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Generate impression based on findings. | Reason: pt with h/o lung ca no therapy presently History: now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Status post right pneumonectomy.Groundglass opacity in left upper lobe is unchanged in size (image 36 series 4) measuring 3.3 cm x 4.6 cm.Left lower lobe cavitating nodule... | 1.Left upper lobe ground glass opacity and multiple clustered nodules in left upper lobe are unchanged.2.Left lower lobe cavitating solid nodule with surrounding ground glass demonstrates interval increase in size over the last two exams. |
Generate impression based on findings. | Female, 60 years old, concern for GI malignancy, unknown source. Evaluate for brain metastases. There is a vague focus of periventricular lucency on the left, a nonspecific finding which probably represents age indeterminate small vessel ischemic disease.No parenchymal mass, focal edema or mass effect is intact. No int... | No evidence of brain metastases within the limits of a noncontrast CT. |
Generate impression based on findings. | Carcinoid tumor, compared to prior chest CT. Interval chemotherapy CHEST:LUNGS AND PLEURA: Moderate centrilobular emphysema with scattered pulmonary cysts. Persistent confluent dense air space opacities in the peripheral left upper lung with a continued increase in density noted into the left apex. There is remains non... | Questionable progression of the left upper lobe nonspecific opacities most concerning for infection over metastatic disease progression given the shorter time interval. Please correlate with patient's presentation. (Exam read in combination with Dr. Funaki) |
Generate impression based on findings. | Severe asthma LUNGS AND PLEURA: Mild thickening of the fissures. No focal air space opacities or pleural fluid. Minimal airtrapping on expiration sequence consistent with provided history of asthma. No signs of fibrosis or interstitial lung disease.MEDIASTINUM AND HILA: Upper normal heart size.CHEST WALL: No significan... | Subtle air trapping consistent with provided history of asthma. No signs of occult infection or interstitial lung disease. |
Generate impression based on findings. | Male 20 years old; Reason: Patient with iliopsoas abscess, assess for possible drainage History: iliopsoas abscess ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. Minimal intrahepatic biliary ductal dilatation. Hepatic and portal ... | 1.Multiple large left pelvic abscess. |
Generate impression based on findings. | Lung nodule, mediastinal adenopathy. CHEST:LUNGS AND PLEURA: Scattered calcified granulomas. Multifocal atelectasis in the right lung base containing a nodular component in the right costophrenic angle measuring 18-mm in transaxial dimensions and 2.3-cm in long axis (4/64). Allowing for motion artifact, this nodular ap... | 1. Mediastinal and right hilar lymphadenopathy in association with diffuse right middle and lower lobe bronchial wall thickening and associated atelectasis may be neoplastic or inflammatory.2. Focal nodule contained within the atelectasis involving the posterior basal right lower lobe. Please refer to outside PET repor... |
Generate impression based on findings. | Female 45 years old; Reason: metastatic breast cancer on estradiol please assess disease response History: breast cancer CHEST:LUNGS AND PLEURA: Right apical scarring. Post radiation fibrosis in the anterior sub segments of the right upper lobe. Right lower lobe subpleural nodule is unchanged.MEDIASTINUM AND HILA: Hear... | 1.Increase in the size of the hepatic metastases. |
Generate impression based on findings. | Lung cancer, malignant effusion. Reevaluate CHEST:LUNGS AND PLEURA: Interval stability in the suprahilar mass adjacent to the mediastinum and right upper lobe bronchus. Reference measurements remained 4.6 x 2.3 cm (image 26 series 3) from a prior measurement of 4.6 x 1 2.0 cm. The slight variant may be due to differenc... | No appreciable interval change in reference measurements and intrapulmonary masses, measurements provided. |
Generate impression based on findings. | 41 year old female. Reason: Colitis. History: LLQ pain. ABDOMEN:LUNG BASES: Bibasilar dependent atelectasis. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No signif... | No acute abnormality to explain left lower quadrant pain. No definite evidence of colitis. |
Generate impression based on findings. | Female 66 years old; Reason: extent of newly diagnosed endometrial cancer History: postmenopausal bleeding ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.STOMACH: Sutures noted along the lesser curvature from prior gastrectomy.SPLEEN: No significant abnormal... | 1.Large soft tissue lesion measuring 5.7 x 4.2 cm within the endometrium compatible with patient's known history of endometrial carcinoma2.Exophytic mass arising from the left kidney, concerning for metastatic disease versus primary neoplasm. |
Generate impression based on findings. | Male 74 years old; Reason: Evaluate for recurrence or metastases from bladder cancer. ABDOMEN:LUNGS BASES: Emphysematous changes are noted in the lung bases.LIVER, BILIARY TRACT: Gallstones in gallbladder. No cholecystitis identified.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.AD... | 1.Status post cystoprostatectomy with neobladder formation. No evidence of recurrence or metastasis detected. |
Generate impression based on findings. | 53-year-old female with metastatic breast cancer on chemotherapy. Reason: history of breast ca, pt to start new treatment, restaging required. CHEST:LUNGS AND PLEURA: Severe centrilobular emphysema. Bilateral small well-defined nodules have increased in size. The left upper lobe nodule (series 5 image 41) is 7 mm. No n... | 1. Stable multiple pulmonary nodules consistent with metastases. 2. Stable size of anterior chest wall mass.3. No other significant interval change since 6/25/2013. |
Generate impression based on findings. | 49 year old female. Chest pain. Evaluate for aortic dissection. CHEST:LUNGS AND PLEURA: Mild bibasilar atelectasis.MEDIASTINUM AND HILA: No evidence of aortic aneurysm or dissection. The ascending thoracic aorta is mildly ectatic. Cardiac size is normal. No pericardial effusion. The left vertebral artery arises from th... | No evidence of aortic aneurysm or dissection, or other findings to account for patient's pain. |
