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Generate impression based on findings. | Desmoid tumor of the chest wall. Assess for separate response. LUNGS AND PLEURA: Since the last examination, opacities of the right lung base is not changed in size or characteristics.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Reidentification of right-sided chest wall soft tissue mass with bone ... | No interval change in size of dimensions of the chest wall mass or right lung base opacities. |
Generate impression based on findings. | Male 47 years old; Reason: NSCLC, s/p 34 cycles of chemo. please evaluate for diseae and compare with previous scans. History: NSCLS CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary nodules not significantly changed. Stablepostsurgical changes right middle lobe. Right basilar opacities are unchanged.MEDIASTINUM AND... | 1. Enlarging right hepatic lesion.2. Pulmonary nodules are unchanged3. Stable sclerotic sacral lesion. Unchanged compression deformity T6 vertebral body. |
Generate impression based on findings. | Female 76 years old; Reason: peritoneal mesothelioma s/p resection and adjuvant chemotherapy, on observation, eval EOD, compare to previous History: none CHEST:LUNGS AND PLEURA: Ground glass opacities and areas of linear atelectasis at the lung bases are unchanged .The right lower lobe calcification is unchanged.MEDIAS... | 1.No significant change in the size of the referenced lesions. |
Generate impression based on findings. | Mesothelioma post two cycles of chemo. CHEST:LUNGS AND PLEURA: Left hemithorax pleural thickening and volume loss consistent with provided history of mesothelioma. Previous measurements on the left included a probable left intercostal lymph node and an area of pleural thickening in the costophrenic angle region with sm... | 1. Left hemithorax visceral pleural thickening consistent with mesothelioma. New reference measurements as provided above have not significantly changed.2. A thin rim of tumor involves the pericardial fat and the pericardium however the epicardial fat plane is not conclusively invaded.3. No contralateral or intra-abdom... |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: CVA. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Age indeterminate small vessel ischemic strokes and a chronic right pica territory sediment or stroke is grossly similar to prio... | No acute intracranial process. Please see above comments. |
Generate impression based on findings. | 81 year-old male with hoarseness secondary to vocal cord tumor. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure is unremarkable. Examination shows a 19 x 7 x 7-mm (AP x TR x CC) enhancing lesion in the anterior two third of the right true vo... | Right true vocal cord mass as described above. No cervical lymphadenopathy. |
Generate impression based on findings. | Male 53 years old; Reason: colon cancer restaging after chemo and surgery History: colon cancer restaging CHEST:LUNGS AND PLEURA: Left lower lobe calcified granulomas are noted.MEDIASTINUM AND HILA: Calcified left hilar lymph nodes are noted.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Hypo... | No evidence of metastatic or recurrent disease. |
Generate impression based on findings. | 89-year-old male with muscle invasive urothelial cancer and history of prostate cancer CHEST: LUNGS: Postsurgical changes of a right lung wedge resection. No suspicious nodules or masses. No focal air space opacities or pleural effusions.MEDIASTINUM: No hilar or mediastinal lymphadenopathy. No pericardial effusion.CHES... | 1. 2.9 cm ureteral mass at the left ureterovesicular junction, with invasion into the bladder wall and abutment of the left pelvic sidewall. Severe hydronephrosis and hydroureter.2. No evidence of distant metastatic disease in the chest or abdomen. |
Generate impression based on findings. | 42 year-old female with metastatic uterine cancer CHEST:LUNGS AND PLEURA: Postoperative changes of bilateral upper and lower lobe wedge resections. No suspicious nodules or masses are evident. No focal air space opacities or pleural effusions.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. No pericardial... | Stable examination without evidence of metastatic disease. |
Generate impression based on findings. | 19 year-old male with sickle cell disease and splenomegaly with severe left upper quadrant pain. Concern for splenic infarct Please note that this examination is limited in sensitivity for solid organ pathology due to lack of IV contrast.LUNG BASES: Small bilateral pleural effusions with overlying subsegmental atelecta... | 1. Limited study for evaluation of splenic infarction, however the spleen is homogeneous in attenuation without evidence of abscess or complication otherwise.2. Small bilateral pleural effusions with overlying subsegmental atelectasis. |
Generate impression based on findings. | 56-year-old male with follicular non-Hodgkin's lymphoma status post chemotherapy Please note that unenhanced CT is not sensitive for the detection of solid organ lesions. With this limitation, the following observations are made.CHEST:LUNGS AND PLEURA: Basilar dependent atelectasis. No pleural effusions. No suspicious ... | 1.Stable mesenteric and retroperitoneal lymphadenopathy.2.Interval resolution of bowel wall thickening and dilatation seen on the prior exam. |
Generate impression based on findings. | 62 year old female. Large goiter, evaluate for tracheal compression. Exam is limited due to lack of intravenous contrast and residual barium in the oropharynx.There is diffuse heterogeneous enlargement of the thyroid gland. The right thyroid lobe measures 5.7 x 3.5 cm in coronal dimension (coronal image 34), and the le... | Diffuse heterogeneous enlargement of the thyroid gland as detailed with minimal deformity of the the trachea. The findings are consistent with goiter. |
Generate impression based on findings. | Lung cancer, 13 cycles of chemotherapy. Reevaluate. CHEST:LUNGS AND PLEURA: Postoperative changes related to right upper lobectomy and right upper lobe wedge resection. The ground glass and cystic right upper lobe nodule (image 26 series 7) appears unchanged and continues to measure 1.6 x 1.5 cm. Immediately anterior s... | Persistent mediastinal adenopathy and stable intrapulmonary postsurgical changes and findings. |
Generate impression based on findings. | Check nodule in patient with heavy tobacco use LUNGS AND PLEURA: Moderate central lobular emphysema is unchanged greater in the upper lungs. Mild fixed scarring with interval resolution of small effusions. Basilar changes again likely represent minimal atelectasis along with a more wedge shaped opacity left apex also u... | Pulmonary scarring without evidence of new acute abnormalities |
