instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | 63-year-old male with history of metastatic renal cell carcinoma. CHEST:LUNGS AND PLEURA: Streaky, linear opacities in the lungs adjacent to metastatic rib lesions are stable and most likely represent scarring or reactive inflammatory changes. The left lower lobe parenchymal lung reference nodule (series 5, image 87) i... | 1. No significant interval change in diffuse osseous metastatic disease. 2. No change in minimally prominent left obturator lymph node without other evidence of new lymphadenopathy. |
Generate impression based on findings. | Female 44 years old; Reason: History of metastatic breast cancer on treatment, evaluate for response and extent of disease History: History of metastatic breast cancer on treatment, evaluate for response and extent of disease CHEST:LUNGS AND PLEURA: Subpleural fibrotic changes in the anterior sub-segments of the right ... | 1.Increasing ductal dilatation in the liver due to the porta hepatis lymphadenopathy.2.Near stable size measurements of the existing reference lymph nodes. |
Generate impression based on findings. | 38-year-old female with pain -- reevaluation of locally advanced pancreatic cancer. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No adenopathy or masses seen. No significant abnormality noted.CHEST WALL: Chest Port-A-Cath in left superior chest wall with tip of the catheter in the righ... | 1. Increase in size of pancreatic head mass with new extension to involve the adjacent splenic vein/mesenteric vein confluence with portal vein and encasement of superior mesenteric artery. |
Generate impression based on findings. | Reason: lung nodule History: lung nodule LUNGS AND PLEURA: Upper lobe predominant. Paraseptal and centrilobular emphysema .Mild basilar predominant subpleural interstitial septal thickening similar in appearance to the prior exam.Scattered areas of ground glass opacity intermixed with the emphysema without significant ... | 1.Upper lobe predominant emphysema with minimal basilar interstitial fibrosis similar in appearance to prior exam.2.Groundglass opacity in left upper lobe is unchanged in size with slightly less solid component. Continued observation is recommended. |
Generate impression based on findings. | Reason: r/o cad History: dyslipidemia Calcium Score:LM: 0LAD: 278 LCx: 0.7RCA: 1.3Total: 280, This represents the 98th percentile for this patients age and gender.Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and trifurcates into the left anterior descending, ramus... | 1. Mixed multifocal plaques involving the left anterior descending artery. A noncalcified plaque at the junction of the proximal and mid LAD contributes to approximately 80% stenosis. Dense calcification and blooming artifact precludes exact quantification of stenosis within the proximal and mid segments. However, the ... |
Generate impression based on findings. | 58-year-old male Reason: esophageal cancer History: esophageal cancer CHEST:LUNGS AND PLEURA: Mild paraseptal emphysema. Left lower lobe calcified granuloma. No suspicious pulmonary nodules/masses.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. Mild coronary artery and thoracic aorta calcifications... | 1.No evidence of disease recurrence or metastatic disease in the chest or upper abdomen.2.Stable lower esophageal lymph nodes. |
Generate impression based on findings. | 25 year old female. History of iliac vein stenosis, recurrent DVT. ABDOMEN:LUNG BASES: Minimal bibasilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: N... | External and common iliac veins with appropriate venous enhancement without stenosis or thrombosis, and with vascular stent in place in the left common/external iliac vein. |
Generate impression based on findings. | 60 year-old male with metastatic melanoma. CHEST:LUNGS AND PLEURA: Bilateral micronodules unchanged. No new nodules, masses, infiltrates or effusions seen.MEDIASTINUM AND HILA: No, adenopathy or masses seen.CHEST WALL: Slightly prominent left axillary lymph nodes, but with normal morphology are seen -- reference lymph ... | 1. Stable referenced hepatic lesion. 2. Stable size and appearance of left axillary mildly enlarged lymph nodes. 3. No other abnormalities to suggest metastatic disease. |
Generate impression based on findings. | Female 66 years old; Reason: met renal cancer, evaluate for change History: met renal cancer, evaluate for change CHEST:LUNGS AND PLEURA: Scattered pulmonary granulomata. 4-mm right middle pulmonary ground glass nodule is unchanged. (Image 44/series 5). The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is n... | 1.Stable slight decrease in the size of the reference hepatic lesion. |
Generate impression based on findings. | 57-year-old female with CLL with enlarging stomach mass. Question of tumor burden. CHEST:LUNGS AND PLEURA: There are multiple pulmonary nodules bilaterally with one nodule in the left lower lobe measuring 0.7 mm.MEDIASTINUM AND HILA: Multiple mediastinal lymph nodes. Reference pretracheal node measures 3.5 x 3.1 cm (im... | Diffuse lymphadenopathy of the chest, abdomen, and pelvis. |
Generate impression based on findings. | 56 year old female. History of metastatic cholangiocarcinoma. Assess and provide index lesion measurement. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Right chest port with tip in the SVC.ABDOMEN:LIVER, BILIARY TRACT: Mild intrahepatic pneu... | 1.Common bile duct mass, with interval increase in size of right hepatic lobe lesion compatible with metastatic disease.2.Common bile duct stent in appropriate location, with soft tissue density around the common bile duct, similar to prior exam.3.Interval increase in size of soft tissue mass in the subcutaneous abdomi... |
Generate impression based on findings. | 83-year-old male Reason: 83 year old gentleman with severe dementia and early stage lung cancer treated with definitive radiotherapy 5 years ago. Please assess for interval change from most recent CT an History: no new symptoms CHEST:LUNGS AND PLEURA: Large left pleural effusion and underlying atelectasis have increase... | 1.Increasing left pleural effusion with compressive atelectasis. Etiologies include post radiation pleuritis, however malignant effusion cannot be excluded. 2.Pericardial effusion is unchanged. |
