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Generate impression based on findings. | 38 year old female. Abdominal pain, diarrhea. Rule out colitis, enteritis, diverticulitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormalit... | Sigmoid diverticulitis, with increased inflammation from prior exam, with lymphadenopathy. Underlying neoplasm cannot be excluded, follow up colonoscopy is recommended for further evaluation once patient condition has improved. |
Generate impression based on findings. | Reason: esoph ca, s/p chemo and RT and esophagectomy > 5 yrs ago. Pls c/w previous study and evaluate dz status. History: esoph ca CHEST:LUNGS AND PLEURA: Biapical scarring. 3-mm pulmonary nodule in the posterior segment of the right upper lobe is unchanged (series 4, image 30). No new suspicious pulmonary nodules or m... | No evidence of disease recurrence or metastasis. |
Generate impression based on findings. | 40 year-old male with bilateral lower quadrant tenderness and 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 evidence for bowel abnormality. No findings to explain patient's pain. |
Generate impression based on findings. | Evaluate for biliary tree pathology. CHEST:LUNGS AND PLEURA: A mild emphysematous changes. Nodular pleural thickening at the lung bases with scarring and/or edema. No definite pulmonary masses.MEDIASTINUM AND HILA: Diffuse mediastinal lymphadenopathy. A low right paratracheal lymph node measures 1.8 x 1.7 cm (image 25;... | Extensive adenopathy in the chest, abdomen, and pelvis; consider lymphoma. Cholelithiasis. Trace ascites. |
Generate impression based on findings. | 65-year-old female with urinary frequency and flank pain. Evaluate for kidney stone. In the absence of IV contrast limiting evaluation of the solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholecystectomy... | 1. No evidence of renal stone.2. Chronic small bowel obstruction.3. Distended bladder with diffuse wall thickening which may represent cystitis.4. Curvilinear metallic density associated with the posterior bladder wall which is presumably secondary to prior surgery. |
Generate impression based on findings. | Acute pancreatitis. Gallstone pancreatitis. Nausea vomiting. ABDOMEN:LUNG BASES: Minimal subsegmental atelectasis at both lung bases.LIVER, BILIARY TRACT: Cholelithiasis. No focal liver lesions.SPLEEN: No significant abnormality notedPANCREAS: Pancreas appears mildly enlarged, hypodense with surrounding inflammation co... | Acute pancreatitis. Cholelithiasis. Chronic left hydronephrosis. |
Generate impression based on findings. | Male 50 years old; Reason: h/o HNC, s/p CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Resolution of the patchy airspace opacity in the right upper lobe. The pleural spaces remain clear. The central airways are patent.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion.... | 1.Postoperative changes from median sternotomy and resection of the soft tissue.2.Resolution of the post inflammatory/infectious ground glass opacity in the right upper lobe3.Small stable mediastinal and retroperitoneal nodes. |
Generate impression based on findings. | Female, 77 years old, with shortness of breath. Evaluate for sinusitis. Hyperostosis frontalis is noted. Bulky osteophyte formation is demonstrated at the atlantoaxial junction. Marked hypertrophic change along with dystrophic calcification formation is demonstrated at the left temporomandibular joint. Empty sella is a... | Mild opacification of the left aerated sphenoid wing. Otherwise, the paranasal sinuses are well pneumatized. |
Generate impression based on findings. | Reason: s/p lung mass History: lung mass LUNGS AND PLEURA: Mild centrilobular/paraseptal emphysema. Smoothly marginated mass in the anterior segment of the right upper lobe measures 39 x 32 mm (series 5, image 49), unchanged. No additional pulmonary nodules or masses. No focal air space opacity or pleural effusion. MED... | Smoothly marginated right upper lobe mass with internal calcification is unchanged in size and compatible with a benign etiology, such as hamartoma. Recent percutaneous biopsy favors benign etiology. |
Generate impression based on findings. | 60 year-old male with history of rectal adenocarcinoma. Please evaluate for recurrence/standard surveillance. ABDOMEN:LUNG BASES: Numerous bilateral granulomata unchanged from prior exam.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality no... | No evidence of recurrence or metastatic disease. |
Generate impression based on findings. | 64-year-old male. Follow-up prostate cancer. ABDOMEN:LUNG BASES: Right lower lobe pulmonary nodule is unchanged. Cardiac size is top normal, unchanged. Gynecomastia.LIVER, BILIARY TRACT: Numerous fluid attenuating hepatic lesions, compatible with cysts are unchanged in size and distribution. The portal and hepatic vein... | Interval increase in size of reference aortocaval lymph node. Single new sclerotic focus in the T12 vertebral body, presumably representing osseous prostate metastasis. |
Generate impression based on findings. | Stage IV gastric cancer. Provide measurements. CHEST:LUNGS AND PLEURA: There are multiple stable pulmonary lesions. Reference right middle lobe lesion measures 5-mm (image 51; series 4), unchanged. New bilateral pleural effusions.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediastinal lympha... | Pulmonary lesions are stable. Several liver lesions have remained stable while at least one smaller lesion has enlarged slightly. Adenopathy is stable. Measurements are given above. |
Generate impression based on findings. | 50 year old male with history of head and neck cancer, status post chemoradiation therapy, compare to previous and provide measurements. Redemonstrated are post therapeutic changes including soft tissue effacement of the neck fat planes, similar to the prior examination. Minimal asymmetric enhancement of the left tongu... | Posttreatment changes in the neck with no evidence of recurrent tumor or pathologic lymphadenopathy. |
Generate impression based on findings. | 60-year-old male. History of metastatic renal cell cancer. Restaging scan. Status post 10 cycles of oral tyrosine kinase inhibitor therapy. Compared to previous. CHEST:LUNGS AND PLEURA: Multiple bilateral ill-defined pulmonary nodules, some of which have cystic/cavitary component appearing increased in size compared to... | 1.Interval increase in size of ill-defined pulmonary nodules. 2.Slight interval increase in size of left renal mass. 3.Lymphadenopathy, hepatic and osseous metastatic disease is not significantly changed.4.Bowel wall edema involving the duodenum and jejunum. This is non-specific but may occur with infection or radiatio... |
