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Generate impression based on findings. | Reason: follow up for myelomatous lesions in right ribs 7-8 seen on prior MRI and CT, evaluate for interval change History: none LUNGS AND PLEURA: Scarring and architectural distortion in the right lower lung with interval partial clearing of dependent consolidation since the previous scan.Small amounts of pleural calc... | Posttraumatic abnormalities in the right ribs with pleural calcification but no specific evidence of myelomatous involvement. |
Generate impression based on findings. | 25 year-old female with Hodgkin's lymphoma. Restaging. CHEST:LUNGS AND PLEURA: Scattered nonspecific micronodules, similar to the prior exam. Stable right lower lobe bronchiectasis. No pleural effusions.MEDIASTINUM AND HILA: Stable bulky mediastinal lymphadenopathy. The reference subcarinal nodal conglomeration is unch... | Stable mediastinal and hilar lymphadenopathy. |
Generate impression based on findings. | 20 year-old female with abdominal pain, diarrhea and elevated CRP, assess for IBD Exam is limited due to poor opacification and distension of small bowel loops due to limited ingestion of oral contrast material.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPL... | No definite evident of inflammatory bowel disease. No significant bowel abnormality was found. Limited enterography due to poor opacification and limited distension of small bowel loops, however no CT findings to explain patient's symptoms. |
Generate impression based on findings. | 57-year-old male with metastatic renal cancer. Reason: please assess for metastatic disease History: Right kidney; laparoscopic nephrectomy. CHEST:LUNGS AND PLEURA: Reference right lower lobe nodule measures 7 mm (image 57 series 5). The number and size of left subcentimeter nodules is stable. On image 69 series 5, the... | 1. Pulmonary nodules are stable.2. Probable focal fatty sparing in the liver. 3. No other significant change. |
Generate impression based on findings. | Male 74 years old; Reason: metastatic colon cancer restaging History: metastatic crc restaging after chemo CHEST:LUNGS AND PLEURA: No new pulmonary lesions have developed. Micronodules adjacent to the right minor fissure as seen on image 54 are unchanged. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is... | 1.Slight decrease in the size of the reference hepatic lesion. |
Generate impression based on findings. | 100-year-old male. Rule out CVA. Within the left MCA distribution there is a large region of hypoattenuation extending from the basal ganglia to the superior convexity associated with sulcal effacement, loss of gray-white differentiation and a hyperdense left MCA sign as seen on coronal images. This occupies the majori... | 1. Findings suggesting acute infarction of the majority of the left MCA territory.2. Additional bilateral patchy hypoattenuating regions within the white matter consistent with age indeterminate small vessel ischemic disease.3. Incidental torus palatinus within the oral cavity.The ER was notified of these findings by t... |
Generate impression based on findings. | Female 61 years old; Reason: restage for appendiceal carcinoma History: Appendiceal carcinoma CHEST:LUNGS AND PLEURA: Limited examination of fine parenchymal detail due to motion artifact. Stable nonspecific 3-mm left upper lobe pulmonary nodule adjacent to the major fissure may represent an intrapulmonary lymph node (... | Stable examination. |
Generate impression based on findings. | Clinical question: Evaluate for mass. Signs and symptoms: Change in seizure frequency. Nonenhanced head CT:Examination demonstrates no evidence of any acute intracranial process.There is slight widening of right cerebellopontine angle with resultant subtle bony remodeling of the dorsal aspect of petrous apex on the rig... | 1.Small arachnoid cyst in the right cerebellopontine angle cistern measuring minimum of 19 x 15-mm in size. 2.Unremarkable nonenhanced brain MRI otherwise. 3.If there are outside institution prior studies available and are submitted for review and comparison an addendum to this report will be submitted after comparison... |
Generate impression based on findings. | Clinical question: 27-year-old female with allergic rhinitis and chronic sinusitis. Evaluate for sinus disease. Signs and symptoms: As above. Medtronic fusion sinus CT:Frontal sinuses.No evidence of disease.Ethmoid sinuses.No evidence of disease.Sphenoid sinus.No evidence of disease.Maxillary sinuses.No evidence of dis... | 1.No evidence of sinusitis.2.Significant rightward nasal septum deviation and a small bony septal spur in contact with the right inferior turbinate.3.Unremarkable mastoid air cells and middle ear cavities.4.Unremarkable images through the orbits. |
Generate impression based on findings. | Female 35 years old; Reason: CT scan per living kidney donor protocol History: kidney donor ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: 1 cm cyst noted medial segment left lobe of the liver. Hemangioma noted in the inferior medial segment left lobe of the liver.SPLEEN: No significant abnor... | Single bilateral renal arteries and renal veins. Single collecting system bilaterally with no masses or filling defects noted bilaterally. |
Generate impression based on findings. | Female 58 years old; Reason: S/P EGD with subcutaneous air, r/o perforation. History: Ovarian carcinoma. CHEST:LUNGS AND PLEURA: Interval decrease in size of right pleural effusion. Moderate bilateral pleural effusions persist.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Extensive new subcutaneous... | New extensive subcutaneous emphysema involves the retroperitoneum, peritoneal cavity, mediastinum and extremities. Site of perforation, if present, is not definitely identified. Interval decrease in size of right pleural effusion. Persistent loculated mesenteric fluid collection. Other metastatic foci are stable.I pers... |
Generate impression based on findings. | 77-year-old male with history of follicular NHL lymphoma. Reason: H/O follicular NHL, please restage. History: nodes CHEST:LUNGS AND PLEURA: Postsurgical changes of a left upper lobectomy. Bilateral scattered pulmonary micronodules, unchanged. MEDIASTINUM AND HILA: Numerous enlarged mediastinal lymph nodes appear simil... | Stable to minimal increase in lymphadenopathy. No new lesions. |
