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Generate impression based on findings. | 2-year-old with seizures; evaluate for acute intracranial abnormality. 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 no... | Normal head CT. |
Generate impression based on findings. | Status post EVD placement, rule out intracranial bleed. Evaluation is limited by motion artifact.VENTRICLES/CSF SPACES:There is severe dilatation of the ventricular system. An EVD catheter is seen with its tip terminating just beyond the right lateral ventricular system margin in the right frontal lobe (image 21, serie... | 1.There is dilatation of the ventricular system with an EVD catheter seen with its tip likely terminating outside of the right lateral ventricular system within the right frontal lobe as detailed above.2.Focal encephalomalacia in the left parietal lobe with diffuse thinning of the parenchyma.3.Obliquely oriented thin l... |
Generate impression based on findings. | Female 46 years old; Reason: H/O breast cancer. Now with acute pancreatitis and elevated bili. Evaluate for mets and obstruction. History: H/O breast cancer. Now with acute pancreatitis and elevated bili. Evaluate for mets and obstruction. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Live... | 1.Mild acute pancreatitis without necrosis, or pseudocyst formation.2.Cholelithiasis with inflammation in the porta hepatis. Choledocholithiasis is not excluded. Biliary tract stone disease may be the cause of the pancreatitis. |
Generate impression based on findings. | 37-year-old man with altered mental status. 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 SINUSES AND ... | No CT findings to suggest acute intracranial process. |
Generate impression based on findings. | Female 52 years old; Reason: acute bleed History: black vomit ABDOMEN:LUNGS BASES: Right pleural effusion and atelectasis.Cardiomegaly with a pericardial effusion.LIVER, BILIARY TRACT: Liver is unremarkable for unenhanced technique. Multiple gallstones layer within the gallbladder lumen.SPLEEN: No significant abnormali... | 1.Cholelithiasis.2.No bowel obstruction.3.Anasarca, pleural effusion and pericardial effusion.4.No evident body wall or retroperitoneal bleed. |
Generate impression based on findings. | Female 50 years old; Reason: r/o obstruction History: distended abd. N/V/D ABDOMEN:LUNGS BASES: Small right pleural effusion and associated atelectasis.LIVER, BILIARY TRACT: Poorly enhancing left hepatic lobe lesion measures 2.0 x 1.7 cm (image 30/series 3) previously, 1.9 x 1.6 centimeters.Probable additional right he... | 1.Extensive omental, peritoneal, ovarian carcinomatosis.2.No bowel obstruction.3.Large volume malignant abdominal and pelvic ascites.4.Pancreatic lesions. |
Generate impression based on findings. | Female 18 years old; Reason: necrotizing pancreatitis with new vomiting, fever, wbc 25k History: as above ABDOMEN:LUNGS BASES: Mild subsegmental atelectasis worst in the left lung base. No basilar effusions.LIVER, BILIARY TRACT: Liver is normal in morphology. Intrahepatic pneumobilia from recent ERCP. Hepatic veins and... | 1.Necrotizing pancreatitis (20%) with possible developing pseudocyst.2.Abnormal renal parenchymal enhancement suspicious for either infection or vascular phenomenon. Correlation with urinalysis would be beneficial.3.Cholelithiasis with gallbladder wall thickening, underlying cholecystitis is not excluded. |
Generate impression based on findings. | Placement of chest tube, evaluate etiology pleural fluid question hemothorax. Status post thora and chest compressions, shock LUNGS AND PLEURA: New large left pleural effusion with complete compressive atelectasis of the left lung. Rightward mediastinal shift. Patchy multifocal groundglass and air space opacities throu... | Left chest tube tip is in the soft tissues and does not communicate with the pleural effusion. New large left pleural effusion with complete compressive atelectasis of the left lung. |
Generate impression based on findings. | Female 77 years old; Reason: 77 yo F with subtotal colectomy, multiple wound infections, prior LUQ fluid collection on broad abx now with rising WBC and worsening mental status, eval intraabdominal pathology particularly fluid collection History: rising WBC, worsening abdominal pain ABDOMEN:LUNGS BASES: Heart size is e... | 1.Stable soft tissue/fluid in the splenic bed. |
Generate impression based on findings. | Male 62 years old; Reason: eval for diverticulitis History: LLQ pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Left adrenal gland is nodular. Right adren... | 1.Moderate hydronephrosis, left worse than right due to obstruction at the level of the urinary bladder. The urinary bladder wall is thickened. Follow-up is suggested to exclude a underlying malignancy.2.No CT evidence of acute diverticulitis as clinically questioned. |
Generate impression based on findings. | Male 65 years old; Reason: acute abdominal pain History: abd pain and diarrhea ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver has a smooth contour. Well marginated hypo-articulating left hepatic lobe lesions cannot be further characterized without contrast.SPLEEN: No significant abnor... | 1.Ileum bowel wall thickening of unclear etiology.2.Colonic wall thickening involving the descending/sigmoid colon suggestive of a colitis. |
Generate impression based on findings. | Male 42 years old; Reason: LLQ pain, ? hernia or other soft tissue abnormality History: LLQ pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant... | 1.No evidence for hernia bowel obstruction or appendicitis.2.Inguinal lymphadenopathy. |
Generate impression based on findings. | Male 41 years old; Reason: sbo History: pain and vomiting ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Status post splenectomy.PANCREAS: Fluid attenuating cystic foci in the pancreatic head/uncinate process may represent small IPMNs, suboptimally e... | 1.Small bowel obstruction with a transition point in the ileum in the left upper abdomen with adhesions likely being the cause. Follow-up is suggested. |
