instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | Reason: lung cancer History: lung cancer CHEST:LUNGS AND PLEURA: Large right upper lobe paramediastinal mass measuring approximately 4.7 cm by 4.1 cm (image 8, series 3) has decreased in size since the PET/CT dated 4/12/13 measuring 7.5 cm in its AP diameter on that exam.Right apical nodule (image 19, series 5) measuri... | 1.Large right paramediastinal mass with extension into the mediastinum. There is interval decrease in size of this mass since the PET/CT dated 4/12/13.2.Additional pulmonary nodules are unchanged from the prior exam . 3.Multiple hepatic hypodensities less than optimally evaluated with single phase of contrast. Dedicate... |
Generate impression based on findings. | Reason: eval for pe History: sob off warfarin PULMONARY ARTERIES: Technically adequate exam. No evidence of pulmonary embolus. LUNGS AND PLEURA: No focal parenchymal consolidation or pleural effusion. Punctate granuloma in left lower lobe.MEDIASTINUM AND HILA: Mild cardiomegaly. No pericardial effusion. Thoracic aorta ... | No evidence of pulmonary embolus or other acute cardiopulmonary abnormality. |
Generate impression based on findings. | Reason: restaging scans s/p 4 cycles of oral TKI therapy, please compare to previous scans History: hx of metastatic RCC LUNGS AND PLEURA: Several pulmonary micronodules, unchanged, with reference right basilar nodule (image 225, series 5) measuring 2 mm, this measured 2 mm on 7/11/2013 and 5mm on 5/30/2013. Punctate g... | 1. Stable pulmonary micronodules with reference nodule measuring 2mm, unchanged. 2. Partially visualized hepatic, left adrenal, and left renal masses, fully described on 7/23/2013 MRI. |
Generate impression based on findings. | Left-sided abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Very mild left hydronephrosis and hydrou... | Very mild left hydronephrosis and hydroureter due to 3-mm left UV junction stone. Additional subcentimeter nonobstructing upper tract left renal stone. |
Generate impression based on findings. | 75-year-old male with abdominal pain and recent diagnosis of pancreatic adenocarcinoma. CHEST:LUNGS AND PLEURA: Bilateral emphysematous changes and bibasilar atelectasis. MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Sternotomy wires. ABDOMEN:LIVER, BILIARY TRACT: There are multiple, non-enhancing s... | 1. Pancreatic mass within the body of the pancreas consistent with known pancreatic adenocarcinoma.2. Reference peri-pancreatic lymph node measured.3. Hepatic cyst as seen on previous EGD. Gastric cyst no longer demonstrated.4. Infrarenal abdominal aortic aneurysm with mural thrombus. |
Generate impression based on findings. | Ovarian cancer, currently receiving treatment, please evaluate for response/progression. CHEST:LUNGS AND PLEURA: Stable right lower lobe atelectasis.Left upper lobe granuloma. Micronodules along the right major fissure is unchanged.MEDIASTINUM AND HILA: Bilateral thyroid nodules are mostly unchanged. Prominent left axi... | Reference hypodense lesion in the right posterior hepatic lobe, mostly unchanged from prior study.Interval resolution of omental nodularity and ascites.No new metastatic disease. |
Generate impression based on findings. | 68 year old female. Left lower quadrant abdominal pain. ABDOMEN:LUNG BASES: Calcified right lower lobe pulmonary nodule and right hilar lymph nodes compatible with prior granulomatous disease.LIVER, BILIARY TRACT: Status post cholecystectomy. Cavernous transformation of the portal vein, stable dating back to 5/18/2005 ... | No findings to account for patient's symptoms. |
Generate impression based on findings. | 39 year old with posterior decompression for Chiari in 2009 with worsening symptoms. CT brain:BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage. Pointed cerebellar tonsils extend just below the neo- foramen magnum.VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.FLUID:No flui... | 1.Postsurgical changes from previous suboccipital craniectomy for Chiari decompression. Ventricles are normal in size. No acute intracranial process. 2.Unremarkable cervical spine CT. |
Generate impression based on findings. | Reason: evaluate for worsening of bronchiectasis History: decreased lung function and inability to clear Pseudomonas infection LUNGS AND PLEURA: Right upper lobe predominant bronchiectasis with areas of atelectasis and/or scarring in the right middle lobe and lingula. Surgical sutures are identified in the lingula.Area... | 1.Upper lobe predominant bronchiectasis with areas of atelectasis / consolidation in the right middle lobe and lingular segment of the left upper lobe.2.No suspicious pulmonary nodules or masses.3.Left breast mass. Recommend mammography. |
Generate impression based on findings. | 63 year old female. Metastatic carcinoma. PET scan showed increased uptake in pelvis, pain in right hip. ABDOMEN:LUNG BASES: Right middle lobe cavitary nodule appears unchanged. LIVER, BILIARY TRACT: Hypoattenuation of liver parenchyma, suggestive of fatty infiltration. Cholecystectomy. Left hepatic lobe cyst, unchange... | 1.Cavitary nodule in the right middle lobe, not significantly changed.2.Omental and mesenteric nodularity, compatible with carcinomatosis |
Generate impression based on findings. | Male, 54 years old, history of tonsil cancer, status post chemotherapy, follow-up examination. Treatment related changes are redemonstrated in the neck appearing similar to the prior examination. This includes stranding of the superficial and deep fascial spaces, more so on the right, supraglottic mucosal edema, and a ... | 1. Treatment-related changes in the neck with no evidence of progressive disease.2. Chronically thrombosed right IJ vein. |
Generate impression based on findings. | Cough and shortness of breath. Sarcoidosis evaluation. LUNGS AND PLEURA: Stable upper lobe predominant subpleural reticulation and nodularity with scarring and linear atelectasis. No significant air trapping on expiratory phase imaging.MEDIASTINUM AND HILA: Intrathoracic lymphadenopathy with lymphadenopathy is unchange... | Stable lymphadenopathy and upper lobe predominant interstitial disease consistent with sarcoidosis. |