Generate impression based on findings. | 59 year-old male with tongue pain and dry mouth. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear except for minimal left maxillary sinus mucosal thickening. Limited view of the intracranial structure is unremarkable. The oral cavity, oro/nasopharynx, hypopharynx, larynx and subglottic... | 1. No evidence of lymphadenopathy, mass or inflammation/infection in the soft tissues of the neck.2. Disc osteophyte complexes with neuroforaminal narrowing and spine stenoses at C5-C6 and C6-C7. |
Generate impression based on findings. | 43-year-old male with anal cancer, status post therapy completion in November 2012. Reason: s/p chemo-RT 6 months ago History: slight rectal discharge only, minimal pain at anus CHEST:LUNGS AND PLEURA: Stable pulmonary micronodules. No new nodules are seen.MEDIASTINUM AND HILA: Subcentimeter mediastinal lymph nodes. No... | Stable examination. |
Generate impression based on findings. | Female 24 years old; Reason: eval for etiology of biliary dilation History: RUQ pain; bilairy ductal dilation on US ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: There is intrahepatic and extrahepatic biliary ductal dilatation. The extrahepatic common bile duct measures 8 mm. No filling de... | Nonspecific biliary ductal dilatation without evidence of stones or mass lesion. |
Generate impression based on findings. | Male 80 years old; Reason: h/o urothelial cancer, h/o possible TB History: cavitary lung lesion, bladder cancer CHEST:LUNGS AND PLEURA: There is bilateral centrilobular emphysema. Spiculated cavitary lesion noted in the right upper lobe measuring 4.7 x 2.0 cm. 8mm nodule noted in the left lower lobe. Numerous other nod... | 1.Spiculated cavitary lung lesion worrisome for neoplasm versus old TB. Numerous other nodules could represent granuloma versus neoplasm, follow up advised.2.No evidence of recurrence in the abdomen or pelvis3.Stable infrarenal fusiform abdominal aortic aneurysmal dilation with measurements provided |
Generate impression based on findings. | 65-year-old female with stage IIIC UPSC status post RAVH/BSO and 3 cycles of Taxol and carboplatin. Please assess current disease status prior to starting IV Taxol, Taxol AP, and cisplatin IP CHEST:LUNGS AND PLEURA: No suspicious nodules or masses. No focal air space opacities or pleural effusions. Bibasilar subsegment... | No specific evidence of metastatic disease. |
Generate impression based on findings. | 57 year-old female with liver lesions seen on prior CT, evaluate for cirrhosis/malignancy/portal hypertension ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Cirrhotic liver morphology with fissural widening and enlarged porta hepatic and gastrohepatic lymph nodes. Diffuse hypoattenuation is ... | 1.Hepatomegaly and cirrhotic liver morphology. Hepatic steatosis is decreased from the prior exam.2.Multiple hypodensities are compatible with simple cysts. Additional stable subcentimeter enhancing lesion is too small to characterize but likely represents a flash filling hemangioma.3.Mesenteric varices are suggestive ... |
Generate impression based on findings. | 27-year-old male with shortness of breath. Lung transplant evaluation. LUNGS AND PLEURA: Extensive severe bilateral bronchiectasis is again noted consistent with CF. Since the prior examination, there is been interval decrease in the mucous plugging and focal consolidation, though scattered areas of mucus impaction rem... | Persistent marked bronchiectasis with significant interval decrease in the amount of mucus plugging and consolidation compared to the prior examination. |
Generate impression based on findings. | 76-year-old male with history of COP with shortness of breath. LUNGS AND PLEURA: Peribronchovascular and subpleural reticular interstitial markings with bronchial wall thickening and bronchiectasis, left greater than right. The previously identified areas of consolidation appear to have mostly resolved compared to 4/15... | Significant interval improvement of COP. Residual subpleural reticulation and septal thickening persists. |
Generate impression based on findings. | Reason: ; please compare with prior Chest CT History: abnormal CXR LUNGS AND PLEURA: Further decrease in a focal opacity in the apicoposterior segment of the left upper lobe consistent with resolving pneumonia and residual scar.No suspicious nodules.Azygos pseudo-lobe, incidentally noted.MEDIASTINUM AND HILA: No signif... | Small residual scar-like opacity in the left upper lobe and no suspicious nodules. |
Generate impression based on findings. | Smoker with cough and abnormal chest x-ray. Hypertension and hepatitis C. Status post CVA. LUNGS AND PLEURA: Very severe predominantly upper zone centrilobular emphysema.Dense focal opacity in the apical and anterior segments of the left upper lobe has an appearance most consistent with consolidation and atelectasis, w... | Focal area of dense consolidation and atelectasis in the left upper lobe with air bronchograms, most likely related to organizing pneumonia and atelectasis. However, in view of the patient's high risk status a follow-up CT scan is recommended in approximately 2-3 months time to confirm stability, assuming no change in ... |
Generate impression based on findings. | 58 year old female with history of dilated cardiomyopathy and global systolic dysfunction on cardiac MRI with an enlarged pretracheal lymph node raising the question of sarcoidosis. LUNGS AND PLEURA: Mild left apical scarring.No focal pulmonary air space opacities are identified. Small patchy areas of mosaic attenuatio... | 1. Mediastinal lymphadenopathy and enlarged left supraclavicular lymph node is nonspecific and could represent the sequela of prior granulomatous infection, or possibly sarcoidosis, although subtle. 2. Marked cardiomegaly as noted on the recent cardiac MRI examination. 3. Mild mosaic attenuation pattern may represent p... |
Generate impression based on findings. | Reason: recurrent head and neck ca, pre tx scans, please provide bi-dimensional measurements History: as above CHEST:LUNGS AND PLEURA: Interval increase in the size of multiple bilateral pulmonary nodules consistent with metastases.Index right upper lobe nodule (series 5 image 13) measures 20 x 23 mm, increased from 17... | Continued progression of multiple metastatic pulmonary nodules. |
Generate impression based on findings. | 67-year-old female with abnormal weight loss Please note that this examination is limited in sensitivity for solid pathology due to lack of IV contrast.CHEST:LUNGS AND PLEURA: Bibasilar subsegmental/scarring, right greater than left.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Dense breast tissue ... | Post-operative changes at the stomach, without specific findings otherwise to account for the patient's weight loss. |
