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Generate impression based on findings. | Lung cancer LUNGS AND PLEURA: Postsurgical changes of right upper lobectomy with resection of previously seen right upper lobe nodule. 6-mm groundglass density in the left upper lobe (4/134) is unchanged.Postsurgical architectural distortion of the hilum with narrowing of the right middle lobe bronchus. Punctate calcif... | 1. Interval right upper lobectomy with resection of previously seen nodule. 6-mm groundglass density nodule in the left upper lobe is stable.2. Although be anterior mediastinal soft tissue lesion measures larger, differences in size could be accounted for by architectural distortion due to right upper lobectomy. Thymic... |
Generate impression based on findings. | Reason: pre-op eval for T2N2 Stage IIIA adenocarcinoma History: f/u CHEST:LUNGS AND PLEURA: Spiculated right apical nodule measures 2.4 x 1.5 cm (series 4, image 20), unchanged. Stable ground glass right middle lobe nodule (4/64). Moderate centrilobular and paraseptal emphysema.MEDIASTINUM AND HILA: Heart size is top n... | 1.Stable right apical mass and stable to improved mediastinal lymphadenopathy. 2.12 mm left adrenal nodule is suspicious for occult metastasis. Dedicated imaging recommended.3.Indeterminate right renal interpolar lesion can be assessed with dedicated exam at the time of adrenal gland assessment.4.Probable radiation eso... |
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: The right kidney mea... | Single bilateral renal arteries and renal veins. Single collecting system bilaterally with no masses or filling defects or stones noted bilaterally. |
Generate impression based on findings. | Reason: follow CT of neck to monitor parapharyngeal tumor History: follow CT of neck to monitor parapharyngeal tumor 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 lymphadenop... | 1.There is a left deep parotid space mass present which is stable in dimensions compared to the prior exam. Most likely this represents a pleomorphic adenoma among the differential possibilities.2.There is a left than gland the nodule present which is stable in comparison to prior exam. Please correlate with clinical h... |
Generate impression based on findings. | Also lung cancer needs restaging post chemo and surgery. DOE and cough. History of breast cancer. CHEST:LUNGS AND PLEURA: No pleural fluid or pneumothorax. Centrilobular and paraseptal emphysema. Stable linear nodule right apex (4/13) and second flat appearing a nodule in the posterior right upper lobe (4/27), unchange... | No signs of localized recurrence. 4-mm groundglass nodule in the superior segment of the right lower lobe is too small accurately characterize but may be an area of atypical adenomatous hyperplasia. This may be followed at the time of the patient's next exam or in one year by CT. |
Generate impression based on findings. | Reason: h/o HNC, s/p induction chemo, compare to previous. History: nonePer PACS, additional history of RCC. CHEST:LUNGS AND PLEURA: 4-mm pulmonary nodule in the posterior right lower lobe (series 4, image 58), unchanged. Additional scattered pulmonary micronodules are unchanged. No new suspicious pulmonary nodules or ... | 1.Stable right lower lobe pulmonary nodule. .2.Right lower pole renal mass compatible with biopsy proven RCC increased in craniocaudal length. Recommend dedicated renal CT for evaluation of involvement of adjacent structures, including the renal vein and IVC.3.Nonspecific nodular thickening the adrenal gland which may ... |
Generate impression based on findings. | Female 55 years old; Reason: Cholangiocarcinoma please provide index lesion measurements History: As above CHEST:LUNGS AND PLEURA: 5-mm pleural-based nodule noted in the left lung base..MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Right-sided Port-A-Cath noted with the tip in the cavoatrial juncti... | 1.Cholangiocarcinoma and portal veinous thrombosis with index lesions as above. |
Generate impression based on findings. | Reason: assessment of posterior circulation History: dizziness 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 50% sten... | 1.70% stenosis at the origin of the left internal carotid artery.2.50% stenosis at the origin of the right internal carotid artery.3.70% stenosis at the origin of the right vertebral artery4.multilevel degenerative changes are present in the cervical spine with spinal canal stenosis suspected at C3-4 and to a lesser de... |
Generate impression based on findings. | Reason: parotid cancer recurrent History: r/o lung mets LUNGS AND PLEURA: Single subpleural micronodule adjacent to the right major fissure (series 4 image 37) is nonspecific, measuring 3 mm. No suspicious pulmonary nodules. Lingular and left lower lobe subsegmental atelectasis.MEDIASTINUM AND HILA: Mild cardiomegaly f... | Single pulmonary micronodule measuring 3 mm which is nonspecific. No suspicious pulmonary nodules.No mediastinal or hilar lymphadenopathy.Mild cardiomegaly from left ventricular chamber dilatation. |
Generate impression based on findings. | 66 year old female with a family history of cancer complaining of persistent left upper quadrant left lower quadrant pain. Colonoscopy from 7/26/2013 showed a few diverticula scattered around the bowel. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There are no focal hepatic lesions.SPLEEN: ... | 1. No acute findings to explain patient's symptoms.2. Diverticulosis without seen complication. |
Generate impression based on findings. | Severe emphysema and hypoxemia. S.O.B. LUNGS AND PLEURA: 3-mm nodule in the right upper lobe (4/41) and left lower lobe nodule measuring 7 x 5-mm (4/53) have internal lipid measurements and appears to be lobulated and branching. The left lesion has a leading air bronchogram on high resolution series (5/323). Both appea... | Diffuse centrilobular emphysema without evidence of interstitial lung disease or bronchiectasis. Two small nodules measure lipid attenuation and could represent endobronchial plugs; stability favors benign lesions. Follow up may be obtained in 6 months to exclude the remote possibility of mucinous adenocarcinoma which ... |
Generate impression based on findings. | 55-year-old male with left flank pain. Evaluate for stone. In the absence of IV contrast limiting evaluation of solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No si... | 3 mm distal left ureteral calculus near the vesicoureteral junction with associated left hydronephrosis. |
