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Generate impression based on findings. | Female, 35 years old, seizure, left frontal bleed. Left frontal lobe hemorrhage is redemonstrated similar in size and morphology. A rim of surrounding edema is better defined than on the prior examination.A small amount blood product is also present within the adjacent and overlying left frontal sulci with perhaps some... | Interval development of intraventricular hemorrhage with stable prominence of the ventricular system. Stable left frontal lobe parenchymal hemorrhage. Redemonstration of blood products tracking in the subarachnoid and subdural spaces. |
Generate impression based on findings. | Female, 35 years old, status post seizure, follow-up of intraventricular and intraparenchymal hemorrhage. Redemonstration of intraventricular blood product along the septum pellucidum and tracking along the left sided choroid plexus. Layering blood product in the occipital horns redemonstrated perhaps mildly increased.... | Stable left frontal parenchymal hemorrhage with blood product extending to the subarachnoid and subdural spaces. Redemonstration of blood product in the ventricular system with slightly higher levels of dependent blood in the occipital horns. Mild increased ventricular caliber. |
Generate impression based on findings. | 89-year-old male. Weight loss about 10 days 15 pounds male. Rule out path. CHEST:LUNGS AND PLEURA: Punctate micronodules. No suspicious lesions. No effusions.MEDIASTINUM AND HILA: Small bilateral thyroid nodules.No pathologic size lymph nodes.Atherosclerotic disease with calcification seen particularly in the aortic ar... | No CT signs of underlying malignancy to explain weight loss.Atherosclerotic disease. Small thyroid nodules. Renal cysts. A few nonspecific punctate micronodules in the lungs. |
Generate impression based on findings. | Male, 49 years old, with seizure. 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 patent and normal in ... | No acute intracranial abnormality or cervical spine fracture. |
Generate impression based on findings. | 62 year-old female. Right upper quadrant pain, nausea. Clinical question: Pancreatitis versus cholecystitis? ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Distended gallbladder with thickened wall and pericholecystic fluid consistent with acute cholecystitis. Common bile duct measures up to ... | Acute cholecystitis. These findings communicated to the clinical service by the radiology resident on call at the time of the exam as documented in the stat consult. |
Generate impression based on findings. | 62 year old female with shortness of breath. Evaluate for PE. PULMONARY ARTERIES: Technically adequate study with no evidence of pulmonary embolism. No evidence of right-sided heart strain. The main pulmonary artery is normal in caliber. LUNGS AND PLEURA: Left greater than right basilar consolidation/atelectasis with s... | Technically adequate examination with no pulmonary embolism.Left greater than right basilar consolidation/atelectasis with small pleural effusions. |
Generate impression based on findings. | 29-year-old female. Intermittent vomiting. History rectal cancer status post resection. Evaluate for mass, partial obstruction. Additional history from prior report indicates radical hysterectomy, stent placement, ureteral reimplantation, chemotherapy and radiation therapy. The exam is not sensitive for detection of le... | Limited by lack of intravenous contrast. No mechanical small bowel obstruction. No new fluid collections. Right lower quadrant fluid collection decreasing in size. Most the other findings unchanged including position of the left-sided pigtail of the nephroureterostomy catheter is in the posterior back musculature. Othe... |
Generate impression based on findings. | 55-year-old male. Abdominal pain, N/V. Rule out SBO. Additional history from prior CT indicates rectal cancer completed therapy 2010. ABDOMEN:LUNG BASES: No lung nodules or effusions in the visualized lung bases.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No s... | High grade but incomplete mechanical small bowel obstruction probably due to adhesions with concern for a closed loop obstruction. No evidence of bowel ischemia.Nonobstructive parastomal hernia.Findings discussed with Dr. Shyy page 3509, 10:15am. |
Generate impression based on findings. | 28-year-old male presents with chest pain and shortness of breath. Evaluate for pulmonary embolism. PULMONARY ARTERIES: Technically adequate PE study with no evidence of pulmonary embolism. No evidence of right-sided heart strain. The main pulmonary artery is normal in caliber.LUNGS AND PLEURA: Minimal left basilar non... | Technically adequate examination with no pulmonary embolism. No significant pulmonary parenchymal or pleural abnormality. |
Generate impression based on findings. | 60 year-old female with right breast swelling and history of facial swelling. Evaluate for SVC obstruction. The study is limited by the patient's body habitus.LUNGS AND PLEURA: Small right greater than left pleural effusion. Scattered linear opacity and groundglass opacity with collapse of the posterior tracheal membra... | Limited examination due to patient body habitus, with no evidence of SVC narrowing, thrombus or occlusion.Small right greater than left pleural effusions with atelectasis. Limited evaluation of the lung parenchyma due to expiratory phase of the study.Multinodular goiter. |
Generate impression based on findings. | 57 year-old female. Left flank pain. Assess for stone. The exam is not sensitive in detecting lesions in the bowel, solid organs or vessels due to the lack of oral or intravenous contrast. Given those that limitation, the following observations are made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY... | No findings to explain the patient's left-sided pain. |
Generate impression based on findings. | 67 year-old female with tachycardia, tachypnea and hypoxemia. Evaluate for pulmonary embolism. History of VSD repair. PULMONARY ARTERIES: Slightly suboptimal study due to extensive pulmonary parenchymal disease and respiratory motion with no pulmonary embolism to the segmental pulmonary artery level. No evidence of rig... | 1. No pulmonary embolism to the segmental pulmonary artery level.2. Large bilateral pleural effusions with severe airspace and interstitial edema.3. Incompletely characterized large hypodense hepatic lesions are suspicious for metastases. This may be further characterized with a liver protocol CT with and without contr... |
