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Generate impression based on findings. | Metastatic colon cancer. CHEST:LUNGS AND PLEURA: Reference right upper lobe nodule adjacent to the major fissure measures is no longer measurable and essentially completely resolved. However, there are new nodules presumably representing metastases in both lungs which were not present previously. For reference purposes... | 1.Unchanged nonobstructing thrombus in the inferior vena cava. 2.Mixed response to multiple metastases with measurements given above. |
Generate impression based on findings. | 40-year-old female with generalized abdominal pain, fever, elevated lactic acid. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKID... | No diagnostic abnormality seen to account for patient's symptomatology. |
Generate impression based on findings. | 51 year-old male with neck pain, chest pain, shoulder pain. Status post esophageal dilation -- rule-out esophageal perforation or other acute process. CHEST:LUNGS AND PLEURA: No significant abnormality noted. No nodules, masses, infiltrates or effusions seen.MEDIASTINUM AND HILA: Collapsed esophageal appearance is simi... | 1. No evidence of esophageal abnormality or abnormal air or fluid to suggest esophageal or gastric injury. 2. Small abdominal ventral wall hernia, unchanged. 3. No other significant abnormality seen. |
Generate impression based on findings. | 52-year-old male. History of mesothelioma, peritoneal, status post resection on observation. Evaluate evidence of disease compare to previous CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are unchanged. No new suspicious pulmonary nodules or masses. No pleural effusion.MEDIASTINUM AND HILA: Cardiac size is n... | No evidence of disease in the chest, abdomen or pelvis. |
Generate impression based on findings. | 77 year-old woman with metastatic urothelial cancer. Evaluate for progression of disease. CHEST:LUNGS AND PLEURA: Emphysematous changes in both lungs, predominating at the apices. Small calcified nodules in the right middle lobe are unchanged compared to prior.MEDIASTINUM AND HILA: Prominent mediastinal lymph nodes, un... | Enlarging left external iliac/common femoral mass or lymph node. |
Generate impression based on findings. | Reason: history of fungal pneumonia with AML and remote transplant. Re-evaluate on therapy History: pulmonary aspergillosis follow-up LUNGS AND PLEURA: Previously seen foci of consolidation and bronchiolitis have significantly improved. The largest focus in the left upper lobe much smaller, although a second focus in t... | Interval improvement in multifocal pulmonary infection which is suspicious for fungal pneumonia, although not completely resolved. |
Generate impression based on findings. | 15-year-old male with history of osteosarcoma, status post resection and chemotherapy. Post therapy evaluation. LUNGS AND PLEURA: No suspicious pulmonary masses. No consolidations, pleural effusions. No pneumothorax.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediastinal or hilar lymphadenop... | No evidence of metastatic disease in the chest. |
Generate impression based on findings. | Clinical question: Recently diagnosed non-Hodgkin's lymphoma all of left tonsil in need of initiating staging. Signs and symptoms: Newly diagnosed non-Hodgkin's lymphoma of left tonsil. Nonenhanced neck CT:Examination is performed without intravenous contrast as was requested by clinical service. Lack of intravenous co... | 1.Slightly prominent left tonsil consistent with provided clinical data of lymphoma.2.Extensive bilateral cervical lymph nodes (right greater than left). The largest node on the right measures 15 x 8 x 21.5-mm and 16 x 10 x 27.8 millimeter on the left.3.Limited images of the intracranial space demonstrate finding suspe... |
Generate impression based on findings. | 71 year-old female with pancreas cancer, restage CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules. No dominant pulmonary nodules or masses. Basal subsegmental atelectasis/scarring.MEDIASTINUM AND HILA: No lymphadenopathy. Right thyroid nodule.CHEST WALL: Right chest wall Port-A-Cath tip in the SVC.ABDOMEN:LIVER... | Stable examination with measurements given above. |
Generate impression based on findings. | 75 year old male Reason: new cholangiocarcinoma, eval for mets/primary History: jaundice, abd pain, acholic stool LUNGS AND PLEURA: Right upper lobe nodule (image 42, series 5) measuring 6 x 8 mm with surrounding fibrotic reaction, suspicious for malignancy. Right lower lobe nodule (image 63, series 5) measures 11 x 11... | 1. Pulmonary nodules suspicious for metastases with largest measuring 11 x 11 mm.2. Lucent bone lesion in vertebral body of T6, suspicious for metastasis. 3. Liver lesions compatible with recent diagnosis of hilar adenocarcinoma. Given phase of contrast, additional metastatic lesions and vascular patency cannot be asse... |
Generate impression based on findings. | 28-year-old female with malignant neoplasm of tongue. Surveillance of SCC. CHEST:LUNGS AND PLEURA: Atelectasis left lung base. No significant nodules, masses, or effusions seen.MEDIASTINUM AND HILA: Tracheostomy tube unchanged in position and with expected appearance. No adenopathy or masses identified.CHEST WALL: Righ... | 1. Multiple lytic lesions scattered in the skeletal system, unchanged in appearance with no new lesions identified. 2. No other evidence of metastatic disease. |
Generate impression based on findings. | Clinical question: Evaluate change in right intracranial hemorrhage, midline shift. Signs and symptoms: As above. Nonenhanced head CT:Extensive residual patchy acute blood in the cavity of previously evacuated significantly larger hematoma is again identified. There is no convincing evidence of any new hemorrhage since... | 1.Interval decreased right hemispheric mass effect with resultant better visualization of the lateral ventricles and decreased in leftward midline shift from 8.6 to 4.9-mm on current exam. Decreased postoperative intracranial air.2.Interval decrease in postoperative air within the large surgical cavity with resultant d... |
Generate impression based on findings. | Reason: Lung cancer s/p chemo and resection. Needs re-evaluation and compare to prior scans. History: Lung cancer CHEST:LUNGS AND PLEURA: Status post right lower lobectomy. Apical scarring and bronchiectasis, unchanged. Interval resolution of left basilar groundglass opacity. No suspicious pulmonary nodules or masses. ... | 1.Increasing right hepatic lobe metastasis. 2.Stable skeletal lesion in T12. 3.New hypodense focus in the pancreas suspicious for metastasis. |