Generate impression based on findings. | Reason: lung CA, off therapy. Status of disease, notably retrocrural nodes, adrenal History: abdominal distention CHEST:LUNGS AND PLEURA: Postsurgical findings reflective of left upper lobectomy with associated volume loss. Stable but severe central lobular emphysema. Right paramediastinal consolidation and bronchiecta... | Stable retrocrural metastatic lymphadenopathy.Persistent dilated loops of small bowel with pneumatosis. |
Generate impression based on findings. | 65-year-old male. Status post Whipple (7/25/13) with fevers and purulent drainage. Please evaluate for leak/fluid collection. History of pancreatic neuroendocrine tumor. ABDOMEN:LUNG BASES: Moderate left pleural effusion with compressive atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No signi... | 1.Several poorly loculated peripancreatic fluid collections in the abdomen, some of which contain air. 2.Several small foci of free intraperitoneal air. |
Generate impression based on findings. | Clinical question choanal 57-year-old female with newly diagnosed metastatic pancreatic cancer to liver, lung with new onset of hypertension, headache with photophobia and phonophobia. Signs and symptoms: Headache. Nonenhanced head CT:There is no detectable intracranial hemorrhage, edema, mass effect or midline shift o... | 1.Negative nonenhanced head CT.2.No evidence of abnormality /metastatic disease of calvarium or soft tissues of the scalp.3.A mass appears to be extraconal in location is noted in the right medial aspect of retro-orbital space as detailed. Recommend dedicated imaging of the orbits to exclude possibility of metastatic d... |
Generate impression based on findings. | Clinical question: History of metastatic head and neck cancer, compared to prior exam and provide measurements. Signs and symptoms: None. Enhanced neck CT:Limited view of intracranial content demonstrate extensive periventricular and subcortical low attenuation white matter likely result of age indeterminate small was ... | 1.No convincing evidence of a mass or adenopathy by CT size criteria.2.Subtle enhancement in the right tongue base demonstrate interval improvement since prior exam and highly suggestive of posttreatment changes. |
Generate impression based on findings. | Reason: h/o met HNC, compare to previous, measurements pls History: none LUNGS AND PLEURA: Multiple spiculated and cavitary nodules are again visualized, the majority of which have increased in size.Left upper lobe reference nodule (series 5 image 43) measures 18 x 26 mm, previously 15 x 21 mm.Left lower lobe reference... | Interval increased size of multiple pulmonary cavitary lesions, the majority of which are suspected to be metastatic. Potential primary pulmonary carcinoma in the right upper lobe.C7 lucency is more prominent when compared to prior exams, possibly osseous metastasis.Low-density lesion within the left hepatic lobe suspi... |
Generate impression based on findings. | Reason: 57 yo F with newly dx'd metastatic pancreatic cancer with new onset tachycardia, SOB, r/o PE History: tachycardia, SOB PULMONARY ARTERIES: Technically adequate exam. Central hypoattenuation in the subsegmental branches of the left lower lobe posterior segmental pulmonary artery (series 14, image 149) is compati... | Left lower lobe acute pulmonary emboli. Diffuse lymphovascular pulmonary metastases. Hepatic metastases. |
Generate impression based on findings. | 14-year-old female presents after being stabbed in the left flank. CHEST:LUNGS AND PLEURA: No pulmonary parenchymal or pleural abnormality. Specifically, there are no focal lung opacities, pleural effusions or pneumothorax.MEDIASTINUM AND HILA: The cardiac size is normal. No pericardial effusion. No mediastinal or hila... | Small left posterolateral flank skin laceration with subcutaneous fat stranding and contusion. No solid organ or bowel injury. |
Generate impression based on findings. | Female, 20 years old, with acute onset psychosis. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift. The ventricles and basal cisterns are paten... | No acute intracranial abnormality. No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Female, 39 years old, with visual blurring, headaches, history of pseudotumor. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No pathologic enhancement is seen. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effe... | Unremarkable evaluation of the brain. |
Generate impression based on findings. | 22 year-old female with abdominal pain, status-post ileostomy takedown in the right lower quadrant. Evaluate for ventral/incisional hernia. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormali... | No evidence of ventral or incisional hernia. |
Generate impression based on findings. | Male, 75 years old, with visual changes and syncope. Brain parenchymal morphology is within normal limits. Bilateral basal ganglia mineralization is likely age related. No focal edema or CT evidence of acute territorial ischemia. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no e... | No acute intracranial abnormality. |
Generate impression based on findings. | 21 year old man with chest pain referred to rule out anomalous coronary artery. CPT Code: 75574 Coronary arteries: No coronary coronary artery calcification.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 art... | 1.There are no significant coronary artery stenoses present. 2.There is normal origin of the coronary arteries. 3. The visualized portions of the thoracic aorta are unremarkable. The aortic arch is not imaged.This portion of the report pertains to the heart and great vessels only. The remaining soft tissues of the thor... |
Generate impression based on findings. | 53 year old male. Unclear PMH presenting with acute onset on chronic n/v, anion gap now normal lactate, HTN to 200's/100's (symmetric), shortness of breath, normal LFT, leukocytosis, ?AKI vs CKD, - eval abdominal etiology of n/v and eval aortic dissection (non-con). CHEST:LUNGS AND PLEURA: No significant abnormality no... | Intraperitoneal hemorrhage, site of bleeding not definitely located. Moderate amount of dense ascites, compatible with hemorrhage. Probable multiple intramural hematomas in distal duodenum present as eccentric masses. Left ventricular hypertrophy. Atrophic kidneys. No aortic dissection or rupture. |
Generate impression based on findings. | 44-year-old female. Rule out intra-abdominal abscess. Asthma, status post gynecologic surgery. History of hysterectomy one week ago. Reason: evaluate for enterocutaneous fistula. ABDOMEN:LUNG BASES: Bibasilar subsegmental linear atelectasis. No pleural effusion. LIVER, BILIARY TRACT: No significant abnormality notedSPL... | 1. Anterior abdominal wall wound with midline wall abscess but no definite evidence of enterocutaneous fistula.2. Pelvic ascites is unchanged since the prior examination. |
