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Generate impression based on findings. | Reason: kidney donor History: kidney donor ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality detectedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: There are single ren... | Single bilateral renal arteries and renal veins. Early branching right renal artery. Single collecting system bilaterally with no masses or filling defects noted bilaterally. |
Generate impression based on findings. | Reason: eval for disease progression, pulmonary nodules History: patient with metastatic breast cancer, new nodules seen on CXR LUNGS AND PLEURA: Upper lobe predominant centrilobular emphysema and stable reticular opacities at the right apex.Basilar scarring/discoid atelectasis slightly increased from the prior exam.No... | 1.Diffuse osteoblastic metastases, which have probably progressed since the prior exam. New compression fracture of T11.2.Probable significant interval increase in hepatic metastatic disease. |
Generate impression based on findings. | Reason: dysphagia and drooling.h/o NHL to r/o chest mets History: see above LUNGS AND PLEURA: Scattered calcified pulmonary granulomata. No suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Proximal thoracic esophagus is thickened with an eccentric position of the lumen, suspicious for ... | 1.Proximal thoracic esophagus is thickened with an eccentric position of the lumen, suspicious for an underlying mass or focal inflammation. Endoscopy or upper GI may be of use. 2.No evidence of pulmonary metastases.3.Although the kidneys are incompletely visualized, the left upper pole index lesion has not significant... |
Generate impression based on findings. | EGUS CA on FOLFOX CHEST:LUNGS AND PLEURA: Mild emphysema. Previously seen pulmonary nodules are smaller and less well-defined compared to previous. Largest left upper lobe nodule previously measuring 12-mm now measures 6-mm (7/15). Largest lesion previously seen in the right lower lobe has resolved. Within the anterior... | 1. Mid to lower esophageal mass consistent with known neoplasm.2. Improved bilateral mediastinal and low cervical lymphadenopathy.3. Improved pulmonary metastases.4. Diffuse skeletal metastases with multiple pathologic fractures including a new fracture through the left side of the manubrium.5. Hepatic metastases appea... |
Generate impression based on findings. | Reason: right mandible mass, lip numbness, and right lower rib pain History: right mandible mass, lip numbness, and right lower rib pain LUNGS AND PLEURA: No sign of pulmonary or pleural metastases.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: ... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | Reason: 33 yr old male with h/o AML, pre-transplant evaluation History: Repeat CT, previously abnormal LUNGS AND PLEURA: Previously seen groundglass opacities with pleural effusions have completely resolved since the prior study.No significant pulmonary or pleural abnormality.MEDIASTINUM AND HILA: Previously noted supe... | Resolution of prior pulmonary opacities, pleural effusions and large pulmonary artery. No significant abnormality at the present time. |
Generate impression based on findings. | Reason: PT with metastatic NPX. please re-eval for progression History: increase pain to abdominal area. feels like gas CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules and micronodules, some of which have increased in size. Reference right lower lobe nodule (series 5, image 88) measures 9 mm, previously 4 mm. New pu... | Increasing metastatic disease involving the lungs, mediastinum, liver, abdominal lymph nodes, and spine. T9 vertebral lesion causing compression of the thecal sac may be further assessed by MRI if not contraindicated. Findings discussed with the referring service (x5000) at the time of dictation on 8/7/2013. |
Generate impression based on findings. | 64-year-old male with cholangiocarcinoma, restaging. CHEST:LUNGS AND PLEURA: Right upper lobe subcentimeter pulmonary nodule is grossly unchanged from the prior exam (image 41, series 5).MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: The tip of the right chest wall venous access device is out of plac... | 1. The hepatic lesion and index lymph node appear smaller compared to the prior exam.2. Interval migration of the right Port-A-Cath tip which is now malpositioned and terminates in the left brachiocephalic vein. Findings discussed with Dr Catenacci on the phone prior to dictation. |
Generate impression based on findings. | Rectal cancer. Chemo and radiation. Surgery. Pelvic pain. ABDOMEN:LUNGS BASES: No pulmonary nodules or effusions.LIVER, BILIARY TRACT: Liver remains diffusely hypoattenuating compatible with fatty infiltration. Hepatic and portal veins are patent. Gallbladder is present without distention.SPLEEN: Spleen is normal in si... | 1.Post operative changes in the rectum with a right lower abdominal ostomy.2. Fatty infiltration of the liver. |
Generate impression based on findings. | Clinical question: 68-year-old female is status post embolization of right superior hypophyseal artery aneurysm with flow in the origin device (outlying). Signs and symptoms: Headache, nausea and dizziness. Nonenhanced head CT:A previously noted aneurysm arising from right internal carotid artery and projecting into th... | 1.Higher density of previously seen aneurysm projecting into the sella is suspected for interval thrombosis. No appreciable change in its size since prior exam and measuring 8.7 x 11 x 15-mm.2.Stable and unremarkable nonenhanced head CT otherwise. |
Generate impression based on findings. | Clinical question: Right neck mass and neck pain, history of smoking. Signs and symptoms: A right neck mass and neck pain, history of smoking. Enhanced neck CT:Limited view of intracranial contents is unremarkable and without abnormal enhancement.Images through the skull base and including cavernous sinuses are unremar... | No evidence of a mass or adenopathy by CT size criteria is identified. |
Generate impression based on findings. | Metastatic floor of mouth CA the lung on therapy. LUNGS AND PLEURA: Large left pleural fluid collection increased in size, occupying approximately 4/5 of the left knee thorax. There is associated compressive atelectasis of the lingula and left lower lobe. Left lower lobe mass contained within the atelectatic lung is di... | 1. Increase in size of left pleural fluid collection with resultant compressive atelectasis. The left lower lobe mass appears slightly larger but is difficult to measure. A left upper lobe nodule is suspicious for another metastatic lesion but may have been present previously.2. Numerous pleural metastatic lesions on t... |