Generate impression based on findings. | Female 44 years old; Reason: eval for ischemic colitis, splenic infarct History: persistent tachycardia and lactic acidosis ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is enlarged measuring over 21 cm in craniocaudal dimension. Hypoattenuation of the hepatic parenchyma suggests fat... | 1.Ileal ileal intussusception without a definite underlying mass. No associated bowel obstruction.2.Papillary necrosis involving the superior pole calyx of the right kidney with adjacent cortical scarring.3.Retroperitoneal lymphadenopathy involving the upper abdomen.4.Hepato- splenomegaly with probable splenic infarcti... |
Generate impression based on findings. | Male 70 years old; Reason: pancreatic cancer after chemo History: pancreatic cancer after chemo CHEST:LUNGS AND PLEURA: Subpleural reticular changes at the upper lobes. No dominant lung lesion.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. Coronary calcifications.CHEST WALL: No significant abnorma... | 1.Status post resection of the mass in the uncinate. Soft tissue in expected location of the uncinate process bed may be postsurgical. No definite evidence of metastatic disease. |
Generate impression based on findings. | Male 42 years old; Reason: f/u colon cancer History: none CHEST:LUNGS AND PLEURA: No new pulmonary lesions. Pleural spaces are clear.MEDIASTINUM AND HILA: Ascending aorta is dilated measuring 4.3 cm in AP dimension.CHEST WALL: No significant abnormality notedOTHER: ABDOMEN:LIVER, BILIARY TRACT: Liver is diffusely hypoa... | 1.Post operative changes from a right hemicolectomy without evident metastatic disease.2.Hepatomegaly with fatty infiltration.3.Hypodense renal lesions which do not meet the criteria for simple cysts. Further characterization with a dedicated renal MRI is suggested. |
Generate impression based on findings. | Female 70 years old; Reason: met renal cell ca History: none CHEST:LUNGS AND PLEURA: There are several pulmonary lesions. Left upper lobe pulmonary lesion measures 7-mm (image 35/series 4) previously, 7-mm. Left lower pulmonary lesion measures 0.8 x 0.5 cm (image 52/series 4) previously, 0.8 x 0.6 cm.No new pulmonary l... | 1.Increase in the size and number of hepatic lesions.2.Stable appearance of the pulmonary and hilar lesions. |
Generate impression based on findings. | 65 year-old male with T1N0 base of tongue cancer, pyriform, and FOM cancer. Post surgical changes from a right floor of mouth wide local excision, excision of the right submandibular gland, and bilateral neck dissection are identified. There is a peripherally enhancing 3.2 x 1.4 x 1.0 cm submental fluid collection just... | Postsurgical changes with wide local excision at the floor of mouth, with a peripherally enhancing submental fluid collection which most likely represents a seroma although superimposed infection cannot be entirely excluded. Please correlate clinically.Previous cervical lymphadenopathy no longer visualized. |
Generate impression based on findings. | Female 56 years old; Reason: abd pain History: ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: The spleen is top normal in size.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significan... | Post operative changes from hernia repair. Small amount of fluid in the mesh, likely postsurgical. No drainable fluid collections.Post operative changes in the small bowel with dilated segments of small bowel adjacent to the anastomoses. No evident bowel obstruction ; contrast has reached the colon.Descending colonic d... |
Generate impression based on findings. | Metastatic adenoid cystic carcinoma. LUNGS AND PLEURA: Bilateral pulmonary nodules are presumed metastases and are stable in size and number. For continued reference, a right upper lobe nodule measures 11 x 11 mm on image 43/113, unchanged. A left lower lobe nodule measures 10 x 8 mm on image 64/113, unchangedMEDIASTIN... | Stable pulmonary metastases. |
Generate impression based on findings. | Reason: SAH History: as above 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 vent... | 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.s/p left-sided craniotomy. There ... |
Generate impression based on findings. | Reason: 72 yo M s/p OHT, transferred for here after a fall and humerus fracture, admits to hitting head. Now altered History: altered mental status 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 id... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Foci of encephalomalacia in the left parietal lobe and the right frontal lobe are likely related to prior vascular events. |
Generate impression based on findings. | Reason: bleed? History: vertigo The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.There is a small pineal region cystic lesion with calci... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Pineal gland appears stable relative to the prior exam |
Generate impression based on findings. | Reason: pls eval for sinusitis History: 56M with history of septic shock requiring intubation, resolved now with persistent fevers and leukocytosis The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated.The frontal sinuses are clear.Maxillary sinuses demonst... | 1.CT of the paranasal sinuses is within normal limits.2.Partial opacification of the mastoid air cells.3.nasogastric tube is in place |
Generate impression based on findings. | 54 year old female Reason: PE History: tachypneic, tachycardic PULMONARY ARTERIES: Technically adequate exam. No pulmonary emboli.Main pulmonary artery normal in size, no evidence of right heart strain.LUNGS AND PLEURA: Bilateral apical scarring. Moderate to severe apical predominant centrilobular emphysema. Bronchial ... | 1. No pulmonary emboli.2. Recurrent left lower lobe consolidation/atelectasis significantly increased since 8/16/2013 chest radiograph likely secondary to mucus plugging or aspiration; new small left pleural effusion.3. Moderate to severe COPD. |
Generate impression based on findings. | Female, 11 years old, syncope, fall, loss of consciousness. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift. The ventricles and basal cisterns... | No acute intracranial abnormality. |