Generate impression based on findings. | Reason: Patient with right otic fullness History: right otic fullness There is some weblike thickening along the left external auditory canal without any associated bony erosion.The internal auditory canals are symmetric in diameter and intact. The middle ear structures are intact. The courses of the facial nerves were... | Weblike and defects along the left external auditory canal please correlate with otoscopic findings. |
Generate impression based on findings. | 62-year-old male with stage IV sacral decubitus ulcer There is a decubitus ulcer which extends deeply to the sacrum. There is destruction of the coccyx and the inferior sacrum, with the remaining sacrum abutting the ulcer surface. Air extends within the soft tissues adjacent to the left gluteus maximus. Within the post... | Findings highly suggestive of osteomyelitis. |
Generate impression based on findings. | Reason: 43M with a h/o laryngeal CA s/p total laryngectomy and CRT c/b esophageal strictures, s/p multiple esophageal dilations. History: poss recurrence please re-eval The patient is assess tracheostomy tube placement and laryngectomy there is redemonstration of a open communication between the retropharyngeal space a... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.there is redemonstration by fistula between the hypopharynx and retropharyngeal space which is a stable when compared to the prior exam. There are some reactive changes along adjacent cervical vertebrae. Ple... |
Generate impression based on findings. | History of head and neck cancer. CHEST:LUNGS AND PLEURA: Trace emphysema. Left-sided perifissural nodule, likely a lymph node, unchanged. Basilar scarring and atelectasis. No suspicious pulmonary nodules.MEDIASTINUM AND HILA: Mediastinal and hilar lymphadenopathy is not significant changed. The reference precarinal lym... | Stable CT with intrathoracic lymphadenopathy more suggestive of sarcoidosis than metastatic disease, though continued follow-up is recommended. |
Generate impression based on findings. | Evaluate fluid collection ABDOMEN:LUNG BASES: Patchy air space opacities bilaterally unchanged. New atelectasis at the right lower lobe and left lower lobe. No pleural effusion or pneumothorax.LIVER, BILIARY TRACT: Liver transplant with multiple surgical clips. Diffuse periportal edema noted. Fluid tracking along the l... | Large fluid collection immediately posterior and inferior to the stomach has increased in size in the interval. |
Generate impression based on findings. | 75 year old female with epigastric pain, hypertension, abnormal systolic blood pressure. Evaluate for aortic dissection. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: There is no dilatation or dissection of the thoracic aorta. The major branches of the thoracic aorta are patent and well... | Type B abdominal aortic dissection without involvement of the major aortic branches. Discussed findings with Dr Shyy on the phone prior to dictation. |
Generate impression based on findings. | History of laryngeal cancer status post total laryngectomy and CRT complicated by esophageal strictures status post "multiple esop" CHEST:LUNGS AND PLEURA: Reference left lower lobe pulmonary nodule measures 13 x 12 mm on image 51/113 (13 x 12 mm on prior). The reference right middle lobe pulmonary nodule measures 7 mm... | 1. Stable to slightly increased pulmonary nodules.2. Stable lymphadenopathy. |
Generate impression based on findings. | Reason: h/o salivary gland ca, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: New pleural and fissural nodularity along the superior aspect of the right major fissure of uncertain etiology. No focal parenchymal consolidation or pleural effusion. Mild dependent atelectasis and basilar scarri... | New pleural nodularity on the right of uncertain etiology, which may represent post inflammatory reaction although metastatic disease cannot be entirely excluded. Short-term follow-up is recommended. |
Generate impression based on findings. | 31 year old female with a headache and a history of pseudotumor, evaluate degree of hydrocephalus. VENTRICLES/CSF SPACES:Stable from multiple prior examinations, the left lateral ventricle is within normal limits but asymmetrically larger in size when compared to the right. BRAIN PARENCHYMA:No abnormal mass lesions, ed... | 1.No CT findings to suggest hydrocephalus; ventricular sizes remain stable from prior exams.2.No acute intracranial hemorrhage. |
Generate impression based on findings. | Reason: hx mds s/p allogenic SCT with wheezing History: wheezing LUNGS AND PLEURA: Significant interval improvement in lingular tree in bud and more focal opacity with mild residual opacity and scarring. No new focal parenchymal consolidation or pleural effusion. Left upper lobe granuloma, unchanged. Basilar scarring.M... | Significant interval improvement in lingular tree in bud opacities with mild residual opacity and scarring. No new focal parenchymal opacity or pleural effusion. |
Generate impression based on findings. | Male, 61 years old, status post fall with posterior head trauma and right tympanic membrane perforation. 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 mid... | No acute intracranial abnormalities. |
Generate impression based on findings. | Female 19 years old; Reason: history of Hodgkin lymphoma History: status post auto transplant workup. CHEST:LUNGS AND PLEURA: Minimal scarring at the right lung apex. Interval resolution of the small right pleural effusion and atelectasis.MEDIASTINUM AND HILA: Interval continued reduction in the size of the confluent s... | 1.Interval continued reduction in size of anterior mediastinal mass.2.Right hilar lymph node now measures 10 mm down from 14.3.Interval resolution of a right pleural effusion and atelectasis.4.Interval resolution of the bowel thickening and dilation.5.Interval reduction in the ascites with only residual in the pelvis.6... |
Generate impression based on findings. | Female 39 years old; Reason: 29 yr old patient with GTD tumor s/p surgery. baseline scan post surgery prior to restarting chemotherapy History: none CHEST:LUNGS AND PLEURA: No suspicious lesions. Pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. Right chest wall port terminat... | 1.Status post hysterectomy small enhancing pelvic lymph node.2.Post surgical changes. |