Generate impression based on findings. | Reason: hx H\T\N ca, sp CRT, evaluate dx and compare measurements to previous scans History: as above CHEST:LUNGS AND PLEURA: Mild biapical pleural thickening. Scattered pulmonary micronodules are unchanged. No new suspicious pulmonary nodules or masses. Mild basilar atelectasis. MEDIASTINUM AND HILA: Heart size is nor... | No evidence of metastatic disease in the chest or abdomen. |
Generate impression based on findings. | Reason: lung ca, s/p wedge resection and pls c/w previous study and evaluate dz status History: lung ca LUNGS AND PLEURA: Status post right lower lobe wedge resection with adjacent band-like atelectasis. Scarlike opacity in the subpleural right middle lobe is unchanged dating back to 9/9/11. No new suspicious lung nodu... | 1. No evidence of metastatic disease.2. Bilateral nodular densities throughout both breasts, previously documented to represent cysts on ultrasound 10/30/12. Continued surveillance with mammography and physical examination is recommended. |
Generate impression based on findings. | 70 year-old male with dysuria and hematuria. History of bladder cancer, evaluate for metastases. CHEST:LUNGS AND PLEURA: There is a spiculated pulmonary nodule within the right upper lobe measuring 1.0 x 0.7 cm (image 44, series 9). There is a pulmonary micronodule within the right lower lobe. MEDIASTINUM AND HILA: The... | 1. Spiculate right upper lobe pulmonary nodule. Primary bronchogenic carcinoma is favored over a metastatic lesion. Comparison with prior CT of the chest if available would be helpful.2. Right lobe hepatic lesion favors a hemangioma, however special attention should be paid on follow up imaging.3. Severe atheroscleroti... |
Generate impression based on findings. | Reason: pt with lung ca s/p resection History: now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Status post right upper lobectomy. Bilateral solid and ground glass pulmonary nodules/micronodules are not significantly changed. No new suspicious pulmonary nodules or masses. No fo... | 1.New left adrenal nodule compatible with metastatic disease.2.Stable scattered pulmonary nodules/micronodules.3.Postsurgical and radiation changes in the right lung with new pericardial effusion. |
Generate impression based on findings. | 51 year old female. Evaluation of free air under the diaphragm in setting of gastric outlet obstruction due to peptic ulcer disease, comparison study. Abdominal pain and nausea. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Focal fat or vascular variant in the medial segment of the left lobe... | Marked pneumoperitoneum appearing unchanged from prior exam. Interval decrease in gallbladder wall thickening, with persistent enhancing gallbladder mucosa. |
Generate impression based on findings. | Reason: retrosternal mediastinal mass History: seen on ct LUNGS AND PLEURA: Normal right lung transplant without significant abnormalities.Considerable hyperexpansion of the native left lung secondary to severe emphysema.No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Large heterogeneous left lobe of th... | 1.Superior mediastinal mass compatible with a thymoma. The differential diagnosis would also include ectopic thyroid, germ cell neoplasm, and lymphoma.2.Multiple hepatic hypodensities incompletely evaluated without intravenous contrast. |
Generate impression based on findings. | Male 40 years old; Reason: urethrocutaneous fistula? History: fistula tract ABDOMEN: Streak artifact from the spinal rods limit evaluation.LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Arterial enhancing lesion which does not washout is noted in the lateral segment left lobe of the liver.SPLEEN: S... | 1.No definite urethral injury noted, although limited2.Enhancing left hepatic mass lesion. This is nonspecific although focal nodular hyperplasia is favored.3.Extensive neuropathic changes as above |
Generate impression based on findings. | 55 year old female. Decreasing hemoglobin, evaluate for retroperitoneal bleed. ABDOMEN: Evaluation of visceral organs is limited due to lack of intervenous contrast.LUNG BASES: Bibasilar atelectasis. Small bilateral pleural effusions/pleural thickening. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No s... | No evidence of retroperitoneal hemorrhage. |
Generate impression based on findings. | 83-year-old male with history of colon cancer. Surveillance scan. CHEST:LUNGS AND PLEURA: Mild scattered pulmonary scarring and bullae.MEDIASTINUM AND HILA: No significant change in mediastinal adenopathy since the prior exam. Reference pretracheal lymph node measures 1.5 x 0.9 cm (image 42, series 3), previously 1.5 x... | 1. No significant change from prior exam. No significant change in soft tissue density at the resection site identified on the prior exam. 2. Stable mediastinal adenopathy. |
Generate impression based on findings. | Reason: pt with lung ca History: now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Right lung volume loss and postsurgical changes in the right upper lobe unchanged.No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy.Cardiac si... | Post surgical changes in the right upper lobe without evidence of recurrent or metastatic disease. |
Generate impression based on findings. | History of bladder cancer CHEST:LUNGS AND PLEURA: Bilateral parenchymal nodules consistent with metastatic disease. An index nodule in the left upper lobe measures 9 by 5 mm on image number 46 on series number 9.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:... | Bilateral lung nodules suspicious for metastatic disease.Bilateral hydronephrosis, more on the left side compared to the right side with bilateral dilated uretersCystic lesion arising from the tail of the pancreas. MRI ay be helpful for further evaluation. |
Generate impression based on findings. | Mesothelioma CHEST:LUNGS AND PLEURA: Unchanged small loculated right apical pneumothorax, approximately 3.5-4-cm in size. Mild thickening of of the right minor fissure is unchanged but should be monitored on subsequent studies to exclude development of nodularity. No suspicious pulmonary nodules or masses. Right diaphr... | Right pleurectomy with unchanged chronic loculated pneumothorax. Minimal residual pleural thickening as detailed above with measurements provided in the body of the report. No convincing evidence of contralateral, chest wall or intra-abdominal spread of disease |
