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Generate impression based on findings. | Clinical question: Evaluate post op changes. Signs and symptoms: Status post AVM embolization. Nonenhanced head CT:Examination demonstrate high density embolic material within the vasculature of patient's known posterior parietal cingulate gyrus meningioma. There is also a well demarcated focus of high density measurin... | 1.No evidence of any acute hemorrhage, increased edema or any significant mass effect since prior exam. 2.Expected post embolization changes of right posterior parietal cingulate gyrus arteriovenous malformation.3.Linear high density in the region of AVM is consistent with intravascular embolic material.4.A well-demarc... |
Generate impression based on findings. | Clinical question: Evaluate for postop hemorrhage. Signs and symptoms: Headache. Nonenhanced head CT:Examination demonstrates expected postoperative changes of transsphenoidal hypophysectomy. There is no evidence of acute intracranial process in particular no hemorrhage or pneumocephalus is detected.Defect within the f... | 1.No evidence of acute intracranial process in particular no evidence of hemorrhage or pneumocephalus noted.2.Extensive postoperative changes of transphenoidal hypophysectomy as detailed.3.Residual tumor with subtle mass effect on the chiasm is grossly similar to prior study however there is lower attenuation of the tu... |
Generate impression based on findings. | 74-year-old female with dysuria and hematuria. Evaluate for bladder stone. In the absence of IV contrasting limiting evaluation of solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality... | 1. No evidence of urinary tract obstruction.2. No acute findings to explain the patient's symptoms. |
Generate impression based on findings. | Reason: r/o PE, hx of IPF, small cell CA History: SOB, CP PULMONARY ARTERIES: Technically adequate exam.No evidence of pulmonary emboli.Main pulmonary artery normal in size.LUNGS AND PLEURA: Right upper lobe mass measuring 18 x 18 mm (image 92, series 13), previously 19 x 13 mm 7/15/2013, decreased from 4/22/2013 exam.... | 1. No pulmonary emboli.2. Stable right upper lobe mass and right hilar and mediastinal adenopathy consistent with known history of small cell lung cancer.3. Severe interstitial lung disease in pattern compatible with UIP. |
Generate impression based on findings. | Female, 78 years old, history of angiosarcoma with left facial mass. Left frontal lobe cortical hypoattenuation is consistent with prior ischemia, unchanged. Bilateral diffuse periventricular hypoattenuation is nonspecific but likely reflects age indeterminant small vessel ischemic disease. Additional focal lucencies a... | 1. Interval recurrence of disease with bulky tumor involving the left maxillary soft tissue flap. Tumor is primarily situated within the masticator space but does extend into the inferior aspect of the left orbit. An additional discontiguous nodule of tumor is also present more inferiorly within the maxillary flap.2. P... |
Generate impression based on findings. | 58-year-old status post resection of a lymphomatous mass in the left lateral thigh on 6/25/13 now with draining fluid from wound. Assess for fluid collection. Within the lateral subcutaneous fat superficial to but abutting the muscular fascia in the proximal left thigh there is a large fluid collection with near water ... | 1. Large loculated fluid collection in the surgical resection bed as described that is most compatible with a post operative seroma.2. Two soft tissue masses in the thigh suspicious for residual/recurrent tumor as described.3. Inflammatory changes in the subcutaneous fat of the proximal thigh. While this is likely post... |
Generate impression based on findings. | Multicentric breast cancer. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Left axillary lymph node measures 1.1 x 1.9 cm (image 29; series 4) with smaller adjacent lymph nodes. Small calcification in the left breast.ABDOMEN:LIVER, BILIARY TRA... | Enlarged left axillary lymph node. No other findings to suggest remote metastases on CT. Ovarian varices; consider pelvic venous congestion syndrome in the |
Generate impression based on findings. | 83 year old female with ovarian mass, suspected metastatic disease. 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... | 1. 15.2 x 10.2 cm cystic mass seen within the pelvis highly suggestive of ovarian cancer, but without definitive evidence of metastasis.2. Bilateral hydronephrosis likely a result of extrinsic compression by the pelvic mass. |
Generate impression based on findings. | Male 76 years old; Reason: evaluate pneumoperitoneum further History: altered mental status after prostatectomy and cystectomy ABDOMEN:LUNGS BASES: Bilateral pleural effusions with compressive atelectasis are noted, left greater than right.LIVER, BILIARY TRACT: No enhancing mass lesions detected. Small hypoattenuating ... | 1.Extensive loculated fluid collections with foci of gas in the mesentery, largest collection in the space of retzius. This is strongly concerning for viscous debris, or abscess collections. Peritoneal enhancement and thickening suggest a degree of peritonitis.Urology resident on call was notified of findings at 8:05am... |
Generate impression based on findings. | 30 year-old female with diffuse abdominal pain. Evaluate for right ovarian teratoma. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is a hypoattenuating lesion in the right hepatic lobe which is too small to characterize.SPLEEN: No significant abnormality notedPANCREAS: No significant a... | 1. No significant change of right ovarian teratoma from the prior exam. 2. No acute findings on this exam to explain the patient's symptoms. |
Generate impression based on findings. | Patient with homogeneous structures in the kidneys seen on ultrasound. Evaluate. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Tiny hypodense nodules in the liver probably represent cysts but are too small to characterize.SPLEEN: No significant abnormality notedPANCREAS: No significant abnor... | No CT evidence of renal mass. |
Generate impression based on findings. | Male 65 years old; Reason: eval for mets History: h/o prostate \T\ lung cancer with new brain lesion CHEST:LUNGS AND PLEURA: Right middle and lower lobe resection including a surgical staple line projected in the right hilar region. No evidence to suggest recurrence.Right upper lobe 3-mm nodule at the level of the AP w... | 1. Stable examination since prior with stable lymph node in porta hepatis and no evidence of other significant tumor abnormality. |