Generate impression based on findings. | 69 year old female. Follow-up of new right upper lobe pulmonary nodule. Non-small cell lung cancer. CHEST:LUNGS AND PLEURA: Centrilobular emphysema. Postsurgical changes again noted in the right hemithorax. Small right pleural effusion.The peripheral left upper lobe ground glass opacity measures 2.3 x 1.3 cm (image 23,... | 1.Interval decrease in size of pulmonary nodule in the anterior aspect of the right upper lobe.2.Small interval increase in size of right lower lobe ground glass pulmonary nodule.3.No evidence of metastatic disease in the abdomen or pelvis.4.Chronic left hydroureteronephrosis. |
Generate impression based on findings. | Female, 43 years old, gum/tooth avulsion. Evaluate the alveolus of the maxilla for fracture. Both central maxillary incisors are avulsed from the underlying maxillary alveolus. There is an associated fracture through the overlying maxillary bone. A small gap exists between the roots of the incisors and the underlying m... | Avulsion of the bilateral central maxillary incisors associated with fracture of the overlying maxillary bone. There is a gap on the order of 3 to 4 mm between the avulsed roots and the underlying maxillary bone. |
Generate impression based on findings. | Male, 18 years old, with severe headache status post MVC. 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 a... | No acute intracranial abnormality. |
Generate impression based on findings. | Reason: severe asthma History: sob,wheezing, coughing, chest tightness LUNGS AND PLEURA: Bilateral posterior paramediastinal opacity with areas of central sparing are suggestive of organizing pneumonia, possibly secondary to prior mediastinal radiation. Atelectasis or scarring in the anterior paramediastinal lungs.Diff... | 1. Paramediastinal opacities consistent with organizing pneumonia in a distribution most suggestive of prior mediastinal radiation therapy. Correlate with history.2. Diffuse moderate bronchial wall thickening with evidence of mucus plugging consistent with asthma.3. Small amount of pericardial fluid. |
Generate impression based on findings. | Reason: severe asthma History: sob, wheezing, chest tightness, cough LUNGS AND PLEURA: Right lower lobe punctate benign appearing pulmonary micronodules.No significant bronchial wall thickening, and no bronchiectasis present.MEDIASTINUM AND HILA: Residual thymic tissue is present.Calcified right hilar lymph nodes are t... | Healed granulomatous disease. Scoliosis. No significant abnormality. |
Generate impression based on findings. | Reason: 49 y/o with rectal cancer with infiltrates on CT scan. SUPER D PROTOCOL History: lung mass LUNGS AND PLEURA: Diffuse upper lobe predominant nodular opacities, some areas of which appear more consolidated and with a peribronchovascular distribution. For reference, a right upper lobe nodule measures 17 x 10 mm (s... | 1.Diffuse nodular pulmonary opacities with generalized hilar and mediastinal lymphadenopathy in a pattern more suggestive of sarcoidosis than metastatic disease.2.Multiple large heterogeneous hepatic lesions incompletely assessed and may represent sarcoidosis or metastases, suggest tissue diagnosis.. |
Generate impression based on findings. | Male 63 years old; Reason: hx aspergillus, kidney mass, elevated PSA History: none CHEST: LUNGS AND PLEURA: Thick-walled cavitary lesion with internal nodule in the right upper lobe measures 2.3 X 2.8 cm previously 3.1 x 2.7 cm (series 4 image 20) . Additional cavitary lesion in the right lower lobe has decreased in si... | 1.Slight decrease in size of the previously noted cavitary lesion compatible with aspergillomas.2.Progression of the tree in bud opacities with interval development of bilateral pleural effusions left greater than right3.Numerous complex renal lesions incompletely characterized on this CT. Dedicated renal CT or MRI cou... |
Generate impression based on findings. | 3 year-old male with history of facial mass, metastatic rhabdomyosarcoma status post 6 weeks of chemotherapy. LUNGS AND PLEURA: There has been interval decrease in size of the right upper lobe mass, which now measures approximately 0.5 x 0.4 cm in two dimensions (series 4, image 9), previously measuring 2.2 x 1.6 cm (s... | Interval decrease in size of multiple bilateral lung metastases as detailed. |
Generate impression based on findings. | 73-year-old female with nausea and vomiting and no ostomy output. Elevated white blood count and opacity on chest x-ray concerning for infection. Question of small bowel obstruction, pulmonary nodules, and pneumonia. CHEST:LUNGS AND PLEURA: Scattered, diffuse ground class opacities predominately in the right lung which... | 1.Small bowel obstruction without definite observed transition point.2. Non-specific pulmonary infiltrates suspicious for infection and aspiration.3. Subcutaneous emphysema surrounding the right internal jugular catheter which can be expected if recently inserted. |
Generate impression based on findings. | Clinical question: Rule out acute process. Signs and symptoms: Dizziness. Unenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter ... | 1.No acute intracranial process.2.Opacification of right posterior ethmoid sinus and unremarkable other partially visualized paranasal sinuses |
Generate impression based on findings. | 72-year-old male with history of urothelial and prostate cancer. Rule out metastatic or recurrent cancer. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Subcentimeter normal appearing mediastinal lymph nodes.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No sign... | No observed recurrence or metastatic disease. |
Generate impression based on findings. | Female, 58 years old, status post fall with 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 p... | No acute intracranial abnormalities. |
Generate impression based on findings. | Male, 57 years old, history of left basal ganglia hematoma, bradycardia to 44, evaluate for herniation. Redemonstration of a large left basal ganglia hematoma, stable in size and morphology. Also stable is the degree of surrounding edema and the approximately 11 mm of midline shift to the right. There is partial efface... | 1. No significant interval change in the size of a left basal ganglia hemorrhage with intraventricular extension, or of the associated mass effect.2. Interval mild increase in the caliber of the shunted right lateral ventricle. |