Generate impression based on findings. | 61-year-old male with history of prostate cancer 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 ab... | No significant change from previous study. |
Generate impression based on findings. | 84-year-old male with history of prostate cancer Limited study due to lack of IV contrast.CHEST:LUNGS AND PLEURA: Bilateral large pleural effusions and dependent atelectasis, new from previous CT.MEDIASTINUM AND HILA: Cardiomegaly.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Hypodense lesio... | Interval development of bilateral large pleural effusions and dependent atelectasis.Interval enlargement of the right pelvic index lymph nodesInterval development of right iliac ill-defined sclerotic lesions suspicious for metastatic disease. |
Generate impression based on findings. | 53-year-old male with esophageal cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Postsurgical changes secondary to gastric pull through. Ectatic ascending aorta is unchanged measuring 4.7-cm image number 59, series number 3.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, ... | No significant change from prior CT. Ectatic ascending aortic aneurysm and enhancing right renal mass suspicious for renal cell carcinoma unchanged |
Generate impression based on findings. | Female, 66 years old, altered mental status. No intracranial hemorrhage or abnormal extra-axial fluid collection is detected. No CT evidence of acute territorial ischemia is seen.There is no mass-effect or midline shift. No evidence of focal parenchymal edema. The ventricles and sulci are prominent compatible with pare... | Parenchymal volume loss with no evidence of any definite acute abnormality. |
Generate impression based on findings. | 78-year-old male with history of lymphoma CHEST:LUNGS AND PLEURA: Biapical scarring, unchanged.MEDIASTINUM AND HILA: Small index subcarinal lymph node is smaller and measures 9 x 8 mm on image number 56, series number 3.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality... | No significant change from prior CT. |
Generate impression based on findings. | 48-year-old female with history of ovarian cancer CHEST:LUNGS AND PLEURA: New, small to moderate right-sided pleural effusion. Linear atelectasis at the lung bases. New small left-sided pleural effusion.MEDIASTINUM AND HILA: Index superior mediastinal lymph node measures 1.4 x 0.8 cm image number 22, series number 3, n... | Interval development of bilateral pleural effusions and significant amount of ascites. Left axillary adenopathy is increased in size. Hepatic lesions are grossly stable. Retroperitoneal adenopathy is decreased within the interval.Interval development of peritoneal enhancement suspicious for peritoneal carcinomatosis.Sc... |
Generate impression based on findings. | Female, 55 years old, intracerebral hemorrhage, evaluate changes. A large left hemispheric parenchymal hematoma is redemonstrated. This has not substantially changed in size, morphology or internal attenuation characteristics, accounting for differences in technique. Also redemonstrated is extension of blood to the ven... | No significant interval change in the size or morphology of a large left hemispheric parenchymal hemorrhage with evidence of intraventricular extension. Associated mass effect is also unchanged. |
Generate impression based on findings. | Hodgkin's lymphoma. Status post chemotherapy and radiation LUNGS AND PLEURA: Indication of multiple micronodules almost unchanged. No pleural effusion or pneumothorax. No focal lung opacities.MEDIASTINUM AND HILA: Unchanged left upper mediastinal bulky mass. As well as reference right hilar lymph node. Cartilage space ... | Unchanged mediastinal and right perihilar masses as well as a micronodules of both lungs. |
Generate impression based on findings. | Reason: eval for pe History: cp, sob PULMONARY ARTERIES: No pulmonary emboli are identified. The pulmonary artery is normal caliber.LUNGS AND PLEURA: Basilar scarring, atelectasis septal thickening.Patchy ground glass opacities.No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: Double ... | 1.No evidence for pulmonary embolus.2.Bilateral basilar scarring, atelectasis, and septal thickening, improved from the prior exam. |
Generate impression based on findings. | Male 68 years old; Reason: 68 yo male with hx left ureteral stone w/ 3 days left flank pain History: left flank pain ABDOMEN:LUNGS BASES: Bibasilar atelectasis noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS:... | Left proximal 6-mm obstructing ureteral stone causing hydronephrosis in perinephric fat stranding. |
Generate impression based on findings. | 66-year-old male with history of head and neck cancer, status post chemoradiation therapy, compare to prior and provide measurements. Redemonstrated is a right lateral tongue defect is redemonstrated with adjacent enhancing soft tissue thickening involving the right oral tongue and right floor of mouth, unchanged in ap... | 1.Right lateral tongue defect is redemonstrated with adjacent enhancing soft tissue thickening involving the right oral tongue and right floor of mouth, unchanged in appearance or extent.2.Stable reference/non-reference lymph nodes. No evidence of lymphadenopathy.3.Stable findings of right mandibular osteoradionecrosis... |
Generate impression based on findings. | Male 61 years old; Reason: evaluate for source of hematuria History: hematuria ABDOMEN:LUNGS BASES: Linear atelectasis noted right lung base..LIVER, BILIARY TRACT: Three distinct lesions in the liver with peripheral nodular arterial enhancement and delayed centripetal filling are noted compatible with hemangiomas. The ... | 1.Enlarged prostate which could be the source of the patient's hematuria. Correlation with PSA could be of benefit.2.Numerous liver hemangiomas3.Right parapelvic cysts. |
Generate impression based on findings. | Neck CA status post CRT. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural fluid.MEDIASTINUM AND HILA: No significant lymphadenopathy. Heart size normal. No pericardial fluid.CHEST WALL: No significant abnormality noted.ABDOMEN: Absence of enteric contrast material markedly limits sensitivit... | No evidence of metastatic disease to the chest or upper abdomen. |