Generate impression based on findings. | 30 year-old male with pain and tenderness, history of diverticulosis and diverticulitis. Status post sigmoidectomy. Reason: r/o anastomotic leak History: N/V, fatigue ABDOMEN:LUNG BASES: Bibasilar dependent atelectasisLIVER, BILIARY TRACT: Normal hepatic contour without evident focal lesion or biliary ductal dilatation... | 1. Status post interval sigmoidectomy with intact anastomosis. 2. Normal appendix with appendicolith near the distal tip. |
Generate impression based on findings. | 49-year-old female stage IV metastatic melanoma. Melanoma w/tumor over left low back s/p extensive LN resection x 1 yr ago. Admitted for possible cellulitis of Left side near tumor, now with LLQ pain w/palpable mass on exam. Previous imaging showed ?scar tissue vs. tumor. Please evaluate. History: LLQ pain, burning/itc... | Stable size of subcutaneous mass in the left back and large pelvic mass. No acute changes were found. The palpable abnormality in the pelvis is most likely due to a large mass which changes position depending on the degree of urinary bladder distention. This pelvic mass is stable in size. |
Generate impression based on findings. | 66-year-old male. Reason: s/p radical cholecystectomy, right hepatic lobectomy, roux-en-Y left hepaticojejunostomy, portal vein thrombectomy and portal venoplasty on 5/31/13, postop course c/b abd fluid collections, s/p IR drain pulled on 8/6, now with fevers and abd pain. ABDOMEN:LUNG BASES: Large right pleural effusi... | 1.There is no specific evidence of bowel perforation.2.Subdiaphragmatic hepatic abscess has recurred. Overall, abdominopelvic ascites is now only a trace.3.The right pleural effusion persists.4.The intrahepatic portal veins and main portal vein appear similar to the prior exam. 5.Segmental arterial mediolysis and intra... |
Generate impression based on findings. | 63 year old female. Reason: s/p distal pancreatectomy, splenectomy and resection of duplication cyst s/p IR drainage of a fluid collection now with WBC elevation and tachycardia. Evaluate for fluid collection, leak. ABDOMEN:LUNG BASES: Moderate right pleural effusion with associated basilar compressive atelectasis.LIVE... | 1.Post surgical changes. Status post distal pancreatectomy and splenectomy, persistent left upper quadrant fluid collection has decreased in size. Percutaneous drain in the fluid collection. 2.Gas filled fluid collection in the pancreatic bed, communicating with the left upper quadrant fluid collection.3.Persistent sma... |
Generate impression based on findings. | 25-year-old male status post ileocecal and small bowel resection, history of Crohn's disease presents with recurrent symptoms of abdominal pain. Evaluate for high grade SBO. History: abd pain, N/V. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No signi... | Partial small bowel obstruction due to inflammatory changes of the terminal ileum. Findings are similar to the 7/7/13 examination with some decrease in the small bowel wall thickening. No free air. Constipation. |
Generate impression based on findings. | 25 year old female. Reason: status post appendectomy History: RLQ pain 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, URET... | No acute abdominal abnormality to explain the patient's right lower quadrant pain. Small cysts in the bilateral ovaries are probably physiologic. If there is concern for adnexal pathology, a transvaginal ultrasound examination may be helpful for further evaluation. |
Generate impression based on findings. | 72-year-old male with history of colon cancer and bladder cancer status post cystectomy with ileal conduit and right hemicolectomy. Reason: evaluate for renal obstruction. History: back pain. ABDOMEN:LUNG BASES: Scattered stable micronodules in the right lower lobe. No effusions. Status post median sternotomy. There is... | Status post cystectomy with neobladder. The neobladder is markedly distended with associated bilateral hydroureter and hydronephrosis. The findings suggest outlet obstruction.Interval decreased retroperitoneal and pelvic adenopathy.New left mesenteric mass, probably lymph nodes. |
Generate impression based on findings. | 70 year old male. Reason: R/O occult malignancy. Status post left lower lobectomy for lung nodule, blastomycosis. History: Unprovoked acute DVT. CHEST:LUNGS AND PLEURA: Bibasilar atelectasis.MEDIASTINUM AND HILA: Diffuse coronary artery calcifications.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY T... | No acute abnormality. No specific evidence for occult malignancy. Postoperative changes in the right lower quadrant and bilateral inguinal hernias. |
Generate impression based on findings. | 61-year-old female with obstruction? History: n/v not tol PO. ABDOMEN:LUNG BASES: Bibasilar dependent atelectatic changes.LIVER, BILIARY TRACT: Status post cholecystectomy since the prior examination. There are multiple subcentimeter hepatic hypodensities which are too small to characterize.SPLEEN: No significant abnor... | No evidence of aortic dissection. Ectatic distal abdominal aorta measures 2.8 cm in diameter - stable. Status post interval cholecystectomy. No acute abnormality to explain nausea and vomiting. |
Generate impression based on findings. | 44 year old male. Reason: evaluate for abdominal pathology, also evaluate for fracture of lumbar spine and pelvis. History: lower back pain s/p fall, RLQ abdominal pain ABDOMEN:LUNG BASES: Coronary and mitral valve annulus calcification.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnorm... | No acute abnormality to explain right lower quadrant abdominal pain. No fracture of the lumbosacral spine or pelvis. Diastasis of the symphysis pubis, possibly due to osteitis pubis. |
Generate impression based on findings. | 57 year old male. Reason: eval for stone. History: L cvat. Status post pancreas, heart and lung transplant in 1995. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: ... | Nonobstructive nephrolithiasis. No hydronephrosis or hydroureter. Diffuse retroperitoneal and abdominal adenopathy is new since 6/20/2012. |
Generate impression based on findings. | 71 year old male. Reason: eval SBO History: abd distention, mild nausea ABDOMEN:LUNG BASES: Transvenous pacemaker electrodes are present in the heart extending to the right ventricular apex. Clear lung bases. No effusions.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANC... | Enlarged prostate with median lobe. A small amount of pelvic ascites. No evidence of bowel obstruction. No specific acute abnormality to explain abdominal distention and mild nausea. |