Generate impression based on findings. | Male 65 years old; Reason: Hx of Bladder Cancer s/p BCG. Eval for upper tract disease. History: See above ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Fatty infiltration of the liver is noted. Small cyst noted in segment 6. No enhancing mass detected. Patient status post cholecystectomySP... | 1.No evident metastatic disease detected. |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: CVA. Unenhanced head CT:Examination demonstrates a large hematoma in the left hemisphere measuring at least 50 times 79-mm in transaxial dimensions and 42-mm in craniocephalad dimensions. There is surrounding vasogenic edema. Significant mass-effect with resultant deviation o... | 1.Large acute left hemispheric hematoma measuring at least 79 x 50 x 41 mm in size with surrounding edema and with resultant 10.5-mm midline shift to the right.2.Collapsed shunted right lateral ventricle. |
Generate impression based on findings. | Reason: pt with lung ca off therapy > 6 months History: now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Left upper lobe/lingular scarlike opacity when measured similarly to the prior study on image 41 of series 4 has enlarged to 16 mm from 13 mm. It appears slightly larger on ... | Slight enlargement of the left upper lobe pulmonary lesion and prevascular soft tissue suggestive of necrotic tumor. |
Generate impression based on findings. | 52-year-old man with abdominal pain, nausea and vomiting. Prior resection of recurrent pelvic sarcoma with dense adhesions on 7/13. Evaluate for SBO ABDOMEN:LUNG BASES: No nodules, infiltrates or effusions. It should be noted that as this was limited to abdominal/pelvic examination, the area of the lungs that demonstra... | 1. Findings indicative of small bowel obstruction with transition zone in the right lower quadrant or pelvis. 2. Ascites -- new since 6/6/13. While there are many etiologies for ascites, and the presence of small bowel obstruction, if this relates to small bowel obstruction. It may indicate compromise to the bowel at s... |
Generate impression based on findings. | Male, 65 years old, status post tumor resection. Redemonstration of a recent left parietal temporal craniotomy. There is a thin layer of extra-axial fluid subjacent to the craniotomy, stable. A resection cavity involving the left frontal lobe and insula is redemonstrated containing amorphous blood product. The blood pr... | Expected evolution of acute postsurgical changes following resection of a left frontal/insular tumor. |
Generate impression based on findings. | Malignant neoplasm of upper lobe lung. Status post resection and adjuvant chemo. CHEST:LUNGS AND PLEURA: Left upper lobectomy. Part solid groundglass nodule in the left apex measures 12 x 9 mm (5/23), previously 10 x 9 mm. Left basal nodule difficult to assess due to motion but not conclusively changed (5/62) right mid... | Several pulmonary nodules with slight increase in size of a left lower lobe (apical) index lesion and a new or enlarging nonindex nodule in the right middle lobe, suspicious for indolent metastatic disease.. Stenosis of the celiac axis origin. |
Generate impression based on findings. | Lung cancer on Tarceva greater than one year. CHEST:LUNGS AND PLEURA: Left paramediastinal radiation fibrosis. Anterior left upper lobe paramediastinal reference lesion 2.7 x 1.3 cm, previously 2.8 x 1.3 cm, not significantly changed. Small left pleural fluid collection unchanged.MEDIASTINUM AND HILA: Small loculated p... | 1. Left upper lobe paramediastinal lesion not conclusively changed.2. Small left pleural and pericardial fluid collections stable in size.3. Stable mesenteric fat stranding.1. |
Generate impression based on findings. | Mesothelioma status post chemo and resection CHEST:LUNGS AND PLEURA: Right hemithorax volume loss, diaphragmatic graft and postsurgical changes noted. Residual pleural thickening or loculated fluid at the 7 o'clock position in the right costophrenic angle (3/71) slightly increased, 12-mm compared to 10-mm previously bu... | 1. Stable right hilar lymphadenopathy which was present previously given the benefit of retrospect but better seen on today's study.2. Nonspecific pleural thickening and fluid as detailed above; differences in appearance may reflect scan variability.3. Right paratracheal lymph nodes mildly enlarged, stable in size. |
Generate impression based on findings. | 29-year-old male. History of Hodgkin lymphoma and colitis. Status post 6 cycles of chemotherapy, need of end of treatment scans. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Small amount of thymic tissue with fatty involution, slightly more promi... | Lymphadenopathy in the abdomen and pelvis. Most of the lymph nodes are unchanged in size or slightly smaller, and one pelvic lymph node is slightly increased in size, as detailed above. |
Generate impression based on findings. | Reason: early stage lung cancer, s/p resection. Pls c/w previous study and evaluate dz status. History: lung ca LUNGS AND PLEURA: Status post right lower lobectomy. Left lower lobe calcified granuloma. No suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Stable nodular thyroid. Calcifie... | Postsurgical change with evidence of disease recurrence or metastasis. |
Generate impression based on findings. | 76 year old female Reason: pt with h/o thymoma, s/p chemo/rt h/o thyroid ca too History: doing so-so PS decreasing, ?? dementia needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Reference posterior right upper lobe nodule (image 36, series 6) measures 12 x 16 mm, unchanged, previous... | 1. Stable right upper lobe mixed solid and ground glass lesion, highly suspicious for primary lung adenocarcinoma.2. No evidence of local recurrence of thymic carcinoma. |
Generate impression based on findings. | 12-year-old female with history of neuroblastoma. Off therapy for 1.5 years. Assess for progression of disease. CHEST:LUNGS AND PLEURA: Reidentified are left supraclavicular surgical clips. No pulmonary masses, pleural effusions, or pneumothorax.MEDIASTINUM AND HILA: Heart is normal in size. No pericardial effusion. Re... | No evidence of metastatic or recurrent disease. |
Generate impression based on findings. | 60 year-old female with a history of a right lacunar infarct and nonruptured anterior communicating artery aneurysm status post craniotomy and aneurysm clipping 11/6/2012, surveillance imaging. CT head:No intracranial hemorrhage, mass lesion or edema is identified within the brain parenchyma. Normal gray-white matter d... | 1.The patient is status post clipping of an anterior communicating artery aneurysm. There is residual aneurysm anterior to and encompassing the anterior communicating artery. This residual aneurysm is stable from prior examination and measures 5 x 5 mm.2.Remote lacunar infarct along the posterior limb of the right inte... |
