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Generate impression based on findings. | Reason: Evaluate for progression of metastatic disease; compare tp previous scan History: none CHEST:LUNGS AND PLEURA: Postsurgical changes in the right upper and left lower lobes. Line again identified are innumerable small pulmonary groundglass and solid nodules compatible with diffuse metastatic disease. No signific... | No significant interval change in the innumerable pulmonary nodules and left lower lobe ground glass nodule. Interval increase in size of precarinal lymph node. |
Generate impression based on findings. | 52-year-old male Reason: metastatic thyroid ca, on therapy, eval for dz, compare to previous History: as above CHEST:LUNGS AND PLEURA: Innumerable pulmonary nodules again seen, some unchanged and some slightly decreased in size.Reference left upper lobe nodule now measures 10 x 11 mm (image 50, series 7), previously 11... | 1. Innumerable pulmonary metastases stable or slightly decreased in size from the prior study.2. Stable right hilar lymphadenopathy. |
Generate impression based on findings. | Male, 54 years old, history of head and neck cancer, unknown primary, status post CRT. 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 oral tongue is partly obscured by dental artifact, but no lesion... | 1. Post therapy change in the neck with no evidence of pathologic adenopathy.2. No intracranial metastatic disease. |
Generate impression based on findings. | Reason: assess pleural effusions and pleural drain History: sob CHEST:LUNGS AND PLEURA: Bronchiectasis and bronchial wall thickening with a new ill-defined opacity in the right apex with surrounding groundglass opacity (series 5, image 22). New focal consolidation at the right base (series 5, image 53). Interval placem... | 1.New pulmonary opacities in the right upper and bilateral lower lobes compatible with infection/aspiration.2.New left pleural effusion. Right pleural drain.3.Extensive mediastinal soft tissue density and calcified mediastinal lymphadenopathy compatible with fibrosing mediastinitis likely secondary to prior granulomato... |
Generate impression based on findings. | 57-year-old male with vomiting, no bowel movements, weight loss --? Mass --? Obstruction. Moderate motion artifact obscures detail on selected images throughout the examination. Within these limitations, following observations can be made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No mass... | No diagnostic abnormality seen to account for patient's symptomatology. |
Generate impression based on findings. | Reason: pleural mesothelioma s/p 3 cycles of immunotherapy. please evaluate for response compared with 7/17/13 and 5/8/13 scans History: mesothelioma CHEST:LUNGS AND PLEURA: Postsurgical changes of the right lung base with diaphragmatic mesh graft, unchanged. Bilateral pleural and fissural soft tissue nodules. Referenc... | 1.Multiple increasing right lateral chest wall masses.2.Increasing left lung pulmonary nodules compatible with metastatic disease.3.Increasing mediastinal and aortocaval lymphadenopathy.4.Foci of mediastinal tumor are not significantly changed. |
Generate impression based on findings. | 58-year-old male with history of pancreatic cancer. Please compare to prior examination. CHEST:LUNGS AND PLEURA: Scattered micronodules are again identified, grossly unchanged. Largest nodule is again noted in the right apex, unchanged. No pulmonary masses or pleural effusions identified.MEDIASTINUM AND HILA: Heart siz... | 1. Unchanged pancreatic mass in the proximal body with thrombosed splenic vein.2. Nonspecific lung micronodules as described above. |
Generate impression based on findings. | 54-year-old male with chronic lymphoid leukemia with prior stem cell transplant. Restaging -- assess lymphadenopathy. CHEST:LUNGS AND PLEURA: No change small right apical micronodules and calcified left upper lobe nodule (unchanged since 2006 CT). No other infiltrates, nodules, masses. Bibasilar small effusions and ate... | 1. Persisting diffuse adenopathy, but decreased with measurements in the chest, abdomen, and pelvis. |
Generate impression based on findings. | Reason: Pt with hx of HNC s/p CRT >6 years ago. History: as above CHEST:LUNGS AND PLEURA: No pulmonary or pleural metastases noted.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.CHEST WALL: No significant abnormality noted.ABDOMEN: Absence of enteric contrast material markedly limits sensitivity for abdo... | No change, and no evidence of metastases. |
Generate impression based on findings. | Male, 51 years old, history of tongue cancer, status post CRT. Volume loss of the right tongue base is redemonstrated similar to the prior examination and consistent with treatment related change. The visualized aerodigestive tract is free of focal masses or suspicious enhancement.Treatment related change is redemonstr... | Stable post treatment change in the neck with no evidence of progressive primary disease or pathologic adenopathy. |
Generate impression based on findings. | Female 38 years old; Reason: Pt s/p Esophagectomy in 2011 for a benign leiomyoma followed by a diaphragmatic hernia repair in 2012 not with abdominal and back pain History: Please evaluate for source of pain CHEST:LUNGS AND PLEURA: No suspicious pulmonary lesions. The pleural spaces are clear. Post operative changes in... | 1.Esophagectomy and gastric pull-through. Raised left hemidiaphragm with a left diaphragmatic hernia. |
Generate impression based on findings. | Clinical question: Cardiogenic shock. Concern for acute stroke. Facial droop. Signs and symptoms: Left-sided facial droop. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci,... | No acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes. |
Generate impression based on findings. | Male 66 years old; Reason: 65M w/ hx gastric GIST, please assess for recurrence History: none CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Heart size is enlarged. No pericardial effusion. There are coronary calcifications in a triple vessel distribution. Coronary arteries are are dilate... | 1.Stable exam status following resection of the gastric mass.2.Cholelithiasis. |
Generate impression based on findings. | Male 69 years old; Reason: history metastatic renal cancer, assess for progression History: none CHEST:LUNGS AND PLEURA: Right perihilar partial atelectasis and consolidation in the right upper lobe and right lower lobe. This is due to tumor infiltration from the subcarinal region into the right hilum.MEDIASTINUM AND H... | 1.Increase in the size of the subcarinal mass with extension to the right hilum causing partial atelectasis and consolidation of the right lung.2.Increase in the size of the left renal masses with enlarging peritoneal lymphadenopathy. |
