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Generate impression based on findings. | Male 65 years old; Reason: metastatic prostate cancer, evaluation of disease baseline for initiation of investigational therapy. History: metastatic prostate cancer. ABDOMEN:LUNGS BASES: Trace pleural effusions are new. Basilar calcified pleural plaques.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No ... | 1.Extensive osseous metastatic disease.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female 69 years old; Reason: Evaluate for nephrolithiasis History: Stage IV CKD, Chron's disease. Has a h/o nephrolithiasis ABDOMEN:LUNGS BASES: Left lower lobe granuloma. Subcentimeter left lobe pulmonary nodule (image 7 slight series 5) is unchanged.LIVER, BILIARY TRACT: Liver is normal in morphology. Calcified galls... | 1.Calcifications in the right kidney may represent nonobstructive calculi or vascular calcifications.2.Atrophic left kidney.3.Small bowel obstruction has resolved. |
Generate impression based on findings. | Reason: lung transplant waitlist History: sob, has a history of Sjogren's disease LUNGS AND PLEURA: Basilar predominant subpleural reticulation, architectural distortion, traction bronchiectasis, and mild honeycombing is similar in appearance to the prior exam.Patchy areas of air trapping again identified.Postsurgical ... | Stable basilar predominant fibrosis in a UIP or fibrosing NSIP pattern. As per history , this may represent Sjogren's associated interstitial lung disease. |
Generate impression based on findings. | Male 73 years old; Reason: Please assess for metastases after two months on investigational drug, compare to previous exam History: Prostate cancer CHEST:LUNGS AND PLEURA: Right lower lobe granulomata. No suspicious pulmonary lesions.The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is enlarged. No pericard... | 1.Decrease in the size of the reference lymph nodes. |
Generate impression based on findings. | Male 75 years old; Reason: right kidney mass History: eval for cyst vs carcinoma ABDOMEN:LUNGS BASES: Post inflammatory changes of the right middle and lower lobes with fibrosis and bronchiectasis. Focal ground glass opacities and consolidation within the right lower lobe likely inflammatory and can be evaluated after ... | 1.High attenuating 1.9-cm nonenhancing cystic lesion, which likely represents a hemorrhagic renal cyst. |
Generate impression based on findings. | 50 year-old male with right frontal and maxillary pain. The orbits are unremarkable except for dilatation of the right superior ophthalmic vein. Previously seen mild right periorbital (preseptal) cellulitis has resolved. The mastoids are clear. Limited view of the intracranial structure is unremarkable. The patient is ... | 1. Resolution of mild right periorbital (preseptal) cellulitis. 2. Dilatation of the right superior ophthalmic vein. 3. Mild paranasal sinus inflammatory disease and postsurgical changes as above. |
Generate impression based on findings. | Female 60 years old; Reason: RCC; please perform triphasic on pancreas; please assess for disease progression History: RCC CHEST:LUNGS AND PLEURA: No suspicious bony lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, B... | 1.Near stable size measurements of the 4 hypervascular pancreatic lesions. |
Generate impression based on findings. | 20 months status post left upper lobectomy for management of T1aN0M0 stage 1A adenocarcinoma. Evaluate pulmonary nodules LUNGS AND PLEURA: Postop change left upper lobectomy. Multiple nonspecific bilateral pulmonary nodules. The reference nodule in the right middle lobe measures 11 x 7 mm on image 61/96 (12 x 8 mm on p... | Stable nonspecific pulmonary nodules. |
Generate impression based on findings. | Female, 48 years old, headache for 4 months. Evaluate for mass. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift. The ventricles and basal cist... | 1. No acute intracranial abdomen.2. Right maxillary sinus mucus retention cyst or polyp. Possible partial opacification of the left mastoid air cells. Correlation with clinical symptoms is suggested to determine the significance of this finding. |
Generate impression based on findings. | 60 year old female. New-onset ascites, rule malignancy. CHEST:LUNGS AND PLEURA: Scattered, nonspecific pulmonary micronodules are unchanged. No suspicious pulmonary masses. Interval improvement of small right pleural effusion.MEDIASTINUM AND HILA: Left chest ICD. Atherosclerotic calcification of the aorta, and coronary... | 1.Nodular enhancement of the gastric body, further evaluation with endoscopy is suggested.2.Loculated fluid in the lesser sac and omentum with associated nodularity. This may represent peritoneal disease.3.Indeterminate left upper pole renal lesion, could represent solid neoplasm.4.Features suggestive of cirrhotic morp... |
Generate impression based on findings. | Reason: Pre-kidney transplant evaluation, assess aorta and iliac vessels for kidney transplant History: Pre-kidney transplant evaluation, assess aorta and iliac vessels for kidney transplant, ESRD on HD ABDOMEN:LUNG BASES: The previously noted 7 x 8mm pleural-based nodule in the right lower lobe is not included on this... | 1. Diffuse bulky lymphadenopathy affecting the retroperitoneum, pelvis, inguinal region, with calcification of some retroperitoneal nodes with associated splenic lesions as described above.Lymphoma or metastatic disease are possibilities. Consider tissue diagnosis for further characterization. 2. Mild atheromatous calc... |
Generate impression based on findings. | Reason: h/o HNC and breast ca, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Rule improvement in the right middle lobe air space opacities compatible with aspiration/infection.Upper lobe predominant centrilobular emphysema.No suspicious pulmonary nodules or masses.No pleural effusions.MEDI... | No evidence of metastatic disease. Interval improvement in the right middle lobe opacity compatible with aspiration/infection. |
Generate impression based on findings. | Known cavitary nodule in right lower lobe. Checkup. LUNGS AND PLEURA: Nonspecific 11 x 8mm cavitary thick-walled nodule in right lower lobe (image 215/331). Emphysema. Scattered punctate micronodules bilaterally.MEDIASTINUM AND HILA: Nonspecific diffuse enlargement of thyroid gland. Coronary calcification. Borderline c... | 1. Thick-walled cavitary nodule in right lower lobe suggestive of malignancy. Necrotizing infection is also a consideration but is less likely. Presumably there has been prior CT imaging and a direct comparison can be made if these images are available. Alternatively a PET/CT can be considered for further evaluation.2.... |
