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Generate impression based on findings. | Reason: follow-up of pulmonary infiltrates History: cough and infiltrates on CT/ ho aspergillosis LUNGS AND PLEURA: A lobulated right upper lobe mass is unchanged in size, but no longer demonstrates a cavitary component. Significant improvement in basilar opacities, previously described predominantly in the left lower ... | Right upper lobe lobulated mass unchanged in size but no longer cavitary. Marked improvement in basilar opacities. |
Generate impression based on findings. | Reason: eval for pna/masses on cxr and on abdominal ct History: neutropenic fever LUNGS AND PLEURA: Multiple and pulmonary nodules are identified throughout the lungs are. Right perihilar nodule (image 35 series 4) measures 21 mm x 25 mm.Left lower lobe subpleural nodule (image 42 series 4) measures 22 mm x 23 mm. thes... | Numerous pulmonary nodules of varying sizes suggestive of metastatic disease. However, atypical infections including fungal cannot be excluded. |
Generate impression based on findings. | 71-year-old male patient with history of metastatic prostate cancer to lymph nodes. Needs restaging evaluation. CHEST:LUNGS AND PLEURA: There is subcentimeter nodular opacity within the left upper lobe (image 51 ,series 4). MEDIASTINUM AND HILA: Mediastinal adenopathy with reference subcarinal lymph node measuring 1.4 ... | 1. Enlarged retroclavicular and mediastinal lymph nodes with reference nodes measured.2. Increased size of retroperitoneal lymph nodes. |
Generate impression based on findings. | Malignant neoplasm of the esophagus 6 years ago, status post chemo, surgery and RT. CHEST:LUNGS AND PLEURA: Scattered pulmonary nodules are stable for greater than two years, presumably postinflammatory. No new lesions. Bilateral fat containing Bochdalek hernias.MEDIASTINUM AND HILA: Unchanged chronic mild hilar lympha... | No signs of metastatic disease or localized recurrence. |
Generate impression based on findings. | History of papillary serous ovarian carcinoma, assess for metastatic disease. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Nodularity of the left adrenal gland i... | Stable exam without evident recurrent or metastatic disease. |
Generate impression based on findings. | Lung cancer follow-up. CHEST:LUNGS AND PLEURA: Severe emphysema. Volume loss and consolidation in the right lung , with a new region seen anteriorly near the base (6/47) however the areas seen previously are otherwise unchanged. Small volume of loculated pleural fluid at the right lung base, similar to previous. Mild p... | Mild increase in both consolidation and pleural thickening on the right which could be postinflammatory given negative PET scan earlier this year. Stable nonspecific hypoattenuation in the liver adjacent to gallbladder fossa. No significant change in adrenal gland nodules. |
Generate impression based on findings. | Male 58 years old; Reason: Re-evaluate disease status following additional systemic therapy; compare to previous scan and provide bi-dimensional measurements History: Stage IV metastatic melanoma CHEST:LUNGS AND PLEURA: No suspicious primary lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: Left internal mamm... | 1.Stable to slight increase in the size of the abdominal lesions. |
Generate impression based on findings. | 85 year-old woman with new diagnosis of adenocarcinoma on cytology of pleural fluid. Evaluate for metastatic disease. Malignant left pleural effusion. The following observations are made given the limitations of an unenhanced study.ABDOMEN:LUNG BASES: Bibasilar effusions with overlying compressive atelectasis and small... | Small retroperitoneal lymph nodes. Bilateral effusions (left greater than right) with basilar consolidation; refer to chest CT from yesterday. |
Generate impression based on findings. | 89-year-old with left facial and left upper extremity weakness, question acute stroke. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:There is new wedge shaped hypodensity seen within the left parietal lobe concerning for acute infarct. A focus of restricted diffusion wa... | New large wedge shaped hypodensity within the left parietal lobe. On the prior MRI exam there was a small focus of restricted diffusion in this area. Findings are concerning for progression of acute ischemia in this area. Critical findings discussed with Tatachar (pager 9203) at 1:28 pm on August 21, 2013. |