Generate impression based on findings. | Reason: 67 y/o M w/ new dx adenocarcinoma of the lung, please restage History: cough CHEST:LUNGS AND PLEURA: Necrotic right upper lobe mass measures 6.9 x 5.6 cm (series 701, image 27) abuts the hilum. Additional satellite nodule seen in the upper lobe (series 5, image 148). Soft tissue nodule abutting the right heart ... | 1.Large necrotic mass in the right upper lobe with mediastinal invasion. Additional right upper and middle lobe nodules may represent metastatic disease.2.Bulky mediastinal and hilar lymphadenopathy.3.Large proximal left ureter stone with upstream renal atrophy, probably secondary to chronic obstruction.4.Mild aneurysm... |
Generate impression based on findings. | Male 79 years old; Reason: Hx of Large B Cell NHL History: s/p 2 cycles of chemotherapy CHEST:LUNGS AND PLEURA: New ground-glass opacities involving the upper lobes and lower lobes. No focal consolidation. There is mild lower lobe bronchiectasis.No parenchymal volume loss or fibrosis.MEDIASTINUM AND HILA: Heart size is... | 1.Decrease in the size of the upper abdominal retroperitoneal lymph node. No new lymphadenopathy.2.Bilateral ground-glass pulmonary opacities. Different considerations include infection (atypical including viral), drug reaction. |
Generate impression based on findings. | Reason: history of RUL cavitary lesion ,LLL lung nodule, and prominent lymph nodes on CT scan 12/12 at Jackson park hospital History: +smoking history CHEST:LUNGS AND PLEURA: Right upper lobe cavitating mass (image 20, series 5) measuring 2.8 cm x 4.3 cm. There are foci of calcification within portions of this mass.Adj... | 1.Right upper lobe cavitating masses suggesting an infectious etiology such as fungal. However neoplasia cannot be excluded.2.Severe upper lobe predominant centrilobular and paraseptal emphysema. |
Generate impression based on findings. | 57-year-old male. Renal cell cancer. Evaluate for recurrence or metastases. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholecystectomy. Fatty infiltration of the liver is again noted.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signi... | 1.Changes status post resection of cystic left renal mass without evidence of recurrence or metastatic disease in the abdomen or pelvis.2.Right inguinal lymphadenopathy which is not significantly changed. |
Generate impression based on findings. | Female, 67 years old, with anosmia. The frontal sinuses and frontoethmoidal recesses are clear. The sphenoid sinuses and sphenoethmoidal recesses are clear. Minimal if any mucosal thickening is evident within the ethmoid air cells. At the floor of the right maxillary sinus, there is mild polypoid mucosal thickening. Ot... | No evidence of active or acute sinusitis. |
Generate impression based on findings. | 93 year old female. Bacteremia, abdominal pain. Evaluate for cause of bacteremia in patient with diverticulosis. ABDOMEN: Motion artifact limits examination.LUNG BASES: Calcified left lower lobe pulmonary nodule and left hilar calcified lymph node compatible with prior granulomatous disease. Small pleural effusions/ple... | Diverticulosis, without evidence of diverticulitis within this motion limited exam. |
Generate impression based on findings. | 80 year-old hemorrhage or GI tract, unspecified, evaluate foreign body in the transverse colon ABDOMEN:LUNG BASES: Intrathoracic stomach identified.LIVER, BILIARY TRACT: Cholelithiasis without evidence of cholecystitis. Subtle hypodensity in the left lobe of liver is too small to further characterize (image 36, 3). Sub... | Intrathoracic stomach noted.2. Subtle, hypodense lesion measuring 1.7 x 1.3 cm adjacent to the gallbladder fossa most likely represents focal fatty infiltration. However, further evaluation with MRI or CT liver protocol is recommended for confirmation (image 49, 3).3. IVC filter in appropriate location. |
Generate impression based on findings. | Male, 79 years old, history of large cell non-Hodgkin's lymphoma status post two cycles of chemotherapy. Intracranial views are remarkable only for evidence of parenchymal volume loss, small vessel ischemic disease and enlargement of the pituitary gland compatible with adenoma. Findings are stable.Since the prior exami... | Response to therapy with interval reduction in the size of the palatine tonsils and scattered lymph nodes in the neck. |
Generate impression based on findings. | Chronic cough, on immunosuppressants, low grade fevers, evaluate for pneumonia, bronchitis, bronchiolitis. LUNGS AND PLEURA: Mild left base linear scarring and atelectasis. No evidence of pneumonia, bronchial wall thickening, or bronchiectasis. Punctate calcified granulomas on the right.MEDIASTINUM AND HILA: Calcified ... | No evidence of pneumonia or bronchiolitis. |
Generate impression based on findings. | Female 53 years old; Reason: History of appendiceal cancer s/p right hemicolectomy, please rule out recurrence (surveillance imaging) History: asymptomatic CHEST:LUNGS AND PLEURA: No suspicious complications. The pleural spaces are clear.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Chronic elevati... | 1.Stable exam without significant change in the small retroperitoneal or right lower abdominal mesenteric nodes.2.Chronic elevation of the right hemidiaphragm.3.Fatty liver. |
Generate impression based on findings. | Reason: s/p bolt and brain bleed History: s/p bolt and brain bleed There is redemonstration of a 50 x 80 mm axial dimension hematoma centered in the left centrum semi-ovale, basal ganglia and thalamus associated with intraventricular blood, midline shift and a ventriculostomy tube coursing through the right frontal lob... | 1.left hemispheric hematoma is stable compared to the prior day's exam2.midline shift is stable since the prior days exam3.uncal herniation and transtentorial herniation as well as subfalcine herniation.4.Status post ventriculostomy tube placement. |
Generate impression based on findings. | Reason: evalaute for causes of mental status changes History: ms changes 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.The visualized... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA. |
Generate impression based on findings. | Reason: r/o CVA or other acute process History: confusion The CSF spaces are appropriate for the patient's stated age with no midline shift. There is redemonstration of a focus of encephalomalacia involving the right frontal lobe adjacent to the right superior frontal sulcus .No abnormal mass lesions are appreciated in... | 1. No evidence for acute intracranial hemorrhage mass effect or edema.2.Focus of encephalomalacia in the right frontal lobe3.CT is insensitive for the early detection of nonhemorrhagic CVA4.mucosal thickening along the nasopharyngeal soft tissues is best evaluated using CT soft tissues of the neck. |