Generate impression based on findings. | 64-year-old female with suspected lung cancer, evaluate left upper lobe nodule, status post lymph node biopsy CHEST: Lack of intravenous contrast limits evaluation of the mediastinum and lymph nodes.LUNGS AND PLEURA: Severe centrilobular emphysema. Multiple left upper lobe nodular opacities. Reference left upper lobe m... | 1.Left upper lobe mass like consolidation with air bronchograms may represent a primary bronchogenic cancer.2.Stable anterior left upper lobe nodule, most likely benign. 3.Stable mediastinal lymphadenopathy.4.No additional suspicious lesions. |
Generate impression based on findings. | 51-year-old male with mesothelioma. Please evaluate for disease and compare with previous scans with target lesions to follow during treatment. ABDOMEN:LUNG BASES: Please refer to separate report on CT of the Chest for findings in lung bases. LIVER, BILIARY TRACT: There is a round, hypoattenuating lesion measuring 0.8 ... | 1. No observed disease within the peritoneum. There is abnormal thickening superior to the liver favoring pleura over peritoneum.2. Small, hypoattenuating lesion in segment VI of the liver which is indeterminate. Special attention of this lesion should be made on future scans. |
Generate impression based on findings. | Female, 9 months old, history of hydrocephalus, with fluid tracking along the shunt course. Right frontal approach ventricular shunt catheter is in place. The tip of the shunt is situated at midline between the lateral ventricles. This is a change from the prior examination where the tip was situated in the posterior b... | 1. Right frontal approach ventricular shunt catheter with its tip at the midline between the lateral ventricles.2. As suggested by history, there does appear to be a cuff of fluid surrounding the shunt reservoir and the proximal subcutaneous portion of the catheter. The visualized radiopaque portions of the system seem... |
Generate impression based on findings. | 87 year-old female with change in seizure. Again seen is hypoattenuation in the right parietooccipital region with ex vacuo dilatation of the right lateral ventricle, compatible with prior infarction. There is stable periventricular white matter hypoattenuation, likely representing small vessel ischemic disease of inde... | 1. No acute intracranial hemorrhage. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. 2. Small vessel ischemic disease of indeterminate age. Brain volume loss. 3. Chronic appearing infarcts in the right parietooccipital lobes. 4. Probable acute sinusitis. |
Generate impression based on findings. | Fevers, immunocompromised. Assess for infection. LUNGS AND PLEURA: Clustered nodules, partially calcified with cicatricial emphysema, in the superior segment left lower lobe (image 29/111) are not significantly changed from 2006 CT. No new opacity to suggest pneumonia. Linear scarring and atelectasis at the lung bases,... | New basilar scarring and atelectasis but no definitive evidence of pneumonia. |
Generate impression based on findings. | 89-year-old male with known right MCA infarct and left hemiplegia. CT brain without contrast:Right middle frontal gyrus hypoattenuation with mild adjacent sulcal effacement, likely represents a subacute infarction, unchanged. A small calcified lesion in the right frontal region likely represents a meningioma. Patchy hy... | 1.Stable, likely subacute right frontal infarct2.Near complete stenosis of the origin of the right internal carotid artery with decreased distal flow and perfusion as described above.3.Moderate stenoses of the right cavernous carotid as well as right vertebral artery origin.4.Mild stenosis of the left vertebral artery ... |
Generate impression based on findings. | 57 year-old female with nasal congestion. The orbits are unremarkable except for lens prostheses and minimal proptosis. The mastoids are clear. Limited view of the intracranial structure is unremarkable. There is minimal maxillary sinus mucosal thickening. There is minimal leftward nasal septal deviation with a small b... | Minimal maxillary sinus mucosal thickening. Minimal leftward nasal septal deviation with a small bony spur. |
Generate impression based on findings. | 72 year old male. History of metastatic renal cell cancer on therapy. Evaluate for disease control or metastatic progression. CHEST:The exam is not sensitive detecting lesions in the solid organs due to lack of intravenous contrast. Given that limitation, the following observations are made:LUNGS AND PLEURA: Reference ... | Interval increase in size of reference pulmonary nodule, right hilar lymph node, and chest wall mass. |
Generate impression based on findings. | Metastatic breast cancer to liver and lung. On chemo. CHEST:LUNGS AND PLEURA: Reference right upper lobe nodule is now nearly completely cavitary and has a thin wall. It measures 11 x 10 mm on image 37/109 (16 x 14 mm on prior). Scattered punctate micronodules are unchanged. Scarring and calcification in the left upper... | Metastatic breast cancer with decrease in reference measurements as above. |
Generate impression based on findings. | 62 year-old female with head and neck cancer, compared to previous and provide measurements. Mucosal thickening within the pharynx and larynx appears to have slightly decreased over the interim, where as previously it was mildly thicker. There are no distinct focal masses or enhancement to suggest recurrent tumor. Ther... | 1.No clinically significant lymphadenopathy.2.Mucosal thickening within the pharynx and larynx has slightly decreased.3.There are no distinct focal masses or enhancement to suggest recurrent tumor. |
Generate impression based on findings. | 84 year old female. Abdominal pain. Assess size of abscess. Status post several weeks of IV antibiotic therapy and drainage. CHEST:LUNGS AND PLEURA: Small bilateral pleural effusions, unchanged. MEDIASTINUM AND HILA: Cardiac size is enlarged. Left apical ventricular aneurysm, unchanged.CHEST WALL: No significant abnorm... | Interval resolution of left iliac fossa abscess, with remaining small residual gas filled pocket. |
Generate impression based on findings. | Head and neck cancer. Previous re-eval. CHEST:LUNGS AND PLEURA: Right apical radiation fibrosis and right middle lobe aspiration bronchiolitis unchanged. Scattered punctate micronodules unchanged and likely postinflammatory. Cluster of centrilobular nodules and tree in bud opacity at the right lung base have nearly com... | No definitive evidence of metastatic disease. Nearly completely resolved aspiration bronchiolitis in the right lower lobe. |