Generate impression based on findings. | Shortness of breath and cough. History of abnormal chest x-ray. LUNGS AND PLEURA: Diffuse centrilobular nodules and tree-in-bud opacities, present in all lobes. Within the affected regions, there is bronchial thickening and intermittent debris in the airways. Multifocal air space opacities are seen in the right lower l... | Moderate residual bronchiolitis pattern which may be infectious (atypical mycobacteria such as MAI commonly have this appearance) or inflammatory with mixed interval response. The majority of the findings have improved but not resolved and there are a few new air space lesions in the right lower lobe. Mild mediastinal ... |
Generate impression based on findings. | 69-year-old female with epithelioid metastatic mesothelioma, needs staging imaging. Visualization of the lower abdomen/upper pelvis is limited secondary to metal artifact from spinal hardware.CHEST:LUNGS AND PLEURA: There is a 5 x 8 mm pulmonary nodule in the right lower lobe.MEDIASTINUM AND HILA: No significant abnorm... | 1. Para-pancreatic lymphadenopathy with reference node documented.2. Hepatomegaly with fatty infiltration.3. Small right lower lobe pulmonary nodule. |
Generate impression based on findings. | Male 4 years old; Reason: neuroblastoma on therapy; assess of progression of disease. CHEST:LUNGS AND PLEURA: Dependent atelectasis. No large pulmonary nodules or masses identified. MEDIASTINUM AND HILA: No cardiomegaly or pericardial effusion. No significant mediastinal, hilar or axillary lymphadenopathy. Soft tissue ... | 1.Area of soft tissue density in the surgical bed site, with clips and calcifications, is unchanged.2.Unchanged retroperitoneal lymphadenopathy.3.Dependent atelectasis.4.Stable osseous metastasis. |
Generate impression based on findings. | 83-year-old male with history of non-Hodgkin lymphoma, Mantle Cell NHL, History: Evaluate disease CHEST:LUNGS AND PLEURA: Mild upper lobe predominant emphysematous changes are stable. Linear atelectasis in the right upper lobe and left lower lobe.MEDIASTINUM AND HILA: Index right paratracheal lymph node measures less t... | No significant change from previous study. |
Generate impression based on findings. | 56-year-old male. Evaluate for interval resolution of fluid collection and portal vein thrombosis. Abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Interval resolution of thrombus in the extrahepatic portal vein that previously extended into the splenic vein. Complete occlusion ... | 1.Interval decrease in inflammatory changes and fluid collection adjacent to the sigmoid colon. 2.Interval resolution of extrahepatic portal vein thrombus. Complete occlusion of left portal vein is unchanged. |
Generate impression based on findings. | Male 80 years old; Reason: h/o urothelial cancer, h/o possible TB History: cavitary lung lesion, bladder cancer CHEST:LUNGS AND PLEURA: There is bilateral centrilobular emphysema. Spiculated cavitary lesion noted in the right upper lobe measuring 4.7 x 2.0 cm. 8mm nodule noted in the left lower lobe. Numerous other nod... | 1.Spiculated cavitary lung lesion worrisome for neoplasm versus old TB. Numerous other nodules could represent granuloma versus neoplasm, follow up advised.2.No evidence of recurrence in the abdomen or pelvis3.Stable infrarenal fusiform abdominal aortic aneurysmal dilation with measurements provided |
Generate impression based on findings. | 59-year-old male with history of myelofibrosis, pre-stem cell transplant evaluation. Postsurgical changes of bilateral antrostomies, which are widely patent. Partial opacification of the right maxillary sinus with focal areas of hyperattenuating material. Mucosal thickening of the left maxillary sinus. No associated bo... | Postsurgical changes of bilateral antrostomies, which are widely patent. Mild bilateral maxillary sinus disease, right greater than left. |
Generate impression based on findings. | HNC. Radiotherapy and chemotherapy follow-up. Regional lymph node metastasis. CHEST:LUNGS AND PLEURA: Mild bronchiolitis pattern in the posterior lung fields, likely due to aspiration of secretions. No suspicious pulmonary nodules.MEDIASTINUM AND HILA: Right chest port tip at the SVC/RA junction. No significant lymphad... | No signs of metastatic disease. Unchanged nodule in the right kidney isoattenuating to soft tissue is incompletely assessed. Differential diagnosis includes benign hemorrhagic or proteinaceous cyst however a solid neoplastic lesion cannot be excluded by this technique. This should be monitored on subsequent exams for g... |
Generate impression based on findings. | Clinical question: Rule out bleed. Signs and symptoms: Fall with external hematoma. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial or calvarial findings.There is a hematoma in the left frontal subgaleal and subcutaneous scalp measuring approximate the 35 times 10-mm in size.Subtle periventr... | 1.Left frontal scalp/subgaleal hematoma measuring 35 x 10-mm.2.No detectable intracranial or calvarial posttraumatic findings.3.Minimal age indeterminate small vessel ischemic strokes.4.Unremarkable calvarium, paranasal sinuses, mastoid air cells and orbits. |
Generate impression based on findings. | Myelofibrosis pre-stem cell transplant evaluation LUNGS AND PLEURA: Scattered micronodules up to 4-mm in size (7/51 left lower lobe), some of which could be intrapulmonary lymph nodes based on their appearance and location. MEDIASTINUM AND HILA: Upper normal heart size with hypoattenuation of the blood pool suggesting ... | No specific signs of pneumonia. Hepatosplenomegaly and diffuse skeletal sclerosis consistent with provided history. |
Generate impression based on findings. | 83-year-old male with mantle cell non-Hodgkin's lymphoma. There has been stable in size of the reference lymphadenopathy. No new lymphadenopathy noted. Reference measurements are as follows: 1. Right level 2 lymph node measures 7 x 5 mm (image 43, series 80334), previously 7 x 5 mm.2. Left level 2 lymph node measures 7... | No cervical lymphadenopathy. Stable reference lymph nodes. |
