instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | Reason: Pt with Hx of HNC s/p CRT 7/2009. please re-eval History: AS ABOVE CT neck:There is infiltration of the fat planes in the right neck associated with some thickening of the right platysma muscle appeared clear there is effacement of the fat plane surrounding the right carotid space and infiltration of the poster... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy.2.There is infiltration of the fat planes in the right neck which is suspected to represent post treatment change. This continues to remain stable since prior exams3.No evidence for brain metastases.4.The pat... |
Generate impression based on findings. | Spinal stenosis, lumbar region, without neurogenic claudication44-year-old female Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall height. There is mild anterior subluxation of L4 on L5. There is vacuum joint phenomenon present along the sacroiliac joints.At L5-S1 there is n... | 1.There degenerative changes present in the lumbar spine worse at L4-5 where there is moderate to severe spinal stenosis and bilateral neural foramina encroachment of the exiting nerve roots associated with marked facet disease and mild anterior listhesis of L4 onL5 as well as a disk bulge |
Generate impression based on findings. | 50 year-old male with history of diffuse large B-cell lymphoma status post stem cell transplant 1/2012 with relapsing 5/2013 now status post 4 cycles of chemotherapy -- please compare to prior. CHEST:LUNGS AND PLEURA: Scattered micronodules best seen on maximum intensity projection images, are unchanged.MEDIASTINUM AND... | 1. Substantially decreased size and extent of lymphadenopathy and chest, abdomen, and pelvis delineated above. 2. Nonocclusive superior vena cava thrombus -- by history patient had been treated at outside hospital for superior vena cava syndrome. |
Generate impression based on findings. | Reason: assess bony construct History: post op a 66-year-old male Patient is status post anterior fusion from C3 through C6 with vertebrectomy of C4 and C5 and anterior plate and screws from C3 to C5. The patient is also status post laminectomy at C5 and C6. The patient is also status post posterior fusion at C3, C4, C... | 1.The patient is status post anterior fusion from C3 through C6 and vertebrectomies at C4 and C5 with a an opposing cage as well as right-sided posterior fusion from C3 through C6 and laminectomies at C5 and C6. Some osseous fusion has occurred between some of the facet joints in the cervical spine namely the right sid... |
Generate impression based on findings. | Female 68 years old; Reason: eval for recurrence History: h/o gastric GIST s/p resection CHEST:LUNGS AND PLEURA: Calcified left upper lobe nodule unchanged. No suspicious pulmonary lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Multinodular thyroid gland.ABDOMEN... | 1.Status post resection of the gastric mass. No evident recurrent or metastatic disease. |
Generate impression based on findings. | 23-year-old female with with abdominal pain, right lower quadrant. Rule-out appendicitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Nonspecific subcentimeter hypodensity in the anterior/superior spleen (series 3, image 15), of doubtful significance... | 1. No findings seen in abdomen or pelvis to account for patient's symptomatology. No diagnostic abnormality seen. |
Generate impression based on findings. | Reason: r/o PE History: SOB PULMONARY ARTERIES: No evidence for pulmonary embolus. The pulmonary artery is normal caliber.LUNGS AND PLEURA: Moderate sized bilateral pleural effusions with underlying atelectasis.Patchy areas of groundglass opacity with intralobular septal thickening . Scattered ground glass nodules sugg... | 1.No evidence of a pulmonary embolus.2.Moderate sized bilateral pleural effusions with underlying basilar atelectasis.3.Patchy areas of groundglass opacities and scattered ground glass nodules compatible with atypical infection, and/or edema. |
Generate impression based on findings. | Male, 29 years old, history of cystic fibrosis, with right-sided nasal obstruction. Evaluate for right nasal polyposis. Status post endoscopic sinus surgery. Postsurgical changes are demonstrated consistent with endoscopic sinus surgery including bilateral maxillary antrectomy and at least partial bilateral ethmoidecto... | Extensive opacification of the sinuses and nasal cavity compatible with polyposis. The right nasal cavity is most severely affected with soft tissue material completely filling it from the level of the choana to the nare. |
Generate impression based on findings. | Reason: bleed? History: headache, n/v 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 portions of the paranasal sinuses ... | 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. | Female 82 years old Reason: follow up of metastatic rectal cancer, on Xeloda History: gas and bloating CHEST:LUNGS AND PLEURA: Index right upper lobe mass is increased in size to 5.8 x 2.4 cm is seen on series 4 image 34. Previously 2.8 x 1.7 cm.Scattered other nodules are demonstrated. No new lesions. No effusions.MED... | Increase in size of index lesions including the right upper lobe lesion and right adrenal lesion. Increase in size of rectal mass. |
Generate impression based on findings. | Reason: recent hx of ischemic stroke with L-sided weakness History: L-sided weakness The CSF spaces are appropriate for the patient's stated age with no midline shift. There is encephalomalacia involving E. right inferior frontal gyrus and the right superior temporal gyrus as well as the right insular cortex and the ri... | 1.Encephalomalacia in the right middle cerebral artery territory is probably related to prior infarction2. No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Reason: nasal obstruction History: nasal congestion and discharge The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated. There is concha bullosa present on the right side appeared some roots of the molars extend into the inferior aspects of the maxillary si... | 1.Minor maxillary sinus mucosal thickening without evidence for paranasal sinus outlet obstructive lesions. |
Generate impression based on findings. | Reason: Pt with Hx of HNC s/p CRT 7/2009. please re-eval History: as above CHEST:LUNGS AND PLEURA: Stable apical and paramediastinal fibrotic changes most likely post radiation in origin.Subtle solid groundglass nodular opacity along the left major fissure) image 52, series 5) is unchanged.Interval clearing of left low... | 1.Increasing bilateral pleural effusions.2.Paramediastinal and apical post radiation fibrotic changes.3.No evidence of metastatic disease. |