Generate impression based on findings. | 5-year-old female, pre-transplant workup. There is minimal ethmoid sinus opacification. The frontal, sphenoid, and maxillary paranasal sinuses, the mastoid air cells and middle ears are appropriately pneumatized. The infundibula of the osteomeatal complexes are patent. The nasal septum lies at the midline.No osseous er... | No significant sinus disease. |
Generate impression based on findings. | Reason: bladder cancer History: pulmonary nodules LUNGS AND PLEURA: 8mm well marginated left lower lobe nodule (image 84, series 5).No other pulmonary nodules identified.No pleural effusions.MEDIASTINUM AND HILA: Hypoattenuating thyroid nodules.Atherosclerotic changes of the aorta with aprominent mural noncalcified pla... | Solitary, well marginated, rounded 8mm nodule in the left lower lobe . Retrieval of any previous chest CTs would be of value. Otherwise, follow-up examination in 3 months is recommended. |
Generate impression based on findings. | Reason: stroke History: as above Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no significant stenosis at the carotid... | 1.There is a high grade stenosis 80% along the distal right ICA at the opthalmic segment.2.There is a high grade 80% stenosis along the distal right vertebral artery intracranially just proximal to the VB junction. 3.There is 60% stenosis along the distal left LVA near the VBJ.4.RICA pseudoaneurysm along the cervical p... |
Generate impression based on findings. | Clinical question: Rule-out intracranial hemorrhage. Signs and symptoms: Status post fall and laceration. Nonenhanced head CT:No detectable acute posttraumatic intracranial or calvarial findings.Small focus of soft tissue thickening overlapping the left super orbital region likely result of recent trauma.Unremarkable c... | No acute intracranial process. |
Generate impression based on findings. | 63 year old female presents with shortness of breath, tachycardia, and weight loss; evaluate for PE. PULMONARY ARTERIES: Technically adequate exam. No pulmonary emboli.Main pulmonary artery normal in size.LUNGS AND PLEURA: No focal airspace opacities, pneumothorax, or pleural effusion.Basilar scarring.MEDIASTINUM AND H... | 1. No pulmonary emboli.2. Marked kyphosis and DJD of thoracic spine.3. Enlarged thyroid. |
Generate impression based on findings. | Clinical question: Evaluate neck mass. Signs and symptoms: Seizure, neck mass seen on prior CT of the spine. Nonenhanced head CT:No detectable at two intracranial process CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.There is revisualization of a large chronic nonhemorrhagic right MCA... | 1.Nonenhanced head CT demonstrate no acute intracranial process, CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes. Large right chronic MCA territory cortical stroke and mild age indeterminate small was ischemic strokes remain grossly similar to prior exam.2.Enhanced head CTA demonstrate ... |
Generate impression based on findings. | 77 year old female status post colectomy with increasing abdominal pain, nausea. 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: Bilateral pleural effusions appear slightly less compared to the prior ex... | 1. Left upper quadrant fluid collection appears slightly smaller compared to the prior exam though is not well defined due to lack of IV contrast. No observed new fluid collections.2. No evidence of bowel obstruction, bowel wall thickening, or intraperitoneal free air.3. Interval development of moderate ascites from th... |
Generate impression based on findings. | 69-year-old male male presenting with abdominal pain, evaluate for toxic megacolon, diverticulitis. Abdominal pain, fever, history of Clostridium difficile. The exam is not sensitive detecting lesions in the solid organs due to lack of intravenous contrast. Given that limitation, the following observations are made:ABD... | No evidence of any acute inflammatory process to explain there abdominal pain or fever. No signs of toxic megacolon, colitis or diverticulitis.Organizing intrahepatic and subcapsular hematoma. Other findings as above. |
Generate impression based on findings. | Reason: Is there a PE History: Increased o2 requirments; history of metastatic non-small cell lung cancer PULMONARY ARTERIES: Technically adequate exam. No evidence of pulmonary embolus in the right pulmonary arterial tree. LUNGS AND PLEURA: Spiculated right upper lobe nodule unchanged from PET, dated 3/12/2013, and is... | 1.No evidence of pulmonary embolus.2.Stable right upper lobe spiculated nodule suggests inflammatory or metastatic etiologies. 3.Status post left pneumonectomy. |
Generate impression based on findings. | 31-year-old female. Abdominal pain, history of pancreatic duct stent. Evaluate for stent migration, pseudocyst, abscess, small bowel obstruction. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholecystectomy. No focal hepatic lesion. Portal and hepatic veins are patent. Suggestion of diffuse... | Findings chronic pancreatitis, with pancreatic duct stent unchanged in position. No evidence of obstruction. |
Generate impression based on findings. | 19 year-old male with hypoxia. Evaluate for signs of pulmonary embolism. History of leukemia and bone marrow transplant. PULMONARY ARTERIES: Technically adequate study with no evidence of pulmonary embolism. No evidence of right sided heart strain or pulmonary artery enlargement.LUNGS AND PLEURA: Interval near complete... | 1. No pulmonary emboli.2. Interval near complete resolution of bilateral pleural effusions. There is moderate lower lobe patchy consolidation, slightly improved from the prior study.3. Nodular opacities in the right upper lobe and lower lobes are most likely infectious in etiology. Differential considerations are exten... |
Generate impression based on findings. | Male 69 years old; Reason: Eval for mass/malignant appearing lesion History: weight loss of 100lbs over last year, smoker, no colonoscopy, maybe stomach lesion seen on cxr. CHEST:LUNGS AND PLEURA: Nodular ground glass nodules in the right lung apex in a tree in bud distribution likely represents infectious etiology. Bi... | 1.Markedly limited evaluation of the stomach and proximal small bowel given lack of oral contrast distending the lumen.2.Aneurysmal dilation of the abdominal aorta with crescentic intramural hematoma. |
Generate impression based on findings. | 30 year-old female with right flank pain. Assess for right kidney stone. The absence of IV contrast limiting the 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... | 1. No evidence of nephrolithiasis or hydronephrosis. 2. Left pelvic lesion likely represents an ovarian cyst. As the patient's pain is on the right, this is less likely to be the cause of her symptoms. |
