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Generate impression based on findings. | Female 19 years old; Reason: evaluate for interval resolution of flank abscess seen on previous CT s/p drain removal History: IR drain removed to rt flank abscess ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Multiple splenules noted without splenic... | 1.Interval resolution of the previously noted right subcutaneous soft tissue iliac abscess |
Generate impression based on findings. | History of COPD with lung nodule on outside imaging. LUNGS AND PLEURA: Large spiculated, lobulated mass in the right middle lobe (series 7, image 58) adjacent to the lateral segment bronchus and abutting the major fissure. This mass has markedly increased in size and now measures 4 x 2 cm, previously 12 x 12 mm on outs... | 1.Large lobulated mass in the right middle lobe which has markedly increased in size from the outside study on 5/3/2013 and is suspicious for malignancy.2.Enlarged right hilar lymph node.3.No other suspicious pulmonary nodules or masses. |
Generate impression based on findings. | 63-year-old male with history of RCC status post resection, with residual soft tissue in the surgical bed CHEST:LUNGS AND PLEURA: No suspicious nodules or masses. The left lower lobe scarring appears similar to the prior exams. Bibasilar subsegmental atelectasis without pleural effusions.MEDIASTINUM AND HILA: Normal si... | No significant change in the nephrectomy resection bed enhancing nodule and reference lymph nodes. |
Generate impression based on findings. | 59-year-old male with history of metastatic prostate cancer status post investigational therapy CHEST:LUNGS AND PLEURA: Right apical scarring, unchanged. Scattered micronodules unchanged. No suspicious nodules or masses. No pleural effusion. MEDIASTINUM AND HILA: Enlarged right hilar lymph node is unchanged measuring 1... | 1.Stable examination without definitive evidence of metastatic disease.2.Stable right hilar lymph node. |
Generate impression based on findings. | Clinical question: Bilateral neck fullness, new. Signs and symptoms:. Enhanced neck CT:Limited view of intracranial content is unremarkable.Cavernous sinuses and the skull base as well as bilateral petrous bones and paranasal sinuses are unremarkable. Significant rightward nasal septum deviation is noted and unremarkab... | 1.No evidence of any mass or any pathologic adenopathy in the neck is detected.2.No evidence of any inflammatory changes or abnormal enhancement is present.3.Few small symmetrical bilateral subcentimeter /nonenhancing upper cervical nodes likely reactive in origin.4.Small punctate calcification in the right tonsil is n... |
Generate impression based on findings. | 4-year-old female with history of Wilms tumor, assess response to chemotherapy. CHEST:LUNGS AND PLEURA: Interval near resolution of left upper lobe pulmonary nodule with tiny residual opacity. No focal pulmonary opacities or effusions.MEDIASTINUM AND HILA: Left superior mediastinal lymph node measures 9 x 5 mm and prev... | Interval resection of Wilms tumor and near resolution of pulmonary nodule without new evidence of metastatic disease. |
Generate impression based on findings. | Clinical question: 65-year-old male with history of head and neck cancer, status post induction chemo, compared to prior exam and provide measurements. Signs and symptoms: None. Enhanced neck CT:Examination demonstrate significant to near complete resolution of previously noted left common base tumor. Minute thickening... | 1.Significant decreased size of the left tongue base tumor. Minimal residual nonenhancing soft tissue thickening at this site measures approximately 11 x 5-mm.2.Significant interval decrease in the size of right-sided pathologic lymph node since prior study as detailed/measured above. |
Generate impression based on findings. | 52-year-old male with history of colorectal cancer, surveillance CHEST:LUNGS AND PLEURA: Left upper lobe nodule measures 4 mm (4/53) a previously 5 mm. Right upper lobe irregular nodule measures 6 mm (4/55), unchanged.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size is normal without pericardia... | 1.New enlarged mesenteric lymph nodes.2.Stable pulmonary nodules. |
Generate impression based on findings. | Reason: h/o HNC, s/p induction chemo, compare to previous, measurements pls History: none LUNGS AND PLEURA: Scarring and punctate left upper lobe calcified granuloma.No evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: Numerous mediastinal lymph nodes are within normal size limits.CHEST WALL: Hypertroph... | No evidence of metastases. |
Generate impression based on findings. | Reason: Benign metastatic leiomyoma History: hemoptysis LUNGS AND PLEURA: Multiple pulmonary nodules have increased in size and number.The previously measured left upper lobe nodule image 50 series 6 is now 18 x 20 1 mm, previously 14 x 15 mm.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Degenerati... | Enlarging pulmonary nodules, as well as new nodules. |
Generate impression based on findings. | Reason: evaluate LUL; LLL PNA History: SOB, hypoxia LUNGS AND PLEURA: Left upper lobe consolidation is present correlating with the abnormality seen on a recent abdomen CT and chest radiograph.Consolidation is also present posteriorly in the left lower lobe and there is a small left pleural effusion.Moderate emphysema ... | Left upper lobe pneumonia, and nonspecific consolidation in the left lower lobe with a small left pleural effusion. |
Generate impression based on findings. | Reason: hemangioendothelioma of the lung. Compare to last CT \T\ meaure 1) LUL nodule, 2)prevascular lymph node History: post 2 cycles of therapy CHEST:LUNGS AND PLEURA: Innumerable bilateral pulmonary nodules without significant change.Index lesion in the left upper lobe measures 22 x 18 mm, not significantly changed ... | Stable disease. |
Generate impression based on findings. | Reason: gait disorder possible NPH memory loss copmpare to previous concern for new strokes sicne last scan 12/12 History: memory loss and gait disorder 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 ... | 1.Ventriculomegaly and periventricular hypodensities are stable since prior exam this is compatible with the patient's clinical history of normal pressure hydrocephalus |
