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Generate impression based on findings. | 71 year-old female abdominal pain and acute renal failure The study is limited due to of IV contrast. ABDOMEN:LUNG BASES: Small right pleural effusion. Right lower lobe consolidation. This represent pneumonia. Bilateral dependent atelectasis.LIVER, BILIARY TRACT: Prominent common bile duct and pancreatic duct are uncha... | Limited study to of lack of IV contrast.Possible right lower lobe pneumonia and dependent atelectasis bilaterally. |
Generate impression based on findings. | 65-year-old female, assess splenic artery aneurysm This study is limited for evaluation of the splenic artery aneurysms due to lack of IV contrast.ABDOMEN:LUNG BASES: Dependent atelectasis in the right lower lobe. Superimposed pneumonia cannot be excluded.LIVER, BILIARY TRACT: Postsurgical changes secondary to prior li... | Limited noncontrast study for evaluation of the splenic artery aneurysm. No significant change in the size of the aneurysm.MR maybe helpful for further evaluation of the pancreatic cystic lesions. |
Generate impression based on findings. | Clinical shunt: 50-year-old female with AML with fever. Evaluate for sinus infection. Signs and symptoms: As above. Maxillofacial CT:All paranasal sinuses are well pneumatized and without detectable acute or chronic sinus disease. Patent bilateral ostiomeatal units of maxillary sinuses and bilateral sphenoethmoidal rec... | 1.No evidence of acute or chronic sinusitis.2.Well pneumatized bilateral mastoid air cells and middle air cavities. |
Generate impression based on findings. | Clinical question: New headache, please evaluate for any pathology. Signs and symptoms: Headache. Unenhanced head CT: No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes. Slight prominence of cortical sulci similar to prior exam.Unremarkable ventric... | 1.No acute intracranial process and no convincing evidence of any change since prior head CT from 3 -- 21 -- 13.2.Significant interval improvement of extensive pansinusitis noted on prior study. |
Generate impression based on findings. | Clinical question: Subdural hemorrhage found on previous CT. Would like to monitor progression. Signs and symptoms: As above. Nonenhanced head CT:Iso-to slightly low-attenuation in left hemispheric subdural collection is again identified. There is no detectable density changes of the subdural.There is however suggestio... | 1.Minimal interval decreased size of the left anterior frontal component of left hemispheric subdural since prior study.2.Notice of an acute new hemorrhage since prior study.3.Stable trace midline shift to the right. Stable normal size of ventricular system. |
Generate impression based on findings. | Clinical question: Chronic sinusitis. Signs and symptoms: Possible. Medtronic fusion sinus CT:Frontal sinuses are well pneumatized and unremarkable.Ethmoid sinuses demonstrate minimal left anterior ethmoid sinus disease and unremarkable otherwise.Sphenoid sinus demonstrate well pneumatized sinus with minimal mucosal th... | Minute chronic sinus disease as detailed above |
Generate impression based on findings. | Clinical question: Stroke, location of occlusion. Signs and symptoms: Right-sided weakness. Pre-and post-enhanced head CTA.Nonenhanced head CT portion of the exam demonstrate findings of mild to moderate age indeterminate small was ischemic strokes. There is resultant mild ex vacuo dilatation of supratentorial ventricu... | 1.CTA of intracranial circulation demonstrates extensive atherosclerotic disease and decreased caliber of left internal carotid artery in its pre-cavernous and cavernous portion and with either very severe vascular lumen compromise of its supraclinoid segment or complete occlusion. The left ophthalmic artery is not vis... |
Generate impression based on findings. | Reason: bilateral contusions History: fall There is redemonstration of a left-sided scalp subgaleal hematoma which remains similar in size when compared to the previous exam.There is redemonstration of a left orbital floor fracture which extends through the left infraorbital foramen without prolapse of orbital contents... | 1.The examination is stable. There is redemonstration of a left frontal subgaleal hematoma and left orbital fractures which are stable when compared to the prior exam. Some blood products are present within the left maxillary sinus and have accumulated2.Chiari one malformation |
Generate impression based on findings. | Reason: bilateral contusions History: fall There is redemonstration of a left-sided scalp subgaleal hematoma which remains similar in size when compared to the previous exam.There is redemonstration of a left orbital floor fracture which extends through the left infraorbital foramen without prolapse of orbital contents... | 1.The examination is stable. There is redemonstration of a left frontal subgaleal hematoma and left orbital fractures which are stable when compared to the prior exam. Some blood products are present within the left maxillary sinus and have accumulated further since the prior exam.2.Chiari one malformation |
Generate impression based on findings. | Reason: ICH History: ICH There is a redemonstration of the subarachnoid blood products along the right sylvian fissure.There is a redemonstration of some orbital gyrus intraparenchymal hemorrhage just above the left orbital roof and the anterior cranial fossa which was also present on the prior exam measuring approxima... | 1.Subarachnoid blood along the right sylvian fissure and intraparenchymal blood along the left orbital gyrus are stable when compared to the prior exam.2.Status post posterior fossa surgery for AVM removal. |
Generate impression based on findings. | Reason: sah evaluation History: fall 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 communi... | 1.No evidence for aneurysm.2.No evidence for cerebral vascular occlusive disease3.Subarachnoid blood along the right sylvian fissure and intraparenchymal blood along the left orbital gyrus are stable when compared to the prior exam.4.Status post posterior fossa surgery for AVM removal. There is encephalomalacia in the ... |
Generate impression based on findings. | Reason: eval for ich History: fall There is a subarachnoid blood products along the right sylvian fissure.There is a small left orbital gyrus intraparenchymal hemorrhage just above the left orbital roof and the anterior cranial fossa measuring approximately 10 mm in sizeThere is redemonstration of encephalomalacia in t... | 1.Subarachnoid blood along the right sylvian fissure and intraparenchymal blood along the left orbital gyrus are stable when compared to the prior exam. The location of the left orbital gyrus hematoma suggests trauma.2.Status post posterior fossa surgery for AVM removal. There is encephalomalacia in the posterior fossa... |