Generate impression based on findings. | Male 67 years old; Reason: r/o infection/abcess History: persistent fevers, IBD ABDOMEN:LUNG BASES: Moderate left and small right pleural effusion with associated compressiveatelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality not... | 1. Interval development of oral contrast extravasation from the small bowel into the anterior abdominal fluid collection. Large amount of free intraperitoneal air is essentially unchanged. 2. Stable loculated fluid collection in the left upper quadrant containing mottled air.3. Moderate left and small right pleural eff... |
Generate impression based on findings. | 13-year-old female with acute belly pain. Evaluate for abdominal trauma, acute solid organ injury, perforation. ABDOMEN:LUNG BASES: No pleural effusions or pneumothorax. No pulmonary opacities.LIVER, BILIARY TRACT: No hepatic lesions or lacerations. No cholelithiasis.SPLEEN: No significant abnormality notedPANCREAS: No... | 1. No evidence of solid organ injury or perforation.2. Bilateral inguinal lymphadenopathy.3. Small amount of free pelvic fluid. |
Generate impression based on findings. | 70-year-old male. Respiratory distress and cardiogenic shock on IABP now with decreased bowel sounds and persistently high gastric residuals. Heart transplant. CHEST:LUNGS AND PLEURA: Moderate right and small left pleural effusions. Bilateral patchy ground glass and air space opacities, compatible with pulmonary edema.... | 1.Splenic infarction.2.Moderate right and small left pleural effusion, with pulmonary edema.3.Ascites and anasarca without discrete fluid collection.Findings discussed with Dr. Constantine (pager 2671) via phone at 8:50 a.m. on 8/8/13. |
Generate impression based on findings. | Reason: eval for evidence of pe History: sob w o2 sat in the 80s. PULMONARY ARTERIES: Demonstration of a saddle embolus within the central right and left pulmonary arteries with extension into the lobar and segmental arteries. LUNGS AND PLEURA: Mild/moderate right-sided pleural effusion with underlying atelectasis.Foca... | Large burden of multiple pulmonary emboli involving the central pulmonary arteries and extending into lobar and segmental branches bilaterally. |
Generate impression based on findings. | 25 year old female. Right lower quadrant pain. Evaluate for cholecystitis, appendicitis. History of metastatic breast cancer. ABDOMEN:LUNG BASES: Minimal bibasilar atelectasis. Bilateral breast implants again noted. Soft tissue thickening and nodularity along the left implant is incompletely visualized, but appears sim... | No findings to account for patient's abdominal symptoms. Stable osseous metastatic lesions. |
Generate impression based on findings. | 15 year-old male presents with a history of constipation and/or abdominal distension. ABDOMEN: The study is slightly limited by streak artifact from posterior fusion hardware and a right lower Baclofen stimulator device. LUNG BASES: Mild dependent subsegmental atelectasis. No pleural effusions or suspicious masses or m... | Constipation without evidence of mechanical bowel obstruction. |
Generate impression based on findings. | Clinical question: Patient with history of CLL on treatment regiment. Signs and symptoms: Evaluate disease status. Enhanced neck CT:Limited view of the intracranial content is grossly unremarkable.Images through the skull base and including bilateral cavernous sinuses are unremarkable.All visualized paranasal sinuses, ... | 1.There is no evidence of a mass or lymphadenopathy by CT size criteria.2.A previously noted small left submental node of approximately 11.8 x 7.2-mm has decreased in size to approximately 4 x 10-mm on current exam. Stable small left supraclavicular node noted on prior exam measuring at 5.2-mm remains identical to prio... |
Generate impression based on findings. | Reason: 89 year old female with weight loss and an area of nodularity seen in the right middle lobe on abdominal CT. Please evaluate for lung pathology. History: Abnormal abdominal CT, weight loss LUNGS AND PLEURA: Motion limits sensitivity.Increased lung volumesPatchy areas of mild bronchial wall thickening and bronch... | Increased lung volumes compatible with COPD. Patchy areas of bronchial wall thickening and mucous plugging. No suspicious pulmonary nodules or masses. |
Generate impression based on findings. | Male 60 years old; Reason: Pt is a 60 y/o male with met rcc, s/p rt to hip lesion, evaluate for progression History: met rcc, evaluate for progression Lack of intravenous contrast limits assessment; allowing for this limitation, thefollowing observations are made:CHEST:LUNGS AND PLEURA: Bilateral pulmonary nodules, are... | Extensive metastatic disease. Pulmonary nodules are stable from most recent prior, slowlyenlarging compared to earlier prior studies. Retroperitoneal lymphadenopathy and adrenallesions have minimally enlarged. Liver lesions also appear to enlarge although incompletely characterized without IV contrast. No new metastati... |
Generate impression based on findings. | Reason: pneumomediastinum History: crepitus LUNGS AND PLEURA: Groundglass opacity in the superior segment of the left lower lobe.Linear area scarring/discoid atelectasis in the superior segment of the right lower lobe.No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: Small pneumomedia... | 1.Pneumomediastinum with subcutaneous emphysema noted within the base of the neck.2.Groundglass opacities and scarring/discoid atelectasis in the superior segments of the lower lobes may be related to aspiration.3. Pneumoperitoneum , retroperitoneal air , pneumobilia, distention of the, gallbladder, and dilatation of t... |
Generate impression based on findings. | 11 year old female presents with fever intermittent severe abdominal pain for 10 days. Evaluate for abscess. ABDOMEN:LUNG BASES: No pleural effusions. No masses or micronodules of the partially visualized lung base. Normal heart size without pericardial effusion.LIVER, BILIARY TRACT: The liver is normal in enhancement,... | 1. 2-mm left vesicoureteral junction stone with proximal hydroureter nephrosis. Punctate left collecting system stone. 2. 4-mm right renal collecting system stone.3. Striated right nephrogram which is suspicious for pyelonephritis. These findings were discussed with Dr. William Boysen on 08/08/13, at 1249. |