Generate impression based on findings. | Reason: view for hemorrhage History: s/p chiari decompression There is intracranial air present within the subarachnoid space.The patient is status post suboccipital craniotomy. Some interval most are present at the hernia siteThe CSF spaces are appropriate for the patient's stated age with no midline shift. No abnorma... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.The patient is status post recent suboccipital craniotomy . Subarachnoid air is distributed intracranially |
Generate impression based on findings. | Reason: f/u SDH History: f/u SDH The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a subgaleal hematoma present along the left parietal bone associated with an underlying skull fracture. This fracture extends along the left parietal bone. It is associated with minimal displacem... | 1.There is an isolated left parietal bone skull fracture associated with a small left epidural hematoma. There is overlying subgaleal hematoma. |
Generate impression based on findings. | Reason: Eval for worsening ICH History: headache There is a ringlike mass present centered in the left thalamus redemonstrated measuring approximately 15 x 41 mm in axial dimensions and associated with approximately 13 mm shift of the third ventricle towards the right. A ventriculostomy tube courses through the right p... | 1.Stable left thalamic mass with a midline shift and mass effect.2.Stable position of the ventriculostomy tube without evidence for ventriculomegaly. There is a very mild dilation of the temporal horn of the left lateral ventricle relative to the right which is stable3.focal hemorrhage in the left postcentral gyrus and... |
Generate impression based on findings. | 67 year old female Reason: assess for pe History: sob PULMONARY ARTERIES: Technically adequate exam.No pulmonary emboli.Main pulmonary artery normal in size.No evidence of right heart strain. LUNGS AND PLEURA: No focal airspace opacities, pneumothorax, or pleural effusions.No suspicious nodules or masses.MEDIASTINUM AN... | No pulmonary emboli or acute abnormality. |
Generate impression based on findings. | 64 year-old female with nausea, vomiting x 1 week and history of small bowel obstruction. Evaluate for small bowel obstruction. ABDOMEN:LUNG BASES: Bilateral bullous changes and scarring. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: The pancreatic duct is dilat... | 1. Small bowel obstruction.2. Pneumatosis and pneumoperitoneum worrisome for ischemia to bowel as source in light of small bowel obstruction. |
Generate impression based on findings. | Reason: pulmonary embolus History: new shortness of breath, new oxygen requirement, tachycardic 100s, known r-sided DVT PULMONARY ARTERIES: Diagnostic exam to the segmental level. No evidence of pulmonary embolus to the segmental pulmonary arterial level.LUNGS AND PLEURA: No focal parenchymal consolidation or pleural e... | No evidence of pulmonary embolus to the segmental pulmonary arterial level or other acute cardiopulmonary abnormality. |
Generate impression based on findings. | 18 year-old female with facial trauma, rule out fracture. There is soft tissue swelling overlying the right orbit. No underlying fracture is identified. The infraorbital foramen appears normal. TMJ joint alignment is within normal limits. The paranasal sinuses and mastoid air cells are clear. There is a rightward direc... | Mild right periorbital soft tissue swelling without fracture. |
Generate impression based on findings. | Reason: patient with history of b/l LE clots, no w/ new O2 requirement, tachycardia; off AC for recent hematemesis, port placement tomorrow History: patient with history of b/l LE clots, no w/ new O2 requirement, tachycardia; off AC for recent hematemesis, port placement tomorrow PULMONARY ARTERIES: Bilateral intralumi... | 1.Bilateral pulmonary emboli in the left main, lingular, and bilateral descending pulmonary arteries compatible with acute emboli.2.Mild upper lobe interlobular septal thickening compatible with edema.3.Please refer to dedicated CT abdomen and pelvis were detailed characterization of upper abdominal findings.Contrast e... |
Generate impression based on findings. | 83-year-old male. Abdominal pain, hematochezia, lactic acidosis. Rule out mesenteric ischemia. ABDOMEN: Motion artifact limits evaluation.LUNG BASES: Bibasilar atelectasis. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLA... | 1.Enhancing polypoid gastric mass. Endoscopy is recommended for further evaluation.2.No evidence of mesenteric ischemia. |
Generate impression based on findings. | Male, 93 years old, status post fall with neck pain. An mild scoliotic curvature. Vertebral bodies are otherwise anatomically aligned.Vertebral body heights are preserved allowing for significant degenerative change. No fracture or acute malalignment is detected. The prevertebral soft tissues are within normal.Facets a... | 1. Extensive degenerative disease.2. No evidence of acute fracture or malalignment. |
Generate impression based on findings. | 18 year-old female hit by bottle in the face now with cervical spine tenderness. BRAIN:The cerebral and cerebellar hemispheres and brainstem have normal morphology and attenuation. The ventricles have normal volume and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collections. No mass is identifi... | 1. No acute intracranial abnormality.2. No cervical spine fracture. |
Generate impression based on findings. | 77-year-old female with renal cell cancer s/p nephrectomy Reason: eval for pulmonary embolus History: left sided pleuritic chest pain PULMONARY ARTERIES: Technically adequate exam.No pulmonary emboli.Main pulmonary artery normal in size, no evidence of right heart strain.LUNGS AND PLEURA: Numerous bilateral scattered, ... | 1. No acute pulmonary emboli.2. Multiple poorly defined pulmonary nodules largest measuring 7 mm new from 1/7/2008 exam. Differential diagnosis includes atypical infection (fungal, MTB) and metastasis. Recommend correlation with any prior outside exams and continued surveillance. 3. Basilar ground glass and reticular o... |