Generate impression based on findings. | Reason: RUL lung nodule. please compare to previous. SUPER D PROTOCOL. History: cough. LUNGS AND PLEURA: Redemonstration of right upper lobe nodule identified anteriorly (image 56, series 6) measuring 12 mm x 10 mm, unchanged from the prior exam.Nodular and tree in bud opacities are thickened bronchioles are slightly l... | 1.Stable right upper lobe nodule and mild interval improvement in the adjacent nodular and tree in by opacities may represent a chronic infection such as MAI.2.No significant interval change in additional scattered areas of tree in bud opacities |
Generate impression based on findings. | Clinical question: Evaluate ventricular size. Signs and symptoms: Headache with VP shunt. Nonenhanced head CT:Stable findings of Dandy-Walker malformation. The transverse diameter of the enlarged fourth ventricle measures approximately 42-mm compared to prior measurement of 39.Images through supratentorial space also d... | 1.Interval noticeable increase in the size of ventricular system since prior exam in particular of the supratentorial ventricular system as detailed/measured.2.Stable right-sided ventricular catheter as detailed.3.Dandy-Walker malformation is again noted. |
Generate impression based on findings. | 47 year old female postop day 10 oophorectomy and teratoma removal with uncontrolled abdominal pain. ABDOMEN:LUNG BASES: Bibasilar atelectasis.LIVER, BILIARY TRACT: Subcentimeter hepatic hypodensities are too small to characterize.SPLEEN: Splenic varices.PANCREAS: No significant abnormality notedADRENAL GLANDS: No sign... | Open wound in the anterior subcutaneous tissues of the pelvis containing debris, packing material and air extending from the skin surface to the rectus muscle with adjacent inflammatory changes. No focal fluid collections. |
Generate impression based on findings. | Reason: Size and appearance of lung nodule History: Cough. COPD. MAI in sputum. LUNGS AND PLEURA: Solid right upper lobe nodule 8 x 9 mm, previously 9 x 10 mm, not significantly changed.Patchy basilar opacities, somewhat nodular, have redeveloped a, not present on the prior study/27/2012.Severe centrilobular emphysema ... | 1. Recurrent basilar opacities as well as left lower lobe predominant bronchial thickening could be infectious, correlating with the clinical history provided of MAI.2. 9 x 9 mm right upper lobe nodule not significantly changed but it has only been one month. Along with other findings as could be inflammatory. 6-12 mon... |
Generate impression based on findings. | Clinical question: Status post left craniotomy for subdural evacuation. Signs and symptoms: As above. Nonenhanced head CT:Examination demonstrates a new focus of cortical and subcortical low attenuation in the left posterior temporal lobe. There is no no convincing evidence of any associated mass effect with this findi... | 1.New focus of parenchymal low attenuation involving the cortex and subcortical white matter of left posterior temporal region without any definitive associated mass effect and no hemorrhage. Finding is concerning for an ischemic stroke.2.No evidence of residual subdural.3.Small CSF density epidural collection measurin... |
Generate impression based on findings. | Reason: patient with CF, atypical mycobacterial penumonia, on therapy History: cough LUNGS AND PLEURA: Mild diffuse bronchiectasis and bronchial thickening compatible with cystic fibrosis.A couple areas of tree in bud opacity are present with nodular opacity is compatible with mucoid impaction and mycobacterial infecti... | Diffuse bronchiectasis and bronchial thickening with areas of bronchiolitis.Focal nodular opacities consistent with bronchial mucous plugging and mycobacterial infection in the left lower lobe are still present, some of which have improved and others of which have increased since the previous scan. |
Generate impression based on findings. | 68-year-old male with history of prostate cancer with right lower lobe nodule on PET/CT. LUNGS AND PLEURA: Small nodule in the right lower lobe measuring 10 x 5 cm in the axial dimension (series 5, image to 18) which appears to originate from a bronchus and may represent a bronchocele. A sub-pleural nodule abutting the... | Right lung base nodule with suggestion of internal fat density may represent benign lesion such as hamartoma. Metastatic disease cannot be completely excluded, recommend continued surveillance and correlation with prior PET imaging. |
Generate impression based on findings. | 7-year-old male with history of lymphoma and left neck mass. LUNGS AND PLEURA: No focal pulmonary opacities or pleural effusions. Triangular subpleural opacity in the left lower lobe may represent atelectasis.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. The heart size is normal.CHEST WALL: Bilateral a... | Bilateral axillary lymphadenopathy as described above. |
Generate impression based on findings. | Clinical question: 69-year-old male with history of head and neck cancer, pre-therapy scan, please provide bidimensional measurements. Signs and symptoms: As above. Unenhanced head CT:Examination demonstrates no evidence of intracranial metastatic disease to brain parenchyma or leptomeninges.Unremarkable cortical sulci... | 1.Interval worsening of disease burden at the primary site of tumor in the supraglottic region and it's extensive lymphadenopathies as detailed/measured above.2.Enlarging right retropharyngeal/carotid space lymph nodes significantly decreases the caliber of right internal carotid artery with suggestion of interval wors... |
Generate impression based on findings. | 59-year-old male with jaundice and concern for pancreatic head mass ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is severe intrahepatic biliary ductal dilatation and dilatation of the common bile duct up to 2.9 cm proximal to an obstructing pancreatic head mass. The portal vein is pat... | 1.Ill-defined mass involving the pancreatic head and uncinate with severe intrahepatic biliary ductal dilatation is suspicious for pancreatic adenocarcinoma. There is encasement of the common hepatic artery with abutment of the distal SMV and proximal main portal vein.2.Portacaval and porta hepatis lymphadenopathy. |
Generate impression based on findings. | 46-year-old male in need of evaluation of vasculature to support renal transplant Please note that this examination is limited in sensitivity for solid organ pathology and vascular patency due to lack of IV contrast. ABDOMEN:LUNG BASES: Chronic-appearing interstitial scarring. Trace pleural effusions and bibasilar subs... | Marked circumferential calcification of the distal abdominal aorta and bilateral iliac arteries, without aneurysmal dilatation. |