Generate impression based on findings. | 59-year-old male. Clinical question: Stones? Additional history per CT technologist indicates flank pain x 6 months off-and-on. No hematuria. History of lithotripsy 2013. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: In addition to several small hypodensities likely representing cysts there ... | Multifocal calcifications in the collecting system of the left lower pole. No evidence of hydronephrosis or hydroureter. No calcification seen along the course of the ureter. No perinephric fat stranding. Multifocal liver lesions including a broad somewhat geographic shaped lesion in lateral segment left lobe. This cou... |
Generate impression based on findings. | 57-year-old male. Metastatic melanoma on DTIC chemotherapy. Please assess response to treatment compared to previous imaging. CHEST:LUNGS AND PLEURA: Multifocal bilateral metastases. Index lesion right lower lobe series 5 image 81 measures 1 x 1 cm. previously remeasured at 1 x 0.9 cm series 5 image 84. This is differe... | No new sites of disease. Index measurements as above. |
Generate impression based on findings. | 60-year-old male presents with dyspnea, tachycardia, and hypoxia. Evaluate for pulmonary embolism. PULMONARY ARTERIES: Mildly suboptimal examination due to respiratory motion with no pulmonary embolism to the segmental pulmonary arteries. No evidence of right sided heart strain. The main pulmonary artery is normal in c... | 1. No pulmonary embolism to the segmental pulmonary artery level.2. Cardiomegaly with increasing ground-glass and interlobular septal thickening, consistent with pulmonary edema.3. Basilar bronchiectasis. Underlying fibrotic lung disease cannot be evaluated in the context of the interstitial pulmonary edema. |
Generate impression based on findings. | 51 year old female with hypoxia, pulmonary hypertension and altered mental status. Evaluate for PE. PULMONARY ARTERIES: Technically adequate study with no evidence of pulmonary embolism. Marked main pulmonary artery enlargement compatible with provided history of pulmonary hypertension. No specific evidence of right si... | No pulmonary embolism. Right-sided heart and main pulmonary artery enlargement consistent with known pulmonary hypertension.Moderate right greater than left pleural effusions with adjacent compressive atelectasis.Right apical mass with satellite lesions, unchanged since the most recent study from 8/8/2013. Extensive ri... |
Generate impression based on findings. | 79-year-old male who sustained a fall while on Coumadin. Rule out intracranial hemorrhage. There are stable postoperative changes including the right suboccipital craniectomy with underlying cerebellar encephalomalacia. There are also left and right sided occipital defects likely representing previously placed burr hol... | Stable postoperative findings without acute abnormality including intracranial hemorrhage. |
Generate impression based on findings. | 91-year-old female presents with dyspnea on exertion, shortness of breath and chest pain. PULMONARY ARTERIES: Technically adequate study with no evidence of pulmonary embolism. No evidence of right-sided heart strain or main pulmonary artery enlargement.LUNGS AND PLEURA: Mild upper lobe predominant centrilobular emphys... | Technically adequate study with no evidence of pulmonary embolism.Upper lobe predominant centrilobular emphysema with 4-mm right upper lobe pulmonary nodule, may represent an interpulmonary lymph node. |
Generate impression based on findings. | 90 year-old female presents with right greater trochanteric tenderness and difficulty flexing the hip. Evaluate for 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 bursitis. The fe... | No pelvic or right hip fracture. Fluid about the greater trochanter compatible with trochanteric bursitis. Small pelvic ascites. |
Generate impression based on findings. | 63-year-old female. Evaluate for SBO. Signs and symptoms: Ventral hernia, N/V., no BM in 5 days. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abno... | Nonobstructive ventral hernia. Possible lumbar hernias. |
Generate impression based on findings. | 35-year-old female. Right upper quadrant pain. Evaluate for cholecystitis. Limited by lack of oral contrast.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No intrahepatic or extra hepatic biliary dilatation. Normal appearing gallbladder. Focal calcification posterior aspect dome likely granul... | No findings to explain right upper quadrant pain. |
Generate impression based on findings. | Male, 57 years old, status post shunt placement. Since the prior examination, a right parietal approach ventricular shunt catheter has been placed. The distal tip terminates in the right frontal horn. Ventricular caliber has decreased since the prior exam.Redemonstrated is a heterogeneous, peripherally hyperdense centr... | Status post placement of a right parietal approach ventricular shunt catheter. Ventricular dilatation has improved.Probable mild increase in the size of a large left heterogeneous thalamic lesion. The development of a rim of edema may contribute to this apparent change in size. |
Generate impression based on findings. | Male, 57 years old, status post VP shunt. Redemonstration of a right parietal approach ventricular shunt catheter in stable position. The left frontal horn and right lateral ventricle remain decompressed which is an improvement over prior examinations. The left ventricular atrium and temporal horn are still dilated and... | 1. Continued improvement in the caliber of the right lateral ventricle and left frontal horn. The left atrium and temporal horn remains dilated, perhaps more so than on the prior examination.2. Continued mild increase in the size of a heterogeneous left thalamic lesion. This reflects progression of a rim of hypodensity... |
Generate impression based on findings. | Female, 56 years old, low back pain. Vertebral body heights are preserved. No fractures or focally destructive lesions are demonstrated. Alignment is grossly anatomic.Loss of disk height is evident from L2-3 through L4-5. There is vacuum disk phenomenon and mild endplate sclerosis at L4-5. Additional level specific fin... | Please note that CT is insensitive for evaluation of spinal canal contents and for the degree of any soft tissue stenosis. Within this limitation, stenosis of the spinal canal is suspected at several levels as above secondary to degenerative change of the disks and posterior elements. Encroachment upon the neural foram... |
Generate impression based on findings. | Mental status change. The examination is limited secondary to streak artifact related to the bilateral metallic leads extending through frontal burr holes inferiorly through posterior frontal lobes to terminate in the lower thalamic region. There is no visualized intracranial mass, fluid collection, hemorrhage, hydroce... | Metallic leads extending to the lower thalamic region as described without any acute intracranial abnormality. |