Generate impression based on findings. | 28 year-old female with flank pain radiating to the anterior thigh. In the absence of IV contrast limiting the evaluation of solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted... | 1. Non-obstructing, punctate calcification within the right kidney with possible mild edematous changes.2. Calcification within the right pelvis likely represents a phlebolith and is less likely to be an ureteral calculus based on location and non-distension of the distal ureter. |
Generate impression based on findings. | 70 year-old male. Thoracic aneurysm. Assess TEVAR repair. ANGIOGRAM: Thoracic aortic aneurysm or pair extending from the level just proximal to the brachiocephalic artery extending to the mid thoracic descending aorta. There is no evidence of dissection or endoleak. No frank hemorrhage. The ostia of the coronary arteri... | 1.Changes status post thoracic aortic aneurysmal repair, without evidence of endo- leak or other complications.2.Large bilateral pleural effusions with compressive atelectasis, slightly increased from prior exam. |
Generate impression based on findings. | 70 year-old female with malignant neoplasm of the larynx, patient experiencing weight loss and hemoptysis. Redemonstrated are extensive post-treatment changes which are unchanged. The patient is status post total laryngectomy and left neck dissection with a tracheostomy tube in place. There are no new discrete foci of ... | 1.Stable post-treatment changes. No definite evidence of tumor recurrence.2.No evidence of clinically significant lymphadenopathy.3.No evidence of intracranial metastases4.Chronic small vessel ischemic disease. |
Generate impression based on findings. | Reason: disruption of hardware, pins History: headache, periorbital edema There is osteolysis present adjacent to two of the pins at the left frontal bone and the second pin from the right along the right frontal bone. Additional osteolysis is present along the posterior located pins bilaterally. These findings were no... | 1.Foci of osteolysis are present along most of the pins from the patient's halo. The possibility of associated osteomyelitis cannot be excluded . Please correlate with clinical exam findings. 2.No evidence for acute intracranial hemorrhage mass effect or edema. The exam of the brain is partially obscured by metal artif... |
Generate impression based on findings. | 89 year-old female with left foot pain and weakness, rule out cord compression Mild levoscoliosis centered at L1/2. There is severe degenerative disk disease, most pronounced at L1/2 and L2/3 with vacuum phenomena and loss of disk height. There is compression deformity of the anterior and right lateral aspect of the L2... | 1. Diffuse lumbar central stenosis ranging from mild to severe, worst at L4/L5. If the patient has symptoms referrable to degenerative stenoses, MRI is recommended for further evaluation.2. Multilevel degenerative disk disease and posterior element hypertrophy causing multilevel neuroforaminal compromise as described a... |
Generate impression based on findings. | Female, 29 years old, with left-sided headache, maxillary and cheek tenderness, visible swelling, history of HIV. Assess for left facial abscess versus sinus infection. A hypodense, rim enhancing fluid collection is identified within the left face along the maxillary alveolus, probably subperiosteal in location. This m... | Small subperiosteal abscess along the left maxillary alveolus, likely secondary to dental infection. |
Generate impression based on findings. | Female 18 years old; Reason: Evaluate for kidney stones, intra-abdominal infection, obstruction History: severe abdominal pain. ABDOMEN:LUNG BASES: The lungs are clear.LIVER, BILIARY TRACT: The liver is normal in appearance and size. No intra-or extrahepatic biliary ductal dilatation.SPLEEN: The spleen is normal in siz... | Right UVJ stone with mild hydroureter. Additional nonobstructive renal stone in the inferior pole of the right kidney. |
Generate impression based on findings. | Reason: eval for lung mets History: wt loss, hemoptysis, h/o larynx cancer LUNGS AND PLEURA: Scattered pulmonary micronodules. No evidence of pulmonary or pleural metastases.Lower lung zone bronchial wall thickening and opacities suggestive of aspiration persists although improved.Lobe centrilobular emphysema is mild t... | No evidence of metastases. |
Generate impression based on findings. | 29-year-old male with abdominal distention and tenderness. Rule out obstruction. ABDOMEN:LUNG BASES: Bibasilar atelectasis.LIVER, BILIARY TRACT:Hepatomegaly is unchanged. Hypoattenuating liver lesion in right lobe is unchanged from the prior exam. There is mild biliary ductal dilatation which is likely due to cholecyst... | Mild wall thickening and distension of the distal small bowel without evidence of obstruction, favor ileus over obstruction. |
Generate impression based on findings. | Reason: TIA History: as above Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no significant stenosis at the carotid bi... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease3.status post aneurysm clip placement along the distal right internal carotid artery. The adjacent structures are obscured from visualization |
Generate impression based on findings. | 44 year old female. Left lower quadrant and left flank pain. Evaluate for ovarian pathology or cause of pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hypoattenuating benign flow artifact about the falciform ligament.SPLEEN: No significant abnormality notedPANCREAS: No significant abnor... | 1.Cystic adnexal structures in the pelvis. Differential includes large ovarian cyst, hemorrhagic cyst, or cystic neoplasm. Pelvic ultrasound is recommended for further evaluation.2.Vaginal cuff soft tissue mass with cystic component and wall thickening. Differential includes nabothian cysts, or vaginal cuff neoplasm. |
