus.2. 11 x 10 mm ground glass density nodule right lower lobe could represent an adenocarcinoma in situ/minimally invasive adenocarcinoma, though a postinflammatory lesion or atypical adenomatous hyperplasia remain within the differential diagnosis. ... |
Generate impression based on findings. | Female 38 years old; Reason: r/o pancreatic or chest tumors in a patient with MEN type 1 History: MEN type 1 CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormali... | 1.No evidence of intrathoracic or pancreatic tumor as clinically questioned. |
Generate impression based on findings. | Chemotherapy, please reevaluate. Tongue cancer CHEST:LUNGS AND PLEURA: Stable small nonspecific subcentimeter nodule in the right middle lobe (image 84 series 6). No suspicious additional new pulmonary nodules or masses. No effusions.MEDIASTINUM AND HILA: Small simple right thyroid cyst unchanged. No lymphadenopathyThe... | No evidence of metastatic disease |
Generate impression based on findings. | Cough, S.O.B. and fibrosis evaluate ILD LUNGS AND PLEURA: Diffuse mosaic attenuation of the lung parenchyma, predominantly lobular in distribution. In several areas, groundglass density centrilobular micronodules are noted.. Semi-solid nodule right lower lobe measures 6-mm (5/40). Multiple irregular linear opacities ap... | Severe interstitial lung disease in a pattern suggestive of subacute and chronic hypersensitivity pneumonitis in the appropriate clinical setting. |
Generate impression based on findings. | Male 63 years old; Reason: diverticulitis History: abd pain 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: LUNG BASES: Status post median sternotomy and coronary artery bypass graft. There aret... | Resolution of the previously noted diverticulitis without evident mass. |
Generate impression based on findings. | Hoarseness secondary to vocal cord tumor LUNGS AND PLEURA: Scattered punctate nodules, all unchanged. No suspicious new pulmonary nodules or masses. No effusions although minimal scarring and/or atelectasis is observed in the posterior right lung in the dependent fashion..MEDIASTINUM AND HILA: No lymphadenopathy.The ca... | No evidence of pulmonary metastatic disease, please correlate with pending neck CT |
Generate impression based on findings. | Non-small cell lung cancer, compare to prior CHEST:LUNGS AND PLEURA: Extensive but stable appearing centrilobular and paraseptal emphysema with apical scarring. Pleural thickening and masslike consolidation in the right upper lobe peripherally is unchanged. Specifically the reference left apical nodule is unchanged mea... | Stable appearing masslike consolidation in the right upper lobe without evidence of additional metastatic disease. |
Generate impression based on findings. | Cough and immunosuppression. Check for progression. Patient BAL negative and treated for CAP. LUNGS AND PLEURA: Persistent and stable appearing patchy bilateral reticular opacities or leg with prior chest radiographs and largely in the upper lobe distribution. No superimposed new focal abnormalities, specifically no no... | 1. Stable patchy reticular opacities that remain nonspecific and in light of patient's history, indolent PCP remains possible and cannot be excluded. No superimposed focal acute process. 2.Splenomegaly |
Generate impression based on findings. | Clinical question: Hematoma. Signs and symptoms: History of hematoma. Nonenhanced head CT:Interval complete resolution of previously seen hypertensive hemorrhage in the right thalamus. No detectable acute new intracranial findings. CT ovary is insensitive for detection of acute nonhemorrhagic strokes.Mild age indetermi... | 1.Complete resolution of previously noted right thalamic hypertensive hemorrhage and its surrounding edema.2.Grossly stable age indeterminate mild small vessel ischemic strokes. |
Generate impression based on findings. | 40 year-old female history of L4-S1 fixation with recent increase in number of falls, left leg weakness and bladder dysfunction. Rule out lumbar spinal stenosis. This examination was significantly limited by artifact related to implanted metallic hardware. There has been L4 and L5 laminectomy with the placement of pedi... | 1. Significantly limited examination which demonstrates the posterior aspect of the L4-5 intervertebral spacer partially effacing the right ventral thecal sac. The patient is to undergo CT myelogram. Refer to that report for further detail.2. Minimal subsidence of the L5-S1 spacer into the inferior endplate of L1 sugge... |
Generate impression based on findings. | Recurrent lung cancer status post left lower lobectomy LUNGS AND PLEURA: Left lower lobectomy. Bilateral apical scar-like opacities. Groundglass lesion in the medial aspect of the right upper lobe near the apex was not present on 10/26/2011, measured 6-mm on 8/22/12 and measures 8mm on the current study (5/25). This ap... | Enlarging ground glass density lesion in the right upper lobe could reflect scarring as it appears flat on the coronal sequence. Three-month CT follow-up recommended. No signs of localized recurrence at the resection site. |
Generate impression based on findings. | Lung cancer status post multiple chemotherapies in the past, last 4/2013. Now doing fairly well. CHEST:LUNGS AND PLEURA: Trace pleural fluid bilaterally, new on the left and minimally increased in volume on the right. Right upper and middle lobes are collapsed. Interval increase in centrally necrotic right upper lobe l... | 1. Interval increase in size of the necrotic right upper lobe mass new satellite lesions visible in the same lobe.2. Stable spiculated nodule right lower lobe which could represent a treated lesion. 3. Moderate volume of the atypical density pericardial fluid suspicious for pericardial metastatic disease.4. Slight incr... |
Generate impression based on findings. | Male 70 years old; Reason: rule out lymphocele, abscess or other infectious process History: s/p prostatectomy 7/5/13 now febrile for 3 days ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abno... | 1.Patient status post prostatectomy without evidence of abscess or lymphocele as clinically questioned.2.Left inguinal hernia containing omental fat and fluid. No obstruction. |
Generate impression based on findings. | Male 75 years old; Reason: metastatic Prostate cancer, evaluation of disease after 3 cycles of investigational therapy. History: metastatic Prostate cancer. CHEST:LUNGS AND PLEURA: Patchy airspace opacities in the right upper lobe and left lower lobe most likely represent post infectious or inflammatory have slightly i... | 1.Improvement in the pulmonary nodularity most likely representing infectious or inflammatory changes.2.New well-defined left hepatic lobe lesion. No change in the size of the existing lesions.3.Extensive osseous metastatic disease. |
Generate impression based on findings. | 47 year old male. Reason: kidney stone History: left flank pain ABDOMEN:LUNG BASES: Bilateral dependent atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Le... | 5-mm partially obstructing calculus at the left ureterovesical junction. Left nephrolithiasis. |
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