Generate impression based on findings. | Female 79 years old Reason: evaluate for metastatic disease h/o bladder cancer History: h/o bladder cancer There is not sensitive for detecting lesions in the solid organs vasculature due to lack of intravenous contrast. Given that limitation the following observations are made:ABDOMEN:LUNG BASES: No significant abnorm... | Given limitation of no IV contrast, no interval change no evidence of metastatic disease. Stable left-sided hydroureter. |
Generate impression based on findings. | Male 51 years old Reason: Locally advanced renal cancer, assess for progression; possible second primary renal cancer History: surgical hernia discomfort. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Minimal soft tissue in anterior spinal consistent with thymic tissue. Punctate mediasti... | Enlarging enhancing mass right upper pole kidney consistent with neoplasm consistent with renal cell carcinoma.Stable sized portacaval node.Persistent dilatation pancreatic duct distal body and tail of uncertain etiology. A discrete pancreatic mass is not visualized. This finding is seen on the baseline study of 11/20/... |
Generate impression based on findings. | Reason: lung cancer screening History: lung cancer screening LUNGS AND PLEURA: Paraseptal emphysema with biapical pleural parenchymal scar. Scattered calcified granulomas along with the left major fissure (series 5 image 49) and left lower lobe. There are several mucous filled bronchioles within the right middle lobe.T... | Several mucous filled bronchioles within the right middle lobe. No suspicious pulmonary nodules. |
Generate impression based on findings. | Reason: pt with lung ca s/p 6 cycles of chemo History: now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Status post left lower lobectomy. Scattered left parenchymal consolidation and pleural nodularity, not significantly changed from the prior exam. Loculated pleural fluid at t... | 1.Increasing anterior left chest wall soft tissue density with adjacent left 5th rib fracture suspicious for tumor involvement and pathologic fracture.2.Left pleural nodularity and thickening with areas of parenchymal consolidation, unchanged. |
Generate impression based on findings. | Female 23 years old; Reason: history of t cell lymphoma History: post consolidation evaluation. CHEST:LUNGS AND PLEURA: Single subpleural nodular density in the right lower lobe as seen on series 4, image 52 is likely a focus of atelectasis. Minimal left dependent atelectasis. MEDIASTINUM AND HILA: The anterior mediast... | Interval continued reduction in the anterior mediastinal mass. |
Generate impression based on findings. | Female 61 years old Reason: Cholangiocarcinoma evaluate for progression. Pt with liver disease. History: Cholangiocarcinoma. CHEST:LUNGS AND PLEURA: Possible micronodules left lower lobe unchanged. No effusions.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Port-A-Cath chest wall.ABDOMEN:LIVER, BILI... | Increase in size of liver lesion. Increase in size of right omental lesion. Increase in biliary dilatation in the right lobe. Other findings as above. |
Generate impression based on findings. | Reason: patient w/ new lung cancer diagnosis, evaluate for brain mets History: patient w/ new lung cancer diagnosis, evaluate for brain mets The CSF spaces are appropriate for the patient's stated age with no midline shift. A 9-mm hyperdense focus in the region of the left basal ganglia is suspected to represent contra... | 1.There are small focal lesions in the left basal ganglia and right frontal lobe which are suspicious for metastatic disease. An MRI of the brain with gadolinium may be of further benefit in evaluating this in order to confirm these findings and possibly identify additional lesions if clinically appropriate.2. There is... |
Generate impression based on findings. | Reason: lung CA, s/p RT and chemo. Followup of RUL mass/infection/infarction after prolonged course of antibiotics. History: right anterior chest pain LUNGS AND PLEURA: There is a large cavitary lesion within the right upper lobe that is contiguous with the anterior right upper lobe bronchus. The cavity has increased i... | Cavitary lesion within the right upper lobe that has increased in size when compared to 6/24/13, 9.2 cm as compared to 6.0 cm previously.Although the wall has become thinner as the cavity has increased in size, there is circumferential nodularity, suspicious for cavitary neoplasm or active cavitary infection.Interval i... |
Generate impression based on findings. | Reason: HCC, eval for lung mets LUNGS AND PLEURA: Mild paraseptal emphysema. Scattered calcified granulomas and micronodules without evidence of suspicious nodules or masses. Basilar scarring/atelectasis.MEDIASTINUM AND HILA: Status post coronary artery bypass grafting. Heart size is normal. No pericardial effusion. Se... | 1.No evidence of pulmonary metastatic disease.2.Hypoattenuating hepatic nodules are not fully characterized by noncontrast technique. |
Generate impression based on findings. | Female 53 years old Reason: 53 y.o. with hx of pancreatic leak and pigtail placement; please evaluate for fluid collection resolved and any abnormalities; please do CT infused History: pancreatic leak ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Punctate hypodensity right lobe likely benign... | No evidence of reaccumulation of fluid. Drainage catheters in place unchanged from prior exam. Decrease in fat stranding anterior to pancreas. |
Generate impression based on findings. | Reason: 70 year old woman with history of early stage NSCLC of the LUL treated with RT with completin in 3/2013. Please evaluate for interval change. History: lung cancer CHEST:LUNGS AND PLEURA: Left upper lobe opacity with an elongated configuration suggestive of scarring and subsegmental atelectasis, measuring approx... | Stable disease. |
Generate impression based on findings. | 64-year-old male with abdominal tenderness, diarrhea, neutropenia and sepsis of unclear source. ABDOMEN:LUNG BASES: Bibasilar atelectasis with scattered ground glass opacities. Calcified nodule within the right lower lobe may represent a treated pulmonary nodule. There are small axillary lymph nodes. LIVER, BILIARY TRA... | 1. Dilated proximal small bowel with normal transit of contrast. Correlate for low grade bowel obstruction. Non-specific duodenal wall thickening may be related to low grade obstruction.2. Increase in size of pelvic adenopathy.3. Air within the bladder which most likely relates to foley catheter manipulation. 4. Bibasi... |