Generate impression based on findings. | 89-year-old male. Constipation. Evaluate for obstruction. History of malignant neoplasm of the bladder. Exploratory laparotomy on 8/9/13. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLA... | 1. Hyperattenuating collection presumably within the bladder in patient with known bladder tumor, most likely large hematoma. 2. Large amount of intraperitoneal and mesenteric free air, which is more than expected postoperative amount and is worrisome for bowel injury or fistula from bladder unless other instrumentatio... |
Generate impression based on findings. | Female 63 years old; Reason: 63 y/o woman with metastatic endometrial cancer receiving chemotherapy. Restaging. History: Stable DOE CHEST:LUNGS AND PLEURA: Small right pleural effusion has decreased. Scattered micronodules in the right lung. No dominant lung lesion.MEDIASTINUM AND HILA: Heart size is normal. Chest wall... | 1.Decrease in the right pleural effusion and malignant intraperitoneal ascites. |
Generate impression based on findings. | Male, 93 years old, status post fall with post concussive aphasia, history of meningioma. A heterogeneously hyperdense extra-axial mass is redemonstrated along the inner table of the left parietal bone measuring approximately 4.3 x 2.1 cm, unchanged from prior. This lesion spans the sylvian fissure abutting both the le... | Presumed meningioma along the left parietal bone is stable in size. However, the geographic extent of vasogenic edema within the adjacent temporal lobe and periatrial region has increased.No evidence of intracranial hemorrhage, calvarial fracture or other acute posttraumatic abnormalities. |
Generate impression based on findings. | 57-year-old male with renal colic. Rule-out stone. In the absence of IV contrast limiting 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 notedSPLEEN: No significan... | Distal left ureteral calculus with associated hydroureter. |
Generate impression based on findings. | Reason: Pt with hx of HNC; s/p CRt. Please re-eval History: as above CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No parenchymal consolidation or pleural effusion.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No lymphadenopathy.CHEST WALL: Mild degenerative changes affect th... | No interval change or evidence of metastatic disease. |
Generate impression based on findings. | Reason: metastatic lesion Left frontal. Unable to get MRI imaging. PReop planning for craniotomy History: preop planning for surgical resectino of lesion The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a 14-mm enhancing lesion present along the left orbital gyrus hyperdense o... | 1.Examination obtained for stereotactic guidance.2.There is a left frontal lobe mass present compatible with metastases |
Generate impression based on findings. | Reason: sah History: sah 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 bifurca... | 1.Diffuse subarachnoid hemorrhage with intraventricular blood with diffuse cerebral swelling suggestive of global anoxia.2.poor intracranial carotid and vertebral opacification this suggests little intracranial blood flow. Please correlate with patient's clinical symptoms for possible brain death. Please note that CT a... |
Generate impression based on findings. | 65-year-old female with nausea, vomiting, shortness of breath, tachypnea, and new oxygen requirement. IVC filter infiltration, complications s/p colonoscopy. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No sig... | 1. Peri-caval inflammatory changes and increased density of the inferior vena cava and its descending branches concerning for acute hematoma. Recommend venous duplex for further evaluation. 2. Lesion posterior to rectus abdominis muscle which may represent a phlegmon with central necrosis, cannot rule out neoplasm. 3. ... |
Generate impression based on findings. | 40 year-old female with Wegener's granulomatosis. Nodes/cavitary. CHEST:LUNGS AND PLEURA: Small left apical scarring and surgical clips are unchanged.Right upper lobe thin-walled small cavity (image 27, series 4) is not significantly changed. Bronchiectasis and irregularity posterior to the right hilum is unchanged.Rig... | 1.Interval increase in size of right lower lobe cavitary lesion, compatible with Wegener's granulomatous. Other pulmonary lesions are not significantly changed.2.Interval development of mild enlarged axillary lymph nodes. |
Generate impression based on findings. | Male, 14 years old, status post trauma. Head:Diffuse thickening of the left scalp soft tissues and temporalis muscle. Mild right temporalis thickening. Right periorbital swelling/hematoma comment discussed below. No evidence of calvarial fracture.Parenchymal attenuation is unremarkable. No intracranial hemorrhage or ab... | 1. Bilateral scalp and right periorbital soft tissue injury.2. No acute intracranial abnormality.3. No fractures of the calvarium or maxillofacial bones. |
Generate impression based on findings. | 44-year-old male with right lower quadrant pain, fever. Evaluate for appendicitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis. There is marked hypoattenuation of the hepatic parenchyma despite contrast administration which likely represents diffuse fatty infiltration.SPLEEN... | 1. Acute appendicitis with inflammation of the adjacent sigmoid colon. 2. Right ureteral calculi with hydronephrosis.3. Diffuse fatty infiltration of the liver.4. Cholelithiasis. |
Generate impression based on findings. | 12 year old with right eye swelling, preorbital vs orbital cellulitis. 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... | 1. Right preseptal cellulitis.2. Bilateral maxillary sinus opacification without evidence of bony erosion. |
Generate impression based on findings. | Reason: 6 month follow up cervial laminoplasty History: 6 month follow up The cervical vertebral bodies are appropriate in overall alignment and height. No fractures are identified in the cervical spine. Atherosclerotic calcifications are present at the carotid bifurcations. Patient is status post left-sided laminoplas... | 1.Since the prior examination osseous fusion has developed between C2 and C3 and along the left C6 lamina bone graft placement. The patient is status post multilevel laminoplasty is compared2.multilevel degenerative changes are present in cervical spine which are stable since the prior exam. The worst appears to be at ... |
