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Generate impression based on findings. | Female 51 years old; Reason: 51 yr old patient with fallopian tube cancer s/p 6 cycle of IV and IP chemotherapy. eval disease process . baseline post treatment History: none CHEST:LUNGS AND PLEURA: Scattered micronodules noted. No evident mass detected.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: ... | 1.Marked interval improvement of the previously known peritoneal carcinomatosis. No evidence of recurrent or metastatic disease detected. Status post hysterectomy |
Generate impression based on findings. | 29-year-old male with history of pancreatitis and pulmonary nodule This study is limited due to lack of IV contrastCHEST:LUNGS AND PLEURA: There is a cavitary lesion in the right apex measuring 2-cm in diameter image number 19, series number 3. And others smaller cavitary lesion is also in the right upper lobe. These l... | Limited study due to lack of IV contrast. Multiple cavitary lesions in the right lung associated with surrounding inflammatory changes. Etiology can be tuberculosis or fungal infection.Left nephrolithiasis. |
Generate impression based on findings. | 35 year old female. Acute abdominal pain. Evaluate for bowel ischemia. History of sickle cell disease. CHEST:LUNGS AND PLEURA: Moderate to large bilateral pleural effusions with diffuse ground glass opacities compatible with edema, and basilar atelectasis.MEDIASTINUM AND HILA: Cardiac size is top normal. No pericardial... | 1.No evidence of bowel ischemia.2.Moderate to large bilateral pleural effusions, pulmonary edema and basilar atelectasis.3.Ascites and anasarca.4.Likely left internal jugular vein thrombus. |
Generate impression based on findings. | 85 year old Reason: History of lung cancer (and bladder ca), s/p lung wedge resection; assess for recurrence History: none CHEST:LUNGS AND PLEURA: Status post left upper lobe wedge resection with no change in scar like opacity.There is a new 3 mm nodule along right minor fissure which may represent an intrapulmonary ly... | 1. Stable post-surgical changes of left upper lobe. 2. No specific evidence of disease recurrence or metastatic disease. |
Generate impression based on findings. | 1.5 months after left thoracotomy extrapleural pneumonectomy for management of malignant pleural mesothelioma. CHEST:LUNGS AND PLEURA: Left pneumonectomy cavity filled with fluid. Thin circumferential rind along the fluid collection as expected without focal suspicious nodules. Loculations and debris noted at the base.... | 1. Postsurgical changes of left pneumonectomy. Leftward shift of the mediastinum causes significant extrinsic compression of the left atrium against the vertebral column.2. No signs of localized pleural tumor recurrence at the resection site however there is subtle increase in size of lymph nodes in the mediastinum and... |
Generate impression based on findings. | Mucinous appendiceal cancer ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Previously mentioned serosal implant near the caudate lobe is unchanged measuring 1.8 by 1.3-cm image number 13, series number 3.SPLEEN: Status post splenectomy. Splenule's are unchanged.PANCREAS: No significant abnorm... | No significant change from previous study. |
Generate impression based on findings. | 71 year old female. Renal cell cancer. Six month follow-up. CHEST:LUNGS AND PLEURA: Right lower lobe calcified granuloma. Left upper lobe ground glass nodule (image 30, series 5) is stable dating to November 2011. No new suspicious pulmonary nodules.MEDIASTINUM AND HILA: Multi-nodular goiter. Left thyroid nodule measur... | Status post right nephrectomy, without evidence of recurrent or metastatic disease in the chest, abdomen or pelvis. |
Generate impression based on findings. | 40 year old female. Evaluate abdomen and pelvis for bleeding/hematoma. Status post peritoneal dialysis catheter insertion and developed a large hematoma above the catheter site. ABDOMEN:LUNG BASES: Left basilar subsegmental atelectasis. Cardiac size is top normal. Small amount of pericardial fluid.LIVER, BILIARY TRACT:... | Large anterior abdominal wall hematomas about the peritoneal dialysis catheter as detailed above. |
Generate impression based on findings. | 21 year-old female with recurrent sinus infections; DNS; enlarged adenoids; h/o NHL s/p SCT and chemo in 2009. Evaluate for chronic sinusitis. The orbits and limited view of the brain parenchyma are unremarkable. Mild mucosal thickening and mucous retention cyst in the right maxillary sinus, decreased compared to prior... | 1.Minimal pan-sinus disease on the right, significantly improved compared to prior 2009 exam. 2.Nonspecific adenoid enlargement, progressed compared to prior exam. |
Generate impression based on findings. | Metastatic colon carcinoma CHEST:LUNGS AND PLEURA: Stable reference left upper lobe nodule best seen on image 29 series 5 measuring 8 mm in diameter. Stable reference right lower lobe nodule best seen on image 56 of series 5 with a diameter of 6 mm.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No si... | Interval decrease in size of segment 8 liver low attenuation focus; otherwise stable examination. |
Generate impression based on findings. | 58 year-old lady with history of inflammatory breast cancer needs restaging. CHEST:LUNGS AND PLEURA: Right apical fibrosis with traction bronchiectasis. Subpleural fibrosis in the anterior lung field consistent with post radiation changes. Scattered pulmonary micronodules appear similar in size and number.MEDIASTINUM A... | 1. Increasing lymphadenopathy in the right neck is incompletely visualized and may be correlated with dedicated soft tissue neck CT if clinically warranted.2. Unchanged pulmonary micronodules. 3. Enlarged left inferior pulmonary ligament lymph node in the mediastinum and index lesions in the axillae are not significant... |
Generate impression based on findings. | 54 year-old female with abdominal pain. Evaluate for malignancy to the pancreas. ABDOMEN:LUNG BASES: Post-radiation changes noted within the anterior aspect of the right middle lobe.LIVER, BILIARY TRACT: Hypodense lesion involving the right lobe liver measures 5.2 x 5.2 cm (image 28, series 3), previously 6.1 x 7 cm. I... | 1. Colitis involving the entire ascending colon and hepatic flexure not observed on the previous exam which may be due to ischemic, infectious, or inflammatory etiology. There is an area of poorly delineated mucosa near the hepatic flexure which may represent pneumatosis or focal perforation. Recommend follow up.2. Int... |