Generate impression based on findings. | Male, 59 years old, chronic sinusitis. Frontal sinuses are clear. There is soft tissue thickening at the level of the frontoethmoidal recesses, not significantly changed. Patchy mucosal thickening is seen through the ethmoid air cells, not significantly changed. Sphenoid sinuses are clear, though the sphenoethmoidal re... | Improved sinus mucosal thickening in right maxillary sinus. Stable sinus inflammatory disease elsewhere as above. |
Generate impression based on findings. | Male, 10 years old, with leukemia, status post stem cell transplant, PRES, cortical blindness, now with headache not improved on morphine. Since the prior examination, the patient has developed bilateral and symmetric hypoattenuation involving the white matter of the periventricular regions and the centrum semiovale. T... | Interval development of diffuse and symmetric white matter hypoattenuation which spares the cortex and results in no significant mass effect.These findings are suggestive of encephalopathy, perhaps secondary to therapy. A metabolic disorder could also present similarly. Given the patient's history of PRES, this too may... |
Generate impression based on findings. | Male, 85 years old, altered mental status, question of sepsis versus stroke. Ventricular prominence is redemonstrated, a stable finding which, along with sulcal prominence, likely reflects volume loss.Periventricular hypodensity as well as additional hypodense areas in the basal ganglia and thalami appear similar to th... | No significant interval changes. No evidence of intracranial hemorrhage or definite acute ischemia. However, on a background of age indeterminate small vessel ischemic disease, sensitivity for acute ischemia is reduced. MRI may be considered if clinically warranted. |
Generate impression based on findings. | Male, 79 years old, with intracerebral hemorrhage. Extensive parenchymal hemorrhage involving the bilateral temporal lobes and the left frontal lobe is unchanged in degree and extent. Also unchanged is the degree of edema which surrounds these areas of hemorrhage.Extension of hemorrhage is redemonstrated into the adjac... | No significant interval change in the degree or distribution of intraparenchymal and subarachnoid hemorrhage as described above. No new hemorrhage is seen. Midline shift to the right may be mildly improved.Finding of parietal bone fracture discussed with Dr. Grebenciucova at the time of interpretation. |
Generate impression based on findings. | Female, 60 years old, squamous cell cancer of the tongue status post chemotherapy most recently on 6/28/13, with new painful necrotizing and hemorrhagic tongue ulcers. Continuous low-level bleeding. Vague hypoattenuation in the bilateral frontal subcortical white matter as well as in the left insula, external capsule a... | 1. No abnormalities of the lingual arteries are seen to suggest the source of the patient's bleeding. Please note that a portion of the oral tongue is not evaluated secondary to dental streak artifact.2. No significant vascular abnormalities in the head or neck.3. Irregularity of the mucosa and treatment related change... |
Generate impression based on findings. | Male, 62 years old, head and neck squamous cell cancer, 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. Soft tissue thickening and enhancement involving the supraglottic larynx is redemonstrated, with ev... | Extensive progression of tumor is demonstrated including the hypopharyngeal and supraglottic components which involve the bilateral paraglottic space, the aryepiglottic folds and pre-epiglottic space. Also progressed is bulky tumor along the tracheoesophageal groove and at additional lymph node stations as above.No evi... |
Generate impression based on findings. | 87-year-old female with status post ground level fall, left frontal contusion, not localizable C-spine tenderness, T1-T3 tenderness. Evaluate for fracture/dislocation. Large left frontal soft tissue swelling and subgaleal hematoma. No underlying skull fracture or acute intracranial hemorrhage.Prominence of the sulci an... | 1.Large left frontal soft tissue swelling and subgaleal hematoma with no underlying acute intracranial abnormality.2.Mildly displaced fracture of the C2 spinous process.3.Small vessel ischemic disease of indeterminate age.4.Multilevel degenerative changes of the cervical . 5.Kyphosis and scoliotic curvature to the thor... |
Generate impression based on findings. | Clinical question: Evaluate for mass. Signs and symptoms: headache. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.The cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiatio... | 1.Negative nonenhanced head CT.2.Extensive right maxillary chronic sinusitis and to a lesser degree of ethmoid sinuses. |
Generate impression based on findings. | Clinical question: evaluate for intracranial hemorrhage. Signs and symptoms: Headache, hypertension and history of CVA. Nonenhanced head CT:No detectable accurate intracranial process. CT is insensitive for detection of acute nonhemorrhagic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF c... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Evaluate for CVA; to status post LVAD. Signs and symptoms: Altered mentation. Nonenhanced head CT:No evidence of acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Mild prominence of cortical sulci similar to prior study.Unremarkable cerebral ... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Intracranial hemorrhage with intraventricular hemorrhage. Signs and symptoms: As above. Nonenhanced head CT:A focus of acute hemorrhage and likely primarily in the subarachnoid space is noted in the left anterior frontal lobe without convincing evidence of further increase in the size. Surrounding ad... | 1.No evidence of any new findings in particular no evidence of increased size of previously known left hemispheric (primarily subarachnoid) hemorrhage.2.Stable minimally prominent lateral ventricles and intraventricular hemorrhage since prior study. |
Generate impression based on findings. | Clinical question: Rule-out intracranial mass/hemorrhage. Signs and symptoms: Seizure. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white ma... | Negative nonenhanced head CT. |
Generate impression based on findings. | Reason: eval for ich History: trauma 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.CT cervical spine:The cervical vertebral b... | 1.There are bilateral nasal bone fractures, and nasal septum fracture as well as fractures through the anterior wall of the left maxillary sinus, medial aspect of the floor of the left orbit, left nasolacrimal canal . Nasal septum is angulated towards the left. The nasal bones are deviated towards the right. Fracture f... |
Generate impression based on findings. | 56-year-old male with history of blunt trauma, evaluate for cervical spine fracture, history of cervical spine fusion Redemonstrated is anterior C4-C5 fixation with interposed disk material, unchanged given differences in technique. Alignment is maintained. No hardware complication is evident and no definite bony fusio... | 1.No acute fractures or subluxations.2.Postoperative changes as described.3.Stable degenerative changes. |