Generate impression based on findings. | Malignant neoplasm of the esophagus. Status post neoadjuvant chemotherapy and radiation. CHEST:LUNGS AND PLEURA: No pleural fluid or suspicious pulmonary nodules.MEDIASTINUM AND HILA: Chest port tip at the SVC. Coronary artery calcifications. Normal heart size. Small hiatal hernia.Interval resolution of previously seen... | Unchanged appearance of the distal thoracic esophagus. Interval resolution of mediastinal lymphadenopathy. No pulmonary or upper abdominal metastases. |
Generate impression based on findings. | Male 16 years old; Reason: Calculate Haller index for pectus excavatum History: severe pectus excavatum. The maximal transverse distance of the chest is 220 mm.the minimal AP distance of the chest is 26 mmthe Haller index is 8.6 | Severe Pectus excavatum. |
Generate impression based on findings. | Reason: s/p VATS RUL lobectomy for management of pT2aN0 History: s/p VATS RUL lobectomy for management of pT2aN0 LUNGS AND PLEURA: Status post right upper lobectomy. 4-mm right middle lobe ground glass nodule (series 5, image 38), unchanged. Right base nodule measures 7 mm (series 5, image 68), unchanged. No new suspic... | 1.Stable right middle and lower lobe pulmonary nodules. Recommend continued surveillance.2.Stable left hepatic lobe lesion and left adrenal gland nodular thickening. |
Generate impression based on findings. | Reason: RUL nodule. Compare to outside CT scan. SUPER D PROTOCOL History: lung mass LUNGS AND PLEURA: 27-mm right upper lobe lesion consistent with lung cancer,, adjacent to a right upper lobe anterior segmental branch bronchus. A small nodular focus is seen peripheral to this in the subpleural region, and there are sc... | 27-mm right upper lobe lesion consistent with lung cancer directly adjacent to a bronchus. |
Generate impression based on findings. | 72 year old undergoing preoperative evaluation prior to total shoulder arthroplasty. Additional history per EPIC: Patient has history of non-Hodgkin's lymphoma and endometrial carcinoma. Severe degenerative osteoarthritis affects the glenohumeral joint with bone on bone apposition, osteophyte formation, and subchondral... | 1. Severe degenerative arthritic changes involving the acromioclavicular and glenohumeral joints.2. Expansile lesion in the distal clavicle compatible with lymphoma of the bone.3. Findings compatible with a chronic rotator cuff tear. 4. Right lower lobe 7-mm pulmonary nodule. While this may represent pulmonary lymphoma... |
Generate impression based on findings. | Left lower lobe lung nodule CHEST: Exam detail degraded by respiratory motion artifact.LUNGS AND PLEURA: Innumerable pulmonary micronodules, random in distribution. Some are located along the interlobular septa while others are seen in association with terminal vascular branches. While most are solid, a few are ground ... | 1.. Enlarging left lower lobe nodule suspicious for malignancy. Recommend PET or tissue diagnosis.2. Ipsilateral interlobar and paraesophageal lymphadenopathy suspicious for nodal metastases.3. Numerous bilateral pulmonary nodules, suspicious for metastatic disease.4. Hypoattenuating nodule in the medial segment of lef... |
Generate impression based on findings. | Reason: lung cancer History: lung cancer LUNGS AND PLEURA: Status post left upper lobe wedge resection. Stable right lower lobe ground glass nodule measures 5 mm (series 4, image 51). No new suspicious pulmonary nodules or masses. No pleural effusionsMEDIASTINUM AND HILA: Minimal residual thymic tissue. No significant ... | No evidence of disease recurrence or metastasis. Probable atypical adenomatous hyperplasia in the right lower lobe, stable. |
Generate impression based on findings. | Reason: pt with h/o lung ca in 2001 s/p rt,chemo History: doing well now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Left hemithorax postsurgical changes. Severe centrilobular emphysema with more bullous changes at the left apex. Dystrophic calcification at the right apex with... | Dystrophic calcification in the right upper lobe with increasing soft tissue component and new left base pleural nodule are suspicious for tumor. Recommend PET for further evaluation. |
Generate impression based on findings. | Reason: Pt with suspicious lesion on previous CT. Negative biopsy, 3 month f/u History: None LUNGS AND PLEURA: Previously noted right upper lobe sub-solid nodular region diminished in extent.3 to 4-mm right lower lobe sub-solid nodule image 64 series 4 likely a focus of atypical adenomatous hyperplasia. Lobulated focal... | 1. Partial resolution of biopsied right upper lobe lesion, which should be followed in 6 months. 2. Stable right posterior basal lesion which could still represent lung cancer, and was intermediate on a recent PET, which should be followed in 6 months. 3. Small focal atypical adenomatous hyperplasia, no specific follow... |
Generate impression based on findings. | Male, 3 years old, history of rhabdomyosarcoma, status post 6 weeks chemotherapy. Neck:Since the prior examination, the previously seen right masticator space lesion shows decreased size and diminished enhancement. The margins are now ill-defined and thus accurate measurement is difficult. The largest transaxial dimens... | 1. Interval improvement in the large right masticator space tumor. The tumor is modestly smaller and shows diminished enhancement relative to the prior exam. Invasion into the right orbit is diminished as well.2. Gross intracranial tumor invasion through the floor of the middle cranial fossa seen on the prior examinati... |
Generate impression based on findings. | 36 year-old male kidney donor. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS: RIGHT KIDNEY:Maximal length: 11.2 cmCross Se... | Symmetric kidneys with patent renal vasculature. Measurements as described above. |
Generate impression based on findings. | T1 N2b BOT SCC status post cycle 5/5 TFHX on 7/12/13 CHEST:LUNGS AND PLEURA: Groundglass opacities with a lobular distribution and the suggestion of peripheral tree-in- bud opacities in the right lung are most consistent with aspiration bronchiolitis and pneumonitis. No suspicious pulmonary nodules.MEDIASTINUM AND HILA... | No signs of metastatic disease in the chest or upper abdomen. Right lung opacities consistent with aspiration bronchiolitis and pneumonitis. |