Generate impression based on findings. | 33-year-old male with two years of progressively worsening night sweats, evaluate for lymphadenopathy and lymphoma CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusion. No suspicious nodules or masses.Mild dependent atelectasis.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size norm... | No lymphadenopathy in the chest, abdomen or pelvis. |
Generate impression based on findings. | Clinical question: History of endometrial cancer. Headaches. Signs and symptoms: Headaches Nonenhanced head CT:The examination demonstrates unremarkable surgical cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation for patient's stated age of 63.This nonenhanced head CT demo... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Rule out acute changes. Signs and symptoms: Left pupil larger than right, more lethargic. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Moderate to advanced age indeterminate small vessel ischemi... | 1.No acute intracranial process. 2.Moderate to advanced age indeterminate small less ischemic strokes grossly similar to prior study.3.Mildly dilated supratentorial ventricular system and cerebral cortical sulci similar to prior exam. |
Generate impression based on findings. | Eight year old female. Recurrent fungal/bacterial otitis. Assess mastoid. CT RIGHT TEMPORAL BONEPlacement of tympanoplasty tube without intrusion or extrusion of the tube. External auditory canal is patent. Very minimal opacification of the mastoid air cells. The ossicles are intact. No bony erosions are evident. The i... | 1.Narrowing of the left external auditory canal, with thickening of the tympanic membrane, and soft tissue surrounding the ossicles. This may be sequela of prior infection. No discrete mass lesion or bone erosion is evident.2.At least partially obstructed left tympanoplasty tube.3.Minimal partial opacification of the r... |
Generate impression based on findings. | 82-year-old male with bladder cancer and pelvic pain, staging of new patient. CHEST:LUNGS AND PLEURA: 7-mm nodule along the right major fissure (7/58). Right lower lobe punctate granuloma. No focal consolidation or pleural effusions.MEDIASTINUM AND HILA: Enlarged left thoracic inlet node. Severe coronary calcifications... | 1.Large enhancing bladder mass infiltrating extending beyond the bladder into adjacent fat.2.Enlarged retroperitoneal, pelvic and thoracic inlet lymph nodes.3.7-mm pulmonary nodule along the right major fissure. |
Generate impression based on findings. | 70 year-old male with history of invasive sphenoid sinusitis. There are multiple polyps and/or mucosal retention cysts in bilateral maxillary sinus. There is total opacification of the left sphenoid sinus and sphenoethmoidal recess. There is near total opacification of the right sphenoid sinus and sphenoethmoidal reces... | 1. Total opacification of right and near total opacification of left sphenoid sinuses with areas of the hyper attenuation and associated bony erosion of the sphenoid sinus margins may represent chronic sinusitis. Fungal sinusitis cannot be ruled out.2. Multiple mucosal retention cysts/polys in bilateral maxillary sinus... |
Generate impression based on findings. | Evaluate facets/status post PFS. Nonenhanced lumber CT:Demonstrate minute anterolisthesis at the L4 -- L5 level and minimal retrolisthesis at the L2 -- L3 level similar to prior MRI exam. Mild exaggeration of lumbar lordosis is also similar to prior exams.There is evidence of posterior fusion with placement of bilatera... | 1.Stable alignment of vertebral column seems prior MRI exam with revisualization of minimal grade 1 anterolisthesis at L4 -- L5 and retrolisthesis at L2 -- L3 levels.2.Bilateral transpedicular screw placement and fixating rods at L4, L5 and S1 levels without instrument failure as detailed.3.Evidence of partial bony fus... |
Generate impression based on findings. | Metastatic breast cancer and recent rise in tumor marker. Surveillance imaging. Previous pleural effusion and pleural nodularity identified on CT scan. CHEST:LUNGS AND PLEURA: Trace loculated pleural fluid on the right. Multiple enhancing visceral and parietal pleural nodules on the right are compatible with metastatic... | New and slightly larger right hemithorax visceral and parietal pleural metastatic disease with ipsilateral pericardial and paravertebral soft tissue invasion; tumor likely extends into the right T11/T12 neural foramen. Consider thoracic spine MRI if patient is symptomatic. Stable skeletal metastases. Nodal metastases t... |
Generate impression based on findings. | Reason: 46 yr old male with h/o CML, pre-stem cell transplant evaluation History: evaluate LUNGS AND PLEURA: Scattered micronodules some which are calcified compatible with prior granulomatous disease.No suspicious pulmonary nodules or masses. No focal areas of consolidation.No pleural effusions.MEDIASTINUM AND HILA: N... | No significant pulmonary or pleural abnormalities. |
Generate impression based on findings. | Lung cancer, compared to prior outside image CHEST:LUNGS AND PLEURA: Mild centrilobular emphysema. Interval development of multiple peripheral and largely left basilar streaky densities with mild ground glass opacity suggesting most likely aspiration with associated atelectasis. Associated tree in bud deformity is also... | Multiple changes suggesting aspiration or less likely infection. No suspicious changes to suggest metastatic disease |
Generate impression based on findings. | 67-year-old male with right sided Horner's syndrome. Evaluate for lung mass. LUNGS AND PLEURA: No suspicious pulmonary nodules or masses identified. Minimal bibasilar atelectasis. No pleural effusions are present.MEDIASTINUM AND HILA: Variant anatomy of the aortic arch with the brachiocephalic artery sharing a common o... | No pulmonary masses, osseous abnormalities, or chest wall masses are identified to account for the patient's right sided Horner's syndrome. The right brachiocephalic vein is attenuated at the level of the right thoracic inlet, which can be associated with thoracic outlet syndrome. Dedicated MRI imaging of the right tho... |
Generate impression based on findings. | Clinical question: Rule out new mass. Signs and symptoms: Very vision and headache. Nonenhanced head CT:There is no detectable acute intracranial process. CT is insensitive for detection of acute non-hemorrhagic ischemic strokes.No detectable mass on this non-enhanced exam.Unremarkable cerebral cortex, cortical sulci, ... | Negative nonenhanced head CT. |