Generate impression based on findings. | Reason: 2 week follow up sp AVM resection, evaluate for changes History: 2 week follow up sp avm resection. The CSF spaces are appropriate for the patient's stated age with no midline shift. Patient is status-post right-sided occipital craniotomy.No abnormal mass lesions are appreciated intracranially. No intracranial ... | 1.Status-post surgical removal of the AVM and aneurysm clipping. Findings are compatible with postoperative changes. No evidence for acute intraconal hemorrhage or |
Generate impression based on findings. | Reason: pulmonary embolism History: sinus tachycardia, right axis deviation on ekg PULMONARY ARTERIES: Technically adequate exam. No evidence of pulmonary embolism. A smaller area of low density within subsegmental branches in the left lower lobe is presumably from flow artifact or mixing (image 189) and is not typical... | No evidence of pulmonary embolism or other acute cardiopulmonary abnormality. |
Generate impression based on findings. | Reason: 67 yo M p/w hypoxia and tachycardia, please eval for PE History: as above PULMONARY ARTERIES: Technically adequate exam.No pulmonary emboli.Pulmonary artery is enlarged compatible with pulmonary artery hypertension.LUNGS AND PLEURA: Mild centrilobular emphysema most pronounced at the apices.No focal airspace op... | 1.No pulmonary emboli.2.Enlarged pulmonary artery compatible with pulmonary hypertension.3.Mild emphysema.4.Bullet fragments in vertebral body of T7 and adjacent to right fifth rib, mild compression deformities of T4-T6. |
Generate impression based on findings. | 76-year-old female with nausea and vomiting, left lower quadrant pain. Evaluate for obstruction versus diverticulitis. ABDOMEN:LUNG BASES: Slight interval improvement in left basilar atelectasis. Noted is made of a hypoattenuating region in the right main pulmonary artery (series 3, image 1), compatible with patient's ... | 1. Markedly distended urinary bladder with bilateral moderate hydroureteronephrosis.2. No findings to suggest bowel obstruction or diverticulitis.3. Findings compatible with right mid ureteral stone versus wall calcification, unchanged since 2009.3. Unchanged high-grade stenosis of the celiac axis. 4. Postoperative cha... |
Generate impression based on findings. | 29-year-old female with right upper quadrant and right lower quadrant tenderness with guarding. Evaluate for small bowel obstruction, hepatitis, cholecystitis, appendicitis, and colitis. History of SLE with DVTs. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There are no focal hepatic lesion... | 1. No acute findings to explain patient's symptoms.2. Retroperitoneal and pelvic lymph nodes unchanged from the prior exam.3. No evidence of deep vein thrombosis. |
Generate impression based on findings. | 86-year-old male with right-sided torticollis. Evaluate for facet injury. Straightening of the cervical spine likely due to muscle spasm or positioning. Otherwise, alignment is anatomic. Vertebral body heights are preserved. No fractures are identified in the cervical spine. Multilevel degenerative changes with narrowi... | 1.No evidence for cervical spine fracture.2.Mild rotation/minimal subluxation of C1 on C2 could possibly be due to ligamentous injury at C1-C2.3.Multilevel degenerative changes with spinal canal narrowing throughout the cervical spine and bilateral neural foraminal narrowing greater on the right from C2-3 through C4-5.... |
Generate impression based on findings. | 57-year-old male history of ventriculoperitoneal shunt now with waxing and waning mental status. Ventricular shunt extends from burr hole in right parietal bone, traverses through the right lateral ventricle and terminates in the frontal horn of the right lateral ventricle, stable in position from prior examination. Th... | 1.Increase in size of left lateral ventricle, most prominently in the left frontal horn.2.Stable heterogeneous left thalamic lesion with mass effect compared to the prior exam. |
Generate impression based on findings. | Reason: r/o PE, hx SLE w/ DVT's History: substernal CP PULMONARY ARTERIES: Exam diagnostic to the segmental pulmonary arterial level. No evidence of large central or lobar pulmonary embolus.LUNGS AND PLEURA: No focal pulmonary opacity or pleural effusion.MEDIASTINUM AND HILA: Cardiomegaly without evidence of pericardia... | 1.No evidence of large central and lobar pulmonary embolus. 2.Nonspecific axillary lymphadenopathy is nonspecific but consistent with patient's history of lupus. |
Generate impression based on findings. | 69-year-old angiosarcoma with peritoneal carcinomatosis, compare to last CT and measure using Recist CHEST:LUNGS AND PLEURA: 7-mm nodule right upper lobe (image 47, 5), unchanged from prior study. Nodule/intrapulmonary lymph node is stable (image 45, 5). No new lymph nodes. No pleural effusionMEDIASTINUM AND HILA: Foca... | 1. Subhepatic soft tissue mass increased from prior study. No definite fat plane identified within the mass and the hepatic flexure.2. Soft tissue density in the pelvis at the base of the bladder unchanged from prior study, mostly likely representing postoperative change. |
Generate impression based on findings. | 67 year old female with right upper quadrant pain, constipation. Evaluate for obstruction, gallstones. In the absence of IV contrast limiting the evaluation of solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: There is a subcentimeter right lower lobe pulmonary... | 1. No cholelithiasis.2. No evidence of bowel obstruction. Presence of contrast within the esophagus, correlate clinically with gastroesophageal reflux.3. Subcentimeter right lower lobe pulmonary nodule. |
Generate impression based on findings. | History of recurrent osteosarcoma status post chemotherapy and multiple thoracotomies. Off therapy comparison. LUNGS AND PLEURA: Multifocal areas of scarring consistent with previous surgeries. Small loculated right-sided pneumothorax has resolved. The reference left lower lobe nodule again measures 8 mm (image 60/103)... | Stable pulmonary nodules. No new sites of disease. |
Generate impression based on findings. | Reason: eval PE History: pleurisy, cp PULMONARY ARTERIES: Technically adequate exam. No definite evidence of acute pulmonary embolus.LUNGS AND PLEURA: Small pleural effusions and basilar subsegmental atelectasis and scarring.MEDIASTINUM AND HILA: Heart size is enlarged. Small pericardial effusion. Surgical clips in the... | 1.No evidence of acute pulmonary embolus. 2.Small bilateral pleural effusions and basilar subsegmental atelectasis/scarring.3. Low density smoothly marginated mass along anterior mediastinum is presumably resolving fluid/hematoma from recent surgery.4. Status post sternotomy, scattered punctate foci of air, presumably ... |