Generate impression based on findings. | 63 year old female. Follow up for anal cancer. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are unchanged dating back to June 2011.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Cardiac size is normal. No pericardial effusion.CHEST WALL: Right chest port with catheter tip at the cavoatrial j... | Right inguinal lymphadenopathy is increased. Recommend clinical correlation. PET CT may be useful for further evaluation. |
Generate impression based on findings. | Male 58 years old Reason: rectal cancer followup History: none CHEST:LUNGS AND PLEURA: Postsurgical changes right lower lobe resection. Minimal areas of fibrosis and atelectasis. No pleural effusion. Two foci of calcification. No soft tissue nodules in the lungs..MEDIASTINUM AND HILA: Severe granulomata. No new nodes. ... | Post operative changes right lower lobe and rectum. No definite evidence of recurrence or metastatic disease. |
Generate impression based on findings. | 62-year-old male with lung cancer, status post 12 cycles of chemo -- please evaluate for disease. CHEST:LUNGS AND PLEURA: Left upper lobe mass has slightly increased in size, now (series 5, image 22) measuring 1.3 x 1.0 cm (previously 0.8 x 0.8 cm). In addition, there appears to be extension of the tumor inferiorly to ... | 1. Slight increase in size of left upper lobe tumor -- now suggestion of extension to left superior hilum. 2. Nodular thickening along lingular bronchial tree raising question of lymphangitic tumor spread. 3. Groundglass appearance scattered in the lingula again seen, which may be inflammatory. 4. Peripheral wedge-shap... |
Generate impression based on findings. | Male 53 years old Reason: increased IgG4+ plasma cells on nasopharyngeal biopsy suspicious for IgG4-related disease, eval for extra-cranial disease involvement History: increased IgG4+ plasma cells on nasopharyngeal biopsy suspicious for IgG4-related disease, eval for extra-cranial disease involvement CHEST:LUNGS AND P... | No evidence of neoplasm. Punctate micronodule right lung. Two small hypodensities liver likely benign. Small nonpathologic sized nodes mediastinum and mesentery. |
Generate impression based on findings. | Male 76 years old Reason: Hx of urotheilal carcinoma of the bladder and left upper tract s/p left nephrectomy. Eval for recurrent/metastatic disease History: See above ABDOMEN:LUNG BASES: Increasing size of spiculated right lower lobe mass measured on series 6 image 13, 5 x 3.4 cm. this is concerning for primary lung n... | New right lower lobe lung mass, likely primary lung cancer. New left lower lobe mass indeterminate; could be metastasis. New liver mass and new left adrenal mass and small right adrenal mass, likely metastasis. Heavy atherosclerotic disease and thrombus within the aorta and right iliac artery.Discussed with Dr. Norm Sm... |
Generate impression based on findings. | Reason: evaluate for bleed History: assault with loc 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 portions of the par... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | 56-year-old male. GIST with liver metastases, compare to previous scan, and right index lesion measurements for RECIST. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Scattered hypoattenuating lesions throughout the liver appear unchanged in appearance and number compared to prior exam. No ne... | Stable appearance of hepatic metastatic disease. |
Generate impression based on findings. | 44-year-old male with a urothelial cancer, status post radical cystectomy with neobladder. Evaluate for recurrence. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are unchanged. Previously noted subpleural nodule in the right lower lobe (image 59, series 8) is unchanged. MEDIASTINUM AND HILA: Calcified right ... | No significant change from the prior exam. No evidence of metastatic disease. |
Generate impression based on findings. | Reason: evaluate for progression. History: alveolar soft parts sarcoma. LUNGS AND PLEURA: Multiple pulmonary nodules of various sizes compatible with metastases.Previously referenced left lower lobe mass has markedly decreased in size, 3.6 x 2 .7 cm (series 4 image 53), as compared to 3.9 x 4.4 mm.the referenced right ... | 1. Multiple pulmonary metastases with reduction in size of the largest referenced nodule within the left lower lobe. The remaining nodules have remained stable.2. No new pulmonary nodule or pleural effusion. |
Generate impression based on findings. | Reason: h/o tongue cancer; s/p mult surgeries and chemo/rt History: none The patient is status post floor of the mouth surgery. There is a defect along the right mylohyoid muscle at the surgical site through which a fat pad has been extend into the right tongue base. The submandibular glands have been removed. There so... | 1.The examination is stable. No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy. |
Generate impression based on findings. | 81-year-old female with iron deficiency anemia, epigastric pain, negative EGD and colonoscopy. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Segment 7, septated, cystic lesion measuring near water density and without other abnormalities seen associated with it. Ultrasound 2006, showed simila... | 1. Hiatal hernia. 2. Sigmoid diverticulosis. 3. Benign cystic lesion in right lobe liver, stable since 2006. No mass or. No other GI tract abnormality seen. Numerous 5. No other abnormalities noted. |
Generate impression based on findings. | 69 year old male. Abdominal and back pain. Evaluate EVAR. Abdominal aneurysm. ABDOMEN:LUNG BASES: Bibasilar atelectasis. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETER... | 1.Changes status post endovascular repair of aortic aneurysm without evidence of endoleak or other complication. 2.Air is again seen within the bladder, with persistent colovesical fistula. |
Generate impression based on findings. | Reason: eval for cause of fequent sinusitis History: Freq sinusitis without resolution, prior sinus surgery The patient is status post bilateral uncinectomy with the widening of the ostiomeatal complex units are. There is a fenestration along the posterior aspect of the left maxillary sinus where there is some mucosal ... | 1.The patient is status post paranasal sinus surgery.2.No paranasal sinus outlet obstruction is appreciated3.Mucosal thickening is present in the paranasal sinuses which is a less when compared to the exam from 8/31/2009. |