Generate impression based on findings. | Metastatic colon 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: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnorma... | Stable examination without acute or metastatic process. |
Generate impression based on findings. | Female 54 years old; Reason: eval for pancreatic process History: abdominal pain, nausea ABDOMEN:LUNGS BASES: Bibasilar atelectasis noted. No nodule or mass detected.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS:... | 1.No intra-abdominal pathology detected.Contrast extravasation description:Supervising radiologist: Rishi RamakrishnanMinor or major extravasation: MinorContrast type:120 cc of Omnipaque 350 were administered. Amount extravasated: 31 ccLocation of extravasation: Right Antecubital fossaSigns and symptoms: Stung a little... |
Generate impression based on findings. | Hobnail with history of prostate cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Diffuse extensive bone metastasesABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significan... | Diffuse extensive bone metastases |
Generate impression based on findings. | Stage III Wilms tumor 18 months off therapy. CHEST:LUNGS AND PLEURA: Left upper lobe micronodule (series 5 image 14/83) is unchanged. No new micronodules are identified.MEDIASTINUM AND HILA: The heart size is normal. The thymus is normal in appearance.CHEST WALL: A right thoracic curve is present, most likely positiona... | No evidence of disease recurrence or metastases. Unchanged gallbladder stone. |
Generate impression based on findings. | 73-year-old male with history of metastatic carcinoid tumor This study is limited due to lack of IV contrastABDOMEN:LUNG BASES: Focal groundglass opacity in the lung bases, new from previous study. An early pneumonia cannot be excluded.LIVER, BILIARY TRACT: Extensive biloba or metastatic disease. Index right hepatic le... | Interval increase in the size of the hepatic metastases and calcified mesentery mass and inguinal borderline enlarged lymph nodes. |
Generate impression based on findings. | 8-year-old male with history of neuroblastoma status-post chemotherapy, radiation therapy, stem cell transplant. One year off therapy evaluation. Redemonstration of left infratemporal fossa soft tissue mass measuring 0.9 x 1.4 x 1.9 cm (series 4 image 23), unchanged compared to prior. Underlying bony remodeling is unch... | 1.Stable left infratemporal fossa soft tissue and underlying bony remodeling.2.No paranasal sinus disease. |
Generate impression based on findings. | Reason: Lung cancer on treatment, please compare. Thanks. History: Lung ca CHEST:LUNGS AND PLEURA: Stable multiple pulmonary micronodules, some of which are partially calcified.Right upper lobe scar like opacity is stable in size with associated paraseptal emphysema.MEDIASTINUM AND HILA: Continued decreased size of the... | 1. Decreased size of right hilar soft tissue mass and mediastinal, right cardiophrenic lymphadenopathy.2. No new site of disease. |
Generate impression based on findings. | History of renal lesions and high-grade bladder cancer ABDOMEN:LUNG BASES: Bilateral moderate pleural effusions and cardiomegaly not significantly changed from previous study.LIVER, BILIARY TRACT: Splenomegaly and fluid density lesion along the right posterior liver surface is unchanged.SPLEEN: No significant abnormali... | Interval development of high density within the left mid cystic lesion. This likely represents interval hemorrhage, however, due to the ill-defined borders of this cystic lesion an enhancing component cannot be excluded. Follow-up imaging is recommended.Retroperitoneal adenopathy is stable and residual aneurysm sac at ... |
Generate impression based on findings. | Reason: 54 y/o with DM, HTN, HL, COPD presenting with SOB with LE doppler neg History: DOE PULMONARY ARTERIES: Limited opacification of the pulmonary arteries demonstrates no evidence of a central pulmonary embolus. There is no evidence of enlargement of the pulmonary artery.LUNGS AND PLEURA: No significant abnormality... | No evidence of a pulmonary embolus. No significant pulmonary or pleural abnormalities.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female, 48 years old, with partial right third nerve palsy and Horner's. Brain parenchymal morphology, attenuation and pattern of enhancement are within normal limits. No evidence of focal edema, mass effect or midline shift is seen. No abnormal extra-axial fluid collections are detected. The ventricular system is pate... | 1. No intracranial abnormalities to account for the patient's symptoms.2. On this nondedicated exam, no definite abnormalities of the orbital contents are seen. If further imaging evaluation is desired, and if the patient cannot receive MRI, a dedicated orbital CT could be considered. |
Generate impression based on findings. | Reason: mesothelioma History: mesothelioma s/p pleurectomy decortication CHEST:LUNGS AND PLEURA: Postsurgical changes with diaphragmatic mesh graft noted on the right. Loculated anterior hydropneumothorax, slightly decreased in size. Increasing basilar pleural and parenchymal nodularity. Reference basilar nodule measur... | 1.Increasing right pleural and parenchymal nodularity compatible with disease recurrence. 2.No evidence of metastatic disease. |
Generate impression based on findings. | Malignant poorly differentiated neuroendocrine carcinoma presenting with abdominal pain ABDOMEN:LUNG BASES: Moderate left-sided pleural effusion, slightly increased compared to previous study. Bilateral dependent atelectasis.LIVER, BILIARY TRACT: Previous described fluid collection near the wedge resection site is unch... | Large collection extending from the level of the diaphragm to the pelvis on the left side of the abdomen arising from the tail of the pancreas. Interval increase in the amount of left-sided pleural effusion. |
Generate impression based on findings. | Abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LY... | Probable fibroid uterus. Otherwise negative for acute, inflammatory, or neoplastic process. |