Generate impression based on findings. | Clinical question: History of AML, prior to stem cell transplant. Signs and symptoms: As above. Nonenhanced maxillofacial CT:Frontal sinuses are well pneumatized and without evidence of disease. Similar to prior exam.Ethmoid sinuses are well pneumatized and unremarkable and similar to prior exam.Sphenoid sinus is well ... | 1.Interval increased mucosal thickening in the dependent portion of right maxillary sinus however with patent right ostiomeatal unit.2.No evidence of chronic or acute sinusitis of any of the other paranasal sinuses.3.Mild nasal septum deviation and a small bony septal spur projecting to the left similar to prior exam.4... |
Generate impression based on findings. | Lung cancer status post right upper lobe resection LUNGS AND PLEURA: Postsurgical changes and several scarlike opacities appears stable. No new or suspicious lesions. Emphysema.MEDIASTINUM AND HILA: Thoracic aorta is ectatic with extensive atherosclerotic disease; assessment is limited by unenhanced technique. Coronary... | No change and no signs of recurrent or metastatic disease. |
Generate impression based on findings. | SOB, cough, worsening effusions on cxr. LUNGS AND PLEURA: Right lower lobe consolidation with occlusion of the proximal airway by debris. Dependant atelectasis bilaterally. Small to moderate left pleural fluid collection which appears loculated and may be associated with pleural thickening. Previously seen left basilar... | 1. Interval development of right lower lobe consolidation suspicious for aspiration pneumonia. Underlying pulmonary primary or metastatic lesions may not be visible and cannot be excluded. Follow up scan may be obtained in 6 weeks.2. Left basilar masslike consolidation is now necrotic. Differential diagnosis includes n... |
Generate impression based on findings. | 70 year old female. Evaluate right renal mass. ABDOMEN:LUNG BASES: Minimal bibasilar atelectasis or scarring. Elevation of the right hemidiaphragm is noted.LIVER, BILIARY TRACT: Status post cholecystectomy. There is intrahepatic and extrahepatic biliary ductal dilatation. This appears unchanged from MRCP dated 1/26/12,... | Bilateral renal cysts, but no suspicious renal masses are evident. |
Generate impression based on findings. | 85 year-old female with change in mental status. There is moderate 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 collecti... | 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. Moderate small vessel ischemic disease of indeterminate age. |
Generate impression based on findings. | Female 64 years old; Reason: eval for diveriticulitis History: LLQ abd pain, fevers, diarrhea CHEST: The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:LUNGS AND PLEURA: 6mm pleural based nodule noted in the... | 1.No acute inflammatory process detected.2.6mm nodule in the right middle lobe. follow up advised. |
Generate impression based on findings. | PTC (thyroid), evaluate recurrence. LUNGS AND PLEURA: Right middle lobe calcified nodule stable compared to 2009. No new or suspicious lesions.MEDIASTINUM AND HILA: Postsurgical changes in the thyroid bed. Slight rightward tracheal deviation by nonenhancing left paratracheal soft tissue similar to recent previous, plea... | No signs of intrathoracic metastases. |
Generate impression based on findings. | 45 year old male. History of urothelial cancer. Needs baseline scans prior to starting chemotherapy.Additional history from Epic: history of bladder cancer status post radical cystoprostatectomy, BPLND, and ileal conduit urinary diversion on 6/13/13. The final pathology revealed pT4N2 (36/40)Mx urothelial carcinoma wit... | 1.Retroperitoneal, pelvic, and inguinal lymphadenopathy.2.Changes status post cystoprostatectomy, with ileal conduit and neobladder formation.3.4 mm pulmonary nodule.4.Seroma/lymphocele in the left lower pelvis. |
Generate impression based on findings. | Metastatic breast cancer, evaluate response to treatment. CHEST:LUNGS AND PLEURA: Apical fibrosis, right greater left. No suspicious pulmonary nodules or masses. Right lateral costophrenic angle nodular opacity has nearly resolved.MEDIASTINUM AND HILA: Left chest port tip in the right atrium. Normal heart size. No peri... | Mixed response with slight improvement in the left supraclavicular lymph node measurement but development of a new left upper segmental intrapulmonary lymph node and subtle increase in size of a left paratracheal lymph node. |
Generate impression based on findings. | 86 year old female. New diffuse abdominal pain and peritoneal signs. Evaluate for obstruction versus megacolon. ABDOMEN:Lack of intravenous contrast limits the evaluation of visceral organ pathology.LUNG BASES: Left basilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnorma... | Diffuse, extensive bowel wall thickening of the colon, with associated inflammation and pericolonic edema. These findings are highly suggestive of Clostridium difficile colitis. No evidence of associated obstruction, perforation, or abscess. |
Generate impression based on findings. | Male, 35 years old, history of tongue cancer, status post CRT, follow-up study. Lack of IV contrast limits the sensitivity for small or subtle lesions. Within this limitation, the following observations are made.Deformity and volume loss of the left lateral oral tongue is redemonstrated consistent with prior surgery. S... | No definite evidence of progressive disease. However, lack of IV contrast and mild differences in the geometry of the surgically altered tongue make accurate comparison difficult. These results should be considered along with direct visual inspection of the surgical margins. |
Generate impression based on findings. | Male 54 years old; Reason: 54 M with pancreatic neuroendocrine tumor, please eval for interval change. ABDOMEN:LUNG BASES: Lung bases are clear.LIVER, BILIARY TRACT: No focal hepatic lesions. Cholelithiasis without evidence ofcholecystitis.SPLEEN: Status post splenectomy. Splenic vein is not visualized.PANCREAS: Status... | No significant interval change in pancreatic mass, with continued compression of theceliac axis and common hepatic artery. No evidence of metastatic disease. |
Generate impression based on findings. | 4 year-old male with neuroblastoma and headache. The ventricles, sulci, and cisterns are symmetric and subjectively mildly prominent. 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 unrema... | No acute intracranial abnormality or calvarial metastasis. |