Generate impression based on findings. | Reason: Hx of urothelial cancer, new onset afib eval for PE History: Hx of urothelial cancer, new onset afib eval for PE PULMONARY ARTERIES: Technically adequate exam. Filling defects in the right middle lobar pulmonary artery (image 167, series 6) extending to the segmental and subsegmental branches compatible with ac... | 1.Acute pulmonary emboli in right middle pulmonary artery lobar through subsegmental branches and right lower lobe subsegmental branches.2.New bilateral small pleural effusions.3.New dilation of left renal collecting system, may represent obstruction in patient with history of urothelial cancer. Consider further evalua... |
Generate impression based on findings. | 82-year-old female with shortness of breath and history of lung cancer. Evaluate for pneumonia or bronchial compression. LUNGS AND PLEURA: Again identified is a left upper lobe mass that is contiguous with the aortic arch and measures approximately 2.6 cm in thickness on the coronal reconstructions (image 42), previous... | 1. Stable to minimally increased in size left upper lobe tumor mass contiguous with the arch with superior and inferior extent along the mediastinum. 2. Mild interval increase in the extensive pleural and hilar involvement. 3. Interval progression of narrowing of the left upper lobe bronchus. 4. Mild worsening of the p... |
Generate impression based on findings. | 23-year-old male with swelling to the rectum. Question of rectal abscess. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is a hypodensity within the liver which is too small to characterize (image 22, series 3).SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality... | No evidence of a perirectal fluid collection or abnormal enhancement to suggest infected fluid collection. |
Generate impression based on findings. | 20 year-old male. Iliopsoas abscess, status post IR drainage. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Minimal intrahepatic biliary ductal dilatation is unchanged. Hepatic and portal veins are patent. Normal liver morphology.SPLEEN: No significant abnormality notedPANCREAS: No significa... | Interval percutaneous drainage of pelvic abscesses, with interval decrease in size of left iliac fossa abscess and stable, to slightly decreased size of left sacrosciatic notch/ gluteal abscess. |
Generate impression based on findings. | 52 year-old female with right flank pain. Rule out stone. In the absence of IV contrast limiting evaluation of solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholecystectomy clips.SPLEEN: No significant a... | 3 mm calcification within the left renal hilum which is unchanged from prior exam. No evidence of a stone on the right. |
Generate impression based on findings. | 43 year old female. Chest pain radiating to back. Evaluate for aortic dissection. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Nodular thyroid, with calcific focus in the left thyroid lobe. Cardiac size is normal. No pericardial effusion. Thoracic aorta is normal in caliber without dis... | 1. No evidence of aortic dissection. 2. Cholelithiasis, without evidence of cholecystitis. |
Generate impression based on findings. | Reason: L cerebellar ich History: HA The patient is status post posterior fossa craniotomy for cerebellar surgery. There is redemonstration of blood products and a small amount of intracranial air is also mild mass effect.There is mild ventriculomegaly present. The third ventricle measures 10 mm in width and the latera... | 1.Since the prior exam the lateral ventricles and third ventricle are stable and mildly dilated.2.S/P posterior fossa surgery with attendant postoperative changes in the mass effect (likely cause for ventriculomegaly) which are stable since the prior exam3.Periventricular and subcortical white matter changes of a mild ... |
Generate impression based on findings. | 25 year-old female with left lower quadrant pain. Question of abdominal abscess. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is a hypodense area within segment III of the liver adjacent to the falciform ligament which likely represents a perfusion defect.SPLEEN: No significant abnorm... | 1. Wall thickening and inflammation of the terminal ileum without associated fluid collection.2. Mesenteric drain in place without residual fluid collection.3. Enhancing tract within the left gluteus muscle which may represent a rectocutaneous fistula. Recommend pelvic MRI for further evaluation.4. Trace pelvic fluid. |
Generate impression based on findings. | Reason: subdurals History: fall The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a redemonstration of a left-sided subdural collections and right sided subdural collections. The since the prior exam a right sided subdural drainage tube has been removed. The right subdural coll... | 1.Stable subdural collections status post removal of right subdural drain. The amount of intracranial air has mildly decreased. The midline shift is stable |
Generate impression based on findings. | Reason: h/o left face skin cancer, History: r/o chest mets LUNGS AND PLEURA: The lungs and pleural spaces are clear. No suspicious pulmonary nodules.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion.No mediastinal hilar lymphadenopathy.CHEST WALL: Several calcifications occupy the right lateral chest ... | 1.No evidence of pulmonary metastasis.2.No mediastinal or hilar lymphadenopathy.3.Nonspecific soft tissue induration with vascular clips in the right lateral chest wall, possibly related to prior biopsy. |
Generate impression based on findings. | Female 43 years old; Reason: r/o stone History: L flank pain, colicky ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Status post cholecystectomy. Hepatic contour is smooth. Liver parenchyma is unremarkable for unenhanced techniqueSPLEEN: No significant abnormality noted.PANCREAS: No signifi... | 1.No radiographic evidence of nephrolithiasis or hydronephrosis.2.Soft tissue mass projects on the anterolateral aspect of the uterus/right adnexa may represent either a pedunculated fibroid or adnexal mass. Follow up pelvic MRI or sonography is suggested. |