Generate impression based on findings. | Meeting SIRS criteria. Rule out abscess or source of infection. Proteus and Klebsiella from wound. Mild motion artifact degrades the images.CHEST:LUNGS AND PLEURA: New edema superimposed on severe emphysematous changes in both lungs which were described previously. Trace effusions.MEDIASTINUM AND HILA: Endotracheal tub... | No evidence of abscess. |
Generate impression based on findings. | 25 year old female. Flank pain. Evaluate for stone. ABDOMEN:Lack of intravenous contrast limits the evaluation of solid visceral organs.LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No si... | 1.No renal or ureteral stone.2.Large right adnexal cystic structure, most likely a large physiologic cyst, and small left fat-containing left adnexal lesion, most likely a dermoid cyst or small teratoma. Follow up evaluation with pelvic ultrasound is recommended for further evaluation.3.Cholelithiasis.Dr. Bennett (radi... |
Generate impression based on findings. | Male 11 years old; Reason: Any sign of pulmonary embolus History: right atrial mass. PULMONARY ARTERIES: No pulmonary emboli.LUNGS AND PLEURA: Minimal dependent atelectasis. Metastatic disease cannot be well evaluated due to this dependent atelectasis. No pleural effusions. No pneumothorax.MEDIASTINUM AND HILA: No card... | 1.No pulmonary emboli. 2.Right atrial mass. 3.Metastatic disease in the lung cannot be well evaluated due to the dependent atelectasis. |
Generate impression based on findings. | 54-year-old male post cholecystostomy -- abdominal pain, rigid abdomen. ABDOMEN: Within the limits of non-IV contrast enhanced examination limiting evaluation of solid parenchymal organs and vascular structures following observations can be made:LUNG BASES: improved atelectasis and aeration in both lower lobe regions. ... | 1. Interval insertion of cholecystostomy tube with decompression of gallbladder. Marked decrease in pericholecystic inflammatory changes. 2. No other significant abnormality seen and no findings seen to account for patient's symptomatology. |
Generate impression based on findings. | Reason: 92 yo with afib with RVR, hypoxia History: SOB, tachycardia, hypoxia PULMONARY ARTERIES: Technically adequate exam. No evidence of pulmonary embolus. Main pulmonary artery measures 35 mm suggestive of pulmonary arterial hypertension.LUNGS AND PLEURA: Centrilobular emphysema with more focal bullous changes. Depe... | No evidence of pulmonary embolus or other acute cardiopulmonary abnormality. |
Generate impression based on findings. | 68-year-old female with chest pain, history of prior dissection. CHEST:LUNGS AND PLEURA: Stable appearing bibasilar bronchiectasis. No acute infiltrates, nodules, masses or effusions seen.MEDIASTINUM AND HILA: No adenopathy or masses.CT-ANGIOGRAM: Stable diameter to the dilated right pulmonary artery measuring 3.5-cm (... | 1. Ascending aortic repair stable in appearance. 2. Stable enlargement of the right pulmonary artery. 3. Stable appearance to the aortic dissection extending from the great vessels to the left external iliac artery. 4. No other significant changes are abnormality seen in the chest, abdomen or pelvis. |
Generate impression based on findings. | Evaluate for acute intra-abdominal process. Abdominal pain. ABDOMEN:LUNG BASES: Mild scarring at the left lung base.LIVER, BILIARY TRACT: Mild intrahepatic biliary ductal prominence. Gallbladder appears enlarged and contains soft tissue density material in the fundus which may represent sludge. Suggest correlation with... | Prominent gallbladder with possible sludge or stones. Suggest correlation with ultrasound or HIDA study if acute cholecystitis is a clinical concern. |
Generate impression based on findings. | 23 year old female. Abdominal pain, evaluate for ventral hernia. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis with gallbladder wall edema, or possibly pericholecystic fluid.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No si... | 1.Cholelithiasis and gallbladder wall edema, highly suggestive of acute cholecystitis.2.Marked laxity of the abdominal wall without evidence of discrete diastasis in the fascial planes. |
Generate impression based on findings. | Female 66 years old; cholangiocarcinoma with stent; recent sepsis with cholecystostomy tube placement. Discussion with Dr. Roggin requests evaluation for any collections or abscess beyond gallbladder. ABDOMEN:LUNGS BASES: Bilateral pleural effusions with compressive atelectasis noted, right greater than left.LIVER, BIL... | 1.Status post cholecystostomy tube with suggestion of gangrenous cholecystitis. New ascites without evidence of loculated fluid collections.2.Biliary stent patent. |
Generate impression based on findings. | Right lower quadrant pain for 5 years. Occurred initially with working out. Also recent black stools. Rule out mass, hernia. Any bleeding seen? ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnor... | Normal-appearing appendix. No evidence of mass or hernia. No CT findings to explain melena. |
Generate impression based on findings. | Reason: shortness of breath History: shortness of breath PULMONARY ARTERIES: No evidence of pulmonary embolus to the lobar level. Motion artifact limits assessment distally. Main pulmonary artery measures 32 mm suggests pulmonary arterial hypertension.LUNGS AND PLEURA: New small pleural effusions, right greater than le... | 1.No evidence of pulmonary embolus to the lobar level. 2.New small pleural effusions, right greater than left. Significant atelectasis. Infection cannot be excluded on the left.3.Post surgical changes s/p hepatic segmentectomy and cholecystectomy with focal fluid and gas collections compatible with infection; existing ... |
Generate impression based on findings. | Rule out diverticulitis. Left lower quadrant pain and history of recurrent diverticulitis ABDOMEN:LUNG BASES: No significant abnormality noted. Small hiatal herniaLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No si... | Mild left lower quadrant diverticulitis. Service was notified of this finding at the time of dictation (pager 3343). |
Generate impression based on findings. | Male 3 years old; Reason: please r/o intraabdominal laceration/pathology, hemorrhage History: abdominal pain. ABDOMEN:LUNG BASES: The lung bases are clear.LIVER, BILIARY TRACT: The liver is normal in morphology and size. No evidence of laceration or hematoma. No intra-or extrahepatic biliary ductal dilatation. Gallblad... | No evidence of solid or hollow viscus trauma. |