Generate impression based on findings. | Clinical question: 85 year-old female with new diagnosis of adenocarcinoma of pleural fluid. Evaluate for metastatic disease. Signs and symptoms: Left-sided malignant pleural effusion. Nonenhanced head CT:Lack of intravenous contrast significantly reduces the sensitivity of the exam for detection of metastatic disease ... | 1.No evidence of a metastatic disease on this nonenhanced exam.2.Mild age indeterminate small vessel ischemic strokes are noted.3.Calvarium, orbits, paranasal sinuses and mastoid air cells are unremarkable |
Generate impression based on findings. | Clinical question: Rule out subarachnoid hemorrhage. Signs and symptoms: Acute onset of headache in patient with hypertension. Nonenhanced head CT:No detectable acute intracranial process.CT whole were easily insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: 62-year-old male with history of right MCA bifurcation aneurysm. Left carotid artery endarterectomy. Signs and symptoms: Follow-up or Nonenhanced head CT:Examination demonstrates changes consistent with a chronic left MCA posterior frontal -- parietal cortical stroke as was noted on prior MRI exam fr... | 1.Nonenhanced head CT demonstrates no evidence of acute new finding since prior MRI exam. Revisualization of a chronic small left hemispheric MCA territory cortical stroke. Heavy vascular calcification of bilateral cavernous and supraclinoid internal carotid.2.Neck CTA demonstrates complete occlusion of left internal c... |
Generate impression based on findings. | Do but evaluate for interstitial lung disease. Shortness of breath, neuropathy and weight loss. LUNGS AND PLEURA: Right apical subpleural scarring (5/60), nonspecific. Additionally, there is minimal thickening at the intersection of the right major and minor fissures laterally (5/113) likely benign . No suspicious pulm... | Small pancreatic lesion which was described previously. No suspicious pulmonary lesions or intrathoracic lymphadenopathy. Nonspecific punctate calcifications or surgical markers in the left breast are should be correlated with history. Consider mammography for further evaluation if not performed within the last year. |
Generate impression based on findings. | Follow up solitary nodule in right lung base LUNGS AND PLEURA: Stable pleural right lower lobe solitary nodule image 60 series 6) again measuring 6 x 5 mm. The left upper lobe otherwise density larger calcified granuloma. Lungs otherwise clear. No effusions.MEDIASTINUM AND HILA: No acute lymphadenopathy, however calcif... | Old healed granulomatous disease exposure with what is otherwise a stable small discrete peripheral nodule in the right lung base. This latter finding is been stable for 3 years and does not require additional follow-up |
Generate impression based on findings. | Esophageal cancer, status post chemotherapy and radiation therapy. CHEST:LUNGS AND PLEURA: Marked interval progression with multiple new and enlarged micronodules the prior exam in 5/8/13. Multiple nodules are between one and 2 cm in diameter and for reference the previously described right lower lobe nodule, previousl... | Marked interval progression with multiple new pulmonary nodules and hepatic metastatic foci. Interval enlargement with mild mediastinal lymphadenopathy . Reference measurements provided |
Generate impression based on findings. | Female; 65 years old. Reason: Examine Aorta, dissection protocol History: s/p type A dissection hemiarch repair CHEST:LUNGS AND PLEURA: New small loculated right pleural effusion and associated subsegmental atelectasis.MEDIASTINUM AND HILA: Interval placement of an interposition ascending aortic graft that initiates at... | 1. Postsurgical findings reflect interval placement of interposition graft at the ascending thoracic aorta with expected postsurgical changes. No pseudoaneurysm or contrast extravasation. The native Sinus of Valsalva is unremarkable.2. Atypical dissection extends distal to the graft, involving the transverse arch, desc... |
Generate impression based on findings. | 71-year-old female with right upper extremity weakness. BRAIN PARENCHYMA:There is a asymmetric hypodensity within the left insula and left basal ganglia which is age-indeterminate on CT. In the setting of the patients clinical symptoms, findings are concerning for an acute ischemic event. No evidence of intra-axial hem... | Ill-defined hypodensity within the left insula and left basal ganglia. Given the patient's clinical symptoms these findings may represent acute infarct. An MRI could be obtained for confirmation as clinically indicated.Critical Findings discussed with ER physician at 1:30 pm on August 21, 2013. |
