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Generate impression based on findings. | Clinical question: 74-year-old male with 12 weeks of present sinus drainage and maxillary pain not responding to antibiotic treatment. Signs and symptoms: As above. Maxillofacial CT:Frontal sinuses are well pneumatized and unremarkable.Ethmoid sinuses are well pneumatized and unremarkable.Sphenoid sinus is well pneumat... | 1.Small mucosal thickening and or a small polyp is noted in the right maxillary sinus and unremarkable right maxillary sinus otherwise.2.Well pneumatized alternatives of sinuses and without evidence of acute sinusitis or any significant chronic sinus disease.3.Images through nasal cavity demonstrate mild nasal septum d... |
Generate impression based on findings. | Clinical question: Status post evacuation of cavernous malformation. Signs and symptoms: As above. Nonenhanced head CT:Postoperative changes of the left paramedian suboccipital craniectomy. There is expected residual blood and postop air within the surgical cavity at the site of evacuated hematoma. There is resultant s... | 1.Significant interval decrease in the size of the left cerebellar hematoma since preoperative exam.2.Mild interval increase edema in the right cerebellum and its associated mass effect.3.Residual blood and postoperative air in the surgical cavity is noted.4.Stable residual blood along the superior aspect of the left c... |
Generate impression based on findings. | Reason: ILD, UIP History: Worse SOB, frequent cough LUNGS AND PLEURA: Diffuse chronic interstitial lung disease with architectural distortion, traction bronchiectasis and multiple large and small cysts compatible with honeycombing, has considerably progressed compared to the previous scan.Progression is evident in all ... | Marked interval progression of pulmonary fibrosis, compatible with UIP. |
Generate impression based on findings. | 63-year-old female, Reason: newly diagnosed floor of mouth cancer History: eval extent of tumor LUNGS AND PLEURA: Apical scarring and centrilobular emphysema. Ill-defined nodule in the right upper lobe (series 5, image 73) measures 6 mm.MEDIASTINUM AND HILA: No pericardial effusion. Mild thoracic aortic calcification. ... | Ill-defined 6-mm pulmonary nodule in the right upper lobe. Differential diagnoses includes scar and primary lung carcinoma. Metastasis is considered less likely. Six month follow-up CT is recommended. |
Generate impression based on findings. | Reason: hilar fullness History: hoarseness LUNGS AND PLEURA: Several pulmonary micronodules, some of which are calcified, compatible with previous infection.No suspicious nodules.Mild bronchial thickening which may be secondary to bronchitis or asthma.MEDIASTINUM AND HILA: Examination is somewhat limited by absence of ... | Moderate bronchial thickening compatible with bronchitis or asthma and presumed post infectious micronodules. |
Generate impression based on findings. | Reason: new dx HNC, compare to any previous images, measurements pls History: none CHEST:LUNGS AND PLEURA: Multiple micronodules ranging up to approximately 3 mm in diameter, likely secondary to previous infection.MEDIASTINUM AND HILA: No significant lymphadenopathy.CHEST WALL: Very mild scoliosis.ABDOMEN: Absence of e... | Multiple pulmonary micronodules, most likely secondary to previous granulomatous infection. Further follow up is recommended to confirm stability. |
Generate impression based on findings. | Clinical question: Assess for intracranial pathology. Signs and symptoms: Left-sided facial pain and headache. Unenhanced head CT:No detectable acute intracranial process.CT is insensitive for detection of acute nonhemorrhagic ischemic stroke.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cistern... | No acute intracranial process. |
Generate impression based on findings. | Reason: assess opacity seen on cxr History: see above LUNGS AND PLEURA: Dense focal opacity in the posterior segment of the right upper lobe with proximal air bronchograms, consistent with atelectasis.Focal atelectasis in the right posterior basal segment of the right lower lobe and very small right pleural effusion.Mi... | Focal areas of atelectasis in the right upper and right lower lobes, corresponding to opacities described on recent chest radiographs. |
Generate impression based on findings. | Clinical question:Evaluate for hemorrhage or acute ischemia. Signs and symptoms: Unresponsive, altered mental status. Nonenhanced head CT:There is no detectable acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic stroke.Focus of encephalomalacia consistent with a chronic small r... | No acute intracranial process. No new findings since prior exam from 7 -- 28 -- 13 there |
Generate impression based on findings. | Clinical question: Patient with MDS progressing to AML with CT sinus concerning for subdural hematoma. Signs and symptoms: CT of paranasal sinuses showing signs of possible subdural hematoma. Nonenhanced head CT:Examination demonstrates a low-density extra-axial collection consistent with subdural in the left temporal,... | 1.Low to isodense left temporal and frontal subdural collection measuring maximum of 12-mm in the left frontal region. Subtle associated mass-effect and trace midline shift to the right is noted.2.Unremarkable nonenhanced head CT otherwise. |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: CVA Unenhanced head CT:No acute intracranial process. CT however is insensitive for detection of acute non-hemorrhagic ischemic stroke.There are subtle (left greater than right) subcortical patchy foci of low attenuation which are concerning for age indeterminant small vessel... | 1.No acute intracranial process.2.Mild (left greater than right) small vessel ischemic strokes of indeterminate age.3.Extensive left maxillary sinus disease and unremarkable other paranasal sinuses. |
Generate impression based on findings. | Clinical shunt: Subdural, intracranial hemorrhage. Signs and symptoms: Elderly male status post fall. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Focus of encephalomalacia in the right anterior frontal consistent with a chronic right MCA s... | 1.No acute posttraumatic findings.2.Age indeterminate small vessel ischemic strokes and a chronic right anterior frontal cortical stroke. |
Generate impression based on findings. | 52 year old femaleReason: eval for pe History: cp, sob, breast cancer, unspecified cancer on chemo PULMONARY ARTERIES: Sub-optimal study, no evidence of large pulmonary emboli to the segmental level. Main pulmonary artery is normal in diameter.LUNGS AND PLEURA: Large partially calcified nodule in left lower lobe measur... | 1. No evidence of large pulmonary emboli to the segmental level.2. Multiple lytic/sclerotic bone lesions including a destructive lesion of vertebral body of T9 which has markedly progressed, and is highly suspicious for metastasis, at risk for fracture with spinal cord compression.3. Right upper limb venous obstruction... |