Generate impression based on findings. | 62 year-old female. PMH of pancreatitis presents with left lower quadrant and left upper quadrant abdominal pain, nausea and vomiting. Clinical question: Abscess, diverticulitis? ABDOMEN:LUNG BASES: Stable soft tissue pleural based mass along the anterior pleural surface of the right lung series 3 image 20 measuring 2.... | No evidence of abscess or diverticulitis. No CT findings of acute pancreatitis. Submucosal edema the gallbladder and periportal cuffing in the liver. Correlate for liver disease.Redemonstration of stable findings including intrathoracic stomach, right-sided pleural-based soft tissue mass and presumptive fibroids. |
Generate impression based on findings. | 43 year-old female with abdominal discomfort and fever. Evaluate for biliary leak. Patient is status post IR exchange of biliary drains. History of metastatic breast cancer. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Two percutaneous biliary drains are identified. There is small amount of... | 1. Marked antral thickening as detailed. Marked stricture at the confluence of splenic and portal vein with associated varices.2. Pancreatic head mass as identified by endoscopic sonogram is not visible by CT.3. Diffuse prominent lymph nodes throughout the mesentery, grossly unchanged. 4. Hypoattenuation of the left lo... |
Generate impression based on findings. | History of head and neck cancer. Compare to previous. CHEST:LUNGS AND PLEURA: Reference left lower lobe pulmonary nodule has increased from 9 to 25 mm on image 51/96. New 4-mm left upper lobe subpleural nodule has increased from 4 to 10 mm on image 34/96. A pulmonary nodule in the right middle lobe (image 66/96) has al... | 1. New and increased pulmonary nodules consistent with metastases.2. New hepatic and splenic masses consistent with metastases.3. New large anterior abdominal mesenteric mass with surrounding lymphadenopathy consistent with metastases. |
Generate impression based on findings. | 28 year-old female with left flank pain radiating to the left lower quadrant. Tenderness to palpation in the left lower quadrant. Evaluate for stones. In the absence of IV contrast evaluating solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: No significant abno... | 1. Punctate calcification in the distal left ureter may represent a calculus. 2. Non-obstructing left nephrolithiasis. |
Generate impression based on findings. | 43-year-old female. Sudden onset right flank pain with vomiting. Rule out right kidney stone. The exam is not sensitive for detecting lesions in the bowel, solid organs or vessels to the lack of oral intravenous contrast. Given those limitations, the following observations are made:ABDOMEN:LUNG BASES: No significant ab... | Hypodense lesion in the liver, stable from 2009, could be evaluated further with ultrasound or dedicated liver CT. This was communicated to the clinical service has documented in the stat consult communication by radiology resident on call at the time of examination.Large hypo-attenuating mass left adnexa should also b... |
Generate impression based on findings. | New lymphadenopathy, post-transplant. Pain and weight loss and fatigue. LUNGS AND PLEURA: Post op change from heart and lung transplant. Right apex scarring. Previously referenced micronodule left lower lobe is poorly visualized as it is adjacent to an area of atelectasis (image 72/97). Basilar scarring and atelectasis... | Intrathoracic and upper abdominal lymphadenopathy in association with multiple hypodense hepatic and splenic lesions. The findings are nonspecific but granulomatous infection, lymphoma, and posttransplant lymphoproliferative disorder are the leading considerations. |
Generate impression based on findings. | 33 -year-old female. RLQ pain. Evaluate for appendectomy, colitis. 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 specific findings to explain right lower quadrant pain. Normal-appearing renal allograft in the right lower quadrant. Normal bowel. No evidence of appendicitis or colitis. |
Generate impression based on findings. | 52 year old female with 50-pound weight loss over two months. Evaluate for potential abdominal malignancy. ABDOMEN:LUNG BASES: Incompletely imaged moderate to large right and moderate left pleural effusion with associated atelectasis. Pericardial effusion also noted.LIVER, BILIARY TRACT: Diffusely heterogenous liver pa... | 1. No abdominal or pelvic mass is identified.2. Diffusely heterogenous liver with focal hypoattenuation in the IVC as described above. As per conversation with Dr. Herbert Hedberg, pager 2744 (covering pager 2567) at approximately 0945 hours, there has been no change in the liver function tests. Given that the hepatic ... |
Generate impression based on findings. | 55-year-old female. Abdominal pain, flank pain. Rule out appendicitis versus stone. Additional history from radiology resident on call: Flank pain is on the right side. Exam is not sensitive detecting lesions in the solid organs of vasculature due to the lack of intravenous contrast. Given those limitations, the follow... | No specific findings to explain the patient's symptoms. If symptoms persist, consider further evaluation with contrast enhanced CT. |
Generate impression based on findings. | 52-year-old hematuria, evaluate for mass, CT urogram with delayed images 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, UR... | No CT findings to explain patient's hematuria. |
Generate impression based on findings. | Patient with BOOP with new infiltrates. Evaluate for worsening BOOP versus infection. LUNGS AND PLEURA: Multifocal basilar predominant pulmonary opacities. A masslike area of consolidation in the posterior left upper lobe measures 30 x 23 mm on image 44/105 just superior to a suture line. There is a wedge-shaped area o... | Multifocal nonspecific pulmonary opacities. While the appearance may be due to organizing pneumonia/COP, other considerations given the bronchiectasis, lack of honeycombing and ground glass opacities include NSIP. While there have presumably been biopsies obtained, continued CT or PET/CT follow up is recommended as the... |
Generate impression based on findings. | 71-year-old male with history of bladder squamous cell cancer status post cystectomy, ileal conduit creation, and bowel resection. History of retroperitoneal bleed and downtrending hematoma, please evaluate retroperitoneal bleed for size. ABDOMEN:LUNG BASES: Patchy bilateral lower lobe airspace opacities.LIVER, BILIARY... | 1. Left iliac fossa fluid collection representing an organized hematoma is grossly unchanged from the prior exam. Future imaging for evaluation of only the hematoma may be performed without IV contrast.2. Interval development of moderate bilateral hydronephrosis. 3. Interval placement of IVC filter. |