Generate impression based on findings. | 55-year-old male. Assess for Crohn's, abscess, appendicitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: The liver is normal in morphology. There are no focal hepatic lesions. Minimal intrahepatic biliary ductal dilatation. Previously seen perihepatic ascites has resolved. SPLEEN: No signi... | 1. Two mesenteric fluid collections consistent with abscesses in an area of inflammation involving the mid-ileum, mid to distal appendix, and sigmoid colon. The tip of the appendix is not well visualized and can not rule out fistula or perforation. 2. Minimal intrahepatic biliary ductal dilatation. |
Generate impression based on findings. | Anesthetic lung cancer, is compared to prior. Diffuse skeletal pain. CHEST:LUNGS AND PLEURA: Marked interval development of extensive mixed interstitial and largely ground glass opacities in both lobes greater than upper lungs bilaterally. Moderate right pleural effusion and small left fluid collection. Fluid tracks al... | 1. Pulmonary changes nonspecific possibly diffuse atypical edema, infection must also be considered2. interval development of thrombus within the inferior vena cava, service contacted, pager 3901 |
Generate impression based on findings. | 64 year-old female, Reason: Pt is a 64 y/o female with renal cell cancer, evaluate for recurrence History: kidney cancer LUNGS AND PLEURA: Upper lobe predominant faint ground-glass opacities and centrilobular nodules are unchanged. Partially calcified nodule in the left lower lobe is unchanged. No pleural effusions. Mo... | 1.No specific evidence of metastatic disease.2.Upper lobe predominant ground glass opacities and centrilobular nodules are chronic and unchanged. Hypersensitivity pneumonitis/ drug reaction is higher on the differential diagnosis given the lack of resolution. Endobronchial spread of metastatic disease is unlikely given... |
Generate impression based on findings. | Reason: New dx lung cancer. Please eval History: Lung cancer CHEST:LUNGS AND PLEURA: Right middle lobe infrahilar mass (image 56 series 4) measuring 2 cm x 3.8 cm in size.No other suspicious nodules or masses.Scattered calcified granulomas.No pleural effusions.MEDIASTINUM AND HILA: Large right hilar lymph node ((image ... | 1.Right middle lobe mass compatible with a primary neoplasm.2.Right hilar lymphadenopathy. |
Generate impression based on findings. | 76-year-old male, Reason: Evaluation of stable ascending aortic aneurysm History: 4.5cm thoracic ascending aortic aneurysm CHEST:LUNGS AND PLEURA: Interlobular septal thickening compatible with pulmonary edema. Small pleural effusions and overlying compressive atelectasis. Right middle lobe and lingular scarring/atelec... | 1.Stable aneurysmal dilatation of the descending aorta.2.Extensive atherosclerosis of the aorta with mural thrombus throughout the descending aorta.3.Pulmonary edema and extensive coronary atherosclerosis. |
Generate impression based on findings. | Female 20 years old; Reason: CT scan per living kidney donor protocol History: kidney donor ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: 1 cm cyst noted medial segment left lobe of the liver. Hemangioma noted in the inferior medial segment left lobe of the liver.SPLEEN: No significant abnor... | 1. Single bilateral renal arteries and renal veins. Single collecting system bilaterally with no masses or filling defects noted bilaterally.2. Non specific retroperitoneal lymphadenopathy. |
Generate impression based on findings. | Lung cancer status post resection LUNGS AND PLEURA: Fine emphysema pattern throughout the lungs in association with reticulonodular groundglass opacities, slightly progressed compared to earlier studies. The resection of the right lower lobe and previously seen lung nodule. Scattered peripheral nodular densities bilate... | Status post right lower lobectomy with no evidence of localized recurrence or conclusive evidence of metastatic disease; worsening reticulonodular groundglass abnormality could be post inflammatory if the patient is a current smoker or aspirates. Low-grade indolent infection is also a possibility though the CT appearan... |
Generate impression based on findings. | Reason: Follow up PV thrombus History: cirrhosis with PV thrombus ABDOMEN:LUNG BASES: Interval increase in the size of the right pleural effusionLIVER, BILIARY TRACT: Cirrhotic morphology without worrisome mass. Small arterially enhancing lesions without washout are noted in segment 4A and 4B. Extensive nonenhancing th... | Cirrhotic liver without mass. Non-enhancing thrombus of the undivided left portal vein, unchanged. Mild ascites. |
Generate impression based on findings. | Clinical question:? Full. Signs and symptoms: Disoriented, different than baseline. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- wh... | 1.No acute intracranial findings.2.7 x 4-mm dural-based calcific density along the left great the renal sphenoid may represent a dural plaque and or a small meningioma. |
Generate impression based on findings. | Clinical blush and coned out intracranial abnormalities. Signs and symptoms: Worst headache of life. Nonenhanced head CT:There is no evidence of acute intracranial process as is questioned clinically. CT however is insensitive for detection of acute non-hemorrhagic ischemic strokes.There is mild crowding of the cerebel... | 1.No acute intracranial process.2.Mild crowding of cerebellar tonsils at the level of foramen magnum. Correlate with history and physical exam and consider follow-up with an MRI and CSF flow study. |
Generate impression based on findings. | Clinical question: Acute mental status change, supratherapeutic INR. Rule out hemorrhage. Nonenhanced head CT:No detectable acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic strokes.Mild periventricular low attenuation of white matter is suspicious for minimal age indeterminat... | No acute intracranial process. Minimal age indeterminate small muscle ischemic strokes. |
Generate impression based on findings. | Reason: eval for PE History: sob, hypoxia PULMONARY ARTERIES: Technically adequate exam to the level of the segmental arteries. No pulmonary emboli. The main pulmonary artery is mildly enlarged, measuring up to 32 mm which can be seen in pulmonary arterial hypertension. LUNGS AND PLEURA: Scattered areas of mild linear ... | 1. No PE. 2. Cardiomegaly, unchanged. Findings suggestive of elevated right heart pressures.3. Right adrenal myolipoma, unchanged. |