Generate impression based on findings. | 71-year-old female with distal radial fracture status post ORIF, evaluate healing There is a dorsal plate affixing a comminuted intra-articular fracture of the distal radius with screws entering the distal radius and third metacarpal. Evaluation of the adjacent bone and soft tissue is slightly limited by streak artifac... | Orthopedic fixation of healing distal radial fracture as described above. |
Generate impression based on findings. | 59-year-old female with past history of renal stones. Now with left lower quadrant radiating pain. 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: C... | 1. Distal left ureteral calculus with mild left hydroureter/hydronephrosis. 2. Diffuse fatty infiltration of the liver/ |
Generate impression based on findings. | Evaluate for pancreatic mass. Epigastric pain and weight loss. Family history pancreatic cancer. ABDOMEN:LUNG BASES: Large hiatal hernia.LIVER, BILIARY TRACT: Tiny hypodense nodule the liver is too small to characterize.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No... | 1, Large hiatal hernia. 2. Indeterminate septated cystic nodule in the inferior right kidney which should be followed (suggest 6 to 12 month follow up CT exam). 3. Probable fibroid uterus; correlate with gynecologic ultrasound clinically indicated. |
Generate impression based on findings. | Clinical question: Intracranial mass with third ventricle compression. Signs and symptoms: Alteration of mental status there Nonenhanced head CT:Examination redemonstrates a necrotic tumor with slightly high density thick rim and in the left thalamus measuring 48 x 40 x 46 millimeter in size. These measurements are min... | 1.2.Large necrotic thick rim mass in the left basal ganglia and thalamus measuring 48 x 40 x 46-mm in size which are minutely larger than prior study.3.Mass-effect on the third ventricle remains similar to prior exam.4.Stable moderately dilated supratentorial ventricular system since prior exam.. |
Generate impression based on findings. | 46 year old female. CT urogram. Evaluate bladder for postop fever, dilated bladder noted on pelvic ultrasound. Postoperative day 5 from uterine mass removal. ABDOMEN:LUNG BASES: Left lower lobe consolidation/atelectasis, is partially visualized and appears similar to prior exam. Left lower lobe subpleural nodule measur... | 1. Loculated, rim enhancing fluid collection in the surgical bed containing multiple foci of gas, characteristics suggestive of an abscess.2. Left lower lobe consolidation and pulmonary nodules, unchanged. 3. Abdominal lymphadenopathy, unchanged. |
Generate impression based on findings. | 12-month-old female with a history of liver transplant. Evaluate for signs of candidal pneumonia and abscess formation. History of persistent fever. Lack of intravenous contrast limits evaluation for lymphadenopathy, solid organ and bowel pathology. Additionally, a small abscess cannot be excluded.CHEST:LUNGS AND PLEUR... | Limited noncontrast examination cannot exclude an intraperitoneal or solid organ abscess. 1. New patchy bilateral upper lobe predominant consolidation and ground-glass opacity. This is consistent with multifocal infection, likely fungal. 2. Postsurgical changes from a liver transplant. Small simple fluid attenuating co... |
Generate impression based on findings. | Male, 70 years old, history of tongue cancer, status post CRT. Wedge-shaped encephalomalacia of the left frontal lobe, partially visualized, is consistent with prior ischemia. The visualized intracranial contents are otherwise unremarkable.Ill-defined thickening at the left tongue base is redemonstrated, appearing less... | 1. Continued interval decrease in the conspicuity of ill-defined soft tissue thickening and enhancement within the left tongue base.2. Continued interval reduction in the size of neck lymph nodes.3. No new lesions or evidence of progressive disease. |
Generate impression based on findings. | 31 year-old female with right flank pain -- evaluate for stone. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Bo... | 1. No abnormality seen to account for patient's symptomatology. 2. Air in the bladder -- see above discussion. |
Generate impression based on findings. | 62-year-old male with metastatic prostate cancer. Evaluation disease after 5 cycles of investigational therapy. CHEST:LUNGS AND PLEURA: 1.2 x 1.2 cm ground-glass nodule in the left upper lobe (image 32, series 6) is not significantly changed from the prior exam. Scattered granulomata.Bibasilar atelectasis.MEDIASTINUM A... | 1. Extensive osseous metastatic disease appears unchanged from the prior exam.2. Ground glass lesion in the left upper lobe is unchanged from the prior exam. |
Generate impression based on findings. | 39-year-old old male with perirectal abscess and pain to the rectum. PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: Visualized small bowel, and colon appear unremarkable. As the rectum approaches the an... | Perirectal fluid collection again seen with minimal change -- no significant enlargement or new fluid collections identified. |
Generate impression based on findings. | 67-year-old male. Fever and weight loss for two months. CHEST:LUNGS AND PLEURA: Scattered calcified granulomas are unchanged. Right pleural thickening and calcification, is unchanged. No new suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Multiple mildly enlarged noncalcified mediastinal lymph nodes, have ... | 1.Nonspecific left upper quadrant pericolonic haziness with inflammatory changes, increased from prior exam without discrete fluid collection. See above.2.Interval decrease in size of mediastinal and retroperitoneal lymph nodes.3.Pleural thickening and calcification in the right lower lobe is unchanged. |
Generate impression based on findings. | Reason: eval for progression of chronic fibrosis / sarcoidosis vs acute process History: Increasing DOE LUNGS AND PLEURA: Stable upper lobe predominant subpleural fibrosis and architectural distortion.No evidence of honeycombing, groundglass opacities, or airtrapping.No suspicious pulmonary nodules or masses.MEDIASTINU... | Stable moderate upper lobe predominant fibrosis which may be related to sarcoidosis. |
