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Generate impression based on findings. | 20 year-old male. History of abscess drainage. Follow-up catheter assessment. The exam is not sensitive for detecting lesions in the bowel, solid organs were vasculature due to the lack of oral or intravenous contrast. Given those that limitation, the following observations are made:ABDOMEN:LUNG BASES: No significant a... | Decrease in size or near resolution of the 3 previously identified collections.Nonspecific hepatomegaly. |
Generate impression based on findings. | 71-year-old female. with stage IV fallopian tube ca, s/p TAH/BSO interval debulking surgery and 7 cycle chemotherapy, +thoracentesis on 12/11/12. Please assess current disease status and compare with previous scans.Signs and Symptoms: abdominal bloating/distension CHEST:LUNGS AND PLEURA: Left lower lobe nodule series 6... | Carcinomatosis seen on one slice 17/13 scan is no longer visible. No evidence of pathologic size lymph nodes.Stable lung findings as above. Cholelithiasis.Focally diminished nephrogram left kidney correlate for any vascular embolic phenomena. |
Generate impression based on findings. | Left empyema. LUNGS AND PLEURA: Minimal left pleural thickening/effusion is present in the dependent base. Streaky opacities are seen adjacent to the areas of pleural abnormality. Right lung and pleura are normal in appearance.MEDIASTINUM AND HILA: Heart size and thymus are normal. The branching pattern of the great ve... | Minimal residual left pleural thickening/effusion. Streaky opacities may be atelectasis or scars. |
Generate impression based on findings. | 54 year-old female with ovarian cancer. Reason: s/p 4 cycles of chemotherapy. eval disease process for potential surgery CHEST:LUNGS AND PLEURA: Calcified granuloma right lower lobe. No infiltrates, nodules or effusions. MEDIASTINUM AND HILA: Nonenlarged and borderline enlarged mediastinal lymph nodes. Normal heart siz... | 1. Left large adnexal mass is suspicious for ovarian neoplasm.2. Resolved ascites, with resolved omental nodularity.3. Incompletely characterized asymmetry right breast; correlate with mammography. |
Generate impression based on findings. | Head and neck cancer new lung nodule on CT 6/2013. Compare to previous. CHEST:LUNGS AND PLEURA: Slightly increased right lower lobe pulmonary nodule now measuring 10 x 8 mm on image 91/116 (8 x 8 mm on prior). Small subcentimeter subpleural nodule in left lower lobe (image 60/116) is stable. Scattered punctate micronod... | Slight increase in right lower lobe pulmonary nodule. New slightly enlarged prevascular lymph nodes. |
Generate impression based on findings. | Clinical question: eval for ischemia.Signs and Symptoms: AMS Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic stroke.Cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation remains wi... | 1.No acute intracranial process.2.Large number of ring ring like calcific lesions in bilateral carotid space immediately below the skull base (left greater than right) and within the soft tissues of the left suboccipital region all remain similar to prior exam. The findings are suspect of heavy vascular calcification. ... |
Generate impression based on findings. | Head and neck cancer, compare to previous. CHEST:LUNGS AND PLEURA: Postop scarring on the left. Stable scattered punctate presumably postinflammatory micronodules. No evidence of metastases.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Subacute rib fractures on the right.ABDOMEN: Absence of enteric... | No evidence of metastatic disease. |
Generate impression based on findings. | Assess for infection. Fever. LUNGS AND PLEURA: Small bilateral pleural effusions with compressive atelectasis and basilar scarring. No evidence of pneumonia.MEDIASTINUM AND HILA: Multiple small mediastinal nodes are unchanged. Small pericardial effusion unchanged.CHEST WALL: Bilateral axillary lymphadenopathy. Degenera... | Small bilateral pleural effusions with compressive atelectasis and basilar scarring. No evidence of pneumonia. |
Generate impression based on findings. | Prior tree in bud opacity. Cough. Question progression LUNGS AND PLEURA: Slight interval progression of upper lobe and superior segment right lower lobe centrilobular nodular and tree in bud opacity. Basilar scarring and atelectasis not significantly changed. No new areas of consolidation.MEDIASTINUM AND HILA: Atherosc... | Slight interval progression of bilateral centrilobular nodules and tree in bud opacity. The findings are nonspecific though infectious or inflammatory bronchiolitis are leading considerations. |
Generate impression based on findings. | Evaluate response to therapy. Metastatic breast cancer. CHEST:LUNGS AND PLEURA: New small -- moderate left pleural effusion. New subpleural subcentimeter nodular opacities in the left upper lobe (image 42/111) presumably adjacent to the radiation port and may be due radiation pneumonitis though continued attention to t... | 1. Stable widespread osseous metastases.2. New subpleural subcentimeter nodular opacities in the left upper lobe presumably adjacent to the radiation port and may be due radiation pneumonitis though continued attention to this area is recommended on future scans as this may represent a new site of disease. |
Generate impression based on findings. | 77 year old female with history of metastatic breast cancer. Currently on Gemzar and Trastuzumab. Re-assess the tumor response. CHEST:LUNGS AND PLEURA: Interval decrease in size of the partially loculated right pleural effusion. Interval removal of catheter in the right costophrenic angle.MEDIASTINUM AND HILA: Atherosc... | 1. Interval increase in size of right axillary and right cardiophrenic lymphadenopathy. 2. Slight interval increase in size of the dominant right breast mass.3. Interval decrease in size of the partially loculated right pleural effusion.4. Hepatomegaly. |
Generate impression based on findings. | 59-year-old male with history of head and neck cancer, T4 squamous cell carcinoma, tonsilar, s/p CRT compare to prior and provide measurements. As before, there is no clinically significant lymphadenopathy. Redemonstrated is infiltration of the soft tissue surrounding the left carotid space and left submandibular gland... | No evidence for local recurrence or clinically significant lymphadenopathy. |