Generate impression based on findings. | Lung status post two cycles of chemo last on 7/29. CHEST:LUNGS AND PLEURA: Moderate centrilobular and paraseptal emphysema. Cavitary mass in the lateral segment of the right middle lobe extending to the diaphragm decreased in size, 4.4 x 3.5 cm (3/75), previously 5.9 x 5.6 cm.8-mm subpleural nodule right lower lobe unc... | 1. Decreased size of right middle lobe mass and subcarinal lymphadenopathy.2. New tumor extension cranially along the anterior tracheal wall. Small but abnormally enhancing lymph nodes in the left mediastinum and hilum highly suspicious for nodal metastases. Please refer to details in the body of the report.3. Stable r... |
Generate impression based on findings. | Clinical question: Patient fell and hit her face on concrete. Signs and symptoms: Mid forehead tenderness. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Calvarium and soft tissues of the scalp are unremarkable.Very extensive periventricular,... | 1.Unenhanced head CT demonstrates no acute intracranial or calvarial posttraumatic findings. Advanced age indeterminate small vessel ischemic strokes with slight interval worsening since prior study.2.Nonenhanced CT of cervical spine demonstrate no evidence of fracture or malalignment and no detectable perispinal soft ... |
Generate impression based on findings. | 65-year-old female with thymic carcinoma status post chemotherapy cycles. Compare to last CT. CHEST:LUNGS AND PLEURA: Very small anterior left upper lobe nodule (image 115, series 6) slightly increased in size measuring 4 mm, 3 mm previously. Measured 6 mm on 12/14/2012 exam. Additional nonspecific micronodules, unchan... | 1. Marked increase in size and number of metastatic hepatic lesions. 2. Stable lung nodules and metastatic bone lesions. |
Generate impression based on findings. | Clinical question: Rule out acute intracranial abnormalities. Signs and symptoms: Pneumatosis of lightheadedness and blurry vision. Nonenhanced head CT:Motion artifact degrades the quality of images. The study is diagnostic however subtle intracranial findings can be missed due to motion artifact.Within this limitation... | 1.Suboptimal exam due to motion artifact which could obscure subtle findings.2.No convincing evidence of intracranial abnormality within this limitation.3.Bony defect measuring approximately 13 mm in transverse axis of the floor of left orbit and with mild expansion of retro-orbital fat inferiorly through the defect. F... |
Generate impression based on findings. | History of neck cancer. Follow-up chemo/RT. CHEST:LUNGS AND PLEURA: Mild emphysema. Scattered solid and groundglass pulmonary nodules measuring up to 5 mm, unchanged in size and number. Interval resolution of aspiration bronchiolitis previously seen in the lower lobes. Focal septal thickening and nodularity at the righ... | 1. Slight increase in mediastinal lymphadenopathy consistent with nodal metastases.2. Interval clearing of bronchiolitis. The remaining nodules which were present previously are not appreciably changed.3. Localized septal thickening and septal nodules in the right lower lobe new from previous but more likely to be post... |
Generate impression based on findings. | Reason: 4 years s/p RUL lobectomy History: 4 years s/p RUL lobectomy and adjuvant chemotherapy LUNGS AND PLEURA: Centrilobular emphysema. Status post right upper lobectomy with right middle lobe scarring, unchanged. Left apical nodular opacity with central calcification is unchanged over multiple exams and likely repre... | 1.Stable pulmonary nodules/micronodules. 2.No evidence of metastatic disease. |
Generate impression based on findings. | Female 68 years old; Reason: met colon cancer restaging History: metastatic colon cancer restaging CHEST:LUNGS AND PLEURA: Noncalcified right lower lobe pulmonary nodule (image 64/series 4) and is unchanged. Calcified right lower lobe pulmonary nodule without change.MEDIASTINUM AND HILA: Heart size is normal. No perica... | 1.Near stable size measurements of the hepatic metastases and right body wall lesion.2.Nodularity of the sigmoid mesentery. |
Generate impression based on findings. | 39 year old female. History of metastatic breast cancer, restaging. CHEST:LUNGS AND PLEURA: Minimal bibasilar atelectasis. No suspicious pulmonary nodules or masses. MEDIASTINUM AND HILA: Cardiac size is normal. No pericardial effusion. No mediastinal or hilar lymphadenopathy.CHEST WALL: Right chest port with tip at th... | 1.Interval decrease in size of liver metastases.2.Stable appearance of osseous and splenic metastases.3.No evidence of new metastatic disease in the chest, abdomen or pelvis. |
Generate impression based on findings. | Male 5 months old; Reason: r/o vascular ring- anomalous origin of the innominate artery History: 5 mo M s/p anoxic brain injury. LUNGS AND PLEURA: Bilateral atelectasis with reduced lung volumes.MEDIASTINUM AND HILA: The brachiocephalic artery arises from the aortic arch to the left of the trachea and crosses from left... | 1.Anomalous origin of the brachiocephalic artery, which crosses from left to right anterior to the trachea. However, compression of the trachea cannot be evaluated since the patient is intubated.2.Bilateral atelectasis with reduced lung volumes. 3.Endotracheal tube tip overlies the right mainstem bronchus. |
Generate impression based on findings. | 54 year old female. Etiology of chronic abdominal pain, diarrhea, nausea, and vomiting, and patient with diagnosis of colitis from outside hospital ABDOMEN:LUNG BASES: Bibasilar subsegmental atelectasis.LIVER, BILIARY TRACT: Right hepatic lobe hypoattenuating lesion is incompletely characterized.SPLEEN: No significant ... | Rectosigmoid inflammation with possible mucosal lesions. Recommend follow up with colonoscopy for further evaluation. |
Generate impression based on findings. | Reason: lung cancer dx 2009, s/p resection, pls c/w previous study and evaluate dz status. History: lung ca CHEST:LUNGS AND PLEURA: Status post left upper lobectomy and right upper lobe wedge resection. Peripheral right upper lobe tubular branching opacity has been present over several examinations and is suggestive of... | 1.No evidence of disease recurrence or conclusive metastatic disease; bronchocele in the right middle lobe could be post-obstructive. Given the recent PET findings, if there is clinical concern for an endobronchial lesion, pulmonary consultation for possible bronchoscopy should be considered.2.Stable anterior mediastin... |
Generate impression based on findings. | 44-year-old male with history of ileal Crohn's disease. Status post ileocecectomy. Patient lost on follow up and presented with recurrent symptoms and inflammatory mass. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Chronic cholecystitis with contracted gallbladder containing gallstones. Mar... | 1. No signs of active inflammation involving the bowel. 2. Marked diffuse fatty infiltration of the liver.3. Chronic cholecystitis with cholelithiasis. |