Generate impression based on findings. | History of lip and larynx cancer. Rule out lung metastases. LUNGS AND PLEURA: Emphysema. Calcified granulomas on the right. No evidence of pulmonary metastases.MEDIASTINUM AND HILA: Scattered small mediastinal nodes. Calcified right hilar and mediastinal lymph nodes consistent with healed granulomatous disease. Atheros... | No evidence of pulmonary metastases.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 3 year-old female with spastic gait. There is normal lumbar lordosis. The lumbar spine alignment is anatomic. There is a detect of the midline dorsal sacral canal at S1. There is no neural extracanalicular extension. Otherwise, the vertebral bodies, pedicles, lamina, facets, and posterior elements are intact with no ev... | Detect of the midline dorsal sacral canal at S1 with no neural extracanalicular extension is compatible with spina bifida occulta. |
Generate impression based on findings. | History of metastatic breast cancer on treatment. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Left supraclavicular reference lymph node is stable at 6 mm (image 2/134).Previously referenced AP window lymph node is stable at 8 mm in its short axis (image 25/134).Previously referenced s... | Metastatic breast cancer with stable to marginally increased reference measurements as above. |
Generate impression based on findings. | 41-year-old male with HNC. Please reevaluate. Redemonstration of extensive postsurgical and post treatment changes of the right neck including effacement and thickening of the fascial planes, right jugular vein sacrifice, right submandibular gland resection, and lytic changes of the thyroid cartilage, appearing stable ... | 1.Post surgical and post treatment changes of the right neck with no evidence of local tumor recurrence or cervical lymphadenopathy on the basis of CT size criteria.2.Lytic changes of the right mandible, possibly representing osteonecrosis, with slight interval increase along the anterior body. 3.Please see separately ... |
Generate impression based on findings. | 86 year-old male with lip cancer. The orbits are unremarkable except for lens prostheses. The paranasal sinuses and mastoid air cells are clear except for minimal maxillary sinus mucosal thickening. Limited view of the intracranial structure mild small vessel ischemic change in the periventricular white matter. Visuali... | Visualization of the lips and part of the oral tongue is obscured by streak artifacts from the patient's dental hardware. No lymphadenopathy or mass is noted elsewhere of the neck. |
Generate impression based on findings. | 32 year old female with history of nasal polyps status post sinus surgery The frontal sinuses are clear. There is minimal mucosal thickening of the ethmoid air cells. There is moderate mucosal thickening in multiple polyps/retention cysts within both maxillary sinuses. The sphenoid sinuses are clear. The infundibula of... | Bilateral maxillary sinus retention cyst/polyps and mild paranasal sinus mucosal thickening. |
Generate impression based on findings. | 62-year-old male with metastatic lung cancer, status post chemotherapy and chest radiation therapy. History of radiation therapy pneumonitis. Please correlate with previous study and evaluate disease status. Please comment on the left supraclavicular lymph node. CHEST:LUNGS AND PLEURA: Left pleural effusion appears sli... | 1. Interval increase in size of retroperitoneal lymph nodes and stable mediastinal/retroclavicular lymph nodes. 2. Bilateral pulmonary ground glass opacities, favor inflammatory cause but can not exclude infection. |
Generate impression based on findings. | History of head and neck cancer. New complaint of painful swallowing back of the throat. CHEST:LUNGS AND PLEURA: Mild nonspecific bronchial wall thickening. Scattered punctate micronodules, some of which are calcified, are stable and presumably benign. No evidence of pulmonary metastases.MEDIASTINUM AND HILA: Coronary ... | No evidence of metastatic disease. Please see dedicated neck CT report for further details. |
Generate impression based on findings. | Male 60 years old; Reason: pancreatic pseudocyst History: abdominal pain ABDOMEN:LUNGS BASES: A nonspecific low attenuating lesion noted in the left ventricle.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Status post splenectomy. Patient is status post removal of the left upper quadrant drain.Fluid in t... | 1. Status post removal of the left upper quadrant drain with interval decrease in the previously known pseudocyst/abscess. Residual fluid cavity with focus of gas still noted. Stable fluid in the pancreatic surgical bed. |
Generate impression based on findings. | 68 year-old male with history of head and neck cancer, status post CRT and The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure is unremarkable. The tongue and tonsils are unremarkable. No mass or lymphadenopathy is noted. The left submandibular ... | 1. Stable posttreatment change with no cervical lymphadenopathy or mass. 2. Multilevel degenerative changes of the cervical spine. |
Generate impression based on findings. | Male 27 years old; Reason: Pt s/p Lap appy 7/23 for perforated appendix now continues to vomit - please eval for abscess or obstruction History: Nausea and vomiting ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. Hepatic and porta... | 1.Findings of a small bowel obstruction with a transition in the right lower abdomen. The lack of enteric contrast limits evaluation for mesenteric fluid collections.2.Intraperitoneal air, likely postoperative3.Findings discussed with Alaine Kamm in the surgery department at the time of dictation via telephone. |
Generate impression based on findings. | 42 year old female. Ovarian cancer, status post chemotherapy. Assess disease status CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Right chest port with tip at the cavoatrial junction. Heart size is normal. No pericardial effusion. No mediastinal or hilar lymphadenopathy.CHEST WALL: No s... | 1.Postsurgical changes status post hysterectomy, bilateral salpingo-oophorectomy, omentectomy, and splenectomy as detailed above.2.Interval decrease in size of fluid collection in the splenectomy surgical bed.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 75 year old female. Uterine cancer, status post 4 cycles of chemotherapy. Evaluate disease process compared to prior exam. CHEST:LUNGS AND PLEURA: Left lower lobe subcentimeter pulmonary nodule was not previously seen (lung series image 75). Reference right upper lobe nodule measures 4 mm.MEDIASTINUM AND HILA: Interval... | 1. Subcentimeter left lower lobe pulmonary nodule, which was not previously seen.2. Interval development of enlarged AP window lymph node.3. Soft tissue thickening of the vaginal cuff, not significantly changed. |