Generate impression based on findings. | Reason: 48 year old female with mitral stenosis status post cardiac surgery, now with suspected sternal wound infection. Pre-op for sternal wound debridement tomorrow (8/7/2013) History: Suspected sternal wound infection. LUNGS AND PLEURA: Scattered micronodules with the largest measuring 3 mm in the left upper lobe (i... | 1. Sternotomy incision with associated soft tissue swelling but no discrete fluid collection.2. Scattered lung micronodules with largest measuring 3 mm in the left upper lobe, likely benign, may consider additional follow-up depending on patient's risk factors.3. Small right pleural effusion and basilar atelectasis.4. ... |
Generate impression based on findings. | Mesothelioma on observation CHEST:LUNGS AND PLEURA: Chronic small right pneumothorax in the posterior costophrenic angle, minimally larger with maximal pleural separation of 6-mm. Unable to definitively identify a bronchopleural fistula but it likely originates in the medial aspect of the right lower lobe. Right hemith... | No significant change in the right hemithorax reference measurements. Diffuse mesenteric fat stranding and shotty lymphadenopathy of unclear clinical significance, not previously FDG avid. This could be the result of low grade inflammatory panniculitis however an indolent neoplastic process cannot be entirely excluded. |
Generate impression based on findings. | 58-year-old female with metastatic pancreatic cancer. Please evaluate for interval change. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Right chest wall venous access device with the tip extending to the right atrium. Postoperative changes f... | Minimal interval change of disease compared to the prior exam as described and measured above. |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: CVA. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic stroke.Extensive periventricular and subcortical low attenuation white matter is consistent with age indeterminate small vessel ischemic... | 1.No acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic strokes.2.Extensive age indeterminate small vessel ischemic strokes grossly similar to prior study. |
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: Interval improvement in the subpleural nodularity noted posteriorly at the right lung bas... | 1.Diffuse skeletal metastatic disease without significant interval change.2.Numerous hepatic hypodensities, suspicious of hepatic metastases without significant interval change.3.Interval improvement in right lung subpleural nodularity, which may represent treatment response.4.No new sites of disease identified. |
Generate impression based on findings. | Clinical question: History of chronic subdural hematoma, status post burr hole evacuation. Signs and symptoms: Surveillance. Nonenhanced head CT:There is no evidence of any new intracranial hemorrhage since prior exam.There is interval decrease in the size of right anterior frontal subdural since prior exam. The remain... | 1.No evidence of new intracranial hemorrhage since prior exam.2.Complete disruption of postoperative air in the right frontal subdural.3.Interval decreased right hemispheric subdural size to a maximum of 8.5-mm compared to prior measurements of 11. |
Generate impression based on findings. | Reason: h/o HNC, s/p CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Previously seen pulmonary opacities have near completely resolved. No evidence there is no evidence of pulmonary or pleural metastases.A nodule along the left major fissure image 56, series 5 is stable, almost certainl... | Resolution of prior pulmonary opacities likely inflammatory. No evidence of metastases. |
Generate impression based on findings. | 37 year old male. History of mesothelioma, status post two cycles of treatment. Evaluate for disease and compare with previous scans. ABDOMEN:LUNG BASES: Please refer to the separately reported CT of the chest.LIVER, BILIARY TRACT: No focal hepatic lesion.SPLEEN: No significant abnormality notedPANCREAS: No significant... | 1.Interval increase in retroperitoneal lymphadenopathy.2.Increased number and size of peritoneal nodularity in the abdomen and pelvis, compatible with peritoneal carcinomatosis.3.Thrombus within the IVC appears smaller. |
Generate impression based on findings. | Reason: r/o mets History: history colon cancer CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are unchanged. No new suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Size is normal. No pericardial effusion. No significant adenopathy. Residual thymic tissue.CHEST WALL: No signi... | No significant interval change, and no evidence of metastatic disease. |
Generate impression based on findings. | Right middle lobe lung nodule. History of Paget's sarcoma of the right humerus. LUNGS AND PLEURA: Mosaic attenuation of the lung parenchyma the bases. Scattered calcified and noncalcified pulmonary micronodules unchanged since 2010. Right middle lobe nodule containing internal eccentric calcification unchanged dating b... | Stable pulmonary nodules, unchanged since 9/18/2010. Chronic right axillary region lymphadenopathy is also unchanged. |
Generate impression based on findings. | Female, 86 years old, with a right neck mass. A subtle, non-enhancing soft tissue nodule is identified in the right supraclavicular fossa immediately posterior to the right internal jugular vein. The lesion measures 1.5 cm transverse by 1.6 cm longitudinal by 1.0 cm AP. The location and size correlate to a nodule ident... | 1. A soft tissue nodule is identified posterior to the right internal jugular vein in the supraclavicular fossae which corresponds in size and location to the lesion noted on the recent ultrasound exam. Given the small size and deep positioning of this lesion, it is doubtful that this represents the palpable abnormalit... |
Generate impression based on findings. | Reason: Lung cancer needs re-evaluation and compare to prior scans. History: Lung ca CHEST:LUNGS AND PLEURA: Severe centrilobular and paraseptal emphysema. Left lower lobe postsurgical changes with mild interval increase in surrounding pleural thickening and fluid. Left basilar scarring. 5-mm nodule right upper lobe is... | 1.Left lower lobe postsurgical change with mild increase in surrounding pleural thickening and fluid; pleural recurrence is possible. Repeat PET should be considered. 2.Stable pulmonary nodules. 3.No new sites of disease. |
Generate impression based on findings. | 52-year-old female. Evaluate vasculature to support kidney transplant. 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 no... | No significant calcification within the infrarenal abdominal aorta and the common iliac arteries.Punctate calcification within the right and left external iliac arteries. |