Generate impression based on findings. | Reason: pt with lung ca and myeloma History: no treatment for both diseases now needs evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Small scarlike subpleural lesion in the right upper lobe measuring 7 x 4 mm, slightly decreased from previous and markedly decreased since 2/13/2012.Marked narro... | Stable disease. |
Generate impression based on findings. | Female 59 years old; Reason: new appendiceal cancer; s/p appendectomy on 6/23; please evaluate for metastatic disease and or abnormalities History: appendiceal cancer ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted. Sp... | 1.Status post appendectomy with no evident metastatic lesions detected. |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: CVA. Unenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.There are diffuse patchy foci of periventricular and subcortical low attenuation white matter highly concerning for moderate to a... | Moderate to advanced age indeterminate small vessel ischemic strokes with resultant mild ex vacuo dilatation of the lateral ventricles. |
Generate impression based on findings. | Female 57 years old; Reason: eval post op changes History: abd pain, vomiting ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. Hepatic and portal veins are patent. Status post cholecystectomy; the bile duct normal in caliber.SPLEEN... | 1.Severe small bowel obstruction with a transition in the ileum in the left upper abdomen. This is most likely on the basis of adhesions. |
Generate impression based on findings. | Female 20 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. | Reason: 73 M w/ long hx of smoking would like screening test for lung ca History: long term smoking hx LUNGS AND PLEURA: Minimal apical scarring is present.Scattered small pleural plaques on the right, at least one calcified raising a question of prior asbestos exposure.Mild basilar bronchiectasis is present.No evidenc... | 1. No evidence of lung cancer.2. Incidental findings include benign appearing pleural thickening, apical scarring, and mild basilar bronchiectasis. |
Generate impression based on findings. | Female 29 years old; Reason: 29 yr old patient with leiomyosarcoma of uterus s/p 12 cycles of Gemzar/Taxotere. eval disease process compare to 6-14-13 scan please History: none CHEST:LUNGS AND PLEURA: Superior segment right lower lobe pulmonary nodule measures 6-mm on image 35/ series 5 and the right upper lobe lesion ... | 1.Stable exam without change in the reference lesions. |
Generate impression based on findings. | Reason: Pt with hx of tongue ca. s/p CRT and sx 2.5 yrs ago. please re-eval and compare to prior scans History: as above CHEST:LUNGS AND PLEURA: Benign micronodule left lower lobe omelette unchanged.No evidence of pulmonary or pleural metastases.Azygos pseudo-lobe, normal variant.MEDIASTINUM AND HILA: Small hiatal hern... | No evidence of metastases or change. |
Generate impression based on findings. | 53 year old male. Reason: breast cancer and metastatic prostate cancer now w/ rising PSA, please restage. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Fatty infiltration of the liver parenchyma. SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS... | No measurable metastatic disease. Enlarged right seminal vesicle. |
Generate impression based on findings. | Male 68 years old; Reason: recurrent infections, bladder diverticulum History: recurrent infections ABDOMEN: The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:LUNGS BASES: Atelectasis is noted in the left l... | 1.Bladder diverticula likely from chronic outlet obstruction. No infection, filling defect or reflux.2.Cholelithiasis |
Generate impression based on findings. | 59 year old male with history of bladder cancer ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.ADRENAL GLANDS: 1.2-cm left adrenal nodule measuring less than 10 Hounsfield units in density, likely representing a small ... | 1. Nonenhancing wall thickening at the left superior aspect of the bladder, possibly representing scar. No specific evidence of metastatic disease.2. Small hypoattenuating left adrenal nodule, most compatible with an adrenal adenoma. |
Generate impression based on findings. | 66 year old male. Reason: bilateral inguinal hernia repair 2010 now w persistent intermittent sharp RLQ abdominal pain. ROS negative. Physical exam benign History: 3x/month sharp 7/10 RLQ abdominal pain with normal physical exam and negative ROS The absence of intravenous contrast limits evaluation of the solid organs ... | 1. No CT evidence for the patient's pain. |
Generate impression based on findings. | Clinical question: One month of diffuse headache. Signs and symptoms: As above. Nonenhanced head CT:There is no evidence of an acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic strokes.Examination demonstrates widening of the subarachnoid space in bilateral anterior frontal re... | 1.No acute intracranial process.2.Extra-axial CSF prominence in bilateral anterior frontal (left greater than right) demonstrate mass effect on the bilateral frontal cortices (left greater than right). Recommend MRI to exclude chronic subdural hematoma.3.Multiple metallic fragments extracranially in the right maxillofa... |
Generate impression based on findings. | 88-year-old male with history of metastatic prostate cancer on investigational drug, reassess after therapy CHEST:LUNGS AND PLEURA: Mild dependent atelectasis. No suspicious nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size is normal without pericardial effusion. Moderate coron... | Stable examination. |
Generate impression based on findings. | 66-year-old female with history of lung cancer. Follow-up examination. CHEST:LUNGS AND PLEURA: Numerous pulmonary nodules are again noted compatible with metastatic disease, the overall appearance of which is unchanged in comparison to recent prior examinations. The largest reference lesion in the right upper lobe meas... | Overall stable appearance of pulmonary metastatic disease. No new sites of disease identified. |