Generate impression based on findings. | Male 82 years old; Reason: assess for infection History: abd pain ABDOMEN:LUNGS BASES: Right lower lobe airspace disease is new. There is a right hilar mass measuring 3.4 cm. Trace pericardial effusion..LIVER, BILIARY TRACT: Multiple hypodense hepatic lesions some of which are new. The segment 7 lesion measures 3.7 x 3... | 1.New right lower lobe pneumonia.2.Increase in the size of the metastatic deposits.3.Cholelithiasis.4.New perinephric inflammation, correlate with urinalysis to exclude a infection.5.Progression of hepatic lesions and new right perihilar mass. |
Generate impression based on findings. | Status post left video-assisted thoracoscopy, talc pleurodesis, adhesional lysis, pleural biopsy. Possible lung cancer. CHEST:LUNGS AND PLEURA: Left lung mass in the apical posterior segment of the upper lobe measures 42 x 36 mm (image 31/126) and abuts the fissure. It extends to the chest wall there. There has been in... | 1. Left upper lobe mass extending to chest wall consistent with primary lung cancer.2. Interval decrease in left pleural effusion though some small loculations persist. |
Generate impression based on findings. | Female, 45 years old, history of stroke, ruptured aneurysm, shunt, ventriculomegaly, second unruptured aneurysm with growth. Six month evaluation for changes. Redemonstration of right-sided craniotomy. An aneurysm clip is redemonstrated in stable position in the right parasellar region.A right parietal approach ventric... | 1. Stable aneurysmal dilatations of the cavernous and ophthalmic segments of the left ICA.2. Stable fusiform dilatation of the basilar artery.3. Redemonstration of a thrombosed reportedly left PCA aneurysm with no contrast opacification to suggest recanalization. |
Generate impression based on findings. | 51 year old female with mesothelioma, please evaluate for disease and compare to previous scans with target lesions to follow during treatment LUNGS AND PLEURA: Right pleural thickening, nodularity, and loculated pleural fluid with areas of pleural calcification. Reference measurements are as follows:1.At the level of ... | 1.Right pleural thickening and nodularity compatible with history of mesothelioma. Reference measurements as above.2.Right pulmonary edema.3.Mediastinal and right hilar lymphadenopathy.4.Subdiaphragmatic nodular thickening in the region of the right posterior costophrenic angle compatible with tumor involvement. |
Generate impression based on findings. | History of esophageal cancer status post esophagectomy complicated by fistula. CHEST:LUNGS AND PLEURA: Emphysema. Right middle lobe scarring and atelectasis, unchanged. Paramediastinal fibrosis likely due to radiation therapy.MEDIASTINUM AND HILA: Status post esophagectomy with gastric interposition. Aberrant right sub... | No evidence of measurable disease. |
Generate impression based on findings. | Male 25 years old; Reason: r/o appendicitis History: abdominal and back 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 abnormality noted.K... | 1.No CT evidence for appendicitis.2.Patchy enhancement of the kidneys may be due to underlying infection or poor renal function.3.Colonic diverticulosis. |
Generate impression based on findings. | 77 year-old male with right mandible cancer. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure is unremarkable. Examination shows mass lesion involving the body and mental portion of the right mandibular. There is involvement of the right ment... | Right mandible mass with cortical disruption and involvement of the right mental foramen and mandibular canal. No cervical lymphadenopathy. |
Generate impression based on findings. | 51 year-old female with history of breast cancer, need baseline scan prior to starting a treatment. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Mildly enlarged pre-vascular AP window mediastinal lymph nodes. Reference lymph node measures 1.6 x 9.6 cm (seen on image 32 in series 3).CHE... | 1. Indeterminate segment VIII hepatic lesion, can not exclude metastatic disease. Recommend dedicated MRI for further evaluation. 2. Mildly enlarged mediastinal lymph nodes which may be reactive.3. Focal area of hyperattenuation along the left anterior chest wall is unusual for typical post-operative change. Although t... |
Generate impression based on findings. | Reason: 71 male with AML, r/o baseline sinusitis History: AML The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated. The frontal sinuses are clear.Maxillary sinuses demonstrate right maxillary sinus partial opacification with an air-fluid level in a bubbly ... | There is opacification of the right maxillary sinus with air-fluid level suggestive of acute sinusitis. The right ostiomeatal complex and is mildly narrowed due to mucosal thickening |
Generate impression based on findings. | 39 year old female with chest pain and shortness of breath, evaluate for PE PULMONARY ARTERIES: Technically adequate exam. No evidence of pulmonary embolism.LUNGS AND PLEURA: Patchy space opacity in the left lower lobe. Small left pleural effusion and overlying compressive atelectasis.MEDIASTINUM AND HILA: Focally dens... | 1.No evidence of pulmonary embolism.2.Patchy air space opacity in the left lower lobe compatible with pneumonia. Probable reactive left hilar lymph nodes. 3.Small left pleural effusion.4.Nonspecific bilateral axillary lymphadenopathy. |
Generate impression based on findings. | 52 year-old female with hypoxemia, evaluate for PE PULMONARY ARTERIES: Technically adequate exam. A filling defect in a right upper lobe subsegmental pulmonary artery (series 9, image 81) is compatible with a solitary pulmonary embolism. Main pulmonary artery measures up to 37 mm in diameter compatible with pulmonary a... | 1.Right upper lobe subsegmental pulmonary embolism.2.Lower lobe and right middle lobe consolidation compatible with infection and atelectasis.3.Small right pleural effusion.4.Mediastinal and retrocrural lymphadenopathy. |
Generate impression based on findings. | 10-year-old male with recent ultrasound concerning for ruptured appendix. ABDOMEN:LUNG BASES: Minimal left-sided basilar subsegmental atelectasis.LIVER, BILIARY TRACT: The liver is normal sized. No intra-or extrahepatic biliary ductal dilatation. Gallbladder is nondistended.SPLEEN: No significant abnormality notedPANCR... | Ruptured appendicitis with appendicolith and adjacent periappendiceal abscesses. |