Generate impression based on findings. | 62-year-old female 4 years s/p post right lower lobectomy and right upper lobe wedge resection for squamous cell carcinoma. LUNGS AND PLEURA: Postsurgical changes in the right hemithorax with volume loss from right lower lobectomyBilateral basilar scarring and small right pleural effusion, unchanged. Radiation reaction... | 1. No specific evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Reason: Hx of IPF. Evaluation for clinical trial History: SOB, cough, hx of IPF. Pt being evaluated for clinical trial LUNGS AND PLEURA: Severe basilar predominant fibrosis with architectural distortion, traction bronchiectasis, honeycombing, compatible with UIP.MEDIASTINUM AND HILA: Stable mildly enlarged. Mediastinal... | No interval change in the pulmonary fibrosis compatible with UIP. |
Generate impression based on findings. | 73 year old female. Hodgkin's lymphoma, reevaluate. CHEST:LUNGS AND PLEURA: Stable granuloma in the left lung base. No new suspicious pulmonary nodules.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Cardiac size is normal. No pericardial effusion. Atherosclerotic calcification of the aorta.CHEST WALL: C... | No lymphadenopathy in the chest, abdomen or pelvis. |
Generate impression based on findings. | Reason: R upper lung calcification History: fevers. night sweats LUNGS AND PLEURA: Peri-calcified granulomas.No significant pulmonary or pleural abnormality.MEDIASTINUM AND HILA: Calcified hilar lymph nodes compatible with prior granulomatous disease.No hilar or mediastinal lymphadenopathy.Cardiac size is normal withou... | Evidence of previous granulomatous disease. No significant pulmonary or pleural abnormalities to account for the recently identified abnormality on the recent chest radiograph |
Generate impression based on findings. | Reason: Assess pleural effusion and atelectasis History: S/P PFO closure and pulmonary thrombectomy / Dyspnea / Pleural effusions LUNGS AND PLEURA: Increasing consolidation in the left upper lobe along the major fissure is suggestive of an infarct. Large bilateral pleural effusions, right greater than left, which obscu... | 1.Large bilateral pleural effusions, right greater than left, increasing from the prior exam. 2.Increasing left upper lobe peripheral opacity suggestive of an infarct. Probable obscured right basilar infarct.3.Small anterior mediastinal and pericardial hematoma. |
Generate impression based on findings. | 50 year old female with anal cancer. Staging after chemoRT. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Soft tissue density in the prevascular space thought to represent thymic tissue is unchanged from the prior exam.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY ... | No significant change from the prior exam. Stable reference pelvic lymph node. |
Generate impression based on findings. | Male 8 years old; Reason: history of neuroblastoma s/p chemotherapy, radiation, therapy, stem cell transplant History: 1 year post therapy evaluation. ABDOMEN:LUNG BASES: Stable pleural based bilateral nodules.LIVER, BILIARY TRACT: Liver exhibits normal profusion and morphology. No masses detected. No intra-or extrahep... | Stable bilateral pleural based nodules. No evidence of local recurrent tumor. |
Generate impression based on findings. | 64-year-old female with dyslipidemia. Evaluate for coronary artery disease. Calcium Score:LM: 0LAD: 133.4LCx: 22.5RCA: 1.1Total: 157, This represents the 45th percentile for this patients age and gender.Coronary arteries: LM: The left main coronary artery is short and arises normally from the left sinus of Valsalva. It... | 1. Multifocal triple vessel coronary artery disease, as above. 2. Total Calcium score was 157; 45th percentile for age and gender. |
Generate impression based on findings. | 66-year-old male with dyslipidemia. Evaluate for coronary artery disease. Calcium Score:LM: 2LAD: 133.5LCx: 55.8RCA: 77.9Total: 269.25, This represents the 79th percentile for this patients age and gender.Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and trifurcate... | 1. Multifocal triple vessel coronary artery disease, as described above. 2. Total Calcium score was 269; 79th percentile for age and gender. |
Generate impression based on findings. | Reason: eval for any processes that could explain neurological symptoms History: LE weakness The cervical vertebral bodies are appropriate in overall alignment and height. No fractures are identified in the cervical spine. There is a lytic focus present along the left posterolateral aspect of the C4 vertebral body adja... | 1.There is a lytic focus present within the C3 vertebral body which is a suspicious for metastatic disease.2.Multilevel degenerative changes present in the cervical spine with a multilevel neural foraminal encroachment, encroachment of some exiting nerve or its and some mild narrowing of the spinal canal. This would no... |
Generate impression based on findings. | Reason: infection/collection? History: large neck swelling There is a 33 x 22 mm axial dimension mass in the left lower neck which measures 42 x 33 mm coronal dimensions it is heterogeneous in appearance and measured similar dimensions on the prior exam there is an immediately adjacent to lesion measuring 16 x 16 mm ax... | 1.There is redemonstration of a mass in the left lower neck which is mildy enlared compared to the prior February exam. The left jugular vein is not identified in this location suggesting an association of the lesion with this lesion.2.Bilateral pleural effusions and air space disease probably related to pulmonary edem... |
Generate impression based on findings. | Male 68 years old; Reason: metastatic prostate cancer, evaluation of disease after 12 cycles of investigational therapy, History: metastatic prostate cancer, CHEST:LUNGS AND PLEURA: Bilateral calcific pleural plaquing. Mild subpleuralreticular changes. No pleural effusionsMEDIASTINUM AND HILA: No significant abnormalit... | 1.Thoracic vertebral body metastatic disease. |
Generate impression based on findings. | History of melanoma Limited study due to lack of IV contrastCHEST:LUNGS AND PLEURA: Bilateral pulmonary metastatic disease. Index lesion in the upper lobe measures one .by 2.2-cm on image number 30 mycoses number 5, not significantly changed from previous study. Other nodules are also either stable or minimally decreas... | Mixed response in the above-mentioned extensive metastatic reference lesions. Limited study due to lack of IV contrast. |