Generate impression based on findings. | 19 year old male. Bilious emesis status post appendectomy. Evaluate for obstruction, inflammation. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant ab... | 1.Hyperenhancement of nondistended loops of small bowel with associated mild mesenteric stranding, infection or inflammation cannot be excluded. 2.Small amount of free pelvic fluid of unclear etiology. Follow up is suggested.3.No evidence of obstruction or drainable abscess. |
Generate impression based on findings. | Reason: left neck discomfort History: questionable lymph node Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated.Within the visceral space the thyro... | 1.No evidence for neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy.2.Opacification of the left maxillary sinus sinuses left maxillary sinus surgery was also seen to some degree in April.3.Right-sided thyroid nodule. Please note that CT is innaccurate in evaluation of the thyroid.4.periapical lu... |
Generate impression based on findings. | Female 53 years old; Reason: rule out abscess History: abd pain ABDOMEN:LUNGS BASES: Minimal basilar atelectasis.LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. Hepatic and portal veins are patent a no biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: Mild ... | 1.Pancreatic pseudocyst effectively drained by two drains. One of the drains appears to traverse the ascending colon. Follow up is suggested. No drainable fluid collections. |
Generate impression based on findings. | Female 35 years old; Reason: Eval for abscess, diverticulitis, perfed appy History: Constipation, abdominal pain, leukocytosis, unremarkable obstructive series ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: ... | 1.Mild heterogeneous enhancement of the kidneys, nonspecific but correlation with the urinalysis is suggested.2.Appendix is normal in caliber without surrounding inflammatory changes. No bowel obstruction.3.Air-fluid levels in the colon suggestive of a diarrheal state. |
Generate impression based on findings. | 53 year old female. History of chronic peptic ulcer disease, gastric, scarring, pyloric stenosis. Presents with acute abdominal pain and guarding. Recent endoscopy. Evaluate for gastritis, pancreatitis, perforation. ABDOMEN:LUNG BASES: Bibasilar atelectasis. Bilateral breast implants.LIVER, BILIARY TRACT: Minimal intra... | Pyloric stenosis and large ulcer in the pyloric channel with associated gastric distention, most likely due to chronic peptic ulcer disease.Radiology resident on call discussed findings with Dr. Kirilichin at 10:50 p.m. on 8/4/13. |
Generate impression based on findings. | Female 80 years old; Reason: Colon cancer please compare to previous scan and assess disease response to chemotherapy History: As above CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules some of which are calcified. No dominant lung lesion. Pleural spaces are clearMEDIASTINUM AND HILA: No significant abnormality ... | 1.Stable exam with diverticulosis and sigmoid colonic wall thickening. |
Generate impression based on findings. | Female 55 years old; Reason: patient with h/o cll/sll, re-evaluate History: h/o cll/sll CHEST:LUNGS AND PLEURA: No suspicious pulmonary lesions. The pleural spaces are clear. The central airways are patent.MEDIASTINUM AND HILA: Heart size is normal. There are multiple small mediastinal lymph nodes.CHEST WALL: Large axi... | 1.Axillary, retroperitoneal and mesentery lymphadenopathy. |
Generate impression based on findings. | Male 62 years old; Reason: hep C, evaluate for radiographic evidence of cirrhosis History: hep C ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology. Nonenhancing hypodense segment in 6 lesion is unchanged (image 58/series 11). No suspicious hepatic lesions. Small s... | 1.No suspicious hepatic lesion. |
Generate impression based on findings. | 77-year-old male with shortness of breath. History of metastatic lung carcinoma. LUNGS AND PLEURA: Right middle lobe mass measures approximately 5.7 x 4.4 cm (series 4, image 50). This mass is contiguous with the right mediastinum and involves right atrium. There is associated right middle lobe atelectasis. Moderate-si... | 1. Right middle lobe mass that is contiguous with the right mediastinum and involves the right atrium. 2. Moderate right pleural effusion. |
Generate impression based on findings. | 50 year old female. Microscopic hematuria. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffuse fatty infiltration of the liver. Status post cholecystectomy. Hepatomegaly. No focal hepatic lesion.SPLEEN: Splenomegaly. PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant ... | 1.Etiology of the patient's hematuria is not evident.2.Diffuse fatty infiltration of the liver and hepatosplenomegaly. |
Generate impression based on findings. | 80 year-old male with Clostridium difficile and MRSA osteomyelitis/bacteremia with persistent abdominal pain/distention/guarding. ABDOMEN:LUNG BASES: There is a small right pleural effusion. There is a small area of focal consolidation within the right middle lobe (image 10, series 4). LIVER, BILIARY TRACT: No signific... | 1. Diffuse colonic wall thickening and enhancement consistent with colitis, presumably infectious.2. Small area of airspace consolidation in the right middle lobe and small right pleural effusion.3. Post-operative changes of the lumbar spine with gas in the subcutaneous tissues.4. Ascites. |
Generate impression based on findings. | 46 are old female with metastatic DFSP on imatinib. Evaluate for response. LUNGS AND PLEURA: Interval decrease in size of lingular soft tissue mass which measures approximately 1.1 x 1.7 cm (series 5, image 52), previously measuring 2.7 x 1.4 cm. There is associated lingular scarring. No evidence of a pleural effusion.... | Interval decrease in size of lingular soft tissue mass and the mediastinal mass abutting the right ventricle. |
Generate impression based on findings. | Reason: Head and neck cancer. 30 days post CRT evaluation. History: as above CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules, some of which are calcified. No suspicious pulmonary nodule or interval pleural effusion.MEDIASTINUM AND HILA: Heart size mildly enlarged. No pericardial effusion.No mediastinal or hila... | No evidence of pulmonary metastases. |
Generate impression based on findings. | Male 76 years old; Reason: alcohol use, elevated liver tests, eval for radiographic evidence of cirrhosis History: elevated liver tests ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Hepatic contour is smooth without evident cirrhotic features. No suspicious hepatic lesion. Hepatic and port... | 1.No suspicious hepatic lesion. No evident cirrhotic morphologic features.2.Colonic diverticulosis.3.Perinephric lipomatosis. |