Generate impression based on findings. | Reason: interstitial ling disease protocol History: new hypoxemia and presumed dermatomyositis LUNGS AND PLEURA: Multifocal areas of groundglass opacity with patchy bilateral basilar predominant consolidation, architectural distortion, and bronchiectasis. In addition right upper lobe fibrotic changes are also noted.The... | Multifocal areas of ground glass with basilar predominance consolidation, fibrosis, and traction bronchiectasis. These findings are nonspecific and may be related to underlying dermatomyositis as well as chronic infection . |
Generate impression based on findings. | 42 year-old female with isolated elevated amylase in the 800s. Please evaluate for pancreatitis or pancreatic lesion ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted within the liver. Status post cholecystectomy.SPLEEN: No significant abnormality noted.ADRENAL ... | Normal pancreatic morphology. No specific findings to account for the patient's presentation. |
Generate impression based on findings. | Female 72 years old; Reason: Evaluate for nephrolithiasis, hydronephrosis, evidence of ileitis History: Recurrent right lower quadrant pain occasionally radiating to right flank. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormali... | 1.No nephrolithiasis or ileitis. |
Generate impression based on findings. | Metastatic lung cancer, liver mets status post one line of treatment. CHEST:LUNGS AND PLEURA: Heterogeneous mass in the periphery of the right upper lobe invades the adjacent chest wall, now measuring 5.3 x 3.1 cm, previously 3.9 x 2.3 cm. Adjacent nodules are not clearly separate from the mass.Mixed density lesion in ... | 1. Interval increase in size of right upper lobe mass invading the chest wall.2. Interval increase in size of hepatic metastasis.3. Extensive nodal metastases in the chest wall bilaterally. Although a few lymph nodes are minimally larger, overall there is no significant change.4. Left lung mixed density lesion without ... |
Generate impression based on findings. | History of non-small cell lung cancer status post chemo and radiation treatment with shortness of breath. CHEST:LUNGS AND PLEURA: Right lower lobe subpleural nodule appears to have grossly decreased in size and is now surrounded by dense consolidation with peripheral groundglass opacities of the right lower, middle, an... | 1.Dense consolidation , volume loss, and groundglass opacities in the right lung consistent with radiation pneumonitis and fibrosis.2.New small right pleural effusion.3.Single right hilar and right paratracheal lymph nodes.4.Left pulmonary nodules unchanged. |
Generate impression based on findings. | 72 year old female with altered mental status. Minimal patchy periventricular white matter hypoattenuation suggesting age indeterminate, small vessel ischemic disease. Minimal bilateral basal ganglia calcifications, likely dystrophic. There is a small area of hypoattenuation in the left, posterior cerebellar hemisphere... | No evidence for acute intracranial hemorrhage mass effect or edema. CT is insensitive for the detection of nonhemorrhagic, ischemic infarct. If clinical suspicion persists, MRI is recommended. |
Generate impression based on findings. | Mesothelioma, 3 weeks post pneumonectomy CHEST:LUNGS AND PLEURA: Persistent large fluid-filled left hemithorax with gas anteriorly. Diaphragmatic mesh observed with moderate to marked right to left mediastinal shift and the pericardium and heart totally shifted into the left lung base. Surgical abrupt cut off of the le... | Fluid and air filled left hemithorax consistent with patient's pneumonectomy. Other than associated expected mediastinal shift, no acute new abnormalities |
Generate impression based on findings. | 5-day-old female with suspected congenital emphysema, respiratory distress. LUNGS AND PLEURA: There is hyperexpansion of the left upper lobe with attenuated pulmonary vasculature. Multifocal right posterior and left lower pulmonary atelectasis is noted. No pleural effusions.MEDIASTINUM AND HILA: The mediastinum is shif... | Congenital lobar hyperinflation/emphysema of the left upper lobe with associated rightward mediastinal shift and atelectasis as described above. |
Generate impression based on findings. | 48-year-old female with history of lupus, presents with chest pain, tachycardia, dyspnea. PULMONARY ARTERIES: Technically adequate examination to the segmental arterial level. No pulmonary emboli.LUNGS AND PLEURA: Examination performed in the expiratory phase which limits evaluation of fine detail.Low lung volumes. Bib... | 1.No PE to the segmental arterial level.2.Compression fracture of the T8 vertebral body new since 6/17/13.3.Limited evaluation of the lungs due to low lung volumes and examination performed in the expiratory phase. Small right pleural effusion and bibasilar atelectasis. |
Generate impression based on findings. | Male; 44 years old. Reason: evaluate for right shoulder rotator cuff injury History: right shoulder pain x 2 months, s/p right RCR in June 2011 There is contrast seen entering the subacromial bursa indicating a full thickness rotator cuff tear. The contrast does not enter the subdeltoid bursa but this could be due to t... | Full thickness tear of the rotator cuff with retraction of the supraspinatus. |
Generate impression based on findings. | 59-year-old female with documented metastatic triple negative breast cancer to rule out brain metastasis. Recent nausea and vertigo. The is a focal lucency the midline of the occipital bone (series 9 image 11) without any clearly destructive features. This most likely represents a venous lake. There are no intracranial... | Lucency within the occipital bone most likely representing a venous lake. There is no imaging to document chronicity -- this could be followed on subsequent imaging. No aggressive appearing lesions or intracranial abnormalities. |
Generate impression based on findings. | Reason: history of penile cancer. needs lung staging. History: penile cancer. SOB LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.No pleural effusions. Mild bronchial wall thickening and mosaic attenuation pattern.Elevation of the left hemidiaphragm.MEDIASTINUM AND HILA: Chest Port-A-Cath with its tip in th... | No evidence of metastatic disease bilateral bronchial thickening and mild mosaic attenuation pattern are compatible with reactive airway disease. |