Generate impression based on findings. | 57 YEAR OLD FEMALE Reason: Ct per living kidney donor protocol History: kidney donor ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: 2.3 x 3.3 cm cyst noted in segment 7. Smaller cyst noted in segment 8.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL G... | 1. Single bilateral renal arteries and renal veins. Single collecting system bilaterally with no masses or filling defects noted bilaterally. |
Generate impression based on findings. | 68-year-old female with history of gastric carcinoma status post two rounds of chemo, oncology requesting repeat scan for evaluation of response to chemo versus progression of disease. CHEST:LUNGS AND PLEURA: Right lower lobar artery pulmonary embolus extending into multiple segmental branches. Bilateral scattered pulm... | 1. Right lower lobar artery pulmonary embolus with extension to multiple segmental branches.2. Decrease in size of mediastinal, retroperitoneal, and mesenteric lymphadenopathy without observed new sites of involvement. |
Generate impression based on findings. | 56 year old female. History of dissecting thoracic aortic aneurysm with repair in June 2013. Now with hypotension, dizziness, and weakness. CHEST:LUNGS AND PLEURA: Trace dependent atelectasis.MEDIASTINUM AND HILA: Cardiomegaly. Small pericardial effusion. Changes status post thoracic aortic dissection or repair. Surgic... | 1.Status post aortic dissection repair, with no evidence of aortic dissection or aneurysm.2.Non-specific hepatomegaly without focal hepatic lesions. |
Generate impression based on findings. | Clinical question: 59 year old female with history of and right tonque cancer status post CRT. Assess for response. Signs and symptoms: Tonque cancer. Enhanced CT of soft tissues of neck:Limited images of the intracranial content demonstrates subtle bilateral frontal subcortical low attenuation similar to prior exam an... | 1.No definite evidence of a tonque mass is detected.2.Interval decrease in left level 2a lymph node from prior measurements of 13 x 13 to current measurements of 7 x 7.3.Right-sided level 2a lymph node measuring 9.7 x 9-mm which appears slightly more prominent/larger since prior nonenhanced exam.4.Interval complete opa... |
Generate impression based on findings. | 77 year old female. Bacteremia. Evaluate for pulmonary and/or intra-abdominal infection. CHEST:LUNGS AND PLEURA: Moderate bilateral pleural effusions. Multifocal ground glass, and airspace opacities and adjacent areas of more dense consolidation and multiple small cysts, most pronounced in the right upper lobe, but add... | 1.Multifocal ground glass air space opacities, most pronounced in the right upper lobe, nonspecific, but differential includes atypical infection (including viral etiology), or atypical edema. Aspiration is considered less likely. 2.Significant interval decrease in size of left upper quadrant fluid collection, with int... |
Generate impression based on findings. | 74 year old female, Reason: r/o PE History: SOB, hx of DVT, subtherapeutic DVT PULMONARY ARTERIES: Technically adequate exam. No evidence of pulmonary embolus. Main pulmonary artery measures 34 mm in diameter, suggestive of pulmonary arterial hypertension.LUNGS AND PLEURA: Minimal basilar atelectasis. No pleural effusi... | 1.No evidence of pulmonary embolus. 2.Nonspecific mediastinal lymphadenopathy. |
Generate impression based on findings. | 55-year-old female. Follow-up of high-risk urothelial cancer. Lowdose IV dye as the patient has one kidney. CHEST:LUNGS AND PLEURA: Right apical scarring. Few micronodules are noted, and unchanged. No effusions.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:L... | Stable findings including nonspecific lung micronodules. Decrease in size of left pelvic fluid collection. Stable subcentimeter retroperitoneal nodes of questionable significance. |
Generate impression based on findings. | 82-year-old female presenting with nausea vomiting and diarrhea The study is limited due to lack of IV contrast.ABDOMEN:LUNG BASES: Large hilar hernia is unchanged.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No s... | Limited study due to lack of IV contrast. No significant change from previous study. |
Generate impression based on findings. | 27 year old female. Midline upper abdominal pain, palpable periumbilical nodularity. Evaluate for hernia or obstruction. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLA... | 1.Incarcerated umbilical hernia with associated small bowel obstruction.2.Fat containing right adnexal lesion, compatible with dermoid. Follow up with pelvic ultrasound is recommended. Findings were communicated by the on-call resident via the stat consult system. |
Generate impression based on findings. | 32 year old female, Reason: organ donation History: as above LUNGS AND PLEURA: Bilateral upper lobe ground glass opacity with more focal airspace opacity in the left upper lobe and lower lobes. No significant pleural effusion.MEDIASTINUM AND HILA: Endotracheal tube in appropriate position. Enteric tube tip in the stoma... | Bilateral upper lobe ground glass opacity and more focal airspace opacity in the left upper and both lower lobes compatible with aspiration pneumonia. |
Generate impression based on findings. | 46 year-old female with abdominal pain. Rule out intra-abdominal source of pain, abscess, hematoma. ABDOMEN:LUNG BASES: Basilar atelectasis of the right lung base.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No si... | New lesion within the right adnexal region which likely represents a hematoma though can not exclude an infected fluid collection. Pelvic ultrasound can be obtained for further characterization as clinically indicated. Findings communicated via Stat Consult at the time of the exam. |
Generate impression based on findings. | Female 53 years old; Reason: Restage colon cancer History: None CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Right-sided Port-A-Cath is noted with its tip in cavoatrial junction.ABDOMEN:LIVER, BILIARY TRACT: Interval post-ablation changes of... | 1. Interval post-ablation changes of the right hepatic lobe with lesions compatible with recurrence at the ablation site.2. New hepatic metastasis as described above |