Generate impression based on findings. | Peritoneal mesothelioma CHEST:LUNGS AND PLEURA: Linear scarring and atelectasis in both lungs. Calcified granuloma in the right lower lobe.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Nonspecific hypodense lesions in the liver which cann... | Moderate amount of ascites and diffuse peritoneal thickening compatible with mesothelioma involvement.Nonspecific hypodense lesions in the liver and kidneys which cannot be optimally characterized with a single phase CT. MRI is recommended for better characterization of these lesions. |
Generate impression based on findings. | 64-year-old male with pancreas cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Extensive metastases throughout the liver replacing almost all of the liver parenchyma. An index l... | Extensive hepatic metastases, retroperitoneal adenopathy and peritoneal carcinomatosis. |
Generate impression based on findings. | Clinical question: Hemorrhage. Signs and symptoms: Coagulapathy with bleeding. Nonenhanced head CT:There is no evidence of acute intracranial hemorrhage. CT however is insensitive for the patella acute nonhemorrhagic ischemic stroke.Suboptimal imaging is due to portable technique. There are two small foci of cortical l... | 1.No evidence of acute intracranial hemorrhage.2.Small foci of low attenuation in the right posterior temporal and left posterior temporal -- occipital are suspected for late acute to early subacute ischemic strokes. No prior exams for comparison.3.There is poor differentiation of gray -- white matter which may be seco... |
Generate impression based on findings. | 70 year-old female with history of cervical radiculitis. There is exaggeration of normal cervical lordosis at C5/C6. Degenerative disk disease including loss of disk height is most pronounced at C4/5 and C5/6. Mild endplate sclerosis and posterior osteophytes are noted at C5/C6. The foramen magnum is unremarkable. The ... | Multilevel degenerative disk disease and shallow ventral spurs with associated mild bilateral C5/6 neuroforaminal narrowing and mild left C4/5 neuroforaminal narrowing. No significant spinal canal stenosis. |
Generate impression based on findings. | 84-year-old female with history of pancreatic cancer CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Pneumobilia secondary to metallic stent in the common bile duct. No focal liver ... | Pancreatic head mass causing biliary dilatation and pancreatic ductal dilatation. No evidence of vascular invasion.Multiple peripancreatic lymph nodes.A single peritoneal nodule measuring 1 cm, peritoneal carcinomatosis cannot be excluded.Bilateral cystic ovarian masses. |
Generate impression based on findings. | 68 year old female. Pancreatic cancer. Restaging. CHEST:LUNGS AND PLEURA: Right middle lobe pulmonary micronodules unchanged, measuring 6 x 3 mm (image 73, series 4).MEDIASTINUM AND HILA: Nodular thyroid, unchanged. Small, nonspecific mediastinal lymph nodes are unchanged. Aberrant right subclavian is noted, a normal a... | Slight interval decrease in size of pancreatic head mass. Biliary stent is in place. |
Generate impression based on findings. | Reason: Patient with SOB, dizziness, tachycardia. R/o PE History: Patient with SOB, dizziness, tachycardia. R/o PE PULMONARY ARTERIES: Technically adequate study, with no evidence of pulmonary embolism. The main pulmonary artery is of normal caliber and there is no evidence of right heart strain.LUNGS AND PLEURA: No si... | Normal examination without evidence of pulmonary embolism. |
Generate impression based on findings. | 62-year-old male with likely stimulated hernia 6 days ago with persistent periumbilical and right lower quadrant pain with guarding and evidence of peritoneal irritation. Evaluate for evidence of bowel edema or infarction. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormal... | Umbilical hernia containing mesenteric fat without seen complication. No evidence for bowel obstruction or strangulation. |
Generate impression based on findings. | 70 old female status post failed ERCP for choledochal lithiasis. Evaluate for fluid collections and abscesses ABDOMEN:LUNG BASES: Bilateral pleural effusions and dependent atelectasis.LIVER, BILIARY TRACT: Percutaneous cholecystostomy tube is in place. Mild dilatation of the common bile duct is again noted. Common bile... | Interval placement of percutaneous cholecystostomy catheter.CT findings compatible with acute pancreatitis. Dilated common bile duct. Choledocholithiasis cannot be excluded.Bilateral pleural effusions and atelectasis.Multiple possible, contrast and air containing fluid collections versus less likely duodenal diverticul... |
Generate impression based on findings. | 70 year-old female with acute pancreatitis, cholecystitis, pneumomediastinum, evaluate for new crepitus. Extensive subcutaneous emphysema infiltrating within the fascia and muscle planes extends from the upper anterior mediastinum through the thoracic inlet, left supraclavicular and posterior triangle, left submandibul... | Extensive subcutaneous and deep cervical emphysema as described above. No evidence of abscess. |
Generate impression based on findings. | Reason: increase in sob and elevated d-dimer History: sob PULMONARY ARTERIES: Technically adequate exam.Dilated main pulmonary artery measuring 35 mm and RV/LV ratio abnormal, both consistent with elevated right heart pressure.Pulmonary emboli in the right upper lobe pulmonary artery (120, 4) extending through the segm... | 1. Acute pulmonary emboli in right upper lobe pulmonary artery extending through upper and middle lobe segmental arteries, with signs of increased right heart pressure.2. Likely hepatic cyst |
Generate impression based on findings. | 60 year-old female with pain and nausea, small bowel obstruction last week. Evaluate for small bowel obstruction. ABDOMEN:LUNG BASES: Bibasilar atelectasis.LIVER, BILIARY TRACT: Cholelithiasis.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality no... | 1. No evidence of small bowel obstruction.2. Left pelvic lesion which may represent an ovarian cyst. A pelvic ultrasound may be obtained for further characterization if clinically indicated. |
Generate impression based on findings. | Reason: evaluate for malignancy and pneumonia History: respiratory failure LUNGS AND PLEURA: Multifocal consolidation with air bronchograms involving the left upper lower lobes, and the right lower lobe.Additionally, numerous nodular opacities with appearance suggesting impacted bronchioles are present throughout both ... | 1. Multi-focal pulmonary opacities highly suggestive of infection, with no reliable evidence of underlying tumor. These should be followed to complete resolution, however.2. A small amount of ascites in the pericardial effusion and pleural effusions are suggestive of mild hypervolemia. |