Generate impression based on findings. | 42 year old patient with history of sickle cell disease and new headache. The dural sinuses appear hypodense there is mild expansion of the diploic space of the skull with some decreased attenuation likely representing sequelae of the patient's documented chronic anemia. There is hyperdensity of the normally sized pitu... | Calvarial bone marrow and dural sinus change is most likely relating to chronic anemia. No acute intracranial abnormalities demonstrated. |
Generate impression based on findings. | 66 year old female with history of metastatic bladder cancer, baseline prior to starting new therapy CHEST:LUNGS AND PLEURA: Bilateral pulmonary nodules are overall increased. A reference right lower lobe mass measures 3.4 x 2.6 cm (7/70), previously 3.1 x 2.3 cm. A reference left lower lobe nodule measures 1.4 x 1.3 c... | 1.Increased pulmonary nodules compatible with metastatic disease.2.Increased lymphadenopathy in the chest, abdomen and pelvis.3.Polyploid mass along the left posterolateral bladder wall is unchanged. |
Generate impression based on findings. | Clinical question: Rule out subdural hematoma. Signs and symptoms: Fall 10 days ago, Plavix, head trauma. Nonenhanced head CT:There is no detectable acute there is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Extensive low-attenuation in the periventricular and subcort... | Small vessel ischemic strokes of indeterminate age. No acute intracranial process. Please see above comments. |
Generate impression based on findings. | Clinical question: Concern for stroke or other intracranial process. Signs and symptoms: Altered mental status. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic strokes.Chronic ischemic stroke in the right frontal and left posterior parietal -... | 1. No acute intracranial process. 2.Chronic cortical strokes and minimal age indeterminate small muscle ischemic strokes are noted. |
Generate impression based on findings. | Clinical question: Questionable history of stroke two weeks ago. Signs and symptoms: Bilateral blindness. Nonenhanced head CT:Small focus of low attenuation in the inferior left cerebellum is believed to represent a small chronic left pica territory ischemic stroke.Bilateral occipital foci of low attenuation involving ... | 1.Subacute nonhemorrhagic bilateral occipital lobe strokes.2.Small left cerebellar ischemic stroke |
Generate impression based on findings. | Clinical question: Intracranial hemorrhage, subarachnoid hemorrhage. Signs and symptoms: New onset of acute headaches. Nonenhanced head CT:No evidence of acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Mild prominence of cortical sulci is noted.Cerebral corte... | No acute intracranial process. Please see above comments. |
Generate impression based on findings. | Clinical question: Rule out mass/tumor. Signs and symptoms: New psychosis. Unenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.A small focus of encephalomalacia in the right frontal lobe involving the cortex and subcortical white ... | 1.No acute intracranial findings.2.Linear focus of encephalomalacia in the right frontal lobe extending from the inner table of calvarium to the right frontal horn. Minimal speckled bony density intracranially and minimal irregularity of frontal bone at this site is also noted. Please review above comment.3.Cerebellar ... |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: Right arm weakness and facial droop. Nonenhanced head CT:Examination demonstrates no detectable acute intracranial process. CT however is insensitive for detection of acute non-hemorrhagic ischemic strokes.Mild-to-moderate periventricular and subcortical patchy foci of low at... | 1.No acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.2.Moderate degree of periventricular, subcortical and bilateral basal ganglial low attenuation is consistent with age indeterminate small vessel ischemic strokes. 3.Consider MRI if clinical concern for acut... |
Generate impression based on findings. | Clinical question: Intracranial hemorrhage, brain metastases? Signs and symptoms: Headache and bradycardia, alteration of mental status. Pre-and post-enhanced head CT:Nonenhanced head CT examination demonstrates no detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic is... | 1.Negative pre-and post enhanced head CT.2.All paranasal sinuses and bilateral mastoid air cells and middle ear cavities are well pneumatized.3.Unremarkable images through the orbits. |
Generate impression based on findings. | 48-year-old female with history of Hodgkin's lymphoma, t-AML, and bilateral upper extremity DVT now with acute mental status changes and acute respiratory distress. PULMONARY ARTERIES: Technically adequate study with no pulmonary emboli.LUNGS AND PLEURA: Paramediastinal fibrosis with bronchiectasis in the upper lobes b... | No evidence of pulmonary emboli. 1.New bilateral groundglass opacities, fibrosis, traction bronchiectasis, and pleural effusions in the lower lobes consistent with edema and underlying radiation changes.2.Previously mentioned nodule obscured by background changes. |
Generate impression based on findings. | Clinical question: Rule out fracture. Signs and symptoms: Head trauma and frontal hematoma. Nonenhanced head CT:No detectable acute posttraumatic intracranial or calvarial findings.Soft tissue thickening of the scalp and subgaleal right supraorbital region consistent with post traumatic edema and minimal hemorrhage.Unr... | 1.No acute intracranial or calvarial posttraumatic findings.2.Right supraorbital soft tissue thickening and a small hemorrhage as result of recent injury.3.Unremarkable images through intracranial space.4.Postoperative changes of a right frontal craniotomy.5.Extensive opacification of bilateral mastoid air cells and pa... |
Generate impression based on findings. | 57-year-old female with with abdominal fullness and history of large bowel obstruction ABDOMEN:LUNG BASES: Left basilar atelectasis with new small left pleural effusion. Partially visualized catheter tip at the cavoatrial junction. LIVER, BILIARY TRACT: Subcentimeter hepatic hypodensity is stable and too small to chara... | 1.Postsurgical changes with interval development of organized pelvic fluid collection. Differential includes postoperative seroma, lymphocele or abscess.2.Interval decrease in rectal thickening with stable colonic distention. No evidence of small bowel obstruction.3.Thickened peritoneum is unchanged.4.Intra-abdominal v... |
Generate impression based on findings. | 41 year old female presents with cardiac arrest. PULMONARY ARTERIES: Technically adequate study. No pulmonary embolus.LUNGS AND PLEURA: Low lung volumes. Marked diffuse bronchial wall thickening is noted, suggestive of asthma. Patchy areas of subsegmental atelectasis are noted bilaterally. No pleural effusions are pres... | 1. No pulmonary embolus.2. Marked diffuse bronchial wall thickening consistent with asthma. 3. Low lung volumes with subsegmental atelectasis which may be due to mucous plugging and/or aspiration. |