Generate impression based on findings. | Head and neck cancer status post CRT. History of pulmonary fibrosis. CHEST:LUNGS AND PLEURA: Circumferential subpleural reticulation and mild traction bronchiectasis/bronchiolectasis consistent with known interstitial lung disease. No pleural fluid.Previously seen ground glass density lesion in the left lower lobe has ... | 1. The index mediastinal lymph node measures similar in size in short axis however has slightly increased in length. Other numerous small mediastinal lymph nodes are nonspecific in appearance and stable in size.2. Interval clearing of left lower lobe groundglass opacity, presumably postinflammatory. No visible pulmonar... |
Generate impression based on findings. | For stone or diverticulitis. Left flank pain.. ABDOMEN:LUNG BASES: Unchanged calcified granuloma noted at the right lung base.LIVER, BILIARY TRACT: Simple cyst (approximately 1 cm) again seen in caudate lobe of liver, unchanged. Scattered punctate calcification most likely from prior granulomatous disease is also uncha... | New left mild hydronephrosis and perinephric fluid collection possibly related to perforation. Presumed etiology of obstruction is known cervical carcinoma although this cannot be defined without intravenous contrast. |
Generate impression based on findings. | Female 55 years old; Reason: kidney donor History: kidney donrs ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Mild periportal edema. No focal mass detected.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEY... | Single right renal artery and bilateral left renal arteries. Single bilateral renal veins. Single collecting system bilaterally with no masses or filling defects noted bilaterally. |
Generate impression based on findings. | 77 year old male. Elevated white cell count, history of complete proctectomy with ureteral injury. Rule out leak. New abdominal pain. ABDOMEN:LUNG BASES: Bibasilar atelectasis.LIVER, BILIARY TRACT: Left hepatic lobe cyst is unchanged. Additional hypoattenuating hepatic lesions are too small to characterize, and are unc... | 1.Interval decrease in size of mixed gas and fluid collection about the midline abdominal incision.2.Stable appearance of changes of subtotal colectomy with Hartmann's pouch. |
Generate impression based on findings. | 44-year-old patient status post 14 cycles of Avastin. CHEST:LUNGS AND PLEURA: Unchanged micronodules.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: A right chest wall Port-A-Cath terminates in the right atrium.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abno... | 1. Stable left adnexal cyst and interval resolution of previous midline pelvic and right adnexal cysts.2. Mild right pelvocaliectasis. |
Generate impression based on findings. | 7-year-old male with history of musculoskeletal pain. Presents for staging of neuroblastoma. CHEST:LUNGS AND PLEURA: 3-mm right upper lobe solid nodule (series 4/16). Previously this was a larger region of consolidation/atelectasis with an associated air cyst. Its evolution suggests an inflammatory/infectious and/or tr... | 1. Mild decrease in the size of the retroperitoneal mass. Significant decrease in the size of hepatic metastases. Stable sclerotic osseous metastases.2. Nonspecific right upper lobe pulmonary nodule is decreased in size and may be inflammatory/infectious in etiology versus treatment response. |
Generate impression based on findings. | 84-year-old male with history of weight loss, follow up lingular nodule and hilar LAD. CHEST:LUNGS AND PLEURA: Lingular round, well-defined pulmonary nodule (4/170 E.) measures 8 x 7 mm, unchanged. Nodule contains lipid attenuation measurements and is smoothly marginated strongly favoring a benign hamartoma.Right apica... | 1. Stable 9 mm lingular pulmonary nodule , likely benign hamartoma. CT may be performed in 12 months to document benignity. 2. Stable left adrenal nodules, indeterminate. Suggest dedicated adrenal imaging with MR or CT. 3. No lymphadenopathy. |
Generate impression based on findings. | 39-year-old male with history of parotid cancer, evaluate for recurrence. Again visualized is mild volume loss in the left lateral nasopharynx, scarring of the left parapharyngeal space and volume loss of the left parotid gland compatible with prior parotid tumor resection. No evidence of recurrent or new enhancing mas... | Posttreatment change without evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Metastatic lung cancer status post 6 cycles of chemo CHEST:LUNGS AND PLEURA: Right upper lobe mass measures 4 x 5.1 cm, previously 3.9 x 4.7 cm. Mass appears adherent to the right minor and major fissures and a large spicule extends cranially into the lateral aspect of the right lung apex. There is surrounding intersti... | 1. Right upper lobe mass and left upper lobe nodule without significant change in measurements. 2. Decreased size of the reference subcarinal lymph node.3. Low cervical lymphadenopathy appears stable.4. Right adrenal gland lesion continues to decrease in size and is difficult to measure. |
Generate impression based on findings. | Evaluate small-bowel obstruction. Abdominal pain. The following observations are made given limitations of an unenhanced study.ABDOMEN:LUNG BASES: Motion artifact. No nodules or effusions. Pacemaker wires.LIVER, BILIARY TRACT: Small gallbladder stones are redemonstrated. SPLEEN: No significant abnormality noted..PANCRE... | 1. Nonobstructing punctate right renal calculus. 2. Unchanged mild dilatation of the distal duodenum and proximal jejunum without evidence of complete torsion. 3. Enlarging water density nodule in the right kidney with partially calcified wall. This does not meet the CT criteria for simple cyst and could be further eva... |
Generate impression based on findings. | Reason: undergoing treatment for histoplasmosis. please compare to previous CT scan. Super D protocol History: lung mass LUNGS AND PLEURA: Scattered pulmonary nodules without significant interval change.Reference left lower lobe nodule (image 56, series 6) is unchanged, measuring 6 mm.Reference right middle lobe subple... | Stable scattered pulmonary nodules and mediastinal lymphadenopathy compatible with history of histoplasmosis. |