Generate impression based on findings. | Reason: 50Yrs male here for follow-up of 7/14/11 - CT - large L tonsillar mass noted. Panendoscopy with resection of tonsil mass- 8/3/11 c/w SCC keratinizing, + margins, Neg for PNI, PVI stage pT3(R1)N1--> T4bN1 tonsil SCC --> TPF--.>TFHX 12/16/11. History: please eval for recurrence of dz CHEST:LUNGS AND PLEURA: Calci... | No sign of metastases. |
Generate impression based on findings. | 78-year-old female with pancreatic neuroendocrine tumor CHEST:LUNGS AND PLEURA: Calcified right lower lobe granulomaMEDIASTINUM AND HILA: Small pericardial effusion, unchanged.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Cholelithiasis index right hepatic lobe lesion now measures 1.3 x 1.3... | No significant change in the size and number of hepatic metastases.Slight interval decrease in the size of the pancreatic head mass |
Generate impression based on findings. | Reason: esophageal cancer History: esophageal cancer LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Circumferential thickening of the mid thoracic esophageal wall with transaxial measurements of 2.4 x 2.4 cm (series 3, image 66; previously 2.7 x 2.7 cm). Below th... | 1.Slight decrease in esophageal wall thickening.2.Stable prominence of paraesophageal lymph nodes.3.No new sites of disease. |
Generate impression based on findings. | 52-year-old male. Colon cancer, status post resection and chemotherapy. Evaluate for evidence of recurrence. CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules are again present, and are unchanged. Reference right lower lobe pulmonary nodule measures 0.9 cm x 0.6 cm (image 61, series 5) previously 0.9 x 0.6 cm. No pleu... | Stable examination without evidence of metastatic disease in the chest, abdomen or pelvis. |
Generate impression based on findings. | 55-year-old female, evaluate for hernia. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is a round, hypodense lesion within segment VIII of the liver which measures fluid attenuation and likely represents a hepatic cyst (image 16, series 3). There is another small hepatic lesion in the ... | 1. Diffuse submucosal fat deposition of the entire colon suggestive of chronic colitis. There is no evidence of acute inflammation at this time, however cannot exclude subtle acute on chronic inflammation. 2. Small umbilical hernia containing mesenteric fat without seen complication. 3. Mild splenomegaly. |
Generate impression based on findings. | 24-year-old male with metastatic melanoma status post Vemurafinib and Temodar -- please compare to previous imaging. CHEST:LUNGS AND PLEURA: There is right middle lobe subcentimeter pulmonary nodule (image 53, series 5) which was faintly seen on the prior exam is grossly unchanged. Stable granulomata of the right lung.... | 1. Right subclavian venous access device catheter is looping into the right internal jugular vein with the tip terminating at the junction of the right and left brachiocephalic veins.2. Interval resolution of the pulmonary airspace opacities. Stable right pulmonary nodule. 3. Minimally changed left axillary and precari... |
Generate impression based on findings. | Male, 51 years old, with left tonsillar mass consistent with squamous cell carcinoma. No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are intact. Asymmetry of the tongue base is redemonstrated with less volume on th... | 1. Stable treatment related change in the neck with no evidence of recurrent disease or pathologic adenopathy.2. No intracranial metastatic disease. |
Generate impression based on findings. | Reason: followup study, RUL mass, malignancy versus resolving consolidation History: cough LUNGS AND PLEURA: The previously seen right upper lobe peripheral opacity no longer has a solid component, but linear opacities in this region are likely residual scarring.A 6-mm right lower lobe peripheral nodule image 194 serie... | Resolution of a prior right upper lobe opacity and reduction lymphadenopathy consistent with resolving infection. 6-mm right lower lobe peripheral nodule likely benign, but 6 to 12 month follow up is recommended for this abnormality. |
Generate impression based on findings. | Reason: lung cancer, please evaluate for disease and compare with previous outside scans prior to starting new treatment History: lung cancer CHEST:LUNGS AND PLEURA: Scarring/atelectasis in the superior segment of the left lower lobe. No suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA:... | 1.Increasing osseous metastases.2.Stable hepatic metastases. |
Generate impression based on findings. | 71-year-old male. History of prostate cancer. Rising PSA. Evaluate for recurrence or metastatic disease. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffuse hypoattenuation of the hepatic parenchyma again suggests fatty infiltration. Subcentimeter hepatic hypoattenuations are unchanged. Ch... | 1.No evidence of metastatic or recurrent disease.2.Partially nondistended bladder, with apparent bladder wall thickening. |
Generate impression based on findings. | Reason: 56 y.o. male with metastatic melanoma on back s/p right axilla lymphadenectomy 7/24/13 now with several days of erythema/pain of right breast ;please evaluate for fluid collection and or abnormalities History: pain;melanoma LUNGS AND PLEURA: Mild basilar scarring.No focal airspace opacities, pleural effusions, ... | 1. Right axillary soft tissue edema/inflammation without discreet fluid collection.2. No other acute abnormality. |
Generate impression based on findings. | Reason: mass vs pneumonia History: cough, history of pneumonia, unclear LUNGS AND PLEURA: Severe motion artifact limits evaluation of the lungs. Mild upper lobe ground glass abnormality. Multiple foci of subsegmental atelectasis in the left lung. Basilar atelectasis. No pleural effusions. Scattered pulmonary micronodul... | 1.Mild upper lobe ground glass opacity compatible with infection or edema on this limited exam.2.Mesenteric mass abutting the lesser curvature of the stomach with surrounding prominent mesenteric lymph nodes. Differential considerations include matted loops of bowel and a mesenteric mass, such as GIST. Dedicated abdomi... |
Generate impression based on findings. | 90 year-old male with RCC. Please assess for metastatic disease after 4 cycles on investigational therapy. CHEST:LUNGS AND PLEURA: Previously noted scattered pulmonary micro-nodules are grossly unchanged.MEDIASTINUM AND HILA: Index right cardiophrenic lymph node measures 1.6 x 0.8 cm (image 90, series 3), previously 1.... | 1. Unchanged right cardiophrenic and hepatic index lesions.2. Increase in size of right lower quadrant mesenteric lymph node when compared to the prior exam.3. Wall thickening of the ascending colon, recommend colonoscopy for further evaluation.4. No significant change in size of right renal hilar soft tissue mass and ... |