Generate impression based on findings. | 81-year-old male with abdominal distention. Question of intra-abdominal bleed. In the absence of IV contrast limiting evaluation of the solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: Large bilateral pleural effusions. Extensive bibasilar atelectasis or conso... | Increasing amount of free fluid within the abdomen and pelvis with heterogeneous areas of high density consistent with an organizing hematoma and hemoperitoneum.Findings discussed with the Surgical Attending in person by Dr Dachman prior to dictation. |
Generate impression based on findings. | Reason: Pt with T2N1 NP s/p CRT on 7/15/13. Please re-eval and compare to prior scans History: as above CT neck:In the region of the right nasopharyngeal adenoids there is a 21 x 38 mm axial dimension lesion which abuts the right internal carotid artery and displaces it laterally and also distorts the right nasopharynx... | 1.There is a right nasopharyngeal mass present which is slightly smaller on the current exam when compared to the prior exam.2.No evidence for neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy3.No evidence for brain metastases.4.A heterogeneous lesion in the left thyroid gland is stable5.Multile... |
Generate impression based on findings. | Clinical question:Malignant neoplasm of supraglottis. Convalescence following chemotherapy. Signs and symptoms: Patient with SGL cancer status post two cycles of chemotherapy induction. Please evaluate. Enhanced head CT:There is no evidence of abnormal parenchymal or leptomeningeal enhancement to suggest metastatic dis... | 1.Unenhanced head CT demonstrates no evidence of parenchymal, meningeal or calvarial metastatic lesions. Age indeterminate small muscle ischemic stroke is noted.2.Enhanced CT of soft tissues of the neck demonstrates no convincing evidence of a mass or pathologic by CT size criteria lymph node. |
Generate impression based on findings. | Reason: pt with Thymoma now with Morvan's syndrome History: doing well now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Left hemithorax volume loss. Interval decrease in size of superior segmental right lower lobe nodule (series 5, image 111), which measures 10 x 8 mm, previous... | 1.Mixed response of pulmonary nodules.2.Multiple splenic hypodensities are unchanged, may represent metastases. |
Generate impression based on findings. | 58 year old female. Ascites, poor nutrition. Assess for disease progression. Additional history from PET/CT: Pelvic mass confirmed adenocarcinoma on biopsy likely ovarian. CHEST:LUNGS AND PLEURA: Diffuse emphysema. Basilar atelectasis left greater than right. There is a calcific granuloma in the atelectatic left upper ... | Complex pelvic masses probably increased in size compared to 5/8/13. Ascites. Carcinomatosis. Retroperitoneal adenopathy. Other findings as above. |
Generate impression based on findings. | Male 8 years old; Reason: metastatic embryonal rhabdomyosarcoma; assess for metastatic disease. LUNGS AND PLEURA: Postsurgical changes in the left upper lobe unchanged. Dependent atelectasis bilaterally. Interval resolution of previously described subpleural nodules in the superior segment of the left lower lobe. Two m... | Stable postsurgical changes of the left upper lobe. No new or concerning pulmonary micronodules or masses. |
Generate impression based on findings. | S/P IC with 2C TPF and 5 cycles TFHX completed 7/12/2013. History of head and neck cancer. LUNGS AND PLEURA: New multi-focal bilateral basilar predominant interstitial and airspace opacities highly suggestive of aspiration or infection.Stable right lower lobe nodule measuring 4 mm x 6 mm (image 71, series 5). A nodule ... | New multi-focal bilateral basilar predominant interstitial and airspace opacities highly suggestive of aspiration or infection. Continued follow-up is recommended. No definitive evidence of metastatic disease. |
Generate impression based on findings. | Reason: ro pe History: sob PULMONARY ARTERIES: Technically adequate exam. Filling defects in segmental and subsegmental branches of the right lower lobe pulmonary artery compatible with acute pulmonary emboli.LUNGS AND PLEURA: Multiple bilateral pulmonary micronodules measuring up to 4 mm. Many are subpleural and perif... | 1. Filling defects in segmental and subsegmental branches of the right lower lobe pulmonary artery compatible with acute pulmonary emboli. 2. Multiple bilateral pulmonary micronodules measuring up to 4 mm. Many are subpleural and perifissural and likely postinflammatory, though in high risk patients, these are typicall... |
Generate impression based on findings. | Reason: r/o bleed, mass History: seizure, 49 years old male The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized portions of ... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Chronic sinusitis left maxillary sinus with a finding suspicious for but not confirmatory for superimposed acute sinusitis. Please correlate clinical history and symptoms . |
Generate impression based on findings. | 62 year-old female with viral hepatitis C. Rising AFP, HCV, progressive jaundice. Evaluate for hepatic tumor. ABDOMEN:LUNG BASES: Minimal right basilar atelectasis.LIVER, BILIARY TRACT: Fissural prominence and mild nodularity to the liver contour. There is an enhancing region in the right lobe of the liver adjacent to ... | 1. No definite hepatic mass is identified.2. Mild nodularity to the liver contour. 3. Calcifications bilaterally in the palvicalyceal system. Differential considerations include non-obstructing nephrolithiasis versus medullary sponge kidney versus vascular calcifications.4. Right adrenal nodule most likely benign adeno... |
Generate impression based on findings. | Status post two cycles induction for head and neck cancer. CHEST:LUNGS AND PLEURA: Emphysema, apical scarring. Calcified granulomas.MEDIASTINUM AND HILA: Port tip at RA/CT junction. Coronary calcification. Atherosclerotic calcification of the aorta and its branches. No pathologically enlarged nodes.CHEST WALL: Right ch... | No evidence of metastatic disease. |
Generate impression based on findings. | Clinical question: Patient with history of cancer of maxillary sinus who has a large oroantral fistula and bone loss. Signs and symptoms: Oroantral fistula. Enhanced maxillofacial CT:Limited view of intracranial content is unremarkable.The examination demonstrates normal enhancement and size of bilateral cavernous sinu... | 1.Stable extensive bony erosive/lytic changes of right maxillary and right hard palate region second to patient's previously resected right maxillary sinus tumor as detailed. 2.Soft tissue along the eroded right maxillary sinus walls, right hard palate, right retromaxillary region and minimally in the right pterygopala... |