Generate impression based on findings. | 73-year-old male with gastric cancer. Please compare to previous scan and provide index lesion measurements. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules in the right lung are unchanged from the prior study. There is a focal area with ground glass opacities, enhancement, and possible bronchiolitis in the ri... | 1. Focal area of ground glass opacification and possible bronchiolitis in the right upper lobe.2. Multiple lucencies within the pelvic bones are unchanged from the prior exam.3. No significant change in size of mesenteric lymph nodes or gastric mass. |
Generate impression based on findings. | Reason: smoker, cough, neck LAN History: neck LAN LUNGS AND PLEURA: Centrilobular and paraseptal emphysema. No suspicious pulmonary nodules or masses. No focal pulmonary consolidation or pleural effusion.MEDIASTINUM AND HILA: Enlarged paratracheal lymph node measures 16 mm (series 4, image 34). Heart size is normal. No... | 1.Solitary nonspecific enlarged pretracheal lymph node. 2.No suspicious pulmonary nodules or masses.3.Choledocholithiasis. |
Generate impression based on findings. | Male, 72 years old, left sided neck mass on exam. Limited intracranial views demonstrate periventricular and perhaps pontine hypoattenuation which likely reflects age indeterminate small vessel ischemic disease.The parotid and submandibular glands are diffusely prominent in size. CT attenuation is, however, homogeneous... | 1. No definite focal soft tissue mass or pathologic adenopathy is identified in the left neck or elsewhere. No definite findings to suggest the presence of a malignancy.2. Diffuse enlargement of the parotid and submandibular glands is, however, noted, and this could conceivably underlie the palpable abnormality on exam... |
Generate impression based on findings. | 57 year old male. Rectal cancer. Surveillance. CHEST:LUNGS AND PLEURA: Calcified granuloma. No new suspicious pulmonary nodules.MEDIASTINUM AND HILA: Nodular thyroid is unchanged. Calcified hilar lymph nodes compatible with prior granulomatous disease. Mild coronary artery calcifications. Cardiac size is normal. No per... | Status post proctectomy, without evidence of disease in the chest, abdomen or pelvis. |
Generate impression based on findings. | 54 year-old female with recurrent forehead squamous cell carcinoma status post resection 8/2/2013 at outside institution, evaluate extent of disease, rule out lymphadenopathy. Superior to the right orbit is a region of presumably enhancing skin irregularity and infiltration of the subcutaneous fat along the forehead wi... | 1. No cervical adenopathy or evidence of metastatic disease. 2. Irregularity and presumed enhancement along the right supraorbital scalp, which may represent postoperative changes and/or residual tumor. Please correlate with surgical report.3. Nonspecific hypodense thyroid lesions, correlation with TFTs and/or ultrasou... |
Generate impression based on findings. | Reason: right upper lobe nodule History: right upper lobe nodule CHEST:LUNGS AND PLEURA: Severe upper lobe predominant paraseptal and centrilobular emphysema.Masslike opacity in the right upper lobe (image 50 series 5), measuring 2.1 cm is unchanged since the exam dated 5/14/10.Right upper lobe scarring redemonstrated.... | 1.Stable right upper lobe 2.1-cm nodule compatible with a benign etiology such as a granuloma or hamartoma.2.Severe upper lobe predominant emphysema |
Generate impression based on findings. | For head skin cancer rule-out chest lung mets. LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Normal heart size. No pericardial effusion. No mediastinal or hilar lymphadenopathy. CHEST WALL: Thoracolumbar scoliosis. 12-mm hypoattenuating nodule left thyroid lobe. Additional smaller le... | No evidence of pulmonary or intrathoracic nodal metastases. Several solid appearing thyroid nodules are nonspecific by CT, suggest correlation with thyroid ultrasound and nuclear scintigraphy to exclude primary thyroid neoplasm. |
Generate impression based on findings. | Male 64 years old; Reason: 64 yr old male with h/o large B cell lymphoma; post SCT evaluation History: Evaluate CHEST:LUNGS AND PLEURA: Few bilateral micronodules most likely nonspecific/inflammatory inorigin.MEDIASTINUM AND HILA: Bulky right hilar lymphadenopathy identified, two referenced lesions measure 2.2 x 3.9 cm... | 1. Bulky right hilar lymphadenopathy, stable.2. Indeterminate right lobe liver lesion, further evaluation with CT liver protocol canbe performed. New hypoattenuating lesion more medially, too small to characterize.3. Multiple left renal hypodensities most likely representing cysts or less likelylymphomatous deposits.. ... |
Generate impression based on findings. | Reason: new dysphagia, h/o parotid cancer History: r/o mass/lesion near esophagus LUNGS AND PLEURA: Scattered pulmonary micronodules, some of which are calcified, unchanged. No new suspicious pulmonary nodules or masses. No focal pulmonary consolidation or pleural effusion.MEDIASTINUM AND HILA: Residual thymic tissue. ... | No significant interval change and no evidence of metastatic disease. |
Generate impression based on findings. | Follow-up lung cancer. History of fatigue. CHEST:LUNGS AND PLEURA: Moderate left pleural fluid collection is partially loculated anteriorly. Several new pleural metastases as well has an area of plaque-like enhancing anterior pleural thickening (3/51) noted, some of which are new. Mixed response in pulmonary metastases... | Mixed response with increase in size and number of hepatic metastases, new pleural metastases on the left and improved mediastinal nodal metastases. |
Generate impression based on findings. | Reason: hx of cough, chest tightness. Hx of asbestos exposure History: cough LUNGS AND PLEURA: Bilateral calcified and noncalcified pleural plaques without significant interval change, compatible with patient history of asbestos exposure. No evidence of pulmonary fibrosis, suspicious parenchymal nodule/mass, focal cons... | Stable calcified and noncalcified pleural plaques compatible with prior asbestos exposure. No evidence of asbestosis or mesothelioma. |
Generate impression based on findings. | Evaluate liver, pancreas and biliary tree. LFTs concerning for extrahepatic process in a patient with weight loss which is unintentional. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is a 11.2 x 8.1 cm heterogeneous enhancing primary liver mass at the dome of the liver encasing the he... | 1. Large hepatic mass with encasement of hepatic veins as described above.2. Right adrenal metastasis.3. Retroperitoneal lymphadenopathy.4. Trace ascites. |