Generate impression based on findings. | 45-year-old male with frequent sinusitis treated with antibiotics. Status-post interval bilateral maxillary antrostomy and septoplasty.The left frontoethmoidal recess is partially opacified. The right frontoethmoidal recess is patent. The frontal sinuses are clear. There is increased moderate opacification of bilateral... | Status post interval bilateral maxillary antrostomy and septoplasty with significant increased opacification of the ethmoid and maxillary sinuses as described above, with new opacification of the left middle meatus. Patent bilateral antrostomies with slight narrowing of the left antrostomy. |
Generate impression based on findings. | 53 year-old male with nausea and vomiting. There is no interval change in ventricular sizes. Bifrontal bone burr holes are present. Redemonstrated is effacement of the fourth ventricle and deformity of the left cerebellar peduncles secondary to a left cerebellar parenchymal hemorrhage with surrounding low density vasog... | 1.Stable left cerebellar hematoma and mass effect. 2.No interval change in ventricular sizes.3.Stable confluent cerebral white matter and thalamic hypodensity. |
Generate impression based on findings. | 66-year-old male, assess bony fusion. Evaluation is limited by streak artifact from extensive spinal hardware.Postoperative changes of posterior lumbar spine fusion with bilateral transpedicular screws at L2, L4, L5, and S1 with posterior stabilization rods and crossbar are again noted. Diffuse lucency surrounding the ... | 1. Postoperative change of posterior lumbar fusion with stable diffuse lucency along pedical screws and partial bony uncovering of the hardware apart from mild increased lucency at S1, as detailed above.2. L2 and L3 chronic vertebral body fractures with mild retropulsion as described above. |
Generate impression based on findings. | 74 year old female. Metastatic renal cancer. On axitinib, evaluate for response. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Sclerotic lesion in the T10 vertebral body is unchanged.ABDOMEN:LIVER, BILIARY TRACT: Interval decrease in... | 1.Status post right nephrectomy, without evidence of residual or recurrent disease.2.Interval decrease in size of right hepatic dome metastatic lesion.3.Stable appearance of lytic/sclerotic osseous lesions in the pelvis.4.New, small amount of free pelvic fluid. |
Generate impression based on findings. | Reason: r/o lung mets History: h/o base of tongue cancer, r/o lung mets LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy.Cardiac size is normal without evidence of a pericardial effusion. Moderate coronary artery calcification.CHEST WALL: Left che... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: Metastatic breast cancer. Restaging. History: Left breast mass. CHEST:LUNGS AND PLEURA: Right middle lobe subsegmental atelectasis with associated volume loss. Mild central bronchial wall thickening.Progressive dependent lower lobe groundglass opacities which may be related to aspiration. Small, right greater t... | 1. Subcutaneous nodule in the tail of the left breast has not significantly changed. 2. Sclerotic foci throughout the vertebral bodies, ribs and humeral heads compatible with stable osseous metastases.3. Stable scattered micronodules. Small, right greater than left, pleural effusions. 4. Dependent opacities, consider a... |
Generate impression based on findings. | 38 year-old male status post fall and seizure. 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. | 54 years old male with history of palate cancer status post surgery. Evaluate for recurrence. The orbits are unremarkable. The mastoid air cells are clear. There is mucosal thickening of the ethmoid and maxillary sinuses. Limited view of the intracranial structure is unremarkable. Postsurgical change is demonstrated st... | Stable postsurgical changes with no evidence for residual or recurrent disease or pathologic adenopathy. |
Generate impression based on findings. | Male 24 years old; Reason: LUQ pain and nausea with 25 pound weight loss History: LUQ 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 abnor... | 1.No acute intra-abdominal pathology detected |
Generate impression based on findings. | 8 year-old female with history of 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 are normal. ... | 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. | 56 year old female. Restaging scan. Status post investigational immunotherapy treatment. History of metastatic renal cell cancer. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are unchanged. Right middle lobe reference nodule measures 0.7 cm (image 58, series 6) unchanged. Right apical index lesion measures ... | Left renal mass and metastatic lesions without significant interval change as detailed above. No new sites of disease. |
Generate impression based on findings. | 55 year-old male with base of tongue cancer. Paranasal sinuses are clear apart from mild mucosal thickening of the maxillary sinuses, right greater than left. Leftward nasal septum deviation with laterally projecting osseous spur. Mastoid air cells are clear. Visualized orbital and intracranial contents are unremarkabl... | Stable treatment related changes with no recurrent neck mass or cervical lymphadenopathy. |
Generate impression based on findings. | 76-year-old man with history of bladder neoplasm. Restaging CT in the patient and participating in clinical trial. CHEST:LUNGS AND PLEURA: Again seen are bilateral pulmonary nodules, some of which are calcified and likely represent granulomata. Reference right upper lobe pulmonary nodule (series 4 image 46) now measure... | 1.Increased size of pulmonary right upper lobe nodule as above. This may represent any metastatic lesion versus primary lung malignancy.2.Right pelvis soft tissue thickening in the surgical bed, which may be due to metastasis versus disease recurrence. |
Generate impression based on findings. | Male, 15 years old, history of nasopharyngeal angiofibroma, assess nasopharynx for recurrent angiofibroma. Postop change is demonstrated in the nasal cavity consistent with endoscopic removal of the previously demonstrated angiofibroma. This includes resection of the left ostiomeatal unit, medial and posterior walls of... | Status post resection of a large left nasal cavity angiofibroma. No enhancing tissue is evident within the resection bed to suggest viable residual or recurrent disease. There is nonenhancing soft tissue involving the left pterygo-palatine fossa extending along the left posterolateral margin of the exenterated sphenoid... |
Generate impression based on findings. | 62 year old female with history of recurrent stage IIIc endometrial carcinoma post therapy. Follow-up index metastatic lesions. CHEST:LUNGS AND PLEURA: Reference lingula nodule (series 5 image 49) measures approximately 0.6 x 0.8 cm, compared with previous 0.7 x 0.8 cm.The left lower lobe nodule (series 5, image 68) me... | 1.Reference lesions are stable to slightly decreased in size.2.Previously described retroperitoneal adenopathy is stable to slightly decreased in size.3.Left flank soft tissue thickening is less prominent than prior. |