Generate impression based on findings. | 67 year old female with metastatic lung cancer, status post 4 cycles of ASP3026. Compare with previous study and evaluate treatment response. CHEST:LUNGS AND PLEURA: Most of the previously noted pulmonary nodules are no longer seen. Reference left upper lobe subpleural nodule measures 0.5 cm (image 39, series 6).MEDIAS... | 1. No significant change in reference pulmonary nodule and left paraortic lymph node. No observed new lesions.2. Stable sclerotic osseous lesions. |
Generate impression based on findings. | 10-year-old male with clinical concern for an ACTH secreting tumor. LUNGS AND PLEURA: No pulmonary parenchymal or pleural abnormality. Specifically, there is no focal consolidation, pulmonary mass/nodule, pleural effusions or pneumothorax.MEDIASTINUM AND HILA: A normal thymus is noted. No mediastinal or hilar lymphaden... | No chest mass. |
Generate impression based on findings. | 33 year old female with CVA tenderness. Evaluate for a 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... | No evidence of urinary tract obstruction. Punctate hyperdensities within the pelvis likely represent vascular phleboliths. |
Generate impression based on findings. | 75-year-old male. Bosniak 2 cyst 2005. Surveillance. Also adrenal adenoma. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Right adrenal gland is normal. The left a... | Single phase study showing stability in size of lesion a small focus of calcification but without mural nodularity. Long-term stability favors a benign lesion.No evidence of adrenal nodule. |
Generate impression based on findings. | Reason: newly dx with lung ca History: needs baseline date prior to initiation for therapy CHEST:LUNGS AND PLEURA: Severe upper lobe predominant centrilobular paraseptal emphysema.Left perihilar necrotic mass (image 49/Series IV 01 is unchanged in size, measuring 3.8 cm.Nodular opacities in left upper lobe and associat... | 1.3.8-cm left perihilar mass with endobronchial extension of tumor in the left upper lobe unchanged from the prior exam.2.Left paratracheal and AP window lymphadenopathy slightly increased increase in size since the prior exam.3.Severe upper lobe predominant. Paraseptal and central lobular emphysema. |
Generate impression based on findings. | 67 year old female with a history of non-Hodgkin's lymphoma status post MUD SCT, day 100 evaluation. CHEST:LUNGS AND PLEURA: Bibasilar atelectasis. Biapical scarring/atelectasis.MEDIASTINUM AND HILA: Vascular calcifications of the aorta.CHEST WALL: Right-sided chest port terminates in the cavoatrial junction. Mild dege... | Stable examination. No lymphadenopathy in the chest, abdomen or pelvis. |
Generate impression based on findings. | 57-year-old man with a parenchymal hematoma, rule out aneurysm. CT BRAIN:BRAIN PARENCHYMA:There is a large dissecting hematoma with surrounding vasogenic edema centered in the left basal ganglia. Subcortical and periventricular low attenuation of white matter suggests small vessel ischemic disease of indeterminate age.... | 1. LARGE DISSECTING INTRAPARENCHYMAL HEMATOMA WITH SURROUNDING VASOGENIC EDEMA CENTERED IN LEFT BASAL GANGLIA, STABLE.2. INTRAVENTRICULAR HEMORRHAGE AND 1 CM MIDLINE SHIFT TO THE RIGHT, STABLE.3. ASYMMETRIC DILATION OF THE RIGHT LATERAL VENTRICLE SUGGESTIVE OF HYDROCEPHALUS, STABLE. 4. NO EVIDENCE FOR INTRACRANIAL ANEU... |
Generate impression based on findings. | 52 year old female with a chronic type B dissection in the distal thoracic aorta. CHEST:LUNGS AND PLEURA: No infiltrates or effusions. MEDIASTINUM AND HILA: The heart size is normal without a pericardial effusion. No mediastinal lymphadenopathy is present.The main pulmonary artery and proximal lobar pulmonary arteries ... | 1.Stable type B dissection involving the descending thoracic aorta that does not extend to the diaphragmatic hiatus2.Stable left adrenal nodule.3.No abdominal aortic aneurysm. Mildly ectatic infrarenal aorta. All major branches are patent. |
Generate impression based on findings. | 90-year-old male. Reason: better characterize femoral artery aneurysm ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: At least one small, nonspecific focus of decreased attenuation within the liver. Gallbladder appears somewhat distended although no gross wall thickening. SPLEEN: No significan... | Multifocal AAA has increased in diameter to a maximum of 4.5 cm.Skin thickening and subcutaneous infiltrative change in the right chest and abdomen wall.New left femoral artery aneurysm is 4 cm in diameter. |
Generate impression based on findings. | Reason: h/o met thyroid ca, compare to previous, measurements pls CHEST:LUNGS AND PLEURA: Numerous, predominantly basilar and subpleural, pulmonary nodules compatible with metastases, stable to slightly increased in size. Reference left lower lobe nodule measures 18 x 15 mm (series 5, image 68), previously 15 x 14 mm. ... | 1.Bilateral basilar predominant subpleural nodules compatible with metastatic disease, which are stable to slightly increased in size.2.New hypervascular hepatic dome lesion compatible with metastasis.3.Increasing size of right adrenal nodule compatible with metastasis.4.No new sites of disease. |
Generate impression based on findings. | Reason: 80 yo F with h/o new SCLC, started chemo 2 days ago, cycle 1, now with new onset SOB this AM, tachycardic, r/o PE History: SOB, tachycardia PULMONARY ARTERIES: Technically adequate exam.No pulmonary emboli.Main pulmonary artery normal in size.LUNGS AND PLEURA: Large, heterogeneous, necrotic mass in the right up... | 1. No acute pulmonary emboli.2. Large, necrotic right upper lobe lung mass compatible with primary lung neoplasm with necrotic mediastinal lymphadenopathy and numerous liver metastases. 3. Interval development of large right pleural effusion and small left pleural effusion. |
Generate impression based on findings. | Clinical question:Pt with oral CA with a lung nodule. please re-eval for taging. Signs and symptoms: As above. Enhanced neck CT:Unremarkable visualized intracranial content.Unremarkable images through the skull base including bilateral cavernous sinuses, all paranasal sinuses and bilateral petrous bones.Unremarkable im... | 1.There is no convincing evidence of a mass or pathologic by CT size criteria lymph nodes in the neck.2.Interval increased size of the lytic osseous lesion of the manubrium since prior exam 29 mm compared to prior measurement of 20-mm. |
