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Generate impression based on findings. | Female, 82 years old, with increased right carotid velocities on ultrasound. Assess for stenosis. Periventricular hypoattenuation is a non-specific finding which most commonly represents age-indeterminate small vessel ischemic disease.No evidence of acute territorial ischemia, focal edema, mass effect or midline shift.... | 1. Motion artifact prevents adequate evaluation of the distalmost right common carotid artery. At the level of the right carotid bifurcation and ICA origin, there is mild atherosclerotic calcification which does not meet the criteria for significance by NASCET. 2. Motion artifact prevents adequate evaluation of the dis... |
Generate impression based on findings. | Reason: please evaluate nodules in context of history of renal cell carcinoma History: nodules / prior renal cell cancer / right hemidiaphragm paralysis LUNGS AND PLEURA: Scattered pulmonary micronodules without interval change. No pleural effusions.MEDIASTINUM AND HILA: Heart is normal. No pericardial effusion. Mild c... | Pulmonary micronodules without interval change. |
Generate impression based on findings. | Clinical question: Assess intraventricular hemorrhage. Signs and symptoms: Headache and elevated blood pressure. Unenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.There are mild to moderate ventricular and subcortical low attenu... | Small vessel ischemic strokes of indeterminate age. Grossly unchanged since prior exam. |
Generate impression based on findings. | 77 year old male. Altered mental status. Rule out fluid collection. ABDOMEN:LUNG BASES: Bibasilar atelectasis.LIVER, BILIARY TRACT: Left hepatic lobe cyst is unchanged. Additional hypoattenuating liver lesions are too small to characterize.SPLEEN: No significant abnormality notedPANCREAS: Age-related pancreatic atrophy... | 1.Small intra-abdominal fluid collection containing gas about the midline abdominal incision which is concerning for abscess.2.Status post subtotal colectomy, and Hartman's pouch, unchanged in appearance.Findings discussed with Dr. Kempton (pager 9274) via phone at 3:30 PM on 8/8/13. |
Generate impression based on findings. | Reason: ? enlarging pul nodules seen 3 1/2 months ago on CT PE protocol. History: asymptomatic LUNGS AND PLEURA: Scattered nonspecific micronodules unchanged since the prior exam .Left lower lobe reference nodule (image 49, series 5), and measures 4 mm.No new pulmonary nodules or masses.Scattered areas of focal pleural... | Stable micronodules most likely benign. |
Generate impression based on findings. | Reason: pre-op surgical eval for esophageal cancer History: pre-op eval CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules without interval change. Bibasilar nodular opacity is compatible with aspiration. Basilar atelectasis.MEDIASTINUM AND HILA: Lower esophageal eccentric wall thickening compatible with known hi... | 1.Stable lower esophageal eccentric wall thickening compatible with known cancer, unchanged.2.No evidence of metastatic disease in the chest or abdomen.3.Bibasilar nodular opacity is compatible with aspiration. |
Generate impression based on findings. | 67-year-old male. History of diffuse large B-cell lymphoma of the right mandibular region, status post 4 cycles of chemotherapy at outside hospital, needs restaging. CHEST:LUNGS AND PLEURA: Severe centrilobular emphysema, similar to prior exam. Azygos pseudo-lobe is again seen, a normal anatomic variant. Scattered pulm... | No evidence of metastatic disease in the chest, abdomen or pelvis. |
Generate impression based on findings. | Reason: Interval change of pulmonary disease COPD History: as above LUNGS AND PLEURA: Severe centrilobular emphysema.New dependent opacities, conglomerate in the right base giving the appearance of a nodule with spiculation; this is new since the prior study and would be a very rapid rapid development for a lung cancer... | Centrilobular emphysema. New basilar opacities, nodular in the right lower lobe, but probably inflammatory and related to aspiration or infection. 6 to 8 week follow-up is recommended. |
Generate impression based on findings. | 67-year-old male. Colon cancer restaging. CHEST:LUNGS AND PLEURA: There are multiple bilateral pulmonary nodules which are suspicious for metastases which are observed on the prior exam. A number of these nodules have developed cavitation which is probably related to treatment. There are no new observed nodules. A inde... | 1. Pulmonary embolism with the right upper and right lower branch of the pulmonary artery.2. Post-operative changes of right hemicolectomy. No evidence of local disease recurrence or peritoneal carcinomatosis. 3. Multiple bilateral pulmonary nodules of which some have undergone cavitary changes.4. Non-specific hepatic ... |
Generate impression based on findings. | Reason: Please eval for malignancy History: weight loss, h/o smoking LUNGS AND PLEURA: Mild emphysema. No focal consolidation or pleural effusions. Mild cylindrical bronchiectasis. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Right PICC tip at the cavoatrial junction. Heart size is normal. No pericar... | No evidence of malignancy. |
Generate impression based on findings. | Male 44 years old; Reason: Follicular NHL History: s/p 4 cycles of chemotherapy CHEST:LUNGS AND PLEURA: 5-mm nodule noted in the right middle lobe. No other nodules detected. There is bibasilar atelectasis.MEDIASTINUM AND HILA: Numerous mediastinal, axillary, and hilar nodes are identified. Reference pretracheal medias... | 1. Decrease in size of the extensive, bulky adenopathy, including extensive bulky left pelvic adenopathy.2. Reference mediastinal, hilar and axiliary adenopathy.3. 5mm right middle lobe nodule. |
Generate impression based on findings. | 66 year old female. Microscopic hematuria. Evaluate for renal mass. ABDOMEN:LUNG BASES: Minimal bibasilar atelectasis.LIVER, BILIARY TRACT: Diffuse fatty infiltration of the liver.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, U... | Multiple bilateral renal cysts. Otherwise, no findings to account for patient's symptoms. |
Generate impression based on findings. | Male, 55 years old, with left neck mass, likely left submaxillary gland. A soft tissue mass is present within the left neck at level 2 measuring 3.2 x 2.0 cm (image 46, series 3). This is most consistent with a pathologically enlarged lymph node. There are additional adjacent smaller lymph nodes throughout the left nec... | 1. Large soft tissue mass within the left neck likely representing pathologic adenopathy. Additional smaller nodes scattered through the left neck are also suspicious by virtue of their asymmetrically increased number.2. No clear mucosal-based lesion or primary tumor is identified. Irregular soft tissue thickening with... |