Generate impression based on findings. | 57-year-old male status post distal pancreatectomy --? Pancreatic fluid collection ABDOMEN:LUNG BASES: Left pleural effusion with basilar atelectasis again seen. BILIARY TRACT: Normal. Liver parenchyma was normal. Portal venous, and hepatic venous structures. Gallbladder and biliary tract appear normal.SPLEEN: Large fo... | 1. Increasing size of Large, heterogeneous fluid collection in the pancreas surgical resection bed. There are some high density components suggestive of hematoma. Whether this communicates with remaining pancreas cannot be ascertained. 2. Splenic infarct, unchanged. |
Generate impression based on findings. | Reason: evaluation of LLL nodular density seen on prior studies History: hemotopysis LUNGS AND PLEURA: Redemonstration of a diffuse bronchial wall thickening, bronchiectasis, multiple areas of bronchial plugging with bronchocele formation. Overall stable appearance of nodular opacities except in the left upper lobe, ad... | There is diffuse bronchial wall thickening, bronchiectasis, and multiple areas of bronchial plugging with bronchocele formation. Overall stable appearance of multiple nodular opacities compatible with an infectious etiology |
Generate impression based on findings. | 35 year old female. Nausea, vomiting. Rule out obstruction. Malignant neoplasm of the rectum. ABDOMEN:LUNG BASES: Visualized pulmonary metastatic disease appears unchanged, with multiple pulmonary nodules in the left lower lobe. LIVER, BILIARY TRACT: Cholelithiasis with marked submucosal edema. Correlate clinically for... | 1.Cholelithiasis and gallbladder submucosal edema. Correlate clinically for cholecystitis.2.Pulmonary metastases appearing similar to the prior exam.Findings discussed with Dr. Louissaint (pager 3250) via phone at 3:30 p.m. on 8/20/13. |
Generate impression based on findings. | Reason: Pt is a 67 y/o male with met RCC, with known chest wall met and worsening pain in chest wall area, please dedicate attention to left sided chest wall and ribs, low dose contrast for poor renal function History: met rcc, chest wall pain LUNGS AND PLEURA: Moderate upper lobe predominant centrilobular emphysema.Sc... | 1. Stable left chest wall post-surgical changes without evidence of specific abnormality to account for patient's symptoms.2. Interval increase ( compared to the exam dated 9/5/12) in thoracic vertebral body osteolytic bone lesions suspicious for worsening metastatic disease. 3. No suspicious lung nodules or masses. |
Generate impression based on findings. | Reason: Previous left T2NO cancer s/p RT, eval for recurrence History: head and neck cancer, smoker LUNGS AND PLEURA: Moderate mainly centrilobular emphysema.Unchanged micronodules and small scars.No suspicious nodules.MEDIASTINUM AND HILA: Mild enlarged precarinal lower paratracheal node, slightly decreased and not si... | No evidence of metastatic disease. |
Generate impression based on findings. | 81-year-old female with new diagnosis of non-small cell carcinoma of the lung. Please stage. Dysphagia. CHEST:LUNGS AND PLEURA: Right lower lobe lobular mass measuring 2.1 x 2.8 cm (series 5, image 84). Several other small scattered, predominantly subpleural micronodules, best seen on the MIP images. The largest of the... | 1. Right lower lobe lung mass consistent with lung primary. 2. Bulky right hilar and subcarinal adenopathy consistent with metastatic disease. 3. Left adrenal gland nodule worrisome for metastatic disease. |
Generate impression based on findings. | Female 75 years old Reason: 75 y.o. female with new dx of sacral mass; please do infused CT scan and oral to evaluate characteristics and abnormalities History: sacral mass UTERUS, ADNEXAE: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESEN... | Presacral soft tissue mass. Neoplasm is diagnosis of exclusion. Discussed with Dr. Alicia Wilson pager 5482 at the time of this dictation. |
Generate impression based on findings. | Reason: 81 y/o F w/ new dx of non small cell carcinoma s/f lung primary; please evaluate for intracranial mets History: fatigue The patient has a right-sided craniotomy. Some encephalomalacia is present along the right temporal lobe.There is a right-sided periventricular hypodensity present.There some encephalomalacia ... | 1.The patient is status-post right-sided craniotomy. Foci of encephalomalacia are present along the right temporal lobe and right frontal lobe.2.There is a lesion present in the right frontal lobe which is suspicious for metastatic disease. If clinically appropriate an MRI of the brain may be of further benefit in eval... |
Generate impression based on findings. | Reason: R/o PE in pt w/ bilateral acute DVTs and recurrent chest pressure History: Chest pressure, 2 episodes each lasting 20-30 min, no assoc sx PULMONARY ARTERIES: Technically adequate examination with no sign of pulmonary embolism.LUNGS AND PLEURA: Mild subsegmental atelectasis or scarring in the lower lobes.No pleu... | No sign of pulmonary embolism or other acute abnormalities. |
Generate impression based on findings. | Reason: eval for metastatic disease History: none LUNGS AND PLEURA: Stable pulmonary micronodules, some of which are calcified, compatible with previous infection.No suspicious nodules.MEDIASTINUM AND HILA: Hypodense nodules in the left lobe of the thyroid gland, unchanged.No significant lymphadenopathy.Severe coronary... | No evidence of metastatic disease and no change. |
Generate impression based on findings. | Reason: r/o head path History: was in Jamaica and in MVA on way to airport. No LOC. Had whiplash injury. 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... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Reason: 68 M r/o ILD History: see above LUNGS AND PLEURA: Apical predominant centrilobular and paraseptal emphysema. Intra and interlobular septal thickening present seen as diffuse, fine ground glass, extending from the apices to the bases with predominantly peripheral bronchiectasis and bronchiolectasis extending int... | Apical predominant centrilobular and paraseptal emphysema. Ground glass with predominantly peripheral bronchiectasis and bronchiolectasis extending into the posterior costophrenic angles. Patchy foci of consolidation within the lower lobes. No significant air trapping. The constellation of findings is suggestive of com... |