Generate impression based on findings. | 54-year-old male with acute hemoglobin dropped -- rule-out hemorrhage. CHEST:LUNGS AND PLEURA: Stable 4 mm nodule left upper lobe (series 4, image 53). Mild elevation left hemidiaphragm again seen with left basilar atelectasis. No significant change in the bilateral apical, posterior scarring. No evidence of area of co... | 1. Stable appearance to scarring in chest -- no evidence for acute change to suggest hematoma. 2. Gastrostomy tube in stomach unchanged in appearance. 3. No evidence for abdomen/pelvis hematoma. |
Generate impression based on findings. | Reason: bronchiectasis History: cough with sputum LUNGS AND PLEURA: No significant abnormality noted.Specifically, there is no evidence of bronchiectasis, bronchial wall thickening or interstitial lung disease.No air trapping is observed on expiration series.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST ... | Normal interstitial lung disease thoracic CT. |
Generate impression based on findings. | 32 year old female with headaches evaluate for ICH. VENTRICLES/CSF SPACES:The 3rd ventricle, atria and occipital of the lateral ventricles are severely dilated, appearance is consistent with colpocephaly. No obstructing mass lesions. BRAIN PARENCHYMA:There is agenesis of the corpus callosum.No abnormal mass lesions, ed... | 1.No evidence for acute internal hemorrhage mass effect or edema.2.Findings are compatible with agenesis of the corpus callosum with associated colpocephaly3.Left ptysis bulbi. |
Generate impression based on findings. | Reason: evaluate for chronic sinus infection History: chronic headache The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated.The frontal sinuses are clear.Maxillary sinuses demonstrate a small mucus retention cyst in the left maxillary sinus. Some roots of ... | 1.CT of the paranasal sinuses demonstrate no obstruction of the outlets of the paranasal sinuses in2.There is nasal septal deviation towards the right side narrowing the right nasal passage. |
Generate impression based on findings. | Male 65 years old; Reason: evaluate for renal cell cancer History: evaluate for renal cell cancer ABDOMEN:LUNGS BASES: Right basilar subsegmental atelectatic changes.LIVER, BILIARY TRACT: Subcentimeter hypodense focus in segment two of the liver is too small to characterize. No suspicious hepatic lesions. Hepatic and p... | 1.Findings compatible with a 1.4cm small right renal enhancing neoplasm most likely a small renal cell carcinoma. |
Generate impression based on findings. | Reason: 65 yo F with smoking history, pulmonary nodule, please eval for resolution. History: pulmonary nodule LUNGS AND PLEURA: Bilobed right upper lobe nodule image 20 series 5 slightly more confluent between its two components, now 6 mm in width. The entire length is still 12 mm.There are no other suspicious pulmonar... | Marginal growth of a right upper lobe none solid nodule. At least annual follow for 3 years is recommended. |
Generate impression based on findings. | Reason: TB vs. PNA vs malignancy History: infiltrate on CXR, h/o TB, weight loss LUNGS AND PLEURA: Right apical pleural and parenchymal scarring, similar in appearance to the prior exam.Bronchiectasis, bronchial wall thickening, and right basilar opacities redemonstrated.Severe upper lobe upper lobe predominant centril... | 1.Extensive bilateral apical pleural and parenchymal scarring, unchanged over numerous exams .2.Apical emphysema, traction bronchiectasis, bronchial wall thickening, and right basilar tree in bud opacities similar in appearance to prior exam and compatible with chronic aspiration/infection.3.No new suspicious pulmonary... |
Generate impression based on findings. | Reason: hx of tonsil ca, s/p CRT, eval for dz, compare to previous History: as above CHEST:LUNGS AND PLEURA: Multiple calcified granulomata.No evidence pulmonary or pleural metastases.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN: Absence of enteric contrast... | No evidence of metastases. |
Generate impression based on findings. | Female, 14 years old, status post blunt head trauma with 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 ventricle... | No acute abnormalities. |
Generate impression based on findings. | Male, 59 years old, headache. History of aneurysm, bilateral lower extremity weakness. No evidence of intracranial hemorrhage or abnormal extra-axial fluid collection is seen. The ventricles and sulci are mildly prominent compatible with volume loss.Hypoattenuation centrally within the pons is nonspecific and may refle... | 1. No evidence of intracranial hemorrhage.2. Findings compatible with age indeterminate small vessel ischemic disease and chronic left occipital lobe territorial ischemia.3. No definite acute abnormality.4. Marked ectasia and calcification of the vertebral-basilar system. |
Generate impression based on findings. | 58-year-old male. Epigastric abdominal pain. Evaluate for volvulus. ABDOMEN: Intravenous contrast limits evaluation of abdominal organs.LUNG BASES: Bibasilar subsegmental atelectasis.LIVER, BILIARY TRACT: Subcentimeter left hepatic lobe benign liver cyst. SPLEEN: No significant abnormality notedPANCREAS: No significant... | Markedly redundant, tortuous sigmoid colon, without evidence of obstruction or twisted mesentery. Findings discussed with Dr. Giannini (pager 9565) via phone at 10:30 a.m. on 8/20/13. |
Generate impression based on findings. | Reason: Pt with hx of HNC; s/p CRt. Please re-eval History: as above 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. | 76-year-old male, 6 months postoperative study. There is mild diffuse osteopenia. Grade 1 anterolisthesis of L4 on L5 is again noted. Severe degenerative disk disease at L5/S1 and moderate degenerative disk disease at L4/L5. Vertebral body heights are maintained. No fracture is identified. Spinal process fusion hardwar... | 1.Interval L4/5 interspinous process fusion. 2.Unchanged grade 1 anterolisthesis of L4 on L5 and associated moderate spinal stenosis and mild to moderate encroachment of the right-sided exiting nerve roots |