Generate impression based on findings. | Two month old male presents with a history of stridor, deep retractions, sleep apnea, and mild anterior indentation on the mid esophagus on barium swallow. Evaluate for vascular ring. The examination is slightly limited by patient and respiratory motion.LUNGS AND PLEURA: Patchy atelectasis may be in part due to expirat... | No vascular ring or other significant abnormality. |
Generate impression based on findings. | 85 year old male with CLL presents with erythema and swelling of the upper extremities, worse on the left. Exam is limited by the lack of intravenous contrast and inability to optimally position the patient.Diffuse subcutaneous edema throughout the left upper extremity. The edema becomes confluent at multiple locations... | Diffuse subcutaneous, intramuscular and intermuscular edema throughout the left upper extremity. No definite abscess is identified, but evaluation is limited secondary to the lack of intravenous contrast. If clinically warranted, MRI can be considered for further evaluation. |
Generate impression based on findings. | 88 year old female, Reason: PE History: chest pain PULMONARY ARTERIES: Technically adequate exam. No evidence of pulmonary embolus. LUNGS AND PLEURA: Basilar atelectasis/scarring.MEDIASTINUM AND HILA: No pericardial effusion. Coronary artery calcifications. Pacemaker leads in the right atrial appendage and right ventri... | 1.No evidence of pulmonary embolus or other acute abnormality. |
Generate impression based on findings. | Clinical question: Evaluate for lesion. Signs and symptoms: Unable to walk. 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 -- white matt... | No acute intracranial |
Generate impression based on findings. | Chest pain. Rule out dissection. Endstage renal disease. CHEST:LUNGS AND PLEURA: Patchy ground glass opacity predominating in the right lung with atelectasis and scarring at both lung bases.MEDIASTINUM AND HILA: No evidence of aortic dissection. The ascending aorta measures 3.8 cm in diameter and the descending thoraci... | No evidence of aortic dissection. Extensive mediastinal adenopathy as well as new splenic lesions; consider lymphoma. Findings discussed by the RROC (EB) and emergency room physician per Dr. Paushter. |
Generate impression based on findings. | 40 with history of sickle cell disease are vasoocclusive crisis with pain in chest and back, developed worsening abdominal pain with development of worsening grossly distended abdomen. Last bowel movement this AM, evaluate for obstruction or etiology of abdominal distension. In the absence of IV contrast to limiting ev... | 1. No evidence of obstruction. Early fecalization of small bowel may represent delayed transit/ileus.2. Right basilar consolidation and bibasilar atelectasis.3. Small, calcified splenic remnant. 4. Diffuse osseous sclerosis. |
Generate impression based on findings. | 77-year-old male post ERCP with abdominal pain. Evaluate for retroperitoneal perforation. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No focal hepatic abnormality. There is gas within the gallbladder presumably related to recent instrumentation and common bile duct stent placement. Gallbla... | Findings consistent with localized perforation retroperitoneum from recent instrumentation. No gross free intraperitoneal gas.Question eccentric soft tissue involving duodenum.The findings were discussed with Dr. Waxman at the time of initial review. |
Generate impression based on findings. | Female, 83 years old, fall, dementia, right forehead and nasal laceration. Evaluate for intracranial hemorrhage. Evaluate for cervical fracture. Moderately extensive periventricular hypoattenuation is demonstrated similar to prior examinations and likely representing age indeterminate small vessel ischemic disease. Pro... | 1. No definite acute intracranial abnormality is seen. Mild prominence of the extra-axial space along the left cerebral hemisphere is less conspicuous than on the two prior head CTs. The significance of this finding is uncertain. Possibilities include normal variation, subdural effusion or chronic subdural hematoma, as... |
Generate impression based on findings. | 52 year old female. Pancreatic cancer, assess and provide index lesion measurements. CHEST:LUNGS AND PLEURA: Numerous bilateral pulmonary nodules suspicious for metastatic disease. For reference upper lobe nodule measures 6 x 6 mm (image 14, series 26). Left upper lobe subpleural nodule measures 7 mm (image 26 series 2... | Pancreatic mass with associated metastases in the liver, and likely metastases in the adrenal gland, spleen, lung, as well as retroperitoneal, hilar, and mediastinal lymphadenopathy. Mesenteric and omental soft tissue nodularity suspicious for carcinomatosis. |
Generate impression based on findings. | 64-year-old male, Reason: 64 M w/ recurrent hemoptysis, please eval for PE or worsening mycetoma History: see above PULMONARY ARTERIES: Technically adequate exam on the right, however due to severe flow artifact the exam is not diagnostic on the left. No evidence of pulmonary embolus in the right PA. LUNGS AND PLEURA: ... | 1.No evidence of acute pulmonary embolus on the right. Examination is nondiagnostic on the left due to severe flow artifact related to the patient's anatomy; left sided PE cannot be excluded by this study. This was discussed with Dr. Padela at the time of final interpretation.2.Increase in size of left upper lobe mycet... |
Generate impression based on findings. | 14-year-old female presents with bloody diarrhea. ABDOMEN:LUNG BASES: No significant pulmonary pleural or parenchymal abnormality of the lung bases. No pleural effusions.LIVER, BILIARY TRACT: No significant abnormality noted. Distended gallbladder without acute inflammation. SPLEEN: No significant abnormality notedPANC... | Colitis extending from the hepatic flexure to the rectosigmoid most significant in the mid descending colon with foci of pneumatosis intestinalis. These findings are likely infectious and/or inflammatory in etiology. |