Generate impression based on findings. | Reason: Pt with EGUS s/p CRT 2011. please re-eval and compare History: as above CHEST:LUNGS AND PLEURA: Metallic circular foreign body in the right mainstem bronchus at the takeoff of the right upper lobe bronchus. Centrilobular emphysema. Paramediastinal fibrosis compatible with postradiation change. No suspicious pul... | 1.Metallic circular foreign body in the right main stem bronchus at the takeoff of the right upper lobe bronchus appears to represent a coin.2.No evidence of metastatic disease.Findings verbally communicated with Dr. Villaflor at 4:45 pm on 8/20/2013. |
Generate impression based on findings. | 66 year old male with 5 days right sided abdominal swelling and edema with nausea. Within the limits of a non-IV contrast enhanced examination limiting evaluation of solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIAR... | 1. Asymmetric thickening of the right abdominal and pelvic wall subcutaneous fat with overlying skin thickening. Increased fluid infiltrative changes diffusely in the subcutaneous fat in this region, but without loculated fluid collection. These suggest phlegmon or edema. 2. No intra-abdominal/pelvic abnormality seen. |
Generate impression based on findings. | 32 year old female with microscopic hematuria. Rule out stones, upper urinary tract lesions. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffuse fatty infiltration of the liver. SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant... | 1. No evidence of renal stone or upper urinary tract abnormality.2. Diffuse fatty infiltration of the liver, correlate with liver function tests for steatosis. |
Generate impression based on findings. | Previously reported biopsy-proven esthesioneuroblastoma left nasal cavity. Follow-up imaging, evaluate for metastases, previous pulmonary micronodule LUNGS AND PLEURA: Right apical 2-mm micronodule unchanged. No new pulmonary nodules. The pleural spaces remain clear.MEDIASTINUM AND HILA: No significant abnormality note... | Stable 2-mm micronodule right upper lobe. No findings to suggest metastatic disease. |
Generate impression based on findings. | Reason: eval for fx History: ams, trauma CT head:The CSF spaces are appropriate for the patient's stated age with no midline shift. Calcifications are present along the globus pallidus bilaterally.Atherosclerotic calcifications are present along the distal internal carotid arteries.No abnormal mass lesions are apprecia... | 1.No evidence for cervical spine fracture2.There is mild anterior subluxation of C4 on C5 which is likely degenerative in nature.3.No evidence for acute intracranial hemorrhage mass effect or edema.4.The multilevel degenerative change is present in cervical spine with multilevel neural frontal encroachment of exiting n... |
Generate impression based on findings. | Clinical question: Evaluate for new hemorrhage, history of unwitnessed fall on Sunday. Signs and symptoms: Fall. Nonenhanced head CT:Bilateral subdural collections (left greater than right) and high convexity frontal lobes are again noted.There is no evidence of new hemorrhage since prior study or increased size of bil... | 1.Stable bilateral (left greater than right) high convexity frontal hemorrhage as detailed/measured above.2.Small vessel ischemic strokes of indeterminate age. |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: CVA Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes. Minute age indeterminate small was ischemic strokes are suspected.Unremarkable cerebral cortex, cortical sulci, ventricular syst... | .Minute age indeterminate small vessel ischemic strokes are suspected. |
Generate impression based on findings. | Clinical question: Evaluate for interval change. Signs and symptoms: Headache, blurry vision and VP shunt. Nonenhanced head CT:Unremarkable images through posterior fossa and with normal size midline fourth ventricle.Supratentorial shunt the ventricular system demonstrate collapsed right lateral ventricle similar to pr... | 1.Shunted supratentorial ventricular system demonstrate collapsed right lateral ventricle similar to prior exam and normal size of left lateral ventricle with minute interval increase since prior studies.2.Unremarkable nonenhanced head CT otherwise. |
Generate impression based on findings. | Clinical question: Evaluate for bleed, CVA. Signs and symptoms: Dizziness. Nonenhanced head CT: There is no detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.The cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matt... | Very minimal age indeterminate small vessel ischemic strokes and unremarkable exam otherwise for patient's stated age. |
Generate impression based on findings. | Clinical question: Evaluate for intracranial lesion. Signs and symptoms: Weakness. Nonenhanced head CT: No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- wh... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | 70 year-old male with history of hairy cell leukemia Reason: cough with mosaic pattern on 3 mm outside hospital HRCT History: cough LUNGS AND PLEURA: Upper lobe predominant centrilobular emphysema, similar to previous. Interval resolution of upper lobe ground glass opacities seen in 8/19/2011 study. No evidence of air-... | 1. Moderate upper lobe predominant centrilobular emphysema, unchanged.2. Multiple splenic lesions with interval increase in size. |
Generate impression based on findings. | Female, 20 years old, moya moya, follow up, abnormal MRA finding, aneurysm. As on the prior examination, the sulci of the high right cerebral hemisphere are asymmetrically prominent which likely reflects underlying encephalomalacia. Also noted are scattered small areas of cortical and subcortical hypoattenuation in the... | 1. Stable high-grade stenosis of the distal cervical right ICA.2. The intracranial right ICA remains of smaller caliber than the left.3. Atypical morphology of the right P2 segment, most suggestive of fenestration. Some superimposed narrowing in this area cannot be excluded.4. No definite aneurysms are detected within ... |
Generate impression based on findings. | 60 year old female. Known type B dissection, need for new imaging. Epigastric pain. CHEST:LUNGS AND PLEURA: Left pleural effusion with compressive atelectasis. Right basilar atelectasis.MEDIASTINUM AND HILA: Cardiomegaly. Coronary artery calcifications.Saccular aneurysm of the descending aorta just distal to the left s... | 1.Type B aortic dissection extending from distal thoracic aorta to the proximal abdominal aorta, just above the celiac axis.2.Saccular aneurysm of the descending thoracic aorta.3.Infrarenal abdominal aortic aneurysm. |