Generate impression based on findings. | Reason: sarcoid History: cough LUNGS AND PLEURA: A scattered areas of pleural and parenchymal scarring.Focal areas of pleural thickening with pleural calcification in the right hemithorax.No suspicious pulmonary nodules or masses.No pleural effusions..No significant interstitial lung disease.No evidence of air trapping... | No significant interstitial lung disease. |
Generate impression based on findings. | 49-year-old female with history of an adrenal mass. ABDOMEN:LUNG BASES: No evidence of pleural effusions or consolidations.LIVER, BILIARY TRACT: No focal hepatic lesions identified. No intra or extrahepatic biliary ductal dilatation. Gallbladder is present without cholelithiasis or pericholecystic fluid. No gallbladder... | 1. No evidence of a left adrenal gland mass as clinically questioned. 2. Circumferential soft tissue plaque of the abdominal aorta without aneurysm. |
Generate impression based on findings. | Reason: Is there an aneurysm that ruptured? or venous thrombosis? History: Worst HA of life Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No aneurysms or intracranial stenosis is appreciated. The... | 1.Since the prior examination the patient's developed substantial progression in the right temporal lobe hematoma. There is associated intraventricular blood and subarachnoid blood. There is associated uncal herniation present and compression of the brainstem towards the left.2.Findings were discussed with Dr Ardelt at... |
Generate impression based on findings. | 28 year-old male. Abdominal pain. Right-sided groin pain. Clinical question: Kidney stone. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Splenomegaly 16.5-cm cephalocaudad coronal image 50. Unchanged.PANCREAS: No significant abnormality notedADRENAL GL... | No specific findings to explain groin pain. No evidence of nephrolithiasis. Splenomegaly, unchanged. |
Generate impression based on findings. | 29-year-old female nausea vomiting post C./S. Evaluate for SBO. ABDOMEN:LUNG BASES: Bilateral breast implants appear intact. Possible 4 mm micronodule left lower lobe and some areas of atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abno... | Findings consistent with mechanical small bowel obstruction. Ascites. Probable nephrolithiasis. Atelectasis left lower lobe and possible micronodule left lower lobe. |
Generate impression based on findings. | 42-year-old male with history of large cell non-Hodgkin's lymphoma. Pre auto SCT evaluation. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality noted. No pathologic size nodes.CHEST WALL: Port-A-Cath right chest. Tip terminates in the right atrium.ABDOMEN:LIVER, BIL... | Small retroperitoneal node. No pathologic size nodes.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Clinical question: Source for headache with visual changes. Signs and symptoms: Headache in right parietal. Nonenhanced head CT:There is no evidence of an acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic strokes.Subtle patchy periventricular and subcortical low attenuation wh... | Mild age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Clinical question: Evaluate for any change. Signs and symptoms: Confusion and alteration of mental status. Nonenhanced head CT: No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Moderate periventricular and subcortical low attenuation white matter... | Subcortical and periventricular not a specific low-attenuation white matter could represent demyelinating disease or age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Clinical question: Mass or other cause of posterior occipital headache. Normal neural exam. Signs and symptoms: Headache. Nonenhanced head CT: No detectable acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic strokes.Subtle subcortical and periventricular low attenuation of whit... | Small vessel ischemic strokes of indeterminate age. |
Generate impression based on findings. | Clinical question: Rule-out stroke signs and symptoms: Altered mental status. Unenhanced head CT:No accurate intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Fairly extensive subcortical and periventricular low attenuation of white matter is consistent with age inde... | 1.No acute intracranial process.2.Extensive age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Clinical question: Mass. Signs and symptoms: Severe headache. Nonenhanced head CT:No evidence of acute intracranial process.Examination demonstrates 5.5-mm herniation of cerebellar pulse holes bilaterally through the foramen magnum. There is resultant complete effacement of subarachnoid space. Mild deformity/flattening... | 1.5.5 millimeter herniation of bilateral cerebellar tonsils through the foramen magnum concerning for Chiari malformation. Recommend follow up with MRI exam and CSF flow study.2.Unremarkable nonenhanced head CT otherwise. |
Generate impression based on findings. | Male 52 years old; Reason: patient with cerebellar ataxia work up for paraneoplastic syndrome History: patient with cerebellar ataxia work up for paraneoplastic syndrome CHEST:LUNGS AND PLEURA: Mild upper lung emphysematous changes. No evidence suspicious pulmonary nodule or mass. Nodular opacity along the left major f... | 1. No enlarged lymph nodes in the chest, abdomen, or pelvis. No CT evidence of primarymalignancy or metastatic disease in the chest, abdomen, or pelvis.2. Mild emphysematous changes, stable |
Generate impression based on findings. | 53 old female with history T-cell ALL and undergoing chemotherapy. Has perfuse water diarrhea and abdominal pain, also neutropenia. Evaluate for colitis, typhlitis, etc. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANC... | 1. Findings most consistent with colitis of the ascending and transverse colon. 2. Right external iliac/femoral vein non-occlusive thrombus. |
Generate impression based on findings. | Reason: r/o PE History: dyspnea, acute DVT PULMONARY ARTERIES: Technically adequate exam. No evidence of pulmonary embolus. Dilated main pulmonary artery measures 33 mm, suggestive of pulmonary arterial hypertension.LUNGS AND PLEURA: Scattered pulmonary micronodules, unchanged. Reference left upper lobe pulmonary micro... | 1.No evidence of pulmonary embolus or other acute cardiopulmonary abnormality. 2.Markedly distended SVC of indeterminate etiology, possibly developmental.3.Stable pulmonary micronodules. |