Generate impression based on findings. | Reason: lung transplant with BOS and new change in PFT History: dyspnea LUNGS AND PLEURA: Markedly heterogeneous lung attenuation, left greater than right, with the majority of the left lung hyperlucent. This is accentuated on expiration series, highly consistent with airtrapping.Nodularity most pronounced in the right... | Severe air trapping left greater than right, and peripheral bronchiolitis, consistent with known bronchiolitis obliterans syndrome from lung transplantation.. |
Generate impression based on findings. | Female, 69 years old, history of tongue base cancer, status post CRT. Volume loss of the left tongue base is a stable finding likely related to prior therapy. No soft tissue mass or pathologic enhancement is seen in this location.Treatment related change is demonstrated in the neck including infiltration of the subcuta... | Stable treatment related change in the neck. No evidence of progressive primary disease or pathologic adenopathy. |
Generate impression based on findings. | Male 91 years old; Reason: metastatic prostate cancer evaluation of disease after 9 cycles of investigational treatment. History: metastatic prostate cancer CHEST:LUNGS AND PLEURA: Subpleural calcifications anteriorly. No dominant pulmonary parenchymal lesion.MEDIASTINUM AND HILA: Coronary artery and aortic calcificati... | 1.Extensive osseous metastatic disease. This would better evaluated on the nuclear medicine bone scan for activity. |
Generate impression based on findings. | Male 67 years old; Reason: Pt is a 67 y/o male with met urothelial cancer, evaluate response after six cycles of chemotherapy History: met urothelial cancer CHEST:LUNGS AND PLEURA: Subpleural nodule in the left lower lobe (image 51 series 5), unchanged.No dominant lung lesion.MEDIASTINUM AND HILA: Heart size is normal.... | 1.Bladder wall thickening and infiltration of the perivascular fat. No change in the left adrenal nodule, slight decrease in the size of the hepatic lesion. |
Generate impression based on findings. | Male, 18 years old, backache, history of lumbar fracture, on steroids chronically. Plain films concerning for disk narrowing. There are 6 lumbar type vertebral bodies. The L6 vertebral body demonstrates a transitional morphology.A well-circumscribed focal lucency is present within the L3 vertebral body. This demonstrat... | There is a mild generalized loss of height of the L6 vertebral body with no evidence of a discrete fracture line. The acuity of this finding cannot be assessed on CT. Differential considerations include anatomic variation versus chronic or acute compression deformity. MRI would better assess the acuity of this finding ... |
Generate impression based on findings. | Reason: HNC History: HNC CHEST:LUNGS AND PLEURA: Aspirated barium in both lung bases has diminished, and the lung bases are better inflated than before.There are no pulmonary or pleural metastases seen.Azygos pseudo-lobe, normal variant. MEDIASTINUM AND HILA: There are no significantly enlarged mediastinal or hilar lym... | Improvement in basilar opacities consistent with prior aspiration, with no evidence of metastases. |
Generate impression based on findings. | Clinical question: r/o chronic sinusitis.Signs and Symptoms: nasal congestion, mucus drainage/PND, cough, nasal polyps on exam. Medtronic fusion sinus CT:Frontal sinuses are well pneumatized and unremarkable.Ethmoid sinuses are well pneumatized and unremarkable.Sphenoid sinus is well pneumatized and unremarkable with p... | 1.Increased soft tissue density in the left nasal passage inseparable from left middle turbinate and with associated subtle bony remodeling consistent with clinically noted polyps.2.Acute on chronic right maxillary sinusitis with occluded right ostiomeatal unit.3.Mild chronic left maxillary sinus disease with compromis... |
Generate impression based on findings. | 50 year-old female with with cirrhosis, nausea and vomiting for 3 weeks. Chronic kidney disease. 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: Clearing of prior noted left pl... | 1. Cirrhotic morphology of liver with diffuse ascites. 2. No evidence for bowel obstruction. 3. New since 11/13/12 l1arge right pleural effusion and right basilar atelectasis. |
Generate impression based on findings. | Male 69 years old; Reason: GIST s/p resection, eval EOD, compare to previous History: none CHEST:LUNGS AND PLEURA: No suspicious hepatic lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: Ascending thoracic aorta is ectatic measuring 4.4 cm in AP dimension. No mediastinal adenopathy.CHEST WALL: No significant ... | 1.Stable exam without evident recurrent or metastatic disease.2.Finding suggestive of left hip particle osteolysis for which plain film radiography is suggested. |
Generate impression based on findings. | Rectal carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Interval decrease in size of several of the previously noted bilobar hepatic metastatic lesions. A representative se... | Interval decrease in size of several of the previously noted bilobar hepatic metastatic lesions. Associated with interval decrease in degree of rectal wall thickening and resolution of perirectal adenopathy. |
Generate impression based on findings. | Clinical question: Patient with history of head and neck cancer, status post CRT> 6 years ago. Signs and symptoms:As above. Enhanced head CT:There is normal appearing cerebral cortex, cortical sulci, ventricular system, CSF cisterns/spaces and gray -- white matter differentiation.No detectable abnormal parenchymal or l... | 1.Negative enhanced head CT. Stable since prior exam.2.Stable extensive postoperative changes of right neck surgery and partial right mandibulectomy as detailed above. No evidence of recurrence of tumor or adenopathy by CT size criteria. 3.Revisualization of anterior subluxation of right mandibular condyles into the ri... |
Generate impression based on findings. | Female 56 years old; Reason: pt on everolimus and Aromasin - please assess response to therapy History: met breast cancer CHEST:LUNGS AND PLEURA: Left upper lobe subpleural fibrotic changes most likely related to radiation therapy.Nonspecific ground glass opacity in the anterior aspect of the right upper lobe. The pleu... | 1.Stable to slight decrease in the size of the left axillary lymph nodes and lesions.2.Extensive osseous metastatic disease. 3.Nonspecific new right upper lobe ground-glass pulmonary parenchymal opacity. |