Generate impression based on findings. | 37-year-old male patient with fevers and altered mental status in the ICU with concern for septic shock, please evaluate for infectious processes. In the absence of IV contrast limiting evaluation of the solid parenchymal organs and vascular structures, the following observations can be made:CHEST:LUNGS AND PLEURA: End... | 1. Bibasilar atelectasis, consolidation, and ground glass opacities consistent with aspiration and infection. 2. Bilateral pleural effusions. |
Generate impression based on findings. | 71-year-old female with headache, neck pain and visual complaints, evaluate for vertebral/basilar artery dissection. CT BRAIN WO: The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is preserved. There is no mass effect, midline shift, intra- or extra-axial fluid co... | 1. Unremarkable CTA brain and neck.2. No acute intracranial abnormality. |
Generate impression based on findings. | 86 year old female. Abdominal pain, rectal bleeding. Evaluate for ischemic colitis or other colitis. ABDOMEN:LUNG BASES: Small left pleural effusion with compressive atelectasis. Round left lower lobe opacity, likely representing round atelectasis. Cardiomegaly. Dense atherosclerotic calcification of the coronary arter... | 1.Sigmoid diverticulosis without evidence of diverticulitis.2.Small infrarenal degenerative aortic aneurysm. |
Generate impression based on findings. | 85 year-old female with hepatocellular carcinoma. Status therasphere therapy with abdominal pain. ABDOMEN:LUNG BASES: Small right pleural effusion. Bibasalar atelectasis.LIVER, BILIARY TRACT: Redemonstrated numerous arterial enhancing lesions compatible with multifocal hepatocellular carcinoma. These are not changed su... | Multifocal hepatocellular carcinoma. Right pleural effusion with bibasalar atelectasis. No definite findings to explain abdominal pain; consider upper endoscopy as clinically indicated. |
Generate impression based on findings. | 87 year-old female with mild abdominal pain, anorexia and acidosis. In the absence of IV contrast limiting evaluation of the solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted... | 1. No acute abnormality evident.2. Indeterminate left adrenal mass. |
Generate impression based on findings. | 76 year old male. Assess for resolution of abdominal fluid collection. Resolving fluid collection. Bladder cancer. Status post washout of the abdominal fluid collections on 8/7/13. ABDOMEN:LUNG BASES: Small bilateral pleural effusions, larger on the left, not significantly changed.LIVER, BILIARY TRACT: Small hypoattenu... | Marked interval decrease in extent and size of multiple loculated fluid collections. |
Generate impression based on findings. | 67-year-old female with history of abdominal pain. Evaluate for diverticulitis. Rule out obstruction. The following observations are made given the limitations of an unenhanced study.ABDOMEN:LUNG BASES: Mild bronchiectasis and scarring predominating at the right lung base.LIVER, BILIARY TRACT: No dominant liver lesions... | No findings to explain abdominal pain. No evidence of obstruction or diverticulitis. |
Generate impression based on findings. | Female 76 years old; Reason: r/o stone History: left sided flank pain The following observations are made given the limitations of an unenhanced study.ABDOMEN:LUNG BASES: Bilateral small pleural effusions with the right being larger than the left. Mild bi-basilar atelectasis. Small bullae noted at the right lung base. ... | 1.Small bilateral pleural effusions with basilar atelectasis.2.Large amount of stool throughout a dilated colon. Study is limited for evaluation of bowel given absence of intravenous and oral contrast; correlate with colonoscopy as clinically indicated.3.No evidence of renal or ureteral calculi as clinically queried. |
Generate impression based on findings. | 46 year old male patient with hypertension, chest pain, and back pain. Evaluate for dissection. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No evidence of aortic dissection within the thoracic aorta.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significan... | No evidence of aortic dissection. |
Generate impression based on findings. | 28 year-old female with headache. Evaluate for intracerebral aneurysm. Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior, middle and posterior cerebral arteries. Note, the origin of the left PICA is at the level of the dural margin. No ane... | 1.No evidence for aneurysm.2.No acute intracranial abnormality. |
Generate impression based on findings. | 54 year old female. Flank pain. Evaluate for urolithiasis. ABDOMEN: Evaluation of visceral abdominal organs is limited due to lack of intravenous contrast.LUNG BASES: Basilar subsegmental atelectasis. Left lower lobe bronchiectasis. Cardiomegaly.LIVER, BILIARY TRACT: Cholecystectomy.SPLEEN: No significant abnormality n... | 1.No renal or ureteral calculus.2.Round fluid attenuating structure continuous with small bowel loop in the right lower quadrant. Differential includes duplication cyst, lymphocele, or cystic adnexal lesion. Correlation with pelvic ultrasound is recommended as clinically indicated. |
Generate impression based on findings. | 96 year-old female with questionable hardware migration Again seen are hardware components of a right total hip arthroplasty which produces metal artifact which somewhat limits evaluation. There is lucency with bone destruction in the ileum superior and anterior to the acetabular component as well as along the medial a... | Findings compatible with particle wear osteolysis |
Generate impression based on findings. | 75-year-old female patient with abdominal pain, nausea, poor p.o. intake, history of malignancy. Evaluate for obstruction, malignancy. ABDOMEN:LUNG BASES: Right lower lobe spiculated nodule measuring 1.1 x 1.2 cm (image 17, series 5), previously 1.4 x 0.8 cm. Scattered granulomata unchanged. Bibasilar atelectasis. Righ... | 1. Increase in size of adrenal metastatic disease with invasion of the left renal and adrenal veins with tumor thrombus extending to the IVC.2. Right lower lobe spiculate pulmonary nodule and necrotic right hilar adenopathy. |
Generate impression based on findings. | Incisional hernia with chronic abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnor... | Fat-containing focus within the anterior abdominal wall subcutaneous tissues. This finding may be associated with a subtle subcentimeter fascial defect within the abdominal wall; a small hernia cannot be excluded. Not associated with bilateral edema or obstruction. |