Generate impression based on findings. | Male, 70 years old, with altered mental status, evaluate for bleed versus mass. Image quality is degraded by motion artifact. Within this limitation, the following observations are made.A large left MCA distribution infarct noted on the prior examination has evolved to chronic appearing encephalomalacia. This involves ... | 1. Previously seen large left MCA stroke has evolved to chronic encephalomalacia.2. No intracranial hemorrhage or other definite acute findings.3. Please note that sensitivity for acute ischemia is reduced due to the abnormal background, and if clinical concern persists, further evaluation with MRI should be considered... |
Generate impression based on findings. | 57 year old female chest pain. Rule out dissection. CHEST:LUNGS AND PLEURA: There is a subcentimeter pulmonary nodule in the left lower lobe (image 51, series 9). MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality ... | 1. No evidence of aortic dissection.2. Minimally increased size of infrarenal abdominal aortic aneurysm.3. Right and left common iliac artery aneurysms stable in size. Discussed findings with vascular resident on the phone prior to dictation. |
Generate impression based on findings. | Reason: eval for ich History: slurred speech The CSF spaces are appropriate for the patient's stated age with no midline shift. Punctate foci of hypodensity are present in the caudate nuclei bilaterally as well as the right basal ganglia and of the cerebellar hemispheres. There is a hypodense focus adjacent to the fron... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Focus of encephalomalacia along the right frontal lobe and the right cerebellar hemisphere. This is stable since the prior exam and most likely vascular related.3.punctate lesions in the basal ganglia and cerebellar hemisphere are suspected to repre... |
Generate impression based on findings. | Newly diagnosed esophageal cancer. CHEST:LUNGS AND PLEURA: Calcified granulomas with basilar scarring and atelectasis but no evidence of pulmonary metastases.MEDIASTINUM AND HILA: Distal esophageal thickening consistent with known esophageal carcinoma. For continued reference the entire esophagus measures 28 mm in diam... | 1. Distal esophageal thickening consistent with known esophageal carcinoma.2. Upper abdominal lymphadenopathy.3. Multiple hepatic lesions measuring up to 1 cm which are nonspecific but suspicious for metastases.4. No evidence of pulmonary metastases. |
Generate impression based on findings. | Reason: recurrent stage IIIc papillary serous ovarin cancer History: RLE pain LUNGS AND PLEURA: Scattered pulmonary micronodules in a significant weight change. Reference right middle lobe nodule there is 5 x 5 mm (series 5, image 167), previously 4 x 4 mm. No focal pulmonary consolidations or pleural effusions.MEDIAST... | 1.Minimally increasing right middle lobe pulmonary nodule.2.New large hypoattenuating focus in the right renal pelvis with cortical thinning is incompletely evaluated but compatible with chronic obstruction as seen on MRI, dated 3/15/2013.3.Increasing retroperitoneal lymphadenopathy. |
Generate impression based on findings. | 67 year old female. Nausea, vomiting, no flatus or bowel movement. Rule out obstruction. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Interval placement of biliary stent, with associated pneumobilia and indicating patency. Interval decrease in biliary ductal dilatation. No focal hepatic mas... | 1.Pancreatic head mass with interval placement of biliary stent.2.Large infrahepatic IVC thrombus.3.No evidence of obstruction. |
Generate impression based on findings. | Female, 79 years old, struck head, evaluate for hemorrhage. A focal lucency within the right basal ganglia has progressed relative to the prior examination. Given the low density of this lesion, it likely represents a chronic infarct.Also progressed is periventricular hypoattenuation, right side greater than left, comp... | 1. Chronic appearing right basal ganglia infarct, progressed relative to the prior exam.2. Age indeterminate small vessel ischemic disease has also progressed. MRI may be considered if there is any concern for an acute component.3. No evidence of intracranial hemorrhage or any other posttraumatic abnormality. |
Generate impression based on findings. | Reason: 65 y/o F w/ stage III adenocarcinoma of the lung; needs a brain scan History: cough The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenc... | 1.No evidence for brain metastases. MRI is more sensitive for the detection of brain metastases than CT.2.No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | 60 year-old with right neck mass Limited study, intravenous contrast was not administered. This limits the sensitivity to detect small lesions in solid organs and bowel.CHEST:LUNGS AND PLEURA: Mild right middle lobe. Scarring is unchanged.MEDIASTINUM AND HILA: Intracardiac device. Severe coronary calcifications.CHEST W... | No significant interval change. |
Generate impression based on findings. | Reason: mass History: mass on R neck. 60 year old female. Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated.Within the visceral space the thyroid g... | 1.No evidence for neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.comparison is limited due to lack of intravenous contrast.3.Again changes are present in the cervical spine which are worse at C5-6 where a finding suspicious for spinal stenosis and encroachment of the right-sided exiting nerv... |
Generate impression based on findings. | Female, 30 years old, with cellulitis and abscess of the neck. Evaluate for left neck abscess. Surgery in July for recurrent epidermoid cancer of the parotid. Interval resection of a bulky left parotid space tumor seen on the prior examination has occurred. In association there has been resection of the left zygomatic ... | 1. Extensive surgical change related to resection of a bulky left parotid space tumor. Reconstruction with a large soft tissue graft has been performed.2. Within this extremely abnormal background, no definite evidence of residual or recurrent disease is seen. As this is the first postoperative scan, it will serve as a... |