Generate impression based on findings. | 65-year-old male with round isoechoic lesion seen in the right kidney which does not meet criteria for a simple cyst. Evaluation by CT. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality n... | No observed renal mass bilaterally--abnormality on US likely represented a segmentation defect (normal anatomic variant). |
Generate impression based on findings. | Male, 14 years old, Hodgkin's disease, nodular sclerosis, lymph nodes at multiple sites. Soft tissue thickening within the left supraclavicular fossa, situated between the common carotid and internal jugular vein, measures 18 x 9 mm transaxial x 15 mm craniocaudal (image 64, series 5; image 42, series 8038), previously... | 1. Soft tissue thickening in the left supraclavicular fossa is stable to slightly smaller.2. No new lesion or pathologic adenopathy is detected in the neck.3. Mediastinal soft tissue abnormality is better assessed on the accompanying chest CT. |
Generate impression based on findings. | 64 year old female with swelling and pain in tibia with negative DVT Evaluation of the knee and surrounding soft tissues is limited due to metallic susceptibility artifact from total knee arthroplasty.There is skin thickening along the medial aspect of the tibia with subcutaneous edema and that becomes confluent in the... | Nonspecific superficial soft tissue swelling and other findings as described above. |
Generate impression based on findings. | Clinical information LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CLINICAL INFORMATION:History of bladder cancerTECHNIQUE: Axial CT images are obtained through the chest, abdomen and pelvis after administration of oral contrast and 90 ml intravenous Omnipaque... | Bilateral lung nodules suspicious for metastatic disease.Bilateral hydronephrosis, more on the left side compared to the right side with bilateral dilated uretersCystic lesion arising from the tail of the pancreas. MRI ay be helpful for further evaluation. |
Generate impression based on findings. | 61-year-old female with history of mucinous borderline tumor of the ovary, now with elevated CEA and CA 125. CHEST:LUNGS AND PLEURA: Right lower lobe pulmonary micronodule. MEDIASTINUM AND HILA: Bilateral thyroid nodules. CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: There is a round lesion... | 1. Right lobe liver lesion which likely represents metastatic disease. 2. Low density left adrenal lesion, favor benign adrenal adenoma over metastatic disease. 3. Bilateral thyroid nodules. |
Generate impression based on findings. | Evaluate liver, pancreas and biliary tree. LFTs concerning for extrahepatic process in a patient with weight loss which is unintentional. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is a 11.2 x 8.1 cm heterogeneous enhancing primary liver mass at the dome of the liver encasing the he... | 1. Large hepatic mass with encasement of hepatic veins as described above.2. Right adrenal metastasis.3. Retroperitoneal lymphadenopathy.4. Trace ascites. |
Generate impression based on findings. | Follow-up CT for pneumatosis. ABDOMEN:LUNG BASES: Previously described post-radiation changes noted within the anterior aspect of the right middle lobe are unchanged. Refer to yesterday's examination for measurements.LIVER, BILIARY TRACT: Hypodense lesion involving the right lobe liver is unchanged. Stable intra- and e... | 1. Colitis is unchanged. Focal air collection described previously is no longer evident.2. Slight increase in ascites. No evidence of free air. |
Generate impression based on findings. | Residual left lower quadrant abscess 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: Bilateral renal cysts. Bilate... | No evidence of residual abscess.Bilateral nephrolithiasis and a punctate stone in the right proximal ureter.Histologic sampling is recommended for further evaluation of the dilated endometrial cavity. |
Generate impression based on findings. | 57-year-old female with history of myelofibrosis and myeloid metaplasia Limited study due to lack of IV contrast.CHEST:LUNGS AND PLEURA: Right apical scarlike opacity is unchanged. Subcentimeter nodule in the right upper lobe is unchanged.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant... | No significant change from previous study. |
Generate impression based on findings. | 66 year-old female with right-sided weakness, concern for acute stroke. CTA BRAIN: Mild plaque affects the cavernous carotid arteries. The MCAs and ACAs are patent without evidence of aneurysm or occlusion. The left posterior communicating artery is not visualized. A small right posterior communicating artery is noted.... | 1. Abrupt termination of the left PCA at the level of the ambient cistern, indicating an occlusion of indeterminate age. No CT evidence of acute territorial ischemia. No evidence of aneurysm. MRI may be considered for further evaluation if clinically warranted.2. Left vertebral artery occlusion with thready distal reco... |
Generate impression based on findings. | Male, 46 years old, anisocoria, right sided upper extremity weakness. No focal parenchymal edema or abnormal attenuation. No CT evidence of territorial ischemia.No mass effect or midline shift. No abnormal extra-axial fluid collection or intracranial hemorrhage. The ventricular system is patent and normal in size.Nondi... | 1. Nondiagnostic CTA due to contrast extravasation.2. Unremarkable noncontrast CT evaluation of the brain. |
Generate impression based on findings. | 79-year-old female with history of sinus cancer. Evaluate for recurrence, frontal headaches. HEAD:The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra- or extra-axial fluid collection, acute hemorr... | 1.Postsurgical changes with no specific evidence of local recurrence.2.Stable nonenlarged cervical lymph nodes. |
Generate impression based on findings. | 82 year old female status post fall with lower back pain. The bones are diffusely osteopenic. Spinal alignment is grossly anatomic.There is mild loss of height of the T12 vertebral body and a new horizontally oriented lucency through the superior aspect of the vertebral body compatible with fracture. The fracture does ... | 1. A lucency through the superior aspect of the T12 vertebral body, new from the prior examination, is suspected to represent an acute fracture given the lack of sclerosis or evidence of healing. MRI may better assess the acuity of this finding if clinically warranted.2. Chronic appearing compression deformity of the L... |