Generate impression based on findings. | Reason: chronic cough -- current smoher -- last CT ok 2011 History: as above LUNGS AND PLEURA: Stable mild paraseptal emphysema, left greater than right. Other scattered micronodules, some of which are intrapulmonary lymph nodes, are unchanged. Mild central bronchial wall thickening. Again, this does raise the question... | 1. Stable size benign right upper lobe nodule. 2. Scattered centrilobular nodules with mild bronchial wall thickening suggestive of respiratory bronchiolitis.3. Nodularity at the inferolateral quadrant of the right breast. Correlation with physical examination and mammography recommended. |
Generate impression based on findings. | 57 year-old female with chronic lymphoid leukemia. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure is unremarkable. Examination shows numerous enlarged lymph nodes throughout the soft tissues of the neck, mediastinum and axillary fossae. A l... | Cervical, mediastinal and axillary lymphadenopathy is compatible with the patient's history of chronic lymphoid leukemia. |
Generate impression based on findings. | 52-year-old male. Status post 8 cycles of chemotherapy. History of Hodgkin's lymphoma. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Reference left supraclavicular lymph node measures 8 x 6 mm (image 16 axial) unchanged. No new mediastinal or hilar lymphadenopathy. Cardiac size is normal... | Reference lymph nodes, which are not significantly changed in size in the chest and abdomen. |
Generate impression based on findings. | 56-year-old male Reason: Lung cancer on treatment - please compare to previous. Thanks. History: Lung ca CHEST:LUNGS AND PLEURA: Severe, predominantly upper lobe emphysema. Small subpleural right middle lobe nodule (5, image 68) is stable and compatible with an intrapulmonary lymph node. Peripheral right lower lobe gro... | 1.Redemonstration of right hilar mass without significant change in size. 2.Peripheral right lower lobe ground glass opacity is suspicious for synchronous primary bronchogenic adenocarcinoma. |
Generate impression based on findings. | 49-year-old male Reason: acute heart failure, suspect myocarditis, please eval for infiltrative disease. ILD protocol History: as above LUNGS AND PLEURA: Near complete right upper lobe consolidation/atelectasis with occlusion of the right upper lobe bronchus proximally and evidence of central airway debris compatible w... | 1.Near complete consolidation/atelectasis of the right upper lobe with occlusion of the central right upper lobe bronchus and evidence of central airway debris compatible with an aspiration event. No foreign body identified. Bronchoscopy should be considered for both therapeutic and diagnostic purposes.2.Given the clin... |
Generate impression based on findings. | 52 year old female. Pancreatic cancer. Restaging. CHEST:LUNGS AND PLEURA: Apical scarring is unchanged. Interval increase in size of the right lower lobe pulmonary nodule, now measuring 6 mm (image 55, series 4) previously 3 mm. Additional scattered micronodules also appear to have slightly increased in size.MEDIASTINU... | Significant progression of metastatic disease manifested by increase size and number of numerous hepatic metastases, increased regional lymphadenopathy, peritoneal carcinomatosis, and possibly increased lung metastases. |
Generate impression based on findings. | 71 year-old female with increasing weakness and inability to walk. There is patchy hypoattenuation in the periventricular, subcortical and deep white matter and focus of hypoattenuation adjacent to the left caudate. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiatio... | 1. No acute intracranial abnormality. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. 2. Small vessel ischemic disease and left caudate head lacunar infarct of indeterminate age. |
Generate impression based on findings. | 56 year old female Reason: assess for PE History: worsening dyspnea and chest pain PULMONARY ARTERIES: Technically adequate exam. No evidence of pulmonary embolism.LUNGS AND PLEURA: Left upper lobe granuloma. No pleural effusion.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. Mild coronary artery c... | 1.No evidence of pulmonary embolism.2.Evidence of prior granulomatous disease. |
Generate impression based on findings. | 72 year-old female with left supraclavicular mass, pulsatile. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure shows calcifications of the intracranial internal carotid and vertebral arteries. There is left side cervical rib, which pseudo-art... | Left sided cervical rib with pseudo-articulation with the scalene tubercle of the left first rib, which, along with the left anterior scalene muscle, compresses the left subclavian artery. The findings are compatible with thoracic outlet syndrome. |
Generate impression based on findings. | 65-year-old male with lung cancer, status post chemotherapy and chest RT/SVC. Please compare to previous outside scan and PET scan to evaluate treatment response. CHEST:LUNGS AND PLEURA: There is a right middle lobe pulmonary nodule which could be round atelectasis. There is a right lower lobe pulmonary nodule measurin... | 1. Supra-clavicular and mediastinal lymphadenopathy.2. Soft tissue mass indenting liver arising from right rib metastases. Additional left rib metastases.3. Right lower lobe pulmonary nodule which warrants special attention on future scans. |
Generate impression based on findings. | Female 67 years old; Reason: 67 yo F with EtOH cirrhosis, atypical liver lesion on MRI, large splenorenal shunt. Eval liver lesion, splenorenal shunt and pelvic anatomy to ensure no LAD to explain LAD. Also small umbilical hernia on exam. History: abnormal liver lesion ABDOMEN:LUNGS BASES: No significant abnormality no... | 1.Arterial enhancing lesion with delayed washout in a cirrhotic patient most compatible with HCC.2. Partial thrombosis of the portal vein, likely bland thrombus. |
Generate impression based on findings. | 70 year-old male with history of metastatic bladder cell cancer -- baseline prior to starting systemic therapy. CHEST:LUNGS AND PLEURA: Marked increase in size and number of pulmonary, parenchymal nodules. The prior referenced left liver lobe nodule now seen on series 6 come image 89 measuring 4.1 x 3 .6 cm, previously... | 1. Prior cysto-prostatectomy with ileal loop conduit bladder. 2. Marked increase in size and number of pulmonary parenchyma metastases. 3. Innumerable new liver metastases. 4. New foci of adenopathy seen in the chest and pelvis, as described above. 5. New left adrenal mass. |