Generate impression based on findings. | Reason: evaluate for lumbar pathology History: back pain Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The patient is status post unilateral pedicle screw placement the left side at L3 and L4 with interconnecting rod. There is a osseous bridging pres... | 1.Since the previous examination spinal stenosis as progressed at L1-22.since the prior examination anterior fusion is developed at the L2-3.3.There is a moderate degree of spinal stenosis present at that substantially changed since the prior exam4.There are multilevel degenerative changes present with encroachment of ... |
Generate impression based on findings. | 30 year-old male kidney donor ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Subcentimeter hypodense right renal lesion, which is too small to characte... | 1. Right renal upper and lower polar arterial branches. Normal left renal vasculature. 2. No suspicious renal lesions. |
Generate impression based on findings. | Male 32 years old; Reason: abd pain, hx of pancreatits, r/o pancreatitis History: abd pain, hx of pancreatits, r/o pancreatitis ABDOMEN:LIVER, BILIARY TRACT: No intra- or extra-hepatic biliary ductal dilatation noted. No suspicious hepatic lesions identified.SPLEEN: No significant abnormality notedPANCREAS: The tail of... | 1.Unchanged size and appearance of pancreatic pseudocyst in the region of the pancreatichead.2.Unchanged left retroperitoneal non-enhancing collection, likely previous adrenal hemorrhage. |
Generate impression based on findings. | Clinical question: Intracranial hemorrhage. Signs and symptoms: Seizure. Nonenhanced head CT:No evidence of acute intracranial process. CT is insensitive for detection of acute non-hemorrhagic ischemic stroke.There are bilateral anterior frontal regions of encephalomalacia no (left greater than right) similar to the pr... | 1.No acute intracranial process.2.Bilateral frontal encephalomalacia (left greater than right) with evidence of dystrophic calcification in left frontal lobe appear essentially stable when compared with prior MRI exam.3.Unremarkable study otherwise. |
Generate impression based on findings. | 65 year-old female with head and neck cancer. There is redemonstration of an area of encephalomalacia in the right occipital lobe. 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-axi... | 1. No evidence of local tumor recurrence or lymphadenopathy in the neck. 2. No intracranial metastasis. 3. Acute right maxillary sinusitis. |
Generate impression based on findings. | 72-year-old male with history of mesothelioma status post decortication and chemotherapy. CHEST:LUNGS AND PLEURA: Left pleurectomy with diaphragmatic graft, unchanged. Irregular thickening of the peripheral pleura is unchanged. Reference measurements are as below:1.At the level of aortic arch (series 4, image 30), the ... | Stable mesothelioma and lymophoma, with no change in reference lesions. Slight increase in left basilar opacity consistent with resolving infection. |
Generate impression based on findings. | Clinical question: Evaluate for single edema or hemorrhage. Signs and symptoms: Dilated pupils with disk swelling on exam. Unenhanced head CT:Examination demonstrates no evidence of an acute intracranial process.Slight prominence of cortical sulci and supratentorial ventricular system for patient's stated age of 10. Th... | No evidence of acute or new finding since prior exam from 7 -- 23 -- 13. Please see above comments. |
Generate impression based on findings. | 71 year old female. Reason: Pre-Kidney Transplant Evaluation. History: Evaluate vasculature to support kidney transplant. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy. SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLAND... | Minimal distal arterial calcification in the pelvis. Atropic kidneys with atypical cysts. |
Generate impression based on findings. | 59 year old female with history of metastatic breast cancer. Follow-up examination. Additional history of increased pain at site of known liver metastases with elevation of LFTs. CHEST:LUNGS AND PLEURA: Right apical micronodule (series 4, image 11), has increased in size compared to prior exam and was not present on 5/... | 1.Marked interval increase in confluent hepatic metastases. Small amount of perihepatic ascites now present.2.Interval increase in size of large left chest wall mass as well as left axillary and mediastinal lymphadenopathy.3.Scattered nodular and branching opacities as described above are increased since the prior exam... |
Generate impression based on findings. | Reason: Lung cancer - pls compare to previous. Thanks. History: Lung cancer CHEST:LUNGS AND PLEURA: Left upper lobe nodule, 5 mm, unchanged.Severe chronic interstitial disease at the lung bases with multiple large cysts and small effusions or pleural thickening, unchanged.Reference superior anterior mediastinal mass me... | Stable disease. |
Generate impression based on findings. | Concern for hemorrhagic stroke. This examination confirms the presence of the wedge-shaped regions of hypoattenuation and gray-white differentiation loss within the bilateral occipital lobes. There is local mass-effect including sulcal effacement without midline shift or evidence of transtentorial herniation. There has... | Development of mild subarachnoid hemorrhage remote from the evolving bilateral occipital infarcts. A vertebral report was provided to Dr Wendlandt at the time of report sign off. |
Generate impression based on findings. | Reason: Pt with hx of tongu ca. s/p CRT and sx 2.5 yrs ago. please re-eval and compare to prior scans History: as above CT neck:The patient is status post right radical neck dissection. There is a soft tissue thickening surrounding the right carotid space which was present on the prior exam and remains unchanged. There... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.No evidence for brain metastases.3.Degenerative cervical spine worse at C5-6 are stable since prior exam |