Generate impression based on findings. | Clinical question: Concern for bleeding. Signs and symptoms: Head injury, on daily ASA. Nonenhanced head CT:Examination demonstrates crowding/mild herniation of the cerebellar tonsils at the level of foramen magnum with resultant complete effacement of subarachnoid space. There are no prior exams for comparison.The fou... | 1.No acute intracranial process.2.Mild cerebellar ectopia/herniation through the foramen magnum which requires further evaluation with dedicated MRI to assess for Chiari malformation.3.Paucity of cortical sulci and the small size of supratentorial ventricular system without supporting density abnormality/edema of brain... |
Generate impression based on findings. | Clinical question: Acute stroke, bleed or other intracranial process. Signs and symptoms: Altered mental status. Unenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic stroke.Examination demonstrates air within the sella which is contiguous ... | 1.There is evidence of air within the sella surrounding the particular gland which appears to be contiguous with the air within the sphenoid sinus through a large defect in the floor of the sella (likely the result of prior transsphenoidal hypophysectomy) as detailed above. There is no evidence of any additional foci o... |
Generate impression based on findings. | 59 year old female with cavitary lesions seen on CT abdomen. LUNGS AND PLEURA: Numerous nodules and micronodules are noted bilaterally, some of which display internal cavitation. The largest cavitary lesion has a thin wall and resides in the right upper lobe measuring up to 11 x 9 mm (series 5, image 58). Clustered bra... | Small bilateral pulmonary nodules, some displaying internal cavitation, and clustered micronodules along with bilateral hilar and mediastinal lymphadenopathy. Leading differential considerations include sarcoidosis, fungal infection such as histoplasmosis, and mycobacterial infection. |
Generate impression based on findings. | 52 year-old female with history of colon cancer status post resection now with recurrence and worsening abdominal pain CHEST:LUNGS AND PLEURA: Numerous circumscribed bilateral pulmonary nodules, left representing metastatic disease. For reference a right upper lobe nodule measures 1.7 x 1.1 cm (4/35). Bibasilar subsegm... | Extensive metastatic disease in the chest and abdomen. |
Generate impression based on findings. | Female 51 years old; Reason: right hilar mass on cxr, also assess for progression of cancer History: cough CHEST:LUNGS AND PLEURA: Several lung nodules are again seen throughout the lungs, unchanged in size from the prior study. The previously referenced more superior right lower lobe nodule now measures 1.0 x 0.8 cm (... | No significant change in pulmonary nodules. No new lesions identified. |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: CVA. Nonenhanced head CT:No evidence of acute intracranial process. CT however is insensitive for detection of acute non-hemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation.There ... | 1.No acute intracranial process.2.Unremarkable intracranial content.3.Heavily calcified 12 x 9-mm dural based right frontal lesion concerning for either a prominent dural plaque and/or a burned out meningioma. Finding can be followed with an MRI exam for more precise assessment.4.Extensive chronic pansinusitis is noted |
Generate impression based on findings. | 31 year old male. Reason: Pt w/ bacteroides, and fusobacterium bacteremia, diarrhea eval for bowel perforation, microperf, abscess History: abdominal pain ABDOMEN:LUNG BASES: There is a cluster of nodular opacities in the right lung base in the middle lobe region suggestive of an infectious or inflammatory process. No ... | Focal enlargement of the appendiceal tip suggests early tip appendicitis. Small cluster of inflammatory nodules in right middle lobe. Otherwise negative examination. |
Generate impression based on findings. | 60 year old female. Reason: s/p LVAD, now with possible sepsis, increasing abdominal distention, increasing lipase. History: increasing abdominal distension, increasing lipase CHEST:LUNGS AND PLEURA: Left sided chest tube with tip at the left lung base. Left lower lobe atelectasis and areas of patchy consolidation. Dec... | 1.Decreased amount of complex fluid in the pericardium since the prior exam.2.Decreased right pleural effusion. No other acute changes since the prior exam. 3.Moderate ascites.4.Stable right adnexal cyst. |
Generate impression based on findings. | 59 year old female. Reason: evaluate for mass / obstruction History: abdominal pain ABDOMEN:LUNG BASES: There are several scattered nodules at both lung bases, some of which appear cavitated (series 6, image 10). Metastasis versus infection or inflammatory nodules may be considered. CT examination would be helpful for ... | Chest nodules are present, some cavitary. Chest CT scan would be helpful for further evaluation. No acute intra-abdominal abnormality. |
Generate impression based on findings. | 76-year-old female with left nephrostomy tube for nephrolithiasis. Reason: appendicitis, other pathology on R-abdomen History: RLQ tenderness. h/o colostomy, L-nephrostomy tube. ABDOMEN:LUNG BASES: Stable trace pleural effusions with overlying subsegmental atelectasis.LIVER, BILIARY TRACT: No significant abnormality no... | 1. Stable examination. Left percutaneous nephroureterostomy without hydronephrosis, ureteral stone, or perinephric fluid collection. No bowel obstruction. 2. Small bilateral non-obstructing renal calculi.3. Stable right ovarian cyst. |
Generate impression based on findings. | 71-year-old male with abdominal pain. Reason: OHT on immunosuppressants p/w abdominal pain concerning for infection vs. constipation vs. SBO. History: abdominal pain with guarding. Please note that this examination is limited in sensitivity for solid organ pathology due to lack of IV contrast.ABDOMEN:LUNG BASES: Right ... | No significant interval change since 7/22/2013. No specific CT findings to account for the patient's pain. |
Generate impression based on findings. | Female 63 years old; Reason: pancreatic cancer with pancreatic mass, paraesophageal soft tissue mass and abdominal adenopathy. Please measure using RECIST criteria History: pre chemo CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: There is a 12 x 8mm precarinal node. There is no hilar, or ... | 1.Pancreatic cancer with thoracic, mesenteric, peritoneal/omental, and possibly renal metastasis. |