Generate impression based on findings. | 61-year-old male. Head and neck cancer. Base of tongue cancer Status post CRT, greater than 12 weeks. Reevaluate. Neck: There are no pathologically enlarged cervical lymph nodes. Reference left level 2 lymph node now measures 8 x 4 mm (series 3 image 57), previously 9 x 6 mm. Reference right level 2 lymph node measures... | No evidence of local tumor recurrence, or cervical lymphadenopathy. |
Generate impression based on findings. | 66-year-old patient with history of metastatic thyroid carcinoma to follow calvarial metastatic disease. Postoperative changes are demonstrated from the right frontal cranioplasty and partial resection of metastatic lesion including the radiopaque mesh used in reconstruction. Measurements of the 3 calvarial lesions wer... | Three large calvarial lesions with significant bony reaction representing metastatic disease which demonstrate little change in measurement since the prior exam. |
Generate impression based on findings. | Clinical question: AMS. Signs and symptoms: AMS. Unenhanced head CT:Examination demonstrates no evidence of acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Two foci of low-attenuation in the left posterior frontal periventricular white matter and right fronta... | 1.No acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic strokes. 2.Two small foci of subcortical low attenuation in the right anterior frontal and left posterior frontal are nonspecific however could represent age indeterminate small basilic ischemic strokes. Correlate with history and ... |
Generate impression based on findings. | 6 year-old male with nasal congestion and discharge. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. The frontal sinuses have not developed. The anterior/posterior ethmoids, sphenoid sinuses, and maxillary sinuses are well developed and clear. The osteome... | 1. Unremarkable CT paranasal sinuses. 2. Findings are suggestive of cerebellar tonsil ectopia or Chiari malformation. |
Generate impression based on findings. | 72-year-old male with history of lung cancer status post two cycles of chemotherapy. Follow up examination. CHEST:LUNGS AND PLEURA: Postoperative changes of right lower lobe wedge resection are again identified with right-sided volume loss. There is been an interval decrease in fluid along the operative bed since the p... | 1.Continued interval increase in size of right hilar lymphadenopathy compared to prior examinations. 2.Stable postoperative changes of right lower lobe wedge resection with stable size of reference pulmonary nodules.3.Lytic lesion in the right iliac crest partially visualized, which is of uncertain chronicity as it is ... |
Generate impression based on findings. | Reason: evaluate cardiopulmonary status, r/o metastases, evaluate coronary arteries for califications History: pre liver transplant evaluation, Cirrhosis, HCC noted on MRI LUNGS AND PLEURA: No significant abnormality noted. No suspicious pulmonary masses or nodules. AMEDIASTINUM AND HILA: No hilar or mediastinal lympha... | No evidence of metastatic disease. Marked coronary artery calcification. |
Generate impression based on findings. | 70-year-old with altered mental status. Study is limited by motion artifact. 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 visua... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Seven year old male. History of lymphoma. Left neck mass. There are multiple enlarged cervical lymph nodes, increased from prior exam. Left level 5 cervical lymph node measures 19 x 11 mm (series 4 image 35), and 21 mm in craniocaudal dimension (coronal image 43). Right level 5 cervical lymph node measures 16 x 6 mm (i... | Interval increase in cervical lymphadenopathy from prior exam. |
Generate impression based on findings. | 95-year-old male for assessment of the ICH, stroke There is encephalomalacia of the right cerebellar hemisphere. There is age related generalized volume loss with ex vacuo dilatation of the CSF spaces. There is mild periventricular white matter disease. There is an old infarct in the genu of the right internal capsule,... | No evidence for acute intracranial hemorrhage mass effect or edema. CT is insensitive for the detection of acute nonhemorrhagic, ischemic stroke. If clinical suspicion for acute infarct persist, MRI is recommended. |
Generate impression based on findings. | Reason: please evaluate calcium score History: discordant stress test Calcium Score:LM: 0LAD: 170LCx: 23RCA: 25Total: 218, This represents the 54th percentile for this patients age and gender.Coronary anatomy: LM: The left main coronary artery arises normally from the left sinus of Valsalva and bifurcates into the left... | Total Calcium score was 218; 54th percentile for age and gender. |
Generate impression based on findings. | 73-year-old female with history of breast cancer, remote history of smoking, chronic cough. LUNGS AND PLEURA: No suspicious pulmonary nodules or masses are identified. Mild basilar atelectasis. No pleural effusions are present.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy is present.The main pulmonary a... | 1. No suspicious pulmonary nodules or masses identified.2. Mild cardiomegaly and enlargement of the main pulmonary artery suggestive of pulmonary arterial hypertension. |
Generate impression based on findings. | 80 year-old male with history of rectal bleeding with new diagnosis of rectal cancer, initial staging exam. LUNGS AND PLEURA: Study limited due to respiratory motion. Mild basilar atelectasis. No focal opacities, suspicious nodules or masses.MEDIASTINUM AND HILA: Small nonspecific hypoattenuating mass in the left thyro... | No evidence of intrathoracic metastases. |
Generate impression based on findings. | Four month old male with history of cardiac arrest. ABDOMEN:LUNG BASES: Extensive bilateral pulmonary consolidation. No pleural effusions. There is marked dilatation of the right ventricle and reflux of contrast into the hepatic veins.LIVER, BILIARY TRACT: Perihepatic ascites and periportal edema. Contrast refluxes int... | 1. Extensive bibasilar pulmonary consolidation.2. Right ventriculomegaly and reflux of contrast into the hepatic veins suggesting right heart dysfunction.3. Extensive abdominal and pelvic ascites and peri-portal edema. |