Generate impression based on findings. | Clinical question: 34-year-old female with history of aneurysm clipping. Evaluate for residual or change to aneurysm. Signs and symptoms: Facial numbness. Nonenhanced head CT:Examination demonstrates a right anterior temporal -- frontal craniotomy for clipping of anterior communicating artery aneurysm.No change in the ... | 1.Nonenhanced head CT demonstrate no evidence of acute intracranial process. CT ovary is insensitive for detection of acute ischemic stroke. Stable expected postoperative changes of anterior right temporal -- frontal craniotomy and placement of aneurysm clips. The streak artifact precludes precise assessment of periane... |
Generate impression based on findings. | Male 3 years old; Reason: stage 4 intermediate risk neuroblastoma; assess for progression of disease. CHEST:LUNGS AND PLEURA: Interval resolution of the lesion in the posterior segment of the right upper lobe. Again seen is the nodule in the superior segment of the right lower lobe along the major fissure which measure... | 1.Stable size and appearance of the left paraspinal masses.2.Unchanged left adrenal gland mass.3.Resolution of the 6-mm nodule in the right upper lobe.4.Stable enlarged mesenteric lymph nodes. |
Generate impression based on findings. | Reason: History of right breast cancer and lung nodule. Now s/p right mastectomy and adjuvant radiation. Reevaluation of lung nodule. History: History of right breast cancer and lung nodule. Now s/p right mastectomy and adjuvant radiation. Reevaluation of lung nodule. CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules ... | 1.Stable pulmonary nodules.2.Increasing osteoblastic metastatic disease within the visualized axial and appendicular skeleton .3.Interval clearing of right pleural effusion. Increasing subpleural fibrosis anteriorly in the right upper lobe, most likely post radiation related.4.Stable postsurgical seroma in the right br... |
Generate impression based on findings. | 60-year-old male with abdominal pain, elevated lipase. Evaluate for acute pancreatitis/chronic pancreatitis/ pancreatic pseudocyst. ABDOMEN:LUNG BASES: Emphysematous changes to the lung bases.LIVER, BILIARY TRACT: There is severe dilation of the common bile duct. The gallbladder is distended.SPLEEN: No significant abno... | 1. Extensive pancreatic calcifications and pancreatic duct dilation with mild inflammatory changes which most likely represents chronic pancreatitis. Cystic structure within the pancreatic tail likely represents a pseudocyst.2. Severe dilation of the common bile duct. |
Generate impression based on findings. | 48-year-old male with metastatic renal cell carcinoma. Evaluate for progression of disease. Limited study due to lack of IV contrast.CHEST:LUNGS AND PLEURA: There is a new 3-mm nodule at left lung base (image 81; series 4) which presumably represents a small metastasis. Patchy ground glass opacities involving the right... | Multiple metastases measured above indicating progression of disease. |
Generate impression based on findings. | Osteoid osteoma of proximal radius. Evaluate change.EXAMINATION: CT right elbow without IV contrast 08/07/13 A round sclerotic lesion with lucent border is present in the radial head adjacent to the articular surface. The sclerotic component measures 0.8 x 0.7 x 0.7 cm. A small joint effusion is identified. | Maturing osteoid osteoma with sclerotic component increased in size and lucent component decreased. The lesion is very slightly larger than on the prior exam. |
Generate impression based on findings. | Mesothelioma status post chemo and RT ended greater than 6 months. LUNGS AND PLEURA: Multiple pulmonary micronodules and nodules on the left minimally larger. For example, a left lower lobe lesion is increased in size from 6 to 9-mm (5/77). Right pneumonectomy cavity filled with fluid and debris. Diaphragmatic graft on... | 1. Increase in upper abdominal and retroperitoneal lymphadenopathy with peritoneal spread of tumor.2. New small lymph nodes in the mediastinum and lower cervical regions bilaterally are consistent with nodal metastases.3. Reference measurements in the right hemithorax are unchanged. |
Generate impression based on findings. | Reason: R NSCLC s/p resection, surveillance imaging History: none CHEST:LUNGS AND PLEURA: Status post right lower lobectomy. Severe emphysema. Stable pulmonary micronodules. No suspicious pulmonary nodules or masses. Right upper lobe bronchial wall thickening with associated probable mucous plugging.MEDIASTINUM AND HIL... | Right lower lobe postsurgical changes without evidence of disease recurrence or metastasis. |
Generate impression based on findings. | 11-month-old female with a history of neuroblastoma. Status-post induction chemotherapy and transplant. Assess for response to therapy. CHEST:LUNGS AND PLEURA: No significant pulmonary parenchymal or pleural abnormality. No pleural effusions or pneumothorax.Minimal dependant atelectasis. MEDIASTINUM AND HILA: Right-sid... | Multiple hepatic metastases appear less distinct, likely due to contrast bolus timing, with no significant change in size or number. No significant change in the punctate residual soft tissue and calcification within the right adrenalectomy surgical bed. |
Generate impression based on findings. | 62 year-old female with history of metastatic ovarian cancer CHEST:LUNGS AND PLEURA: Biapical scarring is unchanged. Subcentimeter right lower lobe nodule is unchanged on image number 62, series number 5. Right lower lobe linear atelectasis, unchanged.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: N... | Minimal decrease in the size of the index pelvis soft tissue nodule. Otherwise no significant change from previous study. |
Generate impression based on findings. | Mesothelioma on observation. CHEST:LUNGS AND PLEURA: Right hemithorax pleural fluid and nodular pleural thickening consistent with provided history of mesothelioma. Reference lesions on the right as follows:1. At the level of the aortic arch (4/35): Nine o'clock position 1.4-cm, unchanged.2. Level of the main pulmonary... | Right hemithorax mesothelioma with chest wall invasion. Reference measurements as above. Right upper paratracheal lymph node measures slightly larger. |