Generate impression based on findings. | Female 67 years old; Reason: sudden onset Sjogren's syndrome, ro lymphoma or other source of paraneoplastic syndrome History: sudden onset Sjogren's syndrome, ro lymphoma or other source of paraneoplastic syndrome CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality ... | 1.No evident mass or adenopathy detected. |
Generate impression based on findings. | Male 61 years old; Reason: cholangiocarcinoma restaging History: cholangiocarcinoma CHEST:LUNGS AND PLEURA: Extensive pulmonary metastatic disease. Right apical pulmonary nodule measures 0.6 x 0.5 cm (image 14/series 5) previously, 0.9 x 0.7 cm.Thickening of the interlobular septate which may be due to the malignancy o... | 1.Decrease in the size of the hepatic lesion.2.Pulmonary, retroperitoneal metastatic disease persists.3.New/increased osseous metastatic disease. |
Generate impression based on findings. | Post inflammatory pulmonary fibrosis. Dyspnea. LUNGS AND PLEURA: Mild peripheral and basilar subpleural reticulation and bronchiolectasis. Peribronchial groundglass opacity and bronchiectasis with subpleural groundglass opacity and consolidation in the lingula. For reference this region of focal consolidation measures ... | 1. Mild pulmonary fibrosis in a pattern atypical for UIP. The constellation of findings is suggestive of chronic hypersensitivity pneumonitis. 2. Several well-circumscribed subpleural lymph nodes or less likely nodules, too small to characterize. 3. 2.6-cm area of subpleural consolidation in the lingula may be postinfl... |
Generate impression based on findings. | Male 61 years old; Reason: CLL s/p chemotherapy, for reevaluation History: no symptoms CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Multiple small mediastinal lymph nodes.CHEST WALL: Increase in the size of the axillary lymph nodes. A left axillary lymph node measures 3.5 x 1.9 cm (imag... | 1.New lymphadenopathy in the chest, abdomen and pelvis. |
Generate impression based on findings. | History of metastatic bladder cancer CHEST:LUNGS AND PLEURA: Mild centrilobular emphysema, unchanged. Scattered micronodules are stable.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Small sclerotic foci in the vertebral bodies are unchanged.ABDOMEN:LIVER, BILIARY TRACT: Multiple hypodense liver les... | No significant change from previous study. |
Generate impression based on findings. | Malignant neoplasm of the esophagus on treatment CHEST:LUNGS AND PLEURA: Minimal centrilobular emphysema. Scattered, nonspecific pulmonary micronodules are unchanged from the prior study and may be post inflammatory. Right lower lobe paramediastinal fibrosis, suggestive of prior radiation therapy in this region..MEDIAS... | 1.Improved thickening of the distal esophagus consistent with given diagnosis of esophageal cancer. Thickening and irregularity of the gastric cardia and adjacent gastrohepatic ligament is suspicious for locally invasive tumor. 2. No evidence of nodal metastases or pulmonary metastatic disease.3. No hepatic metastases ... |
Generate impression based on findings. | 45-year-old male with history of cholangiocarcinoma CHEST:LUNGS AND PLEURA: Calcified granulomas are unchanged.MEDIASTINUM AND HILA: Prevascular adenopathy is not increased in size and measures 1.7 by 1.9-cm image number 31, series number 3. Previously it was measuring 1.4 x 1 cm image number 20 of series number 6.CHES... | Interval increase in the size of the prevascular adenopathy and ill-defined index lesion in the liver. Retroperitoneal adenopathy is stable. |
Generate impression based on findings. | Reason: Lung cancer s/p treatment - please compare to previous. Thanks. History: Lung ca CHEST:LUNGS AND PLEURA: Status post left pneumonectomy with left-sided mediastinal shift. Cystic lesions throughout the lung may represent centrilobular emphysema or lymphangiomyomatosis. Scattered punctate micronodules are stable.... | Stable postsurgical changes reflecting left pneumonectomy. Multiple micronodules unchanged. No suspicious pulmonary nodules.Cystic lesions throughout the right lung may reflect centrilobular emphysema or lymphangiomyomatosis. |
Generate impression based on findings. | Reason: 38Yrs male with a history of Lichenoid changes 2010 who now is here with T4AN2BM0 Oral Tongue SCC --> TPF --> TFHX 5/10/13 History: Stricture and stenosis of esophagusType II or unspecified type diabetes mellitus without mention of complication, not stated as uncontrolledMalignant neoplasm of tip and lateral bo... | 1.No evidence for neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy.2.There is some asymmetry in the appearance of the tongue right appears atrophic relative to the left. There is also some thickening along the posterior aspect of the tongue base adjacent to the midline which appears to be sligh... |
Generate impression based on findings. | 63 year old female. Left lower quadrant pain, tenderness, and fevers. 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, URETE... | No findings to account for patient's symptoms. |
Generate impression based on findings. | 59 year old male with cirrhosis Reason: hemoptysis, r/o mass History: hemoptysis LUNGS AND PLEURA: Right perihilar ill-defined soft tissue mass (image 65, series 80316) measuring 3.4 cm x 4.2 cm compressing the posterior bronchus intermedius, narrowing the proximal right middle lobe bronchus, and obliterating the right... | 1. Right perihilar ill-defined 3.4 cm x 4.2 cm soft tissue mass causing complete collapse of right lower lobe highly suspicious for primary lung cancer.2. Right hilar and subcarinal lymphadenopathy. 3. Findings reflective of portal hypertension. |
Generate impression based on findings. | Metastatic thyroid cancer on treatment CHEST:LUNGS AND PLEURA: Stable calcified nodule right lower lobe and calcified pleural / subpleural nodules bilaterally, distribution is most consistent with healed granulomatous disease. No new or suspicious nodules or masses.MEDIASTINUM AND HILA: Mild thickening of the distal es... | 1. No suspicious pulmonary nodules or lymphadenopathy.2. Mild thickening of the distal esophageal segment, nonspecific by CT, correlate for symptoms.3. Hepatic lesions not significantly changed.4. Skeletal metastases identified by MRI are not visible by CT. |