Generate impression based on findings. | Clinical question: Evaluate for mass or bleed. Signs and symptoms: As above. Unenhanced 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 cisterns and gray -- white matt... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Rule out intracranial hemorrhage. Signs and symptoms: Headache after fall and hitting head, scalp hematoma noted. Nonenhanced head CT:No detectable acute posttraumatic intracranial or calvarial findings.Unremarkable cerebral cortex, cortical sulci, ventricular system, and CSF cisterns and gray -- whi... | Unremarkable exam of the exception of a small right anterior frontal subgaleal hematoma. |
Generate impression based on findings. | Clinical question: Evaluate for hemorrhage, cerebral atrophy. Signs and symptoms: Memory loss and cognitive decline. Nonenhanced head CT: No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic strokes.There is a slight prominence of cortical sulci and supratentorial ve... | 1.No acute intracranial process.2.Small subgaleal/scalp hematoma in the right posterior parietal. |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: CVA. Nonenhanced head CT:No acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic strokes. Extensive bilateral chronic cerebellar strokes similar to prior exam.Large right MCA territory stroke and extending posteriorly to the right occipi... | 1.No convincing evidence of any new finding since prior head CT from 6 -- 21 -- 2013. 2.CT however it is insensitive for detection of acute nonhemorrhagic strokes.3.Multiple supratentorial and infratentorial ischemic strokes similar to prior exam. |
Generate impression based on findings. | Male, 80 years old, history of Hodgkin's lymphoma, with newly diagnosed rectal cancer, initial staging exam. No abnormal soft tissue mass, focal enhancement or pathologically enlarged lymph node is seen.Mild asymmetry of the vocal cords is of doubtful significance. The mucosal tissues of the aerodigestive tract are oth... | 1. No evidence of any mass lesion or pathologic adenopathy.2. Nonspecific left thyroid nodule. Further evaluation with ultrasound may be considered if clinically warranted. |
Generate impression based on findings. | Reason: Evaluate for post-op hemorrhage History: headache The patient is status post right-sided burr hole placement for shunt tubing extending through the right parietal lobe into the right lateral ventricle with tip adjacent to the septum pellucidum. The patient is status post surgical clip placement along the poster... | 1.No evidence for acute intracranial hemorrhage .2.Status post right occipital lobe surgery for removal of AVM and surgical clip placement along the posterior cerebral artery aneurysm. There is less intracranial air. There are some minor blood products present which have not changed3.the right transverse sinus appears ... |
Generate impression based on findings. | Reason: Evaluate for post-op hemorrhage History: headache The patient is status post right-sided burr hole placement for shunt tubing extending through the right parietal lobe into the right lateral ventricle with tip adjacent to the septum pellucidum. Patient status post removal of a right fusiform gyrus AVM. The pati... | 1.Findings there is a question of right transverse sinus thrombosis. Please correlate with surgical findings2.No evidence for acute intracranial hemorrhage . If clinically appropriate correlation with a venographic study may be of benefit for further evaluation for possible thrombosis.3.Status post right occipital lobe... |
Generate impression based on findings. | Male, 4 months old, status post cardiac arrest. Gray-white differentiation in the upper half of the brain is preserved. In the lower half, there is some blurring of the gray-white distinction, but this can be technical.No evidence of focal edema, mass effect or midline shift is seen. The ventricular system is patent an... | 1. No definite evidence of ischemic change is seen. If concern for this persists, MRI would provide a more sensitive evaluation.2. No evidence of any large or significant intracranial hemorrhage. A small curvilinear focus of increased density in the right posterior cerebellum could represent a vascular structure or min... |
Generate impression based on findings. | Reason: r/o infarct or hemorrhage History: AMS, bacteremia, seizure The CSF spaces are appropriate for the patient's stated age with no midline shift. There is redemonstration of a heterogeneous lesion involving the lateral aspect of the left postcentral gyrus and to a lesser degree a small portion of the left inferior... | 1.There is a lesion in the left parietal lobe suggestive of infarction involving predominant left postcentral gyrus and left inferior parietal lobule associated with some hemorrhagic conversion. This remains stable since prior exams.2.Periventricular and subcortical white matter changes of a moderate degree are nonspec... |
Generate impression based on findings. | Clinical question: Evaluate intracranial hemorrhage. Signs and symptoms: Hypertension and dizziness. Nonenhanced head CT: No acute intracranial process. CT also is insensitive for detection of acute nonhemorrhagic strokes.There are patchy foci of low attenuation in the periventricular and subcortical white matter of bi... | Mild to moderate age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Female 26 years old; Reason: Evaluate for abscess, colitis, pyelo, gastritis, pancreatitis. History: Severe sepsis with unclear source ABDOMEN: The exam is somewhat limited due to artifact from the spinal/pelvic hardware. Within these limitations, the following findings were made:LUNGS BASES: No significant abnormality... | 1.No specific findings to suggest infectious or inflammatory process. |
Generate impression based on findings. | 60 year-old female with cervical spine pain following trauma to neck. There has been multilevel surgical fusion including anterior plate and screw placement at the C3-4 and C5-6 levels. Bony fusion is near complete at C5-6, while the more recently completed C3-4 level has not yet undergone bony fusion. There are no vis... | 1.No visualized sequelae of trauma including fracture.2.Hardware related to surgical fusion at the C3-4 and C5-6 levels with bony fusion at C5-6.3.Disc protrusion at C2-3 and disk osteophyte complex resulting in moderate right neural foraminal stenosis.4.Bilateral neural foraminal stenosis at C6-7. |
Generate impression based on findings. | 65 year old female with history of metastatic parotid gland carcinoma and new right lower lobe opacity, evaluate for pulmonary embolism. PULMONARY ARTERIES: Technically adequate study with no evidence of pulmonary emboli.LUNGS AND PLEURA: Multiple scattered pulmonary nodules, some of which are calcified. Left upper lob... | 1.No evidence of pulmonary emboli.2.Right lower lobe opacity, likely round pneumonia or a metastasis. |