Generate impression based on findings. | 42-year-old male with Gertsmans syndrome. Evaluate left parietal stroke. BRAIN PARENCHYMA:There is an area of stable encephalomalacia within the inferior lobule of the left parietal lobe. There is no evidence of hemorrhage within this prior infarct. There is an area of hypoattenuation within the left cingulate gyrus th... | 1.STABLE AREA OF ENCEPHALOMALACIA WITHIN THE INFERIOR LOBULE OF THE LEFT PARIETAL LOBE AND LEFT CINGULATE GYRUS EXTENDING TO THE LEFT CORONA RADIATA WITHOUT EVIDENCE OF HEMORRHAGE. |
Generate impression based on findings. | Reason: lung Ca, s/p resection, RT, chemo. followup History: Lung ca CHEST:LUNGS AND PLEURA: Right hemithorax postsurgical changes with scarring, atelectasis, volume loss and loculated pleural fluid superiorly without interval change. Centrilobular and paraseptal emphysema. No new suspicious pulmonary nodules or masses... | Postsurgical changes without evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 51-year-old female with metastatic cervical CA, vomiting, hypothermia. Assess for increased tumor burden, abscess, obstruction. In the absence of IV contrast limiting the evaluation of the solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: No significant abnorma... | 1. Marked diffuse Small bowel dilatation with possible transition point just prior to the tunneling of the ostomy site -- while this may be an ileus, in light of extensive mesenteric metastases, concern exists for very distal obstruction.2. Large new central mesenteric mass and increase in size of other mesenteric meta... |
Generate impression based on findings. | Male, 49 years old, with right neck pain radiating to the right forearm. Spinal alignment is anatomic. Vertebral body heights are preserved. No concerning focal bony lesions are detected. Mild lucency within the C2 vertebral body is benign in appearance. No fractures are appreciated.Please note that CT is insensitive f... | Relatively mild degenerative disk disease. Mild to moderate bony foraminal narrowing, most conspicuous at C3-4.CT is insensitive for the assessment of disk pathology and spinal canal contents. However, there does appear to be a focal disk process, perhaps a herniation, at the right paracentral region of C6-7. Prominenc... |
Generate impression based on findings. | Metastatic prostate carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No change in moderately large hiatal herniaCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significan... | Increased sclerosis involving the left symphysis; cannot exclude metastatic focus. Otherwise stable examination.Study complicated by contrast subcutaneous extravasation as described above. |
Generate impression based on findings. | 42-year-old headache evaluate for hemorrhage. BRAIN PARENCHYMA:No abnormal mass lesions, edema, or parenchymal hemorrhage.VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.FLUID:No fluid collections. No evidence of extra-axial hemorrhage.BONE:No fractures. Post surgical changes are identifi... | 1.NO EVIDENCE FOR INTRACRANIAL HEMORRHAGE AS CLINICALLY QUERIED. |
Generate impression based on findings. | Clinical question: Bleed. Signs and symptoms: Headache on Coumadin. Unenhanced head CT:No evidence of acute intracranial process. CT however is insensitive for detection of acute non-hemorrhagic ischemic strokes.Large left cerebral chronic stroke similar to prior exam.Large right MCA territory chronic ischemic stroke s... | 1.No acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.2.New however chronic since prior exam is a focus of small left posterior parietal cortical stroke.3.Revisualization of multiple chronic ischemic strokes in bilateral middle cerebral artery territories (rig... |
Generate impression based on findings. | 69-year-old female Reason: NSCLC, s/p RT and chemo. Followup of pulmonary nodules History: none CHEST:LUNGS AND PLEURA: Linear scar like opacity in in the right apex similar to previous measuring 23 x 9 mm (image 13, series 4), previously 23 x 9 mm.Right middle lobe pleural nodularity (image 35, series 4) now measures ... | 1.Stable lung nodules and right pleural effusion. No additional sites of disease identified. 2.Nodularity of left breast tissue similar to previous, continued surveillance with mammography is recommended.3.Superior mediastinal soft tissue induration and paramediastinal fibrosis similar to previous presumably related to... |
Generate impression based on findings. | Male, 64 years old, history of tonsil cancer. Volume loss of the tongue base and palatine tonsils is a stable finding likely related to prior therapy. Mild enhancement of the lingual tonsillar tissues is again seen, likely inflammatory or related to therapy. No suspicious soft tissue mass or pathologic enhancement is s... | Stable treatment related change in the neck. No evidence of recurrent primary disease or pathologic adenopathy. |
Generate impression based on findings. | 57-year-old female with history of esophageal varices. Evaluate for portal clot and liver parenchyma. ABDOMEN:LUNG BASES: No pleural effusions or pulmonary masses.LIVER, BILIARY TRACT: There is widening of the hepatic fissure. Left lobe and caudate hypertrophy. Poorly enhancing peripheral, subcapsular hypodense lesion ... | 1. Cirrhotic morphology of the liver. 2. Incompletely characterized 2.5 cm poorly enhancing right hepatic lobe lesion. MRI is recommended for further evaluation.3. No portal vein clot as clinically questioned.4. Finding suggestive of pancreatitis.5. Splenomegaly. |
Generate impression based on findings. | 38-year-old female with history of bilateral chronic mastoiditis status post right mastoidectomy in 7/2013 now with right ear pain and hearing loss. On the right side, the external auditory canal is patent. The tympanic membrane is thickened with myringotomy tube seen in stable position from prior examination with pneu... | 1.Disarticulation of the malleus and incus may represent dislocation.2.Right mastoid portion of temporal bone postsurgical changes without signs of adjacent lytic bone changes.3.Redemonstration of the bilateral middle ear near complete opacification and mastoid air cell opacification. Bony changes may be secondary to c... |