Generate impression based on findings. | Right pleural effusion status post chest tube placement, assessing for lung reexpansion. LUNGS AND PLEURA: Interval reaccumulation of small -- moderate right pleural effusion. Pigtail catheter at right medial lung base, unchanged. Left pleural effusion slightly increased.Previously noted right apical opacity is unchang... | Interval reaccumulation of small -- moderate right pleural effusion with new compressive atelectasis. Pigtail catheter at right medial lung base, unchanged. Left pleural effusion slightly increased. |
Generate impression based on findings. | Reason: eval for lung mets History: diffiuculty breathing LUNGS AND PLEURA: Innumerable bilateral pulmonary nodules, increasing in size and number from the prior exam. Reference left lower lobe nodule measures 6 x 6 mm (series 4, image 56). Small bilateral pleural effusions with overlying compressive atelectasis.MEDIAS... | 1.Increasing pulmonary nodules compatible with metastatic disease.2.Innumerable new hepatic lesions compatible with metastatic disease. |
Generate impression based on findings. | 73-year-old female with diffuse abdominal pain, assess for abscess, small bowel obstruction ABDOMEN:LUNG BASES: Mild right lower lobe scarring/atelectasis noted.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No sign... | No evidence of renal stones or hydronephrosis or hydroureter.Mildly distended jejunal loops without obstruction |
Generate impression based on findings. | Reason: h/o HNC, compare to previous, measurements pls History: none Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated.Within the visceral space th... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy |
Generate impression based on findings. | 23 year old female. Pain, evaluate for stone. ABDOMEN: Lack of intravenous contrast limits evaluation of solid abdominal organs.LUNG BASES: Trace bibasilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: ... | Small right renal stone with associated fullness of the collecting system in the right inferior renal pole. |
Generate impression based on findings. | Vision loss, question tumor or LAD. LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Mediastinal and bilateral hilar lymphadenopathy. For reference a subcarinal node measures 13 mm in short axis.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of enteric contrast material mark... | Mediastinal and bilateral hilar lymphadenopathy. While this is nonspecific, the findings are most likely due to sarcoidosis though other considerations include infection and lymphoma. |
Generate impression based on findings. | 50 year-old male with left lower quadrant abdominal pain. History left lower quadrant pain with left lower extremity weight-bearing. History of HIV. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant ... | No acute abnormality to explain patient's symptoms. |
Generate impression based on findings. | Female, 91 years old, status post fall. Evaluate for fracture. Head:Periventricular hypoattenuation is redemonstrated compatible with age indeterminate small vessel ischemic disease. More focal lucency involving the right caudate head and putamen is stable and compatible with an old lacunar infarct. Additional more foc... | 1. No definite acute intracranial abnormalities.2. Evidence of age indeterminate small vessel ischemic disease and old lacunar infarcts.3. No definite evidence of cervical spine fracture. Mild anterior wedging of the T1 vertebral body is new when compared to a CT from 2012. However, there is degenerative narrowing of o... |
Generate impression based on findings. | 55 year old male Reason: h/o HNC, compare to previous, measurements pls History: none LUNGS AND PLEURA: No suspicious pulmonary masses or nodules.Mild basilar discoid atelectasis/scarring and minimal pleural thickening.No focal airspace opacities, pneumothorax, or pleural effusions.MEDIASTINUM AND HILA: No mediastinal ... | 1. No evidence or metastatic disease or interval change. 2. Midline anterior abdominal wall subcutaneous air and soft tissue density at site of prior G-tube which could represent hernia or infection/abscess. Please evaluate clinically. |
Generate impression based on findings. | 56 year old female. Dysuria. Renal calculus. ABDOMEN: Lack of intervenous contrast limits evaluation of abdominal organs.LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No ... | No evidence of renal or ureteral calculus, or other findings to account for patient's symptoms. |
Generate impression based on findings. | 29-year-old with generalized abdominal pain, Crohn's disease, rule out small bowel obstruction ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Prominent vasculature seen through the liver, suggestive of hepatic steatosis.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormal... | No CT findings to explain patient's symptoms |
Generate impression based on findings. | 31-year-old female with gluteal abscess. Rule out perirectal abscess. UTERUS, ADNEXA: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: Multiple enlarged inguinal lymph nodes bilaterally. Left inguinal lymph node measures 1.4 x 1.6 cm (image 55, series 4).BOWEL, MESENTERY: No signifi... | 1. Phlegmonous collection abutting the posterior vaginal wall, cannot rule out fistulous communication. MRI is more sensitive for evaluation of fistulous tracts.2. Enlarged inguinal lymph nodes. |
Generate impression based on findings. | Esophageal cancer and treatment. Compare to previous. CHEST:LUNGS AND PLEURA: Bilateral nodular airspace opacities with variable cavitation.Reference left upper lobe lesion currently measures 16 x 8 mm on image 39/98 (17 x 7 mm) and is currently more solid. Reference left lower lobe lesion now measures 26 x 9 mm on ima... | Stable size of predominantly cavitary pulmonary nodules. A left upper lobe nodule measures similar in size though is now more solid. Continued attention to this nodule is recommended on future scans. No new sites of disease. |
Generate impression based on findings. | 51-year-old with subarachnoid hemorrhage, acute hemoglobin drop, rule out hematoma Limited study. Intravenous contrast was not administered. This limits the sensitivity to detect small lesions in solid organs and bowel.CHEST:LUNGS AND PLEURA: Left mild pleural effusion with underlying atelectasis. Right basilar atelect... | 1. No evidence of fluid collection or hematoma within the abdomen or pelvis.2. Small atrophic native kidneys with vascular calcifications.3. Mild left pleural effusion with underlying atelectasis.4. Extensive atherosclerotic changes of abdominal aorta and its branches. |