Generate impression based on findings. | Abdominal pain 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 abnormality notedRETROPERITONEUM, LY... | Abnormal soft tissue infiltration and fluid surrounding enlarged distal appendix. Findings strongly suggestive for acute (or possibly acute on chronic) appendicitis. Cannot exclude small extraluminal abscess.This inflammatory focus is inseparable from the sigmoid; however, appendicitis is favored over diverticulitis. R... |
Generate impression based on findings. | 53 year old female with pancreatic pseudocyst status post ERCP. Reason: r/o abscess/fluid collection/hemorrhage. History: recent procedure, epigastric discomfort. ABDOMEN:LUNG BASES: Bibasilar subsegmental atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.ADRENA... | No significant interval change since 7/18/2013. Multiple peripancreatic abdominal drains without fluid collection or other complication evident. |
Generate impression based on findings. | 81-year-old male with fatigue, evaluate for metastases. History of prostate cancer and squamous cell carcinoma of the lung CHEST:LUNGS AND PLEURA: Spiculated nodule in the right apex measuring 2.3 x 2.1 cm (4/30). Calcified micronodules in the left lung may be related to prior granulomatous disease. Mild dependent atel... | 1.Spiculated right apical nodule likely represents neoplasm.2.Necrotic right lower paratracheal lymph node is suspicious for metastases.3.Status post prostatectomy without evidence of metastatic disease in the abdomen or pelvis.4.Infrarenal abdominal aortic aneurysm measuring 3.9 cm in diameter with crescentic mural th... |
Generate impression based on findings. | Female 62 years old; Reason: Location of metastatic disease. Evaluate interval progression. History: Widely metastatic breast cancer per OSH reports/records but no imaging available in system to confirm disease location(s) CHEST:LUNGS AND PLEURA: Moderate bilateral pleural effusions are seen with compressive atelectasi... | 1.Spiculated right breast mass likely corresponds with known breast cancer.2.Diffuse osseous metastases in the visualized skeleton with pathologic fractures of the ribs and left femoral neck.3.Moderate bilateral pleural effusions.4.Ground glass opacities and interlobular septal thickening may represent mild pulmonary e... |
Generate impression based on findings. | 52-year-old female with history of chest pain. PULMONARY ARTERIES: Technically adequate examination. No pulmonary embolus. The main pulmonary artery is mildly enlarged suggestive of pulmonary arterial hypertension.LUNGS AND PLEURA: No focal pulmonary airspace opacities or pleural effusions.MEDIASTINUM AND HILA: No medi... | 1.No pulmonary embolus or other acute findings to explain patient's chest pain.2.Findings compatible with chronic pancreatitis appearing similar to prior studies. |
Generate impression based on findings. | 22 year-old female with right lower quadrant pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted. Normal-appearing gallbladder.SPLEEN: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormali... | 1. No evidence of appendicitis.2. Moderate amount of desiccated stool throughout the colon with fecalization of distal small bowel contents, suggestive of stasis/constipation. |
Generate impression based on findings. | 68-year-old male with history of metastatic adenocarcinoma of unknown primary now with shortness breath and tachycardia. PULMONARY ARTERIES: Technically adequate study with no evidence of pulmonary emboli to the segmental level due to respiratory motion in the lung bases.LUNGS AND PLEURA: Scattered pulmonary nodules wi... | 1.No evidence of acute pulmonary emboli.2.Right upper lobe nodule with interval increase in size.3.New pulmonary nodules, increase size of osseous metastasis, and increased hilar lymphadenopathy suspicious for progressing metastatic disease. |
Generate impression based on findings. | 81-year-old male with left upper quadrant pain, fevers, leukocytosis with left shift Please note that this examination is limited by excessive patient motionABDOMEN:LUNG BASES: Partially visualized left upper lobe opacity, corresponding with the opacity seen on the prior chest radiograph and likely representing a pneum... | 1. Large left upper lobe pulmonary opacity, likely representing a pneumonia.2. 2-mm renal calculus in the distal ureter (3/24), without hydronephrosis.3. No specific intra-abdominal findings, particularly in the left upper abdominal quadrant, to otherwise explain the patient's symptoms. |
Generate impression based on findings. | 63 year-old male status post fall. There is hypoattenuation in the cerebral white matter, left greater than right and most prominent in the left frontal lobe. There is associated ex vacuo dilatation of the left lateral ventricle. There is focus of hypoattenuation in the left cerebellum. The ventricles, sulci, and ciste... | 1. No acute intracranial abnormality. 2. Left greater than right small vessel ischemic disease of indeterminate age. 3. Infarcts in the left cerebellum and left frontal lobe, probably chronic. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. 4. Large periorbi... |
Generate impression based on findings. | Female 65 years old; Reason: lung/liver mets History: eval for progression CHEST:LUNGS AND PLEURA: New peripheral wedge-shaped opacity is seen in the right lower lobe. While this may represent a pneumonia, pulmonary infarct from a small pulmonary embolus cannot be excluded.Previously referenced left upper lobe nodule m... | 1.New wedge-shaped peripheral opacity in the right lower lobe may represent bronchopneumonia, however pulmonary infarction from pulmonary embolus cannot be excluded.2.Large left liver metastasis has not significantly changed in size from the prior study, however has increased in size when compared with the study dated ... |
Generate impression based on findings. | 65-year-old female with shortness of breath, increasing oxygen demand, GE, right flank pain and CVA tenderness, evaluate for pneumonia/COPD/methotrexate induced lung disease/PE/pyelonephritis. CHEST:LUNGS AND PLEURA: Peripheral honeycombing involving the upper and lower lobes bilaterally with basilar bronchiectasis, mi... | 1.Nonspecific chronic interstitial lung disease with peripheral honeycombing. Diffuse groundglass opacities and interlobular septal thickening is new from the prior exam and may represent a component of superimposed edema.2.Mild mediastinal lymphadenopathy may be related to chronic interstitial lung disease.3.Multiple ... |