Generate impression based on findings. | 29-year-old male. Recurrent Ewing sarcoma, post chemotherapy and surgery. Assess for metastatic disease. CHEST:LUNGS AND PLEURA: Stable subpleural micronodules in the left upper lung. No new suspicious pulmonary nodules.MEDIASTINUM AND HILA: Central venous catheter tip at the cavoatrial junction. Cardiac size is normal... | Stable postsurgical changes, without evidence of metastatic disease in the chest, abdomen or pelvis. |
Generate impression based on findings. | 99-year-old female status post fall, rule out fracture BRAIN: Moderate periventricular and subcortical white matter hypoattenuation appears similar to the prior study and likely represents chronic small vessel ischemic disease. Unchanged left cerebellar focus of hypoattenuation likely represents a chronic small vessel ... | 1. Small vessel ischemic disease, appearing similar to the prior study, without acute intracranial abnormality.2. Moderate to severe degenerative change of the cervical spine most pronounced at C4/5 as described above, without fracture evident. Minimal antero-listhesis of C4 on C5 |
Generate impression based on findings. | Male 34 years old; Reason: Evaluate vasculature to support kidney transplant History: Pre-kidney transplant evaluation. Assess for hepatosplenomegaly. The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:LUNG ... | 1.Hepatosplenomegaly 2.Medullary nephrocalcinosis. 3.Atherosclerotic calcification as above.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 63 year old male. Reason: Marfan, AI, dilated root. Please evaluate for interval change. Cardiac Morphology:Left Ventricle:EDV: 224 ml The left ventricle is normal in shape and wall thickness. The left ventricle is at the upper limit of normal in size and volume. Right Ventricle:EDV: 194 ml The right ventricle is norma... | 1. The left and right ventricles are at the upper limit of normal in size.2. Bovine aortic arch.3. Emphysema with hyperexpanded lungs and related chest deformity.4. Right anterior chest wall parasternal protuberance, probably related to Marfan's phenotype and sternal deformity. 5. Diffuse coronary artery calcification ... |
Generate impression based on findings. | Clinical question: 50-year-old female with history of fall seen meningioma. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.There is no detectable abnormal parenchymal or leptomeningeal enhancement.Cerebral cortex, c... | 1.Negative enhanced head CT. Please see above comments.2.Well pneumatized paranasal sinuses, mastoid air cells and middle ear cavities. |
Generate impression based on findings. | Clinical question: View of ventricular size. Signs and symptoms: Patient with headaches and VPS. Nonenhanced head CT:Images through posterior fossa are unremarkable and within normal size fourth ventricle similar to prior exam.Images through supratentorial space demonstrate no evidence of acute intracranial process.Nea... | 1.No acute intracranial process.2.Stable nearly collapsed shunted supratentorial ventricular system. Stable position of the shunt.3.Bilateral mastoid air cells, middle ear cavities and visualized paranasal sinuses demonstrate normal pneumatization. |
Generate impression based on findings. | Reason: MR ; assess for obstructive CAD. Patient is pre-op for MV repair. History: MR Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and trifurcates into the left anterior descending, ramus intermedius and left circumflex coronary arteries. There are no significant ... | There are no significant coronary artery stenoses present.Moderate LAE with thickening of the mitral leaflets, posterior greater than anterior. |
Generate impression based on findings. | Male, 29 years old, with recurrent Ewing's sarcoma status post surgery and chemotherapy. Assess for progression. Surgical change status post L4 vertebrectomy is redemonstrated. A spacer device containing bone chips has been interposed in the defect, stable in appearance. The posterior elements of L4 and L3 are also abs... | 1. Stable surgical change consistent with L4 vertebrectomy, posterior element excision and instrumented spinal fusion.2. Nonspecific soft tissue within the vertebrectomy bed is unchanged. There are no new findings to suggest recurrent disease within the limitations of CT. |
Generate impression based on findings. | Clinical question: Rule out new lesion, assess meningitis (known vzv meningitis). Signs and symptoms: Headache, photophobia and vomiting. Nonenhanced head CT:There is no detectable acute intracranial process.Unremarkable cerebral cortex, cortical sulci, ventricular system and the CSF spaces for patient's stated age of ... | 1.Unremarkable nonenhanced head CT and stable since prior exam.2.Well pneumatized all paranasal sinuses, bilateral mastoid air cells and middle ear cavities. |
Generate impression based on findings. | 65-year-old female. Stage 3 colon cancer and stage I renal cell carcinoma surveillance CT. Limited by some respiratory motion through the lung bases and upper abdomen.CHEST:LUNGS AND PLEURA: Micronodule right middle lobe series 5 image 52 measures 6 mm in longest dimension, previously 5 mm. No new nodules. No effusions... | No evidence of recurrence. Stable micronodule right lung. Stable small retroperitoneal nodes. |
Generate impression based on findings. | 34-year-old female. Assess right renal lesion is nonenhancing and prior imaging a thick wall, suspicious for abscess. Right flank pain, RLQ pain, urinary frequency. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: The gallbladder is surgically absent. No biliary dilatation. No focal liver lesio... | Stable size enhancing hypodense lesion in in the right kidney suggestive of abscess versus neoplasm. |
Generate impression based on findings. | Reason: eval for obstructive cad History: chest pain Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and bifurcates into the left anterior descending and left circumflex coronary arteries. There is an eccentric, noncalcified plaque at the proximal segment that contri... | 1. There are multifocal plaques involving the LAD, RCA and circumflex coronary arteries. 2. There is proximal RCA mixed plaque with positive remodeling. Additional mixed plaque is noted at the crux with blooming artifact from calcium which precludes quantification of potential stenosis. Contrast is noted at this segmen... |