Generate impression based on findings. | 48 year-old male with history of head and neck cancer. Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. A left-sided level 2 lymph node now measures 8 x 4 mm axial dimensions (previously measuring 9 x 5 mm). Within the infrahyoid neck on the basis of size c... | No cervical lymphadenopathy or mass. Stable left level 2 reference node. |
Generate impression based on findings. | 52 year-old female with abdominal pain and bloating ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Subcentimeter hypodense lesion in the inferior right hepatic lobe, which is too small to characterize. No suspicious focal hepatic lesions. No intrahepatic or extrahepatic biliary ductal dilata... | No intra-abdominal pathology evident. No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | 28 year-old female with intermittent right facial numbness and weakness. 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 collection/acute hemorrhage. The osseous structures are... | No acute intracranial abnormality. |
Generate impression based on findings. | Reason: History of open sternal wound with chronic dehiscence, chronic non-healing sinus tract in chest wall History: Open sinus track in chest wall LUNGS AND PLEURA: Severe mainly upper zone centrilobular emphysema.Focal scar like opacity in the anterior segment of the right upper lobe and at both lung bases.Micronodu... | Nonunion of the sternotomy incision with a sinus tract and anterior mediastinal collection of contrast material, which has been recently injected. The results of that procedure will be reported separately. Mild nonspecific opacity anteriorly in the right lung which may correlate with a bronchopleural fistula demonstrat... |
Generate impression based on findings. | Reason: hx H\T\N ca, s/p CRT, evaluate dx and compare measurements to previous scans History: as above CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are present, unchanged, none suspicious for metastases.MEDIASTINUM AND HILA: Calcified left hilar lymph nodes from prior granulomatous disease.No mediastinal or... | 1. No evidence of metastases.2. New left sided rib fractures which appear posttraumatic. |
Generate impression based on findings. | 43 year-old female with mixed unilateral right hearing loss. CT RIGHT TEMPORAL BONEThe pinna is normal. The mastoid is well developed with clear air cells and intact trabeculae. The external auditory canal is normal. The middle ear cavity is aerated. The malleus, incus, and stapes are normal. The oval and round windows... | 1. Normal CT appearance of the otic capsule, labyrinthine windows, and internal auditory canals.2. No CT evidence for abnormality of the ossicles and middle ear cavity. |
Generate impression based on findings. | 65-year-old female with buccal cancer excised 8/2012. Follow-up examination. LUNGS AND PLEURA: Severe apical predominant centrilobular and paraseptal emphysema is again noted. Scattered micronodules, some of which are calcified are again noted and not significantly changed compared to the prior examination. No new or s... | 1.Pulmonary embolus affecting the left lower lobar and segmental pulmonary arteries, new since the prior examination. Findings were discussed with Dr. Maureen Crowley at the time of dictation.2.No evidence of metastatic disease.3.Severe emphysema. |
Generate impression based on findings. | History of metastatic breast cancer and known osseous disease with neck and back pain. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart and pericardium unremarkable.CHEST WALL: Extensive sclerotic metastases including the sternum, thoracic and... | Widespread osseous metastases, unchanged with no evidence of new metastatic disease except for increased sclerosis of L4. |
Generate impression based on findings. | Reason: COPD, super D protocol. screening for lung volume reduction History: dyspnea LUNGS AND PLEURA: Diffuse predominantly upper zone centrilobular emphysema.Focal scar like opacity at the right apex containing calcification and additional scarring anteriorly in the right midlung.6-mm nonspecific subpleural nodule ad... | Small nonspecific nodules, one of which is new, but most likely post inflammatory. A follow up scan is recommended in approximately 6 months to confirm stability or resolution. |
Generate impression based on findings. | 12-year-old male in high-speed MVA with facial laceration, loss of consciousness and right orbital tenderness. HeadThere is a small soft tissue hematoma over the right frontal bone and extensive soft tissue swelling over the midline anterior calvarium extending down to involve soft tissue of the face. There is a fronta... | 1. No evidence for acute intracranial hemorrhage mass effect or edema. 2. Soft tissue swelling over the mid anterior face. No evidence of fracture of the maxillofacial bones.3. Soft tissue laceration in the frontal and periorbital regions with underlying subgaleal hematoma and soft tissue emphysema. |
Generate impression based on findings. | 58 year-old female with vertigo and epistaxis. 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 collection/acute hemorrhage. The osseous structures are unremarkable. The paranas... | No acute intracranial abnormality. |
Generate impression based on findings. | 50 year-old female with dizziness on coumadin. 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 collection/acute hemorrhage. The osseous structures are unremarkable. The paranas... | No acute intracranial abnormality. |
Generate impression based on findings. | 69 year-old male with history of head and neck cancer. Follow-up. Since prior study has been further decreased size of reference lymph nodes discussed below. Left level 2 lymph node which measured 5 x 4 mm currently measures 4 x 4 mm on the current exam (series 4, image 45).Left level 3 node which measured 7 x 5 mm cur... | Mild decrease in size of reference cervical lymph nodes as discussed above. No evidence of local tumor recurrence or lymphadenopathy by CT criteria. |