Generate impression based on findings. | 72-year-old female with lower abdominal pain. Evaluate for kidney stone. In the absence of IV contrast limiting evaluation of solid parenchymal organs and vascular structures, the following observations can be made: ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality not... | 1. No urinary tract obstruction. 2. High density focus in retroperitoneum more likely represents phlebolith, but atypical location of ureter and calculus cannot be excluded without IV contrast examination. 3. No other significant abnormalities seen. |
Generate impression based on findings. | 26-year-old female with flank pain -- assess for kidney stone. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Bot... | 1. No evidence for urinary tract obstruction or stone disease. 2. Small anterior wall ventral umbilical hernia containing only mesenteric fat. 3. High density material in the appendix without associated inflammatory changes as described above. |
Generate impression based on findings. | 63 year old female. Pancreatic pseudocyst, now with new abdominal pain. Evaluate pancreatic/hepatobiliary anatomy. ABDOMEN:LUNG BASES: Minimal bibasilar atelectasis. Trace left pleural effusion/thickening.LIVER, BILIARY TRACT: Status post cholecystectomy. Left hepatic lobe cyst, unchanged.The portal vein at the conflue... | 1.Interval placement of pancreatic stent, coursing through the main pancreatic duct exiting into a thick peripherally enhancing fluid collection about the pancreatic tail. Peripancreatic fluid collection is slightly smaller compared to prior exam. 2.Diffuse calcifications and enlargement of the pancreas compatible with... |
Generate impression based on findings. | Female, 15 years old, headache status post trauma. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift. The ventricles and basal cisterns are pate... | No acute intracranial abnormality. |
Generate impression based on findings. | Right lower quadrant pain. Evaluate for appendicitis ABDOMEN:LUNG BASES: Lung bases are within normal limits. No evidence of consolidation or pleural effusions.LIVER, BILIARY TRACT: Hepatic parenchyma is normal in appearance. Gallbladder is present. No cholelithiasis or pericholecystic fluid to suggest cholecystitis.SP... | 1. Findings suggestive of acute appendicitis. 2. Small amount of free pelvic fluid. No findings to suggest abscess formation. Findings were discussed with the surgical fellow Dr. Pelayo at the time of dictation. |
Generate impression based on findings. | Female, 51 years old, history of breast cancer, non-Hodgkin's lymphoma, status post chemo and RT with new palpable lymph node. A heterogeneously enhancing mass is identified in the right supraclavicular space measuring 2.2 x 2.1 cm (image 76, series 4). Several additional small but enhancing lymph nodes are also identi... | 1. Enhancing mass in the right suprapatellar space consistent with pathologic adenopathy. Additional small enhancing lymph nodes are identified elsewhere as discussed above.2. Please refer to the accompanying dedicated chest CT for evaluation of extensive lung parenchymal abnormalities. |
Generate impression based on findings. | 84 year old female with stenosis of left ICA detected on outside Doppler study CT brain without: Mild prominence of the ventricles and sulci is within normal limits for age. Minimal peri-ventricular and subcortical age indeterminate small vessel ischemic disease is noted. No evidence of intracranial hemorrhage or extra... | 1. Greater than 80% stenosis of the left internal carotid artery at its origin and near complete occlusion of the left external carotid artery origin.2. Scattered atherosclerotic calcification of the left vertebral artery with significant stenosis at the level of C4.3. Intact intracranial circulation and mild small ves... |
Generate impression based on findings. | 74-year-old female with right flank pain Within the limits of a non-IV contrast enhanced examination, the following observations can be made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant change in prior noted right and left lobe cysts and benign-appearing coarse calcifications... | 1. No source for patient's clinical symptoms identified and no change in overall appearance since prior Exam 3/11/13. |
Generate impression based on findings. | 44-year-old female with colicky abdominal pain. Evaluate for kidney stone. In the absence of IV contrast limiting evaluation of solid parenchymal organs and vascular structures, the following observations can be made: ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality n... | 1. No urinary tract obstruction.2. Right renal lesion which likely represents an angiomyolipoma and left renal lesion which likely represents a renal cyst. |
Generate impression based on findings. | 94 year-old female Reason: evaluate for PE, please also comment on pericardial effusion History: CP, SOB, PULMONARY ARTERIES: Technically adequate exam. No evidence of pulmonary embolism.LUNGS AND PLEURA: Large bilateral pleural effusions, increasing from prior exam. Tubular branching opacity in the right upper lobe co... | 1. No evidence of pulmonary embolism.2. Large bilateral pleural effusions, increasing from prior exam.3. Stable moderate pericardial effusion and adhesions.4. Increasing right middle lobe mucus plugging and consolidation.5. Reflux of contrast into the peripheral hepatic veins. Although this can be seen with power injec... |
Generate impression based on findings. | 66 year old female. Rule out aortic dissection. Chest pain radiating to back. CHEST:LUNGS AND PLEURA: There is a dense left upper lobe consolidation with internal cavitations and surrounding tree in bud and ground glass opacities, measuring 2.8 x 2.5 cm (series 8 image 26). Differential includes abscess, atypical infec... | 1.Left upper lobe cavitary opacity. Differential includes abscess, atypical infection (fungal etiology), or cavitary neoplasm (primary or secondary).2.No evidence of aortic dissection or aneurysm.3.Dense atherosclerotic calcifications of the aorta and coronary arteries.4.Multiple large, necrotic thyroid nodules. Ultras... |
Generate impression based on findings. | 67 year-old male with global aphasia, right facial droop and RUE weakness. The ventricles, sulci, and cisterns are symmetric and unremarkable. Hypoattenuating foci in the left cerebellum likely represent age indeterminate infarcts. There is a defect in the left orbital roof with an area of encephalomalacia in the junct... | 1. No acute intracranial abnormality. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. 2. Foci of hypoattenuation in the right frontal lobe may represent small vessel ischemic disease of indeterminate age.3. Defect in the left orbital roof with an area of enc... |