Generate impression based on findings. | 62 year old female. Non-Hodgkin's lymphoma. Evaluate and compare to previous. CHEST:LUNGS AND PLEURA: Previously identified pulmonary nodule in the right lower lobe is no longer present. No new suspicious pulmonary nodules or masses. No pleural effusion.MEDIASTINUM AND HILA: Cardiac size is normal. No pericardial effus... | No recurrent lymphadenopathy in the chest from abdomen or pelvis. Interval resolution of right lower lobe pulmonary nodule. |
Generate impression based on findings. | Reason: 76 yo M suspicious lung lesion on bronch (RB9 likely malignant, eval for malignancy, mets History: hemoptysis CHEST:LUNGS AND PLEURA: New right lower lobe mass (image 70, series 5) measuring 30 mm x 49 mm with irregular borders compatible with malignancy. Consolidation/atelectasis of the left lower lobe, may be... | 1. New approximately 5 cm right lower lobe mass compatible with malignancy. 2. New associated right-sided pleural effusion, possibly malignant.3. Marked bilateral hilar and mediastinal lymphadenopathy.4. Left lower lobe consolidation/atelectasis which may obscure an additional tumor mass.5. New masses in the liver and ... |
Generate impression based on findings. | 70 year-old male with history of metastatic renal cancer, off therapy. Assess for disease progression. In the absence of IV contrast limiting evaluation of the solid parenchymal organs and vascular structures, the following observations can be made:CHEST:LUNGS AND PLEURA: Multiple scattered micronodules bilaterally. Th... | Increase in size of right pulmonary nodules, index lesion and interpulmonary nodule, compared to prior exam. |
Generate impression based on findings. | 57-year-old male with history of head and neck cancer. Compared to previous examination provide measurements. CHEST:LUNGS AND PLEURA: Again identified are scattered pulmonary micronodules, some of which are calcified. There is a new 3-mm noncalcified nodule in the right lower lobe (series 4, image 199). No pleural effu... | New noncalcified 3-mm right lower lobe nodule is indeterminate in the setting of other micronodules. Continued observation on subsequent examinations to exclude interval growth is recommended. |
Generate impression based on findings. | 42-year-old female with history of sarcoma of the right thigh. Evaluate for metastases. LUNGS AND PLEURA: 4-mm nodule in the right upper lobe (series 5, image 43). No additional suspicious pulmonary nodules or masses identified. No pleural effusions. No pneumothorax.MEDIASTINUM AND HILA: Heart size is within normal lim... | 1. Incompletely characterized exophytic right hepatic cystic mass. Further evaluation with contrast enhanced cross-sectional imaging is recommended.2. 4-mm nodule in the right upper lobe, which is indeterminate. Follow-up imaging to document stability is recommended. |
Generate impression based on findings. | Reason: h/o HNC< compare to previous, measurements pls History: none There is redemonstration of an infiltrative lesion which is located anterior to the right sternocleidomastoid muscle and is associated with some thickening of the right platysma muscle. It extends to the right submandibular gland anteriorly and below ... | 1.No evidence for neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.Infiltrating lesion along the right neck is stable when compared to the prior exam suggesting that this may in part represent post treatment change |
Generate impression based on findings. | 85 year-old female with aortic stenosis. Evaluate for possible TAVR. VESSELS:Heavy calcifications are seen in the aortic valve. Multifocal vascular calcifications are seen in the aorta and iliac arteries, as described below.ASCENDING THORACIC AORTA AT LEVEL OF MAIN PULMONARY ARTERY: 3.4 X 3.2 cmDESCENDING THORACIC AORT... | 1.Extensive vascular calcifications, as described above, with areas of circumferential calcification in the bilateral external and common iliac arteries and infrarenal abdominal aorta. Vascular measurements, as provided above.2.Mild calcification of the medial aspect of the mitral valve and heavy calcification of the a... |
Generate impression based on findings. | 21 year old female. Rectal cancer. Status post chemotherapy, radiation, surgery. Routine surveillance, compare previous. CHEST:LUNGS AND PLEURA: Nonspecific pulmonary micronodule at the left lung base (image 85, series 6).MEDIASTINUM AND HILA: Cardiac size is normal. No pericardial effusion. No mediastinal or hilar lym... | No evidence of metastatic disease. Postsurgical changes as detailed above. |
Generate impression based on findings. | Male 39 years old; Reason: r/o perirectal abscess History: rectal pain PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Imaged portion of the terminal ileum, and appendix are unremarkable.There ar... | 1.Findings suspicious for a small intersphincteric perirectal abscess and fistula. Follow up pelvic MRI (Crohn's pelvis fistula protocol). |
Generate impression based on findings. | Reason: assess for neck mass History: soft tissue swelling over L SCM The left thyroid gland lobe is markedly enlarged and heterogeneous in appearance and associated with calcifications it measures 84 x 45 mm coronal dimensions. It displaces the airway towards the right side and is probably the cause of the neck mass i... | 1.There is marked enlargement of the left lobe of the thyroid gland. It has the general appearance of a goiter, however, CT is not accurate in evaluation of the thyroid gland. This appears to have been present on a chest CT dated 8/20/2012 and although it does not appear to have been significant change this cannot be s... |
Generate impression based on findings. | Status post CRT. Head and neck cancer. 56 yo old male Evaluate for diagnostic compare measurements the previous Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy ... | 1.No evidence for neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy.2.There is thickening of the right aryepiglottic fold which to some degree was present on the prior exam . Please correlate with clinical evaluation3.left thyroid gland nodule is stable4.Degenerative changes are present in the c... |
Generate impression based on findings. | Female 66 years old; Reason: HCC screening History: cirrhosis from HCV ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Mild fissural prominence persists. No suspicious hepatic lesions. Hepatic and portal veins remain patent.Cholelithiasis without biliary ductal dilation or gallbladder wall t... | 1.No suspicious hepatic lesions.2.Cholelithiasis. |