Generate impression based on findings. | Reason: COLON CANCER WITH LUNG METS. EVALUATE FOR INTERVAL GROWTH History: COLON CANCER LUNGS AND PLEURA: Multiple enlarging pulmonary nodules consistent with metastases. Previously referenced nodule in the left upper lobe abutting the aortic arch is enlarged, now measuring 1.4 x 1.2 cm (series 5 image 22), previously ... | 1. Multiple enlarging pulmonary metastases.2. Increasing supraclavicular lymphadenopathy. Although not well visualized, retroperitoneal lymphadenopathy also appears increased. Bilateral axillary and subpectoral lymphadenopathy stable in size.3. Decreasing intrahepatic fluid collections. The largest contains high densit... |
Generate impression based on findings. | 65 year old female with metastatic thyroid cancer on treatment. Evaluate for disease progression with measurements. 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 c... | 1.Postsurgical changes with stable nonspecific right paratracheal small enhancing focus in the thyroidectomy bed. 2.No cervical lymphadenopathy based on CT size criteria.3.No evidence of intracranial metastases.4.See separately dictated CT chest and upper abdomen performed on the same day. |
Generate impression based on findings. | Reason: 38Yrs male with a history of Lichenoid changes 2010 who now is here with T4AN2BM0 Oral Tongue SCC --> TPF --> TFHX 5/10/13 History: none CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are unchanged. No new suspicious pulmonary nodules or masses. No pleural effusions. Debris in the trachea at the level... | No evidence of metastatic disease or interval change. |
Generate impression based on findings. | Female 63 years old; Reason: NHL Restaging History: None CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediastinal lymphadenopathy.CHEST WALL: No axillary lymphadenopathy. Scarring in the right axilla. Small left thoracic inlet lymph nod... | 1.No lymphadenopathy in the chest, abdomen or pelvis. |
Generate impression based on findings. | Reason: pe w known upper extremity dvt History: tachypnea desat PULMONARY ARTERIES: Technically adequate exam. No evidence of pulmonary embolus. The left descending pulmonary artery terminates abruptly consistent with history of left lower lobectomy.LUNGS AND PLEURA: Small bilateral pleural effusions, right greater tha... | 1.No evidence of acute pulmonary embolus. 2.Persistent multifocal pulmonary consolidation and ground glass opacities consistent with multifocal pneumonia with a component of pulmonary edema in the setting of cardiomegaly and decreasing pleural effusions. 3.Nonspecific mediastinal lymphadenopathy. |
Generate impression based on findings. | Lung cancer metastatic to lung. Radiation pneumonitis. Cough and shortness of breath. CHEST:LUNGS AND PLEURA: Left lower lobectomy. Bilateral paramediastinal fibrosis consistent with radiation reaction. Multiple pulmonary nodules consistent with metastases, some of which are partially obscured by adjacent radiation cha... | Mixed response to with decrease in hilar lymphadenopathy and metastases within the radiation field. However, pulmonary nodules outside of the radiation field have enlarged. Signs of pulmonary hypertension. Effacement of the inferior vena cava is suspicious for dehydration/hypovolemia, Dr. Hoffman was text paged regardi... |
Generate impression based on findings. | 79-year-old male. Please evaluate right posterior mass with CT angiography of the chest and neck. Biopsy on mass performed two years ago identified lesion a benign hemangioma at outside hospital. Mass has been progressively growing for the last 15 years. LUNGS AND PLEURA: Moderate paraseptal emphysema. Loculated fluid ... | 1.Large heterogeneous, partially enhancing, necrotic mass with associated rib erosion and destruction, and involvement of the right scapula, sparing lateral neural foramina are of the thoracic spine. Due to foci of gas and osseous erosion we suspect there is superinfection and osteomyelitis of this previously diagnosed... |
Generate impression based on findings. | Reason: history of tongue cancer s/p excision with hemoptysis recently History: history of tongue cancer s/p excision with hemoptysis recently LUNGS AND PLEURA: No focal pulmonary opacity or pleural effusion. Minimal dependent atelectasis.MEDIASTINUM AND HILA: Nodular thyroid, unchanged. Heart size is borderline enlarg... | 1.Borderline cardiomegaly without an acute cardiopulmonary abnormality. 2.No evidence of metastatic disease. |
Generate impression based on findings. | Follicular lymphoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Interval increase in paravertebral adenopathy. A representative left paravertebral soft tissue focus is seen on image 24 series 3 now measures 4.2 x 1.3 cm; this is in comparison to 1 x 2.1 cm on 5/11/2013.New retrocrural ... | Interval increase in size of paravertebral intrathoracic, retrocrural, retroperitoneal, and pelvic/right inguinal adenopathy consistent with disease progression. |
Generate impression based on findings. | 2-year-old male with persistent oxygen requirement. Evaluate for bronchiectasis and chronic aspiration. Lack of intravenous contrast limits evaluation for lymphadenopathy and solid organ pathology. LUNGS AND PLEURA: Right upper lobe posterior segment and left lower lobe apical segment consolidation/atelectasis. There i... | Right upper lobe posterior segment and left lower lobe apical segment consolidation/atelectasis. There is diffuse mild bronchial wall thickening. |
Generate impression based on findings. | 44 year old female with pelvic pain. Evaluate for pelvic mass. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No ... | 1. Fibroid uterus with largest fibroid measuring 4.7 x 5.1 cm. 2. Nabothian cyst. |
Generate impression based on findings. | 53 year old female. T-cell lymphoblastic lymphoma and cardiac tamponade. Status post pericardiocentesis with acute chest pain radiating to back and hypertension. Rule out aortic dissection. CHEST:LUNGS AND PLEURA: Bibasilar atelectasis. An ill-defined, scarlike opacity in the right lower lobe (image 62, series 9).MEDIA... | 1.No evidence of aortic dissection.2.Equivocal left upper lobe subsegmental branch pulmonary artery embolus. The study is not optimized to evaluate for PE, we suggest lower extremity Dopplers for further evaluation.3.Interval decrease in size of anterior mediastinal mass. Findings discussed with Dr. Witt (pager 3584) v... |