Generate impression based on findings. | Reason: please evaluate for reaccumulation of pleural effusion History: hypoxia, wob, thora LUNGS AND PLEURA: Upper lobe intralobular septal thickening compatible with edema. More focal opacities and basilar predominant consolidation raise the question of superimposed infection or aspiration. Small right pleural effusi... | 1.Pulmonary edema with basilar predominant consolidation compatible with infection or aspiration.2.Extensive nonspecific supraclavicular and mediastinal lymphadenopathy.3.Small right pleural effusion and trace left pleural effusion. |
Generate impression based on findings. | Male 14 months old; Reason: Better characterize abdominal mass - 8x8 mass seen on ultrasound. History: 14 month old male with new abdominal mass. CHEST:LUNGS AND PLEURA: Full evaluation of the lungs, especially for pulmonary nodules, is limited by motion artifact. MEDIASTINUM AND HILA: No significant abnormality notedC... | 1.Large left renal mass which causes significant mass effect on the left kidney. 2.No left renal vein involvement. 3.Note that evaluation for pulmonary nodules is severely limited by motion artifact. |
Generate impression based on findings. | Reason: concern for metastatic disease History: + new diagnosis of HCC LUNGS AND PLEURA: The lungs and pleural spaces are clear. No suspicious pulmonary nodules are present.MEDIASTINUM AND HILA: The heart size is normal. There is no pericardial effusion.No mediastinal or significant hilar lymphadenopathy is present.CHE... | 1. No evidence of pulmonary metastatic disease. 2. The hepatic lesion well characterized on the recent MRI is barely perceptible on this noncontrast examination. 3. Periportal and gastrohepatic lymphadenopathy. |
Generate impression based on findings. | 81-year-old female with leukocytosis. Evaluate previous abnormal chest CT. Chronic abdominal pain -- possible malignancy versus abscess. CHEST:LUNGS AND PLEURA: No bilateral large pleural effusions with bibasilar atelectasis. Prior noted. Right lower lobe subpleural nodular density cannot be discerned on current examin... | 1. Bilateral pleural effusions and basilar atelectasis -- this obscures the area of abnormality of prior subpleural nodule/mass that cannot be evaluated. With increasing cardiomegaly, effusions, may relate to heart failure. 2. No intra-abdominal ventral hernia is unchanged and without visible complication. 3. Interval ... |
Generate impression based on findings. | Reason: presumed chemo induced toxicity on CT scan 6/27/13. Has now been on Prednisone for 6 weeks. History of colon cancer with ? suspicious of lung mets. please compare to CT scan 6/27/13 History: dyspnea LUNGS AND PLEURA: Worsening interstitial lung disease characterized by groundglass opacities with mosaic attenuat... | Worsening pulmonary abnormalities; groundglass attenuation has increased in and there are foci of consolidation developing primarily in the right lower lung zone. The pattern is consistent with hypersensitivity pneumonitis or an NSIP pattern from drug toxicity as the patient history is suggestive of this. Foci of conso... |
Generate impression based on findings. | Reason: hx of tonsil ca, s/p CRT, eval for dz, compare to previous History: as above CT neck:There is soft tissue thickening surrounding the left carotid space which is stable compared to prior exams and likely represents scar tissue .There is stable soft tissue thickening adjacent to the left palatine tonsil which is ... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.No evidence for brain metastases. |
Generate impression based on findings. | 45 year-old female with sudden onset 10/10. Right lower quadrant and left lower quadrant abdominal pain for one day -- rule-out appendicitis versus renal colic versus other intra-abdominal process ABDOMEN:LUNG BASES: Left basilar atelectasis -- No other significant abnormality notedLIVER, BILIARY TRACT: No significant ... | 1. Large lobular uterus, most likely multiple fibroid tumors -- see above discussion. 2. No abnormality seen to account for patient's abdominal symptomatology. |
Generate impression based on findings. | Male 44 years old; Reason: Pt is a 43 y/o male with stage III melanoma, evaluate for recurrence History: melanoma CHEST:LUNGS AND PLEURA: Subcentimeter right lower lobe pulmonary micronodules are unchanged. No new pulmonary lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial... | 1.Stable exam without evident change in the pulmonary micronodules or adrenal nodules |
Generate impression based on findings. | 40 year-old male with back pain, abdominal pain, bilateral lower extremity weakness. Evaluate for aortic dissection. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: There is an aortic dissection starting just distal to the origin of the left subclavian artery that extends through the abdom... | 1. Type B aortic dissection; Abdominal major vessels arising off both the true and false lumen as discussed above. 2. Occlusion of the distal abdominal aorta and common iliac arteries with reconstitution of flow at the distal right common iliac artery and left femoral artery. |
Generate impression based on findings. | Reason: Pt with tongue cancer S/P CRT comleted on 7/12/13. please re-eval and compare to prior scans History: as above CHEST:LUNGS AND PLEURA: Stable calcified and noncalcified micronodules.No new suspicious pulmonary nodules or masses.No pleural effusion.MEDIASTINUM AND HILA: Right chest Port-A-Cath with its tip in th... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: Pt with hx of HNC s/p CRT; please re-eval and compare to prior exams. History: as above 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 appre... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.No evidence for brain metastases.3.s/p removal of a right molar tooth. The adjacent alveolar ridge is a thin please correlate with clinical evaluation and history |
Generate impression based on findings. | 80 year-old female. Lymphosarcoma of intra-abdominal lymph nodes. Lung cancer. Follow-up pulmonary lesions. Also, low grade lymphoma, not on treatment. New nodes left axilla. CHEST:LUNGS AND PLEURA: Reference right upper lobe spiculated nodule measures 16 x 9 mm (image 20, series 6) previously 14 x 9 mm.Ill-defined gro... | 1.Marked interval increase in lymphadenopathy throughout the chest, abdomen and pelvis as detailed above.2.Mixed response of pulmonary nodules, with some nodules measuring slightly increased in size and others appear unchanged. |