Generate impression based on findings. | Female, 62 years old, history of laryngeal cancer, also status post her neck to me. Follow-up examination. No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are free of suspicious lesions. Lucencies within the occipit... | 1. Stable postsurgical change including laryngectomy, tracheostomy and thyroidectomy. No evidence of recurrent disease. No pathologic adenopathy.2. No intracranial metastatic disease. |
Generate impression based on findings. | Female 52 years old; Reason: lung cancer s/p 6 cycles of chemo. please evaluate for disease and compare with the scans on 5/29 using same reference lesions (baseline scan for this chemo is 1/11/13) History: lung cancer CHEST:LUNGS AND PLEURA: The left upper lobe pulmonary mass is relatively stable and measures measures... | 1. Status post resection of the large pelvic metastases without evidence of recurrence or adenopathy2. Interval stability to slight increase in the previously known pulmonary lesions. |
Generate impression based on findings. | 90 year-old male with bilateral subdural hematomas. There is redemonstration of bilateral predominantly hyper attenuating subdural hematomas causing mass effect bilaterally. There appears to be a slight, stable midline shift towards the right. Ventricles and cisterns are preserved. Compared to previously noted layering... | New areas of hyperattenuating material in the pre-existing subdural hemorrhage space suggesting new hemorrhage with mild increase in size over the bilateral frontal high convexities. Otherwise overall size of bilateral hematomas are relatively stable. Stable mild midline shift. Preservation of cisterns with no evidence... |
Generate impression based on findings. | 15 year-old female with right lower quadrant tenderness to palpation ABDOMEN:LUNG BASES: No focal pulmonary opacities or pleural effusions.LIVER, BILIARY TRACT: Normal hepatic morphology. The gallbladder is distended and normal. No intra-or extrahepatic biliary ductal dilatation.SPLEEN: Normal splenic enhancement.PANCR... | Right adnexal mass most likely representing a teratoma/dermoid. Pelvic ultrasound may be considered for further evaluation and to exclude ovarian torsion. No right lower quadrant inflammation or ascites. |
Generate impression based on findings. | 49-year-old female with history of pleurisy, chest discomfort. History of breast cancer status post mastectomy. PULMONARY ARTERIES: Technically adequate study. No pulmonary emboli identified.LUNGS AND PLEURA: Motion artifact limits evaluation of fine detail. No focal pulmonary airspace opacities. Mild right apical scar... | 1.No pulmonary embolus or other acute abnormality to explain the patient's symptoms.2.Postoperative changes of bilateral mastectomies with residual fluid collection in the right chest wall surgical bed which may represent a hematoma or seroma. |
Generate impression based on findings. | 96 year old female. Bright right blood per rectum. History of diverticulosis. Evaluate for source of lower GI bleed ABDOMEN:LUNG BASES: Small hiatal hernia and mild cardiomegaly, otherwise no significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy. Subcentimeter hypodense lesion in the left lobe ... | Colonic diverticulosis with focus of contrast extravasation in the rectum. |
Generate impression based on findings. | 69-year-old male with history of Crohn's disease status post resection (ileocecectomy) with nausea vomiting and abdominal distention ABDOMEN:LUNG BASES: 6-mm right middle lobe nodule is unchanged (4/10). 7-mm left lower lobe nodule is unchanged. Bibasilar atelectasis. No pleural effusions.LIVER, BILIARY TRACT: No signi... | 1.Findings compatible with partial small bowel obstruction in the mid pelvis.2.Stable pulmonary nodules.3.Stable exophytic left renal cyst. |
Generate impression based on findings. | 70-year-old female with nausea, vomiting, abdominal pain. History of colon cancer and ovarian cancer ABDOMEN:LUNG BASES: Bibasilar subsegmental atelectasis.LIVER, BILIARY TRACT: Mild intrahepatic biliary ductal dilatation. Gallbladder is decompressed. The common bile duct is upper limits of normal, similar to the prior... | Partial small bowel obstruction with transition point likely within the pelvis, appearing slightly worse than prior. |
Generate impression based on findings. | Reason: Abnormal EMG, requesting CT L3-L4 and L4-L5 given severe polyneuropathy, radiculopathy and plexopathy in pt with L foot drop History: BLE DVT and left foot drop Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall height. The patient is status post posterior fusion at L5... | 1.Multilevel degenerative changes present in the lumbar spine with multilevel neural foraminal encroachment involving left-sided L5-S1, bilaterally at L4-5, bilaterally at L3-4, bilaterally at L2-3 and on the right side at L1-2. There is also encroachment of the nerve roots of the lateral recess seems on the right side... |
Generate impression based on findings. | 25-year-old male with history of known PE, right-sided symptoms. PULMONARY ARTERIES: Interval resolution of extensive pulmonary emboli seen on the prior examination from 7/6/13. No pulmonary emboli are identified on the current examination.LUNGS AND PLEURA: Interval decrease in size of right basilar wedge-shaped opacit... | Interval resolution of extensive pulmonary emboli since the prior examination from 7/6/2013, with decrease in size of right basilar pulmonary infarct. No new pulmonary emboli identified. No acute abnormalities. |
Generate impression based on findings. | 67 year old female with history of colon cancer, acute hypoxia and shortness of breath during chemotherapy. PULMONARY ARTERIES: Technically adequate study with pulmonary emboli in the right upper lobe artery. Mildly increased main pulmonary artery diameter measuring 3.2 cm suggestive of pulmonary hypertension, although... | 1.Pulmonary embolus in the right upper lobe pulmonary artery, with unchanged main pulmonary artery dilatation. Discussed with Dr Erlich at time of dictation. 2.Superior left lower lobe and medial right lung base consolidations consistent with pneumonia or aspiration. |
Generate impression based on findings. | 83-year-old female with history of chest pressure, elevated d-dimer. PULMONARY ARTERIES: Technically adequate study. No pulmonary embolus.LUNGS AND PLEURA: Postoperative changes of right lower lobectomy are noted since the prior study with removal of the previously identified right lower lobe pulmonary nodule. A modera... | 1.No pulmonary embolus.2.Postoperative changes of right lower lobectomy and removal of previously described right lower lobe pulmonary nodule.3.Moderately large right pleural effusion. |