Generate impression based on findings. | 71-year-old male with vomiting, recent radical resection of invasive bladder cancer. Evaluate for obstruction versus infection. ABDOMEN:LUNG BASES: Patchy bilateral lower lobe airspace opacities.LIVER, BILIARY TRACT: There is a hypodense lesion within the left lobe of the liver measuring 1.2 x 1.9 cm (image 32, series ... | 1. Left femoral deep vein thrombosis.2. Left iliac fossa hematoma.3. Esophageal wall thickening.4. New hepatic lesion compared to the prior exam which may represent metastatic disease and should be followed.5. New rib metastases with pathologic fracture compared to the prior exam.These findings were discussed with Dr S... |
Generate impression based on findings. | Male, 64 years old, history of CLL, evaluation for clinical trial. CT head:Parenchymal morphology is within normal limits. Attenuation and pattern of enhancement are unremarkable. No focal lesions are seen.No mass-effect or midline shift is detected. The ventricular system is patent and normal in size. No evidence of a... | 1. Interval reduction in the size of numerous scattered mildly enlarged cervical lymph nodes. There are no longer any pathologically enlarged nodes in the neck. Mediastinal lymph nodes are better assessed on the chest CT dictated separately.2. No evidence of intracranial abnormality. |
Generate impression based on findings. | Female 40 years old; Reason: Panniculitis subcutaneous panniculitis-like T cell lymphoma. In need of scans prior to initiating treatment for RA History: Panniculitis subcutaneous panniculitis-like T cell lymphoma CHEST:LUNGS AND PLEURA: Mosaic attenuation pattern throughout the lungs with mild bronchial wall thickening... | 1. Interval decrease in size of the mediastinal and abdominal lymph nodes, 2. Stable small airways disease of the lungs |
Generate impression based on findings. | 21 year old female. Recurrent UTIs. Rule out stones, upper urinary tract abnormality. 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 not... | Normal examination. No findings to account for patient's symptoms. |
Generate impression based on findings. | Male, 69 years old, history of right neck cancer. Limited intracranial views demonstrate encephalomalacia through the left MCA distribution consistent with old infarct, stable.Irregularity, calcification and thickening of the inferior aspect of the right ear are stable.At the site of a previously seen right level 2 nec... | 1. Stable size of a small residual right neck mass. No new lesions or new pathologic adenopathy are detected. 2. Soft tissue irregularity of the right ear is also unchanged. |
Generate impression based on findings. | Clinical question: rule out stroke. Signs and symptoms: Unequal pupils. Nonenhanced head CT:No detectable acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white differentiation.... | No acute intracranial process. |
Generate impression based on findings. | Male, 44 years old, history of follicular non-Hodgkin's lymphoma. Numerous lymph nodes are identified throughout the neck, some of which remain mildly enlarged by size criteria. Reference lesions are as follows:1. Level Ia (image 53, series 6): 14 x 11 mm, previously 10 x 6 mm.2. Left level Ib (image 49, series 6): 16 ... | Demonstration of numerous variably prominent cervical lymph nodes. Some of these are stable while others have increased in size. The degree of increase is on the order of 1 to 2 mm for most, while a few have increased by up to 4 or 5 mm in size. |
Generate impression based on findings. | Reason: Eval for post-op hemorrhage History: headache The patient is status post left-sided craniotomy. There is a hemorrhagic focus present involving the left insula and frontal lobe which is not substantially changed in dimensions when compared to the prior exam. It is associated with air bubbles at the tumor bed sit... | Status post left-sided craniotomy for removal of a mass. Postoperative changes such as Blood products at the tumor bed and intracranial air as well as some intraventricular blood are stable. |
Generate impression based on findings. | Reason: Eval for post-op hemorrhage History: headache The patient is status post left-sided craniotomy. A mass in the left hemisphere involving the frontal lobe and insular cortex has been operated on. There is a hemorrhagic focus present involving the left insula and frontal lobe which measures 29 x 43 mm axial dimens... | Status craniotomy for post removal of a left-sided neoplasm. Postoperative changes such as blood products at the tumor bed, intracranial air as well as some intraventricular blood are present |
Generate impression based on findings. | Reason: ich History: same There is redemonstration of a patchy foci of intraparenchymal hemorrhage associated with subarachnoid hemorrhage involving the left frontal lobe, left anterior temporal lobe and subarachnoid space of the left sylvian fissure compared there is a redemonstration of a subarachnoid blood in the ri... | 1.Stable bilateral temporal lobe and the left frontal lobe intraparenchymal hemorrhages associated with the subarachnoid blood which involves the left hemisphere more than the right and are associated with subfalcine and mild bilateral uncal herniation. |
Generate impression based on findings. | Clinical question: Assess for hemorrhage. Signs and symptoms: Status post craniofacial surgery. Nonenhanced head CT:Examination demonstrate extensive recent post operative changes of cranioplasty. There evidence of expected epidural fluid and air air collection under bilateral frontal cranioplasty changes. No significa... | 1.Expected postoperative changes of extensive bilateral frontal -- temporal cranioplasty as detailed.2.Very minimal malalignment at the level of cranioplasty in the left frontal region his believed to be still within expected postop changes.3.No detectable parenchymal, subarachnoid or intraventricular hemorrhage.4.Unre... |
Generate impression based on findings. | 84-year-old female with recurrent diarrhea, nausea, vomiting diarrhea post exploratory laparotomy. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Several very small low attenuation hepatic foci likely representing cysts or hamartomas but too small to characterize without change.SPLEEN: Calcif... | Small bowel dilatation as noted above with two areas of luminal narrowing, one that appears to be associated with wall thickening as well. Given recent history these could represent adhesive sites.Post menopausal right adnexal cystic mass. |