Generate impression based on findings. | 93 year old female with severe aortic stenosis causing CHF and NSTEMI. Evaluate for possible TAVR. VESSELS:SINUS OF VALSALVA: 2.4 X 2.9 X 2.4 cmSINOTUBULAR JUNCTION: 2.7 X 3.0 cmASCENDING THORACIC AORTA AT LEVEL OF MAIN PULMONARY ARTERY: 3.4 X 3.2 cmASCENDING THORACIC AORTA IMMEDIATELY PROXIMAL TO THE INNOMINATE ARTERY... | 1.Aortic, iliac artery, and femoral artery calcifications and measurements, as described above.2.Left upper lobe nodule adjacent to a cyst is suspicious for primary lung malignancy, such as adenocarcinoma. A right perihilar ground glass nodule and hilar lymphadenopathy is also suspicious for primary lung malignancy.3.I... |
Generate impression based on findings. | Status post enucleation of pancreatic head neuroendocrine tumor ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Stable 1.1 x 1.3 cm low-attenuation focus within segment 8 of the right lobe of the liver best seen on image 21 of series 11. Stable subcentimeter low attenuation focus segment 5 rig... | Interval resection of pancreatic neck mass without evidence for new lesion, pancreatic ductal dilatation, or metastatic focus.Interval appearance of two widemouth ventral hernias. The superior ventral hernia demonstrates colonic loops within the hernia sac without bowel obstruction or bowel wall edema. |
Generate impression based on findings. | 84 year old female. Likely advanced ovarian cancer (IIIc), ascites. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusion.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Cardiac size is normal. No pericardial effusion.CHEST WALL: Small, nonspecific axillary lymph nodes.AB... | Marked regression since prior exam of the ascites and peritoneal carcinomatosis. |
Generate impression based on findings. | 47-year-old with malignant squamous cell carcinoma status post radiation. Soft tissues:Postsurgical changes from right neck lymph node dissection and radiation therapy are identified including pharyngeal mucosal edema, stable.There is no evidence of recurrent tumor or lymphadenopathy by CT size criteria. Single right 1... | 1.Postsurgical and postradiation changes without evidence of recurrent tumor.2.No evidence of lymphadenopathy by CT size criteria. |
Generate impression based on findings. | History of metastatic breast cancer on treatment. CHEST:LUNGS AND PLEURA: Bilateral large pleural fluid collections, partially loculated on the left, slightly larger in volume. The pleura is thickened and enhancing on the left. Radiation fibrosis of the left anterior lung 2-3 mm right apical micronodules lung unchanged... | 1. Mixed response with decrease in anterior chest wall soft tissue and index right paratracheal lymph node but slight increase in measurement of the the right chest wall and enhancing soft tissue nodules.2. Diffuse thickening of the left pleura with slight increase in volume of loculated pleural fluid, suspicious for u... |
Generate impression based on findings. | Impression: History of pituitary resection. Complicated by bilateral postop epidural collections and CSF leak. Signs and symptoms: Surveillance scan and epidural collections. Nonenhanced head CT:Enlarged sella with mixed density similar to prior exam and consistent with postop changes and possible residual tumor and pa... | 1.Interval decrease in the size of bilateral anterior frontal extra-axial collections as detailed/measured above.2.No acute new finding since prior study.3.Stable postoperative changes of pituitary microadenoma.4.Stable prominence of lateral ventricles/frontal horns and there surrounding parenchymal low attenuation. |
Generate impression based on findings. | Restaging. Small cell carcinoma likely pulmonary in origin. Evaluate for interval change. CHEST:LUNGS AND PLEURA: Solitary nonspecific micronodule right lung has cavitated but is unchanged in size measuring 5 mm (image 32; series 5).MEDIASTINUM AND HILA: Thyroid nodule is unchanged. Atherosclerotic calcifications aorta... | Unchanged hepatic metastases. Decreased size of midline cardiophrenic area and enhancing subcutaneous nodules likely represent metastasis. Unchanged micronodules right lung. Measurements are given above. |
Generate impression based on findings. | 44-year-old male with a urothelial cancer, status post radical cystectomy with neobladder. Evaluate for recurrence. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are unchanged. Previously noted subpleural nodule in the right lower lobe (image 59, series 8) is unchanged. MEDIASTINUM AND HILA: Calcified right ... | No significant change from the prior exam. No evidence of metastatic disease. |
Generate impression based on findings. | Reason: ho egus cancer with mets to liver, pls eval chemo response, additionally recent pna pls eval for resolution History: cough, dyspnea CHEST:LUNGS AND PLEURA: Marked interval improvement in previously described ground glass opacities with mild residual opacity at the left base. Right basilar consolidation is not s... | 1.Marked improvement in predominantly left ground glass opacity with mild residual opacity at the lung base.2.Persistent right basilar consolidation, better characterized on this exam, is compatible with lymphovascular metastases.3.Increasing hepatic metastases.4.Stable pulmonary metastases. |
Generate impression based on findings. | 21 year old female. Non-Hodgkin's lymphoma, restaging. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Reference mediastinal mass has not significantly changed in size and measures 4.2 x 1.0 cm (image 38, series 3) previously 4.2 x 1.1 cm.CHEST WALL: No significant abnormality noted.ABDOM... | No significant interval change in size in reference mediastinal mass. No new adenopathy. |
Generate impression based on findings. | Status post enucleation of pancreatic head neuroendocrine tumor ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Stable 1.1 x 1.3 cm low-attenuation focus within segment 8 of the right lobe of the liver best seen on image 21 of series 11. Stable subcentimeter low attenuation focus segment 5 rig... | Interval resection of pancreatic neck mass without evidence for new lesion, pancreatic ductal dilatation, or metastatic focus.Interval appearance of two widemouth ventral hernias. The superior ventral hernia demonstrates colonic loops within the hernia sac without bowel obstruction or bowel wall edema. |