Generate impression based on findings. | Bladder carcinoma CHEST:LUNGS AND PLEURA: Stable micronodules.MEDIASTINUM AND HILA: Stable reference right hilar lymph node best seen on image 40 of series 4 measuring 2 x 1.6 cm.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Stable cholelithiasisSPLEEN: No significant abnormality notedPANCRE... | New retroperitoneal adenopathy; a metastatic etiology should be considered. |
Generate impression based on findings. | Reason: 78 yo male with sob, hypoxia, recent surgery History: sob, hypoxia PULMONARY ARTERIES: No evidence of pulmonary embolus.LUNGS AND PLEURA: Persistent bilateral pleural thickening, right greater than left. Small stable quantity of right loculated fluid when compared to 2009. There is associated calcification of t... | 1.No pulmonary embolus.2.Stable bilateral pleural thickening with right pleural calcification, loculated effusion consistent with prior asbestos exposure. Rounded atelectasis involving superior segment right lower lobe is stable. Bilateral lower lobe pleural bands have not progressed.3.No interval lymphadenopathy. |
Generate impression based on findings. | 24 year old male. Evaluate for stone. Right flank pain, nausea/vomiting. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, UR... | Small amount of mesenteric free fluid of uncertain significance. No other abnormalities to account for patient's pain.Dr. Lai contacted and discussed the findings over the phone with Dr. Blumen at 8 a.m. |
Generate impression based on findings. | Male 43 years old; Reason: liver abscess, evaluate for resolution History: liver abscess, evaluate for resolution ABDOMEN: The absence of intravenous and oral contrast limits evaluation of the solid organs and the bowel. Given these limitations, the following observations were made: LUNG BASES: 5-mm nodule is noted in ... | 1. Interval removal of the hepatic drain with decrease in size of the previously seen hepatic abscess. |
Generate impression based on findings. | 34-year-old female with diffuse abdominal pain. Evaluate for small bowel obstruction, Crohn's flare. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Multiple hypodense, subcentimeter lesions which are too small to characterize as seen on prior CT of the abdomen. The gallbladder is contracted. ... | 1. No evidence of obstruction. Minimal distension of bowel loops likely secondary to physiologic limitations secondary to administering the PO contrast as most of the contrast is within the stomach and duodenum.2. No evidence of active Crohn's. |
Generate impression based on findings. | 48-year-old female Reason: PE History: PMH lupus p/w pleuritic CP and dyspnea PULMONARY ARTERIES: Technically adequate exam. No evidence of pulmonary embolism.LUNGS AND PLEURA: Left base nodular opacity, contiguous with the major fissure, is compatible with scarring. No pleural effusion. MEDIASTINUM AND HILA: Scattered... | 1.No evidence of pulmonary embolism.2.Stable supraclavicular, axillary, and retropectoral lymphadenopathy is compatible with history of lupus.3.Stable oval left breast mass compatible with fibroadenoma as described on mammogram. Continued surveillance with physical examination and mammography is advised. |
Generate impression based on findings. | Reason: assess infection History: fever, malaise, confusion LUNGS AND PLEURA: Upper lobe predominant interstitial and airspace opacities are new since the prior CT, and progressed even since the chest radiograph from 7/19/2013.Moderate sized pleural effusions are present bilaterally.MEDIASTINUM AND HILA: Scattered medi... | New pulmonary opacities consistent with atypical infection. The appearance is highly suggestive of pneumocystis pneumonia, although this is usually not accompanied by a pleural effusions; the pleural effusions could be due to a secondary process given the ascites. |
Generate impression based on findings. | 80 year-old male. Small cell lung cancer, status post radiation to the pancreas. Please evaluate disease and compare with previous. CHEST:LUNGS AND PLEURA: Right apical dense consolidation and volume loss compatible with prior radiation therapy, unchanged. Reference left upper lobe pulmonary nodule measures 4 mm (image... | 1.No significant change in size of large epigastric mass, however mass appears to enhance less.2.Interval increase in size of right lower quadrant soft tissue mass.3.Chronic appearing segmental pulmonary artery thrombus. |
Generate impression based on findings. | 34-year-old male Reason: eosinophilia, 'asthma', question of CEP or ABPA History: asthma, eosinophilia, past infiltrates on outside CT LUNGS AND PLEURA: Tubular opacity in the right upper lobe is suggestive of mucous plugging or atelectasis. Scattered faint ground glass opacities with a lower lobe predominance. Bronchi... | 1.Tubular opacity in the right upper lobe suggestive of mucous plugging or atelectasis.2.Scattered faint lower lobe predominant ground glass opacities and bronchial wall thickening, which can be seen in asthma. Differential considerations include atypical infection and sarcoidosis, especially in the presence of mediast... |
Generate impression based on findings. | 75-year-old male Reason: evaluate ILD History: cough sopb fibrosis LUNGS AND PLEURA: Low lung volumes. Reticular opacities, traction bronchiectasis, and groundglass opacity with an apicobasilar gradient. Microcystic honeycombing. Scattered calcified granulomas.MEDIASTINUM AND HILA: Mild pneumomediastinum. Moderate to s... | 1.Low lung volumes with reticular opacities, bronchiectasis and ground glass opacity with an apicobasilar gradient. Microcystic honeycombing. Differential considerations include atypical UIP and fibrotic NSIP.2.Mild pneumomediastinum. |
Generate impression based on findings. | 67-year-old male with history of metastatic renal cell carcinoma, please assess for disease progression. CHEST:LUNGS AND PLEURA: Postsurgical changes in the left lung with scarring and elevation of the left hemidiaphragm. Scattered stable small granulomata.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WAL... | 1. Interval resection of left iliac wing with fluid density in the area of resection with peripherally enhancing organizing rim which probably represents a seroma. However, CT can not characterize fluid collections if abscess is of concern. 2. No significant change in reference lymph node. |
Generate impression based on findings. | 61 year-old female status post fall and head trauma. 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 p... | No acute intracranial abnormality. |