Generate impression based on findings. | 25-year-old male with history of Crohn's disease, now with hematuria and fecaluria. Evaluate for enterovesical fistula. ABDOMEN:LUNG BASES: There are multiple dilated and fluid filled tubular structures in the left lower lobe consistent with mucoid impaction within bronchi. Region is incompletely visualized on this abd... | Findings of significant Crohn's disease involving much of the ileum with matting of loops within the bowel and inflammatory change in the adjacent fat.Associated thickening of the bladder dome with gas within the urinary bladder. See above discussion.Small moderate free fluid within the pelvis. A small pelvic fluid col... |
Generate impression based on findings. | 37-year-old man with metastatic colon cancer to the peritoneum. Multiple cycles of chemotherapy and now being considered for debulking surgery. Evaluate extent of disease. CHEST:LUNGS AND PLEURA: Left upper lobe calcified granuloma. Scattered micronodules. Peridiaphragmatic opacity at the right lung base measuring less... | Perineal carcinomatosis with reference measurements given above. Partially calcified soft tissue nodules in the midline along what appears to represent a prior surgical scar; sequela of prior intervention versus subcutaneous metastasis. |
Generate impression based on findings. | 3 year-old male Reason: trauma History: trauma. ABDOMEN:LUNG BASES: Minimal basilar atelectasis.LIVER, BILIARY TRACT: The liver is normal in appearance. No intra-or extrahepatic biliary ductal dilatation. The gallbladder is nondistended.SPLEEN: The spleen is normal in appearance.PANCREAS: Normal enhancement and normal ... | No acute intra-abdominal abnormality. |
Generate impression based on findings. | 38 year-old female with increased pain post-op after supracervical hysterectomy and BSO 6/26/13 with drainage from incision. History of ventral hernia repair with mesh. Evaluate for hernia, intra-abdominal abscess/fluid collection. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant... | 1. There is inflammation, fluid, and air within the anterior abdominal wall incision tract which may represent a developing abscess.2. Postsurgical inflammatory changes within the uterine fossa, cannot exclude a hematoma.3. Enlarged inguinal lymph nodes. |
Generate impression based on findings. | 32-year-old male, Reason: eval for septic emboli in patient with bacterial endocarditis History: eval for septic emboli in patient with bacterial endocarditis PULMONARY ARTERIES: Technically adequate study. Large pulmonary embolus in the right pulmonary artery extending into the right upper lobar and segmental pulmonar... | 1.Large right pulmonary artery embolus extending into the right upper lobar and segmental pulmonary arteries as well as the right descending pulmonary artery with suspicion of smaller bilateral areas of occlusion.2.Cavitary lung nodules compatible with septic emboli in the context of endocarditis.3.Large bilateral pleu... |
Generate impression based on findings. | 68 year old female. Metastatic non-small cell lung cancer, left adrenal mass, right pelvic subcutaneous mass. Please evaluate. CHEST:LUNGS AND PLEURA: Reference left perihilar mass measures 4.5 x 4.2 cm (image 40, series 3) previously 4.4 x 3.7 cm. The mass again encases and narrows the left pulmonary artery and the le... | 1.Increased atelectasis and consolidation, likely postobstructive in nature due to perihilar mass.2.Interval decrease in size of left adrenal mass.3.Interval decrease in size of lobular mass in the soft tissue overlying the lateral aspect of the right pelvis.4.Unchanged soft tissue density in left bladder wall. |
Generate impression based on findings. | Continued fever in a postoperative setting. ABDOMEN:LUNG BASES: Small left pleural effusion with overlying compressive atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNE... | Presumed developing abscess in the lower portion of the uterus ; these findings were discussed with the clinical service (pager 7560) at the time of dictation. |
Generate impression based on findings. | 80 years old patient with unruptured aneurysm . 6 month follow up. Brain CTA: There is a 5 mm x 5.5 mm anterior communicating artery aneurysm present directed from the right side of the anterior communicating artery anteriorly and towards the left.There is opacification of the distal internal carotid arteries, the dist... | 1.Since the prior exam there is no change in the size of the patient's anterior communicating artery aneurysm2.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. | Female, 73 years old, status post fall with loss of consciousness. Parenchymal morphology and attenuation are within normal limits. No focal edema, mass effect or midline shift is seen.No abnormal extra-axial fluid collection or acute intracranial hemorrhage is detected. The ventricular system is patent and normal in s... | No acute intracranial abnormality. |
Generate impression based on findings. | 60-year-old woman with with borderline resectable pancreatic cancer. Chemotherapy and radiation therapy completed July 2013. Evaluate for response and resectability. CHEST:LUNGS AND PLEURA: Scattered micronodules, stable.MEDIASTINUM AND HILA: No significant mediastinal, or hilar adenopathy.CHEST WALL: Right chest wall ... | 1.Stable to slight decrease in size of pancreatic neck mass with vessel involvement as described above. No evidence of metastatic disease. 2.Fusiform aneurysm of the gastroepiploic or middle colic artery measuring 5 mm in diameter, roughly stable compared to prior. Continued surveillance of this is advised and findings... |
Generate impression based on findings. | 50 year old female. Back pain and abdominal pain for 3 weeks with weight loss. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules. Largest pulmonary nodule measures 4-mm in right middle lobe.MEDIASTINUM AND HILA: Small, nonspecific mediastinal lymph nodes. Cardiac size is normal. No pericardial effusion.CHEST WAL... | 1.No findings to account for the patient's back or abdominal pain.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 patients with a higher risk... |
Generate impression based on findings. | Female, 2 years old, status post minor head trauma with vomiting. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift. The ventricles and basal ci... | No acute intracranial abnormality. |
Generate impression based on findings. | 57-year-old female, Reason: eval for PE History: hypoxia, cp PULMONARY ARTERIES: Technically adequate exam. No evidence of pulmonary embolus.LUNGS AND PLEURA: Mild central lobular emphysema. Right middle lobe peripheral consolidation and septal thickening most suggestive of infection (series 10, image 89). The appearan... | 1.No evidence of acute pulmonary embolus.2.Right middle lobe consolidation more compatible with infection than subacute infarct. Recommend follow-up CT in 6 weeks to evaluate for resolution. |