Generate impression based on findings. | Reason: Patient with right submandibular gland swelling. Please do u/s guided FNA of neck mass. History: right necjk mass A previously noted nodule adjacent to the right sternocleidomastoid muscle and the right submandibular gland previously associated with some infiltration of adjacent fat planes is not identified on ... | 1.Since prior exam the patient's nodule adjacent to the right sternocleidomastoid muscle and right submandibular gland are no longer identified. Therefore no biopsy was performed. Findings were discussed with Dr. Blair |
Generate impression based on findings. | Reason: Patient with a h/o left paraphayngeal space mass. Please do CT guided fna. History: left parapharyngeal space mass Serial CT images obtained during the biopsy procedure demonstrate the needle placement within the left parapharyngeal space neck mass. Following needle removal images obtained that demonstrate no c... | 1.6 FNA samples identified no lesion2.2 biopsy specimens were delivered to surgical pathology3.The patient experienced electrical type pain upon the needle entering the parapharyngeal space mass. |
Generate impression based on findings. | Male, 52 years old, history of Hodgkin's lymphoma, status post 8 cycles of chemotherapy. Scattered small lymph nodes are evident within the neck including some in the right subpectoral space and in the partially visualized right axilla. None of these meets imaging criteria for pathologic enlargement. Previously referen... | No pathologic adenopathy in the neck by size criteria. No other significant abnormalities or interval changes. |
Generate impression based on findings. | Reason: Stroke, MCA Right aneurysm, 6 month follow up , Evaluation for changes History: Lef t face weakness, slurred speech Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. There is a 5 x 3.5 mm cor... | 1.5 x 3 mm right middle cerebral artery aneurysm this is stable since the 1/6/13 exam2.No evidence for cerebral vascular occlusive disease3.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. |
Generate impression based on findings. | Reason: h/o tongue cancer History: r/o recurrence There is asymmetry in the size of the tongue near the left half of the tong is atrophic relative to the right calf. It is a stable findingThere is a right submandibular space and nodular measuring 10 mm x 12 mm coronal dimensions which previously measured the same. It h... | 1.No evidence for local recurrence. 2.A borderline size to module with a benign appearance is stable relative to prior exam |
Generate impression based on findings. | Clinical question: Headache, hypertension. Signs and symptoms: Headache. Nonenhanced head CT:No detectable acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic strokes.Minimal periventricular low-attenuation all white matter is concerning for age indeterminate small vessel ischem... | 1.No acute intracranial process.2.Minimal age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Clinical question: Assess for intracranial hemorrhage, CVA or mass. Signs and symptoms: Left-sided headache and vision changes. Nonenhanced head CT: No detectable acute intracranial process. CT is insensitive for detection of acute non-hemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricul... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Rule out bleed. Signs and symptoms: New headache in setting of seizure. Nonenhanced head CT:No detectable acute intracranial process. CT is insensitive for detection of acute non-hemorrhagic ischemic strokes.Postoperative changes of bilateral craniotomy and placement of metallic surgical device/multi... | 1.No acute intracranial process.2.Stable post operative changes of bilateral craniotomies and placement of aneurysm clips as detailed. |
Generate impression based on findings. | Clinical question: Rule out intracranial mass. Signs and symptoms: Intermittent frontal headache and blurry vision. Nonenhanced head CT:No detectable acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic strokes or very small masses.There is unilateral right-sided ventriculomegaly... | 1.No acute intracranial process.2.Mild asymmetrical right lateral ventricle enlargement which may be within normal anatomical variation.3.Prominence of the cerebellar and vermian folia for patient of stated age of 37. Correlate with history and risk factors. |
Generate impression based on findings. | Reason: 56 M with left pleural effusion, unclear if acute or chronic, night sweats, hx of smoking, eval for parenchymal dz and PE History: sob PULMONARY ARTERIES: Technically adequate exam. Right pulmonary arteries visualized to the sub-segmental level; left pulmonary arteries visualized to the lobar level due to archi... | 1.No evidence of PE through the right subsegmental pulmonary arteries and left lobar arteries; left subsegmental arteries not visualized and PE cannot be excluded in those regions.2.Mild superior mediastinal lymphadenopathy of unclear etiology3.Small to moderate pericardial effusion4.Small left pleural effusion.5.Nonsp... |
Generate impression based on findings. | Look for source of infection or malignancy. Leukocytosis and fever. CHEST:LUNGS AND PLEURA: Scattered calcified granulomas.Small bilateral pleural effusions (right greater than left).MEDIASTINUM AND HILA: Coronary artery calcifications. Calcified left infrahilar lymph nodes. Calcific atherosclerosis.CHEST WALL: No sign... | Acute cholecystitis. |
Generate impression based on findings. | 52 female with upper extremity paresthesia, evaluate spine. Cervical spine: Anterior plate and screws affix C6 and C7 with intervening anterior corpectomy and fusion. The screws and plate appear intact without evidence of complication. Adjacent streak artifact limits evaluation of the lower cervical spine. Cervical spi... | 1. Anterior cervical spine corpectomy and fusion. Degenerative changes of the cervical spine, most pronounced in the lower cervical spine adjacent to the C6/7 fusion as described above.2. Degenerative disease most severely affecting the lower thoracic and lumbar spine, including multilevel degenerative disk disease and... |