Generate impression based on findings. | Reason: lung cancer History: lung cancer LUNGS AND PLEURA: Status post left upper lobectomy.No suspicious pulmonary nodules or masses.Calcified left lower lobe granuloma.No pleural effusionsMEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy. Stable dilated ascending aorta.Aortic calcifications.CHEST WALL: No... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Reason: h/o HNC, s/p CRT, compare to previous, measurements pls History: none LUNGS AND PLEURA:New right upper and middle lobe nodular , tree in bud, and groundglass opacities with mild bronchial/bronchiolar wall thickening suggesting aspiration/bronchiolitis.New 5-mm ground glass nodular opacity in the right lower lob... | 1.New solid , tree in bud, and groundglass nodular opacities in the right lung with bronchial/bronchiolar wall thickening suggesting aspiration/ bronchiolitis.2.No evidence of metastatic disease. |
Generate impression based on findings. | Clinical question coned reevaluate disease status following additional systemic therapy; compared to prior scan and provide bidimensional measurements. Signs and symptoms: Stage IV metastatic melanoma. Enhanced neck CT:Limited view of intracranial demonstrate no abnormal enhancement.Visualized calvarium, orbits, parana... | 1.Stable right supraclavicular well demarcated and questionably enhancing mass/metastases since prior exam as compared to/measured above.2.Unremarkable and stable enhanced neck CT otherwise. |
Generate impression based on findings. | Male, 61 years old, history of esophageal cancer. No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. But appears to be a burr hole defect in the right frontal bone. Otherwise, the bones of the calvarium and skull base are intact. An esophageal stent remains in... | 1. The appearance of the upper esophagus is not significantly changed from the prior examination. This includes irregularity of the mucosa just above the stent, and ill-defined soft tissue along the tracheoesophageal grooves.2. No evidence of pathologic adenopathy in the neck by size criteria.3. A sclerotic lesion in t... |
Generate impression based on findings. | 70 year old male. Assess for cancer recurrence. Bladder cancer. Cystectomy and ileal conduit. ABDOMEN:LUNGS BASES: No significant abnormality. Please refer to CT of the chest for full report.LIVER, BILIARY TRACT: Dense right hepatic lobe calcifications are unchanged, most likely granulomas. No new focal hepatic lesions... | 1.Changes status post cystectomy and ileal conduit.2.Interval drainage of right lower quadrant fluid collection.3.Persistent abdominal fluid collection as detailed above.4.No evidence of recurrent disease. |
Generate impression based on findings. | Male 5 years old; Reason: recurrent neuroblastoma; assess for progression of disease.After administration of 20 mL of intravenous contrast material (Omnipaque 350), the chest, abdomen and pelvis were scanned from lung apices to symphysis pubis. Reconstructions were performed in the axial, coronal, and sagittal planes. ... | Unchanged right upper lobe micronodule and left retroperitoneal soft tissue mass. |
Generate impression based on findings. | 3-year-old male with a history of disseminated mycobacterial infection. CHEST:LUNGS AND PLEURA: Left main pulmonary artery and left mainstem bronchial stents are unchanged in position.There is continued interval improvement in aeration of the left upper lobe with mild residual atelectasis in the apical posterior segmen... | Continued improvement in aeration of the left upper lobe with mild residual opacity in the apical posterior segment. Improvement in left hilar lymphadenopathy. No new lymphadenopathy is identified. |
Generate impression based on findings. | Lung cancer off therapy. CHEST:LUNGS AND PLEURA: Surgical changes of right lower lobectomy. The paramediastinal radiation fibrosis. Residual scarring in the right middle lobe at site of prior abscess. No suspicious pulmonary nodules. Centrilobular and paraseptal emphysema. Suture line in the right costophrenic angle.Di... | No conclusive signs of recurrent or metastatic disease. Although discontinuous pleural thickening on the right is slightly more prominent, this may be post infectious or post inflammatory. |
Generate impression based on findings. | 70 old female Reason: h/o larynx cancer History: r/o lung mets LUNGS AND PLEURA: Right middle lobe solid endobronchial mass with lobulated contour obstructing the right middle lobe bronchus and measuring 14 x 34 mm (image 42, series 104). No associated atelectasis, however filling of the distal airways could be due to ... | 1. Right middle lobe 14 x 34 mm endobronchial mass suspicious for primary lung cancer or metastasis. Endobronchial metastases may occur with metastatic breast cancer. Differential diagnosis includes metastasis from thyroid and renal carcinoma and melanoma. 2. Small saccular aneurysm off of the distal aortic arch, uncha... |