Generate impression based on findings. | 56-year-old male with recent septic shock of unclear etiology, requiring intubation. Now with persistent fevers, leukocytosis, sputum production and elevation of lipase. The patient was unable to raise both arms due to recent surgery. In the absence of IV contrast limiting the evaluation of solid parenchymal organs and... | 1. Acute pancreatitis without obvious complication given evaluation limited in the absence of IV contrast. 2. Distended, edematous gallbladder which shows secondary inflammation in a setting of acute pancreatitis. |
Generate impression based on findings. | 58-year-old male. Recurrent kidney stones. History of myelofibrosis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hepatomegaly. Cholelithiasis.SPLEEN: Splenomegaly. Splenic vein dilatation. Splenorenal collateral vessels are noted.PANCREAS: There is a hypoattenuating region in the head of t... | 1.Hypoattenuating lesion in the head of the pancreas without upstream ductal dilatation. Differential includes pancreatic head neoplasm or IPMN. Recommend MRI of the pancreas with MRCP for further evaluation.2.Hepatosplenomegaly, compatible with history of myelofibrosis.3.Soft tissue, fat-containing lesion in the right... |
Generate impression based on findings. | 75-year-old status post radical resection of retroperitoneal leiomyosarcoma, please evaluate for changes or recurrence CHEST:LUNGS AND PLEURA: Biapical scarring noted.MEDIASTINUM AND HILA: Stable mighty enlarged mediastinal lymphadenopathyCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No sign... | Stable examination, no interval change or recurrence. |
Generate impression based on findings. | Floor of mouth cancer. Status post CRT 12/12. Evaluate for recurrence. CHEST:LUNGS AND PLEURA: Unchanged benign appearing pulmonary micronodules, some of which are calcified. Mild centrilobular predominant emphysema.MEDIASTINUM AND HILA: Nonspecific hypoattenuating thyroid nodules, unchanged. Calcified mediastinal and ... | No evidence of metastatic disease. |
Generate impression based on findings. | 45-year-old female with a history of pheochromocytoma with sacral lesion and possible left radiculopathy, evaluate for interval change The previously seen lucent lesion in the anterior aspect of the left sacrum (80294/51) is not significantly changed in appearance from the prior exam. There is slight sclerosis surround... | Stable sacral lesion. |
Generate impression based on findings. | Male, 8 years old, struck in face with a golf club with lip laceration. The left upper lip is edematous and irregular compatible with history of laceration.No evidence of facial bone fracture is seen. There are linear lucencies between the left and right aspects of the anterior nasal spine and between the left aspect a... | Laceration of the left upper lip with no definite evidence of underlying bony fracture. |
Generate impression based on findings. | 67-year-old male with left flank pain. Evaluate for stone. In the absence of IV contrast limiting evaluation solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: Multiple pulmonary nodules are not significantly changed from the prior exam. Calcified right hilar ad... | 1. No evidence of urinary tract obstruction. No identified ureteral calculi. 2. Right nephrolithiasis without evidence of obstruction. |
Generate impression based on findings. | 38 year old female with history of metastatic breast cancer, baseline scan scan required to starting new treatment. CHEST:LUNGS AND PLEURA: Bilateral emphysematous changes. There are multiple subcentimeter pulmonary nodules within the right and left lung. There is a pulmonary nodule in the left lower lobe measuring 1.1... | 1. Left lower lobe pulmonary nodule.2. Multiple hypodense hepatic lesions suspicious for metastatic disease.3. Mediastinal and hilar adenopathy.4. No identified osseous metastatic disease. |
Generate impression based on findings. | Reason: CVA History: CVA The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Periventricular and subcortical white matter hypodensities of ... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Periventricular and subcortical white matter changes of a moderate to marked degree are nonspecific. At this age they are most likely vascular related. 3.The patient's hemorrhage from January has resolved. |
Generate impression based on findings. | Reason: pt with lung ca (mucinous adenocarcinoma) s/p 5 cycles of chemo History: now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Left hemithorax volume loss with extensive pleural thickening. Reference pleural nodule measures 15 mm (series 4, image 49), unchanged. Confluent pl... | 1.No significant interval change in left pleural nodular thickening.2.Stable to slight decrease in right pulmonary nodules. |
Generate impression based on findings. | Male, 57 years old, history of floor of mouth cancer, status post CRT. Volume loss of the left base of tongue is a stable finding. Also redemonstrated is reticulation of the left neck fat compatible with treatment related change.No focal soft tissue mass or pathologically enhancing lesion is demonstrated to suggest res... | Treatment related change in the neck with no evidence of recurrent primary tumor or pathologic adenopathy. |
Generate impression based on findings. | Reason: 60 year old man with Hodgkin lymphoma s/p autologous stem cell transplant 2 yrs ago. Compare to prior scans. History: none Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy ... | 1.No evidence for neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy. Lack of intravenous contrast may impair visualization of lymphadenopathy. |