Generate impression based on findings. | 54 year old male. Fever status post stem cell transplant. Assess for infection. ABDOMEN:LUNG BASES: Bibasilar scarring/atelectasis.LIVER, BILIARY TRACT: Splenomegaly with the liver, measuring 21 cm in craniocaudal dimension.SPLEEN: Splenomegaly.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant ab... | Extensive retroperitoneal and inguinal lymphadenopathy. Hepatosplenomegaly. No specific evidence of infection. |
Generate impression based on findings. | Female, 61 years old, history of cancer of the right neck status post surgery. Evaluate for residual disease. Limited intracranial views demonstrate left inferior frontal hypodensity with evidence of overlying craniotomy change which was present on the prior examination. Since the prior examination, the patient has und... | 1. Postsurgical change consistent with resection of a previously seen large right level 2 neck mass. In its place, there is now ill-defined non-specific soft tissue thickening. This exam will serve as a new baseline. 2. No pathologically enlarged lymph nodes are detected by size criteria. A few scattered nodes have inc... |
Generate impression based on findings. | 18 year-old female with left flank pain and hematuria.. Rule out 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 noted... | 1. Small non-obstructing right renal calculus. No evidence of urinary tract obstruction or other abnormality to account for the patient's symptoms. |
Generate impression based on findings. | Diverticulitis. Left lower quadrant abdominal pain. The following observations are made given the limitations of an unenhanced study.ABDOMEN:LUNG BASES: Bilateral pleural effusions (right greater than left) with overlying compressive atelectasis have resolved. Prosthetic mitral valve. Enlarged retrocrural lymph nodes w... | Unchanged enlarged lymph nodes in the lower thorax and in the pelvis of unclear etiology. Gallstones. No definite findings to explain left lower quadrant pain |
Generate impression based on findings. | 75-year-old male. Evaluate hepatic mass. Hepatic mass seen on ultrasound. ABDOMEN:LUNG BASES: Moderate left pleural effusion. 4-mm pulmonary nodule in the left lung base.LIVER, BILIARY TRACT: Nodular, cirrhotic liver morphology. This exam was compared to the ultrasound, and showed heterogeneously liver parenchyma witho... | 1.Cirrhotic liver morphology and large amount of ascites. No definite focal hepatic lesion.2.4 mm pulmonary nodule. Guidelines by the Fleischner society (Radiology 2005: 237:395-400) suggest that patients with a low risk for lung cancer who have nodules less than or equal to 4 mm in diameter require no follow-up. In pa... |
Generate impression based on findings. | 70-year-old male with history of edema of the genital organs. Assess for scrotal swelling, concern for Fournier's gangrene. PROSTATE, SEMINAL VESICLES: The prostate is enlarged.BLADDER: The bladder is relatively decompressed with Foley in place.LYMPH NODES: Several mildly enlarged inguinal lymph nodes are noted, likely... | Soft tissue edema and gas containing collection within the medial left thigh suggestive of gas forming infection and likely abscess, though specific evaluation for abscess is limited without contrast. Also marketed scrotal swelling. |
Generate impression based on findings. | 56-year-old female status post tumor resection, partial pancreatectomy and splenectomy with fever, purulent JP drainage. ABDOMEN:LUNG BASES: There is a bibasilar consolidation which is improved from prior exam.LIVER, BILIARY TRACT: Postsurgical changes of hepatic wedge resection with a perihepatic fluid collection meas... | 1. Interval improvement/near complete resolution of left upper quadrant fluid collection.2. Progression of mesenteric fatty inflammation with interval loculation without development of new fluid component. 3. Status post hepatic wedge resection with decreased perihepatic fluid collection.4. Improvement in bibasilar con... |
Generate impression based on findings. | 56-year-old female with left lower quadrant pain, evaluate for diverticulitis. Reason: evaluate for diverticulitis History: LUQ, LLQ pain, tenderness to palpation ABDOMEN:LUNG BASES: Several scattered micronodules and subpleural nodule in the right lung which are located along the fissures, likely representing intrapul... | 1. Diverticulosis without diverticulitis. 2. Status post cholecystectomy with stable intra- and extra-hepatic biliary duct dilatation.3. No acute abnormality to explain left lower quadrant pain. |
Generate impression based on findings. | T4 further description. LUNGS AND PLEURA: Right apical calcified granuloma. Unchanged peripheral air space opacities, some of which are nodular, in the right upper lobe, most suggestive of scarring. No new or suspicious lesions.MEDIASTINUM AND HILA: Tracheostomy tube in place. Left carotid artery appears nearly occlude... | 1. No acute pulmonary abnormality.2. No gross thoracic esophageal masses or signs of stenosis though assessment is limited due to collapse of the esophagus and lack of oral contrast.3. New and enlarging lymph nodes in the right superior mediastinum.4. Soft tissue abnormality in the left neck is not included within the ... |
Generate impression based on findings. | 54-year-old male status post stent cell transplant with fever There is minimal compromise of the right sphenoid ethmoidal recess and occlusion of the left sphenoethmoidal recess. The sphenoid sinuses are otherwise well pneumatized. The frontal sinuses and frontoethmoidal recesses are patent. There is mild mucosal thick... | 1. Small right nasal septal spur contacting the adjacent turbinate mucosa and causing associated decreased caliber of the right nasal passage.2. Mild ethmoidal sinus mucosal thickening as described above. |
Generate impression based on findings. | Reason: evaluate for pulmonary embolus History: left sided chest pain, SOB, Sickle Cell Disease PULMONARY ARTERIES: Technically adequate exam. No PE identified through subsegmental pulmonary arteries. LUNGS AND PLEURA: Left lower lobe consolidation with hypoattenuation of the consolidated parenchyma. Few foci of lipid ... | 1. No thrombotic PE.2. Left lower lobe consolidation with hypoperfusion and peripheral foci of lipid attenuation suspicious for fat embolization related to acute chest syndrome and marrow infarct. This has discussed with Dr. Padela (9040) of the ED at 10:29 a.m. on 7/31/12.3. Hepatosplenomegaly. 4. Small amount of pleu... |
Generate impression based on findings. | 28-year-old male with Crohn's disease, status post colectomy. Reason: Evaluate for obstruction near stoma. History: Nausea. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Liver appears unremarkable without focal abnormality. Biliary tract appears normal.SPLEEN: Splenomegaly without significan... | Diffuse small bowel wall thickening without obstruction. No evidence for abscess.Post-op changes of recent colectomy. Stable splenomegaly. |