Generate impression based on findings. | Clinical question: Blurry vision and status post hitting head, intraparenchymal cause? Signs and symptoms: As above. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Unremarkable images through posterior fossa.Unremarkable cerebral cortex, cort... | Negative nonenhanced head CT. |
Generate impression based on findings. | 59-year-old female with severe abdominal pain. Evaluate for bowel edema/ischemia, diverticulitis, appendicitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy surgical clips in gallbladder fossa.SPLEEN: No significant abnormality notedPANCREAS: No significant abnor... | No evidence to suggest inflammation of the bowel or obstruction. Normal appearing appendix. |
Generate impression based on findings. | 60 year-old male with metastatic pancreatic cancer. Re-staging of disease. CHEST:LUNGS AND PLEURA: Scattered pulmonary micro-nodules without interval change. MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Right chest wall Port-A-Cath tip at the cavoatrial junction.ABDOMEN:LIVER, BILIARY TRACT: Multip... | 1. Interval increase in size of reference hepatic metastatic lesion.2. Stable size of reference portacaval lymph node. |
Generate impression based on findings. | 68-year-old male. History of renal cell carcinoma. Evaluate for new baseline on new therapy. CHEST:LUNGS AND PLEURA: Subcentimeter nodule in the right middle lobe, unchanged (series 5, image 53). No new suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Interval increase in mediastinal lymphadenopathy. Refere... | Interval increase in mediastinal lymphadenopathy as well as interval increase in size of left adrenal nodule. |
Generate impression based on findings. | Reason: History of AML, on trial, with SOB. Will need baseline chest CT. History: AML LUNGS AND PLEURA: Small subpleural scars and approximately 6 mm nodular opacity in the right costophrenic angle suggestive of an intrapulmonary lymph node.Several small cysts, suggestive of emphysema.No sign of active infection.MEDIAS... | No acute abnormalities. |
Generate impression based on findings. | 39 year old female. Hematuria, rule out nephrolithiasis. 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: Multiple ... | 1.Bilateral nephrolithiasis.2.Calcific density in the left lower pelvis, which could be a phlebolith or distal ureteral stone. Clinical correlation is advised. |
Generate impression based on findings. | Reason: tongue cancer s/p CRT, also aspiration symptoms and thick secretions per trach; eval for mets, r/o pneumonia History: Cancer, aspiration LUNGS AND PLEURA: Lower zone bronchial thickening with focal atelectasis and consolidation at the left lower lobe, slightly decreased compared to previous. Mild residual scarr... | Pulmonary abnormalities consistent with recurrent aspiration, improved compared to previous, with persistent focal consolidation in the left lower lobe. |
Generate impression based on findings. | Male 37 years old; Reason: Hx of kidney cancer s/p left partial nephrectomy complicated by perinephric abscess. Please evaluate History: See above ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significan... | 1.Interval resolution of the left perinephric fluid collection with mild residual inflammatory/postsurgical change. |
Generate impression based on findings. | Male 62 years old; Reason: Evaluate vasculature to support kidney transplant History: Pre-transplant evaluation, pulses evaluated on exam ABDOMEN: The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:LUNGS BAS... | 1.No appreciable atheromatous calcifications of the abdominal aorta, common iliac or external iliac arteries. |
Generate impression based on findings. | Female 70 years old; Reason: pt with known cranial rosai Dorfman dz. evaluate for systemic disease History: none CHEST:LUNGS AND PLEURA: Mild to moderate upper lobe dominant centrilobular emphysema. There are few scattered pulmonary nodules some of which are calcified. The pleural spaces are clear. Central airways are ... | 1.Mild to moderate upper lobe predominant emphysematous changes.2.Nonspecific mediastinal lymph nodes some with calcifications from prior granulomatous disease.3.No enlarged lymph nodes in the abdomen or pelvis by CT size criteria.4.Findings suggestive of right renal artery stenosis. |
Generate impression based on findings. | 68-year-old male. Renal cell carcinoma on therapy. Evaluate for progression. CHEST:LUNGS AND PLEURA: Interval resolution of pneumothorax. Reference right lower lobe pulmonary nodule is decreased in size, now measuring 1.3 x 1.2 cm (image 68, series 3) previously 2.1 x 1.8 cm. Reference left upper lobe nodule has decrea... | Interval decrease size of pulmonary nodules, mediastinal lymph nodes, and liver lesions. |
Generate impression based on findings. | 27 year old maleReason: assessment for perihilar lymph nodes History: CXR concerning for sarcoid LUNGS AND PLEURA: Mild mosaic attenuation abnormality. Mild bronchiolar wall thickening and suggestion of centrilobular nodules. No evidence of interstitial fibrosis or pulmonary sarcoidosis.MEDIASTINUM AND HILA: No hilar o... | 1. Mild mosaic attenuation abnormality with findings suggestive of small airway disease.2. No evidence of sarcoidosis. |
Generate impression based on findings. | Reason: s/p almost 7 yrs after left upper lobectomy and resection of a left lower lobe History: 2 yr f/u CHEST:LUNGS AND PLEURA: Status post left upper lobectomy. Dense scarring at the left apex, unchanged.Severe centrilobular and paraseptal emphysema. Bronchial wall thickening compatible with bronchitis.Visualization ... | Chronic abnormalities and no sign of metastatic disease. |
Generate impression based on findings. | 70-year-old male. Metastatic prostate cancer. Reevaluation as part of investigational therapy trial. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules, some of which are calcified, are unchanged.MEDIASTINUM AND HILA: Reference right hilar lymph node measures 1.4 x 1.1 cm (image 46, series 3) previously 1.4 x 1.1... | Sclerotic osseous lesions with increased area of involvement, without new focal sclerotic lesions. This could represent treatment effect, or progression of disease. |