Generate impression based on findings. | Reason: metastatic thyroid cancer on treatment. evaluate for disease progression with measurements History: as above CT neck:Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lym... | 1.Soft tissue infiltration along the right tumor bed although has not changed since the June exam and appears to have progressed since the October 2012 exam. It partially encases the right common carotid artery2.Decrease in size of left temporal lobe and the lateral ventricle lesion consistent with a metastatic disease... |
Generate impression based on findings. | Clinical question: Evaluate for intracranial injury. Signs and symptoms of headache. Nonenhanced head CT:Examination demonstrates no evidence of acute post traumatic intracranial, calvarial or soft tissues of the scalp findings.The cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matt... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Evaluate for brain metastases. Signs and symptoms: Small cell lung cancer. Enhanced head CT:Examination demonstrates no detectable abnormal parenchymal or leptomeningeal enhancement.Calvarium also remains intact and without any detectable lytic or sclerotic bony changes.Cerebral cortex, cortical sulc... | Negative enhanced head CT. |
Generate impression based on findings. | Clinical question: Evaluate intracranial hemorrhage. Signs and symptoms: Fall. Nonenhanced head CT:No detectable acute intracranial process in particular hemorrhage is detected. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Very extensive periventricular, subcortical and minimally bas... | 1.Moderate small vessel ischemic strokes of indeterminate age. 2.CT is insensitive for detection of acute nonhemorrhagic ischemic strokes. 3.No evidence of acute intracranial hemorrhage. |
Generate impression based on findings. | Reason: Immobilized patient with breast cancer, tachycardia, low grade fever History: Immobilized patient with breast cancer, tachycardia, low grade fever PULMONARY ARTERIES: Nondiagnostic study despite repeat injection attempt. Severe motion artifact. No filling defects within the main pulmonary arteries however lobar... | 1.Nondiagnostic exam for PE, No filling defects within the main PAs but emboli cannot be excluded elsewhere. Findings discussed with Dr. Prochaska by telephone on 8/9/2013 at 9:15 a.m.2.Widespread thoracic osseous metastatic disease. 3.Axillary lymphadenopathy. |
Generate impression based on findings. | 63 year-old female with drop in hemoglobin, abdominal pain. Question of perforation or bleed. 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: Large bilateral pleural effusions.LIVER, BILIARY TRACT: No s... | 1. No evidence of perforation or hemorrhage. Small amount of free fluid in the pelvis.2. Coarse calcifications of the pancreas consistent with chronic pancreatitis.3. Large bilateral pleural effusions. |
Generate impression based on findings. | Clinical question: 74 year old with altered mental status, evaluate for CVA. Signs and symptoms: Alteration of mental status. Nonenhanced head CT:No acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic stroke.In the cerebral cortex, cortical sulci, ventricular system, CSF... | Negative nonenhanced head CT. |
Generate impression based on findings. | 60-year-old male. Patient with abdominal mass seen on CT chest. Concern for mass near pancreas. Cushing's syndrome, concern for ectopic source. ABDOMEN:LUNG BASES: Basilar atelectasis. Pulmonary nodules in right lung, unchanged, please refer to CT chest for full report. LIVER, BILIARY TRACT: There is an ill-defined lef... | 1.Largely non-enhancing, fat containing, mesenteric mass and associated mild inflammatory changes, mildly enlarged lymph nodes, and small amount of ascites. Differential includes teratoma given internal fat density, or post inflammatory etiology, such as fat necrosis, given surrounding mild inflammatory changes. 2.Pneu... |
Generate impression based on findings. | Clinical question: Rule out CVA. Signs and symptoms: Altered mental status. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic stroke in particular in this setting of extensive age indeterminate small vessel ischemic stroke.Mildly dilat... | 1.No acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic strokes.2.Extensive age indeterminate small vessel ischemic strokes with resultant ex vacuo dilatation of lateral ventricles and prominence of cortical sulci.3.Hypoplastic left chamber of the sphenoid sinus with thickened ... |
Generate impression based on findings. | Determine cause of abdominal pain. Bloating. 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 abnorm... | No CT findings to explain abdominal pain and bloating. |
Generate impression based on findings. | 42-year-old male with abdominal pain, nausea, fever. Evaluate for intra-abdominal source of infection. In the absence of IV contrast finding the evaluation of solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: Bibasilar atelectasis with small pleural effusions. ... | 1. No identified intraabdominal source of infection. No evidence of bowel obstruction. 2. Increase in free fluid in the pelvis.3. No significant interval change in hepatic lesions or extrahepatic metastatic disease. 4. Biliary drainage catheters with expected pneumobilia. |
Generate impression based on findings. | Clinical question: Evaluate for stroke. Signs and symptoms: AMS. Nonenhanced head CT:No acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic strokes.Small patchy periventricular and subcortical low attenuation white matter in bilateral cerebral hemispheres are noted. Small focus ... | Mild to moderate small vessel ischemic strokes of indeterminate age. |
Generate impression based on findings. | Oral contrast only. Rule out contrast extravasation. Status post failed ERCP. Ampulla of Vater perforation and esophageal perforation. The following observations are made given the limitations of an unenhanced study.ABDOMEN:LUNG BASES: Bilateral pleural effusions and dependent atelectasis are unchanged. No evidence of ... | 1. Unchanged cholecystostomy catheter with equivocal improvement in biliary ductal dilatation. Correlate with tube output.2. CT findings compatible with acute pancreatitis. 3. Bilateral pleural effusions and atelectasis, unchanged.4. Multiple unchanged contrast and air containing fluid collections most likely represent... |
Generate impression based on findings. | 50 year old female. Mixed connective tissue disease, diabetes, stage V chronic kidney disease with cellulitis, hemoglobin drop. Evaluate for bleeding. ABDOMEN:LUNG BASES: Small left pleural effusion. Basilar atelectasis. Left basilar glass opacity in the could be due to infection or aspiration. Cardiomegaly. Hiatal her... | 1.No evidence of acute hematoma.2.Left lung base with ground glass opacities and atelectasis and small pleural effusion. This may be due to aspiration, or possibly infection. |