Generate impression based on findings. | Reason: Egus ca - please compare to previous. History: Egus ca CHEST:LUNGS AND PLEURA: Scattered pulmonary nodules, increasing in number. New right lower lobe nodule (series 5, image 68) measures 10 x 6 mm. Reference right upper lobe nodule (series 5 comment is 31) measures 11 x 7 mm, previously 11 x 8 mm. Reference le... | 1.New right lower lobe pulmonary nodule suspicious for metastasis. 2.Increasing hilar adenopathy.3.Increasing pleural effusions.4.Stable sclerotic foci in several vertebral bodies in the thoracic and lumbar spine compatible with metastatic disease. |
Generate impression based on findings. | 3-year-old male with history of disseminated mycobacterial infection, evaluate for lymphadenopathy. There has been diffuse interval decrease in size of extensive cervical lymphadenopathy with development of calcification, compatible with treated granulomatous/mycobacterial infection.Reference level five right lymph nod... | Interval decrease in cervical lymphadenopathy with development of calcification consistent with chronic granulomatous/mycobacterial disease. |
Generate impression based on findings. | Female 76 years old; Reason: Pt is a 76 y/o female with met melanoma, colitis related to ipilimumab, evaluate for progression History: met melanoma CHEST:LUNGS AND PLEURA: There are multiple bilateral ground-glass nodules. The left lower lobe pulmonary nodule which appears more solid measures 2.6 x 2.4 cm (image 52/ser... | 1.Slight increase in the size of the ground-glass pulmonary lesions. |
Generate impression based on findings. | Follow-up lung cancer treatment (LUL SCC) CHEST:LUNGS AND PLEURA: Posterior left upper lobe remains consolidated consistent with prior radiation. 1.9 x 1.3 cm hypoattenuating lesion within the collapsed lung is unchanged compared to prior studies and may reflect necrosis.. Bronchial wall thickening and tree in bud opac... | 1. Interval enlargement of abdominal aortic aneurysm, now with finding suspicious for subacute intramural hematoma. Recommend vascular surgery consultation.2. No specific signs of viable tumor or intrathoracic metastases.3. Significant wall thickening of the duodenal bulb with collapse of the lumen and shouldering with... |
Generate impression based on findings. | Reason: thymoma History: thymoma LUNGS AND PLEURA: Fibrotic changes and mild bronchiectasis in the right upper lobe anteriorly most likely representing post radiation changes.Basilar predominant bronchiectasis. New semisolid posterior right upper lobe nodule (image 41 series 4) measuring 20 mm x 14 mm.Scattered small g... | 1.Continued significant decrease in the anterior mediastinal mass.2.Interval resolution of the right middle lobe consolidation.3.New groundglass in semisolid nodules most likely inflammatory or infectious in origin.4.Multiple healing right rib fractures which were not present on the prior exam. |
Generate impression based on findings. | Rule out obstruction. Evaluate hepatic lesions. Increased satiety and nausea. ABDOMEN:LUNG BASES: Large bilateral pleural effusions with overlying compressive atelectasis and consolidation of the lung bases.LIVER, BILIARY TRACT: Multiple hepatic lesions with a large multiloculated mass inferiorly in the right lobe. For... | Pancreatic adenocarcinoma with hepatic metastases. Ascites. Bilateral pleural effusions and consolidation. |
Generate impression based on findings. | 67-year-old female patient with history of adenoid cystic carcinoma, evaluate for progression of metastatic disease. CHEST:LUNGS AND PLEURA: Bilateral and pulmonary and pleural based masses. Reference left lower lobe mass measures 5.8 x 3.3 cm (image 66, series 5), previously 5.2 x 3.1 cm. Reference right lower lobe le... | 1. Increase in size of the pulmonary and pleural based metastatic masses. New left lung micronodules. 2. Slightly increased size of mediastinal and retroperitoneal adenopathy. 3. Unchanged renal lesions. 4. Unchanged compression deformity of T8 vertebral body. |
Generate impression based on findings. | 62-year-old male. Renal cell carcinoma. Evaluate for metastasis or recurrence. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No focal hepatic lesions. Portal and hepatic veins are patent.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No sign... | No evidence of recurrent or metastatic disease in the abdomen or pelvis. |
Generate impression based on findings. | 20 year-old AAM with history of ALL s/p chemo 2004; persistent headache and sore throat. HEAD:There is leptomeningeal enhancement in the far posterior right occipital lobe (coronal series image 61) with the suggestion of associated parenchymal edema. Additionally, along the right proximal M1 MCA, there is vague lobular... | 1.Leptomeningeal enhancement along the far posterior right occipital lobe with suggestion of associated parenchymal edema. MRI brain with and without contrast is recommended for further evaluation.2.Vague lobular enhancement along the right M1 MCA, which is of indeterminate significance, which may represent venous cont... |