Generate impression based on findings. | Clinical question: Evaluate for skull fracture. Signs and symptoms: Status post assault, loss of consciousness. Cleared drainage from nose. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Unremarkable cerebral cortex, cortical sulci, ventricul... | 1.Nonenhanced head CT demonstrates no acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings. Unremarkable intracranial content.2.Nonenhanced CT of maxillofacial region demonstrates no evidence of fracture of the skull base and no evidence of fluid within the paranasal sinuses or nasal passag... |
Generate impression based on findings. | 63-year-old male with history of non-small cell lung cancer status post SBRT. Routine surveillance evaluation. CHEST:LUNGS AND PLEURA: Interval increase in right basilar linear opacities since the prior examination compatible with post radiation changes. Suture material is again noted in the right lower lobe compatible... | 1.Increased linear opacities in the right lower lobe compatible with radiation related changes, with numerous new micronodules in the right lung which are primarily located in a clustered distribution in the right lower lobe. These are nonspecific but raise the possibility of metastatic disease. Continued short term fo... |
Generate impression based on findings. | 43 year-old female with olfactory neuroblastoma status post partial resection and CRT. Reason: ONB s/p CRT and resection, stage for metastatic disease. CHEST:LUNGS AND PLEURA: Unchanged micro-nodule in the right middle lobe (series 5 image 55). Other scattered micronodules are unchanged. No new nodules or masses. No pl... | No measurable metastatic disease. |
Generate impression based on findings. | Reason: h/o HNC, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: No significant abnormality noted. No suspicious nodules.MEDIASTINUM AND HILA: No significant lymphadenopathy.Severe coronary artery calcification.CHEST WALL: No significant abnormality noted.ABDOMEN: Absence of enteric contrast... | No evidence of metastatic disease. |
Generate impression based on findings. | Clinical question: Evaluate for left maxillary sinus polyps. Signs and symptoms: Nasal obstruction. Medtronic fusion sinus CT:Frontal sinuses demonstrate minimal mucosal thickening in the dependent portion.Ethmoid sinuses demonstrate mild to moderate chronic sinus disease bilaterally.Sphenoid sinus demonstrate minimal ... | 1.No evidence of acute sinusitis present.2.Mild to moderate chronic pansinusitis.3.Occluded bilateral ostiomeatal units and bilateral sphenoethmoidal recess.4.Increased soft tissue density in the nasal passage on the left at the level of left middle turbinate and increased soft tissue bilaterally along the posterior as... |
Generate impression based on findings. | 84-year-old female with history of ILD, follow up. LUNGS AND PLEURA: Mild basilar predominant subpleural fibrosis and bronchiectasis, unchanged. Mild honeycombing in the lung bases. No evidence of airtrapping on expiratory series. Left upper lobe calcified granulomas unchanged.MEDIASTINUM AND HILA: Mildly enlarged para... | Unchanged subpleural basilar predominant fibrosis and bronchiectasis with mild honeycombing, suggestive of UIP. |
Generate impression based on findings. | 74-year-old female with severe dementia, left leg hyperreflexia, tremor, muscle contractures, axial rigidity. There is sulcal prominence especially in bilateral frontal and temporal lobes suggesting volume loss with preservation of volume in the parietal occipital lobe. There is associated ex vacuo dilatation of the CS... | 1. No CT evidence of acute hemorrhage, mass-effect, or edema. CT is insensitive for the detection of nonhemorrhagic ischemic infarct. If clinical suspicion for infarct persists, MRI is recommended.2. Cortical atrophy of bilateral frontotemporal lobes. |
Generate impression based on findings. | 72-year-old female with pelvic pain and difficulty urinating, rule out renal stone ABDOMEN:LUNG BASES: 1.5 cm scarlike opacity in the right lower lobe (4/18).LIVER, BILIARY TRACT: Status post cholecystectomy. No focal renal lesions. SPLEEN: Borderline enlarged spleen.PANCREAS: Atrophic pancreas.ADRENAL GLANDS: No signi... | 1.No nephroureterolithiasis. No hydronephrosis.2.Moderate abdominopelvic ascites.3.1.5 cm scarlike opacity in the right lower lobe appears benign. Recommend comparison with prior outside imaging if available. |
Generate impression based on findings. | Status post bone marrow transplant. Drug-induced neutropenia. PULMONARY ARTERIES: No evidence of pulmonary embolism.LUNGS AND PLEURA: Significant increase in bilateral pleural effusions and bibasilar air space opacities.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.... | Significant increase in bilateral pleural effusions and bibasilar airspace opacities when compared with previous CT on 07/08/13.No evidence of pulmonary embolism. |
Generate impression based on findings. | Pain, or please evaluate prior to replacement Left forearm: Stable appearing partially fused comminuted and impacted distal radius fracture. Persistent minimal 2 mm step-off noted in the articular surface with extensive bridging callus formation. The positive ulnar variance and measures 5 mm. No additional new superimp... | Healing and essentially unchanged distal left radial fracture with reference measurements provided |
Generate impression based on findings. | Patient unable to raise arms, shoulder pain. Preoperative check prior to replacement. Diffuse demineralization limits sensitivity.Complete rotator cuff tear compatible with the previous plain films. Superimposed severe degenerative changes including extensive osteophytes, subchondral cysts and sclerosis are observed. M... | Severe osteophytic changes as detailed |
Generate impression based on findings. | 75 year old female with metastatic ovarian cancer and a palpable abdominal mass on exam CHEST:LUNGS AND PLEURA: Large left pleural effusion, now with complete atelectasis of the left lower lobe. The effusion is once again obscuring assessment of the nodularity at the left lung base. No right-sided pleural effusion. Mul... | 1. Interval decrease in ascites with a moderate amount of free intraperitoneal air, likely related to recent paracentesis. No definite intraperitoneal collection of oral contrast is seen.2. Matted loops of small bowel in the lower midabdomen, likely representing the patient's palpable mass. 3. Multiple tree in bud opac... |