Generate impression based on findings. | Clinical question: Altered mental status. Signs and symptoms: As above. Nonenhanced head CT:Examination demonstrates no evidence of acute intracranial process however note should be made that CT is insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricul... | 1.Negative nonenhanced head CT.2.Air fluid level within the left maxillary sinus with high density suspected of hemorrhage and/or acute sinusitis. Small air-fluid level in bilateral chambers of the sphenoid, changes in the right frontal sinus consistent with acute sinusitis. Minimal bilateral ethmoid opacification.3.Un... |
Generate impression based on findings. | C6-year-old male with history of prostate cancer CHEST:LUNGS AND PLEURA: Centrilobular emphysema, greater in the upper lungs, unchanged. Subcentimeter micronodules are stable.MEDIASTINUM AND HILA: Goiter extending to the mediastinum, unchanged. Left paratracheal lymph node is slightly increased in size compared to prev... | Minimal interval increase in the size of the mediastinal lymph node and pelvic lymph node. Other CT findings are stable |
Generate impression based on findings. | 64-year-old male with recurrent upper abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter, nonspecific hypodense lesions in the liver, too small to accurate characterize but most likely benign.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality... | No CT findings to explain patient's abdominal. |
Generate impression based on findings. | Female 52 years old; Reason: mesothelioma s/p 18 cycles of chemo, please evaluate and compare to last scan on 6/12/13 using same reference measurements History: mesothelioma ABDOMEN:LUNG BASES: Please refer to chest CT report.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality noted... | Minimal enlargement of the reference lesions with substantial increase in size of a non reference pelvic peritoneal implant. |
Generate impression based on findings. | 30 year-old male with umbilical pain, vomiting ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abno... | Normal appendix. Mild wall thickening involving the terminal ileum and distal ileum suggestive of ileitis. These findings can be compatible with Crohn's disease. Further evaluation with endoscopy and clinical correlation is recommended. |
Generate impression based on findings. | Reason: lung Ca s/p chemo and RT History: none CHEST:LUNGS AND PLEURA: No interval change in the postradiation left paramediastinal consolidation and fibrosis with traction bronchiectasis and reticular opacities.Left lung volume loss with basilar scarring/atelectasis, similar in appearance to the prior exam.No new susp... | 1.Stable postsurgical and post radiation changes in left hemithorax.2.No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 86-year-old female evaluate for renal and pancreatic cysts CHEST:LUNGS AND PLEURA: 1.2 x 1.2 cm subpleural nodular density in the right lower lobe likely representing focal at the left as is. However, a follow-up chest CT in 3 months is recommended to confirm stability.MEDIASTINUM AND HILA: Small mediastinal lymph node... | Follow-up chest CT is recommended for further evaluation of the right lower lobe subpleural nodular density. |
Generate impression based on findings. | 49-year-old male with metastatic ampullary cancer CHEST:LUNGS AND PLEURA: Mass with internal calcifications in the right posterior pleura show within the right rib is unchanged and measures 3.2 x 1.4 cm on image number 81, series number 3MEDIASTINUM AND HILA: Paracardiac adenopathy, unchanged.CHEST WALL: No significant... | Mixed response in the peritoneal carcinomatosis as described above. Perihepatic lesions has slightly increased in size whereas the left abdominal peritoneal lesions have either decreased in size are stable. |
Generate impression based on findings. | Reason: pleural mesothelioma, please evaluate for disease and compar with previous scans using the same target lesions. (CT abd and pel being done today too) History: pleural mesothelioma LUNGS AND PLEURA: Postsurgical changes in the time loss in right hemithorax with diffuse pleural thickening and loculated effusion. ... | 1.Stable right pleural nodularity and soft tissue chest wall masses .2.Index measurements as noted above without interval change. |
Generate impression based on findings. | Evaluate diverticular abscess, status post IR drainage placement Limited study due to lack of IV contrast.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Stable hepatic cysts.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnorm... | Limited study due to of IV contrast. Interval percutaneous drainage placement into patient's peridiverticular abscess. |
Generate impression based on findings. | Pleuritic chest pain, right lower lobe infiltrate versus hemorrhage, elevated d-dimer. PULMONARY ARTERIES: Adequate infusion quality. No filling defects to suggest the presence of acute pulmonary embolus.LUNGS AND PLEURA: Bronchus intermedius and right lower lobe bronchus have smooth concentric wall thickening; the sup... | 1. No evidence of acute pulmonary embolus. Straightening of the intraventricular septum suggests right heart strain however.2. Moderate to severe concentric bronchial wall thickening involving the bronchus intermedius, the right middle and lower lobe bronchi, and the proximal segmental level airways may be infectious o... |
Generate impression based on findings. | Male, 3 years old, history of stage IV intermediate risk neuroblastoma, assess for progression of disease. Multiple scattered prominent enhancing lymph nodes are reidentified on both sides of the neck. None of these has significantly changed in size and there are no new pathologically enlarged lymph nodes. For referenc... | Stable mildly prominent enhancing cervical lymph nodes. No new lesions are detected. |
Generate impression based on findings. | 82-year-old male with metastatic prostate cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No si... | Interval development of new retroperitoneal adenopathy and interval increase in the size of the pelvic adenopathy.Sclerotic left iliac bone lesion is unchanged. |
Generate impression based on findings. | Prostate cancer staging. CHEST:LUNGS AND PLEURA: The subpleural micronodules are not changed substantially and probably represent benign granulomas.MEDIASTINUM AND HILA: Coronary artery calcifications. Subcentimeter tiny lymph nodes are not enlarged using CT size criteria.CHEST WALL: Numerous osseous metastases.ABDOMEN... | Bony metastases. Small lymph nodes with reference measurements given above. Nonobstructive left renal calculus. |
Generate impression based on findings. | Male, 3 years old, stage IV intermediate risk neuroblastoma. Assess for progression of disease. 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 shif... | No evidence of intracranial disease. |