Generate impression based on findings. | Evaluate for progression of disease. Pancreatic cancer. CHEST:LUNGS AND PLEURA: Left pleural effusion has resolved since the prior examination. Right pleural effusion appears similar in size. Compressive atelectasis again noted. Minimal scarring or atelectasis posteriorly at the left lung base can be followed.MEDIASTIN... | Status post interval placement of a cholecystostomy catheter with interval resolution of inflammatory changes and fluid at the gallbladder fossa. Unchanged right pleural effusion; resolved left left pleural effusion. Widespread sclerotic bony metastases roughly stable. |
Generate impression based on findings. | 57-year-old male. Hematuria. ABDOMEN: Lack of intravenous contrast limits the evaluation of abdominal organs.LUNG BASES: Right basilar atelectasis.LIVER, BILIARY TRACT: There is moderate intrahepatic biliary ductal dilatation. Cholelithiasis.SPLEEN: No significant abnormality notedPANCREAS: Masslike enlargement of the ... | 1.Intrahepatic biliary ductal dilatation with apparent pancreatic head mass, in the context of chronic pancreatitis. Dedicated pancreatic CT of the abdomen and pelvis is recommended for further evaluation.2.Cystic area in the right upper abdomen may represent a loop of bowel, but is incompletely evaluated.3.Peritoneal ... |
Generate impression based on findings. | 18 year-old male with a history of metastatic osteosarcoma. Most recently the patient had a right upper lobe mass wedge resection on 7/10/2013. Lack of intravenous contrast limits evaluation for lymphadenopathy, solid organ, and bowel pathology.LUNGS AND PLEURA: Interval wedge resection of the right upper lobe mass nea... | Interval right upper lobe mass wedge resection with linear and nodular opacity along the surgery margins, which may reflect postsurgical changes. Close attention on subsequent imaging is recommended. |
Generate impression based on findings. | Clinical question: Hypertensive subarachnoid hemorrhage/IPH with new headache. Signs and symptoms: 9/10 headache radiating to back of head. Nonenhanced head CT:There is no convincing evidence of new hemorrhage since prior exam. CT is insensitive for detection of acute nonhemorrhagic ischemic strokes.Interval complete r... | 1.No evidence of any acute new finding since prior exam. CT is insensitive for detection of acute nonhemorrhagic ischemic strokes.2.Slight interval decreased blood in the previously evacuated right temporal hematoma site. Residual acute blood products still present.3.Interval complete resolution of previously noted pos... |
Generate impression based on findings. | Female, 67 years old, history of mesothelioma. Redemonstrated is infiltrating tumor extending from the right apical pleural surface into the right axilla, supraclavicular fossa and right lower neck. The supraclavicular component measures 7.8 x 6.2 cm (image 69 series 4) previously 9.2 x 6.2 cm. Tumor also extends along... | 1. Infiltrating tumor is redemonstrated throughout the upper mediastinum, right supraclavicular fossa, axilla, and along the right lower neck. The tumor measures mildly smaller in the supraclavicular fossa, though the overall extent of disease is similar to prior.2. New thrombosis of the right internal jugular vein fro... |
Generate impression based on findings. | 5-year-old male with history of neuroblastoma. CHEST:LUNGS AND PLEURA: New left greater than right upper and middle lobe linear opacity, likely atelectasis. Minimal dependent atelectasis. No suspicious pulmonary mass or nodule. No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadeno... | Stable left retroperitoneal and superior mediastinum soft tissue masses after accounting for differences in technique.New left greater than right superior and middle lobe linear opacity is likely atelectasis. Continued follow-up is recommended. |
Generate impression based on findings. | 60 year old male with history of head and neck cancer and right middle lobe stage T1aN0 adenocarcinoma status post wedge resection. Please restage. CHEST:LUNGS AND PLEURA: Right middle lobe s/p wedge resection with post-surgical changes including suture lines. Previously identified 1.7 cm nodule no longer present. Scat... | Right middle lung wedge resection without evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Reason: mesothelioma compare to last CT \T\ measure 1) r. supraclavicular fossa mass, 2) right tracheoesophageal groove mass, 3) left brachiocephalic vein 4 oclock, 4 carina 4 oclock \T\ 7 oclock, 5)left atrium 4 oclock \T\ 8 oclock History: post 2 cycles of chemo CHEST:LUNGS AND PLEURA: Postsurgical changes in the rig... | 1. Increased consolidation in the right upper lobe but overall stability in pleural thickness on the right. 2. No significant change in extrathoracic extension.3. Newly thrombosed right internal jugular vein.4. Hypodensity of the hepatic dome is suspicious for tumor extension, unchanged.5. Stable confluent abdominal ly... |