Generate impression based on findings. | 67-year-old female with abdominal pain diarrhea and weight loss with Dr. Killeen and common bile duct stone status post ERCP with persistent symptoms. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter hepatic hypodensities are unchanged. Mild intrahepatic biliary ductal dilatation ... | 1.Nonspecific bowel wall thickening and dilatation involving multiple small bowel loops appears similar to the prior exam and likely represents an enteritis with infectious and inflammatory etiologies considered.2.Interval increase in severe bilateral thickening of the ascending colon likely represents a nonspecific co... |
Generate impression based on findings. | Reason: ONB s/p CRT and resection. Stage for metastatic disease History: ONB The patient is status post frontal craniotomy for removal of a right ethmoid air cell and frontal sinus mass (known to be an olfactory neuroblastoma). A mesh has been placed along the anterior cranial fossa. There is extra axial fluid present ... | 1.No evidence for neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.Moderate spinal stenosis at C5-6.3.Status post frontal craniotomy with attendant post surgical changes which are not completely included on this exam but appear to continue to evolve. Soft tissue thickening at the surgical site... |
Generate impression based on findings. | Reason: Is there evidence of lumbar metastatic or other pathology contributing to pt's leg weakness? History: Is there evidence of lumbar metastatic or other pathology contributing to pt's leg weakness? Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. A... | 1.Mild to moderate spinal stenosis at L4-5 and L3-4 associated with encroachment of the right exiting nerve roots at these levels. There is also encroachment of exiting nerve roots at L5-S1 bilaterally2.No lesions identified on CT suggestive of metastases. |
Generate impression based on findings. | 92 year-old female with history of DVT, now with hypoxia and shortness of breath. PULMONARY ARTERIES: Study limited by motion and incomplete scan of the field of view within single breathhold. Attenuation of the left lower lobe pulmonary artery corresponds to pulmonary embolus from 8/2007 without significant change. Ma... | 1.No evidence of acute pulmonary embolus. Left lower lobe pulmonary artery unchanged in attenuation and likely thrombosed.2.Right lower lobe pulmonary nodules.3.Basal atelectasis and debris in the airway suggestive of aspiration. |
Generate impression based on findings. | Reason: r/o disease progression History: R side pain. CHEST:LUNGS AND PLEURA: Nonspecific scattered pulmonary micronodules are unchanged from the prior study. No consolidation or pleural effusion.MEDIASTINUM AND HILA: Nonspecific hypodense right thyroid lesion unchanged. Enlarged subcarinal lymph node is increased in s... | 1.Increase in size of mediastinal lymph node, suspicious for metastatic disease. Consider correlation with PET CT.2.Status post right nephrectomy without evidence of local recurrence. |
Generate impression based on findings. | Female 88 years old; Reason: eval History: abd pain ABDOMEN:LUNG BASES: Multiple pulmonary nodules are again noted, without significant change. The previously referenced right lower lobe nodule which again measures 7 x 7 mm (image 23, series 4). Dependent atelectasis is seen in lung bases.LIVER, BILIARY TRACT: Liver hy... | 1.Cecal mass consistent with known colon cancer is again noted. 2.Nonspecific focally dilated loop of jejunum. No specific evidence of obstruction.3.Partially visualized pulmonary nodules in the lung bases are unchanged.4.Lytic lesion in left iliac wing is unchanged. |
Generate impression based on findings. | 14-year-old male. Headache, vomiting. There is no intracranial mass or fluid collection, hemorrhage, hydrocephalus or evidence of acute ischemia. At the level the foreman magnum, there is crowding by the cerebellar tonsils which descend 5 mm beyond the basion-epistion line. The posterior fossa is otherwise unremarkable... | Crowding of the foramen magnum by cerebellar tonsils in keeping with Chiari 1 malformation. |
Generate impression based on findings. | Male 58 years old; Reason: 58M with acute pancreatitis, eval for improvement History: abd pain The absence of intravenous contrast limits evaluation of the solid organs. Given these limitations, the following observations were made:ABDOMEN:LUNG BASES: Bilateral moderate pleural effusions are again noted with compressiv... | 1.Decrease in peripancreatic fluid collections. 2.Decrease in fluid collections along the greater curvature of the stomach and around the left liver. |
Generate impression based on findings. | 52-year-old female with headache. Small well-defined area of soft tissue density within the soft tissue overlying the left parietal bone most likely an incidental sebaceous cyst.The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | 16 year old female with right lower quadrant pain. ABDOMEN:LUNG BASES: No focal lung opacities or effusions.LIVER, BILIARY TRACT: Normal hepatic enhancement without focal lesion. No intra-or extrahepatic biliary ductal dilatation. The gallbladder is mildly distended and normal.SPLEEN: Normal enhancement and morphology.... | Normal exam. |
Generate impression based on findings. | 69-year-old male with history of pleuritic chest pain and tachycardia. PULMONARY ARTERIES: Technically adequate study with no evidence of pulmonary emboli.LUNGS AND PLEURA: Moderate to severe subpleural honeycombing, not significantly changed and consistent with patient's history of rheumatoid arthritis. No pneumothora... | 1.No evidence of pulmonary emboli.2.Interval decrease in pleural effusion, pericardial effusion, and collection anterior to the manubrium.3.Stable ILD. |