Generate impression based on findings. | Reason: eval for pathology History: poor neuro exam There is redemonstration of a hypordense focus involving gray and white matter located in the right temporal lobe . The patient is status-post right-sided craniotomy for evacuation of the subdural hematoma. Part of this subdural hematoma remains and is stable compared... | 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. | Male 71 years old; Reason: Chronic abd pain, h/o diverticulitis History: Abd pain rt/lt ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver has a smooth contour. Fatty infiltration of the liver. No gallbladder distention.SPLEEN: No significant abnormality noted.PANCREAS: No significant abn... | 1.Colonic diverticulosis without evident inflammatory changes.2.No bowel obstruction.3.Focal abdominal aortic aneurysm; follow up is suggested. |
Generate impression based on findings. | Reason: assess for ich/massess History: increased seizures The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized portions of t... | 1.No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Male 55 years old; Reason: r/o stone History: left flank pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Nonspecific subcentimeter hypodensity in the right hepatic lobe. Gallbladder is not distended.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRE... | 1.No nephrolithiasis or hydronephrosis in either kidney.2.Simple cyst and possible complex cyst of the left lesion of the left kidney, follow up is suggested |
Generate impression based on findings. | Male 77 years old; Reason: obstruction vs ercp complication vs ileus History: distension, tenderness ABDOMEN:LUNGS BASES: Mild basal atelectasis. Trace bilateral effusions.LIVER, BILIARY TRACT: Expected pneumobilia following stent placement. Mild perihepatic fluid. Metallic stent in the CBD.SPLEEN: No significant abnor... | 1.Findings of a localized perforation adjacent to the second portion of the duodenum with small foci of gas and extravasated contrast.2.Slight increase in the inflammatory changes surrounding the duodenum, pancreatic head with new trace abdominal and pelvic ascites. |
Generate impression based on findings. | Female 51 years old; Reason: Breast cancer needs re-evaluation and compare to prior scans before treatment begins. History: Breast cancer needs re-evaluation and compare to prior scans before treatment begins. CHEST:LUNGS AND PLEURA: No suspicious pulmonary lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: No... | 1.Post operative changes in the right breast and axilla without evident metastatic disease.2.Enhancing gallbladder polyp or stones, follow up is suggested.3.Colonic diverticulosis. |
Generate impression based on findings. | Male 74 years old; Reason: eval for blood or abscess History: eval for blood or abscess ABDOMEN:LUNGS BASES: Right pleural effusion, atelectasis and consolidation. Trace left atelectasis and effusion.LIVER, BILIARY TRACT: Diffuse fatty infiltration of the liver. New abscess in the postoperative defect measuring 6.7 x 6... | 1.New hepatic abscess in the surgical bed.2.Right pleural effusion and right lung base atelectasis/consolidation. |
Generate impression based on findings. | Female 75 years old; Reason: 75 y.o. female with hx of paracaval mass; please evaluate for changes and or abnormalities. History: paracaval mass ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: The liver contour is smooth. Mild intrahepatic biliary ductal dilatation is stable. There is scatte... | 1.Enhancing right paracaval mass with slight interval growth. Given its location and hypervascularity, although the features are not entirely specific, the considerations include a paraganglioma, extra adrenal pheochromocytoma amongst other retroperitoneal soft tissue masses. |
Generate impression based on findings. | 69-year-old male with history of thymoma. Evaluate thymoma. CHEST:LUNGS AND PLEURA: Multiple left pleural based masses are unchanged. Reference left peri-fissural nodule is unchanged compared to the prior examination and measures 8 mm on the current examination (series 5, image 97). Left pleural base nodule in the left... | 1. Slight interval decrease in size of left mediastinal mass. Otherwise, stable pulmonary disease. 2. Finding suggestive of recurrent aspiration.. |
Generate impression based on findings. | 70 year-old female with presumed ovarian cancer. Status post 3 cycles of Taxol/carboplatin. Evaluate disease process. CHEST:LUNGS AND PLEURA: Bilateral pleural effusions with the right greater than the left. There are two right upper lobe nodules measuring 5 x 4 mm and 8 x 9 mm which were present on the prior exam (ima... | 1. Interval peritoneal calcification of mesenteric mass and other sites which likely represents calcified treated/partially treated metastatic lesions. Calcified pelvic mass.2. Two pulmonary nodules grossly unchanged from prior exam.3. Mediastinal lymphadenopathy.4. Sclerotic/lytic lesion of left ischium which may repr... |
Generate impression based on findings. | 74-year-old male with increased oxygen requirements. Evaluate for pulmonary embolus. Motion artifact somewhat degrades evaluation. PULMONARY ARTERIES: Suboptimal examination. No evidence of pulmonary embolism to the proximal segmental level.LUNGS AND PLEURA: Bilateral paraseptal and centrilobular emphysema. Small left ... | 1. No evidence of pulmonary embolus to the proximal segmental level.2. Findings concerning for liver abscess. Please refer to the CT abdomen report for further details. |
Generate impression based on findings. | Female 9 years old; Reason: Possible Alagille vs fatty liver sec to undernutrition, plz also document if spinal anomalies are seen History: abn LFts and low BMI. ABDOMEN:LUNG BASES: The lung bases are clear.LIVER, BILIARY TRACT: The liver is normal in size and morphology. No fatty liver infiltration. No intra-or extra ... | No structural abnormalities. |
Generate impression based on findings. | 29-year-old male with Ewing sarcoma. Evaluate for metastases. LUNGS AND PLEURA: Postoperative changes of left chest wall reconstructive surgery. There has been interval resorption of left chest wall loculated complex fluid collection. There is residual atelectasis in this region. There is thickening of the adjacent maj... | 1. Interval resorption of left chest wall fluid collection. 2. No evidence of tumor recurrence. |