Generate impression based on findings. | Clinical impression: Altered mentation,? Hydrocephalus. Signs and symptoms: As above. Unenhanced head CT:Stable large left cerebellar acute hematoma and its surrounding subtle edema and associated mass effect.Hematoma measures approximately 32 x 35 mm in transaxial dimension. Fourth ventricle still remains patent howev... | 1.No convincing evidence of any new acute finding since prior exam.2.Stable acute hematoma in the left cerebellum, subtle surrounding edema and overall associated mass effect.3.Stable mildly compressed fourth ventricle and mildly prominent supratentorial system as detailed/measured above.4.Grossly stable periventricula... |
Generate impression based on findings. | 55-year-old male with stage 3-4 fibrosis. Please evaluate for hepatocellular carcinoma LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Non-cirrhotic liver morphology. No lesion suspicious for neoplasm are evident. The previously described hypervascular focus is not evident on this exam.SPLEEN: No sig... | Stable examination, without lesion suspicious for hepatocellular carcinoma. |
Generate impression based on findings. | 66-year-old male with metastatic RCC, evaluate response to temsirolimus CHEST:LUNGS AND PLEURA: Minimal right basilar atelectasis. No pleural effusions. Spiculated right apical nodule slightly increased in size measuring 1.0 x 0.9 cm (5/23), previously 0.9 x 0.8 cm. Additional right-sided calcified micronodules are unc... | 1.Soft tissue lesion in the right nephrectomy bed has increased in size with significant involvement of the right hepatic lobe, which likely represents recurrent disease. This lesion abuts the suprarenal IVC with invasion and intraluminal thrombus, unchanged from the prior exam.2.Spiculated right apical nodule is incre... |
Generate impression based on findings. | Clinical question: Rule out acute process. Signs and symptoms: 47 year old female ESRD (on HD), hypertension with increasing frequency and episodes of lightheadedness. Vertiginous symptoms. Recent episode of facial asymmetry which was evaluated. Nonenhanced head CT:There is no detectable acute intracranial process. CT ... | 1.No acute intracranial process.2.Heavy vascular calcification of cavernous carotids and intracranial vertebrals. |
Generate impression based on findings. | 72-year-old male with history of head and neck cancer. Follow-up examination. LUNGS AND PLEURA: Stable apical scarring. Right-sided subpleural scar like opacity and scattered micronodules are unchanged. No new or suspicious pulmonary nodules identified.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Heart... | No evidence of metastatic disease. |
Generate impression based on findings. | 90 year-old male with head trauma. There are bilateral predominantly hyperdense subdural hematomas, exerting mass effect on the bilateral cerebral cortices. The maximum thickness of the right hematoma measures 1.9 cm, and the left is 2.1 cm. The cortical sulci are mildly effaced. The ventricles and cisterns are preserv... | Bilateral predominantly acute subdural hematomas with mass effect on the cerebral cortices. No midline shift or brain herniation. |
Generate impression based on findings. | 87-year-old male with follicular lymphoma on maintenance Rituxan CHEST:LUNGS AND PLEURA: Scattered nonspecific micronodules, similar to the prior exam. Bibasilar subsegmental atelectasis/scarring.MEDIASTINUM AND HILA: Decreased size of the index posterior mediastinal lymph node, measuring 1.3 x 1.0 cm (3/61), previousl... | Overall stable examination. |
Generate impression based on findings. | 76-year-old male with history of shortness of breath on exertion, cough. Evaluate for interstitial lung disease. LUNGS AND PLEURA: Septal thickening with subpleural reticulation, architectural distortion, and mild bronchiectasis are noted bilaterally with a slight basilar predominance. There is questionable mild honeyc... | Interstitial lung disease as described in a UIP pattern which and could be idiopathic or related to connective tissue disease. |
Generate impression based on findings. | 90 year-old male with subdural hematoma. There is redemonstration of bilateral predominantly hyperdense subdural hematomas, exerting mass effect on the bilateral cerebral cortices. The maximum thickness of the right hematoma measures 1.9 cm, and the left is 2.1 cm, representing no significant change in size of the hema... | No significant interval change of the bilateral predominantly acute subdural hematomas and mass effect on the cerebral cortices. No midline shift or brain herniation. |
Generate impression based on findings. | 71-year-old male with history of ILD now with worsening cough, sputum. LUNGS AND PLEURA: Interstitial lung disease with architectural distortion, reticulation, bronchiectasis, and honeycombing is again noted. The degree of fibrosis has increased compared to the prior examination from 11/15/2012.No superimposed focal ai... | Continued progression of interstitial lung disease consistent with UIP compared to prior examinations. No evidence of a superimposed infectious process. |
Generate impression based on findings. | History of stem cell transplant for CML, now with fevers. LUNGS AND PLEURA: Decrease in the scattered bilateral groundglass opacities and areas of consolidation in comparison to studies on 7/15 and 7/4, suggestive of resolving infection. No pleural effusion.MEDIASTINUM AND HILA: Left intrajugular central catheter with ... | Interval improvement in bilateral areas of consolidation and groundglass opacities consistent with resolving infection. |
Generate impression based on findings. | 64 year old female with history of scleroderma, hypoxia, new linear opacities. LUNGS AND PLEURA: A diffuse fine pattern of centrilobular nodules with bronchiolar wall and septal thickening is noted bilaterally. A thin-walled cyst is noted in the right lung base which measures 2.8 x 2.6 cm (series 4, image 202). No evid... | Diffuse pattern of centrilobular nodules with bronchiolar wall and septal thickening with a thin-walled cyst suggestive of interstitial disease related to scleroderma. Other etiologies of small airways disease cannot be excluded. |
Generate impression based on findings. | Female 84 years old; Reason: Pancreas Cancer - restaging CHEST:LUNGS AND PLEURA: 2.3 x 1.8 cm spiculated lesion in the right apical esophageal/azygous recess is grossly stable previously 1.7 x 2.3cm when measured with similar technique. 3.2 x 1.7 cm ground glass nodule in the right upper lobe is slightly smaller, previ... | 1.Stable pancreatic tail mass with stable spiculated nodules in the lungs. No new metastatic lesions detected. |