Generate impression based on findings. | Male 22 years old; Reason: r/o mets; h/o testicular cancer s/p chemo and RPLND History: elevated AFP CHEST:LUNGS AND PLEURA: No dominant lung lesion. Pleural spaces remain clear.MEDIASTINUM AND HILA: Small left thoracic inlet lymph nodes. No mediastinal lymphadenopathy. Probable residual thymic tissue.CHEST WALL: No si... | 1.Status post retroperitoneal lymph node dissection with linear fluid attenuation lesion in the aortocaval space. A this may represent a postoperative seroma or lymphocele.2.Small left upper abdominal lymph node, unchanged. |
Generate impression based on findings. | 34-year-old female. Assess right renal lesion is nonenhancing and prior imaging a thick wall, suspicious for abscess. Right flank pain, RLQ pain, urinary frequency. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: The gallbladder is surgically absent. No biliary dilatation. No focal liver lesio... | Stable size enhancing hypodense lesion in in the right kidney suggestive of abscess versus neoplasm. |
Generate impression based on findings. | 74-year-old male metastatic CRC restaging and chemo. CHEST:LUNGS AND PLEURA: Several lung lesions are identified. No new lesions. Index lesions measured as follows:Left basilar nodule, series 5 image 72, 1.6 x 1.2 cm. Previously 1.7 x 1.2 cm.Right middle lobe nodule 1 x 1 cm, series 5 image 59. Previously 1.1 x 1.1 cm.... | Mesenteric mass representing neoplasm contiguous with: And the pancreas. The component along the dorsal margin of the pancreas attenuates the caliber of the splenic vein portal venous confluence of the patient at risk for venous thrombosis. This is a new finding. Liver lesions less conspicuous. Lung lesions stable in s... |
Generate impression based on findings. | Male 61 years old; Reason: prostate cancer and chest pains with abdominal swelling History: abdominal pain CHEST:LUNGS AND PLEURA: Small right pleural effusion occupies approximately 10% of the right hemithorax. Bibasilar atelectasis/consolidation. Scattered pulmonary nodules in the right middle lobe and along the righ... | 1.Extensive osseous metastatic disease.2.Hepatic metastases.3.Retroperitoneal and pelvic lymphadenopathy.4.Perihepatic fluid with enhancing rim has decreased in size however, infection is not excluded. |
Generate impression based on findings. | 76-year-old female. Metastatic duodenal cancer on chemotherapy holiday. Evaluate for interval change of disease. CHEST:LUNGS AND PLEURA: Scattered granulomata and micronodules redemonstrated.MEDIASTINUM AND HILA: Calcified right hilar and subcarinal nodes. Trace pericardial fluid. Previously provided reference noted hi... | Increase in size of peri-duodenal lymph nodes in the mesenteric root just anterior to the stented primary neoplasm. |
Generate impression based on findings. | History of hepatic epithelioid hemangioendothelioma. LUNGS AND PLEURA: Again noted are innumerable pulmonary nodules in all lobes of the lung which have not significantly changed in size and appearance. The lesions are subcentimeter in size and some lesions have calcification within it.MEDIASTINUM AND HILA: No hila or ... | Innumerable pulmonary nodules not significantly changed. The lytic lesion involving the right eighth rib has increased in size and findings communicated to Dr. Rubin at the time of dictation. |
Generate impression based on findings. | 46-year-old female with history of Waldenstroms related amyloidosis, post auto SCT day 90, reevaluate for disease. CHEST:LUNGS AND PLEURA: Moderate-sized left pleural effusion is slightly decreased in volume compared to the prior exam. No evidence of pleural fluid on the right. No lung nodules.MEDIASTINUM AND HILA: Ind... | Decrease in size of all nodes. No new nodes. Persistent but slight decrease in size of left pleural effusion.Correlate with any symptoms in the gluteal region bilaterally as detailed above. Other findings as above. |
Generate impression based on findings. | Metastatic renal cell carcinoma CHEST:LUNGS AND PLEURA: Index right upper lobe nodule is unchanged measuring 6 mm on image number 29, series number 5. Some of the other lung nodules are slightly smaller such as the nodule close to the left major fissure on image number 42, series number 5.New tree in bud groundglass op... | Limited study due to lack of IV contrast. No significant change from previous study. |
Generate impression based on findings. | Female 20 years old; Reason: follow up response to afinitor on renal angiomyolipoma History: tuberous sclerosis ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS:... | 1.Bilateral enlarged kidneys with numerous angiomyolipomas in cystic lesions. Most of the angiomyolipomas have increased in size compared to previous study.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 64-year-old male with history of CLL CHEST:LUNGS AND PLEURA: Diffuse, bilateral milliary pattern, some of the nodules being predominantly centrilobular, unchanged from previous study.MEDIASTINUM AND HILA: Again noted enlarged mediastinal lymph nodes. They are smaller compared to previous study.CHEST WALL: Index left ax... | Interval decrease in the size of the axillary, mediastinal, retroperitoneal and pelvic adenopathy.Bilateral centrilobular micronodules are unchanged in the lungs.Splenomegaly, unchanged. |
Generate impression based on findings. | Reason: newly dx esophgeal cancer, please evaluate for disease. History: newly dx esophageal cancer CHEST:LUNGS AND PLEURA: Scattered calcified granulomas.No suspicious pulmonary nodules or masses. No I. No pleural effusion.MEDIASTINUM AND HILA: Calcified hilar mediastinal lymph nodes, compatible with prior granulomato... | 1.Nonspecific thickening of the distal esophageal wall compatible with patient's known primary.2.No evidence of metastatic disease. |
Generate impression based on findings. | 74 year-old female, Reason: Question PE, elevated dimer History: pleuritic CP, SOB PULMONARY ARTERIES: Technically adequate exam. No evidence of pulmonary embolus.LUNGS AND PLEURA: Centrilobular emphysema. Moderate pleural effusions, left greater than right, with overlying compressive atelectasis. Lingular atelectasis.... | 1.No evidence of pulmonary embolus.2.Congestive heart failure with moderate pleural effusions, left greater than right. 3.Moderate pericardial effusion. |
Generate impression based on findings. | 37-year-old male. Hematuria, and right varicocele. 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: Subcentimeter b... | No findings to account for patient's symptoms. |