Generate impression based on findings. | 15-year-old with soft tissue swelling over the left orbit and maxilla, history of facial reconstruction 6/ 2013. BONE:Postsurgical changes are identified from reconstruction of the left zygomaticomaxillary buttress fracture including the left zygomatic arch and inferior orbital rim. A thin lucency with sclerotic margin... | 1.NO EVIDENCE OF ABSCESS OR OSTEOMYELITIS.2.SOFT TISSUE SWELLING ADJACENT TO INFERIOR ASPECT OF THE LEFT ORBITAL FLOOR RECONSTRUCTION. FINDINGS MAY REPRESENT CELLULITIS OR POST-SURGICAL CHANGE. PLEASE CORRELATE WITH CLINICAL SIGNS OF ACTIVE INFECTION. |
Generate impression based on findings. | Reason: dyspnea; pe; hx recent surgery History: dyspnea; pe; hx recent surgery PULMONARY ARTERIES: Technically adequate exam. Filling defect in a right lower lobe segmental pulmonary artery compatible with acute pulmonary embolus (series 11, image 166). Small additional pulmonary embolus at a subsegmental bifurcation i... | 1.Acute bilateral segmental and subsegmental pulmonary emboli.2.Mild ground glass opacity right upper lobe compatible with hemorrhage. |
Generate impression based on findings. | 53 year old female. T-cell lymphoblastic lymphoma and cardiac tamponade. Status post pericardiocentesis with acute chest pain radiating to back and hypertension. Rule out aortic dissection. CHEST:LUNGS AND PLEURA: Bibasilar atelectasis. An ill-defined, scarlike opacity in the right lower lobe (image 62, series 9).MEDIA... | 1.No evidence of aortic dissection.2.Equivocal left upper lobe subsegmental branch pulmonary artery embolus. The study is not optimized to evaluate for PE, we suggest lower extremity Dopplers for further evaluation.3.Interval decrease in size of anterior mediastinal mass. Findings discussed with Dr. Witt (pager 3584) v... |
Generate impression based on findings. | Reason: sp fall and SDH - NON CONTRAST History: sp fall and SDH CT head:The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.There is a left... | 1.No evidence for cervical spine fracture2.There is an extra-axial collection adjacent to the left parietal lobe suspected to represent a subdural hematoma at a subacute stage. Please correlate with clinical symptoms and history.3.There are multilevel degenerative changes present in the cervical spine with neural foram... |
Generate impression based on findings. | Female, 2 years old, status post cranioplasty for craniosynostosis with sleepiness. Assess for sinus venous thrombosis and for progress of distraction. Evidence of prior cranioplasty is redemonstrated consistent with history of sagittal synostosis repair as well as evidence of more recent revision cranioplasty. This in... | 1. Redemonstration of change related to multiple prior cranioplasty procedures. Since the prior examination, the degree of distraction of the calvarial vertex appears to have been reduced while the degree of distraction of the parieto-occipital bone has been increased.2. Within the limitations of an exam degraded by st... |
Generate impression based on findings. | Reason: r/o aneurysm History: r/o aneurysm. HIT positive, SRA negative. Neck CTA: There is no opacification of the neck vasculature. Some contrast is identified in the left subclavian vein and visualized left brachiocephalic vein which could represent the leading edge of the contrast bolus.Incidental note is made made ... | 1.Apparently the acquisition of the CT angiographic images were obtained to early form opacification of the neck vasculature and head the vasculature. As a result the CTA was ineffective in identifying head and neck vasculature.2.No evidence for acute intracranial hemorrhage mass effect or edema.3.CT is insensitive for... |
Generate impression based on findings. | 44 year old female with right lower quadrant pain with peritonitis. Assess for appendicitis, ovarian abnormality. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholecystectomy clips.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significa... | 1. Right 4 mm ureteral calculus with associated hydronephrosis and hydroureter.2. Ovarian varices with retrograde flow, this may represent pelvic congestion syndrome in the right clinical context. |
Generate impression based on findings. | 56-year-old male. Recurrent fevers and flank pain. History of intrapelvic fluid collection. CHEST:LUNGS AND PLEURA: Left upper lobe scarring/atelectasis.MEDIASTINUM AND HILA: Cardiac size is normal. No pericardial effusion. Atherosclerotic calcification of the coronary arteries and thoracic aorta. No mediastinal or hil... | Persistent, but smaller left pelvic fluid collection. Findings discussed with Dr. Boysen via phone at 9:30 AM via phone on 8/9/13. |
Generate impression based on findings. | 74-year-old female with history of numbness in the left hand and face, evaluate for ischemia. BRAIN WO: Patchy periventricular white matter hypoattenuation indicates age indeterminate small vessel ischemic disease. No CT evidence of acute territorial infarction or bleed. No midline shift, mass or extra-axial fluid coll... | 1. Age indeterminant small vessel ischemic disease without CT evidence of acute territorial infarction.2. Bulky calcified plaque at both carotid bifurcations with moderate to severe right and mild to moderate left internal carotid stenosis.3. Uniformly narrow basilar artery, likely congenital due to large bilateral pos... |
Generate impression based on findings. | 68 year-old female with abdominal pain. Evaluate for inflammation/ischemia. In the absence of IV contrast evaluating solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Multiple round hypoattenuating hepatic l... | 1. No evidence of bowel obstruction, ischemia, or perforation.2. Hepatic lesions which are incompletely evaluated with noncontrast CT. Further evaluation with dedicated liver CT is recommended. 3. Dilated pancreatic duct, MRCP is recommended for further evaluation. |
Generate impression based on findings. | 61 year old with dizziness. CT BRAIN:VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage.FLUID:No fluid collections. No evidence of hemorrhage.BONE:No fractures. Visualized bony structures are normal.PARANASAL SINUSES AND MASTOID... | 1. NO CT FINDINGS TO SUGGEST ACUTE INTRACRANIAL HEMORRHAGE OR ISCHEMIA.2. CTA DEMONSTRATES NO EVIDENCE OF CLINICALLY SIGNIFICANT STENOSIS OR ANEURYSM. |