Generate impression based on findings. | Lymphoma CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Stable mildly enlarged mediastinal lymph nodesCHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Stable cholelithiasisSPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENA... | Interval decrease in size of right retroperitoneal hematoma. Otherwise stable exam without evidence for new adenopathy. |
Generate impression based on findings. | Female 60 years old; Reason: pt with melanoma History: melanoma r/o metastatic disease CHEST:LUNGS AND PLEURA: Left lower lobe mass measures 2 x 1.4 cm, previously 1.6 x 2.1 cm at image 73 of series 5. This lesion is approximately stable since the outside CT examination of 2/26/2013. MEDIASTINUM AND HILA: No significan... | 1. Solid lesion in the left lower lobe is stable since 2/26/2013.2. Stable hepatic hypodensities.1)Contrast extravasation description:Supervising radiologist: Vikram SobtiMinor or major extravasation: MinorContrast type:90 cc of Omnipaque 350 were administered. Amount extravasated: 10 ccLocation of extravasation: Right... |
Generate impression based on findings. | Reason: concern for ILD, hx of persistent pneumonia unresponsive to abx therapy and pulmonary nodules noted at OSH History: cough and dyspnea LUNGS AND PLEURA: Centrilobular emphysema. Basilar predominant reticular opacities with traction bronchiectasis. Evidence of honeycombing predominantly at the right lung base. Sc... | Basilar reticular opacities and traction bronchiectasis with evidence of honeycombing is compatible with a UIP pattern, connective tissue disease, or fibrotic NSIP. |
Generate impression based on findings. | Signs and Symptoms: nasal congestion, mucus drainage/PND, cough, nasal polyps on exam.Signs and Symptoms: nasal congestion, mucus drainage/PND, cough, nasal polyps on exam Nonenhanced head CT:Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white penetration Chin.No detectable ... | 1.Negative nonenhanced head CT.2.All paranasal sinuses, nasal passage, bilateral mastoid air cells and middle ear cavities are well visualized and unremarkable. |
Generate impression based on findings. | Clinical question:? Airway narrowing. Signs and symptoms: Goiter with tracheal deviation. Enhanced neck CT:The visualized intracranial contents are unremarkable.Unremarkable bilateral cavernous sinuses and images through the skull base.Unremarkable images through the nasopharynx and nasal passage.Unremarkable all visua... | 1.Enlarged and inhomogeneously enhancing calcific left thyroid lobe inferiorly projects approximately 12 mm below the manubrium of the sternum. Mass-effect and rightward deviation of trachea without significant lumen compromise similar to prior exam as detailed/measured above.2.The right lobe and the isthmus of the thy... |
Generate impression based on findings. | Colon carcinoma; question rectal vesicular fistula CHEST:LUNGS AND PLEURA: Interval increase in size of pleural-based nodular focus within the right lower lobe best seen on image 55 of series 4 now measuring 1 x 0.7 cm; this is in comparison to 0.8 x 0.3 cm on 1/22/2013MEDIASTINUM AND HILA: Right thyroid cystic focus.C... | No evidence for acute inflammatory process or fistulous communication involving the bladder.Interval increase in size of pleural-based nodular focus right lower lobe of the lung; would pay special attention to this focus on future surveillance scans. |
Generate impression based on findings. | Reason: Evaluate pulmonary nodules noted on Chest CT in May (recommendations were to f/u in 3 mos) History: Pulmonary nodules measuring up to 4 mm on last scan, Cirrhosis, LUNGS AND PLEURA: Reference left lower lobe pulmonary nodule (series 5, image 56) measures 4 mm, unchanged. Left upper lobe micronodule is unchanged... | 1.Stable pulmonary nodules. No follow up for these pulmonary nodules recommended beyond normal tumor surveillance for HCC.2.Cirrhosis with evidence of portal hypertension. |
Generate impression based on findings. | 58-year-old male with stage III melanoma. 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, gross acute hemorrhage, or abnormal contrast enhancement. The p... | 1.No evidence of intracranial metastases.2.No cervical lymphadenopathy. Stable subcentimeter soft tissue nodules in the posterior neck subcutaneous fat.3.Stable minimal nonspecific skin thickening and asymmetric enhancement overlying the left posterior mid parotid gland. Correlate with direct inspection and history of ... |
Generate impression based on findings. | Reason: s/p eval of RUL lung nodule and pancreatic mass History: f/u CHEST:LUNGS AND PLEURA: Volume loss in the right lung with elevation of the right hemidiaphragm.Stable right middle lobe atelectasis. Basilar scarring and/or discoid atelectasis.Small right middle lobe nodule ( image 155, series 6) is unchanged measur... | 1.Stable right middle lobe micronodule measuring 5 mm..2.Stable left adrenal nodule.3.Stable right middle lobe atelectasis. |
Generate impression based on findings. | Reason: Pt with recurrent HNC of submandibular. with h.o TeN3 Tonsil Ca s/p CRT; please re-eval s/p necl dissection History: as above CHEST:LUNGS AND PLEURA: Previously seen patchy basilar consolidation has nearly resolved, with residual atelectasis or scarring. This likely was from aspiration.No evidence of pulmonary ... | No evidence of metastases. Near complete resolution of prior basilar opacities most likely having been the result of aspiration. |
Generate impression based on findings. | 67-year-old male with history of bladder cancer, status post cystectomy with Indiana pouch. Evaluate for recurrence/metastatic disease. ABDOMEN:LUNG BASES: Interval resolution of left basilar atelectasis/consolidation. No pleural effusions.LIVER, BILIARY TRACT: No focal hepatic lesions. Cholelithiasis.SPLEEN: No signif... | 1. No specific findings to suggest recurrent or metastatic disease. 2. Postoperative changes as described above. 3. Nonspecific thickening of the mid left ureter. 4. Metallic catheter in the proximal left ureter. |
Generate impression based on findings. | Male 58 years old; Reason: stage III melanoma History: stage III melanoma CHEST:LUNGS AND PLEURA: Unchanged focal scarring in the right middle lobe. Unchanged pulmonary micronodules. No suspicious pulmonary masses or nodules. MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: The left axillary soft tissu... | 1. Decrease in size of left axillary soft tissue density. No other sites ofmetastatic disease identified. |