Generate impression based on findings. | 62 year old female. Metastatic rectal cancer to lung and liver. Status post resection of left lower lobe nodule. Evaluate extent of disease. CHEST:LUNGS AND PLEURA: Changes status post left lower lobe wedge resection. There is suture material with soft tissue attenuation surrounding in the left lower lobe, measuring 28... | 1.Interval increase in size of right hepatic lobe metastasis, and right middle lobe pulmonary nodule.2.Changes status post left lower lobe wedge resection, with suture material in soft tissue attenuation, which could represent postsurgical changes or residual/recurrent disease. |
Generate impression based on findings. | Prostate cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENA... | No evidence of metastatic disease. |
Generate impression based on findings. | Supraglottic cancer s/p CRT CHEST:LUNGS AND PLEURA: Previously noted cluster of nodules in the right lung base and posterior aspect of the right upper lobe have nearly completely resolved consistent with aspiration. There is a new irregular cluster of nodules in the anterior left upper lobe (image 56/120) again suggest... | Interval resolution of prior nodular opacities, though a new cluster of nodular opacities is now present in the left upper lobe. The findings remain suggestive of chronic aspiration though continued follow up is recommended. |
Generate impression based on findings. | Reason: Evaluate disease status prior to new systemic therapy History: Stage IV metastatic melanoma The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brai... | 1.No evidence for brain metastases. Please note MRI is more sensitive for the detection of brain metastases than CT |
Generate impression based on findings. | Hodgkin's lymphoma CHEST:LUNGS AND PLEURA: Stable right apical scarring.MEDIASTINUM AND HILA: Stable reference precarinal lymph node is seen on image 42 measuring 1.3 x 0.7 cm. Stable minimal pericardial effusion.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedS... | Stable examination. No new adenopathy. |
Generate impression based on findings. | Testicular carcinoma CHEST:LUNGS AND PLEURA: Stable micronodulesMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS... | Stable examination. |
Generate impression based on findings. | Degenerative changes at this level have progressed since the prior exam. CT neck:Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated.Fat planes in th... | 1.There is thickening of the mucosal tissues within the larynx there the possibility that this represents recurrent tumor cannot be excluded. There is significant narrowing of the airway associated with this Please correlate with clinical findings on clinical exam.2.No evidence for neck lymphadenopathy on the basis of ... |
Generate impression based on findings. | Female, 59 years old, with severe headaches for 9 months, worse at night. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift. The ventricles and ... | Unremarkable evaluation with no specific findings to account for the patient's headaches. |
Generate impression based on findings. | 62-year-old male. Retroperitoneal sarcoma resection, evaluate for recurrence. CHEST:LUNGS AND PLEURA: Linear subcentimeter nodule in the lingula is unchanged (image 49, series 5). Interval development of lingular subpleural nodule measuring 8 x 6 mm (image 51, series 5).MEDIASTINUM AND HILA: Coronary artery calcificati... | 1.Fat containing area in the right anterolateral abdomen abutting the liver with internal soft tissue stranding with similar appearance to prior sarcoma, compatible with recurrence.2.New lingular subpleural pulmonary nodule.3.Slight interval increase in size of perigastric soft tissue density, which may be due to chang... |
Generate impression based on findings. | SCLC on treatment. Lung cancer. CHEST:LUNGS AND PLEURA: Extensive fibrotic and emphysematous change. Slight decrease in size of bilateral pulmonary nodules.MEDIASTINUM AND HILA: Large central mass with adenopathy. Interval decrease right paratracheal reference measurement of 61 x 57 mm on image 35/155 (7 x 7 cm on prio... | Interval decrease in reference measurements. |
Generate impression based on findings. | Male, 86 years old, history of right tonsil cancer status post two cycles of induction. Head:Periventricular hypoattenuation, stable and likely representing age indeterminate small vessel ischemic disease. No pathologic parenchymal enhancement or focal parenchymal edema is seen to suggest metastatic disease.Since the p... | Overall, mixed response to therapy. Some components of the ill-defined, infiltrating tumor involving the right tonsil, soft palate, parapharyngeal and masticator spaces are less well defined and perhaps smaller. However, other areas are not substantially changed in bulk.Progression is noted at the level of the skull ba... |
Generate impression based on findings. | 60 year-old neoplasm of uncertain behavior of adrenal gland. CT abdomen adrenal protocol left adrenal mass aldosteroma. The patient to have adrenal vein sampling ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No... | No focal adrenal lesion. |
Generate impression based on findings. | Reason: 86 y/o male with T4bN2c Right Tonsil ca. s/p 2 cycles induction. please re-eval and compare to prior scans History: as above CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Mediastinal lymphadenopathy is stable to slight decrease in size. Reference right paratracheal cong... | 1.No evidence of pulmonary metastases.2.Stable T8 sclerotic lesion compatible with a metastatic focus.3.No new sites of disease identified. |
Generate impression based on findings. | History of testicular cancer, had nonspecific mediastinal findings on most recent CT rule out recurrence/metastasis in setting of elevated AFP. LUNGS AND PLEURA: Patchy foci of very faint groundglass opacity, from the right, are nonspecific but most likely post inflammatory, perhaps due to aspiration. The findings are ... | 1. Exophytic right thyroid nodule versus enlarged high right paratracheal node measures 20 x 17 mm, not significantly changed vs 9/27/2012 but increased in size versus 12/16/2009 and potentially metastatic. An ultrasound of the neck would likely be able to better differentiate if this is a node abutting the thyroid or ... |