Generate impression based on findings. | Clinical question: Evaluate for evidence of hemorrhage. Signs and symptoms: History of AML, status post allo stem cell transplant, platelet count of 21, now with headache. Nonenhanced head CT:There is no evidence of acute intracranial process in particular hemorrhage as is questioned clinically. CT however is insensiti... | 1.Nonenhanced head CT demonstrates no acute intracranial process. Extensive age indeterminate small muscle ischemic strokes is noted. Unremarkable calvarium, paranasal sinuses, mastoid air cells and middle ear cavities.2.CT of the maxillofacial demonstrates no evidence of acute or chronic sinus disease. Significant rig... |
Generate impression based on findings. | 75-year-old male with history of right small cell lung cancer status post resection, postop day 3 s/p laminectomy/decompression T3 to T10 for acute cord compression due to epidural collections. IVC filter placed 8/12/2013 for acute lower extremity DVT, patient now with shortness of breath. PULMONARY ARTERIES: Technical... | 1. No acute PE.2. Right lower lobectomy post-surgical changes and moderate right loculated pleural effusion with associated atelectasis. 3. Extensive post-surgical changes of thoracic spine. |
Generate impression based on findings. | Male 95 years old; Reason: eval RLQ abd mass History: significant distention, palpable mass in RLQ ABDOMEN: The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:LUNGS BASES: Linear atelectasis versus scarring ... | 1.No evident mass or obstruction identified. Limited examination given lack of IV and oral contrast. |
Generate impression based on findings. | 58 year old female with abdominal pain. Rule out diverticulitis. Findings in the abdomen limited secondary to marked motion artifact. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hepatomegaly without evidence of space occupying hepatic lesion.SPLEEN: No significant abnormality notedPANCREAS... | 1. Limited examination of the abdomen secondary to motion artifact, however there are no obvious findings to suggest acute diverticulitis. 2. Hepatomegaly. |
Generate impression based on findings. | Male, 63 years old, larynx cancer recurrence. 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. The left mastoid air cells are opacified. There is a fluid level within the left maxillary sinus with patchy ... | 1. Apparent interval debulking of an exophytic tumor arising from the right vocal cord. The right cord remains thickened with an irregular margin which could reflect surgical change. No definite paraglottic or extralaryngeal tumor spread is seen.2. No pathologic adenopathy in the neck.3. No intracranial metastatic dise... |
Generate impression based on findings. | Reason: 71 with bronchiectasis secondary to immune globulin deficiency and worsening dyspnea. r/o PE History: dyspnea PULMONARY ARTERIES: Exam is diagnostic to the segmental pulmonary arteries. No embolus.LUNGS AND PLEURA: Extensive bronchiectasis and bronchial wall thickening with mucous plugging, more severe in the r... | 1.No evidence of pulmonary embolus. 2.Extensive bronchiectasis and bronchial wall thickening and mucus plugging, most severe in the right middle lobe and lower lobes, unchanged. 3.Basilar predominant tree in bud opacities and left upper lobe ground glass opacity are likely sequelae of chronic aspiration or superimposed... |
Generate impression based on findings. | 45-year-old male with epigastric tenderness to palpation. Evaluate for biliary disease. ABDOMEN:LUNG BASES: No pleural effusions or consolidations. Minimal basilar atelectasis.LIVER, BILIARY TRACT: No focal hepatic lesions. No intra-or extra hepatic biliary ductal dilatation. Gallbladder is present without evidence of ... | Findings most consistent with acute pancreatitis without associated fluid collections. |
Generate impression based on findings. | Reason: tongue cancer, smoker History: r/o chest mets LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Homogeneous thyroid enlargement.No mediastinal or hilar lymphadenopathy is present.CHEST WALL: Degenerative abnormalities affect the thoracic spine.Right posterior flank lipoma.UPPER ABDOMEN: A... | No significant abnormality. No evidence of metastases. |
Generate impression based on findings. | Reason: 56 y/o male with recurrent head/neck SCC s/p induction; please evaluate disease History: See above CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Right jugular catheter extends to the RA.No mediastinal or hilar lymphadenopathy.CHEST WALL: Right chest wall port.Mild gynecomastia u... | No sign of metastases, and no change. |
Generate impression based on findings. | 33-year-old female status post stem cell transplant with recent sinus infection. Bilateral sinus mucosal thickening extends from the frontoethmoidal recesses into the inferior frontal sinuses. There is near complete opacification of the left maxillary sinus and mild mucosal thickening of the right maxillary sinus. Mode... | Extensive paranasal sinus mucosal thickening and opacification as described above. Opacified bilateral sinus ostia and recesses as noted above. |
Generate impression based on findings. | 53-year-old female with abdominal pain -- rule-out hernia. Within the limits of the non-IV contrast enhanced examination, 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 significa... | 1. Two anterior abdominal wall ventral hernias containing only mesenteric fat. 2. Multiple soft tissue masses in uterus, most likely fibroid tumors. 3. No other abnormality seen. |
Generate impression based on findings. | Reason: L hilar opacity, persists History: none LUNGS AND PLEURA: Opacity adjacent to the left heart border reported on the U7/26/2013 chest radiograph is a summation artifact of scarring and bronchial wall thickening with calcified pleural thickening, not an intrapulmonary lesion such as cancer. Pleural calcification ... | 1. No intrapulmonary mass; summation artifact on chest x-ray likely from bronchial wall thickening and scarring and pleural thickening with calcification.2. Pneumobilia, likely from prior cholecystectomy and common bile duct exploration |