Generate impression based on findings. | Clinical CHEST:LUNGS AND PLEURA: Bilateral paramediastinal consolidation with traction bronchiectasis compatible with radiation change. Evidence of prior right upper lobe wedge resection. Increased nodular opacity along the suture line measures 20 x 18 mm (series 4, image 43), previously 18 x 14 mm. Increasing right lo... | 1.Increasing right upper lobe suture line nodular opacity, right lower lobe pulmonary nodule, and pleural effusion are suspicious for tumor. 2.Left pulmonary nodules have not significantly changed. 3.Stable right supraclavicular lymph node.4.Bilateral radiation changes. |
Generate impression based on findings. | Prostate and testicular carcinoma CHEST:LUNGS AND PLEURA: Stable micronodulesMEDIASTINUM AND HILA: Diffuse thickening of the esophageal wall again notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significa... | Stable examination |
Generate impression based on findings. | Male 75 years old; Reason: Please evaluate for source of gross hematuria History: Gross hematuria ABDOMEN:LUNGS BASES: Basilar atelectasis noted. No nodules detected.LIVER, BILIARY TRACT: Fatty infiltration noted in the liver. No enhancing lesions detected.SPLEEN: No significant abnormality noted.PANCREAS: No significa... | 1.Posterior bladder wall polypoid projections into lumen worrisome for mucosal mass lesion. 2. Marked prostatic hypertrophy. |
Generate impression based on findings. | 56 year old female with insulin producing pancreatic endocrine tumor, surveillance imaging. Please compare to prior. CHEST:LUNGS AND PLEURA: Reference right middle lobe nodule measures 4 mm (image 59, series 9), previously 4 mm. There is no significant change in additional pulmonary nodules and micronodules compared to... | 1. No significant change in size of peri-pancreatic mass.2. No significant change in size of index lymph nodes. |
Generate impression based on findings. | 69-year-old male with history of elevated white count and regional enteritis of small intestine with large intestine. Evaluate for leak. ABDOMEN:LUNG BASES: No pleural effusions or consolidation.LIVER, BILIARY TRACT: No focal hepatic lesions. No intra-or extrahepatic biliary ductal dilatation.SPLEEN: No significant abn... | 1. Findings consistent with a small bowel obstruction with transition point at the iliorectal anastomosis. They may be due to bowel edema at the operative site.2. Postoperative changes of colectomy and omentectomy.Findings discussed with the clinical service by Dr. Thomas. |
Generate impression based on findings. | 72-year-old female with inflammatory metastatic breast cancer on chemotherapy -- restaging. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Left anterior chest wall Port-A-Cath with tip of catheter in the superior vena cava. Right breast skin t... | 1. Diffuse scattered bony lesions, unchanged. 2. Biliary stent, unchanged in appearance. 3. Reference right hepatic lobe subcentimeter lesion, unchanged. 4. left adrenal nodule, unchanged. 5. No change. Left adnexal thickwalled cystic lesion. |
Generate impression based on findings. | Non-Hodgkin's lymphoma CHEST:LUNGS AND PLEURA: Stable biapical scarring. Interval appearance of multifocal right upper lobe airspace opacity and bronchiectatic changes; favor acute infectious/inflammatory process. Stable emphysema. Stable pleural thickening. Stable micronodules.MEDIASTINUM AND HILA: No significant abno... | Interval appearance of multifocal air space opacities and bronchiectatic changes involving the right upper lobe of the lung; favor acute inflammatory/infectious process, including opportunistic infection.No evidence for new adenopathy. |
Generate impression based on findings. | Male 39 years old; Reason: History bilateral testes cancer, NED on observation, rule out recurrence History: none CHEST:LUNGS AND PLEURA: No suspicious pulmonary lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedOTHER: ABDOMEN:LIVER, ... | 1.Stable exam without evident metastatic disease.2.Cholelithiasis. |
Generate impression based on findings. | Female 69 years old; Reason: Recently diagnosed NHL of left tonsil in need of initial staging. History: Recently diagnosed NHL of left tonsil CHEST:LUNGS AND PLEURA: No suspicious pulmonary lesions. The pleural spaces are clear. Central airways are patent.MEDIASTINUM AND HILA: Size is normal. No mediastinal lymphadenop... | 1.No enlarged lymph nodes in the chest, abdomen or pelvis by CT size criteria.2.Bilateral renal artery aneurysms.3.Colonic diverticulosis. |
Generate impression based on findings. | 87-year-old female history of AAA s/p EVAR with aortoiliac device, right common iliac occlusion device, left iliofemoral artery bypass, and left to right fem-fem bypass. ABDOMEN:LUNG BASES: Bibasilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No s... | 1. Patent abdominal aortic stent graft without evidence of an endoleak.2. Left renal artery appears to be covered by the aortic stent-graft.3. Patent left iliofemoral bypass and left to right femoral-femoral bypass graft.4. Occluded right common iliac artery consistent with history of right common iliac occlusion devic... |
Generate impression based on findings. | Clinical question:Patient is in halo after both ACDF and cervical laminectomy. Need to see if constructs are intact so halo brace may be removed. Signs and symptoms:Post op. need to remove halo brace but need to be sure fusion are stable Nonenhanced cervical CT:Examination is performed while patient in halo.Stable post... | 1.Interval fusion of C4 and C5 since prior exam which is best appreciated on sagittal reformatted images. Stable anterolisthesis since prior study.2.No evidence of fusion of C3 and C4 and stable minimal anterolisthesis.3.Minimal bony lucency surrounding the left sided C3 fixating screw similar to prior exam.4.Stable ov... |
Generate impression based on findings. | Reason: Eval for sarcoidosis History: SOB LUNGS AND PLEURA: No focal pulmonary consolidation or pleural effusion. No suspicious pulmonary nodules or masses. Minimal nodular pleural thickening.MEDIASTINUM AND HILA: Heart size is normal. No lymphadenopathy. Residual thymic tissue.CHEST WALL: No significant abnormality no... | No acute cardiopulmonary abnormality or evidence of sarcoidosis. |
Generate impression based on findings. | 66 year old female with history of right breast cancer status post mastectomy, new left upper lobe lung mass Reason: eval for PE History: abnormal V/Q scan, clinical suspicion for PE PULMONARY ARTERIES: Technically adequate exam.No pulmonary emboli.Main pulmonary artery is slightly dilated at 36 mm suggestive of pulmon... | 1. No acute pulmonary emboli. 2. Left upper lobe necrotic mass measuring 38 x 23 mm; differential diagnosis includes neoplasm (primary or secondary), abscess, atypical infection (fungal or mycobacterial etiology). Cavitating infarct is considered less likely given irregular margins.3. Moderately severe atherosclerotic ... |