Generate impression based on findings. | Male, 46 years old, anisocoria, right sided upper extremity weakness. No focal parenchymal edema or abnormal attenuation. No CT evidence of territorial ischemia.No mass effect or midline shift. No abnormal extra-axial fluid collection or intracranial hemorrhage. The ventricular system is patent and normal in size.Nondi... | 1. Nondiagnostic CTA due to contrast extravasation.2. Unremarkable noncontrast CT evaluation of the brain. |
Generate impression based on findings. | 66-year-old female with history of breast cancer of unknown stage status post lumpectomy, chemotherapy, and radiation presents with tachycardia and weight loss. Reason: eval for pe History: tachy PULMONARY ARTERIES: Technically adequate exam.No pulmonary emboli.Main pulmonary artery is slightly dilated at 34 mm which c... | 1. No pulmonary emboli.2. Multiple bilateral lung nodules and masses involving the right and left hilum and pleural surfaces most compatible with metastatic cancer, likely breast origin given patient's history. A primary lung neoplasm or atypical infection is considered less likely.3. Additional sites of disease descri... |
Generate impression based on findings. | Altered mental status. There is hyperattenuation within the superior aspect of the slightly expanded left thalamus. Mass effect results in subtle effacement of the inferior portion of the left lateral ventricle. There is intraventricular blood demonstrated layering at the occipital horns bilaterally. The ventricular sy... | Hyperattenuation and some expansion of the thalamus which most like represents intraparenchymal thalamic hemorrhage with intraventricular extension. No visualized underlying mass, however this could be better assessed on follow-up imaging. |
Generate impression based on findings. | Reason: r/o CVA History: right arm numbness, slurred speech The morphology and attenuation of the brain parenchyma is within normal limits. No evidence of intracranial hemorrhage or extra-axial fluid collection. No CT evidence of acute territorial ischemia. Gray-white differentiation is preserved. The ventricles and su... | No evidence of an acute intracranial abnormality, although CT is not sensitive for the detection of acute nonhemorrhagic ischemia. |
Generate impression based on findings. | 89 year old female. Reason: PE? History: Dyspnea, hx DVT. Extensive motion artifact degrades image quality, limiting assessment for detail.PULMONARY ARTERIES: Exam limited by motion artifact but otherwise technically adequate.Large acute pulmonary embolus in the right main pulmonary artery extending into both the upper... | 1. Large near occlusive acute pulmonary embolus in the right main pulmonary artery extending into multiple distant branches. Signs of right heart strain. Findings were discussed by on call resident with ER attending at 19:52 on 8/9/2013. No discrepancy between preliminary and final interpretation.2. Bilateral pleural e... |
Generate impression based on findings. | Follow-up intracranial hemorrhage. Interval stability in the size and appearance of the hyperattenuating, expanded left thalamus as well as caliber and amount of blood layering within the the occipital horns. There is prominence of the ventricular system and associated sulcal atrophy as well as patchy/confluent periven... | 1.Interval stability in the hyperattenuating appearance and size of the slightly expanded left thalamus which most likely represents intraparenchymal hemorrhage. This could be hypertensive hemorrhage, though an underlying lesion cannot be definitively excluded on this noncontrast CT exam.2.Intraventricular blood produc... |
Generate impression based on findings. | Reason: Peritonsillar or retropharyngeal abscess History: Fevers despite 5 days of penicillin for strep pharyngitis Peripherally enhancing region of hypodensity which significantly expands the left palantine tonsil and measures 2.6 x 1.8 x 3.1 cm (TR x AP x CC; axial image 159, sagittal image number 48). Corresponding ... | Region of hypodensity in the region of the left palantine tonsil is compatible with phlegmon or developing abscess. |
Generate impression based on findings. | Motor vehicle accident ABDOMEN:LUNG BASES: No effusions or pneumothorax. No focal lung opacities.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnorm... | Stalk foreign bodies as described, otherwise normal examination. |
Generate impression based on findings. | 34-year-old female with headache. There is no intracranial mass, fluid collection, hemorrhage, hydrocephalus or CT evidence of acute ischemia. Gray-white matter differentiation is maintained bilaterally and the midline is intact. Bones of the skull as well as the orbits and visualized paranasal sinuses are unremarkable... | No lesions or intracranial abnormality which would account for the patient's headaches. |
Generate impression based on findings. | Reason: Acute stroke History: Lower extremity weakness No evidence of acute intra-axial hemorrhage or extra-axial fluid collection. No CT evidence of acute territorial ischemia. Gray-white differentiation is preserved. Nonspecific periventricular and subcortical hypoattenuation suggests small vessel ischemic disease of... | 1.No evidence of an acute intracranial abnormality, although CT is not sensitive for the detection of acute nonhemorrhagic ischemia. 2.Empty sella of CSF density raises the question of an arachnoid cyst. |
Generate impression based on findings. | 35-year-old female. Trauma to left side of head. No intracranial mass, fluid collection, hemorrhage, hydrocephalus or CT evidence of acute ischemia. There are no visualized sequelae of trauma. Gray-white matter differentiation is maintained bilaterally and the midline is intact. Visualized bones of the skull as well as... | No visualized abnormality, including traumatic sequelae. |
Generate impression based on findings. | Reason: r/o intracranial abnormality History: worst headache of her life after hitting head yesterday, no LOC No evidence of acute intracranial hemorrhage or extra-axial fluid collection. No CT evidence of acute territorial ischemia. Gray-white differentiation is preserved. The ventricles and sulci appear normal in siz... | 1.No evidence of an acute intracranial abnormality, although CT is not sensitive for the detection of acute nonhemorrhagic ischemia. 2.No evidence of fracture. |