Generate impression based on findings. | Reason: Pt with hx of HNC s/p CRT; please re-eval and compare to prior exams. History: as above CHEST:LUNGS AND PLEURA: New patchy ground glass opacity in the right upper and right lower lobes are consistent with aspiration.There is no evidence of pulmonary or pleural metastases. MEDIASTINUM AND HILA: No significant ab... | 1. Long segment of small bowel intussusception could indicate a small bowel lesion. A CT or MR enterography study is recommended.2. Aspiration pneumonitis.3. No evidence of metastases. |
Generate impression based on findings. | 24-year-old male with history of cellulitis and abscess is in buttocks region. Now presenting with rectal bleeding and tenderness on rectal exam. Evaluate for perirectal abscess. PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality... | 1. No definite evidence of perirectal abscess, although redundant bowel does make this difficult to totally exclude. 2. Left inguinal hernia containing only mesenteric fat, unchanged. 3. Probable urethral diverticulum unchanged since 2010. |
Generate impression based on findings. | 40-year-old male with epigastric abdominal pain, vomiting, post Nissen fundoplication procedure ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Scattered, small, hypodense lesions, most consistent with benign cysts, unchanged. No significant abnormality seen in liver. No intrahepatic biliary d... | 1. No abnormal periesophageal perigastric fluid collections following Nissen fundoplication procedure. 2. Mild wall thickening of distal esophagus does this most likely relates to edema if surgery has been recently performed. 3. Intraluminal distal esophageal fluid -- reflux would not be expected post Nissen fundoplica... |
Generate impression based on findings. | Reason: assess development of L empyema after thoracentesis History: sob LUNGS AND PLEURA: There is nodular, enhancing circumferential thickening of the residual left parietal pleura following pneumonectomy. Associated calcification of the parietal pleura is noted. There is nodularity to the pleural thickening, with ar... | Nodular, enhancing circumferential thickening of the residual left parietal pleura following pneumonectomy consistent with empyema. |
Generate impression based on findings. | Reason: Pt with tongue cancer S/P CRT comleted on 7/12/13. please re-eval and compare to prior scans History: as above CT neck:There is infiltration of the fat planes of the left neck . There is a 23 x 6 mm axial dimension lesion present in the subcutaneous tissues of the left neck which measures 25 x 6 mm coronal dime... | 1.There is thickening of the mucosal tissues of the left oropharynx which is stable since prior exam. Please correlate with direct visualization.2.There is redemonstration of a cystic appearing lymph node in the left jugular chain level 4 which is smaller on the current exam when compared to the prior. It is concerning... |
Generate impression based on findings. | 39-year-old male with pain and swelling and concern for fracture of the anterior process of the calcaneus. Redemonstrated is lack of fracture or dislocation. | No fracture or dislocation identified. |
Generate impression based on findings. | Reason: H/O diffuse large B cell lymphoma, s/p ASCT in 1/2012 relapse in 5/13 now s/p 4 cycles of chemotherapy. Please compare to prior History: H/O diffuse large B cell lymphoma, s/p ASCT in 1/2012 relapse in 5/13. A right level 2 lymph node previously measured 23 x 30 mm axial dimensions and currently measures 11 x 1... | 1.Since the prior examination neck lymphadenopathy has regressed substantially but is still present to some degree.2.Right eyeball staphyloma is a also present on prior exams. |
Generate impression based on findings. | Reason: eval for fx History: trauma CT head: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.CT cervical spine:The cervical vertebral bo... | 1.No evidence for cervical spine fracture2.No evidence for acute intracranial hemorrhage mass effect or edema.3.Partial opacification of paranasal sinuses is mildly progressed since May with some new mucosal thickening in the left sphenoid sinus there4.No facial fractures are appreciated.5.There are mild degenerative c... |
Generate impression based on findings. | 52-year-old female with abdominal pain -- evaluate for periumbilical abscess versus incarcerated hernia. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signific... | 1. Anterior abdominal wall ventral hernia with mesenteric fluid and inflammatory changes in the mesenteric fat. 2. Hernia may involve anterior wall of transverse colon, which is thickened and demonstrates inflammatory changes -- underlying neoplasm here cannot be excluded. |
Generate impression based on findings. | Reason: r/o chronic sinusitis History: nasal/sinus congestion, PND The ostiomeatal complex units are patent bilaterally. There is mucosal thickening along the left ostiomeatal complex unit. There is very mild nasal septal deviation towards the rightThe frontal sinuses demonstrate mucosal thickening in the left frontal ... | 1.There is some obstruction of the left maxillary sinus the mucosal thickening at the left ostiomeatal complex unit.2.There are scattered opacities in the ethmoid air cells and left frontal sinuses without a specific obstructive pattern. |
Generate impression based on findings. | 75-year-old male with metastatic prostate cancer -- evaluate disease. During treatment with investigational therapy CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary nodules are again seen without significant interval change in number or size. There reference left upper lobe pulmonary nodule (series 5, image 32) mea... | 1. No change in appearance of numerous pulmonary lung metastases. 2. Stable appearance to the pelvic sclerotic bony metastases. 3. No evidence for development of new metastatic sites is |
Generate impression based on findings. | Male 48 years old; Reason: assess metastases after 8 cycles on investigational therapy, please compare to previous exam History: hx RCC CHEST:LUNGS AND PLEURA: Left lower pulmonary nodule (partially calcified) measures 1.1 x 0.7 cm (image 62/series 4) previously, 1.2 x 0.8 cm. A smaller adjacent subcentimeter nodule is... | 1.Increase in the size of the retroperitoneal lymphadenopathy. New reference measurements for periaortic lymphadenopathy is provided. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.