Generate impression based on findings. | 67-year-old female status post exploratory laparotomy and take down of enterocutaneous fistula on 7/11 now with drainage from midline incision, concern for fistula recurrence versus wound infection ABDOMEN:LUNG BASES: Mild intrahepatic biliary ductal dilatation. No choledocholithiasis. Status post cholecystectomy. No f... | 1.Dilated small bowel loops proximal to a transition point in the mid abdomen involving small bowel loops adherent to the anterior abdominal wall near the incision site is compatible with partial small bowel obstruction.2.Bowel is adherent to the anterior abdominal wall near the incision site with a small foci of extra... |
Generate impression based on findings. | Reason: bleed History: frail, anticoagulated patient fell and hit headl unsure of LOC The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.T... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Reason: Stroke History: Left facial droop The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized portions of the paranasal sinu... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic seen in |
Generate impression based on findings. | 66-year-old male with history of left submandibular salivary gland adenoid cystic carcinoma with metastases to the lung, reevaluate. Brain:Asymmetric configuration of the ventricles, right greater than left, unchanged. Probable right parasagittal meningioma along the straight sinus, measuring 15 x 10 mm and unchanged.T... | 1. No evidence of local tumor recurrence. Stable left level IIa non-pathologically enlarged necrotic appearing lymph node. 2. No intracranial metastasis. |
Generate impression based on findings. | Reason: 32 yr old male with h/o CML, pre-stem cell transplant evaluation History: evaluate The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated. There is nasal septal deviation towards the leftThe frontal sinuses are clear.Maxillary sinuses demonstrate a l... | 1.No evidence for acute sinusitis. A mucus retention cyst in the left maxillary sinus is probably chronic |
Generate impression based on findings. | 70 year old male with altered mental status, lung findings on CXR, Klebsiella bacteremia, positive wound cultures Please note that this examination is limited in sensitivity for solid organ pathology due to lack of IV contrast. CHEST:LUNGS AND PLEURA: Slightly increased small bilateral pleural effusions, right greater ... | 1. Increased size of the small bilateral pleural effusions with increased overlying atelectasis. A superimposed infection cannot be entirely excluded.2. No specific evidence of abdominal wall or intra-abdominal abscess. |
Generate impression based on findings. | 58 year-old female with recurrent left maxillary sinus pain. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. The frontal sinuses, frontal-ethmoid recesses, anterior/posterior ethmoids, sphenoid sinuses, and maxillary sinuses are well developed and clear. ... | Unremarkable CT paranasal sinus. |
Generate impression based on findings. | 56-year-old female status post brain biopsy with headache. There is an area of hypoattenuation in the left cerebellum surrounding a small focus of hyperattenuation consistent with edema and small amount of blood product surrounding previously noted site of cerebellar mass biopsy on prior CT/MRI. There is interval resol... | 1. Stable mild ventriculomegaly.2. Redemonstration of postbiopsy changes in the posterior fossa with stable cerebellar swelling. |
Generate impression based on findings. | 58 year-old female with history of CVA. There are several questionable, vague hypodensity in the subcortical white matter. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid colle... | No acute intracranial abnormality. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. |
Generate impression based on findings. | 71 year old female with history of metastatic breast cancer. Patient to start new treatment, baseline scan required. CHEST:LUNGS AND PLEURA: Right apical nodule measures 7 mm (series 5, image 12), previously 6 mm. A 4-mm smoothly marginated nodule along the left major fissure measures 4 mm (series 5, image 37) and is m... | 1.Interval increase in size of retroperitoneal lymphadenopathy compared to recent prior examinations from 6/10/13 and 4/16/13, however remains decreased in comparison to 2/18/13.2. Stable size of right apical pulmonary nodule. Left-sided micronodule along the major fissure is more conspicuous compared to prior examinat... |
Generate impression based on findings. | 63-year-old male with history of high risk prostate cancer status post mastectomy. Reason: history of metastatic prostate prostate cancer CHEST:LUNGS AND PLEURA: 3 mm subpleural nodule in the right upper lobe is stable. Additional scattered smaller micronodules bilateral lungs.MEDIASTINUM AND HILA: Atherosclerotic calc... | No significant change. One enlarged pelvic lymph node. No new findings. |
Generate impression based on findings. | 46-year-old female with history of lung cancer now with abdominal pain and constipation, evaluate for obstruction ABDOMEN:LUNG BASES: Partially visualized left lower lobe consolidation, similar to the prior exam. Thickening of the inferior left major fissure is unchanged measuring 1.1 cm (5/16). Left lower lobe subpleu... | 1.No evidence of small bowel obstruction or other acute process in the abdomen or pelvis.2.Left lower lobe consolidation is unchanged.3.Stable pulmonary nodules and abdominal lymphadenopathy.Contrast extravasation description:Supervising radiologist: Jessica LaiMinor or major extravasation: MinorContrast type: 28 cc of... |
Generate impression based on findings. | 32-year-old male with CML, pre-stem cell transplant evaluation. LUNGS AND PLEURA: Scattered micronodules. Few apical bullae. Mild right basilar atelectasis. No evidence of active pulmonary infection.MEDIASTINUM AND HILA: Small paratracheal and subcarinal lymph nodes, no significant lymphadenopathy.Heart and pericardium... | No acute abnormalities. |
Generate impression based on findings. | 62 year old female with history of head and neck squamous cell carcinoma status post chemoradiation. Follow up examination. CHEST:LUNGS AND PLEURA: Biapical scarring mildly increased since the prior exam. Increased patchy groundglass opacities noted in the inferior right upper lobe.Focal consolidation is noted in the l... | 1.Interval development of a left lower lobe airspace opacity which has an appearance suggestive of aspiration or infection. 2.Interval development of faint right upper lobe groundglass opacities which are nonspecific but may represent aspiration.3.Residual scarring in the right upper lobe secondary to resolved right lo... |