Generate impression based on findings. | 51-year-old female with abdominal pain. Clinical question: Fluid collection, free air? ABDOMEN:LUNG BASES: Atelectasis or fibrosis left lower lobe.LIVER, BILIARY TRACT: Extensive submucosal edema in a collapsed gallbladder. This could represent secondary changes secondary to peptic ulcer disease in the perforation. No ... | Massive pneumoperitoneum possibly related to perforated peptic ulcer. Submucosal edema gallbladder likely secondary change. Small amount of free fluid. No evidence of abscess.Findings communicated to emergency room by radiology resident on call the time of examination as documented in the stat consult. |
Generate impression based on findings. | Male 73 years old; Reason: pt with melanoma History: melanoma CHEST:LUNGS AND PLEURA: Right middle lobe pulmonary nodule measures 7-mm on image 53/series 4, unchanged. Right lower lobe subpleural and left upper lobe nodules are unchanged.Mild subpleural reticular changes involving the upper lobes.Post operative changes... | 1.Stable pulmonary nodules.2.Stable 1 cm hypodense lesion in the pancreatic tail. |
Generate impression based on findings. | 12-month-old female with a history of liver transplant (Caroli's Disease). Clinical concern for abscess. CHEST:LUNGS AND PLEURA: Persistent bilateral, right greater than left predominantly upper lobe somewhat nodular, patchy consolidation, tree in bud and ground-glass opacity is increased. No cavitation is identified o... | 1. Increasing right greater than left upper lobe predominant lung opacities. 2. Increasing perihepatic fluid collection. Some of these may represent resolving hematomas. Abscesses are a consideration in this immunocompromised patient. 3. New lesser sac fluid collection without encapsulation may be related to pancreatit... |
Generate impression based on findings. | 13 year-old female status post AVM resection experiencing severe headaches status post EVD removal. There has been interval removal of the patient's right-sided parietal approach catheter. A small amount of hyperdensity is present within the right lateral ventricle status post removal, and a small amount of air is agai... | There has been interval removal of the patient's right-sided parietal approach catheter. A small amount of hyperdensity is present within the right lateral ventricle status post removal, and a small amount of air is again noted within bilateral lateral ventricles. There has been no significant interval change in ventri... |
Generate impression based on findings. | 53 year old male with colon CA, post-operative day 2 s/p ex lap, SBR and end ileostomy for ischemic bowel from closed loop obstruction now tachycardic, tachypneic, desats not reversed with intubation History: tachycardic, tachypneic PULMONARY ARTERIES: Technically adequate exam.No pulmonary emboli.Main pulmonary artery... | 1. No acute pulmonary emboli.2. ET tube with tip right mainstem bronchus.3. New right lung bronchopulmonary and airspace opacities compatible with pneumonia/aspiration; new right pleural effusion.4. Left lower lobe atelectasis. 5. Upper abdominal post-surgical changes. |
Generate impression based on findings. | Reason: hx DLBCL relapsed, s/p matched related HSCT 3/14/13/, recent VRE bacteremia with septic emboli History: hx bacteremia with septic emboli LUNGS AND PLEURA: Scattered benign-appearing punctate micronodules are present.Previously reported nodules suspicious for septic emboli have resolved.No significant pulmonary ... | Resolution of prior pulmonary abnormalities, and no evidence of disease progression. |
Generate impression based on findings. | Rule out stroke. Unenhanced head CT:Examination demonstrates a very large dissecting left hemispheric acute hematoma with surrounding vasogenic edema centered in the left basal ganglia. The hematoma measures at least 45 x 63 x 43 -mm in size. It results in significant mass effect and deviation of midline to the right o... | 1.Large acute dissecting hematoma in the left basal ganglia 45 x 63 x 43-mm, surrounding edema and resultant midline shift to the right of approximately 10.2 mm as detailed. Mild prominence of right lateral ventricle may represent early onset of hydrocephalus. There is extension of hemorrhage into all ventricular syste... |
Generate impression based on findings. | Reason: eval for gastric outlet obstruction/hernia History: dry heaves, history of esophageal cancer status post resection CHEST:LUNGS AND PLEURA: Centrilobular emphysema and scattered pulmonary micronodules are unchanged. No suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Heart size ... | 1.Status post distal esophageal resection with gastric pull up. Contrast air-fluid level seen throughout the esophagus and stomach without evidence of gastric outlet obstruction.2.No evidence of metastatic disease.3.Ectatic infrarenal abdominal aorta with extensive atherosclerosis and intramural thrombus. |
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 There is infiltration of fat planes in the right submandibular space associated with adjacent thickening of the platysma muscle which is relatively stable when compared to the prior exam.Within the suprahyoid neck on ... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy. |
Generate impression based on findings. | IBD associated ILD. Multiple pulmonary nodules. Evaluate progression. Also left-sided pleuritic chest pain. Shortness of breath. LUNGS AND PLEURA: Reference smoothly marginated nodule in the medial right lower lobe (image 54/98) is grossly stable at 12 x 11 mm.Previously reference 6-mm nodule in the left lower lobe has... | While the largest nodule at the right base (smoothly marginated and different in imaging characteristics from the other nodules) is not significantly changed, other pulmonary nodules have increased in size. While the nodules are nonspecific, inflammatory or infectious etiologies are leading considerations. Continued fo... |
Generate impression based on findings. | 40-year-old female. Evaluate for hernia or signs of an of incarceration or strangulation. Lower midline abdominal pain. History of hernia. ABDOMEN:LUNG BASES: Small circumscribed lesion in the left breast series 4 image 5, likely benign.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnorm... | Small bowel in a ventral hernia without obvious obstruction both of a small amount of fluid in the hernia sac raising the question of low-grade ischemia.15 cm segment of jejunum in the peritoneal cavity with spiculated and thickened pattern of uncertain etiology. Correlate clinically for ischemia, infection, hemorrhage... |