Generate impression based on findings. | Preop evaluation for symptomatic recurrent right pleural effusion. History of metastatic breast cancer. LUNGS AND PLEURA: Moderate right pleural fluid collection which is largely loculated anteriorly. Pleural thickening is circumferential and mild. Localized lenticular, enhancing focus along the mediastinal pleural sur... | Moderate right pleural fluid collection is partially loculated anteriorly; the right chest tube tip is not in communication with the pleural fluid collection. Thickened enhancing pleura on the right may be post inflammatory or metastatic. Mediastinal and right hilar lymphadenopathy suspicious for nodal metastases. |
Generate impression based on findings. | 65 year old female with metastatic lung cancer, EGFR mutation. Had multiple rounds of chemotherapy. Please compare to outside CT to evaluate disease status. CHEST:LUNGS AND PLEURA: There is a spiculated mass within theright lower lobe measuring 3.7 x 3.9 cm (image 50, series 4), which appears approximately the same siz... | 1. Lung mass appears unchanged in size compared to the prior exam.2. New soft tissue density near the esophagus which likely represents metastatic disease.3. Larger reference right hilar lymph node and retroperitoneal lymph nodes. |
Generate impression based on findings. | 74-year-old male. History of JP drain on growing gram-positive cocci and clusters, fever, on antibiotics, no bowel movement since 8/1. Evaluate for abdominal or pelvic fluid collection. Also, evaluate for ileus or obstruction.History of cystectomy with ileal conduit. ABDOMEN:Lack of intravenous contrast limits evaluati... | 1.Ascites and anasarca without loculated fluid collection.2.Bilateral pleural effusions. |
Generate impression based on findings. | Male, 47 years old, history of tongue cancer status post chemotherapy. 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. Irregular, exophytic enhancing tissue seen on prior exams originating at the base of... | 1. Treatment related change in the neck with no evidence of progressive primary tumor or pathologic adenopathy. Specifically, the previously referenced asymmetric left tongue base lesion is no longer discretely measurable.2. No intracranial metastatic disease. |
Generate impression based on findings. | Reason: to further evaluate ILD History: dyspnea, tachypnea, hypoxia LUNGS AND PLEURA: Apical paraseptal emphysema. Very mild basal/subpleural ground-glass abnormality with microcystic changes, bronchial wall thickening and questionable peripheral traction bronchiectasis. No pleural effusion. Subpleural basilar opaciti... | 1.Subpleural and basilar groundglass abnormality with microcystic changes and traction bronchiectasis, and may represent atypical UIP or fibrotic NSIP.2.Pulmonary arterial hypertension.3.Mild to moderate mediastinal lymphadenopathy. |
Generate impression based on findings. | Female, 56 years old, history of supraglottic cancer, status post radiation and chemotherapy. Extensive supraglottic mucosal edema is redemonstrated involving the epiglottis, pre-glottic space, aryepiglottic folds and the false vocal cords. The true vocal cords are asymmetric in appearance. These findings are very simi... | 1. Diffuse supraglottic edema consistent with treatment related change, stable relative to the prior examination. No evidence of progressive primary tumor.2. Interval decrease in the size of several cervical lymph nodes. There are no longer any pathologically enlarged nodes. |
Generate impression based on findings. | Female, 12 years old, history of neuroblastoma, off therapy evaluation. Post surgical change is redemonstrated in the left supraclavicular fossa. No suspicious lesions are seen at this location.No evidence of pathologic adenopathy is seen in the neck. The aerodigestive mucosa is within normal limits. The salivary gland... | Stable exam with no evidence of recurrent disease in the neck. |
Generate impression based on findings. | Reason: evaluate changes in left putamen hemorrhage History: as above There is redemonstration and no change in size of a hematoma centered in the left basal ganglia currently measuring approximately 64 by 41 mm in axial dimensions and previously measuring the same. There is associated intraventricular blood and enlarg... | 1.Left basal ganglia hemorrhage associated with the midline shift and uncal herniation as well is dilation of the right lateral ventricle and compression of the left lateral ventricle this is stable when compared to the previous days exam. |
Generate impression based on findings. | Reason: s/p EVD placment, assess for blood History: s/p evd placment and bleed There is a redemonstration of a subarachnoid hemorrhage as well as ventriculomegaly and status stent-assisted post embolic coil occlusion of a right middle cerebral artery aneurysm.A ventriculostomy tube is in stable position coursing from t... | 1.Status post ventriculostomy tube placement and embolic coil occlusion of a right middle cerebral artery aneurysm.2.Redemonstration of diffuse subarachnoid hemorrhage and blood which remains stable when compared to the prior exam.3.Ventriculomegaly remains stable since the prior exam4.as is left-sided craniotomy. Ther... |
Generate impression based on findings. | Unexplained and increasing left lower quadrant pain. ABDOMEN:LUNG BASES: There is a 7.2 x 5.6 cm incompletely visualized mass at the right lung base (image 5; series 4). Primary bronchogenic carcinoma would be the diagnosis of exclusion and further evaluation with a dedicated chest CT is advised. Also noted is a 1.2 x ... | 1. Right lung mass with possible metastasis incompletely visualized on abdomen and pelvis CT. Dedicated chest CT is strongly advised. This finding will be communicated directly to Dr. Schwartz by telephone.2. Equivocal left lower quadrant colonic diverticulitis. |
Generate impression based on findings. | Reason: eval ventricular size History: eval ventricular size Redemonstration of postsurgical changes of a right hemispherectomy with marked right hemisphere encephalomalacia are not significantly changed compared to prior. Right volume loss with ex vacuo right midline shift is not significant change. There is contrast ... | 1.The size of the lateral ventricles, third ventricle and fourth ventricle appear stable when compared to the prior exam . A halo of hypodensity now surrounds the left lateral ventricle. This could represent some contrast which has a extended into the subependymoma tissues.2.There is extensive right-sided hemisphere en... |