Generate impression based on findings. | Female, 33 years old, with right facial weakness, left arm and leg weakness and numbness. Evaluate for large vessel occlusion. Non-angiographic:The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. The... | 1. Unremarkable pre-contrast evaluation of the head.2. Unremarkable CTA of the head and neck. |
Generate impression based on findings. | Reason: bleed History: ams Hypodense focus in the right centrum semiovale is new from the prior exam and suspicious for infarction of indeterminate age (series 3, image 18). No evidence of hemorrhagic conversion or associated mass effect.Otherwise, gray-white matter differentiation is preserved. No evidence of intracra... | New hypodense focus in the right centrum semiovale suspicious for infarction of indeterminate age. MRI can be considered for further characterization as clinically warranted. |
Generate impression based on findings. | Repeat examination of the C-spine in this patient who sustained trauma. Vertebral body and intervertebral disk height is maintained. There are no visualized fractures or abnormality of alignment. The odontoid process is intact. There is no prevertebral soft tissue swelling. | Unremarkable examination of the C-spine. |
Generate impression based on findings. | Head trauma. Head/Face: There is a comminuted fracture of the left frontal bone in the supraorbital region. There is soft tissue swelling and subcutaneous air overlying the collapsed anterior wall of the left frontal sinus which is depressed by approximately 1 cm (se 6 im 50). There is an associated air-fluid level rep... | 1.Complex fracture the frontal bone in the supraorbital region resulting in depression of the anterior frontal sinus wall as well as fracture of the superior orbital wall allowing intraorbital air. The posterior sinus wall is intact.2.Dental disease, likely with associated periapical abscess formation in the left mandi... |
Generate impression based on findings. | Reason: +loc, trauma History: eval for ICH No evidence of soft tissue injury or fracture. No evidence of intracranial hemorrhage or extra-axial fluid collection. No CT evidence of acute territorial ischemia. Gray-white differentiation is preserved. The ventricles and sulci appear normal in size and configuration. No ma... | 1.Frothy material within the paranasal sinuses compatible with acute sinusitis.2.No evidence of fracture, intracranial hemorrhage, or extra-axial fluid collection. |
Generate impression based on findings. | 18 year-old female. Reason: eval for PE History: pleurisy, cp, tachycardia PULMONARY ARTERIES: Technically adequate exam.No acute pulmonary emboli. Main pulmonary artery normal in size, no evidence of right heart strain.LUNGS AND PLEURA: No focal airspace opacities, pneumothorax, or pleural effusions.Right lower lobe c... | 1.No pulmonary emboli.2.Moderate axillary/ subpectoral lymphadenopathy of unclear etiology. Axillary lymphadenopathy may be seen in patients with SLE or other connective tissues diseases. Lymphoma cannot be entirely excluded but the lack of mediastinal lymphadenopathy makes this less likely.3. Minimal anterior focal pe... |
Generate impression based on findings. | 4-year-old male status post MVC rollover Left parietal scalp swelling with high density stranding compatible with a subgaleal hematoma. No underlying calvarial fracture. No evidence of acute intra-axial hemorrhage or extra-axial fluid collection.No CT evidence of acute territorial ischemia. Gray-white differentiation i... | Left parietal subgaleal hematoma without underlying skull fracture or evidence of acute intracranial abnormality, although CT is not sensitive for the detection of acute nonhemorrhagic ischemia. |
Generate impression based on findings. | 59-year-old female. CVA. There is prominence of the sulci and ventricular system which is excessive given the patient's age, though not significantly increased from previous. There is also diffuse confluent periventricular and subcortical white matter hypoattenuation with more focal areas of hypoattenuation within the ... | Sequelae of age indeterminate small vessel ischemic disease without findings of acute CVA on this unenhanced CT exam. MR is a more sensitive modality for assessment of acute CVA and if there is persistent concern, MR examination is recommended. |
Generate impression based on findings. | Male, 90 years old, subdural hemorrhage. Evaluate for progression. Re-demonstration of left frontoparietal subdural collection. This is largely hypodense but there is layering hyperdense material posteriorly. At its point of maximal thickness, it measures 9 mm, which is unchanged. There has been no significant extensio... | Stable left sided mixed attenuation subdural collection. No new hemorrhage is seen. |
Generate impression based on findings. | Reason: interval change in SAH, ICH History: AMS Subarachnoid and intraparenchymal hemorrhage involving bilateral temporal and left frontal lobes, unchanged. Additionally, there is a small amount of intraventricular blood, unchanged. No new sites of hemorrhage. Stable rightward midline shift of 10 mm and mild bilateral... | Stable subarachnoid and intraparenchymal hemorrhage involving the bilateral temporal and left frontal lobes. No new sites of hemorrhage. Stable midline shift and bilateral uncal herniation. |
Generate impression based on findings. | 19 year-old male. Syncope and LOC. There is no no intracranial mass, extra axial fluid collection, hydrocephalus or CT evidence of ischemia. Gray-white matter differentiation is normal and the midline is intact. Bones, extracranial soft tissues, orbits and paranasal sinuses are unremarkable. | No visualized intracranial abnormality including traumatic sequela. |
Generate impression based on findings. | 38 year old male. Reason: evaluation of abdominal pain and diarrhea (concern for small/large bowel process) History: 38M h/o CHF with chronic and worsening abdominal pain and diarrhea, worse after eating. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy. Right hepati... | No specific abnormality to explain abdominal pain and diarrhea. Hepatic hypodensity may be hemangioma or other etiology, not completely characterized on this single phase examination. Status post cholecystectomy. Otherwise negative examination. |