Generate impression based on findings. | 70 year-old male with history of head and neck cancer, s/p chemoRT. Re-evaluate disease and compare to prior exam. Head CT:There is no evidence of intracranial mass, hemorrhage or infarction. No enhancing abnormality is seen.Neck CT:Extensive post-treatment changes are again present. There remains significant soft tiss... | 1. Stable post-treatment changes. No evidence of recurrent mass or lymphadenopathy in the neck.2. No evidence of intracranial metastatic disease. |
Generate impression based on findings. | Reason: Pt with NPX s/p CRT 1/2011. Please re-eval and compare to prior exams History: as above CHEST:LUNGS AND PLEURA: No evidence of pulmonary or pleural metastases.Prior aspiration like opacities have resolved. MEDIASTINUM AND HILA: Stable residual thymic tissue.No significantly enlarged mediastinal or hilar lymph n... | No significant abnormality. Resolution of prior aspiration like opacities. No evidence of metastases. |
Generate impression based on findings. | Female 63 years old; Reason: H/O CLL in need of CT scans prior to initiating chemotherapy History: CLL CHEST:LUNGS AND PLEURA: Biapical scarring, unchanged. Linear atelectasis in the lingula and right middle lobe are unchanged. No suspicious pulmonary nodules. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart si... | 1.Interval increase in the size of the reference lymph nodes and spleen size.2.Stable vertebral body foci with imaging features of hemangiomata.3.Resolved right lower lobe pulmonary emboli (allowing for portal venous contrast bolus) |
Generate impression based on findings. | Reason: Pt is a 71 y/o male with met urothelial cancer, hematuria, evaluate for progression, delayed views, CT Urogram, 3D reconstruction History: bladder cancer, prostate cancer CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are unchanged. Largest is in the right lower lobe and is unchanged in size from prio... | 1.Slight decrease in size of left pelvic sidewall mass.2.Decreased size of fluid collection at the base of the penis. |
Generate impression based on findings. | 18 year-old female with chronic sinusitis. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. There is minimal mucosal thickening in the maxillary sinuses. There is a tiny retention cyst in the right frontal-ethmoid recess. There is minimal rightward nasal s... | No evidence of sinusitis. Minimal paranasal sinus mucosal disease as above. |
Generate impression based on findings. | Reason: evaluate ILD History: cough sob fibrosis LUNGS AND PLEURA: Very mild nonspecific basilar predominant subpleural fibrotic changes. No groundglass opacities. No definite evidence of honeycombing, although there is suggestion of possible early honeycombing at the right lung base (image 19 of the prone series). No ... | Minimal basilar predominant subpleural fibrotic changes. Suggestion of minimal honeycombing at the right base raises the question of early UIP. Pleural calcifications may represent asbestos exposure. |
Generate impression based on findings. | Reason: 71 male with AML, cough. r/o infiltrate History: AML LUNGS AND PLEURA: Small right pleural effusion and focal opacity in the right lower lobe, deep in the posterior costophrenic sulcus.Mild nonspecific bronchial wall thickening is present.There is evidence of prior granulomatous disease. MEDIASTINUM AND HILA: C... | 1. Right lower lobe opacity with a right pleural effusion, suggestive of infection or aspiration.2. Small pericardial effusion.3. Mild nonspecific bronchial wall thickening is present. |
Generate impression based on findings. | Female, 63 years old, history of CLL in need of staging prior to chemotherapy. Multiple enlarged lymph nodes are identified bilaterally in the neck, most of which have progressed relative to the prior examination. Numerous additional nodes are below the size criteria for pathologic enlargement but are nevertheless abno... | Interval progression of adenopathy in the neck. |
Generate impression based on findings. | 61 year old female. History of metastatic rectal cancer with hepatic resection in July, 2012. CT in April 2013 suggests an enlarging retro-peritoneal lymphadenopathy. Evaluate for interval change. CHEST:LUNGS AND PLEURA: Left upper lobe pulmonary micronodule is unchanged. No new suspicious pulmonary nodules or masses.M... | 1.Unchanged size of a left periaortic and retroperitoneal lymph nodes.2.Left moderate hydroureteronephrosis with transition point in the distal ureter just beyond level of pelvic inlet, unchanged from previous exam but increased from May 2012 exam, of unclear etiology. |
Generate impression based on findings. | 59-year-old female with history of fever, currently afebrile. Evaluation of fluid collection. CHEST:LUNGS AND PLEURA: Post-operative changes in the right lower lobe and right chest wall consistent with the stated history of multiple chest wall resections with flap coverage. Interval decrease in size of previously descr... | Significantly decreased size of loculated right pleural space and subcapsular fluid collection compared to prior exam. No evidence of new fluid collection. |
Generate impression based on findings. | Reason: h/o NHL, breast CA s/p chemo, RT, now with palpable LN History: assess for EOD CHEST:LUNGS AND PLEURA: At the superior right thoracic inlet, at right 1/2 rib interspace (series 4 image 14), there is a soft tissue density that extends from the subpleural lung across the chest wall that measures approximately 3.3... | 1. Multiple low density lesions within the right hepatic lobe suspicious for hepatic metastases.2. Interval right mastectomy. New right superior lateral chest wall soft tissue nodule that appears to invade the right 1/2 rib interspace. Associated necrotic right supraclavicular lymph nodes.3. Subpleural reticulation wit... |
Generate impression based on findings. | 57 year-old female with headache and acute vision loss. 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. Th... | 1. No acute intracranial abnormality. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. 2. Right phthisis bulbi. |
Generate impression based on findings. | Male 63 years old; Reason: rectal cancer in 2009, no evidence of disease, surveillance CHEST:LUNGS AND PLEURA: No suspicious pulmonary lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. Coronary artery and aortic calcifications. No mediastinal lymphadenopathy.CHES... | 1.Stable exam without evident recurrent or metastatic disease.2.Ventral abdominal wall herniae without bowel obstruction. |
Generate impression based on findings. | 68-year-old with history of head and neck cancer. Follow-up examination. Head CT:There is no evidence of intracranial mass, hemorrhage or infarction. No enhancing abnormality is seen.Mild periventricular white matter hypoattenuation is noted. Mucus retention cyst is seen within the left maxillary sinus. Mastoid air cel... | 1. No evidence of interval recurrent tumor in the left tonsillar pillar. No neck lymphadenopathy by CT criteria.2. No evidence of intracranial metastasis.3. Interval improvement of posttreatment changes. |