Generate impression based on findings. | 49-year-old female with abdominal cramping. Evaluate for colitis or other cause of abdominal pain. Per chart review, patient with history of lymphoma. ABDOMEN:LUNG BASES: No pleural effusions or consolidations.LIVER, BILIARY TRACT: No focal hepatic lesions identified. Gallbladder is present without evidence of cholelit... | 1. Findings raise question of duodenitis.2. Dilated appendix without evidence of periappendiceal inflammatory changes, unchanged. 3. No findings to suggest colitis.Findings were relayed to lmma Garcia, APN covering pager 9377, over the phone at approximately 0945 hours on 8/13/2013. |
Generate impression based on findings. | 86 year old female with question of diverticulitis. Right lower quadrant pain status post appendectomy. Question of abscess versus diverticulitis. ABDOMEN:LUNG BASES: Bilateral lower lobe emphysematous changes and atelectasis. Increase in pulmonary edema compared to prior exam. Cardiomegaly. LIVER, BILIARY TRACT: There... | 1. No evidence of an infected fluid collection or diverticulitis.2. Passive hepatic congestion.3. Mild increase in pulmonary edema compared to the prior exam. 4. Anasarca. |
Generate impression based on findings. | 29-year-old male with abdominal pain -- rule-out dissection. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Status post aortic valve replacement and postsurgical changes with expected appearance.. No evidence of aneurysmal dilatation or dissection. No mediastinal masses or fluid collectio... | 1. Status post aortic valve replacement. 2. Normal CT angiogram of the aortic arch, descending aorta, and abdominal/pelvic vascular branches. 3. No findings seen to account for patient's symptomatology. |
Generate impression based on findings. | Reason: 76 y/o m with relapsed AML and neutropenic fever, eval for infiltrates History: chest pain, fevers LUNGS AND PLEURA: New focal air space opacity in the right upper lobe measures 4.1 x 3.6 cm (series 4, image 38), compatible with infection. Additional focal airspace opacity in the lingula (series 4, image 46). 6... | 1.Interval development of focal air space opacities in the right upper lobe and lingula compatible with infection, and a left pleural effusion.2.Stable left apical ground glass opacity. Interval resolution of left basilar nodular opacity. |
Generate impression based on findings. | Clinical question: A 6-year-old male with history of recurrent head and neck squamous cell cancer status post induction chemo; evaluate disease and compare to prior studies. Signs and symptoms: As above. Enhanced CT of soft tissues of neck:Limited view of intracranial contents and including bilateral cavernous sinuses ... | 1.Significant interval postoperative changes of left neck dissection.2.No evidence of residual tumor or adenopathy by CT size criteria. |
Generate impression based on findings. | Reason: ILD related to dermatomyositis History: Increased cough LUNGS AND PLEURA: Basilar predominant subpleural reticular opacities with minimal groundglass and no significant honeycombing, not significantly changed since the prior examination. Mild architectural distortion with traction bronchiectasis is unchanged, a... | Unchanged moderate interstitial lung disease consistent with the patient's known history of dermatomyositis. |
Generate impression based on findings. | 68-year-old with pain and protrusion of the right sternoclavicular joint. Evaluate for dislocation. Severe degenerative arthritic changes affect the right sternoclavicular joint with joint space narrowing, sclerosis, and subchondral cyst formation. Mild degenerative changes affect the left sternoclavicular joint. No ac... | 1. Severe right sternoclavicular joint osteoarthritis without fracture or dislocation.2. Multifocal degenerative changes as described. |
Generate impression based on findings. | Female, 52 years old, history of tongue cancer. The oral tongue is within normal limits but please note that CT is insensitive for small mucosal lesions. Likewise, the floor of mouth and tongue base are unremarkable and free of focal lesions.The remainder of the aerodigestive tract is unremarkable.Numerous lymph nodes ... | 1. No definite evidence of a primary tongue lesion or of pathologic adenopathy in the neck.2. There are numerous scattered small lymph nodes throughout the neck including likely within the parotid glands, but these are nonspecific.3. The thyroid gland is diffusely enlarged. Correlation with dedicated imaging and/or lab... |
Generate impression based on findings. | 51 year-old female with left flank pain radiating to abdomen -- rule-out renal stone. Within the limits of a non-IV contrast enhanced examination limiting evaluation of solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BIL... | 1. Abnormality seen in the abdomen or pelvis to account for patient's symptomatology. |
Generate impression based on findings. | 22-year-old male status post donor hepatectomy with elevated white blood cell counts -- possible bile leak. ABDOMEN:LUNG BASES: Bibasilar atelectasisLIVER, BILIARY TRACT: Status post left lateral segment hepatectomy. Fluid collection with mottled air is loculated in the surgical resection bed with maximum diameter 4.5 ... | 1. Post lateral segmentectomy of the liver with residual fluid collection and air in surgical bed -- it is expected to see fluid collections in surgical bed persisting for quite some time following surgery -- CT cannot, therefore characterize whether this collection is sterile or infected. If concern over whether bile ... |
Generate impression based on findings. | Reason: Pt with oral CA with a lung nodule. please re-eval for staging History: as above LUNGS AND PLEURA: Right middle lobe cavitary nodule now 29 x 20 4 mm, previously 27 x 20 3 mm, image 55 series 4. The internal cavity is smaller, either from fluid or tumor filling in.Right upper lobe mixed groundglass/solid lesion... | 1. Slight enlargement of right middle lobe lobe tumor. 2. Right upper lobe mixed groundglass/solid lesion consistent with primary lung cancer, not significantly changed over the last two months. |
Generate impression based on findings. | Reason: mets lung ca, s/p 5 cycles of chemo, pls c/w previous study and evaluate tx response. History: lung ca CHEST:LUNGS AND PLEURA: Right hemithorax volume loss. Cavitary right upper lobe mass measures 4.5 x 2.7 cm (series 3, image 37), not significantly changed. Stable right paramediastinal radiation changes with a... | 1.Stable right upper lobe cavitary mass and associated radiation change. 2.Decreasing left lung metastases.3.Decreasing right supraclavicular lymphadenopathy. |