Generate impression based on findings. | 64-year-old female with left upper quadrant abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No sign... | Unremarkable study. |
Generate impression based on findings. | Reason: right lung mass seen on chest CT History: none LUNGS AND PLEURA: 7.3 x 6.1 cm lobulated right lower lobe mass abutting the minor fissure (series 5, image 73). Multiple nodules are noted throughout the right lung:. 1.Reference nodule in the middle lobe measures 13 x 10 mm (series 5, image 79). 2.Reference nodule... | 1.Large lobulated mass in the right lower lobe consistent with bronchogenic carcinoma. Additional pulmonary nodules in the right lung compatible with metastatic disease. Multiple foci of pleural nodularity suggest tumor involvement.2.Right hilar adenopathy. |
Generate impression based on findings. | 24-year-old with traumatic injury, evaluate for hemorrhage. Head CT: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 b... | UNREMARKABLE HEAD CT AND CERVICAL SPINE CT. |
Generate impression based on findings. | Cause of ill-defined ground glass opacities. Any change? Dyspnea and chest discomfort. LUNGS AND PLEURA: Numerous poorly defined groundglass and semisolid pulmonary opacities, predominantly in the right lung. Allowing for differences in inflation between exams, there is no conclusive change in the size, density or numb... | Unchanged sub-solid pulmonary nodules and mild right interlobar region lymphadenopathy. Although the radiographic appearance favors alveolar sarcoidosis, histologic/pathologic diagnosis may be considered given lack of mediastinal lymphadenopathy as indolent multifocal adenocarcinoma may have a similar radiographic appe... |
Generate impression based on findings. | Reason: evaluate for signs of stroke or hemorrhage History: 6 months headache, intermittent left arm pain The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within th... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LY... | Normal study. |
Generate impression based on findings. | Reason: evaulate aortic root and ascending aortic aneurysm (4.8cm from 9/28/12) History: asymptomatic LUNGS AND PLEURA: Stable scattered nonspecific pulmonary micronodules, some of which are calcified. No new pulmonary nodules or pleural effusion.MEDIASTINUM AND HILA: Using similar measurement technique from the axial ... | Stable size of ascending thoracic aorta when using similar (non-orthogonal) technique. Orthogonal images demonstrate ascending thoracic aneurysm with maximal dimension equal to 4.6 by 4.7 cm at the mid descending thoracic aorta at the level of the main pulmonary artery. |
Generate impression based on findings. | History of recurrent UTI, left hydronephrosis noted on previous ultrasound ABDOMEN:LUNG BASES: Multiple subcentimeter nodules in the lung bases largest in the right lower lobe on image number 14, series number 4LIVER, BILIARY TRACT: CholelithiasisSPLEEN: No significant abnormality notedPANCREAS: No significant abnormal... | Cholelithiasis.Small amount of air in the bladder of uncertain etiology and significance. Chest CT is recommended for further evaluation of the multiple subcentimeter lung nodules in the lung bases.. |
Generate impression based on findings. | Left neck mass, odynophagia, weight loss. LUNGS AND PLEURA: Mild apical centrilobular and paraseptal emphysema. Scattered small 1-2 mm micronodules in the lung periphery, nonspecific. Within the right lower lobe posteriorly, ground glass and tree-in-bud opacities are identified, suggestive of a bronchiolitis pattern. T... | 1. Mild bronchiolitis pattern in the right lung which is most likely the result of prior aspiration, though not specific.2. Nonspecific micronodules without suspicious nodules or masses to suggest primary or metastatic neoplastic process.3. Small pericardial fluid collection.4. Calcified intrathoracic lymph nodes and s... |
Generate impression based on findings. | 14 year old with concern for left maxillary dental abscess. SOFT TISSUES: No CT findings to suggest enhancing fluid collection or dental abscess. Evaluation is limited by streak artifact from dental hardware.BONES: There are no acute fractures or osteomyelitis. Normal dentition.ORBITS:The globes are normal and symmetri... | 1.No evidence of enhancing fluid collections, dental abscess, or osteomyelitis. Normal dentition.2.Paranasal sinus disease, worse on the left than the right. Findings may account for patients symptoms. |
Generate impression based on findings. | Reason: please evaluate R posterior mass with CT angio chest and neck History: posterior mass 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 NA... | 1.There is any large mass present which involves the right upper rib cage eroding the bony structures of the right upper rib cage and adjacent pleura and lung cavity which extends into the superior mediastinum and appears to involve the right hilum there is extends through the rib cage underneath the right scapula. It ... |
Generate impression based on findings. | Male; 62 years old. Reason: r/o constriction History: volume overload, concern for constriction from hx of pericardial effusions LUNGS AND PLEURA: Moderate centrilobular emphysema. Linear atelectasis/scarring in the left base. Scattered calcified granulomas.MEDIASTINUM AND HILA: Heart and great vessels: Heart size is w... | 1. Mild focal pericardial thickening (up to 5mm) without pericardial calcification or pericardial effusion. 2. Small post-operative mediastinal hematoma, consistent with recent sternotomy for aortic root replacement. |
Generate impression based on findings. | 73-year-old male with history of chronic lymphoid leukemia CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Index right superior posterior are is a fatty lesion is significantly smaller and now measures 1.1 x 0.5-cm image number 14, series number 3. More inferior index lesion now measures 1... | Interval decrease in the size of the extensive adenopathy in the chest abdomen and pelvis as described above. Limited study due to lack of IV contrast. |
Generate impression based on findings. | Reason: evaluate evd History: ams 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 the right frontal lobe into the right lateral ... | 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.Status post left-sided craniotomy... |