Generate impression based on findings. | 63-year-old male. Thyroid cancer. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules, and calcified granulomas are unchanged. No new suspicious pulmonary nodules.MEDIASTINUM AND HILA: Left supraclavicular lymph node measures 8 mm in short axis, (image 6, series 4) unchanged. No mediastinal or hilar lymphadenopath... | Stable sclerotic and lytic osseous lesions and without evidence of new disease. |
Generate impression based on findings. | 31 year old female. Abdominal pain, nausea, and vomiting, possible stricture seen on x-ray. ABDOMEN:LUNG BASES: Right basilar atelectasis.LIVER, BILIARY TRACT: Well-circumscribed, right hepatic subcentimeter hypoattenuation, likely a cyst.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality note... | 1.Persistent area of narrowing in the mid transverse colon, at the site in question. We cannot exclude chronic stricturing, versus neoplasm. Recommend further evaluation with colonoscopy or barium enema.2.Findings compatible with pyelonephritis. |
Generate impression based on findings. | 71-year-old male with stage IV metastatic melanoma. Reevaluate disease status following additional systemic therapy. In the absence of IV contrast limiting evaluation of solid parenchymal organs and vascular structures, the following observations can be made:CHEST:LUNGS AND PLEURA: There are two pulmonary nodules in th... | 1. Increase in size of right lower lobe pulmonary nodules and of left upper lobe lesions.2. Stable mediastinal lymph nodes. |
Generate impression based on findings. | 85-year-old female with cough, shortness of breath, and fibrosis. Evaluate for interstitial lung disease. LUNGS AND PLEURA: There is extensive reticular opacity and subpleural honeycombing involving both lungs, predominantly at the periphery and in the lower lungs dependently. No significant groundglass opacities. No f... | 1. Findings highly consistent with UIP. |
Generate impression based on findings. | 70 year-old female status post cerebral cavernous malformation resection now with two week follow up evaluation after craniotomy Redemonstrated are calvarial changes from previous craniotomy for left frontal lobe cavernous malformation resection. Intracranial postoperative changes such as pneumocephalus as well is extr... | 1.Intracranial postoperative changes such as pneumocephalus as well is extracalvarial soft tissue changes have nearly completely resolved. 2.A small postoperative cavity is evident within the anterior left frontal lobe at the resection site.3.No acute intracranial process. |
Generate impression based on findings. | 52-year-old female with history of lung cancer. CHEST:LUNGS AND PLEURA: Again noted are postsurgical changes from left apical and right lower lobe resections. Stable right lower lobe nodule measures approximately 7.1 mm in long axis (series 4, image 194). Additional bilateral pleural based nodules are grossly stable. N... | 1. Stable pulmonary disease and postoperative changes. 2. Stable lymphadenopathy. 3. Patulous esophagus. |
Generate impression based on findings. | 63-year-old with left adrenal mass, please do thin cuts one to 2 mm, elevated renin/Aldosterone ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Bilateral adrena... | 1. Normal size and morphology of bilateral adrenal glands.2. Interval increase in calcifications in the lower pole of left kidney within a partly cystic partly solid mass which is Bosniak type 3 lesion. This needs further evaluation with dedicated renal protocol CT or MRI for further characterization or surgical excisi... |
Generate impression based on findings. | Reason: RLL opacity etiology? History: sp OHT, persistent pleural effusion with R chest tube, now chest tube draining less, Hgb drop of 1.5g LUNGS AND PLEURA: Moderately large right pleural effusion and smaller left pleural effusion with underlying atelectasis.Right chest tube directed medially and cephalad with its ti... | Hematoma surrounding the right chest tube with probable perforation of the right lower lobe. |
Generate impression based on findings. | 66-year-old female status post fall on warfarin A previously demonstrated hematoma of the right forehead has resolved, and there is now a large new hematoma overlying the left for head. There is no underlying calvarial or brain parenchymal abnormality.No evidence of intracranial hemorrhage, mass, or edema. A small lacu... | Left frontal soft tissue hematoma without underlying calvarial abnormality or intracranial hemorrhage. |
Generate impression based on findings. | 68-year-old male with history of squamous cell carcinoma of the septum and right neck treated with surgery and radiation therapy in 2008/9, status post rhinectomy, evaluate for recurrence. Neck CT:A nose prosthesis is now in place.Images through the maxillofacial region demonstrate extensive postsurgical changes of the... | 1.A nose prosthesis is now in place.2.There is a significant decrease of soft tissue swelling at the expected original site of the hard palate. 3.There is no new abnormal soft tissue or any erosive/sclerotic bony changes of the perioperative region.4.Stable mild to moderate chronic small vessel ischemic disease. No met... |
Generate impression based on findings. | 63 year old female. Status post distal pancreatectomy and splenectomy for pancreatitis now tachycardia, increased oxygen requirement and increased white blood cell count. ABDOMEN:LUNG BASES: Moderate left and small right pleural effusion. Left basilar compressive atelectasis.LIVER, BILIARY TRACT: Status post cholecyste... | 1.Post surgical changes status post a distal pancreatectomy and splenectomy, now with a large left upper quadrant fluid collection.2.Gas filled fluid collection in the pancreatic bed, communicating with the larger left upper quadrant fluid collection.3.Poorly enhanced, non-distinct posterior wall of the stomach that co... |
Generate impression based on findings. | Female 35 years old; Reason: H/O NHL and Hodgkin Lymphoma, in need of restaging PET prior to beginning ICE chemotherapy. Please compare to OSH PET. History: H/O NHL and Hodgkin Lymphoma CHEST:LUNGS AND PLEURA: Left upper lobe spiculated nodule measures 1.0 x 0.5 cm (image 22/series 6), unchanged from the study 3/19/201... | 1.Mediastinal lymphadenopathy.2.Cystic lesion anterior to the urinary bladder may represent a bladder diverticulum but is incompletely characterized. |