Generate impression based on findings. | Male 74 years old; mesothelioma, status post 6 cycles of chemotherapy. New back pain, evaluate for abnormalities. ABDOMEN:LUNGS BASES: Please refer to the full report of the chest CT.LIVER, BILIARY TRACT: Flash filling hemangioma in the hepatic dome is unchanged. Left hepatic lobe hypoattenuation which is too small to ... | 1.Stable right exophytic renal cyst.2.No evidence of metastatic disease in the abdomen or pelvis. |
Generate impression based on findings. | Prostate cancer. Gleason 7. CHEST:LUNGS AND PLEURA: No significant abnormality.MEDIASTINUM AND HILA: Subcentimeter mediastinal lymph nodes. Coronary artery calcifications.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPAN... | Enlarged prostate compatible with history of prostate carcinoma. No definite metastases identified on CT exam. |
Generate impression based on findings. | Clinical question: A acute left cerebellar stroke, assessment of anterior and posterior circulation. Signs and symptoms: Ataxic speech. Nonenhanced head CT:There is a small focus of low attenuation in the dorsal aspect of the left middle cerebellar peduncle corresponding to region of acute ischemic stroke noted on prio... | 1.Nonenhanced brain MRI demonstrate patient's known acute stroke in the left middle cerebellar peduncle without hemorrhage. Age indeterminate small vessel ischemic strokes appear grossly similar to prior MRI exam.2.Head CTA demonstrate short segmental vascular calcification of intracranial left vertebral artery proxima... |
Generate impression based on findings. | Reason: lung cancer surveillance History: dry cough CHEST:LUNGS AND PLEURA: Postsurgical changes in the left upper lobe. Increased reticular opacity and traction bronchiectasis compatible with radiation change the left upper lobe. No new suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA:... | No evidence of local recurrence or metastases. |
Generate impression based on findings. | 77-year-old female with history of bladder cancer status post cystectomy with ileal conduit. Evaluate for recurrent/metastatic disease. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality n... | 1. No evidence of recurrence or metastatic disease. 2. Interval development of a large parastomal hernia containing large bowel without seen complication. |
Generate impression based on findings. | 75 year old female with history of CVA and residual left arm weakness, preoperative planning. NONCONTRAST BRAIN: Right frontal encephalomalacia is consistent with prior infarction. There is mild ex vacuo dilatation of the adjacent right lateral ventricle. Moderate peri-ventricular and subcortical white matter hypoatten... | 1. Chronic right MCA territory cerebral infarction.2. Moderate age indeterminant small vessel ischemic disease.3. Severe stenosis of bilateral internal and external carotid artery origins.4. Mild stenosis of bilateral cavernous carotid arteries with otherwise intact intracranial circulation. |
Generate impression based on findings. | Follow up metastatic adenocarcinoma. LUNGS AND PLEURA: Left lower lobe mass measures 3.2 x 2.4 cm, previously 3.5 x 2.6 cm. Moderate emphysema. New punctate right apical micronodule (4/56), too small to characterize but should be followed on subsequent exams. Diffuse parenchymal groundglass abnormality with bronchial w... | 1. Left lower lobe pulmonary emboli.2. Left lower lobe mass measures slightly smaller. 3. Improved lymphadenopathy. |
Generate impression based on findings. | Reason: 83-year-old male with lung nodule History: lung nodule LUNGS AND PLEURA: Right upper lobe nodule measures 6 x 8 mm on high-resolution sequence (100, 6) compared to 7 x 9 mm on 2/1/2013 exam and 6 x 8 mm on 10/19/2012 exam, unchanged.The nodule continues to have suspicious features including irregular marginatio... | 1. Indeterminate right upper lobe 8mm nodule and nodular area of scarring, unchanged. Continued follow up in one year recommended.2. Moderate to severe centrilobular emphysema.3. Hepatic and renal hypodensities incompletely evaluated most likely cysts, unchanged. |
Generate impression based on findings. | 63 year old female with metastatic thyroid cancer on treatment. Evaluate disease progression with measurements. HEAD:The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra- or extra-axial fluid colle... | 1.Stable postsurgical changes of thyroidectomy with no evidence of recurrence.2.No pathologically enlarged cervical lymph nodes.3.No evidence of intracranial metastases.4.Please see separately dictated CT chest regarding mediastinal adenopathy and pulmonary metastases. |
Generate impression based on findings. | 52 year old female. History of sarcoma. Status post second line treatment. Evaluate for response. CHEST:LUNGS AND PLEURA: Interval increase in size of multiple diffuse pulmonary nodules. Reference left upper lobe pulmonary nodule is not significant changed and measures 0.7 cm (image 27, series 5), previously 0.6 cm, ho... | 1. Interval increase in size of pulmonary metastases, with at least two new large pulmonary nodules, as well as increased left hilar lymphadenopathy as detailed above.2. New ground glass opacity in the left upper lobe, likely post obstructive in nature due to pulmonary nodules narrowing left upper lobe bronchiole. |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: CVA. Unenhanced head CT:There is a large focus of low attenuation involving the inferior aspect of the right cerebellum consistent with a subacute nonhemorrhagic right pica territory ischemic stroke. There is effacement of adjacent cortical sulci and very subtle mass effect o... | 1.Subacute right pica territory ischemic stroke with subtle associated mass effect.2.Mild small vessel disease of indeterminate age. |
Generate impression based on findings. | Pancreatic cancer. Needs chest for complete staging. LUNGS AND PLEURA: Noncalcified 16-mm left lower lobe nodule containing internal lipid attenuation, suggestive of a hamartoma. A few adjacent micronodule opacities occur in the lung periphery and could reflect impacted rhonchi but are too small to accurately character... | 1. 16mm left lower lobe noncalcified nodule contains internal lipid attenuation, most suggestive of a hamartoma. Internal fat content would be atypical for metastasis from primary pancreatic neoplasm. FDG-PET or serial CT follow-up beginning in 3 months for a total of two years may be of use to establish further eviden... |