Generate impression based on findings. | Male, 65 years old, history of thyroid cancer, evaluate for adenopathy, recurrence. Recent PET suggest possible lesion in the parotid. The patient is status post thyroidectomy. No suspicious enhancement or focal soft tissue is evident within the thyroidectomy bed to suggest residual or recurrent disease.No pathologic a... | 1. Postsurgical change consistent with thyroidectomy. No soft tissue mass or pathologic enhancement is seen in the surgical bed.2. A nodule within the left parotid gland has increased in size when compared to the prior MRI. This lesion is not associated with increased FDG uptake on recent PET scan. However, differentia... |
Generate impression based on findings. | Sarcoidosis. Lung transplant wait list. S.O.B. LUNGS AND PLEURA: Bilateral upper lobe volume loss, peribronchial and subpleural consolidation in the lung apices, with small foci of cystic bronchiectasis and early cavitation on the right. Small internal foci of calcification noted may represent dendriform ossification r... | Moderate intrathoracic lymphadenopathy minimally improved however nodular parenchymal sarcoidosis in the lungs has slightly progressed. In addition, hepatosplenomegaly is now evident with diffuse underlying hypoattenuating nodules most consistent with solid organ involvement by sarcoidosis. Chest wall and upper abdomin... |
Generate impression based on findings. | Thyroid cancer status post total thyroidectomy and treatment with I-131, TG elevated, negative I-131 whole body scan. LUNGS AND PLEURA: No suspicious pulmonary or endobronchial lesions. No pleural fluid.MEDIASTINUM AND HILA: The thyroid fossa is incompletely included within the scanning range. Surgical clip noted on th... | No evidence of parenchymal lung or mediastinal nodal metastases. A thin rind of enhancing paratracheal soft tissue is noted bilaterally which is indeterminate in appearance by CT. In addition, a small enhancing left paratracheal nodule is noted. The postsurgical thyroid bed is not adequately assessed by this examinatio... |
Generate impression based on findings. | 52-year-old female with left flank pain, acute kidney injury and nausea and vomiting. History of urothelial cancer with concern for pyelonephritis. Left ureteral stent with prior right nephrectomy. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Previously noted hepatic masses are not adequate... | Stable CT the abdomen and pelvis. No obvious complication of the nephrostomy and stent. However, noncontrast CT is inadequate for evaluation for pyelonephritis.Mesenteric, omental and peritoneal metastatic disease without change.Stable ascites. |
Generate impression based on findings. | 76-year-old female with shunted normal pressure hydrocephalus, evaluate ventricle sizes, also history of chronic subdural hematoma, patient experiencing memory difficulty and incontinence. Since the prior study, there has been interval increase in size of the patient's right subdural hematoma, however without hyperdens... | 1.There has been interval increase in size of the patient's right subdural hematoma, however without hyperdense products suggesting that although increased in size, the hemorrhagic event occurred during the 5-month interval between imaging studies and is not currently acute. 2.Results were discussed with Kelly Postma o... |
Generate impression based on findings. | 34 year old female with right-sided abdominal pain. Evaluate renal mass. Question of abscess. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholecystectomy clips.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality noted... | 1. No significant change in the renal mass since the prior exam. 2. Diverticulosis without seen complication. |
Generate impression based on findings. | Female 81 years old; Reason: r/o abd abscess or tumor. Pt has RUQ pain, unable to eat, loosing wt History: r/o abd abscess or tumor. Pt has RUQ pain, unable to eat, loosing wt ABDOMEN:LUNG BASES: Interval resolution of the small right-sided pleural effusion. Trace left pleural effusion with stable bibasilar atelectasis... | 1. Interval decrease in size of the peripancreatic fluid collections and presumed removal of the previously seen drainage catheter.2. Stable pneumobilia and ductal dilation. |
Generate impression based on findings. | Hypoplastic left heart syndrome. Cardiac Morphology:Left Ventricle: Left ventricular morphology is normal. Intraventricular septum is intact. The outflow tract of the left ventricle is supplied by the negative main pulmonary artery and native aorta.Right Ventricle: Right ventricle morphology is normal. The right ventri... | 1. Question of partial obstruction of SVC with collateral circulation towards the IVC development.2. Patent main and right pulmonary artery stents.3. Right aberrant subclavian artery.4. Right atrial dilatation. |
Generate impression based on findings. | Reason: 25yo AAF with CP, h/o renal txp in March 2013, previous RUE thrombus, completed coumadin therapy in July. Now w/facial and BUE swelling concern for central thrombus. Requesting venogram with contrast with SVC protocol. Renal txp aware of contrast load History: HA, nausea, facial swelling LUNGS AND PLEURA: No fo... | 1. Focal narrowing of the SVC at level of azygos vein with maximal transverse dimension of 4 mm in the coronal plane. Collateralization as above.2. Non-occlusive thrombus extending from the visualized left basilic vein extending to the mid-left subclavian vein. 3. No central venous thrombus. |
Generate impression based on findings. | 51-year-old male. Metastatic prostate cancer. Progression of disease. Rising liver function tests, nausea and vomiting. CHEST:LUNGS AND PLEURA: Scattered, mostly calcified subcentimeter nodules are unchanged. New groundglass and solid appearing nodule (elongated in the craniocaudal dimension) at the right lung base med... | Increasing bony metastases. New groundglass and solid appearing lesion medially at the right lung base; query prior radiation, correlate clinically. |
Generate impression based on findings. | Male, 47 years old, low back pain and neck pain. Cervical:Alignment of the vertebral bodies and facet complexes is anatomic. No fracture or dislocation seen. Post surgical changes redemonstrated status post anterior fusion of the C6 and C7 vertebral bodies with obliteration of the intervening joint space. No hardware c... | 1. Postsurgical change status post C6-7 anterior fusion without evidence of complication.2. Small disk osteophyte complexes are present in the cervical spine which cause no significant stenosis of the bony canal. 3. Scattered moderate foraminal narrowing in the cervical spine.4. Left paracentral protrusion/extrusion at... |