Generate impression based on findings. | 63 year old male. Reason: concern for obstruction History: constipation, abd pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKI... | No evidence of bowel obstruction is clinically queried. Retroperitoneal node versus atherosclerotic aortic ulcer as noted above. |
Generate impression based on findings. | 42 year old female. Reason: assess for diverticulitis History: LLQ pain and tenderness ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Multiple hepatic hypodensities are compatible with benign cysts.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLAND... | Left adnexal cysts may be related to the patient's symptoms. If indicated, further evaluation with transvaginal ultrasound examination may be helpful. No other acute abnormality to explain the patient's left lower quadrant pain and tenderness. |
Generate impression based on findings. | 53 year old male. Reason: assess for SBO. History: abd pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Multip... | Postoperative changes in the small bowel with probable chronic dilation near the anastomosis. Findings most compatible with chronic partial small bowel obstruction. No acute obstruction was found. No free air. Enlarged prostate. Trace ascites in the pelvis. |
Generate impression based on findings. | Male, 90 years old, status post subdural hematoma evacuation with bilateral drain placement. Since the prior examination, bilateral parietal burr holes have been created through which drainage catheters have been placed to terminate within the bilateral subdural space.The hyperdense bilateral subdural blood products se... | Expected changes status post evacuation of bilateral subdural hematomas via bilateral parietal approach catheters. No new abnormalities are detected. |
Generate impression based on findings. | 65-year-old male with vertigo, impaired extraocular movements. Evaluate for stroke/vascular abnormality. CT head: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 wi... | 1.No evidence for aneurysm.2.Moderate to severe calcification of the left intracranial internal carotid artery with focus of severe stenosis of the left cavernous internal carotid artery.3.Moderate calcification of the right intracranial internal carotid artery.4.Posterior circulation patent with no significant stenose... |
Generate impression based on findings. | Male; 66 years old with lung cancer. Reason: r/o appendicitis History: RLQ tenderness, diarrhea ABDOMEN: LUNG BASES: Mild basilar scarring and centrilobular emphysema are unchanged. Numerous round subpleural and intrapulmonary nodules are compatible with metastatic disease. Normal heart size without pericardial effusio... | 1.No significant interval change in pulmonary nodules and mediastinal lymphadenopathy. Findings are compatible with metastases.2.Diffuse multifocal hepatic metastases and abdominal lymphadenopathy.3.Cecal and ascending colon wall thickening may be due to inflammatory, neoplastic or ischemic change. Associated pneumatos... |
Generate impression based on findings. | 75 year-old female with loss of consciousness. There is patchy hypoattenuation in the cerebral white matter. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute he... | 1. No acute intracranial abnormality. However, 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. |
Generate impression based on findings. | 65-year-old male. Gastric cancer. EGJ stage IV to lymph nodes. Restaging after two month break. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules, some of which are calcified are unchanged. No new suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Reference right paratracheal lymph node has increased s... | 1.Interval increase of left axillary and mediastinal lymph nodes.2.Slight decrease in size of reference abdominal lymph node. |
Generate impression based on findings. | 33-year-old with two days of headache, left eye pain, left arm/leg weakness. Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No aneurysms or intracranial stenosis is appreciated. The mid and distal... | 1.No evidence for aneurysm.2.No evidence for cerebral vascular occlusive disease.3.Hypoplastic basilar artery as described above, likely congenital in etiology. |
Generate impression based on findings. | 77-year-old male, Reason: 77 m w air leak s/p pleurodesis History: see above LUNGS AND PLEURA: Left apical pleural drain is unchanged. Small loculated anterior left pneumothorax is unchanged in size. Left upper lobe postsurgical changes and consolidation are unchanged from the prior examination. Left basilar atelectasi... | 1.Small loculated anterior left pneumothorax is unchanged in size.2.Severe but decreasing subcutaneous emphysema of the chest wall.3.Left upper lobe postsurgical change and consolidation are unchanged. |
Generate impression based on findings. | 28-year-old male, Reason: h/o tongue cancer History: r/o lung mets LUNGS AND PLEURA: No evidence of pulmonary nodules, masses or other pulmonary/pleural abnormality.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediastinal or hilar lymphadenopathy.CHEST WALL: No axillary lymphadenopathy.UPPER ... | No evidence of metastatic disease in the chest. |
Generate impression based on findings. | 15-year-old male status post stab wound to right back. ABDOMEN:LUNG BASES: The lung bases are clear.LIVER, BILIARY TRACT: The liver is normal in size measuring 14.8 cm in the craniocaudal dimensions without focal hepatic lesions.SPLEEN: The spleen is normal in size without focal lesions and measures 8.2 cm in craniocau... | 1.Soft tissue defect in the right paraspinal region represents site of stab wound. 2.No acute intra-abdominal traumatic injuries. |
Generate impression based on findings. | Right neck cancer, possibly from lung. Rule-out lung mets versus lung primary. LUNGS AND PLEURA: Moderate to severe emphysema. Scattered calcified nodules, statistically most likely granulomas. A triangular shaped subpleural nodule right lower lobe may reflect an intrapulmonary lymph node can be followed on subsequent ... | 1. No conclusive primary or metastatic pulmonary lesions.2. Enlarged lower right paratracheal lymph node nonspecific given absence of contiguous lymphadenopathy in the upper mediastinum and may be benign or malignant.3. Mass lesion in the spleen incompletely assessed. Differential diagnosis includes hemangioma, lymphan... |