Generate impression based on findings. | Female, 53 years old, with brain edema, evaluate for changes. No evidence of acute parenchymal or extra-axial hemorrhage is seen. No evidence of generalized mass-effect or midline shift is detected. The ventricular system is small but stable in size.However, there is a paucity of the cerebral sulci and the degree of gr... | 1. Focal hypoattenuation in the left frontal and bilateral posterior temporal/occipital lobes. The lesion in the left posterior temporal/occipital lobe is better defined than on the prior examination. These are concerning for late acute/subacute strokes.2. There is a generalized paucity of cerebral sulci and poor gray-... |
Generate impression based on findings. | Male 57 years old; Reason: Evaluate vasculature to support kidney transplant History: Pre-Kidney Evaluation of iliac vessels. History of Diabetes, Hypertension ABDOMEN:LUNGS BASES: Bilateral pleural effusions, right greater than left.LIVER, BILIARY TRACT: Scattered hepatic granulomata.SPLEEN: No significant abnormality... | 1.Mild calcific arteriosclerotic disease of the abdominal aorta and iliac vessels.2.Bilateral pleural effusions.3.Diffuse rectal wall thickening. Follow up is suggested.4.Chronic pancreatitis. |
Generate impression based on findings. | Reason: mesothelioma, follow-up History: meso s/p pleurectomy/decort CHEST:LUNGS AND PLEURA: Large loculated right pneumothorax with collapse of the right upper and middle lobes, unchanged. Postoperative appearance of right pleurectomy with persistent mild nodular pleural thickening. Index measurements are as follows.1... | 1. No significant changes in reference pleural thickening measurements in the right hemithorax.2. Left para-aortic lymph node, increasing in size.3. Increasing left adrenal nodule suspicious for metastasis.3. Stable right pneumothorax, massive pneumoperitoneum, and right chest wall emphysema. |
Generate impression based on findings. | 31 year old female. Fever, abdominal pain, postoperative. Rule out abscess.Additional information from chart: post operative day 9 following right hemicolectomy with ileocolic anastomosis ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis.SPLEEN: No significant abnormality notedPAN... | 1.Large abscess about the ileocolic anastomosis in the right lower quadrant, with additional smaller associated abscesses including one involving the right psoas.2.Radiodense material in the pelvis, which may be suture material, or extraluminal contrast from small bowel follow through, however, foreign body cannot be e... |
Generate impression based on findings. | 25-year-old male with right lower quadrant pain. Rule out appendicitis. 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, URE... | Enlarged, inflamed appendix consistent with acute appendicitis. No evidence of associated fluid collection or perforation. |
Generate impression based on findings. | 74 year old female. Infection, history of urologic surgery. Neoplasm of bladder. ABDOMEN:LUNG BASES: Small bilateral pleural effusions.LIVER, BILIARY TRACT: Distended gallbladder.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Right adrenal nodule is unchanged.KIDNEYS, ... | 1. Decreased perfusion of the left kidney with multiple areas of hypoattenuation, most likely representing small infarcts.2. Ileus pattern. 3. Moderate left hydronephrosis and hydroureter, unchanged--plan is for percutaneous nephrostomy.Findings discussed with Dr. Boysen via phone at 10:27 AM on 8/9/13. |
Generate impression based on findings. | Male, 66 years old, history of adenoid cystic carcinoma of the right cheek, removed in 12/11 with postoperative radiation. 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.Much of the oral cavity is obscur... | 1. No evidence of recurrent disease or pathologic adenopathy in the neck.2. No intracranial metastatic disease. |
Generate impression based on findings. | Reason: T4aN2BM0 L BOT SCCA s/p induction chemo followed by CRT completed 4/27/12 History: please monitor for recurrence CHEST:LUNGS AND PLEURA: No sign of pulmonary or pleural metastases.Streaky basilar opacities are suggestive of scarring and chronic aspiration. MEDIASTINUM AND HILA: Mild thyroid enlargement.Prominen... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | 62 year old female with diffuse left-sided abdominal pain. Rule out peritoneal bleed. 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: There is a sma... | 1. Large left anterior abdominal fluid collection consistent with an acute hematoma.2. Moderate ascites.3. Hypodense right renal lesion which may represent a cyst but is incompletely evaluated without contrast. |
Generate impression based on findings. | Reason: 61 yo female with h/o smoking and prediabetes. Had episode of hemoptysis over the weekend. CXR and interferon gold negative. Please eval for mass or other lesions causing hemoptysis. History: hemoptysis LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHE... | No significant abnormality. |
Generate impression based on findings. | Metastatic thyroid cancer on treatment CHEST:LUNGS AND PLEURA: Multiple pulmonary metastases. Index lesion in the left upper lobe measures 12 x 12-mm, previously 11 x 12 mm, not significantly changed (4/19). Endobronchial lesion left lower lobe noted. Reference left lower lobe lesion measures 8 x 9 mm, previously 8 x 8... | 1. Pulmonary metastases without significant change in reference measurements.2. Minimal increase in reference measurements of mediastinal and right hilar lymph nodes.3. Left hepatic lobe lesion new from earlier exams and now appears suspicious for a metastasis.4. Expansile metastasis in the left fifth rib minimally lar... |
Generate impression based on findings. | Male 52 years old; Reason: Metastatic colon cancer completed chemoRT in April 2013 to largest abdominal lesion. No systemic chemotherapy since December 2012. Evaluate for interval change to disease History: colon cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Stable right Port-A-Ca... | 1.Decrease in size of the reference lesions as above.2.Stable fibrin thrombus in the SVC. |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: CVA. Nonenhanced head CT:No detectable acute intracranial process.CT is insensitive for detection of acute nonhemorrhagic ischemic strokes.There are extensive periventricular and subcortical foci of white matter low-attenuation.Extensive similar findings are also present on t... | 1.No acute intracranial process. CT is insensitive for detection of nonhemorrhagic ischemic strokes.2.Extensive bilateral periventricular and -- subcortical low-attenuation white matter non-specific however it could represent small vessel ischemic strokes of indeterminate age. Extensive similar finding in the left hemi... |