Generate impression based on findings. | 70 year-old male with history of aortic aneurysm. Evaluate aortic aneurysm ANGIOGRAM: There has been significant progressive enlargement of the aneurysmal sac and intraluminal enhancing component involving the aortic arch. This aneurysm measures approximately 4.8 cm (series 18, image 36) in its largest diameter on the ... | 1. Significant progressive enlargement of the aneurysmal sac and intraluminal enhancing component involving the aortic arch as detailed above. 2. Interval increase in size of bilateral moderate-sized pleural effusions.3. Anasarca. |
Generate impression based on findings. | Male, 52 years old, metastatic thyroid cancer, on therapy. The aerodigestive tract is unremarkable.The right parotid gland has been partially resected, a stable finding. The left parotid gland and submandibular glands are unremarkable.The thyroid gland has been resected and the appearance of the surgical bed is unchang... | Stable exam with no evidence of recurrent disease in the thyroidectomy bed or pathologic adenopathy in the neck. |
Generate impression based on findings. | 73 year old male. Reason: Lung cancer - on treatment, please compare to previous. Thanks. History: Lung cancer CHEST:LUNGS AND PLEURA: Slight interval increase in the right upper lobe reference mass and associated consolidation (image 33, series 4) measuring 5.4 cm x 3.3 cm previously measuring 4.8 cm x 3.1 cm.Slight i... | 1. Interval increase in reference and non-reference pulmonary masses/nodules, compatible with progression of disease.2. Left lung emphysema and left lower lobe atelectasis/consolidation similar to previous, small increase in loculated left pleural effusion. |
Generate impression based on findings. | Reason: hx H\T\N ca, sp CRT, evaluate dx and compare measurements to previous scans History: as above CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN: Absence of enteric contrast material markedly limits... | No significant change since prior study, although a liver lesion may be new compared to earlier studies, unless this is secondary to differences in phase of contrast. PET or MR may be helpful. |
Generate impression based on findings. | Reason: lung ca, on chemo, pls c.w previous study on 7/1 and evaluate tx response. History: lung ca CHEST:LUNGS AND PLEURA: Status post left lower lobectomy. Nodular thickening about the peripheral aspect of the suture line is unchanged, measuring 10 mm in greatest thickness (series 4, image 40). Scattered pulmonary mi... | 1.Status post left lower lobectomy with stable nodular thickening about the suture line. No new suspicious pulmonary nodules or masses.2.Decreasing mediastinal lymphadenopathy.3.Stable left adrenal nodule.4.No new sites of disease. |
Generate impression based on findings. | Hematuria ABDOMEN:LUNG BASES: Stable cardiomegalyLIVER, BILIARY TRACT: Stable segment 8 right lobe hemangioma and bilobar subcentimeter hepatic cystsSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Stable bilateral renal ... | Stable bilateral renal cysts without worrisome mass or upper collecting system abnormality. |
Generate impression based on findings. | Male, 57 years old, with left thalamic mass, evaluate for change in size of mass and ventricle size. The right parietal approach ventricular shunt catheter is redemonstrated in stable position, tip at the level of the right frontal horn. The right lateral ventricle remains completely decompressed similar to the prior e... | No significant interval changes. The right lateral ventricle remains decompressed while the left is dilated but to a similar degree as on the prior study. The heterogeneous left thalamic mass is stable in size with stable associated mass effect. |
Generate impression based on findings. | Reason: hx of head and neck ca of unknown primary, s/p CRT, eval for dz, compare to previous History: as above CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are unchanged and benign appearing.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN: Absence ... | No change, and no evidence of metastases. |
Generate impression based on findings. | Male 66 years old; Reason: pancreas cancer please provide index lesion measurements History: as above CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Subcentimeter mediastinal lymph nodes are noted, not enlarged by CT criteria.CHEST WALL: Right-sided Port-A-Cath noted with its tip in the c... | 1.Pancreatic mass compatible with adenocarcinoma in the body of the pancreas with posterior extension encasing SMA and celiac axis; narrowing of portal vein at confluence of splenic vein and SMV. 2. No distant metastases identified. |
Generate impression based on findings. | Male, 24 years old, with subarachnoid hemorrhage status post arrest. Findings compatible with diffuse cerebral edema are evident. This includes diffuse sulcal effacement, near complete effacement of the ventricular system and effacement of the basilar cisterns.Within this background no definite evidence of intracranial... | Diffuse cerebral edema, which given the clinical history of arrest, likely reflects diffuse ischemic injury. |
Generate impression based on findings. | Male, 90 years old, with subdural hemorrhage. Redemonstration of a left frontoparietal subdural collection. By size and morphology, the collection has not significantly changed. At its point of maximum thickness it measures approximately 9 to 10 mm.Since the prior examination, however, the collection has become more un... | Redemonstration of a left hemispheric subdural collection which has become more uniformly hyperdense since the prior examination of 08/10/13. As the size and morphology of the collection have not changed, this altered appearance is felt most likely to represent lysis and redistribution of clot. Interval bleeding is con... |
Generate impression based on findings. | Reason: lung cancer, for fiducial placement. SUPER D PROTOCOL History: lung mass LUNGS AND PLEURA: 2.2 cm x 3 cm lobulated subpleural mass posteriorly in the left lower lobe compatible with primary neoplasm. There does appear to be associated focal pleural reaction.No other suspicious nodules or masses. Scattered calci... | A lobulated, well marginated mass posteriorly in the left lower lobe, suspicious for primary neoplasm. |
Generate impression based on findings. | Clinical question: Evaluate shunt. Signs and symptoms: Headache. Nonenhanced head CT:There is a slight interval increase in the size of fourth ventricle since prior exam. It measured approximately 10 mm in transverse axis on prior exam compared to current study measurement of 13.5 millimeter. Unremarkable images throug... | 1.Interval increased size of all ventricles since prior exam as detailed/measured above.2.No evidence of interval change in the position of intracranial bilateral approach catheters.3.Slight interval improvement in post procedural findings of right side as detailed.4.Redemonstration of extensive encephalomalacia of the... |