Generate impression based on findings. | 61-year-old female. History rectal pain, rule out mass. UTERUS, ADNEXA: The uterus is absent.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: Fat containing umbilical hernia without observed complication.BONES, SOFT TISSUES: Round, hypoattenuating focus within the ... | 1. No identified rectal mass.2. Round, hypodense lesion within the right iliacus muscle. No peripheral enhancement to suggest abscess. Without further history, this is difficult to characterize. Can not rule out metastatic disease with history of breast cancer. |
Generate impression based on findings. | 60 year-old female with right groin pain. Rule out hernia. UTERUS, ADNEXA: Atropic uterus.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: Diverticulosis without seen complication. Fat containing umbilical hernia which does not contain bowel. No other hernia identi... | 1. Fat containing umbilical hernia without signs of complication.2. Diverticulosis |
Generate impression based on findings. | 67-year-old male. Diffuse large B cell non-Hodgkin's lymphoma. Breast cancer and melanoma. Status post chemotherapy in April 2012, occasional left-sided back/flank pain. CHEST:LUNGS AND PLEURA: Calcified granuloma in the right upper lobe, unchanged. Subpleural reticulation/scarring compatible with prior radiation thera... | Stable examination. No significant change in reference lymph nodes. |
Generate impression based on findings. | 72-year-old female with vaginal bleeding and history of papillary serous uterine cancer. CHEST:LUNGS AND PLEURA: There is a 6 x 9 mm pulmonary nodule near the right cardiophrenic angle (image 191, series 5) which may be post-inflammatory but warrants continued follow up.MEDIASTINUM AND HILA: No significant abnormality ... | 1. Right cardiophrenic angle pulmonary nodule which may be post-inflammatory but warrants continued follow up.2. Borderline enlarge lymph nodes at the level of the adnexa bilaterally.3. Degenerative changes of the lumbosacral spine. |
Generate impression based on findings. | Lung cancer and mesothelioma status post chemo. CHEST:LUNGS AND PLEURA: Small right pleural fluid collections, minimally larger. Immediately, there is higher density pleural fluid or thickening which is new from previous, extending from the apex to the lung base on the right. Left lower lobe nodule measures 9 mm, previ... | 1. Diffuse mild lymphadenopathy in the chest and upper abdomen are with increased in size, density in number of lymph nodes. Reference lesion provided as above.2. Thickening and irregularity of the right diaphragmatic crus new from previous and suspicious for tumor involvement by mesothelioma. Slight increase in comple... |
Generate impression based on findings. | 68 year old male. Right-sided abdominal pain. History of renal cell carcinoma. Evaluate for cause of right sided abdominal pain. ABDOMEN:LUNG BASES: Left lung base pleural thickening and volume loss compatible with mesothelioma, with increased pleural thickening from prior exam. Multiple pleural based nodules are also ... | 1.New large volume malignant ascites, with peritoneal carcinomatosis. 2.Progression of mesothelioma.3.Possible liver metastases. |
Generate impression based on findings. | Clinical question: History of meningioma status post site or knife treatment. Signs and symptoms: Leg weakness, gait changes. Nonenhanced head CT:No evidence of acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Examination demonstrates a focus of low-attenuatio... | 1.Right anterior frontal vasogenic edema appears stable since prior head CT from 7 -- 14 -- 13 however increased since prior MRI from 4 -- 20 -- 13. Prior MRI exam demonstrated an extra-axial mass in the right paramedian anterior cranial fossa consistent with a small meningioma and the findings above is believed to rep... |
Generate impression based on findings. | 42 year-old female with 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. There is mild thickening of the tympanic membrane. There is trace soft tissue attached to the malleal manubrium, which appears... | 1. Normal CT appearance of the otic capsule, labyrinthine windows, and internal auditory canals.2. Mild thickening of the bilateral tympanic membranes and trace soft tissues attached to the bilateral malleal manubrium, which appear demineralized and poorly visualized. The findings may be sequela of prior infection. Oth... |
Generate impression based on findings. | Lung cancer off therapy CHEST:LUNGS AND PLEURA: Right paramediastinal radiation fibrosis. No pneumothorax or pleural fluid. New peripheral micronodules at the right apex are nonspecific but more likely to be post inflammatory than metastatic.MEDIASTINUM AND HILA: Intrathoracic portion of the right brachiocephalic vein ... | 1. Mediastinal mass which occludes the SVC not significantly changed. 2. Although the index right supraclavicular lymph node is smaller, adjacent non-index right low cervical lymph nodes are larger and now confluent.3. Right adrenal gland metastasis measures slightly larger. |
Generate impression based on findings. | Multi-year smoker with follow-up lung nodule LUNGS AND PLEURA: Stable scattered micronodules bilaterally, some are partially calcified. The largest nodule remains stable in size in the left lower lobe measuring 1.4 x 0.9 cm (image 59 series 5). No suspicious new superimposed air space abnormalities. No effusions. Mild ... | Stable pulmonary changes for one year. Follow for valuation in one additional year can be considered to ensure stability |
Generate impression based on findings. | 59-year-old male with history of Whipple on 6/27/13, for IPMN. Post-op course complicated by ARF, now on dialysis. Patient's spiking temps greater than 101 in the evenings. Please evaluate for pancreatic leak/fluid collection or abscess. In the absence of IV contrast limiting evaluation of solid parenchymal organs and ... | 1. Post-operative changes from Whipple procedure with re-demonstration of intraperitoneal fluid collections without significant change in size. 2. Enlarged left periaortic lymph node.3. Stable left adrenal lesion.4. Medial segment right middle lobe consolidation. |
Generate impression based on findings. | Reason: ILD eval History: SOB LUNGS AND PLEURA: Large lung volumes with extensive emphysema diffusely involving both lungs slightly more severe at the lung bases.Bronchial wall thickening.Surgical sutures are noted in the right upper lobe.Scattered calcified and noncalcified micronodules.No suspicious nodules or masses... | 1.Severe extensive emphysema throughout both lungs compatible with panacinar emphysema and raising the question of alpha -1 antitrypsin deficiency.2.Bronchial wall thickening compatible with concomitant chronic bronchitis.3.Markedly enlarged pulmonary arteries compatible with pulmonary arterial hypertension. |