Generate impression based on findings. | Loss of weight CHEST:LUNGS AND PLEURA: Right apical stellate opacity; favor parenchymal scar over neoplastic focusMEDIASTINUM AND HILA: Retrosternal lipomaCHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No sig... | Stellate opacity right lung apex; while a parenchymal scar is favored over neoplastic focus, would pay special attention to this focus on future surveillance scans.Minimal left upper pole renal collecting system prominence. Would suggest correlation with ultrasound during postvoid state for further characterization. |
Generate impression based on findings. | Female, 43 years old, headache. 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 si... | No acute intracranial abnormality. |
Generate impression based on findings. | Male, 35 years old, nasal congestion, nasal polyps, evaluate for chronic sinusitis. The frontal sinuses are cleared. The frontoethmoidal recesses and scattered ethmoid air cells are opacified. The left sphenoid sinus is large and partially septated with mild mucosal thickening. The right sphenoid sinus is small with mi... | 1. Mucosal inflammatory thickening as discussed above. It is possible that inflammatory polyps contribute to this appearance.2. Significant leftward nasal septal deviation. |
Generate impression based on findings. | 75-year-old male with history of bladder cancer. Evaluate for metastatic disease. Per EPIC chart review, patient is status post resection of the amorphous mass in the bladder dome. ABDOMEN:LUNG BASES: Bibasilar atelectasis/scaring is unchanged.LIVER, BILIARY TRACT: Again identified is a 9-mm hypoattenuating lesion in t... | 1. Postoperative changes of transurethral resection of amorphus mass in the bladder dome.2. No evidence of distant metastatic disease.3. Bilateral adrenal adenomas. |
Generate impression based on findings. | Male, 32 years old, nasal congestion and discharge. The frontal sinuses and frontoethmoidal recesses are clear. The sphenoid sinuses and sphenoethmoidal recesses are clear. The ethmoid air cells, anterior and posterior, are clear.Small areas of polypoid mucosal thickening are evident within both maxillary sinuses. Othe... | 1. Mild polypoid mucosal thickening within the maxillary sinuses. Otherwise, the paranasal sinuses are clear.2. Narrowing of the maxillary outflow pathway secondary to bilateral infraorbital air cells. |
Generate impression based on findings. | 21-year-old male with generalized pain and right flank pain. Please evaluate for dissection and source of abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted in liver, gallbladder, biliary tract.SPLEEN: No significant abnormality notedPANCREAS: No s... | 1. Normal arterial vascular system identified in the abdomen and pelvis. 2. No parenchymal abnormality seen in abdomen or pelvis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Diffuse abdominal pain The following observations are made given limitations of an unenhanced studyABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Tiny hypodense nodule in the liver probably represents a cyst but is too small to characterize.SPLEEN: No significant abnormality notedPANCREAS: No... | Equivocal segment of jejunum with mild bowel wall edema. Consider inflammatory or infectious etiologies.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | MVC. Nonenhanced head CT:No detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Minimal periventricular and subcortical low attenuation of white matter likely secondary to small vessel ischemic strokes of indeterminate age.Unremarkable cerebral cortex, cortical sulci, ventricula... | 1.No acute posttraumatic findings.2.Mild age indeterminate to small vessel ischemic strokes.3.Extra-axial left pterion dural based heavily calcified lesion measuring 9 x 13-mm which could represent a burned out meningioma or a heavily calcified dural calcification. |
Generate impression based on findings. | Trauma Nonenhanced head CT:No detectable acute intracranial process. Unremarkable cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation.Calvarium is unremarkable.Limited images through the orbits, paranasal sinuses and mastoid air cells are unremarkable.There is a focus of subgaleal ... | 1.Unremarkable intracranial content.2.Right parietal scalp/subgaleal small hemorrhage.3.Prominent and calcified adenoids. |
Generate impression based on findings. | Female 63 years old; Reason: Met Appendiceal Colon Cancer- Restaging History: none CHEST:LUNGS AND PLEURA: Pulmonary nodule in the left lower lobe adjacent to the left heartborder and is unchanged. No new nodules have developed. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial eff... | 1. Progression of the peritoneal carcinomatosis.2. Interval development of anterior abdominal wall nodularity, likely metastatic implants. |
Generate impression based on findings. | Clinical question: Mass lesion, intracranial hemorrhage. Signs and symptoms: New onset of seizure versus syncope. Unenhanced head CT:Examination demonstrates no evidence of acute intracranial process.Cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation remains withi... | No acute intracranial process. |
Generate impression based on findings. | 50 year-old male with history of bladder cancer now with hematuria and abdominal pain. Evaluate for abscess, also obtain delayed phase CT urogram for surveillance. ABDOMEN:LUNG BASES: Bibasilar atelectasis.LIVER, BILIARY TRACT: Perihepatic ascites. There is free intraperitoneal air anterior to liver. Liver, and retract... | 1. Ascites with free intraperitoneal air. There are no observed inflammatory changes within the abdomen to suggest a source of the free air. 2. Air within the right collecting system and the neobladder - with Foley catheter present, this may be due to recent instrumentation. 3. no evidence of recurrent or metastatic tu... |
Generate impression based on findings. | 51-year-old male with history of fatigue, shortness of breath and nausea. Recent weight loss, and history of pancreatic cancer with Whipple, pancreaticojejunostomy. CHEST:LUNGS AND PLEURA: Again seen are calcified pulmonary granulomas.MEDIASTINUM AND HILA: Small hiatal hernia. Coarse calcified right hilar lymph node.CH... | Pancreas post surgical findings and resolution of porta hepatis fluid collection. No radiographic evidence of disease recurrence or metastases. |