Generate impression based on findings. | Reason: hx H\T\N ca, s/p CRT, evaluate dx and compare measurements to previous scans History: as above CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy.Cardiac size is normal without evidence of a pericardial effusion.CHEST WALL: No signific... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: History of metastatic breast cancer on treatment, evaluate for response and extent of disease History: History of metastatic breast cancer on treatment, evaluate for response and extent of disease CHEST:LUNGS AND PLEURA: Stable scattered micronodules. No new suspicious pulmonary nodules or masses identified.MED... | Interval decrease in the right axillary lymphadenopathy. Otherwise, stable exam without evidence of new sites of disease. |
Generate impression based on findings. | 63 year-old female Reason: s/p distal panc and splenectomy for pancreatitis now with tachycardia, increased O2 requirement, and increased WBC History: s/p distal panc and splenectomy for pancreatitis now with tachycardia, increased O2 requirement, and increased WBC. 30 pack year smoking history. Technically adequate ex... | 1. No pulmonary emboli.2. New left-sided pleural effusion with associated compressive atelectasis of LLL.3. Several small well-defined subpleural nodules in RML most likely benign, recommend follow-up within approximately 6 months. 4. Severe emphysema. 5. Abdominal post-surgical changes. |
Generate impression based on findings. | Reason: hx H\T\N ca, s/p CRT, evaluate dx and compare measurements to previous scans History: as above Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is apprec... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.enlarged heterogeneous the left lobe of the thyroid. This is unchanged since prior exams dating back to 2011. Please correlate with clinical symptoms. Please note that CT is not accurate in evaluating the th... |
Generate impression based on findings. | Gunshot wound left knee.EXAMINATION: CT angiogram left lower extremity 08/05/13 The arteries and veins of the lower extremities opacify normally. The left popliteal artery is slightly smaller than the right most likely due to spasm.A large left knee joint effusion containing air is identified. Small subcutaneous emphys... | No arterial or venous abnormality seen. Comminuted open fracture of the distal femur. |
Generate impression based on findings. | Reason: lung nodules History: lung nodules LUNGS AND PLEURA: Interval decrease in size of reference right upper lobe nodule (image 22, series 5), now measuring 5 mm x 4 mm, previously measuring 8 mm x 6 mm.Previously seen left upper lobe nodule is not identified on the current exam.Postsurgical changes in the right mid... | Interval resolution or decrease in size of pulmonary nodules which most likely are inflammatory in origin. |
Generate impression based on findings. | Reason: History of metastatic breast cancer on treatment. Evaluate for response and extent of disease. History: History of metastatic breast cancer on treatment. Evaluate for response and extent of disease. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: Stab... | Probable progression of hepatic metastases. Otherwise stable disease. |
Generate impression based on findings. | 3 weeks of right-sided weakness and slurred speech There is a 40 x 50-mm axial dimension heterogeneous mass involving name left to frontal lobe and insular cortex including the left inferior frontal gyrus associated with a vasogenic edema adjacent to it and a mass-effect. The septum pellucidum is shifted approximately ... | 1.There is a heterogeneous mass present in the left frontal lobe and insular cortex associated with mass-effect and vasogenic edema. Given the patient's clinical history of lung cancer this suspicious for metastatic disease. A primary brain tumor can have a similar appearance. If clinically appropriate an MRI of the br... |
Generate impression based on findings. | 73-year-old male. Evaluate abscess for resolution. ABDOMEN:LUNG BASES: Moderate to large left pleural effusion. Moderate right pleural effusion.LIVER, BILIARY TRACT: Hypodense liver lesions are incompletely characterized, grossly unchanged. Punctate calcifications, likely granuloma, unchanged. Excreted contrast noted i... | 1.Moderate to large left pleural effusion, moderate right pleural effusion. 2.Moderate ascites, decreased from prior exam. |
Generate impression based on findings. | 66 year old with persistent hematuria and Calcium Oxalate Crystals on Urine Analysis, Nephrolithiasis, Chronic Abdominal Pain Limited study, intravenous contrast was not administered. This limits the sensitivity to detect small lesions in solid organs and bowel.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER,... | Small infrarenal fusiform abdominal aortic aneurysm measures 2.9 x 3.2 cm. |
Generate impression based on findings. | Reason: THYMOMA History: COPD LUNGS AND PLEURA: Severe upper lobe predominant centrilobular emphysema.No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: Stable intermediastinal well-defined, homogeneous mass (image 19, series 3) measuring 15 mm x 13 mm, previously, measuring 15 mm x 14... | 1.Stable benign appearing intermediastinal mass, most likely representing thymoma.2.Severe upper lobe predominant centrilobular emphysema.3.No suspicious pulmonary nodules or masses. |
Generate impression based on findings. | Reason: Exam is required per research protocol. Evaluate for worsening and new infiltrates History: History of IPF. Subject is participating in IPF clinical trial with Dr. Noth LUNGS AND PLEURA: Diffuse predominantly subpleural and basilar reticulonodular opacities with traction bronchiectasis and minimal honeycombing.... | Findings compatible with UIP without significant interval change. |
Generate impression based on findings. | 59-year-old male with history of esophageal cancer. On treatment. CHEST:LUNGS AND PLEURA: Moderate left pleural effusion and small right pleural effusion. There is a cavity that occupies most of the right apex with a relatively thin wall. No significant interval change in the surrounding consolidation. Severe centrilob... | 1. Evidence of disease progression at multiple sites, including at the proximal end of the esophageal stent, left hemidiaphragm, and right adrenal gland. 2. Moderate left and small right pleural effusions. 3. Findings consistent with right middle lobe bronchiolitis, likely secondary to aspiration. |
Generate impression based on findings. | Reason: evaluate ILD History: cough sob fibrosis LUNGS AND PLEURA: Patchy chronic interstitial disease, most marked in the left upper lobe, with reticular opacities, traction bronchiectasis, bronchial thickening and and subpleural honeycombing. The pattern is consistent with UIP, but the distribution is atypical.Smooth... | 1. Patchy pulmonary fibrosis with an atypical distribution, of uncertain etiology. 2. Indeterminate right lower lobe pulmonary nodule with cavitation which may be due to neoplasm or infection, new since the previous scan. In view of the history of colon cancer, the differential diagnosis includes metastasis. |