Generate impression based on findings. | Clinical question:NHL status post Rituxan. Signs and symptoms: Evaluate interval change. Enhanced CT of soft tissues of neck:Compared to prior exam there is slight interval decreased size of previously noted enhancing lesion in the right submandibular region. It measures approximately 20 x 25-mm in its largest transaxi... | 1.Slight interval decreased size of homogeneously enhancing mass inseparable from the right submandibular gland as detailed. The mass measures approximately 20 x 25-mm in size compared to prior study measurements of 23 x 29mm . No evidence of any cervical adenopathy by CT size criteria.2.Extensive degenerative changes ... |
Generate impression based on findings. | 81-year-old male. Please evaluate etiology of abdominal pain. Postop day 11 status post cystectomy and ileal conduit. Has LVAD and has been anticoagulating with INR 3.3 most recently (has been higher). Now with acute abdominal pain and large sanguinous JP output. Exam is not sensitive for detecting lesions in the bowel... | Expected postsurgical changes. Large amount of generalized ascites which is a new finding. Large bilateral pleural effusions and extensive bibasilar atelectasis or consolidation. Vicarious excretion of contrast consistent with diminished renal function. |
Generate impression based on findings. | Reason: h/o chest nodule; severe allergy to IV dye History: lung mass on XR, SOB LUNGS AND PLEURA: Focal calcification in the superior segment right lower lobe, adjacent to the fissure may represent a granuloma.No suspicious pulmonary nodules are identified. Specifically, no evidence of mass at the right apex.No pleura... | No suspicious pulmonary nodules or masses. Specifically, no lesion identified in the right apex. |
Generate impression based on findings. | Clinical information CHEST:LUNGS AND PLEURA: Stable increased lung volumes with surgical sutures and scarring at the left lung base.New 8mm subpleural nodule at the left base (image 86, series 5) compatible with metastatic focus.MEDIASTINUM AND HILA: Tracheostomy tube in place.Necrotic mass anterior to the trachea (ima... | 1.Interval increase in size of soft tissue masses in the superior mediastinum compatible with progression of disease.2.New left lower lobe subpleural nodule compatible with pulmonary metastases.3.Increasing size of hepatic metastasis with suspicion of new metastatic focus. |
Generate impression based on findings. | Female 60 years old; Reason: Pancreas Cancer: restaging History: n/a CHEST:LUNGS AND PLEURA: No dominant lung lesion. Pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. Right chest wall port terminates at the cavoatrial junction.CHEST WALL: No significant abnormality noted.ABD... | 1.Slight decrease in the size of the large pancreatic body mass with invasion of the adjacent structures.2.Thrombosis the portal vein, superior mesenteric vein and splenic vein with extensive well formed upper abdominal collaterals.3.Trace upper abdominal ascites has progressed. |
Generate impression based on findings. | Asthma and sinusitis. Elevated IgE and aspergillus. Cough and wheeze. LUNGS AND PLEURA: Diffuse bronchial thickening with multiple areas of endobronchial plugging and debris. Small subcentimeter nodule at the left lung base (image 77) and irregular nodular opacity in the left upper lobe (image 48). No large areas of co... | Diffuse bronchial wall thickening with multiple areas of endobronchial debris and plugging. Scattered subcentimeter nodules. Findings are consistent with the history of asthma and associated ABPA should be considered. |
Generate impression based on findings. | 66-year-old male.Clinical question: eval for LUQ mass or renal mass. Signs and Symptoms: weight loss, fatigue, left flank and LUQ pain.Additional history for pathology report of 11/18/11 indicates prostate adenocarcinoma. ABDOMEN:LUNG BASES: Granulomatous disease mediastinum and right lower lobe. No effusions.LIVER, BI... | Pancreatic mass consistent with adenocarcinoma with arterial and venous encasement and possible local invasion of the stomach. Thrombosed splenic vein. Left adrenal gland enlargement, possibly metastatic. |
Generate impression based on findings. | 62-year-old male with newly diagnosed laryngeal lesion. Evaluate for mets. HEAD:The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra- or extra-axial fluid collection, acute hemorrhage, or abnormal ... | 1.Right laryngeal soft tissue mass involving the right true and false vocal cords as described above. 2.No cervical lymphadenopathy. |
Generate impression based on findings. | Male 67 years old; Reason: Pt is a 67 y/o male with met small cell prostate cancer, evaluate for progression on carbo etoposide History: prostate cancer CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary nodules suspicious for metastatic disease.Reference right lower lobe nodule measures 1.5 x 1.1 cm (image 77/series... | 1.Osseous, pulmonary and pelvic nodal disease. |
Generate impression based on findings. | 67-year-old male with perianal abscess. Evaluate for extension and perirectal abscess. ABDOMEN:LUNG BASES: Refer to CT of the chest report for findings of lung bases.LIVER, BILIARY TRACT: There are multiple non-specific round hypoattenuating lesions within the liver which are too small to characterize. Reference segmen... | 1. Fluid infiltration of the peri-anal, ischiorectal fossa, perirectal fat, and presacral space with slit-like hypodensities within the sling muscles which may represent formation of an infected fluid collection.2. Asymmetric bulge of the infrarenal aorta with focal mural thrombus.3. Non-specific hypodense hepatic lesi... |
Generate impression based on findings. | Clinical question: bleed. Signs and Symptoms: fall on coumadin Nonenhanced head CT:There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white differentiation remains within normal for patien... | Negative nonenhanced head CT and in particular no evidence of posttraumatic intracranial, calvarial or soft tissues of the scalp findings. |
Generate impression based on findings. | Reason: r/o CAD History: dyslipidemia Calcium Score:LM: 0LAD: 196LCx: 93RCA: 151Total: 440, This represents the 59th percentile for this patients age and gender.Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and bifurcates into the left anterior descending and left ... | 1. Multifocal triple-vessel coronary arterial disease, sparing the left main coronary artery. The most severe lesions occupy the mid to distal LAD and mid to distal circumflex coronary arteries. For example, immediately distal to the third diagonal branch, there is a possible shallow ulcerated plaque within the mid LAD... |
Generate impression based on findings. | Worsening clinical status with sepsis versus cardiogenic shock. LUNGS AND PLEURA: Continued increase in multifocal pulmonary opacities with ground glass and consolidation. Interval increase in right pleural effusion with compressive atelectasis. Left pleural effusion grossly stable. Emphysema.MEDIASTINUM AND HILA: 3-le... | Continued increase in multifocal pulmonary opacities suggestive of pneumonia. Superimposed edema is also likely. |