Generate impression based on findings. | 74-year-old female with abdominal pain, evaluate for mesenteric insufficiency ABDOMEN:LUNG BASES: Mild bibasilar scarring.LIVER, BILIARY TRACT: Status post cholecystectomy. Mild intrahepatic and extrahepatic biliary dilatation is mildly decreased from the prior exam. Pneumobilia is likely related to prior sphincterotom... | 1.No findings to suggest mesenteric ischemia.2.Large amount of stool in colon.3.Stable left adrenal nodule likely represents an adenoma. |
Generate impression based on findings. | 84-year-old male with history of adenocarcinoma and ILD, reevaluation. LUNGS AND PLEURA: Irregular ground glass and nodular consolidation somewhat improved from prior study and in a pattern suggestive of resolving drug toxicity or organizing pneumonia. Numerous underlying nodules are unchanged in size:Reference right m... | 1.Interval improvement in the ground glass opacities and areas of consolidation which could likely represent resolving drug toxicity and/or organizing pneumonia.2.Pulmonary, osseous, and lymphatic metastases unchanged.3.Pleural effusions bilaterally, improved on the left. |
Generate impression based on findings. | 66-year-old female with severe abdominal pain and recent obstruction with questionable reducible hernia Please note that unenhanced CT is not sensitive for the detection of solid organ lesions. With this limitation, the following observations are made.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY T... | 1.No evidence of small bowel obstruction.2.Multiple bowel containing ventral hernias without evidence of obstruction or strangulation. |
Generate impression based on findings. | 65-year-old male with metastatic adenocarcinoma of the lung and severe abdominal pain ABDOMEN:LUNG BASES: Evaluation of the lungs is limited by respiratory motion. Increased air space opacity in the right lung base. Bibasilar subsegmental atelectasis. LIVER, BILIARY TRACT: Multiple hypodense liver metastases are simila... | 1. Interval development of small to moderate intra-abdominal fluid, measuring near water density and without specific evidence of hemorrhage or abscess formation. 2. Unchanged appearance of numerous liver metastases. |
Generate impression based on findings. | 50 year old female with chest pain. Evaluate for coronary artery disease. Cardiac Morphology:Left Ventricle:EDV: 140 ml The left ventricle is normal in size, shape, wall thickness, and volume. Right Ventricle:EDV: 146 ml The right ventricle is normal in size, shape, wall thickness, and volume. Left Atrium: The left atr... | 1. Normal coronary arteries. No coronary calcification.2. No anomalies. |
Generate impression based on findings. | 61-year-old male with history of esophageal cancer on Xeloda, cycle 18. Follow up examination. CHEST:LUNGS AND PLEURA: Interval decrease in size of reference left lower lobe subpleural nodule which now measures 3.7 x 1.4 cm in the axial plane (series 5, image 67), previously 4.6 x 1.7 cm.Nodular opacities noted along t... | 1.Interval decrease in size of the largest reference left lower lobe subpleural nodule, with otherwise overall stable appearance of pleural and fissural nodular thickening compared to the prior study. No new sites of disease identified. |
Generate impression based on findings. | Male 72 years old; Reason: left inginual hernia History: left inginual fullness, pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormalit... | 1.Bilateral fat containing non complicated inguinal hernias. |
Generate impression based on findings. | Reason: h/o met ACC, compare to previous, measurements pls History: none LUNGS AND PLEURA: Multiple bilateral pulmonary metastases, increased in size.Reference left lower lobe subpleural nodule (series 4 image 68) 13 mm, increased from 7 mm previously.Reference right lower lobe nodule (series 4 image 52) 11 mm, increas... | Interval progression of pulmonary metastases. |
Generate impression based on findings. | 48-year-old male with abdominal pain status post ERCP and pancreatic pseudocyst drainage. ABDOMEN:LUNG BASES: Bibasilar subsegmental atelectasis.LIVER, BILIARY TRACT: No focal hepatic lesions evident. Hyperdense material within the gallbladder, likely from prior contrast injection.SPLEEN: No significant abnormality not... | 1. Foci of gas posterior to the duodenum, suspicious for perforation. 2. Acute pancreatitis 3. Stable complex and simple renal cystsThese findings were communicated by the resident on call.to the ER by stat consult on 7/25/13 at 10:45 PM |
Generate impression based on findings. | 78 year-old male with thyroid cancer CHEST:LUNGS AND PLEURA: Mild dependent atelectasis. Left lower lobe 7 mm nodule (5/65), is unchanged. Additional smaller micronodules are unchanged. Left lower lobe granuloma.MEDIASTINUM AND HILA: Status post thyroidectomy. Please see dedicated CT soft tissue neck for neck findings.... | 1.Interval decrease in size of right adrenal lesion.2.Lytic lesion in the right superior acetabulum with soft tissue component is unchanged.3.Stable small superior mediastinal lymph node.4.Stable left lower lobe pulmonary nodule and scattered micronodules.5.For neck findings, please see dedicated CT soft tissue neck pe... |
Generate impression based on findings. | 64-year-old male with history of lung cancer. Follow up examination. CHEST:LUNGS AND PLEURA: Persistent postsurgical and postradiation changes with left-sided volume loss and left apical paramediastinal opacities.Interval increase in left upper lobe focal nodular opacity with new surrounding faint groundglass opacities... | 1.Interval increase in size of mediastinal lymphadenopathy since the prior study.2.Interval increase in size of nodular opacities in the left upper lobe which are nonspecific but suspicious for primary pulmonary malignancy or metastasis given the patient's history of malignancy.3.Low attenuation along the left atrial a... |
Generate impression based on findings. | 78 year-old male with thyroid cancer. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage, or abnormal contrast enhancement. The orbits are unrema... | 1. No intracranial metastasis. 2. Stable to decrease in size of the reference lymph nodes and posttreatment changes in the neck. No evidence of recurrent disease in the thyroidectomy bed. |
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