Generate impression based on findings. | 13 year-old male with mass in the right submandibular area. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure is unremarkable. There is a loculated, thin walled, septated cystic mass in the right submandibular space with extension in the right... | A loculated, thin walled, septated cystic mass in the right submandibular space with extension in the right submental region may represent lymphangioma. Differential diagnosis may include cystic nodal disease, epidermoid, cystic neoplasm. Abscess is felt unlikely. |
Generate impression based on findings. | Reason: h/o larynx cancer History: r/o lung mets LUNGS AND PLEURA: Mild apical emphysema and scarring.Multiple micro-nodules, some of which are calcified, compatible with previous infection.No suspicious nodules.MEDIASTINUM AND HILA: Tracheostomy tube in place.Moderate coronary artery calcification.No significant lymph... | No change and no evidence of metastases. |
Generate impression based on findings. | 83-year-old female with memory loss. There are punctate foci of the calcifications in bilateral basal ganglia. There is also a punctate focus of calcification adjacent to the splenium. There is heavy atherosclerotic calcifications of bilateral vertebral arteries and internal carotid arteries. There is isolated frontal ... | 1. No evidence for acute intracranial hemorrhage mass effect or edema.2. There is age-related generalized volume loss.3. Heavy atherosclerotic calcifications of bilateral vertebral arteries and internal carotid arteries. |
Generate impression based on findings. | Reason: please eval for metastasis. History: hx of poor risk testicular cancer s/p orchiectomy, chemo, stem cell transplant, retroperitoneal lymph node dissection LUNGS AND PLEURA: Right lobe nodule further decreased in size, presently 5 x 3 mm series 4 image 44, previously 8 x 8 mm.No other pulmonary nodules identifie... | Further reduction in size of right upper lobe nodule consistent with a treated metastasis. |
Generate impression based on findings. | 66-year-old male with sarcoma, evaluate progression CHEST:LUNGS AND PLEURA: Pleural-based right middle lobe lesion has increased in size measuring 2.2 x 2.7 cm (4/57), previously 1.1 x 0.6 cm. Left lower lobe nodule is increased in size measuring 0.9-cm (4/45), previously 0.6 cm. New small left pleural effusion.MEDIAST... | 1.Interval enlargement of abdominal and pelvic mesenteric masses.2.Increased size of pulmonary nodules, suspicious for metastatic disease.3.Stable reference lymph nodes.4.Increased abdominopelvic ascites. |
Generate impression based on findings. | Clinical question: Patient with lung cancer status post 5 cycles of chemo and cranial radiation. Signs and symptoms: Fell in bathroom, any evidence of increased bleeding or questionable Enhanced head CT:There is no detectable acute intracranial process. Enhanced head CT however can obscure very minimal subarachnoid hem... | Negative enhanced head CT. |
Generate impression based on findings. | 67-year-old male for kidney transplant, evaluate vasculature to support transplant. Please note that an unenhanced CT is not sensitive for the detection of solid organ lesions. With this limitation, the following observations are made.ABDOMEN:LUNG BASES: Small loculated right pleural effusion. Right lower lobe scarring... | 1.Arterial vasculature as described above.2.Increased large abdominopelvic ascites.3.Loculated small right pleural effusion and bronchiectasis appears similar to the prior exam.4.Stable small pericardial effusion. |
Generate impression based on findings. | Reason: please evaluate interval change of lung masses History: hx of NSCLC LUNGS AND PLEURA: Focal subpleural nodular opacity in the right upper lobe (series 4 image 40) slightly increased compared to previous, most likely due to bronchial mucous plugging and focal bronchiectasis but further follow-up is recommended.I... | 1. No evidence of metastases.2. Persistent very small left lower lobe sub-solid nodule, unchanged but still somewhat suspicious for indolent adenocarcinoma. |
Generate impression based on findings. | History of bilateral lung transplant in 2007 for IPF, now with cough and shortness of breath. LUNGS AND PLEURA: Status post bilateral lung transplant.Bilateral volume loss left greater than right. Increased fibrosis at the left lung base with diffuse bronchial wall thickening and mild bronchiectasis bilaterally.No evid... | 1.Increasing fibrosis and bronchiectasis at the lung bases with bronchial wall thickening, suggestive of progressing bronchiolitis obliterans.2.No specific evidence of pneumonia. |
Generate impression based on findings. | 68-year-old male with renal mass ABDOMEN:LUNG BASES: Paraseptal and centrilobular emphysema. Scarring and bronchiectasis in the lung bases, similar to the prior exam. No pleural effusions.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted. Calcified granulomata.ADRENAL GLAND... | Stable size and appearance of the enhancing right renal mass. |
Generate impression based on findings. | 59 year old with recurrent laryngeal cancer status post total laryngectomy. Assess for recurrence. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear except for minimal maxillary sinus mucosal thickening. Limited view of the intracranial structure is unremarkable. Postsurgical changes se... | Stable postoperative changes secondary to laryngectomy without evidence of recurrent tumor or neck lymphadenopathy. |
Generate impression based on findings. | 63-year-old female status post lung transplant with right-sided headache, facial pain, decreased hearing on right side. HeadThere are patchy areas of hypoattenuation in the periventricular white matter suggesting age indeterminate, ischemic small vessel disease. There is a right frontal lobe osteoma not affecting the u... | 1. No evidence of acute intracranial hemorrhage, mass-effect, or edema. If clinical suspicion for acute infarct persists, MRI should be considered.2. Status-post right thyroid lobectomy and isthmusectomy. Interval increase in size and contour of the left thyroid lobe.3. Interval increase in well-circumscribed retroster... |
Generate impression based on findings. | 14-year-old male with recurrent osteosarcoma, assess for pulmonary metastases LUNGS AND PLEURA: No focal pulmonary opacities or pleural effusions. No nodules/masses are identified.MEDIASTINUM AND HILA: The heart size is normal. No mediastinal or hilar lymphadenopathy.CHEST WALL: Right shoulder prosthesis is partially v... | No evidence of metastatic disease. |
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