Generate impression based on findings. | Reason: ventriculogram. Dye to be injected by NUS #4042 History: headaches; hydrocephalus Redemonstration of postsurgical changes of a right hemispherectomy with marked right hemisphere encephalomalacia are not significantly changed compared to prior. Right volume loss with ex vacuo right midline shift is not significa... | 1.New contrast in the left lateral ventricle and the third ventricle as described above. A small amount of new contrast also entered the right hemisphere high convexity where there are loculated cystic lesions.2.The size of the lateral ventricles, third ventricle and fourth ventricle appear stable when compared to the ... |
Generate impression based on findings. | Reason: s/p bolt and brain bleed History: s/p bolt and brain bleed There is redemonstration of a 36 x 83 mm axial dimension hematoma centered in the left centrum semi-ovale, basal ganglia and thalamus associated with intraventricular blood, midline shift and a ventriculostomy tube coursing through the right frontal lob... | 1.Interval enlargement of a left hemispheric hematoma now associated with intraventricular blood.2.Progression of midline shift.3.uncal herniation and transtentorial herniation as well as subfalcine herniation.4.Status post ventriculostomy tube placement. |
Generate impression based on findings. | Reason: bleeding artery History: left brain hemorrhage Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no significant s... | 1.CTA spot sign suggests high-risk for re-hemorrhage. This likely represents a pseudoaneurysm associated with the branch of the left opercular vessel.2.Left hemispheric hematoma associated with intraventricular extension and mild progression since the prior CT exam.3.3x4mm left pericallosal artery aneurysm4.status post... |
Generate impression based on findings. | Reason: R/O CVA, stenosis History: R sided weakness Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no significant sten... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease3.no evidence for acute intracranial hemorrhage mass effect or edema. 4.Examination is stable since prior exam |
Generate impression based on findings. | Reason: diplopia, weak L eye adduction (r/o brain stem stroke) History: weakness Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease3.metallic foreign objects in the preepiglottic space and hypopharynx are of unknown significance. Please correlate with clinical exam.4.Status post deep brain stimulator placement in the stimulators appear to be relatively stable position5.a... |
Generate impression based on findings. | Reason: eval nodule History: cough LUNGS AND PLEURA: Large right paramediastinal mass measuring 6.7 x 4.4 x 7.0 cm(AP x TR x CC; axial image 33 and coronal image 43). The right upper lobe bronchus is obliterated with complete post-obstructive atelectasis of the right upper lobe. The mass encases and severely narrows th... | Large right paramediastinal mass with post-obstructive atelectasis of the right upper lobe and compromise of several mediastinal structures as detailed above. Small cell carcinoma is favored. |
Generate impression based on findings. | 53-year-old male with duodenal hematomas. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Multiple bilateral renal... | 1. Stable appearance of high density collection around the distal duodenum and proximal jejunum. This may represent hematoma however extravasated oral contrast secondary to perforation from an underlying neoplasm cannot be excluded 2. Lesions within the second/third portion of the duodenum and possible intramural lesio... |
Generate impression based on findings. | Reason: 60 y.o M s/p bilateral adrenalectomy with new hypoxia and tachycardia, evaluate for PE History: hypoxia, tachycardia PULMONARY ARTERIES: Technically adequate exam. No pulmonary emboli. Main pulmonary artery normal in size. LUNGS AND PLEURA: Interval increase in bilateral upper lobe predominant groundglass opaci... | 1. No pulmonary embolus.2. Increased bilateral upper lobe ground glass opacities and micronodules favoring hypersensitivity reaction. 3. Bilateral adrenalectomy post-surgical changes including abdominal wall subcutaneous edema, pneumoperitoneum, and small adrenalectomy bed seromas/hematomas. 4. Mesenteric mass adjacent... |
Generate impression based on findings. | Female 63 years old; Reason: Cancer surveillance History: Cancer surveillance ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEY... | Unremarkable study. |
Generate impression based on findings. | Female 80 years old; Reason: metastatic breast cancer - evaluate response to treatment, compare with scan from 5/23/13 History: known lung mets CHEST:LUNGS AND PLEURA: Radiation fibrosis in the anterior left upper lobe. Lobulated nodulesin the right middle lobe have decreased in size and measures 2.0 x 1 cm previously ... | 1. Slight interval decrease in the size of the lung nodules as describedabove. Otherwise, no significant change from previous study. |
Generate impression based on findings. | Reason: metastatic breast CA to lungs. On hormonal therapy. Eval for changes. History: cough CHEST:LUNGS AND PLEURA: Centrilobular emphysema. Left upper lobe pulmonary nodule measures 12 x 8 (series 5, image 27), previously 9 x 8 mm. Right upper lobe pulmonary nodule measures 6 x 5 mm (series 5, image 32), previously 6... | 1. Stable to minimal increase in pulmonary nodules.2. Stable mediastinal adenopathy. |
Generate impression based on findings. | 38 year old female. Abdominal mass, left lower quadrant pain. Rule out acute process. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter right hepatic lobe, well circumscribed, hypoattenuating lesion is too small to characterize, but most likely represents cyst.SPLEEN: No significan... | Fibroid uterus and adnexal foci which is most likely physiologic. Otherwise, no findings to account for patient's symptoms. |
Generate impression based on findings. | 66 year-old female with bright red blood per rectum. Evaluate for diverticuli. In the absence of IV contrast evaluating solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: Stable left lower lobe granulomata.LIVER, BILIARY TRACT: The gallbladder is absent. The com... | 1. Diverticulosis without seen complication.2. Areas of angulation, dilatation, and wall thickening of the small bowel within the pelvis consistent with history of adhesions and radiation therapy without evidence of obstruction. |