Generate impression based on findings. | Reason: Change in SDH History: change in gait, previous CT scans There is redemonstration of bilateral subdural hematomas at varying stages and the one on the right measures 19 mm in thickness with the one on the left measures 10 mm in greatest thickness. Compared to prior exam they do not appear to have changed substa... | 1.Redemonstration of bilateral subdural hematomas right larger than left associated with midline shift. These are stable since the prior exam. |
Generate impression based on findings. | Reason: SDH History: same There is redemonstration of bilateral subdural hematomas with minimal midline shift towards the right. The one on the left measures approximately 20 mm in thickness whereas the one on the right measures 21 mm in thickness the one on the left is more extensive than the one on the right and that... | 1.There are stable bilateral subdural hematomas present which are stable since the prior exam. |
Generate impression based on findings. | Male, 41 years old, history of allergic fungal sinusitis status post ESS x 3, with a frontal flap and plate/hardware and adipose transplant. Assess for fungal sinusitis. Post surgical change consistent with a frontal flap creation for access to the frontal sinuses fixed with plate and screws. There is low-density mater... | 1. Postoperative changes consistent with a frontal flap for access to the frontal sinuses as well as endoscopic sinus surgery on the left.2. Opacification of the right frontal sinus, the left ethmoid air cells and the left maxillary sinuse is seen. In some areas, there are foci of hyperdense material which is suggestiv... |
Generate impression based on findings. | Reason: palate cancer History: r/o lung mets LUNGS AND PLEURA: Scattered micronodules, but no sign of metastases.MEDIASTINUM AND HILA: No lymphadenopathy.Moderate coronary artery calcifications are present.CHEST WALL: Degenerative abnormalities affects the thoracic spine.UPPER ABDOMEN: Absence of enteric contrast mater... | No evidence of metastases or interval change. |
Generate impression based on findings. | Reason: CXR shows possible R hilar nodes. Quantiferon Gold negative History: cough LUNGS AND PLEURA: Scattered nonspecific calcified and noncalcified micronodules the largest measuring 5 mm in size at the left costophrenic angle.No suspicious pulmonary nodules or masses.No pleural effusions.Prominent left basilar bulla... | No significant pulmonary or pleural disease. No evidence of a right hilar mass or lymphadenopathy. |
Generate impression based on findings. | Reason: Finished chemoRT on 01/31/12. Please eval for recurrence History: History of head and neck cancer. CHEST:LUNGS AND PLEURA: Redemonstration of calcified granulomas.No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Stable mildly prominent mediastinal lymph nodes.Marked cardiac enlargement without ev... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: Lung cancer restaging. Please compare to previous. Thanks. History: Lung cancer CHEST:LUNGS AND PLEURA: Previously described right upper lobe hypodensity with in the atelectasis and consolidation is no longer visualized, now replaced by partially aerated lung. Right upper lobe volume loss, bronchiectasis and co... | 1.Previously described right upper lobe fluid collection has resolved. Post radiation change in this location remains.2.New focus of bronchial wall thickening and ground glass within the superior segment left lower lobe likely inflammatory. |
Generate impression based on findings. | 64-year-old male with history of metastatic prostate cancer, currently receiving treatment -- assess for disease progression. CHEST:LUNGS AND PLEURA: Left basilar atelectasis and some mild bronchial wall thickening, which may represent postinflammatory or mucous plugging changes. No other significant abnormalities.MEDI... | 1. Numerous areas of skeletal metastases, but appears stable in extent and appearance -- bone scan would be more sensitive method of evaluating status of skeletal metastases. 2. Left basilar atelectasis and mild bronchial wall thickening -- see above discussion. 3. No other areas to suggest metastases or other signific... |
Generate impression based on findings. | 68-year-old female with jaundice -- biliary stricture suspicious for cholangiocarcinoma. Abdominal pain. CHEST:LUNGS AND PLEURA: No nodules, masses, infiltrates or effusions seen.MEDIASTINUM AND HILA: No significant abnormality noted - no adenopathy or masses..CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER,... | 1. Large gallbladder mass extending into adjacent liver and into hepatic hilum, most consistent with gallbladder carcinoma. 2. Two foci of liver metastases. 3. Two foci of anterior ventral wall abdominal hernias, one of which contains small portion of colon. 4. Small unilocular cystic lesion left adnexa with benign app... |
Generate impression based on findings. | Male 62 years old; Reason: lung CA resected, on chemo. Status of chest nodes. Also bladder CA with pelvic nodes. Status of those, as well History: none CHEST:LUNGS AND PLEURA: Postoperative changes in the right hemithorax with volume loss. Soft tissue adjacent to the right mediastinum/trachea measures 2.1 x 1.4 cm (ima... | 1.Near stable exam with no significant change in the size of the reference lesions.2.Persistent left hydronephrosis due to stricturing at the ureter to neobladder anastomosis. |
Generate impression based on findings. | Reason: Interstitial lung disease, evaluation for better characterization History: ILD LUNGS AND PLEURA: Coarse subpleural reticular opacities are present, with suggestion of microcystic honeycombing in some regions.There is no significant groundglass opacity but traction bronchiectasis is present.Focal areas of consol... | Interstitial lung disease, in a pattern most suggestive of an atypical UIP, perhaps with a component of cryptogenic organizing pneumonia, with improving consolidation since 10/19/2012. |
Generate impression based on findings. | Male 67 years old; Reason: Suspected lymphoma, evaluate for lymphadenopathy CHEST:LUNGS AND PLEURA: No suspicious pulmonary lesions. The pleural spaces are clear. Central airways are patent.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediastinal lymphadenopathy.CHEST WALL: No axillary lympha... | 1.No enlarged lymph nodes by CT size criteria.2.Status post right hemicolectomy.3.Avascular necrosis of the femoral heads. Follow up is suggested. |
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