Generate impression based on findings. | 55-year-old male, Reason: left sided pleurisy--chest wall abnormality; r/o PE? History: left pleurisy PULMONARY ARTERIES: Technically adequate exam. Cardiac motion artifact is present. No evidence of pulmonary embolus. LUNGS AND PLEURA: Mild apical scarring and minimal emphysema. No pleural effusions.MEDIASTINUM AND HI... | No evidence of pulmonary embolus or acute pulmonary abnormality. Asymmetric paraspinal soft tissue on the left at the level of T12 L1 is incompletely included in the scanning range but unchanged from 2012. While this most likely represents asymmetric musculature and is unlikely to be clinically significant, if it corre... |
Generate impression based on findings. | Male, 3 years old, status post trauma. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift. The ventricles and basal cisterns are patent and norma... | No acute intracranial abnormality. |
Generate impression based on findings. | Reason: evaluate for PE or infectious process History: tachypnea, sepsis PULMONARY ARTERIES: No pulmonary embolus.LUNGS AND PLEURA: Biapical bullous disease, right greater than left. Severe centrilobular and paraseptal emphysema.Spiculated opacity in the right upper lobe (series 3 image 30) favors that of pleural paren... | 1.No pulmonary embolus.2.Severe centrilobular and paraseptal emphysema with apical bullous disease, right greater than left. At the right apex, there is spiculated focus of consolidation thatavors scar. Comparison to outside imaging is recommended to ensure stability. In absence of such comparison, consider 3 to 6-mont... |
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. | 38-year-old female with head and neck cancer. There is mucosal thickening present along the expected location of the epiglottis and right area epiglottic fold especially which does cross the midline anteriorly.Within the neck on the basis of size criteria for lymphadenopathy, lymphadenopathy is suspected there is a 19 ... | 1.There is a laryngeal mass present involving epiglottis and right aryepiglottic fold which is a suspicious for neoplasm. It appears to cross the midline anteriorly.2.There is associated neck lymphadenopathy present. |
Generate impression based on findings. | 81-year-old male with left-sided abdominal pain. In the absence of IV contrast limiting evaluation of the solid parenchymal organs and vascular structures, the following observations are made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant... | 1. Terminal ileal bowel wall thickening consistent with terminal ileitis which could be secondary to inflammatory, infectious, or ischemic etiology. This could be consistent with Crohn's, however the late onset is unusual. Ischemic etiology is less likely given the distribution, however evaluation is limited without IV... |
Generate impression based on findings. | Female, 52 years old, with onset of C3-4 tenderness, pain. Evaluate for possible metastases, pathologic fracture, cord/canal impingement. History of metastatic breast cancer, known metastases to the lumbar spine. Mild reversal of the normal cervical lordosis. Alignment is otherwise unremarkable. Vertebral body heights ... | 1. Sclerosis within the C2 vertebral body is identified. This finding was demonstrated on multiple prior examinations dating back to at least 2009. There has been no significant interval change. Given these observations, and the fact that this abnormality has a different appearance from the presumed metastatic lesions ... |
Generate impression based on findings. | Evaluate for septic emboli in a patient with bacterial endocarditis. Thoracic spine:The thoracic vertebral bodies are appropriate in the overall alignment and height. The thoracic spinal cord has normal signal characteristics and overall morphology. There is no compromise of thoracic spinal canal or exiting nerve roots... | 1.There is a filling defect present within the right pulmonary artery suspicious for large pulmonary mass or embolus. Please refer to chest CT of the same day for further comments. This is discussed with clinical service - pager 66662.Large bilateral pleural effusions. Left lateral recess disk extrusion at L5-S1 compre... |
Generate impression based on findings. | Evaluate for intra-abdominal process. Sepsis with recent G-tube. ABDOMEN:LUNG BASES: Trace effusions and atelectasis at the lung bases. Trace pericardial effusion. Coronary artery calcifications or stents. Please refer to PE protocol CT for further evaluation. LIVER, BILIARY TRACT: No significant abnormality notedSPLEE... | Gastrostomy tube within the lumen of the stomach. No definite etiology to explain sepsis. |
Generate impression based on findings. | Female, 74 years old, with Merkel cell cancer status post excision. Assess for disease progression. Prominence of the extra-axial space along the left frontal lobe is redemonstrated, similar to prior exams.A bulky submental mass seen on prior examinations has been resected along with the inferior rim of the mandible. I... | Interval resection of a bulky submental mass along with the inferior margin of the mandible and several regional lymph nodes. No discrete focal mass or pathologic adenopathy is detected to suggest residual or recurrent disease. |
Generate impression based on findings. | Reason: lung cancer s/p 8 cycles of chemotherapy. please evaluate for disease and compare with previous scans History: lung cancer CHEST:LUNGS AND PLEURA: Previously described left lower lobe nodule adjacent to the descending thoracic aorta has decreased in size. It currently measures 12 x 17 mm (series 5 image 56), as... | Interval decrease size of left lower lobe nodule with adjacent subsegmental atelectasis. No new suspicious pulmonary nodules. |
Generate impression based on findings. | Cerebellar lesion . There is a left-sided suboccipital craniotomy present in status-post left cerebellar surgery for removal of a hematoma. There are blood products present in the left cerebellar hemisphere associated with mass effect and distortion of the fourth ventricle and transtentorial herniation which is stable ... | 1.Since the prior exam there has been mild enlargement of the large lateral ventricles and third ventricle. Please correlate with clinical symptoms.2.Teslas posterior fossa surgery with attendant postoperative changes in the mass effect (likely cause for increased ventriculomegaly) which are stable since the prior exam... |