Generate impression based on findings. | Female 62 years old; Reason: presence of new fistula or partial SBO History: abd pain The absence of intravenous contrast limits evaluation of the solid organs. Given this limitation, the following observations were made:ABDOMEN:LUNG BASES: Nonspecific pulmonary micronodules are seen in the lung bases measuring up to 4... | 1.Mildly distended bowel loops in the pelvis, overall decreased in caliber from the prior study. No specific evidence for bowel obstruction.2.No definite fistula identified.3.Nonspecific pulmonary micronodules measuring to 4 mm. If the patient is a high risk for lung malignancy, a follow up CT of the chest is recommend... |
Generate impression based on findings. | Male 35 years old; Reason: eval for stone History: L flank pain The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant ab... | Nonobstructing renal stones without evidence of a ureteral stone or hydronephrosis. |
Generate impression based on findings. | Female 32 years old; Reason: eval for hydronephrosis, pyelonephritis History: left sided flank pain, fever, dirty urine The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:ABDOMEN:LUNG BASES: No significant a... | 1.Probable left pyelonephritis without hydronephrosis.2.Evaluation for renal abscess is limited without intravenous contrast, no likely a fluid collection is seen.3.Probable nonobstructing right renal stones. |
Generate impression based on findings. | 59 year old female. Altered mental status. There are multiple, bilateral hypoattenuating foci demonstrated. The most prominent of these lesions are demonstrated within the left frontal and right occipital lobes with smaller patchy areas of hypoattenuation demonstrated throughout the ventricular and subcortical white ma... | Hypoattenuation within left frontal and occipital lobes most likely representing chronic infarct superimposed on a background of chronic small vessel ischemic disease. If there is continued clinical concern for acute ischemia, MRI would be recommended. |
Generate impression based on findings. | 50 year-old male with history of malignant neoplasm of the larynx and productive cough. LUNGS AND PLEURA: Scattered micronodules. Left lower lobe subpleural nodule is small measuring 6 mm, and non-specific (series 4, image 166). Few apical bullae. MEDIASTINUM AND HILA: Multiple mildly enlarged left cervical lymph nodes... | Nonspecific 6-mm subpleural nodule otherwise unremarkable. |
Generate impression based on findings. | 8-year-old female with abdominal pain and hematochezia, chronic anemia. ABDOMEN:LUNG BASES: No focal lung opacity or pleural effusions.LIVER, BILIARY TRACT: Normal hepatic enhancement without focal lesion. No intra-or extrahepatic biliary ductal dilatation. The gallbladder is mildly distended and normal.SPLEEN: Normal ... | Rectosigmoid wall thickening, enhancement and enlarged perirectal lymph nodes, likely infectious or inflammatory in etiology. |
Generate impression based on findings. | 68-year-old female with altered mental status. There is redemonstration of soft tissue prominence in the nasopharynx which is unchanged compared to prior exam. There is mucosal thickening of the right maxillary sinus. There is mucosal thickening of bilateral sphenoid sinuses which is decreased compared to prior exam. T... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Partial opacification of bilateral mastoid air cells and fluid within right middle ear canal.3.Mucosal thickening of bilateral sphenoid sinuses, decreased from prior exam.4.Redemonstration of soft tissue prominence in the nasopharynx which is unchan... |
Generate impression based on findings. | Female 25 years old; Reason: eval appendicitis History: RLQ tenderness, mild guarding, subjective fever ABDOMEN:LUNG 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 signi... | The appendix is normal. No evidence of bowel obstruction. |
Generate impression based on findings. | 65-year-old female with right-sided weakness. Rule out stroke. Head/neck: There is no intracranial mass, fluid collection, hemorrhage, hydrocephalus or evidence of acute ischemia. There is scattered periventricular/subcortical white matter hypoattenuation without mass effect. This most likely represents sequela of chro... | No evidence of CVA. Relatively mild atherosclerotic disease with calcification at the right subclavian and left carotid bifurcation. Normal variant anatomy including diminutive right vertebral artery and fetal origin left PCA.Degenerative changes of the cervical spine, heterogeneity of the thyroid gland and centrilobul... |
Generate impression based on findings. | 54-year-old male with history of tonsillar cancer, now with weight loss and dehydration. LUNGS AND PLEURA: Mild centrilobular emphysema. Debris in the posterior trachea consistent with small aspiration. No suspicious nodules or masses.MEDIASTINUM AND HILA: Small paratracheal and para-aortic lymph nodes, unchanged. Mild... | No evidence of metastatic disease with no significant interval change. |
Generate impression based on findings. | 8-year-old female in MVA, no loss of consciousness. The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. No evidence for fracture. The visu... | No evidence for acute intracranial hemorrhage mass effect or edema. No evidence for fracture. |
Generate impression based on findings. | 56-year-old male with altered mental status Patchy areas of hypoattenuation within the periventricular and subcortical white matter suggesting age indeterminate, small vessel ischemic disease. Multiple small foci of near CSF density within the left basal ganglia and right centrum semiovale likely represent old lacunar ... | No evidence for acute intracranial hemorrhage mass effect or edema. Age indeterminate, small vessel ischemic disease; CT is insensitive for the detection of acute, nonhemorrhagic ischemic disease, this if clinical suspicion persists MRI is recommended. |
Generate impression based on findings. | Reason: r/o dissection History: cp CHEST:LUNGS AND PLEURA: Smoothly marginated right apical nodule is unchanged on multiple prior studies and measures 9 x 7 mm (image 17, series 8). Calcified granulomas are seen throughout the lungs.Scattered areas of atelectasis are now seen in the lungs.MEDIASTINUM AND HILA: Multiple... | 1.Normal caliber and taper of the aorta without evidence of dissection.2.Upper mediastinal lymphadenopathy is unchanged and may be related to prior granulomatous disease.3.Severe atherosclerotic calcifications of the aorta and coronary arteries. |