Generate impression based on findings. | Reason: h/o HNC, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Pulmonary micronodules, but no sign of pulmonary or pleural metastases.MEDIASTINUM AND HILA: Surgical clips throughout the mediastinum are unchanged.No mediastinal or hilar lymphadenopathy is present.Coronary artery calcificati... | 1. No evidence of metastases.2. Marked urinary bladder distention, presumably from prostate disease. |
Generate impression based on findings. | 39-year-old male with HIV, history of squamous cell carcinoma of the left orbit and sinus, with right facial swelling, evaluate for sinusitis/preseptal cellulitis There is new soft tissue swelling and fat stranding extending about the right orbit, which is suggestive of preseptal cellulitis in the appropriate clinical ... | 1. Right periorbital soft tissue swelling consistent with right preseptal cellulitis. The right paranasal sinuses are uninvolved.2. Unchanged extensive postsurgical change with persistent soft tissue filling the left frontal sinus and chronic osseous erosion as described above. |
Generate impression based on findings. | 49-year-old male with urothelial cancer CHEST:There is thrombus in the segmental branches of the left lower lobe associated with distal consolidation. No new lung nodules.No evidence of adenopathy.ABDOMEN:LIVER, BILIARY TRACT: There are multiple hypodense lesions scattered throughout the liver. These cannot be optimall... | Left lower lobe segmental pulmonary embolus.Interval increase in the size of the right renal mass and interval development of new liver lesions likely representing metastases. Right renal mass invades retroperitoneum, IVC, aorta and its major branches.Interval decrease in the size of the left retroperitoneal hematoma. ... |
Generate impression based on findings. | Reason: h/o HNC, s/p CRT, compare to previous, measurements pls History: none LUNGS AND PLEURA: Basilar scarring/discoid atelectasis.No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: Esophageal wall thickening within the cervical esophagus, not as pronounced as on the prior exam. Righ... | 1.Esophageal wall thickening in the proximal esophagus slightly decreased from the prior exam. 2.Low-density mass in the head of the pancreas may represent a pancreatic cyst or cystic neoplasm. This was present on PET/CT dated 3/26/13. Dedicated imaging of the pancreas is recommended for further evaluation. |
Generate impression based on findings. | Reason: Esophageal ca on treatment, please eval. Thanks. History: Egus ca CHEST:LUNGS AND PLEURA: Right apical ground glass nodule (19, 6) measures 4mm, unchanged from 1/10/2013 exam, may represent focus of atypical adenomatous hyperplasia. Continued surveillance recommended.New right apical solid nodule (22, 6) measur... | 1. Stable reference lymph nodes and adrenal metastases.2. New 3 mm solid right upper lobe lung nodule, recommend continued surveillance. 3. Persistent 4 mm right apical ground glass nodule, unchanged, compatible with atypical adenomatous hyperplasia. |
Generate impression based on findings. | 71 year old female. Liver metastasis. Colon cancer. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post right hepatic lobe resection. Interval increase in size of left hepatic lobe, lobular, hypoenhancing mass in segment two, which now measures 6.6 x 5.8 cm (image 17, series 3) previou... | Interval increase in size of the left hepatic lobe metastasis, as well as new liver metastasis. |
Generate impression based on findings. | 30 year-old female with non-Hodgkin's lymphoma. Re-evaluate and compare to previous studies. CHEST:LUNGS AND PLEURA: There is a new subcentimeter pulmonary nodule within the right lower lobe (image 68, series 5).MEDIASTINUM AND HILA: Precarinal lymph node measures 0.7 x 0.7 cm (image 32, series 3), previously 1.2 x 1.1... | 1. Interval decrease in size of index lymph nodes. No evidence of recurrence. 2. Subcentimeter right lower lobe pulmonary nodule. |
Generate impression based on findings. | Reason: h/o metastatic RCC, eval for progressive metastatic disease History: h/o metastatic renal cell carcinoma LUNGS AND PLEURA: Multiple pulmonary metastases have enlarged since the prior study. The largest lesion in the right upper lobe image 37 series 5 is now 10 mm, previously 7 mm. A left lower lobe nodule has i... | Enlarging pulmonary metastases. |
Generate impression based on findings. | Reason: 86 y woman with COPD, HTN, and 4L lymph node. Please eval for change in adenopathy History: shortness of breath LUNGS AND PLEURA: Moderate centrilobular emphysema. Scattered calcified granulomas and pulmonary micronodules. Basilar scarring/atelectasis. No pleural effusions.MEDIASTINUM AND HILA: Heart size is no... | Stable normal size mediastinal lymph nodes and no other abnormality. |
Generate impression based on findings. | 65 year old female. Left lower quadrant abdominal pain. Urinary tract infection. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Cortical renal scarring, worse on the right, with prominence of the collecting system. Multiple hypoattenuating renal lesions... | 1.Diverticulosis, without evidence of diverticulitis.2.Right renal cortical scarring, prominence of the collecting system with hypoattenuating lesions, which are incompletely characterized. If clinically indicated, dedicated kidney imaging may be warranted. |
Generate impression based on findings. | Reason: lung transplant waitlist History: sob LUNGS AND PLEURA: New poorly marginated left upper lobe nodule 11 mm image 28 series 4, suspicious for lung cancer.Mild scarring along the right major fissure involving the right upper lobe is unchanged.Mild bronchial wall thickening is accompanied by regions of bronchiecta... | 1. New left upper lobe nodule highly suspicious for lung cancer. The referring clinician was text paged regarding this finding.2. Severe emphysema. |
Generate impression based on findings. | 79 year-old female with right neck pain, history of tongue cancer, evaluate for mass Postoperative changes of neck dissection without evidence of recurrent mass or lymphadenopathy. Moderate calcified plaque within both internal carotid arteries is again identified. The vessels of the neck are otherwise patent. The airw... | Postsurgical change without evidence of recurrent mass or lymphadenopathy. |
Generate impression based on findings. | 55-year-old male. Staging exam for prostate cancer. Biochemical recurrence. ABDOMEN:LUNG BASES: Basilar atelectasis.LIVER, BILIARY TRACT: Punctate right hepatic lobe hypoattenuation which is too small to characterize.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No si... | No evidence of recurrent or metastatic disease, in the abdomen or pelvis. |
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