Generate impression based on findings. | Male, 20 years old, with cervical instability. Plan for surgical fusion. Straightening of the normal cervical lordosis is seen. The odontoid process is abnormally thick and is mildly retroflexed. This, along with invagination of the apical dens posterior to the basion, results in mild effacement of the CSF space at the... | 1. Mildly dysmorphic odontoid process with retroflexion and invagination resulting in mild effacement of the CSF space at the level of the foramen magnum.2. Also noted is a generalized reduction in height of the cervical vertebral bodies and mild endplate irregularity.3. Additional incidental findings include abnormali... |
Generate impression based on findings. | 77-year-old male. Gastric cancer, restaging. CHEST:LUNGS AND PLEURA: Right lower lobe granulomas are unchanged. No new suspicious pulmonary nodules. Calcified pleural plaques are again noted. MEDIASTINUM AND HILA: Cardiac size is normal. No pericardial effusion. Atherosclerotic calcification of the coronary arteries. N... | Unchanged appearance of the mass in the gastric antrum/pylorus with probable invasion into the liver and colon. No specific evidence of metastatic disease. |
Generate impression based on findings. | 11/1/1939 (73 yrs.) - .bleed . There is redemonstration of a hyperdense focus involving gray and white matter located in the right temporal lobe measuring 52 x 33 mm axial dimensions. The patient is status-post right-sided craniotomy for evacuation of the subdural hematoma. Part of this subdural hematoma remains and is... | 1.Since the prior examination there is no significant interval change. There is redemonstration of a subacute infarction involving the right temporal lobe, status post evacuation of a right-sided subdural hematoma and status post treatment of aneurysm as well as midline shift and some subarachnoid blood products. |
Generate impression based on findings. | 82-year-old female with stage IV gastric cancer. Please compare to previous scan and provide index lesion measurements for RECIST. CHEST:LUNGS AND PLEURA: Nonspecific left upper lobe nodule is unchanged from prior exam. There is a focal pleural nodularity in the right upper lobe which is unchanged in the prior exam )im... | 1. Stable reference nodes without significant change from prior exam.2. Mild hydroureter on the right appears slightly decreased compared to prior exam. |
Generate impression based on findings. | 36-year-old female, Reason: SLE pt with history of recurrent pulmonary hemorrhage, now with new chest pain r/o new hemorrhage History: SLE pt with history of recurrent pulmonary hemorrhage, now with new chest pain r/o new hemorrhage LUNGS AND PLEURA: Multiple new patchy foci of ground glass opacity throughout the lungs... | Multiple new patchy foci of ground glass opacity throughout the lungs. In the setting of lupus, this finding is most compatible with pulmonary hemorrhage possibly due to vasculitis. Infection is a differential consideration. |
Generate impression based on findings. | Vertigo 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 anterior communicating artery and the posterior communicating arteries are identifie... | 1.No evidence for aneurysm.2.No evidence for cerebrovascular occlusive disease3.No evidence for acute intracranial hemorrhage mass effect or edema |
Generate impression based on findings. | Female, 66 years old, with proptosis. Possible thyroid eye disease. The globes are round and symmetric. The native lenses have been removed. The globes may be mildly proptotic, but scan angulation prevents accurate measurement.Subjectively, the extraocular muscles may be mildly prominent at their posterior aspects, but... | No definite or specific findings of thyroid ophthalmopathy. A subjective and symmetric mild prominence of the extra ocular muscle bellies could be within normal anatomic variation. |
Generate impression based on findings. | 46 year old female. Gastric cancer, restaging. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules, unchanged.Previously identified right lower lobe groundglass nodule is not seen. There is a new area of ground glass opacity in the left upper lobe (image 34, series 5), which is nonspecific. There is bibasilar subp... | Progression of disease with increasing ascites, and new osseous metastatic disease. |
Generate impression based on findings. | Evaluate for interval change in bowel obstruction. Nausea vomiting but no bowel movement. On hemodialysis. The following observations are made given the limitations of an unenhanced study.ABDOMEN:LUNG BASES: Bilateral small effusions with overlying compressive atelectasis and consolidation at the left lung base. Incomp... | Chronic appearing small bowel obstruction, unchanged compared to previous. Trace abdominal ascites. |
Generate impression based on findings. | 80 year old status post recent IVC filter placement with retained additional filter. Hemoglobin trending down. Evaluate for retroperitoneal bleed. Motion artifact degrades images of the lungs.CHEST: The following observations are made given the limitations of an unenhanced study.LUNGS AND PLEURA: Multiple bulla within ... | No evidence of retroperitoneal hematoma. Severe emphysematous changes in the lungs with region of linear opacity in the right apex. |
Generate impression based on findings. | 47-year-old male with ampullary cancer. Status post Whipple procedure, restaging. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: There are small, non-pathologic mediastinal lymph nodes.CHEST WALL: Subcentimeter axillary lymph nodes.ABDOMEN:LIVER, BILIARY TRACT: There are no focal hepatic ... | 1. Scattered, small mesenteric lymph nodes without significant measurable node.2. Post-surgical changes consistent with Whipple procedure. |
Generate impression based on findings. | None provided. Endocarditis. ABDOMEN:LUNG BASES: Bilateral effusions with overlying compressive atelectasis. Cavitary lesions compatible with septic emboli. Please refer to dedicated chest CT for further evaluation.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: N... | Ascites. Right lower quadrant foreign body. Multiple pulmonary findings including septic emboli and bilateral effusions; refer to dedicated chest CT.Findings related to foreign body discussed with clinical service (pagers 3866 and 3870) prior to this dictation. |
Generate impression based on findings. | 69 year-old female, Reason: 68 y/o female with recurrent oral cavity cancer, patient with left arm swelling, fever, tachycardia and hypoxia last night. Left UE doppler showed impaired flow in brachiocephalic, need to r/o proximal DVT or PE History: abnormal doppler, hypoxia, fever, edema PULMONARY ARTERIES: Technically... | 1.Technically adequate exam. No evidence of pulmonary embolus. 2.Unable to assess for proximal DVT as there is no contrast opacification of the SVC or brachiocephalic veins. 3.New right lower lobe ground glass opacity in the right lower lobe compatible with infection. |