Generate impression based on findings. | 65 year-old male with metastatic prostate cancer with stent placed. Evaluate for hydronephrosis, response to therapy. CHEST:LUNGS AND PLEURA: Scattered micronodules are unchanged.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Sclerotic thoracic vertebral body and rib lesions compatible with metastati... | 1. Moderate hydronephrosis and mild hydroureter is unchanged on the left compared to the prior exam with the nephroureteral stent in place.2. Interval increase in size of index left paraortic lymph node.3. Unchanged metastatic soft tissue deposits near the left ureter by the vesicoureteral junction.4. Unchanged pelvic ... |
Generate impression based on findings. | Reason: r/o fluid collection/empyema History: sob LUNGS AND PLEURA: Severe emphysema. Dense consolidation primarily in the right upper lobe consistent with infection. Large loculated pleural effusion with an air-fluid level compatible with empyema. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Heart s... | 1.Large loculated pleural effusion with an air fluid level compatible with empyema. 2.Additional consolidation in the right upper lobe is consistent with infection. |
Generate impression based on findings. | Clinical question: Repeat head CT for bilateral hygroma. Signs and symptoms: Bilateral hygroma. Nonenhanced head CT: There is no evidence of an acute new hemorrhage since prior exam.The low density of bilateral hemispheric subdurals remain similar to prior exam. The right-sided subdural hygroma measures minimally large... | 1.Slight interval increase in the size of right hemispheric subdural hygroma as detailed/measured above. There is trace leftward midline shift which is new since prior exam.2.Slight interval decreased size of left hemispheric subdural hygroma as detailed/measured above.3.Mild age indeterminate small less ischemic strok... |
Generate impression based on findings. | Reason: surveillance of nodules History: surveillance of nodules LUNGS AND PLEURA: Multiple pulmonary micronodules up to 5 mm in size have not significantly changed and appear benign.MEDIASTINUM AND HILA: Patulous esophagus.Severe coronary calcifications are present.No mediastinal or hilar lymphadenopathy.CHEST WALL: P... | 1. Benign-appearing pulmonary micronodules stable for nearly 1 year considering the prior abdomen CT. If the patient has a low risk for lung cancer, no further follow up is recommended at this time otherwise a repeat study in one year.2. Well corticated L2 vertebral lesion described above, and rectum should be made to ... |
Generate impression based on findings. | Chest wall pain. Recent thoracentesis and a subsequent chest tube placement. S.O.B., effusion, history of right-sided NSCLC.? Consolidation/tumor/pneumonia. Remote history of breast CA with RT. LUNGS AND PLEURA: Diffuse septal thickening with several centrilobular nodules and dependent groundglass opacities throughout ... | 1. 7.5 x 2.8 cm right pleural hematoma with extension of blood products into the dependent aspect of the pleural space along the diaphragm and into the soft tissues of the right chest wall. Tumor is considered less likely given the radiographic appearance.2. Obstruction of the bronchus intermedius by tumor with collaps... |
Generate impression based on findings. | Right lower quadrant abdominal pain. Evolution of fluid collection. ABDOMEN:LUNG BASES: Scarring is seen in the lung bases, unchanged from the prior study.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Mild splenomegaly is unchanged.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significa... | Near complete resolution of periappendiceal abscess. |
Generate impression based on findings. | 51 year female. Reason: eval for stage of small cell lung ca, possible hepatic congestion History: small cell lung ca CHEST:LUNGS AND PLEURA: Large, lobulated mass in the right upper lobe increased to 34 x 48 mm (19, 13) from 26 x 30 mm previously. The lesion is again contiguous with the right hilum, extends along the ... | 1. Increase in size of right upper lobe mass with new nodule in the same lobe. Increase in size of index right upper lobe nodule.2. Tumor invades and is inseparable from from mediastinal lymphadenopathy. New reference right hilar lymphadenopathy increased.3. Increase in volume of pleural fluid on the right with suspici... |
Generate impression based on findings. | 50-year-old male. Bilateral lower abdominal pain. Evaluate for diverticulitis. ABDOMEN:LUNG BASES: Minimal bibasilar atelectasis.LIVER, BILIARY TRACT: Cholelithiasis. Punctate left hepatic lobe hypoattenuation which is too small to characterize.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormalit... | Sigmoid diverticulitis without evidence of complication. |
Generate impression based on findings. | Reason: 66Yrs male here for follow-up of malignant ACC right cheek, removed 12/11 with postoperative XRT and removal of History: gradual increade in pulm nodules CHEST:LUNGS AND PLEURA: Left upper lobe pulmonary nodule has slowly increased, now 4 mm (series 4 image 53), as compared to 3 mm on the prior study. This nodu... | Continued slow interval growth of several pulmonary nodules when compared to the prior two examinations, dating back to 12/4/2012.No interval mediastinal or hilar lymphadenopathy. |
Generate impression based on findings. | Lungs CA post RT and chemo. New hoarseness and shortness of breath on exertion. Concern for left mediastinal disease versus scarring. CHEST:LUNGS AND PLEURA: No pleural fluid or pneumothorax. Calcified lung nodules on the right middle lobe may be post infectious.Irregular lesion in the right upper lobe which extends la... | Patient's known stable peripherally nodule which has been present since the initial study lies in the expected distribution of the right recurrent laryngeal nerve however there are no findings along the left RLN distribution. A mediastinal nodule on the left courses along the expected route of the left vagus nerve, lik... |
Generate impression based on findings. | 67-year-old male. Metastatic renal cell carcinoma to lungs and bones. Reevaluate. CHEST:LUNGS AND PLEURA: Left lower lobe conglomerate of pulmonary nodules measures 1.5 x 1.3 cm (image 76, series 6), previously 1.6 x 1.3 cm. Right lower lobe reference nodule measures 2.4 x 1.8 cm (image 68, series 6) previously 2.4 x 1... | Interval sclerosis of right posterior rib metastasis, compatible with treatment. Other index measurements have not significantly changed. |
Generate impression based on findings. | Reason: new onset dizziness History: new onset dizziness. A7 years old female The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visua... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA |
Generate impression based on findings. | 57-year-old man with intracranial mass, somnolence, concern for progression. BRAIN PARENCHYMA:Unchanged from the prior MRI and CT exams is an approximately 48 x 40 x 46 mm intra-axial mass centered over the left thalamus that demonstrates central necrosis and a thick high density peripheral rim. VENTRICLES/CSF SPACES:T... | LARGE INTRA-AXIAL MASS CENTERED OVER THE LEFT THALAMUS DEMONSTRATING CENTRAL NECROSIS AND A HIGH DENSITY PERIPHERAL RIM. WHEN COMPARED TO THE PRIOR EXAM, THE CURRENT STUDY SUGGESTS SLIGHT WORSENING OF THE HYDROCEPHALUS AS DETAILED ABOVE. |
Generate impression based on findings. | Male 65 years old; Reason: h/o met, medullary thyroid ca, compare to previous, measurements pls. History: none CHEST:LUNGS AND PLEURA: Trace atelectasis in the right middle lobe. No dominant lung lesion. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediastinal lym... | Near stable size measurements of the metastatic disease to the osseous structures. |
Generate impression based on findings. | Clinical question: Chronic polypoid sinusitis. Signs and symptoms: As above. Medtronic fusion sinus CT:Frontal sinuses demonstrate near complete opacification of the left sinus and unremarkable right.Ethmoid sinuses demonstrate mild diffuse bilateral sinus disease.Sphenoid sinus demonstrate diffuse mucosal thickening o... | 1.Chronic pansinusitis. 2.Occluded bilateral ostiomeatal units and bilateral sphenoethmoidal recess.3.Mild nasal septum deviation to the left without bony septal spur or any significant left nasal passage compromise. Mild increased soft tissue density in the superior left nasal cavity and opacification of left middle t... |
Generate impression based on findings. | Clinical question: History of head and neck cancer, status post induction chemo, compared to prior exam, measurement. Signs and symptoms: None. Enhanced neck CT:Examination demonstrates a catheter in the right frontal sinus extending inferiorly through the right ethmoid region and enters the right nasal cavity and with... | 1.Very significant interval decreased size of tumor in ethmoids, nasal cavity, right maxillary sinus, skull base and intracranially since prior exam. Trace amount of residual tumor in the left anterior ethmoid, right pterygopalatine fossa, questionable minute residual enhancement intracranially and no convincing residu... |
Generate impression based on findings. | Follow-up on lung nodules in a man with prostate cancer. LUNGS AND PLEURA: 7 mm smoothly marginated nodule in name posterior segment of the right upper lobe (2/146) contains internal lipid attenuation, strongly suggestive of a hamartoma. No internal calcification is appreciated.Scattered 2-mm calcified and noncalcified... | 1. 7-mm nodule in the right upper lobe has benign imaging characteristics and contains internal fat, most likely a benign hamartoma.2. Indeterminate lesions in the thyroid gland, suggest correlation with nuclear scintigraphy to exclude malignancy.3. Although the punctate micronodules in the lungs elsewhere statisticall... |
Generate impression based on findings. | 90 year-old male with history of prostate cancer and rising PSA. Worsening back pain. CHEST:LUNGS AND PLEURA: Scarring/atelectasis with a few micronodules in the left lower lobe are unchanged.MEDIASTINUM AND HILA: Markedly calcified coronary arteries. Status post CABG. The heart is enlarged. No significant mediastinal ... | Stable examination with no definite evidence of metastases. |
Generate impression based on findings. | Reason: Pt with FOM C s/p CRT. Please re-eval for recurrent dz. please compare to prior exams History: as above A lesion in in the left sublingual space as the measuring 16 x 9 mm axial dimension now measures the same.Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is app... | 1.A left sublingual space lesion is a stable when compared to prior exam. No evidence for neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.multilevel degenerative changes are present in the cervical spine which are stable.3.There is narrowing of the internal carotid arteries at their origins l... |
Generate impression based on findings. | Male 75 years old; Reason: Re-evaluate disease status for progression; compare to previous scan History: Stage III melanoma CHEST:LUNGS AND PLEURA: Multiple micronodules. Left lower lobe on micronodule on image 85/series 4 measures 5 x 5 mm previous 6 x 5mmRight lower lobe pulmonary nodule (image 87) and nodularity of ... | 1.Stable lung nodules and mediastinal lymph nodes. |
Generate impression based on findings. | EGUS cancer in follow-up. CHEST:LUNGS AND PLEURA: Biapical scarring. Right paramediastinal fibrosis. Stable micronodules, nonspecific.MEDIASTINUM AND HILA: Nonspecific minimal increase in size of a low right cervical lymph node (3/15) measuring 6-mm on the current study, 5-mm on the previous study and 3 mm on 12/12/201... | Subtle slow increase in size of a non-index low right cervical lymph node but should continue to be monitored on subsequent exams, but clear clinical significance. Esophageal pull up and the index lesions are otherwise unchanged. Severe atherosclerotic disease. |
Generate impression based on findings. | Male, 75 years old, history of stage III melanoma, evaluate disease status. No pathologic adenopathy is detected in the neck by size criteria. No soft tissue masses are seen in the deep or superficial spaces.Aerodigestive mucosal spaces are free of suspicious mass lesions and pathologic enhancement. The salivary glands... | No evidence of disease in the neck. |
Generate impression based on findings. | Reason: h/o met, medullary thyroid ca, compare to previous, measurements pls History: none CT neck:Left-sided the mucosal tissues are thicker on the left versus the right side.Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on th... | 1.No evidence for neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.there are multiple calvarial lesions present at least one of which appear to have increased in size when compared to prior exam. There is a one particular lesion that appears to involve the superior sagittal sinus and this limi... |
Generate impression based on findings. | Reason: Pt with FOM C s/p CRT. Please re-eval for recurrent dz. please compare to prior exams History: as above CHEST:LUNGS AND PLEURA: Unchanged benign appearing micronodules and centrilobular emphysema. No sign of pulmonary or pleural metastases.MEDIASTINUM AND HILA: Upper normal size mediastinal lymph nodes are unch... | No change, and no sign of metastases. |
Generate impression based on findings. | 69 year old with fall, assess for bleed BRAIN PARENCHYMA: The is no evidence for intra-axial hemorrhage. There are no masses. There are confluent patchy areas of hypodensity within the periventricular and subcortical white matter as demonstrated on the prior exam. These findings likely represent prior areas of ischemia... | 1.No evidence of acute intra-axial or extra-axial hemorrhages as clinically queried.2.Multiple confluent patchy areas of hypodensity within the periventricular and subcortical white matter consistent with prior ischemic disease as detailed on the prior CT exam. If concern exists for an acute stroke, an MRI examination ... |