Generate impression based on findings. | 56-year-old female with myelofibrosis. Adenopathy demonstrated on prior neck CT.. BRAIN: Limited intracranial images demonstrate no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are unchanged. The visualized calvaria and skull base are radiographically normal. New mucosal thicken... | 1.Previously demonstrated multiple lymph nodes throughout the neck soft tissues have decreased. A reference conglomerate focus of lymph nodes within the left supraclavicular region measures 2.1 x 0.9 cm (series 6, image 69), previously 2.6 x 1.4 cm.2.New mucosal thickening is present within the posterior left sphenoid ... |
Generate impression based on findings. | Reason: tracheobronchomalacia History: dyspnea; cough LUNGS AND PLEURA: Dynamic airway sequence demonstrates collapse of the distal trachea just above the level of the carina consistent with tracheomalacia. The exam is limited in the assessment for bronchomalacia. No focal pulmonary consolidation or pleural effusion. M... | Exam limited due to patient factors. Within this limitation, the exam is positive for airway collapse consistent with tracheomalacia in the distal trachea. At other levels, the exam may not be diagnostic. |
Generate impression based on findings. | 61-year-old female with altered mental status. The study is somewhat limited given portable CT technique. Given this caveat: No evidence of acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes. Mild prominence of cortical sulci similar to prior study. Unremarkable... | Limited portable noncontrasted CT demonstrates no gross acute intracranial abnormality. |
Generate impression based on findings. | 33 year-old pregnant female with multiple risk factors for PE and acute onset left-sided chest pain. Tachycardia. PULMONARY ARTERIES: Infusion was adequate. No filling defects are appreciated to suggest presence of acute pulmonary embolus. The main pulmonary arteries normal in caliber.LUNGS AND PLEURA: Trace left pleur... | 1. No evidence of acute pulmonary embolus.2. Consolidation in the inferior lingular segment and multiple poorly marginated pulmonary nodules of varying sizes, consistent with hematogenous spread of disease, most likely atypical pneumonia. If the patient is neutropenic, fungal pneumonia may have this appearance. If the ... |
Generate impression based on findings. | Widened mediastinum on CXR- is there an aneurysm. LUNGS AND PLEURA: Mild dependent atelectasis. Previously seen left lower lobe nodule is partially obscured.. No pneumothorax or pleural fluid.MEDIASTINUM AND HILA: Please note that aortic dissection cannot be excluded by unenhanced technique. Ascending aorta measures 48... | No significant change in appearance of the aorta allowing for lack of IV contrast and potential differences in scan variability in. No evidence of mediastinal hematoma or acute intramural hematoma in the thoracic aorta. However, unenhanced technique cannot rule out aortic dissection and if there is clinical suspicion, ... |
Generate impression based on findings. | Left base of tongue mass LUNGS AND PLEURA: 7-mm mixed density (groundglass with solid components) nodule in the right upper lobe (5/28). Similar sized groundglass nodule in superior segment of the right lower lobe (/43).4 mm solid micro-nodule the left upper lobe (5/32).4-mm groundglass micronodule in the left upper lo... | 1. Mildly enlarged lower left paratracheal lymph node and left subpectoral lymph node. Several additional paratracheal chain lymph nodes are abnormal in multiplicity and the upper limits of normal in size.2. Bilateral pulmonary nodules are indeterminate in appearance. Although the distribution is atypical, metastatic d... |
Generate impression based on findings. | 42 year-old female with abdominal swelling. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is a round, hypodense lesion near the porta hepatis measuring 4.1 by 5.9 cm (image 40, series 3). The lesion is adjacent to the common bile duct and there appears to be associated mild dilatation ... | Lesion near the porta hepatis adjacent to the common bile duct which may be intra or extrahepatic. Differential includes extrahepatic and intrahepatic etiologies including an extrahepatic choledochocele, intrahepatic bilary hamartoma, and intrahepatic bilary cystadenoma. Recommend a MRI/MRCP for further evaluation. |
Generate impression based on findings. | 38 year-old female with right lower quadrant pain. Rule out appendicitis versus ovarian cyst. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnorma... | 1. Normal appendix.2. Small cystic ovaries without seen abnormality. |
Generate impression based on findings. | 26 year old female with nausea, vomiting, right lower quadrant 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 abnor... | Thickened enhancing appendix with mild surrounding inflammatory changes compatible with acute early appendicitis. |
Generate impression based on findings. | 22-year-old with fall, evaluate for intracranial hemorrhage. CT BRAIN:VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage.FLUID:No fluid collections. No evidence of hemorrhage.BONE:No fractures. Visualized bony structures are nor... | 1. No evidence of acute intracranial hemorrhage.2. No evidence of fracture of the cervical spine. |
Generate impression based on findings. | 39 year old with dizziness. Noncontrast CT brain: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 structures are ... | 1. Unremarkable noncontrast head CT.2. Unremarkable CT angiogram of the head and neck |
Generate impression based on findings. | 69 year old female with left MCA stenosis. BRAIN PARENCHYMA:Scattered foci of hypoattenuation within the left occipital, parietal, and posterior temporal lobe are consistent with acute infarcts and correspond to foci of restricted diffusion identified on the prior MRI. Increase in hypodensity of the infarct adjacent to... | 1.Evolving infarct adjacent to the atria of the left lateral ventricle as detailed above. No acute intracranial hemorrhage gray2.Stable high-grade focal narrowing of the distal left MCA with stable areas of hypoattenuation within the associated left MCA territory consistent with acute infarcts. These infarcts are bette... |