Generate impression based on findings. | Reason: laryngeal mass History: eval mets CHEST:LUNGS AND PLEURA: Mild emphysema and bronchiectasis, with basilar linear scarring.No evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: Moderate coronary artery calcifications.There is no mediastinal or hilar lymphadenopathy present.CHEST WALL: Degenerative... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | Reason: Lung cancer. Pls restage. History: None CHEST:LUNGS AND PLEURA: Multifocal consolidative lung masses, some of which are stable and some of which have slightly increased in size. Reference right lower lobe mass measures 4.9 x 4.2 cm (series 4, image 55), previously 4.6 x 4.0 cm. Bilateral loculated pleural effus... | 1.Multifocal basilar predominant consolidative masses compatible with history of mucinous adenocarcinoma, with a slight increase in size of the reference right lower lobe mass.2. No additional sites of disease. |
Generate impression based on findings. | 68-year-old female with a history of breast cancer, status post surgery, stage I LUL adenocarcinoma s/p stereotactic radiosurgery (6/2011), CLL/SLL. LUNGS AND PLEURA: Left lower lobe subpleural nodule (image 63, series 4) has increased in size and measures 10 x 20 mm, 8 x 14 mm previously.Additional left lower lobe nod... | Significant interval increase in two left lower lobe nodules highly suggestive of malignancy. New left upper lobe mass like opacity is nonspecific and continued follow up is recommended. Though this may be related to CABG which was performed in the interval, additional tumor cannot be excluded. |
Generate impression based on findings. | Clinical question: r/o stroke/mass, Signs and Symptoms: decreased alertness, BL UE weakness, concern for mets in liver. Nonenhanced head CT:No evidence of acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Cerebral cortex, cortical sulci, ventricular system, cis... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Reason: History of metastatic breast cancer History: persistent cough CHEST:LUNGS AND PLEURA: Interval increase in the small pleural effusions and pleural thickening with increasing left basilar consolidation/atelectasis.Stable anterior left upper lobe subpleural reticular opacities again compatible with radiation reac... | 1.Innumerable new osteoblastic metastases throughout all the visualized bony structures.2.Probable progression of hepatic metastases. |
Generate impression based on findings. | 64 year-old female. Postprandial abdominal pain. Assess for intestinal ischemia. Sensitivity for solid organs limited by lack of the portal venous phase.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Found diffuse fatty liver. Hepatomegaly to 22 cm cephalocaudad.SPLEEN: Small spleen 8.2-cm ma... | No evidence of bowel wall thickening with submucosal edema to suggest ischemia. Mesenteric arterial vasculature is normal. Hepatomegaly. Diffuse fatty liver. Nephrolithiasis right lower pole. Status post ileocectomy. No evidence of ascites. |
Generate impression based on findings. | Follow-up pulmonary nodules. History of thyroid cancer. LUNGS AND PLEURA: There are punctate pulmonary micronodules are unchanged. The reference left base subpleural nodule again measures 5 mm (image 62/3). No pulmonary nodules.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormalit... | Stable punctate pulmonary micronodules which are nonspecific but more likely post inflammatory than metastatic. |
Generate impression based on findings. | 41-year-old male with microscopic hematuria. Evaluate upper GU for cause of hematuria. ABDOMEN:LUNG BASES: No evidence of pleural effusions or consolidations.LIVER, BILIARY TRACT: No focal hepatic lesions identified. Cholelithiasis without pericholecystic fluid. SPLEEN: No significant abnormality notedPANCREAS: No sign... | 1. No renal or bladder mass is identified. 2. No nephrolithiasis or ureteral stones. 3. Cholelithiasis. |
Generate impression based on findings. | 58-year-old female with history of malignant neoplasm of the gallbladder. Restaging of gallbladder cancer status post therapy. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No focal hepatic lesions identified. Again noted are postoperative changes of cholecystectomy. No intra-or extrahepatic... | 1. Postoperative changes of cholecystectomy. 2. Grossly unchanged mildly enlarged regional lymph node as detailed. 3. Fibroid uterus.4. Incisional hernia containing bowel without evidence of obstruction. |
Generate impression based on findings. | Male 73 years old; Reason: evaluate for response/progression on VEGF inhibitor History: leiomyosarcoma. CHEST:LUNGS AND PLEURA: Subcentimeter right middle lobe nodule (image 48/ series 5) is unchanged. No new pulmonary lesions. MEDIASTINUM AND HILA: Coronary artery calcifications and trace pericardial effusion.CHEST WA... | 1.Slight decrease in the size of the multiple hepatic lesions.2.No significant change in the left ilium lesion. |
Generate impression based on findings. | 6-year-old male status post stem cell transplant with pulmonary graft versus host disease with bronchiolitis obliterans and bronchiectasis. LUNGS AND PLEURA: There is increase in hyperlucency through all lung lobes with associated hypovascularity, consistent with progressing bronchiolitis obliterans. Moderate bronchiec... | 1. There is increase in hyperlucency throughout all lung lobes with associated hypovascularity, consistent with progressing bronchiolitis obliterans. 2. Moderate bronchiectasis in the lower lobes with increase in associated bronchial wall thickening and regions of mucous impaction. |
Generate impression based on findings. | Reason: h/o hnc, s/p induction chemo, compare to previous, measurements pls per RECIST 1.1 criteria History: as above CHEST:LUNGS AND PLEURA: Prior basilar aspiration bronchiolitis has near completely resolved.No pulmonary or pleural metastases are identified.Scattered calcified micronodules are benign in appearance. M... | Near resolution of prior aspiration related opacities, with no evidence of metastases. |
Generate impression based on findings. | Clinical question: h/o met thyroid ca, compare to previous, measurements pls .Signs and Symptoms: none. Enhanced neck CT:Limited view of the intracranial contents demonstrate no evidence of metastatic disease and unremarkable. A previously noted focus of enhancement in the right cerebral peduncle is not identified with... | 1.Stable enhanced CT of soft tissues of neck since prior study.2.Stable postoperative changes of total thyroidectomy without recurrence of enhancing tissue at the surgical site.3.Stable and likely partially calcific right paratracheal lymph node measuring 22 x 12.4-mm coronal reformatted image 49 since prior exam.4.Pre... |
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