Generate impression based on findings. | Pulmonary AVMs. Hereditary hemorrhagic telangiectasia. PULMONARY ARTERIES: Metallic artifact from 4 embolized AVMs in the right lower lobe. Elsewhere in the lungs bilaterally, there are numerous areas of of visible and/or suspected AVMs measuring from 1-8 mm in size as follows, please refer to annotated images on serie... | Numerous bilateral pulmonary arteriovenous malformations as detailed in the body of the report. Note is made of recanalization of a previously embolized lesions in the right lower lobe, recommend consultation with Interventional Radiology.Protrusion of a probable disk fragment into the spinal canal at the level of T6/T... |
Generate impression based on findings. | 51 year-old female patient with vomiting and left lower quadrant pain. Evaluate for obstruction, diverticulitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No ... | No identified acute abnormality. No evidence of obstruction or diverticulitis. |
Generate impression based on findings. | 74-year-old male, fall, rule out intracranial hemorrhage. BRAIN PARENCHYMA:There is an area of ill-defined hypoattenuation within the left posterior frontal centrum semiovale with perhaps extension in the anterior parietal white matter. There is involvement of adjacent deep, subcortical, and periventricular white matte... | No acute intracranial hemorrhage.Area of hypoattenuation within the left frontoparietal region deep white matter, new from the prior exam and likely representing age-indeterminate small vessel ischemic changes. An MRI of the brain could be obtained to exclude the possibility of an underlying mass. Interval outside comp... |
Generate impression based on findings. | Clinical question: Symptoms concerning for meningitis. Rule out acute intracranial process prior to lumbar puncture. Signs and symptoms: As above. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral... | No acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.. |
Generate impression based on findings. | Large B-cell lymphoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality noted... | Stable examination. No new adenopathy. |
Generate impression based on findings. | Cervical cancer. Brain metastases. Assess tumor. CHEST:LUNGS AND PLEURA: New and enlarging bilateral pulmonary metastases.For reference purposes, a right middle lobe nodule (image 52; series 4) measures 9 x 8 mm currently and previously measured 4 x 5 mm (image 50; series 5; 5/22/2013 study).MEDIASTINUM AND HILA: Stabl... | Interval progression of disease with metastases involving the lungs, bones, and lymph nodes. Measurements are given above. |
Generate impression based on findings. | Clinical question: New Codman shunt. Signs and symptoms: Headache. Nonenhanced head CT: Images through posterior fossa demonstrate normal size of fourth ventricle stable since prior exam and unremarkable otherwise.There is interval decreased size of left lateral ventricle since prior exam and with resultant nearly coll... | 1.Further decrease in size of left lateral ventricle to nearly collapsed appearance and stable left-sided approach ventricular catheter. 2.Interval decreased postoperative air at the level of tip of the right-sided ventricular catheter and decreased CSF density surrounding the tip of the catheter since prior exam. 3.St... |
Generate impression based on findings. | 55-year-old male. Colon cancer with lung metastases and nonspecific thickening of the rectosigmoid anastomosis. Please measure and compare to outside study 6/10/13 CHEST:LUNGS AND PLEURA: Multiple, bilateral pulmonary nodules which are compatible of metastases. For reference, round, right upper lobe pulmonary nodule me... | 1.Interval increase in size of pulmonary nodules, compatible with metastatic disease.2.Increased mediastinal lymphadenopathy.3.Nonspecific mild soft tissue thickening at the rectosigmoid anastomosis. |
Generate impression based on findings. | 73 year old male patient with history of colon cancer. CHEST:LUNGS AND PLEURA: Multiple scattered subcentimeter pulmonary and pleural opacities/cavitations are grossly unchanged compared to the prior exam. MEDIASTINUM AND HILA: Small mediastinal lymph nodes which are not of pathologic size. CHEST WALL: Right venous acc... | No evidence of local recurrence or metastatic disease. |