Generate impression based on findings. | Clinical question: Substernal goiter with tracheal narrowing, please evaluate, measure the extent of narrowing and determine how far down in the chest the goiter extends. Signs and symptoms: Non-enhanced neck CT:The examination redemonstrates significantly enlarged bilateral (left greater than right) thyroid lobes and ... | 1.Large goiter involving bilateral (left greater than right) thyroid lobes and the isthmus with very inhomogeneous density and multiple internal calcific foci as detailed above.. 2.Superiorly enlarged thyroid lobes reached the hyoid bone and inferiorly extending approximately 16mm below the manubrium of the sternum.3.M... |
Generate impression based on findings. | Malignant neoplasm of the larynx. Follow up examination. The patient is status post treatment of laryngeal mass noted on the prior exam. The left arytenoid cartilage and left cricoid cartilage remain partially eroded and sclerotic the left arytenoid cartilage appears to be displaced the size of the mass is significantl... | 1.Since the prior exam the patient's laryngeal mass which involves the glottis and subglottic area has been significantly reduced. There is a distortion of the left cricoid cartilage and arytenoid cartilage suggestive of invasion. This appearance has not changed compared to the prior exam and would require some confirm... |
Generate impression based on findings. | Reason: Lung cancer - please re-eval prior to start of treatment. Thansk. History: Lung cancer CHEST:LUNGS AND PLEURA: Left lower lobe subpleural mass measuring 39 x 30 mm with an adjacent smaller subpleural nodule measuring 11 mm in diameter. The larger mass has evidence of peripheral enhancement and lower internal de... | Left lower lobe subpleural mass with an adjacent satellite nodule, left hilar and lateral mediastinal lymphadenopathy, suspicious for metastatic disease. |
Generate impression based on findings. | Male, 56 years old, history of maxillary sinus cancer, status post CRT. No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. A small chronic right cerebellar stroke is unchanged. The bones of the calvarium and skull base are intact. Extensive postoperative chang... | 1. Redemonstration of postsurgical change in the sinonasal region with no evidence of recurrent disease or pathologic adenopathy in the neck. 2. No intracranial metastatic disease. |
Generate impression based on findings. | 66 year old male. Reason: Rule out pheochromocytoma and/or paraganglioma, particularly in abdominal region. History: Pt is asymptomatic carrier of SDHB mutation predisposing to pheochromocytoma/paraganglioma ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Numerous hepatic hypodensities compati... | Prominent retroperitoneal lymph node. Otherwise, no discrete lesions were found. These findings are consistent with the negative Octreotide scan results. |
Generate impression based on findings. | Rule out retroperitoneal bleed. The following observations are made given limitations of an unenhanced study.ABDOMEN:LUNG BASES: Bi-basilar effusions, atelectasis, and consolidation. Consider aspiration.LIVER, BILIARY TRACT: No significant abnormality identified. Presumed status post cholecystectomy.SPLEEN: No signific... | No evidence of retroperitoneal hematoma. Unchanged bilateral presumed adrenal adenomas. Bi-basilar consolidation atelectasis and effusions; consider aspiration. |
Generate impression based on findings. | Clinical question: History of head and neck cancer, compared to prior exam current measurements. Signs and symptoms: None Enhanced CT of soft tissues of neck:Images through the skull base and including bilateral cavernous sinuses remains within normal. All paranasal sinuses and bilateral mastoid air cells are well pneu... | 1.No convincing evidence of a mass or lymphadenopathy in neck. This is a similar observation as prior exam.2.Degenerative changes of cervical spine most severe at C5 -- C6 and C6 -- C7 levels similar to prior study.3.Chronic large blowout fracture of the left floor and lamina papyracea with retro-orbital fat herniation... |
Generate impression based on findings. | Reason: Eval lungs prior to cardiac surgery - History: COPD LUNGS AND PLEURA: Diffuse mainly centrilobular emphysema with diffuse bronchial thickening compatible with bronchitis.Several small nodules measuring about 5 mm or less, some of which are calcified, likely secondary to previous infection.Several areas of subpl... | Severe emphysema and bronchitis with multiple scars and post infectious nodules, but no acute abnormalities. |
Generate impression based on findings. | Patient with Pancoast tumor 2007 status post chemo/RT. CHEST:LUNGS AND PLEURA: Postsurgical changes of right upper lobectomy. Innumerable pulmonary nodules are similar in size and number. No pleural fluid or pneumothorax.MEDIASTINUM AND HILA: Postsurgical changes. Mild enlargement of the main pulmonary artery. Coronary... | Innumerable pulmonary micronodules without significant change. |
Generate impression based on findings. | 11-year-old male presents with peri-umbilical abdominal pain. Evaluate for appendicitis ABDOMEN:LUNG BASES: No significant pulmonary parenchymal or pleural abnormality of the visualized lung bases.LIVER, BILIARY TRACT: No significant abnormality noted. SPLEEN: No significant abnormality noted.PANCREAS: No significant a... | 1. The appendix is at the upper limits of normal in thickness without periappendiceal inflammation, abscess or appendicolith.2. Slow transit of oral contrast. Mild diffuse small bowel dilatation and wall thickening. This may be infectious/inflammatory in etiology.These findings were not addressed on the preliminary con... |
Generate impression based on findings. | Reason: increase effusions vs pneumonia History: cough LUNGS AND PLEURA: Dense and paramediastinal radiation reaction with bronchiectasis, unchanged.Moderately large bilateral pleural effusions, not significantly changed.Interval clearing of diffuse groundglass and air space opacity which may have been due to edema.MED... | Interval clearing of diffuse opacity suggestive of edema, with persistent pleural effusions. |
Generate impression based on findings. | 46 year old female. Reason: Assess vasculature for kidney/pancreas transplant. CT scan without contrast History: Pre-kidney/pancreas transplant evaluation ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No signif... | Normal appearing vascular anatomy without significant calcification. |