Generate impression based on findings. | Reason: assess for thrombus/obstruction History: LUE swelling LUNGS AND PLEURA: 11-mm peripherally calcified apical nodule (series 6, image 48) unchanged from 2006. Adjacent left apical cystic lesion with debris may represent a bronchocele and is unchanged. Small pleural effusions have increased from the prior exam. Ba... | 1.Near occlusive thrombus in the brachiocephic vein along the course of the left internal jugular catheter. 2.Additional upper extremity veins and SVC are patent and without evidence of thrombus. 3.Increasing pericardial and pleural effusions. 4.Decreasing axillary, mediastinal, and upper abdominal lymphadenopathy. |
Generate impression based on findings. | Newly diagnosed therapy related A.M. L. would like baseline CT chest. History of squamous cell carcinoma of head and neck S./P. RT. LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No focal air space opacities or pleural fluid.MEDIASTINUM AND HILA: Coronary artery calcifications. Small hiatal hernia. Patulo... | No acute pulmonary abnormality or specifics signs of metastatic disease to the chest. |
Generate impression based on findings. | Male 41 years old; Reason: Met Colon Cancer - Restaging History: none CHEST:LUNGS AND PLEURA: Scattered micronodules are unchanged. No evident suspicious pulmonary nodulesMEDIASTINUM AND HILA: No enlarged mediastinal or hilar lymph nodesCHEST WALL: Right chest port with catheter tip in the superior vena cava.ABDOMEN:LI... | 1. Hepatic metastatic lesions are overall smaller.2. Stable reference portacaval lymph node3. No evidence of thoracic metastatic disease |
Generate impression based on findings. | Rule-out viral pneumonia seen on CXR. History of liver transplant. LUNGS AND PLEURA: Asymmetric moderate thickening of the interlobular septa, fissures and bronchial walls in the right lung. Moderate circumferential subpleural thickening and fluid in the periphery of the lung on the right with a small amount of loculat... | 1. Interval enlargement of the cardiothoracic ratio/left atrium with thickening of the interlobular septa, bronchial walls and probable subpleural pulmonary edema. Although septal thickening and consolidation and can be seen in CMV pneumonia, the typical findings of groundglass opacities, tree-in-bud opacities and cent... |
Generate impression based on findings. | 70 year old female. Abdominal pain and vomiting. Status post C-section. Evaluate for fluid collections. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant a... | Loculated, mixed gas and fluid collection in the pelvis inseparable from the anterior/inferior uterus. Uterine dehiscence or abscess cannot be excluded.Findings discussed with Dr. Romero (pager 9419) via phone at 9:10 a.m. on 8/15/13. |
Generate impression based on findings. | Male 56 years old; Reason: renal cell carcinoma History: surveillance Lack of intravenous contrast limits evaluation for lymphadenopathy, solid organ and bowel pathology.LUNG BASES: Reference para-aortic lymph node measures 1.2 x 0.8 cm, previously 1.2 x 0.8 (series 4 image 13). No nodule or mass detected. ALIVER, BILI... | 1. No specific findings of recurrent or metastatic disease with stable size of reference measurements provided above. |
Generate impression based on findings. | Reason: assess for PE History: doe, orthopnea, sob, +DD PULMONARY ARTERIES: Technically adequate exam. No evidence of pulmonary embolus.LUNGS AND PLEURA: Low lung volumes and dependent atelectasis. No focal pulmonary opacity or pleural effusion.MEDIASTINUM AND HILA: Heart size is borderline enlarged. No pericardial eff... | No evidence of pulmonary embolus or other acute cardiopulmonary abnormality. |
Generate impression based on findings. | 51 year old female. Patient with short gut syndrome, crampy abdominal pain, nausea, and vomiting, gas pattern on x-ray concerning for ileus. Further assess. ABDOMEN:LUNG BASES: Moderate right and small left pleural effusion with compressive atelectasis. LIVER, BILIARY TRACT: Cholecystectomy.SPLEEN: No significant abnor... | 1.New pleural effusions.2.Ileus pattern. |
Generate impression based on findings. | Purulent drainage around G-tube ABDOMEN:LUNG BASES: Resolution of small bilateral pleural effusionsLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abno... | Interval placement of gastrostomy tube. Gastrostomy tube balloon is within the overlying subcutaneous tissues; an extraluminal location is suspected. This finding is also associated with a tubular mixed contrast air focus within the subcutaneous tissues and abdominal wall adjacent to the gastrostomy tube. While this ma... |
Generate impression based on findings. | 58-year-old male with history of liver tumor CHEST:LUNGS AND PLEURA: Bilateral dependent atelectasis, unchanged.MEDIASTINUM AND HILA: Index retroperitoneal adenopathy is unchanged measuring 1.2 by 1.1-cm on image number 16, series number 3.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Cirrho... | Post ablation changes in the liver. The ablation defect extends from the location of the lesion in the central liver to all the way to the capsule.Interval development of mildly dilated thick loops of jejunal segments. Although this may be secondary to ascites and portal hypertension, ischemia cannot be excluded. Clini... |
Generate impression based on findings. | 52 year old, rule out acute hemorrhage. Sudden onset of emesis. BRAIN PARENCHYMA:No abnormal mass lesions, edema, or intra-axial 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. Visualized bony ... | 1.NO CT FINDINGS TO SUGGEST ACUTE INTRA- OR EXTRA-AXIAL HEMORRHAGE AS CLINICALLY QUERIED. |
Generate impression based on findings. | Reason: Head and neck cancer. 30 days post CRT evaluation. History: as above CHEST:LUNGS AND PLEURA: Stable biapical paraseptal emphysema. Right middle lobe subpleuralmicronodule is stable in size. Persistent scarring in the middle lobe, lingula and leftlower lobe.The pleural spaces remain clear. No new suspicious pulm... | 1. No evidence of pulmonary metastasis. No mediastinal or hilar lymphadenopathy.2. New ill-defined low density within the right hepatic lobe favoring that of fatty infiltration. 3. Multiple low density lesions in both kidneys compatible with cysts. Arising from the left lateral left cortex, an exophytic lesion likely r... |
Generate impression based on findings. | 11 year old with congenital musculoskeletal deformity of the spine, evaluate for tethering of the spinal cord. (The patient has a history of a vagal nerve stimulator, and a myelogram of the lumbar spine was requested. However no prior imaging of this lumbar spine was available for comparison and the patient's PTT was e... | 1. Left hemivertebra contributing to a severe scoliosis with associated degenerative change.2. Transitional anatomy at L4, L5, and S1 as detailed above.3. The termination of the conus is not reliably identified. |
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