Generate impression based on findings. | Reason: 61 year old woman with T2 N0 RML NSCLC s/p RT in 2011. Please evaluate for interval change. Of note, she has right mid-axillary pain in chest wall, as well as in the right anterior chest wall just superior to the breast. History: lung cancer CHEST:LUNGS AND PLEURA: Right middle lobe postsurgical changes and sca... | 1.New a focal area of consolidation atelectasis in the right middle lobe, abutting the pericardium and extending to the anterior pleural surface, with associated mild pleural reaction. This may represent infection or infarction.2.No evidence of recurrence or metastatic disease. |
Generate impression based on findings. | 72-year-old male, Reason: pt with met esophageal ca s/p 3 additional cycles of chemotherapy History: doing relatively well. now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: 6-mm right middle lobe nodule (series 5, image 210) is unchanged from the prior exam and compatible with ... | 1.Interval decrease in size of hepatic metastases.2.Interval decrease in retrocrural lymphadenopathy. |
Generate impression based on findings. | 49 year old female. Cholangiocarcinoma. Restaging following chemotherapy. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Cardiac size is normal. No pericardial effusion.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Sta... | 1.Status post total pancreatectomy and splenectomy.2.New hypoattenuating subcentimeter left hepatic lobe lesion. Short term follow up is recommended. |
Generate impression based on findings. | 20 year-old female with vomiting, epigastric pain. Within the limits of a non-IV contrast enhanced examination limiting evaluation of solid parenchymal organs and vessels, structures, the following observations can be made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormal... | 1. No change in bilateral kidney scarring with probable nephrolithiasis nonobstructive in nature. 2. Stable postoperative changes in the bowel, without evidence of bowel abnormality, otherwise. 3. No findings seen to account for patient's symptomatology and no change overall since 6/9/13 |
Generate impression based on findings. | Female 49 years old; Reason: evaluation for renal stone History: paroxysmal R flank 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 abnorma... | 1.No renal stone or hydronephrosis as questioned. Incidental left hyperattenuating exophytic lesion, most compatible with hemorrhagic cyst. Further imaging with dedicated renal mass protocol CT may be helpful.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 68-year-old female, prekidney transplant evaluation This study is limited due to lack of IV contrast.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: 2.6 x 2.6 cm le... | Limited study due to lack of IV contrast.Right adnexal cystic mass suspicious for a cystic ovarian neoplasm.Left adrenal adenoma.Atherosclerotic changes as described above. |
Generate impression based on findings. | Non-Hodgkin lymphoma -- new-onset fatigue. Reevaluate and compare to previous. CHEST:LUNGS AND PLEURA: Nonspecific, micronodules nodule in the right lower lobe measuring 3 mm (series 5, image 52) new from previous CT dated 2003. No other parenchymal infiltrates, nodulesMEDIASTINUM AND HILA: Calcified mediastinal and ri... | 1. No evidence of lymphadenopathy in chest, abdomen or pelvis. 2. Micronodules seen in chest, new since 2003 -- size of this an appearance of other changes of prior granulomatous disease, most likely make this a benign postinflammatory nodule. 3. No thoracic, abdominal or pelvic findings seen to account for patient's s... |
Generate impression based on findings. | 41-year-old female with history of exploratory laparotomy for small bowel obstruction ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Nonspecific, subcentimeter hypodense lesion in the right lobe of the liver.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADR... | Pelvic ultrasound is recommended for further evaluation of the left ovarian cystic lesion. Postsurgical changes in the abdomen and pelvis. |
Generate impression based on findings. | 68-year-old male with artificial urinary sphincter and status post prostatectomy, presenting with chronic urethritis and bladder diverticuli near the bladder neck This study is limited due to lack of IV contrast.PELVIS:PROSTATE, SEMINAL VESICLES: Status post prostatectomy. Postsurgical changes.BLADDER: No significant a... | Limited study due to lack of IV contrast. Left pelvic hypodense lesion which cannot be optimally characterized intellect of IV contrast. This lesion may represent a lymphocele.Pelvic adenopathy as described above. |
Generate impression based on findings. | 34-year-old male, right upper quadrant pain. History of recurrent nephrolithiasis 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... | Bilateral nephrolithiasis. |
Generate impression based on findings. | Reason: followup of pulmonary lesions, history of lung cancer resection on right History: cough LUNGS AND PLEURA: A large left lobulated apical nodule with dystrophic calcification (series 5 image 18) continues to increase in size, now 26 x 27 mm compared to 19 x 18 mm previously.A large part solid and part cystic lesi... | Multiple suspicious pulmonary lesions including one in the left apex that is further increased in size compatible with primary carcinoma. An additional part solid and part cystic lesion in left upper lobe is almost certainly a second primary adenocarcinoma. |
Generate impression based on findings. | Reason: pt with CLL with history of pneumonia History: penumonia by CT , please compere with previous LUNGS AND PLEURA: Marked interval improvement in diffuse groundglass opacity, particularly in the left upper lobe.Focal areas of nodular upper lobe and bilateral lower lobe consolidation have also partially cleared.Int... | Marked interval improvement in bilateral groundglass and air space opacity, compatible with infection. |
Generate impression based on findings. | 74-year-old female with history of aortic dissection CHEST:LUNGS AND PLEURA: Scarring in the right middle lobe and lower lobe, not significantly changed compared to previous study. Mild emphysema, not significantly changed.MEDIASTINUM AND HILA: Dissecting aortic aneurysm involving the descending thoracic aorta is again... | Interval surgical graft placement to the ascending thoracic aorta. Interval development of focal dissection from the ascending thoracic aorta. Interval increase in the size of the distal thoracic aorta. New focal, saccular aneurysmal dilatation involving the distal arch. |