Generate impression based on findings. | ALS. G-tube with pain around site. Evaluate for infection or other anatomic abnormality. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Low density subcentimeter r... | No evidence of G-tube complication. Left adnexal cystic nodule; correlate with gynecologic ultrasound as clinical indicated |
Generate impression based on findings. | Reason: pe, left lower lung mass History: hypoxia, tachycardia PULMONARY ARTERIES: Technically adequate study. No evidence of pulmonary embolus. Pulmonary artery measures 35 mm, suggestive of pulmonary arterial hypertension.LUNGS AND PLEURA: Upper lobe predominant ground glass opacity left greater than right with mild ... | 1.No evidence of acute pulmonary embolus. 2.Upper lobe predominant ground glass opacity, interlobular septal thickening and pleural effusions compatible with pulmonary edema. Hemorrhage is a differential consideration.3.Left lower lobe pulmonary nodule is stable since 3/9/2012. Recommend follow-up CT in 18 months to as... |
Generate impression based on findings. | 20-year-old male with worst headache NONCONTRAST BRAIN:The cerebral and cerebellar hemispheres and the brain stem are normal in morphology and attenuation. Ventricular size is within normal limits. No CT evidence of acute territorial infarction or bleed. No abnormal extra axial fluid collections or mass.The calvaria an... | 1. No acute intracranial abnormality.2. Patent dural venous sinuses. |
Generate impression based on findings. | 38-year-old female Reason: eval for pe History: cp, sob PULMONARY ARTERIES: Technically adequate exam.No pulmonary emboli.Main pulmonary artery is normal in size, no evidence of right heart strain.LUNGS AND PLEURA: Calcified micronodule most compatible with prior granulomatous disease.No focal airspace opacities, pneum... | 1. No pulmonary emboli.2. Small sliding hiatal hernia. |
Generate impression based on findings. | Male 74 years old; ABDOMEN:LUNGS BASES: Please refer to CT chest for full characterization of the thorax.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: A soft tissue lesion abuts the superior margin of the left a... | 1.The soft tissue lesion seen previously on PET scan abuts the superior aspect of theleft adrenal gland. This most likely represents extension of the patient's knownmesothelioma.2. Please refer to CT chest for full characterization of thoracic findings. |
Generate impression based on findings. | Melanoma of the skin. CHEST: | Status post resection of mass in the right neck. Enlarging left pulmonary metastasis. New liver metastases. |
Generate impression based on findings. | 43 year old female. Status post right liver resection segment 7/8. Wedge resection of segment 3, and removal of lap band for metastatic colon cancer with persistent leukocytosis. Evaluate for fluid collection. ABDOMEN:LUNG BASES: Right basilar atelectasis/consolidation. Small right pleural effusion. Left basilar subseg... | Changes status post liver resections, with expected postoperative appearance with fluid collections adjacent to the surgical beds. While CT cannot characterize fluid, there is no associated evidence of inflammation/infection. |
Generate impression based on findings. | Male, 52 years old, metastatic/recurrent larynx cancer, on therapy. 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. Surgical change is redemonstrated consistent with laryngectomy and tracheostomy. The su... | 1. Stable postsurgical and posttreatment change in the neck. No evidence of recurrent tumor or pathologic adenopathy.2. No intracranial metastatic disease. |
Generate impression based on findings. | 68 year old female with AML, and neutropenic fever, rule out sinusitis. BRAIN:The cerebral and cerebellar hemispheres and the brain stem are normal in morphology and attenuation. Ventricular size is within normal limits. No CT evidence of acute territorial infarction or bleed. No abnormal extra axial fluid collections ... | 1. Partial persistent nonspecific opacification of the mastoid air cells and middle ears, as well as poor aeration of the fossae of Rosenmueller, with debris noted in the posterior nasopharynx. 2. No acute intracranial abnormality. |
Generate impression based on findings. | Clinical question: evaluate for bleed.Signs and Symptoms: seizures. Unenhanced head CT:No detectable intracranial process.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation.Unremarkable calvarium and soft tissues of the scalp.Unremarkable orbits, para... | No acute intracranial process. |
Generate impression based on findings. | Reason: SOB History: SOB LUNGS AND PLEURA: Upper lobe predominant traction bronchiectasis with reticular opacities and architectural distortion. Scattered nodular opacities in the upper lobes measuring up to 1 cm (series 4, image 28), unchanged. Mosaic attenuation predominantly in the lower lobes. No new focal pulmonar... | Upper lobe predominant fibrosis with scattered nodular opacities in conjunction with mediastinal lymphadenopathy compatible with sarcoidosis without interval change. No specific evidence of an acute cardiopulmonary abnormality. |
Generate impression based on findings. | 49-year-old female with dropping hemoglobin. Rule out retroperitoneal hematoma, bleed, or mass. 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: There is a nodular subcentimeter opacity within the right ... | 1. Large left retroperitoneal hematoma.2. Malpositioned left nephroureteral stent.3. Diffuse fatty infiltration of the liver. Ascites. 4. Nodular opacity within the right lower lobe may represent surrounding atelectatic changes. Correlate with previous imaging if available or follow up in several months after the post-... |
Generate impression based on findings. | Reason: metastatic/recurrent larynx ca, on therapy, eval for dz with measurements History: as above CHEST:LUNGS AND PLEURA: Left lower lobe metastasis enlarged to 25 x 20 mm image 77 series 5 previously 20 by 18 mm 6/14/2013.An additional nodule in the right lower lobe image 83 series 5 has also enlarged, visible in re... | 1. Enlarging pulmonary metastases, possible etiologies the patient's known laryngeal cancer or a left renal cancer.2. Enlarging left renal mass consistent with primary renal cancer. |