Generate impression based on findings. | 44 year old female with history of lower extremity DVT on Coumadin presenting with lower extremity edema and chest pain, evaluate for PE. PULMONARY ARTERIES: Technically adequate exam.No pulmonary emboli.Pulmonary artery normal in size without evidence of right heart strain.LUNGS AND PLEURA: Multiple pulmonary nodules,... | 1. No acute pulmonary embolus.2. Majority of pulmonary nodules are unchanged since 1/3/2010 and likely benign. A single left upper lobe nodule has changed in appearance and is of unclear significance. This may be followed in 6-12 months by CT.3. Prevascular and hilar lymphadenopathy slightly increased since prior study... |
Generate impression based on findings. | Reason: CVA History: CVA Right frontotemporal calvarial defect is likely postsurgical, present on the comparison exam. Underlying right temporal encephalomalacia has not significantly changed.No evidence of intracranial hemorrhage or extra-axial fluid collection. No mass-effect, midline shift or basal cistern effacemen... | 1.No evidence of an acute intracranial abnormality, although CT is not sensitive for the detection of acute nonhemorrhagic ischemia.2.Small vessel ischemic disease. |
Generate impression based on findings. | Reason: eval for pe History: cp PULMONARY ARTERIES: Technically adequate exam. No evidence of acute pulmonary emboli.Mild enlargement of the main pulmonary trunk without accompanying dilation of the right and left pulmonary arteries, unchanged. Cannot assess pulmonary valve because of cardiac motion, consider echocardi... | 1.No evidence of acute pulmonary embolism.2.Mild chronic enlargement of the main pulmonary trunk, unchanged, suggest echocardiogram when feasible to exclude valve malfunction though this may be idiopathic.3.Marked bronchial wall thickening, compatible with asthma or bronchitis. No pneumonia. 4.Mild emphysema.5.No visib... |
Generate impression based on findings. | Reason: CVA History: CVA Atrophy of the cerebral hemispheres, increased from the prior examination, is more than expected for the patient's age. Nonspecific periventricular hypodensity suggests small vessel ischemic disease of indeterminate age. More focal hypoattenuation adjacent to the right frontal horn is more prom... | 1.Focal hypoattenuation adjacent to the right frontal horn is more prominent than on the prior exam and is compatible with ischemia of indeterminate age. MRI may be considered for further characterization as clinically warranted.2.Cerebral atrophy. |
Generate impression based on findings. | Reason: possible cerebellar bleed History: same No evidence of intracranial hemorrhage or extra-axial fluid collection. Left parieto-occipital hypodensity and encephalomalacia is compatible with old stroke. Periventricular hypoattenuation suggests small vessel ischemic disease of indeterminate age. The ventricles and s... | No evidence of an acute intracranial abnormality, specifically no evidence of cerebellar hemorrhage as clinically queried. CT is not sensitive for the detection of acute nonhemorrhagic ischemia. |
Generate impression based on findings. | Male, 57 years old, with altered months status, brain lesion, preoperative planning for shunt placement. A lesion is redemonstrated within the left thalamus demonstrating central hypodensity and relatively hyperdense rim and internal septations.This lesion causes a midline shift to the right at the level of the third v... | Left thalamic lesion resulting in effacement of the third ventricle and probable ventricular obstruction. |
Generate impression based on findings. | History COPD and right upper lobe cavitary lesion with persistent S.O.B. and cough. CXR with nodule in cavitary lesion. LUNGS AND PLEURA: Centrilobular and paraseptal emphysema are present. Interval enlargement of a right apical thin-walled cyst with a new small internal fluid collection. The apical and posterior compo... | 1. Multiple new groundglass to semisolid pulmonary nodules, some of which are cavitary, as well and as areas of endobronchial impaction in the dependent right lung field. Differential diagnosis includes infection such as atypical mycobacteria or semi-invasive aspergillosis. Neoplasm is considered less likely given lack... |
Generate impression based on findings. | Reason: bilateral hygroma History: same No evidence of interval acute intracranial hemorrhage. Bilateral low density subdural collections again noted. The right subdural hygroma measures 11 mm in maximum thickness (coronal image 22), previously 10 mm. The left subdural hygroma measures 9 mm (coronal image 26), unchange... | No significant interval change in size of bilateral subdural hygromas. Trace midline shift is unchanged. |
Generate impression based on findings. | Reason: view for sagital thrombosis History: s/p craniofacial reconstruction with distraction device now with fevers Noncontrast CT head: Exam limited by extensive streak artifact due to surgical distraction devices. Within this limitation, no evidence of interval acute intracranial hemorrhage or extraaxial fluid colle... | 1. No evidence of venous sinus thrombosis.2. Congenitally small left transverse and sigmoid sinuses.3. No interval acute intracranial abnormalities. |
Generate impression based on findings. | 82-year-old male with dizziness and ataxia for assessment of the posterior fossa. No intracranial mass, fluid collection, hemorrhage or CT evidence of hydrocephalus. Gray white matter differentiation is appropriate and the midline is intact. Visualized portions of orbits and paranasal sinuses are unremarkable. Bony str... | No visualized pathology including within the posterior fossa. |
Generate impression based on findings. | 63-year-old male. Evaluate for CVA. There is patchy hypoattenuation within periventricular and subcortical white matter representing sequela of chronic small vessel ischemic disease in addition to a focus of encephalomalacia within the right posterior frontal lobe representing sequela of an old more focal infarct.There... | No CT evidence of acute ischemia. If there is persistent concern regarding CVA, MRI could be considered. |
Generate impression based on findings. | 41 year old male. Reason: colon cancer History: colon cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Bilobar hepatic cysts. No ductal dilatation. Hepatic vessels patent.SPLEEN:... | Stable examination. |
Generate impression based on findings. | Female, 33 years old, new onset facial droop. Perfusion data is nondiagnostic secondary to a poor quality arterial bolus. | Nondiagnostic perfusion imaging. |
Generate impression based on findings. | Male, 65 years old, nasal congestion and headaches. The frontal sinuses and frontoethmoidal recesses are clear. The sphenoid sinuses and sphenoethmoidal recesses are clear. This is an improvement over prior exams. The ethmoid air cells are clear.The ostiomeatal units are intact and clear bilaterally. The maxillary sinu... | No evidence of active or chronic sinus disease. |