Generate impression based on findings. | 55-year-old male with fall with head injury. Assess for fracture. Moderate to large bifrontal scalp swelling and and subgaleal hematoma, greater on the right.The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorr... | 1.No evidence for cervical spine fracture2.Bifrontal, right greater than left, scalp edema and subgaleal hematoma with no underlying acute intracranial hemorrhage mass effect or edema.3.Multilevel degenerative changes of the cervical spine with spinal canal and neural foraminal narrowing greatest at C3-C4 where there i... |
Generate impression based on findings. | 20 year-old female with abdominal pain. Evaluate for appendicitis. 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:... | Proximal air filled appendix with possible enhancement and dilatation of the tip, cannot exclude tip appendicitis. As there are no other ancillary signs, recommend observation with possible follow up imaging depending on the clinical status. |
Generate impression based on findings. | 60 year old female. History of bladder cancer, status post ileal conduit now with lower abdominal pain. Evaluate for progression of malignancy. ABDOMEN: Evaluation of the solid visceral organs is limited due to lack of intravenous contrast.LUNG BASES: Left lower lobe calcified granuloma, unchanged.LIVER, BILIARY TRACT:... | Changes status post cystectomy with ileal conduit. No findings to account for patient's lower abdominal pain. |
Generate impression based on findings. | GE junction cancer restaging. CHEST:LUNGS AND PLEURA: Index left upper lobe nodule is smaller measuring 5-mm (image 66; series 5). Index right upper lobe nodule measures 8-mm in diameter (image 32; series 5), not significantly changed from previous study. Tree in bud opacities and bronchial wall thickening in the left ... | Overall no substantial interval change with reference measurements given above. |
Generate impression based on findings. | Female 66 years old; Reason: ERCP shows ampullary mass with prelim path consistent with adenocarcinoma. Needs pan CT for staging History: ampullary mass CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted. Calcified nodes noted in the mediastinum measuring 9mm... | 1.Ampullary mass with stent in the CBD and resultant pneumobilia. No vascular invasion or adenopathy detected. |
Generate impression based on findings. | 63 year old female. Diffuse abdominal pain. Assess for inflammation, colitis. History of multiple myeloma. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Punctate left hepatic lobe calcification, likely due to prior granulomatous disease.SPLEEN: No significant abnormality notedPANCREAS: Punct... | 1.Rectosigmoid diverticulitis.2.Possible calcified caval thrombus. |
Generate impression based on findings. | 67-year-old male with right upper quadrant pain. Mild elevated LFTs. Ultrasound showed mottled appearance of the liver. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There are numerous bilobar hypodense lesions with peripheral hyperattenuation. These lesions are not visualized on the CT of t... | Numerous hypodense lesions within the liver highly most compatible with diffuse hepatic metastatic disease. No other identified mass within the abdomen to suggest a primary. Discussed findings on the phone with Dr Tangri prior to dictation. |
Generate impression based on findings. | 63 year old male. Abdominal pain. Hepatitis C, malignant neoplasm of the liver. ABDOMEN:LUNG BASES: Calcified granuloma in the right hilum, and right lung base. Subsegmental bibasilar atelectasis.LIVER, BILIARY TRACT: Postoperative changes of right hepatectomy and cholecystectomy. Cirrhotic liver morphology. Reference ... | Multiple new satellite lesions, and interval increase in size of non-reference lesions, indicating progression of disease as detailed above. |
Generate impression based on findings. | Evaluate for stone The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnorm... | Nonobstructing left renal calculus without evidence of a ureteral stone or hydronephrosis. |
Generate impression based on findings. | 61-year-old male with history of hepatitis see and cirrhosis, now with back pain and hematuria. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: A cirrhotic morphology of the liver without change. Gallstones present within the gallbladder. Gallbladder wall cannot be assessed due to diffuse asci... | Cirrhosis with ascites. The appearance is little changed from the prior study.Gallstones in the gallbladder.Nephrolithiasis without hydronephrosis on the right. |
Generate impression based on findings. | Evaluate for inflammatory changes or mass. Abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No sign... | 1. Air in nondistended loops of small bowel which is an abnormal but nonspecific finding. Consider enteritis.2. Small ovarian varices; consider pelvic venous congestion syndrome in the correct clinical context. |
Generate impression based on findings. | 73-year-old male with chronic lymphocytic leukemia diagnosed in 2006, evaluate disease status on treatment regimen There has been interval decrease in extent and size of previously demonstrated multi-compartmental, cervical lymphadenopathy.For reference, the following measurements are provided:Left level 1 lymph node m... | 1.Interval decrease in the size of the extensive adenopathy in the neck soft tissues as described above. 2.Limited study due to lack of IV contrast. |
Generate impression based on findings. | 70 year old female. Abdominal tenderness. Evaluate for pancreatitis. ABDOMEN:LUNG BASES: Moderate left and small right pleural effusion with compressive atelectasis.LIVER, BILIARY TRACT: Percutaneous cholecystostomy tube is in place, unchanged. Mild dilatation of the common bile duct is unchanged.SPLEEN: No significant... | 1.Interval increase of peripancreatic inflammatory changes, scattered non organized peripancreatic fluid.2.Bilateral pleural effusions and atelectasis, unchanged.3.Cholecystostomy catheter, unchanged. |
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