Generate impression based on findings. | Reason: Evaluate for progression of metastatic disease; compare to previous scan History: none CHEST:LUNGS AND PLEURA: Marked decrease in the size of multiple pulmonary nodules since the previous scan.Reference right lower lobe mass, markedly decreased in size and no longer clearly separable from associated atelectasis... | Marked interval decrease in pulmonary nodules and lymphadenopathy. |
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. | Male, 7 months old, with neck mass concerning for retropharyngeal abscess. Bulky enhancing, and in some cases, centrally necrotic lymphadenopathy is evident throughout the neck, left side more so than right.Also demonstrated is a centrally hypodense rim enhancing lesion within the right lateral retropharyngeal space wh... | Extensive suppurative adenopathy throughout the neck including a prominent right lateral retropharyngeal suppurative node.There is a prominent tracking retropharyngeal effusion without evidence of loculation or rim enhancement. |
Generate impression based on findings. | Status post right lung resection for lung cancer. Follow-up. LUNGS AND PLEURA: Multiple new nodules in the left lung, some of which are spiculated. The majority of the lesions are within the left lower lobe, though there are the few in the lingula and left upper lobe proper. Largest nodule in the left lower lobe measur... | Multiple new pulmonary nodules and new focal sclerosis in the posterior elements of T12 are highly suspicious for metastatic disease. |
Generate impression based on findings. | Clinical question: History of head and neck cancer, status post CRT, compared to prior exam and measurements. Signs and symptoms: None. Enhanced neck CT:Images through the skull base including cavernous sinuses remains within normal and stable since prior exam.All paranasal sinuses are visualized and the pneumatized wi... | 1.No convincing evidence of a mass or cervical adenopathy.2.Interval complete resolution of previously noted right submental rim enhancing lesion. |
Generate impression based on findings. | 56 years old patient with malignant neoplasm of the oral pharynx. The right jugular vein is absent. The right sternocleidomastoid muscle is atrophic.There is infiltration of the fat planes in the right parapharyngeal space extending to be right oropharyngeal and nasopharyngeal mucosal space which is stable compared to ... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy.2.An infiltrative appearance in the right parapharyngeal space and right pharyngeal mucosal space is stable since the prior exam and is therefore suspected to represent post treatment change |
Generate impression based on findings. | female presents with sudden onset of left lower quadrant and now right lower quadrant abdominal pain. Evaluate for appendicitis versus diverticulitis. ABDOMEN:LUNG BASES: No significant pulmonary pleural or parenchymal abnormality of the visualized lung bases.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN... | No evidence of appendicitis or diverticulitis. Normal abdominal CT without specific findings to account for the patient's abdominal pain. |
Generate impression based on findings. | Nasopharyngeal cancer. 52 years old patient evaluate for recurrenceReason: history of nasopharynx cancer, please evaluate for recurrence History: history of nasopharynx cancer CT neck:There is atrophy of the right sternocleidomastoid muscle and right trapezius muscle. There is some infiltration along the soft tissues s... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.No evidence for brain metastases. |
Generate impression based on findings. | Mediastinal mass CHEST:LUNGS AND PLEURA: Scattered two to 3-mm are calcified and noncalcified micronodules, nonspecific. No pleural fluid or pneumothorax. No focal air space opacities.MEDIASTINUM AND HILA: Previously seen posterior mediastinal mass in the azygos esophageal recess region is no longer clearly evident. Th... | Interval decompression of cystic posterior mediastinal mass. The appearance on the pre-intervention outside exam is most suggestive of a bronchogenic cyst however it is possible that iatrogenic air extended into the esophagus during outside procedure-raising the possibility of esophageal duplication cyst. Consider fluo... |
Generate impression based on findings. | 75-year-old male with CLL and PTLD, immunosuppressed with AMS, no clear infectious source. Please evaluate for infection and state of disease. CHEST:LUNGS AND PLEURA: Reference stable right upper lobe nodular opacity measures 2.4 x 1.3 cm (series 6 image 44). Other nonreference pulmonary nodular opacities have minimall... | 1. Right upper lobe nodule and other pulmonary nodular opacities are stable. 2. Stable mediastinal lymphadenopathy. 3. No significant interval change. |
Generate impression based on findings. | Reason: s/p pleurectomy/decort History: eval post-op CHEST:LUNGS AND PLEURA: Small left apical pneumothorax with a chest tube in place.A small amount of residual left pleural fluid and a moderately large right pleural effusion, which is significantly increased from previous. Small amounts of high density material are p... | Status post left pleurectomy with a small residual pneumothorax.Increased right pleural effusion. No visible residual tumor. |
Generate impression based on findings. | Status post 20 months after left lower lobectomy for T1aN0 NSCLC 6 month follow-up LUNGS AND PLEURA: No pleural fluid. No suspicious pulmonary nodules or masses. Post surgical changes of left lower lobectomy.MEDIASTINUM AND HILA: After sclerotic disease of the thoracic aorta and its branches. Main pulmonary artery mild... | Stable exam. No signs of recurrent or metastatic disease. |
Generate impression based on findings. | Substernal goiter with tracheal narrowing. How low in the chest does the goiter extend. LUNGS AND PLEURA: Mosaic attenuation of the parenchyma at the lung bases is incompletely assessed. Curvilinear groundglass opacity outlining lobular areas of hypoattenuating lung parenchyma seen in the right lung base abutting the d... | 1. Large goiter with substernal extension to the level of the aortic arch, please refer to separately reported next CT for measurements. The patient has a normal anatomic variant of an aberrant right subclavian artery just below the caudal margin of the goiter. 2. Mosaic attenuation of the lung parenchyma may be seen w... |
Generate impression based on findings. | Reason: 78 y/o male with T2aN0 NSCLC s/p RT History: routine CHEST:LUNGS AND PLEURA: Severe centrilobular and paraseptal emphysema, mainly in the upper lung zones.Further interval decrease in a right upper lobe nodule, now approximately 12 x 16 mm, decreased from 16 x 34 mm previously.Slightly increased interstitial op... | Further decrease in right upper lobe nodule with no evidence of distant metastases. |