Generate impression based on findings. | 68-year-old male with history of squamous cell cancer metastatic to the left lung treated with surgery and radiation. Evaluate for recurrence. LUNGS AND PLEURA: Left paramediastinal scarring/fibrosis consistent with radiation changes. Centrilobular emphysema. Patchy consolidation in the left lower lobe (series 5, image... | 1. New right upper lobe subpleural nodule. Follow-up in approximately 6 to 8 weeks to document stability or growth is recommended.2. Findings consistent with post-treatment changes. |
Generate impression based on findings. | Reason: evaluate ILD History: cough sob fibrosis LUNGS AND PLEURA: Bilateral predominantly peripheral and basilar pulmonary fibrosis with a somewhat patchy distribution. Focal areas of subpleural honeycombing are present with traction bronchiectasis and architectural distortion. Detail is degraded by respiratory motion... | Pulmonary fibrosis with a somewhat patchy distribution but compatible with UIP. |
Generate impression based on findings. | Reason: evaluate for intracranial lesion History: acute onset AMS/confusion there is a 40 right 50-mm axial dimension mass in the left thalamus associated with heterogeneous enhancement and some compression on the third ventricle. The lateral ventricles are mildly dilated. The sulci are not effaced. The temporal horns ... | 1.There is a mass centered in the left thalamus associated with the mass effect and mild compression of the third ventricle and associated mild ventriculomegaly. Differential considerations include primary brain tumor as well as secondary brain tumor especially if there is a known primary elsewhere. If clinically appro... |
Generate impression based on findings. | Reason: r/o vertebrobasilar lesion History: concerning for central vertigo The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The pituitar... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.The pituitary gland is enlarged. Clinically appropriate MRI of the brain may be of benefit3.CT is insensitive for the early detection of nonhemorrhagic CVA. |
Generate impression based on findings. | 52-year-old female evaluate for fracture after assault. BRAIN: The gray-white matter differentiation is preserved. No intracranial hemorrhage is visualized. The ventricles and sulci are normal in size. No midline shift, visualized mass or extra-axial fluid collection. Mild right periorbital swelling is visualized witho... | 1. No acute intracranial abnormality.2. No acute facial fracture. |
Generate impression based on findings. | 10-year-old male with pain. Evaluate for fracture of distal tibia. There is a nondisplaced Salter-Harris type III fracture of the tibial epiphysis with associated soft tissue swelling and moderate sized joint effusion. No malalignment. No additional fractures. | Nondisplaced Salter-Harris type III fracture of the tibial epiphysis. Moderate-sized joint effusion. |
Generate impression based on findings. | 47 year-old female with left flank pain. Question of nephrolithiasis. In the absence of IV contrast limiting evaluation of the solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality not... | 1. No evidence of urinary tract obstruction.2. Large lower abdominal, midline mass of fluid attenuation without distinct solid component. This may be ovarian in etiology however the exact origin is unknown. |
Generate impression based on findings. | 52 year old male. Right flank and right upper quadrant pain after assault. Evaluate for liver/kidney injury. ABDOMEN:LUNG BASES: 1.2 cm left lower lobe solid pulmonary nodule (image 6, series 5).LIVER, BILIARY TRACT: Normal liver morphology. Hepatic and portal veins are patent. SPLEEN: No significant abnormality notedP... | 1.Nondisplaced right 12th rib costal cartilage anterior fracture, as well as posterior right 12th rib bony nondisplaced fracture.2.No evidence of traumatic injury to visceral abdominal organs.3.1.2-cm left lower lobe solid pulmonary nodule. Recommend further evaluation. |
Generate impression based on findings. | 62-year-old male. History of prostate cancer, hematuria. Now with hypotension, hyperkalemia, acute kidney injury. Rule out hydronephrosis versus bladder mass. Dizzy and lightheaded. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Changes of adenomyomatosis of the gallbladder, unchanged from pr... | 1.No evidence of hydronephrosis. 2.Linear soft tissue stranding in the retroperitoneal fat following the tract of the ureters, more pronounced on the right. This could be scarring from prior procedures or could represent acute inflammation. |
Generate impression based on findings. | 25-year-old male with jaw pain after assault. Evaluate for mandibular fracture. The orbits are unremarkable. The mastoids are clear. Metallic prosthesis or foreign body in the right external auditory canal and cerumen in the left external auditory canal, similar to prior. Limited view of the intracranial structures is ... | 1.No new or acute fracture.2.Chronic bilateral nasal bone fracture and deformity.3.Postsurgical changes of right maxillary fixation, unchanged.4.Metallic foreign body or prosthesis in the right external auditory canal, unchanged. |
Generate impression based on findings. | 34-year-old female with vomiting, abdominal pain, history of hernia surgery. Evaluate for small bowel obstruction. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: The gallbladder wall is mildy thickened. There are numerous gallstones. There is mild pericholecystic fat haziness. SPLEEN: No sign... | 1. Changes of chronic cholecystitis with slight wall thickening and innumerable gallstones. If further imaging evaluation would be helpful to determine if this is a cause for abdominal symptoms consider ultrasound for further evaluation.2. No evidence of bowel obstruction. |
Generate impression based on findings. | Reason: evaluate for consolidation, pleural effusion, pericardial effusion History: shortness of breath LUNGS AND PLEURA: Mild, diffuse subpleural reticular opacity and mild traction bronchiectasis suggestive of fibrosis, unchanged. No focal consolidation or pleural effusion. Bilateral calcified granulomas.MEDIASTINUM ... | Mild diffuse subpleural reticular opacity and mild traction bronchiectasis suggestive of fibrosis, possibly early UIP.No acute cardiopulmonary abnormalities. |
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