Generate impression based on findings. | 64 year old man with refractory diffuse large B-cell lymphoma. Compared to prior scans. CHEST:LUNGS AND PLEURA: Scarlike opacity in the left upper lobe is unchanged. Apical predominant subpleural scarring is unchanged from the prior exam. Previously noted new left lower lobe nodule is no longer demonstrated.MEDIASTINUM... | 1. Left lower lobe pulmonary nodule is no longer demonstrated.2. Stable retroperitoneal adenopathy.3. Slight decrease in size of reference lymph node anterior to the bladder. |
Generate impression based on findings. | 66 year old female. Reason: r/o coronary disease History: NSVT (NONSUSTAINED VENTRICULAR TACHYCARDIA) Height: 5'4" Weight: 190 lbs BSA: 1.9 m^2BMI: 32.6 kg/m^2Cardiac Morphology:Left Ventricle:EDV: 140 ml The left ventricle is normal in size, shape, wall thickness, and volume. Right Ventricle:EDV: 136 ml The right vent... | 1. Normal ventricular size and morphology.2. No significant coronary artery calcification. Small amount of atherosclerotic calcification in the descending aorta.3. Soft plaque with >70% stenosis in the LAD just distal to the D1 origin. |
Generate impression based on findings. | 61 year old female. Evaluate disease. Increasing tumor markers. Ovarian cancer. CHEST:LUNGS AND PLEURA: Right upper lobe pulmonary nodule is not significantly changed in size, measuring 0.7 x 0.4 cm (image 20, series 5), previously 0.7 x 0.5 cm. Additional scattered pulmonary micronodules are unchanged.MEDIASTINUM AND ... | Stable pulmonary nodules and mediastinal lymphadenopathy. No evidence of disease in the chest, abdomen or pelvis. |
Generate impression based on findings. | 60 year-old male patient with history of severe aortic stenosis. Evaluate for aortic disease, aortic aneurysm, and coarctation of the aorta. LUNGS AND PLEURA: Small bilateral pleural effusions. There is a subcentimeter pulmonary nodule within the right upper lobe (image 34, series 9). Pulmonary micronodule within the l... | 1. No evidence of aortic aneurysm or coarctation of the aorta. 2. Bilateral pleural effusions with ground glass opacities suggestive of edema.3. 5 mm right upper lobe pulmonary nodule, recommend follow up in 12 months. |
Generate impression based on findings. | Neuroblastoma. Off therapy for 2.5 years. Assess progression. CHEST:LUNGS AND PLEURA: No nodules are identified. Minimal dependent atelectasis is present.MEDIASTINUM AND HILA: The heart size is normal. No pericardial effusion or lymphadenopathy is present.CHEST WALL: Minimal loss of height is present in vertebral bodie... | No evidence of disease recurrence. Continued bone lesions. |
Generate impression based on findings. | Female 9 years old; Reason: neuroblastoma; assess for progression of disease. CHEST:LUNGS AND PLEURA: Redemonstration of multiple bilateral lung nodules which have not changed. Surgical changes in the left upper lobe. Surgical clips adjacent to the left heart border again seen.MEDIASTINUM AND HILA: The heart size is no... | Unchanged metastatic lung disease. Unchanged retroperitoneal mass. |
Generate impression based on findings. | 45 year old female. Metastatic anal cancer. Evaluate for interval change. CHEST:LUNGS AND PLEURA: Left upper lobe reference pulmonary nodule measures 0.6 x 0.5 cm (image 38, series 5) previously 2.7 x 0.5 cm. New invasion of right upper lobe by necrotic node as detailed below.MEDIASTINUM AND HILA: Interval decrease in ... | 1.Interval decrease in size of necrotic pretracheal lymph node with calcification, compatible with posttreatment changes. 2.New either post treatment changes or invasion of necrotic mediastinal lymph node into adjacent right upper lobe of lung.3.No significant change in right hepatic lobe lesion, most likely representi... |
Generate impression based on findings. | Reason: pna? History: sob LUNGS AND PLEURA: Moderately severe centrilobular emphysema and bronchial wall thickening unchanged.Areas of scarring and subsegmental atelectasis at the right lung base and left upper lobe slightly increased from the prior exam.No focal area of consolidation.Stable scattered micronodules.No s... | 1.Mild increase in scattered areas of scarring and subsegmental atelectasis with new small left pleural effusion.2.No evidence of acute infection or suspicious pulmonary nodules or masses.3.Moderate to severe centrilobular emphysema.4.Diffuse anasarca and perihepatic ascites. |
Generate impression based on findings. | Reason: h/o HNC, s/p CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No parenchymal consolidation or pleural effusion.MEDIASTINUM AND HILA: Small mediastinal lymph nodes. Heart size is normal. No pericardial effusion. Mild coronary artery calci... | No evidence of metastatic disease in the chest or upper abdomen. |
Generate impression based on findings. | Reason: AML with prior presumed fungal pneumonia History: fungal pneumonia LUNGS AND PLEURA: Multiple bilateral pulmonary solid, subsolid, and cavitary nodules, the majority of which have decreased in size compared to the prior examination.Reference anterior right lower lobe cavitary nodule measures 7 x 8 mm (series 4,... | Overall decrease in size of solid, subsolid, and cavitary pulmonary nodules compared to previous. Features remain suggestive of improving opportunistic infection, likely fungal. |
Generate impression based on findings. | 82-year-old female with metastatic non-small cell lung adenocarcinoma. Evaluate for brain metastases. BRAIN PARENCHYMA:Post contrast images of the brain parenchyma demonstrate no evidence of abnormal mass lesions, edema, or intra-axial hemorrhage. Minimal periventricular hypodensity is consistent with mild chronic smal... | No evidence of intracranial metastases. |
Generate impression based on findings. | Cirrhosis of the liver, liver mass, evaluate for mets. A former smoker. LUNGS AND PLEURA: 4-mm right lower lobe nodule (4/76) is new from the previous study; a metastasis cannot be excluded.12 x 9 x 6 mm (5/88) peripheral scarlike abnormality in the right upper lobe, also new from previous. The radiographic appearance ... | 1. New 4-mm right lower lobe nodule; a metastasis cannot be excluded.2. Peripheral scarlike abnormality in the right upper lobe is new from previous, indeterminate. The radiographic appearance is suspicious for a primary lung malignancy however a metastasis or a scar could have a similar radiographic appearance. Sugges... |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.