Generate impression based on findings. | Male, 90 years old, left face squamous cell carcinoma, nonhealing incision, evaluate for lymphadenopathy. Skin thickening with some degree of nodularity and mild infiltration of the subcutaneous fat is seen in the left preauricular face.Within the adjacent left parotid space, note is made of a 3-mm intraparotid enhanci... | Skin thickening along the left preauricular face demonstrating a mild degree of nodularity is nonspecific. If a lesion has been resected from this location, these changes could be postoperative in nature. However, correlation with surgical history and exam is suggested to better assess for the possibility of residual o... |
Generate impression based on findings. | Clinical question: Evaluate for hydrocephalus. Compare previous head CT. Evaluate/measure hygromas. Signs and symptoms: Bilateral hygromas. Nonenhanced head CT:Since prior exam there is no evidence of any new hemorrhage.A large right frontal and parietal mixed density subdural is again identified. It measures in the ra... | 1.No significant interval change in density or size/extend all larger than right hemispheric and smaller left hemispheric mixed density subdural.2.Interval increase in the size of supratentorial shunt the ventricular system as detailed/measured above. No midline shift.3.Stable bilateral foci of (left greater than right... |
Generate impression based on findings. | Evaluate vasculature to support kidney transplant. 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: Probable cysts ... | Moderate calcific atherosclerosis of the common and external iliac arteries with the most severe calcifications occurring in the distal left external iliac artery. |
Generate impression based on findings. | Male 63 years old; Reason: Pt s/p lap converted open chole with cystgastrostomy, pancreatic debridement 6/11/3 c/b DVT/PE and recent GI bleed - please eval for pseudoanuerysm as cause of bleed History: GI Bleed ABDOMEN:LUNG BASES: Previously described right descending pulmonary artery embolus (image 8; series 9), is sl... | 1.Resolving right descending pulmonary artery embolus.2.Unchanged peri-pancreatic pseudocyst with enlarging multiloculated collection in the left flank. 3.Questionable developing aneurysm of the origin of the gastroduodenal artery versus motion artifact. Consider conventional angiography for further evaluation.Findings... |
Generate impression based on findings. | Small cell cancer status post chemo/RT CHEST:LUNGS AND PLEURA: Emphysema. Ground glass opacities and architectural distortion on the right most suggestive of radiation reaction, slightly progressed since the previous examination. Nodular opacity in the right middle lobe measuring 9-mm (4/65), previously 11-mm is stable... | 1. Slight increase in size of a non--index high right paratracheal lymph node. Index low right paratracheal lymph node is stable.2. Interval development of several groundglass and solid nodules in the right lung which could be post inflammatory related to RT however should be monitored for gross to exclude metastatic l... |
Generate impression based on findings. | 74-year-old male with history of cholangiocarcinoma on chemotherapy. CHEST:LUNGS AND PLEURA: Coronary artery calcifications. MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Gynecomastia. ABDOMEN:LIVER, BILIARY TRACT: There are 3 metallic biliary stents. The amount of biliary dilatation is stable over ... | Stable examination. |
Generate impression based on findings. | 69 year old male with metastatic melanoma, s/p resection and LND, s/p IFN. Evaluate for recurrence. CHEST:LUNGS AND PLEURA: Multiple calcified granulomata. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal; no pericardial effusion. Left hilar node measures less than 1 cm in all dimensions. CHEST W... | Stable exam. |
Generate impression based on findings. | Reason: h/o HNC, s/p induction, eval response, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant lymphadenopathy.Mild to moderate coronary artery calcification.CHEST WALL: Degenerative disease in the spine.ABDOMEN: Absence o... | No change and no specific evidence of metastases. |
Generate impression based on findings. | 87-year-old female with anorexia, leukopenia, anemia, thrombocytopenia, postprandial abdominal pain. Evaluation of solid organs of the abdomen is very limited without IV contrast.CHEST:LUNGS AND PLEURA: Calcification within soft tissue pleural thickening at the lung apices. These findings are little changed from the re... | No significant change in the appearance of the chest with significant biapical scarring and calcification as well as persistent left pleural effusion and pericardial effusion.Small amount of ascites.Extensive fecal material throughout colon without bowel dilatation. |
Generate impression based on findings. | Head and neck cancer status post chemoradiation, restaging CHEST:LUNGS AND PLEURA: No pleural fluid. Right middle lobe subpleural micronodule (6/65) could be an intrapulmonary lymph node, too small to accurately characterize, and may be monitored for growth on subsequent studies.MEDIASTINUM AND HILA: Coronary artery ca... | New micronodule right middle lobe is most likely an intrapulmonary lymph node rather than a metastasis and can be monitored for growth on subsequent studies, more likely to be benign than malignant. No conclusive evidence of metastatic disease. |
Generate impression based on findings. | Male, 55 years old, left-sided weakness seizure. Extensive vasogenic edema is evident involving the entire right cerebral hemisphere including the corpus callosum. This results in diffuse sulcal effacement, subfalcine herniation, uncal medialization, and a midline shift of 15 mm to the left at the level of the septum p... | Extensive vasogenic edema within the right cerebral hemisphere resulting in subfalcine herniation and a significant midline shift to the left.A lesion is identified at the junction of the right temporal and occipital regions consistent with a mass. This lesion may account for most if not all of the above-mentioned edem... |
Generate impression based on findings. | Reason: lung CA, s/p chemo and RT, and resection of LLL for hemoptysis. Followup History: cough CHEST:LUNGS AND PLEURA: Marked volume loss and perihilar radiation reaction in the left hemithorax with a moderate residual pleural effusion, slightly decreased from previous.Residual thrombus in the left pulmonary artery wi... | Persistent in situ thrombosis in the left descending pulmonary artery with partial recanalization, and with adjacent radiation reaction.No sign of recurrent tumor. |
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