Generate impression based on findings. | Reason: laryngeal ca recurrence History: eval mets CHEST:LUNGS AND PLEURA: Patchy groundglass opacities in the upper lobes posteriorly compatible with aspiration.No suspicious pulmonary nodules or masses.Small bilateral pleural effusions with basilar atelectasis.MEDIASTINUM AND HILA: Tracheostomy tube in place.Left-sid... | 1.No evidence of metastatic disease.2.Groundglass opacities in the upper lobes suggestive of aspiration. |
Generate impression based on findings. | Male 82 years old; Reason: hx of AAA s/p EVAR with type II endoleak per duplex AAA sac enlargement, with renal insufficiency, please eval without oral or iv contrast for enlargement of aneurysm sac History: see above ABDOMEN: The absence of intravenous and oral contrast limits evaluation of the solid organs and of the ... | Aortobiiliac stent graft placement with type II endoleak with stable aortic and right common iliac aneurysm sacs.Cystic lesion arising from the pancreatic tail, stable in size. MRCP may bebeneficial to determine if the lesion communicates with the pancreatic duct |
Generate impression based on findings. | 67-year-old male with stage III melanoma. Status post resection, evaluate for recurrence. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No sig... | No evidence for recurrence or metastatic disease. |
Generate impression based on findings. | Reason: mesothelioma History: mesothelioma CHEST:LUNGS AND PLEURA: Left lung base postsurgical changes at the diaphragmatic mesh graft. Pleural thickening in the left hemithorax is compatible with patient's history of mesothelioma. Reference measurements are as follows:1.Adjacent to the anterolateral left second rib at... | 1.Stable pleural disease and left lower lobe pulmonary nodule2.No new sites of disease. |
Generate impression based on findings. | Clinical question: Concern for hemorrhagic versus ischemic stroke, meningitis. Signs and symptoms: AMS. Unenhanced head CT:Examination demonstrates mild ectopia of cerebellar tonsils of approximately 3-mm. There is effacement of subarachnoid space at the level of foramen magnum.Unremarkable images through posterior fos... | 1.Paucity of cortical sulci, smaller than expected size of supratentorial ventricular system and the CSF cisterns for patient's stated age of 66 is concerning for subtle cerebral edema. There is also mild herniation of cerebellar tonsils through the foramen magnum of approximately 3 mm. Recommend follow-up with an MRI ... |
Generate impression based on findings. | Reason: Pt with hx of HNC and new Lung Primary. Please re-eval and compare History: as above CHEST:LUNGS AND PLEURA: Prior lung surgery and wedge resection, without evidence of tumor recurrence.Centrilobular emphysema and scattered benign micronodules are unchanged.MEDIASTINUM AND HILA: Tracheostomy tube.Prior sternoto... | No change, and no of sign of metastases or tumor recurrence. |
Generate impression based on findings. | 52-year-old male with history of renal cell cancer, status post nephrectomy. Restaging, evaluate for metastases. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormal... | No evidence of recurrence or metastatic disease. |
Generate impression based on findings. | Clinical question cord patient with history of head and neck cancer and new lung primary. Evaluate and compare to prior exam. Signs and symptoms: As above. Enhanced head CT:This examination demonstrate no evidence of abnormal enhancement the brain parenchymal or the leptomeninges to suggest metastatic disease.Calvarium... | 1.Negative enhanced head CT for metastatic disease. Chronic sinusitis changes as detailed above and stable since prior exam.2.Enhanced CT of soft tissues of neck demonstrate no evidence of residual and or recurrence of tumor and no adenopathy by CT size criteria. Stable exam since prior study from February of 2012. |
Generate impression based on findings. | History diabetes and bladder carcinoma CHEST:LUNGS AND PLEURA: Stable right apical scarring. Stable left lung calcified granuloma.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abno... | Stable examination without acute or metastatic process. |
Generate impression based on findings. | Reason: Pt with hx of HNC s.p CRT. Please re-eval and compare History: as above CHEST:LUNGS AND PLEURA: No pulmonary or pleural metastases are present. MEDIASTINUM AND HILA: Common origin right brachiocephalic and left carotid arteries, normal variant.No mediastinal or hilar lymphadenopathy present. CHEST WALL: Degener... | No evidence of metastases. |
Generate impression based on findings. | 64 year-old female with congestive heart failure, acute kidney injury with subacute abdominal pain and now bright red blood per rectum -- concern for ischemic colitis. Abdominal pain. Within the limits of a non-IV contrast enhanced examination, limiting evaluation of solid parenchymal organs and vascular structures, th... | 1. No evidence for colitis. No large or small bowel abnormality identified. 2. |
Generate impression based on findings. | 41-year-old male status post repair of type A dissection in 2009. History of type B dissection. Assess ascending and descending aorta. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are unchanged.MEDIASTINUM AND HILA: Stable post-operative changes of a type A dissection. Aortic root measures 4.0 cm and is sta... | 1. Status post Type A dissection repair without significant change in appearance compared to the prior exam.2. Stable fenestrated Type B dissection. |
Generate impression based on findings. | 72-year-old female with history of metastatic melanoma. Evaluate for response to therapy and compare to previous imaging. CHEST:LUNGS AND PLEURA: Again identified are pulmonary metastatic deposits throughout both lungs. There has been interval increase in pulmonary nodules in the right lower lobe (series 80221, image 3... | 1. Interval increase in number of pulmonary metastatic deposits as described above. 2. Interval increase in size of splenic metastasis.3. Incompletely characterized nodular enhancement near the gallbladder neck. |
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