Generate impression based on findings. | 73-year-old female with ovarian cancer -- evaluate. Patient. CHEST:LUNGS AND PLEURA: Calcified micronodular indicative of prior granulomatous changes. No other significant infiltrates, nodules, or masses. Small right pleural effusion and no left pleural effusion.MEDIASTINUM AND HILA: No significant abnormality noted - ... | 1. No evidence of metastatic disease in chest. 2. Diffuse evidence of omental and mesenteric nodules/masses typical of ovarian cancer, metastatic disease. |
Generate impression based on findings. | Reason: following RLL nodule History: RLL nodule LUNGS AND PLEURA: Sharply defined spherical right lower lobe subpleural nodule measuring 15 x 17 mm, not appreciably changed from previous. No sign of internal fat or calcification on the current examination.5-mm solid nodule in the superior segment of the right lower lo... | Stable right lower lobe nodules with morphology that suggests a benign etiolology. |
Generate impression based on findings. | Reason: Pt with HNC s/p CRT 2009. Please re-eval and compare to prior exams History: as above CHEST:LUNGS AND PLEURA: Stable scattered nonspecific micronodules.No suspicious pulmonary nodules or masses identified.Mild biapical fibrotic changes consistent with prior radiation.MEDIASTINUM AND HILA: No hilar or mediastina... | No interval change. No evidence of metastatic disease. |
Generate impression based on findings. | 72-year-old female. Anal cancer, restaging. CHEST:LUNGS AND PLEURA: Calcified right upper lobe granuloma, unchanged. No new suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Calcified mediastinal lymph nodes, indicating prior granulomatous disease. Cardiac size is normal. No pericardial effusion.CHEST WALL: ... | No measurable disease. |
Generate impression based on findings. | 76-year-old male, Reason: Mesothelioma, s/p pleurectomy/decort History: meso CHEST:LUNGS AND PLEURA: Loculated right hydropneumothorax, unchanged. Nodular right pleural thickening with reference lesions as follows:1.At the level of the aortic arch (series 3, image 43) at the 4 o'clock position, a focus of pleural thick... | 1.No significant interval change in right pleural nodularity and thickening.2.Increasing bilateral pulmonary nodules compatible with metastatic disease.3.Increasing mediastinal and hilar adenopathy. |
Generate impression based on findings. | Reason: Pt has crohns disease is taking MTX and Remicade. Coughing for 3 weeks History: cough LUNGS AND PLEURA: There is diffuse beading of the pleural fissures with uniform perifissural hypodensity, which may represent micro-cystic/emphysematous changes that were present on the prior exam and are of undetermined clini... | No acute cardiopulmonary abnormalities. Unusual appearance to the pleural fissures, and perifissural parenchyma, raising the question of granulomatous changes related to this patient's Crohn's disease and microcystic/emphysematous disease. |
Generate impression based on findings. | 47-year-old female with left groin pain Limited study due to lack of IV contrastUTERUS, ADNEXA: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: Fat stranding is noted in the left ... | Left gluteal fat stranding, incompletely imaged. |
Generate impression based on findings. | 75-year-old female, Reason: pt with h/o lung ca s/p 4 cycles of chemo History: now doing well compare to previous scans and comment CHEST:LUNGS AND PLEURA: Right middle lobe atelectasis and consolidation. Scattered micronodules are stable. 6-mm left lower lobe nodule is stable and is likely benign. No pleural effusions... | 1.Decreasing right hilar mass. 2.Improved right middle lobe atelectasis. |
Generate impression based on findings. | Reason: Patient has history of pulmonary recurrence of osteosarcoma; status post left thoracotomy History: routine surveillance post thoracotomy LUNGS AND PLEURA: Bilateral surgical sutures compatible with previous resection.No sign of suspicious nodules.MEDIASTINUM AND HILA: No significant lymphadenopathy.Residual thy... | Stable abnormalities with no specific evidence of recurrent disease. |
Generate impression based on findings. | 65-year-old male with bilateral posterior circulation strokes, evaluate origin of posterior vessels. CTA neck: Moderate calcifications are present along the aortic arch. Noncalcified eccentric plaque along the origin of and proximal left subclavian artery proximal to the left vertebral artery origin causes mild to mode... | 1. Noncalcified plaque along the origin of and proximal left subclavian artery with mild to moderate stenosis. Unremarkable CTA appearance of cervical vertebral arteries.2. Moderate calcified plaque of the left mid carotid bulb with moderate associated stenosis.3. Mild to moderate stenosis of the cavernous and supracli... |
Generate impression based on findings. | Clinical question: Rule out intracranial hemorrhage. Signs and symptoms: Axial and history of brain metastases. Nonenhanced head CT:No detectable acute intracranial process in particular no evidence of hemorrhage.There is a small new focus of low-attenuation in the subcortical white matter of right frontal lobe (axial ... | 1.No detectable acute intracranial process. CT is insensitive for detection of acute non-hemorrhagic ischemic stroke.2.Minimal new since prior exam subcortical low attenuation at the site of previously known metastatic lesion in the right frontal lobe believed to represent edema.3.Multiple foci of low attenuation and p... |
Generate impression based on findings. | 85 year-old female with hepatocellular carcinoma. CHEST:LUNGS AND PLEURA: Irregular subsolid opacities seen on prior exam are unchanged in size or morphology (image 49, 24, and 44 of series 11). MEDIASTINUM AND HILA: Severe atherosclertoic calcifications of the aorta and the coronary arteries. Reference right precarina... | Multifocal hepatocellular carcinoma with new lesions and increased size of reference lesions. |
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