Generate impression based on findings. | Reason: RU worsening ILD History: Hypoxia, Increasing 02 Requirements LUNGS AND PLEURA: There is a peripheral predominance of bronchiectasis, bronhciolectasis and honeycombing extending from the apices to the bases. Minimal ground glass is present. Extensive honeycombing is lower lung predominant with minimal upper lob... | Peripheral predominance of bronchiectasis, bronhciolectasis and honeycombing extending from the apices to the bases. Minimal ground glass is present. Extensive honeycombing is lower lung predominant with minimal upper lobe involvement. The constellation of findings is suggestive of usual interstitial pneumonia (UIP). D... |
Generate impression based on findings. | Reason: sob. echo with bubble study shows late entry into LA c/w AVM. r/o AVMs History: sob PULMONARY ARTERIES: Technically adequate exam.No pulmonary emboli.No evidence of AVMs. Main pulmonary artery normal in size.LUNGS AND PLEURA: No focal airspace opacities, pneumothorax, or pleural effusions.Several small nodular ... | No PE. No evidence of AVMs. |
Generate impression based on findings. | Female 43 years old; Reason: r/o malignancy History: leptomeningeal carcinomatosis ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormal... | 1.No enlarged lymph nodes in the abdomen or pelvis.2.No suspicious hepatic lesions |
Generate impression based on findings. | Female 75 years old; Reason: 75yo with ERSD on HD, expressive aphasia 2/2 stroke, dementia, with newly diagnosed pancreatic CA. Need pan CT for staging. History: ERSD on HD, abdominal pain CHEST:LUNGS AND PLEURA: Bilateral pleural effusions, right greater than left. Associated compressive atelectasis. Respiratory motio... | 1.Status post CBD stent placement across the ill-defined pancreatic head mass. Mass extends to the duodenum.2.Findings suspicious for left hepatic lobe metastases.3.Aneurysm of the ascending aorta. |
Generate impression based on findings. | Reason: SOB, hx of lung cancer, malignant pleural effusion History: SOB, hx of lung cancer, malignant pleural effusion PULMONARY ARTERIES: Technically adequate exam. No pulmonary embous. Main pulmonary artery is dilated measuring 37 mm, similar to previous, which can be seen in pulmonary arterial hypertension. LUNGS AN... | 1. No acute pulmonary emboli.2. Increase in number and size of pulmonary nodules as well as increased soft tissue invasion/lymphadenopathy of the hilum and mediastinum consistent with worsening metastatic lung cancer.3. Stable osseous metastasis. |
Generate impression based on findings. | Female 16 years old; Reason: evaluate for intraabdominal process/appendicitis History: abdominal pain, fever, leukocytosis ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. Hepatic and portal veins are patent ; no biliary ductal dil... | 1.Findings of bilateral pyelonephritis without abscess.2.Suboptimal evaluation of the terminal ileum and appendix. If high suspicion for appendicitis exists follow up examination is suggested.3.Minimal hyperenhancement of the terminal ileum may be due to underdistention. |
Generate impression based on findings. | 42 year old with vertigo, question hydrocephalus. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage.FLUID:No fluid collections. No evidence of hemorrhage.BONE:No fractures. Visualized bony structures are normal.PARANASAL SINUSE... | No evidence of acute infarct, hydrocephalus, or intra-or extra axial hemorrhage. |
Generate impression based on findings. | T1 N0 base of tongue, pyriform and floor of mouth cancer. For disease reevaluation CHEST:LUNGS AND PLEURA: Stable basilar and peripheral areas of scarring and atelectasis. No suspicious nodules.MEDIASTINUM AND HILA: Atherosclerotic calcification of the aorta and its branches.CHEST WALL: Degenerative disease involving t... | No evidence of metastatic disease. |
Generate impression based on findings. | Left vocal cord paralysis. LUNGS AND PLEURA: Basilar scarring and atelectasis. Nonspecific area of groundglass opacity in the left upper lobe, likely scarring from is unchanged. Scattered punctate micronodules are too small to characterize but likely postinflammatory.MEDIASTINUM AND HILA: Borderline mediastinal lymph n... | While there is no mass to account for the left vocal cord paralysis, there has been interval increase in upper abdominal lymph adenopathy. This is incompletely visualized on chest CT, but a portocaval lymph node measures at least 4.4 cm. The nodes were first noted on 2008 CT but at that time were only borderline enlarg... |
Generate impression based on findings. | 67-year-old with left base of tongue mass. CT neck:Soft tissues:There is no CT evidence of a discrete enhancing mass at the base of the tongue. Minimal subtle asymmetric enhancement is questioned at the base of the tongue on the left side, image 42 series 6. Tonsils are not enlarged. There is normal fat attenuation wit... | 1.There is no CT evidence for a discrete mass at the base of the tongue, with only questioned asymmetric enhancement as noted above.2.No evidence of lymphadenopathy.3.No masses are identified within the brain. |
Generate impression based on findings. | Female 58 years old; Reason: r/o intra-abdominal abscess or perinephric collection, eval pancreatitis History: resolving pancreatitis, ileus ABDOMEN:LUNGS BASES: Bilateral pleural effusions and, left greater than right with associated atelectasis. No large central pulmonary embolus. Left ventricular hypertrophy.LIVER, ... | 1.Large mesenteric hematoma.2.Severe narrowing of the IVC with poor opacification and extensive body wall collaterals. 3.Body wall anasarca, ascites and pleural effusions. |
Generate impression based on findings. | 44-year-old female with chest pain and shortness of breath, evaluate for PE. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus.LUNGS AND PLEURA: Interval resolution of clustered air space opacities from the prior study with new ground glass opacity in the right lower lobe, most likely... | 1. No pulmonary embolus.2. New intrathoracic lymphadenopathy. Though the timeframe over only 1 month may favor infectious etiologies, underlying malignancy such as lymphoma should be considered.3. Right lower lobe groundglass opacity, most likely infectious in etiology. The previously seen areas of consolidation have n... |
Generate impression based on findings. | 74-year-old with normal pressure hydrocephalus status post shunt, evaluate for acute hemorrhage. Significant chronic cognitive and memory impairment. VENTRICLES/CSF SPACES:No midline shift. Stable dilatation of the ventricular system is unchanged. A ventricular shunt tip is again identified within the body of the right... | No evidence of acute intracranial hemorrhage as queried. |
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