Generate impression based on findings. | 69-year-old male with history of head and neck cancer. LUNGS AND PLEURA: Numerous bilateral lobulated nodules, basilar predominant and suggestive of extensive pulmonary metastases. The largest of these lesions is in the left lower lobe adjacent to the descending aorta (series 5, image 244) measures 22 x 20 mm axially. ... | 1.Numerous pulmonary nodules, likely extensive metastases.2.No significant mediastinal or hilar lymphadenopathy. |
Generate impression based on findings. | 47-year-old male with history of cryptogenic cirrhosis, now with AMS. The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized po... | No acute intracranial process to explain patient's stated symptoms. |
Generate impression based on findings. | Reason: r/o dissection vs other cause History: chest pain CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: The aorta is normal in caliber and taper with evidence of dissection. Incidental note is made of an aberrant right subclavian artery.No mediastinal or hilar lymphadenopathy seen. The ... | Aorta is of normal caliber and taper without evidence of dissection. |
Generate impression based on findings. | 32 year-old female with AMS. There is a large intraparenchymal hemorrhage located in the left basal ganglia measuring 49 x 33 mm in its maximum dimension on axial imaging. The hemorrhage extends into the CSF spaces and is visualized within the lateral ventricles, third ventricle, fourth ventricle. There is mild promine... | Large intraparenchymal hemorrhage located in the left basal ganglia extending into the ventricular system causing mass effect with rightward midline shift and partial effacement of the supersellar cistern. |
Generate impression based on findings. | Female 56 years old; Reason: Metastatic Rectal: Restaging History: n/a CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules, some of which are cavitary are again noted, some of which have increased in size. The previously referenced right lower lobe cavitary nodule now measures 1.6 cm (image 68, series 5). The previously... | 1.Multiple pulmonary nodules, some of which have increased in size. 2.No new lesions are identified. |
Generate impression based on findings. | Seizure. New masses or bleed? Within limitations of technique, there is been no significant change in dimension or distribution of the previously described extra-axial soft tissue attenuating lesions are in this patient with known metastatic neuroblastoma. There are no new intracranial masses, fluid collections includi... | Within limitations of technique, no significant change in dimension or distribution of the presumed intracranial neuroblastoma metastases which could be better characterized with MRI. No visualized intracranial hemorrhage. |
Generate impression based on findings. | 78-year-old female with left ventricular thrombus now with headache and dizziness. There is a focal area of hypoattenuation with CSF density consistent with encephalomalacia of the right frontal lobe, which is new compared to prior exam. There are patchy areas of hypoattenuation in the periventricular white matter cons... | 1.No evidence for acute intracranial hemorrhage mass effect or edema. CT is insensitive for the detection of acute nonhemorrhagic, ischemic infarct. If clinical suspicion persists, MRI is recommended.2.Right frontal lobe encephalomalacia from likely prior infarct.3.Age indeterminate lacunar infarcts involving the right... |
Generate impression based on findings. | 49-year-old female post embolization/resection of a right-sided AVM to follow recent clamping of the EVD. There are postoperative findings including a bony defect related to the right parieto-occipital craniotomy, overlying skin staples and clips within the right occipital lobe. There is pneumocephalus anteriorly and s... | Stable ventricular caliber with no evidence of hydrocephalus following removal of the EVD catheter in this patient with recent craniotomy for resection of a right occipital AVM. |
Generate impression based on findings. | 32 year old female with intracranial hemorrhage. Stable moderate amount of subcutaneous air tracking laterally from interventricular catheter site. The right anterior approach intraventricular catheter tip remains in the right frontal horn. The left basal ganglia hemorrhage previously measuring 60 x 52 mm has remained ... | 1. Redemonstration of left basal ganglia hemorrhage with the relative stability in size continuing to cause a rightward midline shift with effacement of CSF cisterns.2. Redemonstration of decompression of the right anterior horn with persistent dilatation of the remainder of the ventricular system now with layering of ... |
Generate impression based on findings. | 32 year-old female with intracranial hemorrhage. Moderate amount of subcutaneous air tracking laterally from interventricular catheter site. The right anterior approach intraventricular catheter tip remains in the right frontal horn. There is interval increase in the size of the left basal ganglia hemorrhage previously... | 1. Redemonstration of left basal ganglia hemorrhage with interval increase in size causing an increased rightward midline shift with effacement of CSF cisterns.2. Interval decompression of the right anterior horn with persistent dilatation of the remainder of the ventricular system. |
Generate impression based on findings. | 72-year-old male. Previous stroke. There is been a right frontotemporal craniotomy and there is encephalomalacia of the right temporal lobe with ex vacuo dilatation of the right trigone and temporal horn. Curvilinear soft tissue density with focal calcification underlying a skull flap most likely represents postoperati... | 1.No acute findings suggestive of CVA. If there is persistent concern, MRI examination could add sensitivity.2.Postop changes related to right frontotemporal craniotomy including presumed chronic dural thickening and temporal encephalomalacia.3.Encephalomalacia within the posteromedial right frontal lobe which most lik... |
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