Generate impression based on findings. | Reason: Relapsed AML with neutropenic fever, r/o infiltrate History: Neutropenic fever LUNGS AND PLEURA: Apical scarring and basilar dependent opacities are unchanged.No specific evidence of infection.MEDIASTINUM AND HILA: Large heterogeneous thyroid mass with calcification unchanged to slightly larger.Calcified medias... | No evidence of infection. Stable thyroid mass probably a goiter, unchanged evidence of healed granulomatous disease. |
Generate impression based on findings. | Male, 47 years old, with headache, trigeminal neuralgia, evaluate for postop hemorrhage. Right retromastoid craniotomy has been performed with mesh repair. A small amount of hyperdense material is evident layering along the inner surface of the craniotomy, likely representing blood product and/or surgical change. This,... | Expected findings status post craniotomy. |
Generate impression based on findings. | Female, 36 years old, history of melanoma status post surgery and radiation. No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are intact. Note is made of a partly calcified oval circumscribed lesion within the subcut... | 1. Marked interval improvement in the appearance of previously seen extensive bilateral neck lymphadenopathy. This likely reflects surgical excision of the larger lesions and response to radiation therapy. Small deposits of residual pathologic adenopathy are evident bilaterally.2. No evidence of intracranial metastatic... |
Generate impression based on findings. | CLINICAL DATA: Age: 19 years. Sex : Female. Indication: Reason: N/V: DDX includes abd migraine, SMA syndrome, MALS, post infectious gastroparesis vs abd hiatal hernia History: ABD Pain N/V; Anorexia Pain Following Eating. Motion artifact from breathing slightly limits evaluation.LUNG BASES: No significant abnormality n... | Narrowing of the celiac artery at its origin with post stenotic artery dilatation compatible with median arcuate ligament compression. |
Generate impression based on findings. | Reason: lung transplant wait list per protocol History: SOB LUNGS AND PLEURA: Worsening interstitial fibrosis with increased honeycombing in the left upper and left lower lung zone, and posteriorly in the right lower lobe.Other characteristics include inter and intralobular interstitial opacities, traction bronchiectas... | Severe interstitial lung disease, UIP pattern, with worsening honeycombing compared to the prior study. |
Generate impression based on findings. | 70-year-old male. IABP now with concern for sepsis, please evaluate for bowel ischemia versus abscess. ABDOMEN:LUNG BASES: Moderate bilateral pleural effusions with compressive atelectasis. Patchy air space opacities in the bilateral lung bases, compatible with pulmonary edema. Cardiomegaly.LIVER, BILIARY TRACT: Perihe... | 1.Interval decrease in size and retraction of organizing hematoma in the mesentery.2.Evolving splenic infarction.3.Pleural effusions and pulmonary edema.4.Ascites and diffuse anasarca. |
Generate impression based on findings. | Clinical question: Evaluation of left thalamic mass. Signs and symptoms: As above. Unenhanced head CT: Heterogeneous density/necrotic left colonic mass measuring at least 51 times 41-mm in size measures minimally smaller than prior exam from 8 -- 13 however this is likely secondary to slice positioning. There is no evi... | 1.No convincing evidence of any change in a large heterogeneous/necrotic left thalamic mass, surrounding edema or overall associated mass effect.2.Stable enlarged left trigone and temporal horn of lateral ventricle since prior exam.3.Minute interval increase in the size of right lateral ventricle and stable positioning... |
Generate impression based on findings. | Male 70 years old; Reason: evaluate left upper pole renal lesion, ro metastasis History: hx of renal mass, prostate cancer ABDOMEN:LUNGS BASES: Calcified granuloma in the left lung base. No other nodule or mass detectedLIVER, BILIARY TRACT: Few too small to characterize lesions noted in the liver.SPLEEN: No significant... | 1.Exophytic enhancing lesion off the lower pole left kidney without delayed washout. Differential considerations include papillary or chromophobe type RCC. 2.Right adrenal nodule incompletely characterized on this examination. |
Generate impression based on findings. | Reason: meosthelioma, please evaluate for disease as baseline prior to starting treatment. please provide target lesions to follow History: mesothelioma LUNGS AND PLEURA: Left hemithorax volume loss. Circumferential left pleural nodular thickening, more extensive at the lung base.Reference measurements are as follows:1... | Circumferential nodular pleural thickening compatible with history of mesothelioma. Reference measurements as above. |
Generate impression based on findings. | Clinical question: VP shunt insertion. Signs and symptoms: Hydrocephalus. Nonenhanced head CT:See prior MRI exam from January of 2013 there is evidence of a right posterior temporal approach ventricular catheter/shunt placement. The catheter traverses the brain parenchyma, enters the trigone of right lateral ventricle ... | 1.Expected postoperative changes of right posterior temporal approach ventricular shunt as detailed.2.No convincing evidence of any change in the size of dilated supratentorial ventricles as detailed/measured above.3.No acute intracranial process. |
Generate impression based on findings. | 71-year-old female with history of osteomyelitis of coccyx status post treatment and purulent drainage, follow-up scan There is again a midline sacral decubitus ulcer which courses deep to the region of the coccyx and has significantly decreased in size with less air present, although small foci of air remains within t... | Sacral decubitus ulcer has decreased in size with osseous destruction appearing similar to the prior exam.Findings discussed with clinical service (Jennifer Steinbeck) at the time of this dictation. |
Generate impression based on findings. | CLINICAL DATA: Age: 39 years. Sex : Female. Indication: Reason: evaluate for pancreatitis, new fluid collection, other intraabdominal process History: new epigastric pain, diarrhea, nausea, vomiting, h/o chronic pancreatitis. This exam is limited due to lack of intravenous contrast. Furthermore, the oral contrast only ... | 1.Lack of intravenous contrast limits the evaluation of the pancreas, however no CT evidence of pancreatitis is seen.2.Anterior abdominal wall fluid collection with interval removal of surgical drain. Persistent foci of gas unchanged within this collection could be iatrogenic in nature, versus infection or due to enter... |
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