Generate impression based on findings. | 70 year-old female with blurred vision. Rule out CVA. There is an NG tube traversing the left nare. There is some mild ventricular asymmetry. The morphology is not suggestive of obstruction and this is felt to be within normal limits. No intracranial mass, fluid collection, hemorrhage or CT evidence of acute ischemia. ... | No intracranial pathology which would account for the patient's vision changes. This result was discussed with staff caring for the patient at the time of reporting (3:10pm August 10, 2013). |
Generate impression based on findings. | Male, 46 years old, history of non-Hodgkin's lymphoma status post chemotherapy Mild interval regression of lymphoid prominence is seen throughout the neck. This includes reduced bulkiness of the palatine tonsillar tissues and a 1 to 2-mm decrease in the size of some scattered lymph nodes.For reference, a right level II... | Mild interval regression of lymphoid prominence in the neck. |
Generate impression based on findings. | Male, 67 years old, history of hypopharyngeal cancer. Head:Continued development of parenchymal lucency has occurred in the left MCA distribution consistent with evolved, now chronic ischemia. Periventricular hypoattenuation bilaterally is again seen consistent with age indeterminate small vessel ischemic disease.No pa... | 1. Progression of tumor in the hypopharynx with a bulky new component occupying the right piriform sinus.2. No new or progressive lymphadenopathy in the neck.3. No evidence of intracranial metastatic disease. |
Generate impression based on findings. | 66 year old male.Evaluate for sbo, colitis. N/V, no bm in 6 days s/p g tube. Additional history from prior CT: Tonsillar carcinoma. ABDOMEN:LUNG BASES: Right pleural based nodule unchanged. Previously seen right middle lobe nodule not in field of scan. No effusions.Coronary artery calcifications.LIVER, BILIARY TRACT: N... | No findings to explain symptoms. No obstruction. Stable right pleural based nodule. |
Generate impression based on findings. | 58 year old female. RUQ pain. Eval for free air, cholangitis. ABDOMEN:LUNG BASES: Atelectasis.LIVER, BILIARY TRACT: Cholecystectomy. Stent now in place with resolution of biliary obstruction. CBD .9 cm diameter. No focal masses. Fatty liver.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality no... | No obstruction or free air.Biliary stent in place with near resolution of biliary dilatation. Fatty liver. Small hiatal hernia. |
Generate impression based on findings. | 53 year old male. R/O obstruction.History of obstruction, malignancy, nausea, vomiting, abdominal pain. Additional history from pathology report: S/p exploratory laparotomy and bowel resection of splenic flexure. Invasive colonic adenocarcinoma. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: ... | High-grade small bowel obstruction with associated ascites concerning for ischemia. These findings were communicated to the clinical service by the radiology resident on call at the time of the scan as documented in the stat consult. Follow-up from the clinical service indicates that the patient has undergone surgery b... |
Generate impression based on findings. | 42-year-old male. Decreased alertness with no obvious focal findings. Rule out intracranial hemorrhage. No visualized intracranial mass, fluid collection, hemorrhage, hydrocephalus or CT evidence of acute ischemia. Gray-white matter differentiation is maintained bilaterally and the midline is intact.Visualized bony str... | No visualized intracranial abnormality which could account for the patient's decreased alertness. |
Generate impression based on findings. | 67 year old female. Pain, possibly dislodged drain. Clinical question: Intraabdominal abscess. ABDOMEN:LUNG BASES: Basilar atelectasis. Coronary artery calcifications. Left-sided ICD.LIVER, BILIARY TRACT: Expected pneumobilia. No focal lesions. Loculated fluid collections in the subhepatic region, some foci of gas, tra... | Multifocal fluid collections in the abdomen and pelvis. Large fluid collection tracking from the surgical bed to the subhepatic region and mesentery. Dominant collection with pigtail catheter in place as measured above. Mild compressive effect by fluid on the proximal superior mesenteric vein. Additional subcutaneous f... |
Generate impression based on findings. | 77-year-old male with possible sepsis. Evaluate for intra-abdominal infection, and/or obstruction. Lack of intravenous contrast limits evaluation for lymphadenopathy, solid organ and vascular pathology. No oral contrast was administered per the service, limiting evaluation for loculated intra-abdominal collections. ABD... | 1. Limited non-contrast examination with no evidence of acute intra-abdominal infection or bowel obstruction. 2. New consolidation within the right lung base may represent focal infection, and/or aspiration. 3. Other findings as above including cirrhotic morphology of the liver, atherosclerotic disease in large right c... |
Generate impression based on findings. | 60-year-old female with duodenal adenocarcinoma. Evaluate for metastases. Lack of intravenous contrast limits evaluation lymphadenopathy and solid organ pathology. CHEST:LUNGS AND PLEURA: Diffuse groundglass suggestive of mild edema. No focal consolidation. Calcific granuloma.Bibasilar atelectasis. Probable pleural thi... | Definite evidence of metastatic disease. Left ovarian dermoid.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 90 year-old female presents with right greater trochanteric tenderness and difficulty flexing the hip. Evaluate for public in the right hip fracture. There is no pelvic or hip fracture. No suspicious blastic or lytic osseous lesions. There is fluid about the right greater trochanter, which may represent trochanteric bu... | No pelvic or right hip fracture. Fluid about the greater trochanter compatible with trochanteric bursitis. Small pelvic ascites.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 69-year-old male. Rule out retroperitoneal bleed. Dropping hemoglobin status post kidney biopsy 8/8. Additional history from procedure report: Left kidney with biopsy site. The exam is not sensitive detecting lesions in the bowel, solid organs or vessels due to the lack of oral or intravenous contrast. Given those that... | No evidence of intraperitoneal or retroperitoneal hemorrhage. Findings consistent with liver transplant. Moderate size right pleural effusion with associated atelectasis or consolidation. Probable nephrolithiasis right renal pelvis. Correlate clinically. Other postsurgical changes. |