Generate impression based on findings. | Abdominal pain, right lower quadrant, diverticulitis versus appendicitis ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomySPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS... | No evidence of appendicitis or diverticulitis.Findings conveyed to pager 2726, Dr. GOPALSAMI, ANAND at 12:20 p.m. on 8/19/13 |
Generate impression based on findings. | 49 year-old female with headache, evaluate for bleed. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA: Progressed from the prior exam, is a focal area of hypodensity located along the anterior limb of the left internal capsule. This finding may represent progressive chron... | 1.No evidence of acute intra-or extra-axial hemorrhage as clinically queried.2.Progressive focal area of hypodensity along the anterior limb of the left internal capsule, findings likely represent progression of small vessel disease. If there is continued clinical concern for acute ischemia, MRI would be recommended. |
Generate impression based on findings. | Breast cancer, eval disease response to therapy. CHEST:LUNGS AND PLEURA: Significant interval decrease in bilateral pulmonary nodules. Reference right lower lobe pulmonary nodule is barely measurable at 8 x 3 mm and 61/103 (14 x 11 mm on prior). Emphysema.MEDIASTINUM AND HILA: Punctate hypodense left thyroid nodule. Co... | Significant interval decrease breast masses, axillary adenopathy and pulmonary metastases. |
Generate impression based on findings. | Reason: eval coronary artieries History: Patient reports of chest pain and previous abnormal stress test. Reported history of bicuspid aortic valve and leukemia. Thoracic aorta: There is a common origin of the innominate and left common carotid artery, a normal variant. Several orthogonal dimensions were obtained of th... | 1. There are no significant coronary artery stenoses present. 2. No thoracic aortic aneurysm. Heavily calcified and thickened native aortic valve with calcification that extends inferiorly along the aorto-mitral fibrous skeleton to the base of the mitral valve. 3. Moderately enlarged the pectoral, bilateral axillary, m... |
Generate impression based on findings. | History of Hodgkin's lymphoma and histo. LUNGS AND PLEURA: Continued decrease in right upper lobe cavitary nodule now measuring 26 x 13 mm on image 21/116 (36 x 31 mm on prior). Continued decrease in the thickness of the wall and surrounding ground glass and interstitial opacity.Previously referenced right perihilar op... | Continued decrease in right sided cavitary nodule and associated inflammatory changes. |
Generate impression based on findings. | Evaluate for worsening and new infiltrates. History of IPF, participating in clinical trial. LUNGS AND PLEURA: Subpleural fine reticulonodular and groundglass opacities with fibrosis consistent with IPF. Mild traction bronchiectasis is present. The peripheral of the superior left upper lobe shows slight increase in are... | Chronic interstitial lung disease with slight increase in area and severity of involvement in the superior left upper lobe. |
Generate impression based on findings. | Abdominal pain and vomiting; right lower quadrant 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 signific... | Mild distal appendiceal wall thickening associated with surrounding subtle soft tissue infiltration. Findings suggestive for early appendicitis. No evidence for bowel obstruction, perforation, or abscess. |
Generate impression based on findings. | 75 year old female with pelvic pain. History of urinoma, pelvic abscess. Evaluate for progression. CHEST:LUNGS AND PLEURA: There is a subcentimeter pulmonary nodule in the left upper lobe (image 57, series 5). MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Right venous access device with tip termina... | 1. Interval increase in left hydronephrosis with malpositioned left percutaneous nephrostomy tube within the musculature of the back and not in the renal pelvis.2. Decreased right hydronephrosis.3. No significant change in the pelvic collection or pelvic free fluid. Discussed findings with Dr Desai on the phone prior t... |
Generate impression based on findings. | 71-year-old with follicular lymphoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Aneurysmal dilatation of the ascending aorta measuring 4.3 cm (image 49, 3), previously measured 4.4 cm is mostly unchanged. Coronary calcifications are also noted.CHEST WALL: No significant abnormality no... | Stable aneurysmal dilatation of the ascending aorta.No evidence of recurrent or metastases. |
Generate impression based on findings. | 48-year-old male. Weight loss. Left lower 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: Left adrenal nodularity.KIDNEYS, URETERS: No sign... | Colonic wall thickening involving the ascending colon, transverse, and some of the descending colon, compatible with colitis. Most likely of infectious/inflammatory etiology.Various attempts were made to contact to Dr. Babs Waldman's office by Dr. Jehangir. An attempt will be made again tomorrow on 8/20/13. |
Generate impression based on findings. | Lung nodule LUNGS AND PLEURA: Smoothly marginated right upper lobe pulmonary nodule measures 7 x 5 mm on image 28/105. This is stable versus 5/9/2013 and 4/0/2012 studies, though marginally increased versus CTs from 2011.Right apex scarring presumably secondary to prior radiation therapy to the right breast.MEDIASTINUM... | Smoothly marginated right upper lobe pulmonary nodule measures 7 mm, unchanged versus 5/9/2013 and 4/9/2012 studies, though marginally increased versus CTs from 2011 where it was roughly 5 mm. Though this is nonspecific, the size, margins, and relative stability favor a benign/inflammatory etiology over malignancy. The... |
Generate impression based on findings. | Reason: metastatic breast cancer - evaluate response to treatment, compare with previous History: pulmonary and nodal mets CHEST:LUNGS AND PLEURA: Bilateral pulmonary nodules, stable to minimally increased in size. Reference right lower lobe pulmonary nodule measures 8 x 8 mm (series 7, image 43), unchanged. New left p... | 1. Stable to minimally increased bilateral pulmonary nodules.2. New left pleural effusion.3. Mixed response of mediastinal lymph nodes. |
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