Generate impression based on findings. | Reason: lung cancer History: lung cancer s/p resection LUNGS AND PLEURA: Postoperative changes status post right upper lobectomy. Right basilar subpleural opacity measures 3.2 x 1.0 cm (series 5, image 63), previously 2.8 x 1.0 cm. On the coronal and sagittal reformatted images, this finding is not significantly change... | 1.Right basilar subpleural opacity may represent postoperative pleural thickening related to rounded atelectasis or scarring, however tumor recurrence cannot be entirely excluded. Additional 3 month CT follow up is suggested. A baseline PET may be obtained if there is a high level of clinical suspicion. 2.No additional... |
Generate impression based on findings. | 44 year old female. 30-pound weight loss in two months. Nausea, vomiting, elevated lipase, amylase. Pancreatic protocol. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Cardiac size is normal. No pericardial effusion. No mediastinal or hilar lymphadenopathy.CHEST WALL: No significant abno... | No findings to account for patient's symptoms. Recommend MRCP or endoscopic ultrasound for further evaluation. |
Generate impression based on findings. | Reason: hx H\T\N ca, s/p CRT, evaluate dx and compare measurements to previous scans History: as above CHEST:LUNGS AND PLEURA: Stable pulmonary micronodules, without evidence of pleural or parenchymal metastases.MEDIASTINUM AND HILA: Unchanged residual thymic tissue.No mediastinal or hilar lymphadenopathy.CHEST WALL: M... | Increasing hepatic steatosis. No sign of pulmonary or pleural metastases. |
Generate impression based on findings. | Male 76 years old; Reason: 76 yo male with h/o intussusception on 7/2013 scan. Pt with abdominal discomfort. Evaluate extent of intussusception History: abdominal pain ABDOMEN: LUNGS BASES: Emphysematous changes are noted. No nodule or mass detected.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No sign... | 1.Small bowel intussusception with a lipoma acting as a lead point, unchanged.2.Right adrenal lesion most compatible with an adenoma, unchanged.3.Enlarged left pelvic lymph node and presumed metastatic implant adjacent to the rectum.4.Telephone message regarding new findings left at (2-5574--pages referred from 1622) |
Generate impression based on findings. | Clinical question: 38 year old female with allergic rhinitis, septal deviation and recurrent sinusitis. Signs and symptoms: Nasal congestion. Maxillofacial CT:Frontal sinuses are well pneumatized and unremarkable.Ethmoid sinuses are well pneumatized and without evidence of disease.Sphenoid sinus is well pneumatized and... | 1.No detectable acute or chronic sinus disease.2.Moderate nasal septum deviation as detailed.3.Well pneumatized bilateral mastoid air cells and middle ear cavities. |
Generate impression based on findings. | 75-year-old man with metastatic melanoma to the right parotid gland status post surgical resection and discontinuation of systemic medications. Please evaluate for recurrence. TUMOR:Postsurgical changes, including partial right parotidectomy and thickening of the subcutaneous tissue adjacent to the right parotid gland ... | NO EVIDENCE OF RECURRENT OR RESIDUAL DISEASE. |
Generate impression based on findings. | 75-year-old male. Stage IV metastatic melanoma. Evaluate disease status after discontinuation of systemic medications due to intolerance. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are unchanged. Reference is left lower lobe micronodule measures 0.5 x 0.5 cm (series 6 image 198) unchanged.MEDIASTINUM AND ... | No significant interval change in mediastinal lymph nodes, pulmonary nodule, and left adrenal nodule. |
Generate impression based on findings. | 73-year-old male with multiple myeloma and pain, evaluate for pathologic spinal fractures. Diffuse lytic lesions of the visualized vertebral bodies and ribs are identified, compatible with multiple myeloma. Alignment of the thoracic spine is maintained. There has been interval progression of the T10 vertebral body comp... | 1. Interval progression of T9 and T10 vertebral body compression fracture as described above.2. Multiple chronic vertebral body compression fractures as described above.3. Diffuse lytic osseous lesions consistent with the history of multiple myeloma. |
Generate impression based on findings. | Reason: h/o fungal pneumonia History: prior fungal pneumonia LUNGS AND PLEURA: Prior right apical cavity has coalesced to a small nodule with other postinflammatory abnormalities.Severe centrilobular and paraseptal emphysema is present, although the pattern is also suggestive of panlobular emphysema sometimes associate... | 1. Resolution prior cavity with only postinflammatory changes in the lungs at the present time.2. Severe paraseptal and centrilobular emphysema, versus panlobular emphysema which is sometimes associated with alpha-1 antitrypsin deficiency. |
Generate impression based on findings. | Reason: objective pulsate tinnitus History: ring \T\ pulsing in left ear The external and internal auditory canals are symmetric in diameter and intact. The middle ear structures are intact. The courses of the facial nerves were followed and appear intact. The mastoid air cells are clear. The vestibular aqueduct is ide... | CT temporal bones is within normal limits. |
Generate impression based on findings. | Smoker and weight loss question parenchymal process. Cough and COPD LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. Severe centrilobular emphysema. No pleural fluid or pneumothorax.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of ... | Severe centrilobular emphysema but no suspicious pulmonary nodules or masses and no visible lymphadenopathy. |
Generate impression based on findings. | Reason: metastatic breast CA to liver and lung. On chemo. Followup scan to assess. History: weight loss CHEST:LUNGS AND PLEURA: Significant interval improvement in previously described right middle lobe nodular opacities with mild residual ground glass opacities and a more nodular focus superiorly (series 6, image 41).... | 1.Interval decrease in size of pulmonary metastases. Probable decrease in size of right hepatic lobe lesion, although this finding is not well defined.2.Increased sclerosis of osseous metastases are compatible with treatment response. L5 complex- appearing pathologic fracture. New T9 compression deformity.3.No new site... |
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