Generate impression based on findings. | 86-year-old male presents with abdominal pain, AKI. Has history of stones and recent stent placement. Stone protocol. Exam is not sensitive for detecting lesions in the bowel vessels the solid organs due to the lack of oral or intravenous contrast. Given those limitations, the following observations are made:ABDOMEN:LU... | Stent in place on the left but persistent hydronephrosis and hydroureter and renal calcifications as detailed above.Right pleural effusion. Other findings as above. |
Generate impression based on findings. | 56-year-old female abdominal pain, severe diarrhea. The exam is not sensitive detecting lesions in the vessels at solid organs due to lack of intravenous contrast. Given those limitations, the following observations are made:ABDOMEN:LUNG BASES: Small bilateral pleural effusions right greater than left. Cardiomegaly. Co... | No CT evidence of colitis. No acute abdominal findings. Postcholecystectomy. Small right pleural effusion. |
Generate impression based on findings. | 56 year old female. Rule out abscess in patient with persistent actinomyces infection. Additional history from prior CT report: SLE. ABDOMEN:LUNG BASES: Persistent relative elevation right hemidiaphragm redemonstrated.LIVER, BILIARY TRACT: Hepatomegaly liver measuring 22.1 cm cephalocaudad unchanged.SPLEEN: No signific... | Dilatation of proximal small bowel suggestive of low-grade obstruction due to adhesions with postsurgical changes seen in the peritoneal cavity. Correlate with surgical history.Adenopathy, unchanged.Nonobstructive nephrolithiasis right kidney.Hepatomegaly.Other findings as above. |
Generate impression based on findings. | 55-year-old female. Signs and symptoms: P.O. intolerance, abdominal pain. Clinical question: Obstruction versus ileus versus fluid collection ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Post cholecystectomy.SPLEEN: Cyst versus hemangioma unchanged.PANCREAS: No significant abnormality noted... | Probable abscess anterior abdominal wall. This finding was communicated to Dr. Andrew Benjamin pager 2637 covering pager 3871 on 8/11/13 8:30 a.m.Other findings as above including possible mild submucosal edema in the excluded stomach postsurgical changes are Roux-en-Y gastric bypass. Large left renal cyst unchanged. |
Generate impression based on findings. | Lethargy. Rule out intracranial hemorrhage. There is prominence of ventricles and sulci in keeping with global atrophic change as well as confluent hypoattenuation within the periventricular and subcortical white matter which is most commonly the result of age indeterminate small vessel ischemic disease. There are more... | Global atrophic changes in addition to sequela of small vessel ischemic disease and more focal lacunar infarcts which are age indeterminate. The if there is concern for CVA, MRI is a more sensitive modality for assessment. |
Generate impression based on findings. | Female, 35 years old, with ear pain. Evaluate for mastoiditis. The mastoid air cells are well developed and free of opacification. No evidence of ongoing or chronic inflammatory change is seen.The bony and cartilaginous external auditory canals are patent and normal. The tympanic membranes are intact. The middle ear ca... | No evidence of mastoiditis. No additional specific findings are seen to account for the patient's symptoms. |
Generate impression based on findings. | Male, 73 years old, with strokelike symptoms. There have been no significant interval changes. Again seen is surgical change in the right temporal region. Encephalomalacia involving the right temporal lobe is a stable finding. Also unchanged is patchy subcortical and periventricular hypoattenuation, likely indicating a... | Stable examination with no definite acute abnormalities. Given the degree of white matter hypoattenuation, however, if concern for ischemia is high, MRI would be a more appropriate exam. |
Generate impression based on findings. | 32-year-old male. Evaluate for right-sided kidney stone. Patient with a few months of worsening flank pain and history of stone. The exam is not sensitive for detecting lesions in the bowel, vessels or solid organs due to the lack of oral intravenous contrast. Given those limitations, the following observations are mad... | Bilateral nephrolithiasis without evidence of hydronephrosis or hydroureter or perinephric fat stranding. |
Generate impression based on findings. | Male, 73 years old, altered mental status, evaluate for fracture. Reversal of the normal cervical lordosis. Trace anterolisthesis of C3 relative to C4. No fracture or acute malalignment is detected.There are bulky anterior osteophytes from C4 through C7. There is loss of disk height most severely from C5-6 through C7-T... | Extensive degenerative disk disease progressed from the prior examination. No acute fracture or malalignment is seen. |
Generate impression based on findings. | Male, 5 years old, status post head injury with brief loss of consciousness. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift. The ventricles a... | No acute intracranial abnormality. |
Generate impression based on findings. | Female, 35 years old, with altered mental status. Hyperdense material is evident within the left frontal operculum with a thin rim of hypodense edema consistent with hemorrhage. The region measures 1.6 x 1.8 cm on axial images. There is extension of this hemorrhage into the adjacent left frontal sulci as well as along ... | Interval development of a left inferior frontal hemorrhagic focus with extension of blood to the subarachnoid and perhaps subdural spaces. The ventricular system is mildly prominent for age and there is a questionable mild increase in caliber detected at the temporal horns. |
Generate impression based on findings. | 46-year-old male with history of NHL. Status post chemo. Compared to previous. Signs and symptoms: Dry cough. CHEST:LUNGS AND PLEURA: Scattered micronodules unchanged.MEDIASTINUM AND HILA: Pathologic size lymph nodes.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Subcentimeter hypoattenuating... | No interval change. No evidence of pathologic size lymph nodes. Stable mesenteric focal stranding and haziness consistent with treated adenopathy. Small hypoattenuating sub-centimeters focus tail of pancreas likely small cyst or IPMN, unchanged dating back to the earliest scan on record (outside study of 13/12 series 2... |
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