Generate impression based on findings. | Reason: severe asthma poorly controlled History: SOB, cough, cough LUNGS AND PLEURA: Lower lung zone predominant linear opacities could be scarring or subsegmental atelectasis, and are quite mild.Minimal bronchial wall thickening and bronchiectasis as lower lung zone predominant.No sign of complications of asthma.MEDIA... | Linear scarring or subsegmental atelectasis and basilar bronchiectasis and bronchial wall thickening, all quite mild. No other significant findings. |
Generate impression based on findings. | Reason: evaluate for PE History: shortness of breath PULMONARY ARTERIES: Technically adequate exam to the segmental level. No evidence of pulmonary embolus.LUNGS AND PLEURA: Dense bibasilar consolidation/atelectasis with foci of more patchy consolidation in the upper lobes. Diffuse tree in bud abnormality and bronchial... | 1.No evidence of pulmonary embolus.2.Pulmonary findings compatible with aspiration bronchiolitis. |
Generate impression based on findings. | Clinical question: Patient with metastatic MPX. Please reevaluate progression of disease. Signs and symptoms: Increased pain to abdominal area. Feels like gas. Enhanced CT of soft tissues of neck:Limited view of the intracranial contents demonstrate no abnormal enhancement.Bilateral cavernous sinuses are unremarkable.S... | 1.Interval increased size of the left submandibular lymph node from prior measurements of 12 x 10mm to current measurement of 25 x 24-mm. Addition new small enhancing node in the superficial lobe of left parotid measuring 8 x 8-mm.2.Complete resolution of previously noted mixed density lesion in the left maxillary sinu... |
Generate impression based on findings. | 86-year-old man with malignant neoplasm of bladder -- evaluate for recurrent/metastatic disease. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abno... | No significant change from previous study. |
Generate impression based on findings. | 39-year-old male with history of HIV associated Hodgkin's lymphoma status post 4 cycles of ABVD chemotherapy. Restaging. CHEST:LUNGS AND PLEURA: Right lower lobe pulmonary nodule is unchanged from the prior exam (image 48, series 7).MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: There are small axill... | 1. No observed significant disease process. 2. Small axillary and retroperitoneal lymph nodes. |
Generate impression based on findings. | 60-year-old male with history of relapsed CLL on treatment. CHEST:LUNGS AND PLEURA: There has been interval decrease in size of a pleural based wedge-shaped opacity along the right major fissure, which currently measures 1.8 x 1.7 cm (image 70; series 5).MEDIASTINUM AND HILA: There has been no change or slight decrease... | 1. No substantial interval change in multiple lymph nodes with measurements given above.2. Interval decrease in size of a right lung wedge-shaped pleural-based opacity. |
Generate impression based on findings. | Lung transplant wait list protocol LUNGS AND PLEURA: Apical and posterior lung traction bronchiectasis and volume loss. Fine pattern of localized emphysema right lower lobe, with centrilobular emphysema elsewhere. Scattered bullae and areas of hyperinflation. Mosaic attenuation of the lung parenchyma on the expiration ... | 1. Severe interstitial lung disease in a pattern most compatible with sarcoidosis in combination with emphysema. 2. Enlargement of the main pulmonary artery is suggestive of pulmonary arterial hypertension.3. Mild lymphadenopathy significantly changed.4. Anatomic variant of aberrant right subclavian artery. |
Generate impression based on findings. | 11-year-old male with left facial swelling. Evaluate for abscess, osteomyelitis. There is a large expansile low density mass in the left maxillary sinus with bony remodeling of the left maxillary sinus and alveolar ridge. There are linear and swirling internal hyperattenuating foci that could represent calcification, v... | Large expansile left maxillary sinus mass with imaging characteristics suggestive of a keratocystic odontogenic tumor, although other entities cannot be entirely excluded. |
Generate impression based on findings. | 5-year-old female with a history of neuroblastoma. Pretransplant workup. CHEST:LUNGS AND PLEURA: No significant pulmonary parenchymal or pleural abnormality. No pleural effusions or pneumothorax. No suspicious pulmonary masses or nodules. Mild dependent subsegmental atelectasis obscuring any potential micronodules in t... | 1. Interval right suprarenal mass resection with no specific evidence of residual or recurrent disease. 2. Continued decrease in retroperitoneal lymphadenopathy with reference measurements as described. 3. The IVC and right renal vein appear patent. 4 Previously seen micronodule is not visualized in the context of depe... |
Generate impression based on findings. | 69 year old male. History of CLL, prior to treatment regimen. Evaluate disease status. CHEST:LUNGS AND PLEURA: Minimal basilar atelectasis.No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Mediastinal and hilar lymphadenopathy. For reference right hilar lymph node measures 2.5 x 2.1 cm (image 45, series 3... | Widespread lymphadenopathy as detailed above. |
Generate impression based on findings. | Metastatic thyroid cancer on treatment CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules and masses compatible with metastatic disease. Several lesions are endobronchial and some have become cavitary. Although the majority of lesions are smaller, there are some new or enlarging lesions (left upper lobe 4/27) which cou... | Overall improved size and number of pulmonary metastases. New lesions seen in the left upper lobe could be of metastatic or areas of endobronchial impaction due to a proximal obstructing lesion. Improved mediastinal and hilar lymphadenopathy. Slight increase in size of left renal lesion. New pancreatic metastasis. |
Generate impression based on findings. | Reason: eval for mass History: chest pain and weight loss LUNGS AND PLEURA: Upper lobe and peripheral predominant faint ground glass abnormality with internal miniscule cystic lucencies. Scattered pulmonary micronodules 1-2mm, too small to characterize. No suspicious pulmonary nodules or masses. No pleural effusions.ME... | Faint upper lobe predominant ground glass opacities suspicious for smoking-related lung disease in the appropriate clinical context, including RB ILD and DIP. In a nonsmoker, these findings could represent a hypersensitivity reaction. |
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