Generate impression based on findings. | Female 79 years old; Reason: history of urothelial cancer, surveillance CT urogram History: none 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... | 1.Status post cystectomy with ileal conduit and postoperative fluid collection, likely a seroma in the right lower quadrant. No evidence of recurrence or metastasis detected. |
Generate impression based on findings. | Clinical question: Evaluate for ICH or CVA. Signs and symptoms: Following less responsive this a.m. History of CVA with residual left-sided weakness. Nonenhanced head CT:There is no acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Large focus of encephalomalac... | 1.No acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.2.Right temporal, frontal and basal ganglia encephalomalacia with resultant ex vacuo dilatation of right lateral ventricle consistent with a chronic right MCA territory stroke is noted.3.Mild age indetermin... |
Generate impression based on findings. | 56-year-old male, Reason: Follow up from December's test History: intermittent shortness of breath LUNGS AND PLEURA: New complete interval resolution of tree in bud opacity, bronchial wall thickening, and subsegmental atelectasis in the lingula and medial lower lobe as seen on the prior exam. A left upper lobe nodule (... | 1.Interval resolution of tree in bud opacities and bronchial thickening in the lingula and medial lower lobe. 2.Left upper lobe pulmonary nodule is slightly increased in size and is now suspicious for indolent atypical infection versus neoplasm. Suggest PET examination for further characterization. |
Generate impression based on findings. | Cough for 8 months. Follow up lung nodule LUNGS AND PLEURA: A focal flat linear density is observed in the right upper lobe peripherally. This correlates with a suspected scar and change on the plain film. However, the suspected nodular density is not appreciated and most likely represents superimposed artifact. The re... | Minimal pulmonary scarring without evidence of associated acute or nodular abnormalities |
Generate impression based on findings. | 71 year old female. Right-sided tenderness. Abdominal pain. Cyst/pseudocyst of the pancreas. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: Hypoattenuating lesion in the head of the pancreas measures 4.4 x 3.0 cm (i... | 1.No evidence of colitis on this exam.2.Pancreatic head mass, not significantly changed from prior exam accounting for differences in technique.3.Stable right adrenal nodule. |
Generate impression based on findings. | 56 year old male. Reason: Pre-kidney transplant History: Evaluation of vasculature prior to transplant. History of hypertension, type II diabetes mellitus, smoking, and mild obesity. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormal... | Minimal vascular calcification in the iliac arteries. Atypical left renal cysts. |
Generate impression based on findings. | Male 68 years old; Reason: hemangioma vs HCC, 1.1-cm ill-defined echogenic focus in the right hepatic lobe History: HBV ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver has a cirrhotic morphology. The echogenic focus in the right hepatic lobe corresponds to a subcentimeter focus of hype... | 1.Subcentimeter hypervascular foci in the right hepatic lobe too small to characterize but correspond to the abnormality on ultrasound. 2.Hypovascular pancreatic head neoplasm measuring 1.9-cm for which endoscopy and biopsy is recommended.3.Smoothly marginated 4.2cm soft tissue mass adjacent to the third portion of the... |
Generate impression based on findings. | Male 61 years old; Reason: evaluate left renal mass History: hx of renal cell ca ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Tiny hypoattenuating hepatic lesions are too small to characterized but likely represents cysts.SPLEEN: No significant abnormality noted.PANCREAS: No significant ab... | 1. Status post partial right nephrectomy. Two stable enhancing left renal masses consistent with renal cell carcinoma with measurements provided above. |
Generate impression based on findings. | Clinical question: Rule out acute stroke. Signs and symptoms: Rule out acute stroke. Nonenhanced head CT:Examination demonstrates a small focus of cortical low attenuation involving the dorsal aspect of the left insular cortex highly suspected for a new ischemic stroke is clinically suspected. This finding is best appr... | 1.New small focus of low attenuation involving the left insular cortex highly suspected of an acute/early subacute nonhemorrhagic ischemic stroke.2.Stable minimal age indeterminate small vessel ischemic strokes.3.Stable focus of encephalomalacia along the inferior left anterior frontal lobe adjacent to a previously see... |
Generate impression based on findings. | Reason: Lung ca s/p crt compare to previous History: Lung cancer CHEST:LUNGS AND PLEURA: Stable postsurgical and post radiation changes in the right upper and middle lobes.Marked paramediastinal fibrosis and right lower lobe groundglass opacities similar in appearance to prior exam.Loculated right pleural effusion stab... | Stable exam without evidence of recurrence or metastatic disease. Persistent loculated right pleural effusion and post radiation changes in the right lung. |
Generate impression based on findings. | Mesothelioma post 6 cycles of chemo CHEST:LUNGS AND PLEURA: Right hemithorax pleural thickening, nodularity and volume loss consistent with provided history of mesothelioma. Reference measurements on the right as follows:1. Level of the aortic arch (3/26): 1 o'clock measurement unchanged at 1 mm.2. Level of the right m... | Right hemithorax mesothelioma with reference measurements not significantly changed as above. |
Generate impression based on findings. | Female, 72 years old, history of lung, off therapy for several months. Needs reevaluation. A hyperdense focus within the right basal ganglia, partially visualized, may represent an enhancing vascular structure. Dedicated imaging should be considered, however, to exclude a neoplastic etiology. No adequate comparison stu... | A right supraclavicular mass is detected which likely represents interval coalescence of two smaller masses seen at this location on a prior chest CT. This is most suggestive of progressing, matted adenopathy.Elsewhere in the neck, no focal masses or pathologic adenopathy is detected.A small, presumably enhancing focus... |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.