Generate impression based on findings. | Abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Bilateral renal cysts. The largest arises from the ... | Negative for acute, inflammatory, or neoplastic process. |
Generate impression based on findings. | Reason: pt with h/o esophageal ca s/p chemo/rt/surgery in 2005 History: doing well now needs yearly evaluation CHEST:LUNGS AND PLEURA: Scattered calcified granulomas are unchanged. Right basilar pleural thickening, unchanged. No suspicious pulmonary nodules or massesMEDIASTINUM AND HILA: Status post esophagectomy and g... | No evidence of metastatic disease in the chest or upper abdomen. |
Generate impression based on findings. | 79 year old female. Right upper quadrant pain and nausea. Evaluate for mass versus sludge in the gallbladder seen on ultrasound. ABDOMEN: Lack of intravenous contrast limits the evaluation of abdominal organs.LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Calcified density within the gallbladder, lik... | No gallbladder mass evident on noncontrast CT. Follow-up is recommended. |
Generate impression based on findings. | Hemoptysis, history of organizing pneumonia, history of head and neck cancer. LUNGS AND PLEURA: There are symmetric bilateral opacities within the paramediastinal medial apices similar to prior exam, consistent with radiation fibrosis. There are unchanged streaky consolidative changes within the posterior lateral porti... | 1.New mild left lower lobe aspiration bronchiolitis suggested.2.Unchanged bilateral radiation fibrosis and organizing pneumonia response. |
Generate impression based on findings. | 80 year-old female patient with metastatic breast cancer, evaluate for progression. CHEST:LUNGS AND PLEURA: Scattered granulomata.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Right venous access device with tip terminating at the atriocaval junction. Left breast nodule measures 1.7 x 1.3 cm (image... | 1. Interval increase in peritoneal ascites and size of peritoneal/omental carcinomatosis. 2. Increase in size of adnexal/uteruine mass.3. Hyperattenuating lesion within the liver is not definitely seen on the prior exam but may be secondary to different phase of imaging. Special attention should be paid on follow up im... |
Generate impression based on findings. | Reason: r/o acute process History: increased SOB, decreased activity tolerance in 65yo with ILD LUNGS AND PLEURA: Low lung volumes. Multiple bilateral foci of subsegmental atelectasis/scarring. Bilateral pleural thickening with punctate foci of calcification. Mild irregular nodular pleural thickening at the left base. ... | 1.Mild pleural thickening bilaterally with punctate foci of calcification is nonspecific but raises the question of asbestos exposure. Mild irregular nodular pleural thickening at the left base.2.Nonspecific mediastinal lymphadenopathy |
Generate impression based on findings. | 61-year-old male with evaluation of poorly localized and worsening left frontal, temporal and occipital and mandibular pain. CT soft tissue neck:There has been prior resection of the right parotid gland, and right submandibular gland. The thyroid and previously described associated masses been resected.The jugular vein... | No CT findings to suggest source for the patients pain. |
Generate impression based on findings. | 68-year-old woman with stage IIIC colon cancer. Status post resection and adjuvant chemotherapy. Evaluate for disease recurrence. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. Minimal dependent atelectasis.MEDIASTINUM AND HILA: Right chest port catheter tip is at the SVC/RA junction.CHEST WALL: No ... | 1. New metastatic implant adjacent to the right colon. 2. Stable hepatic lesions, likely all benign. |
Generate impression based on findings. | Metastatic thyroid cancer, follow-up given treatment CHEST:LUNGS AND PLEURA: No interval change in the pulmonary appearance. Mild posterior pleural scarring with scattered punctate micronodules are again observed. Small left basilar nodule is again identified and unchanged given slight differences in breathing. No susp... | No evidence of metastatic disease or significant change in the upper anterior mediastinal mass. |
Generate impression based on findings. | HCV cirrhosis. Pulmonary nodule surveillance CHEST:LUNGS AND PLEURA: Stable 5-mm peripheral left lower lobe nodule best seen on image 70 of series 12.MEDIASTINUM AND HILA: Mildly enlarged mediastinal lymph nodes. Representative precarinal lymph node best seen on image 34 series 11 measures 2 x 1.2 cm.CHEST WALL: No sig... | No worrisome hepatic mass lesion. No ductal dilatation. Hepatic vessels patent. No ascites.Stable subcentimeter left lower lobe peripheral lung nodule.Resolution of right hydronephrosis. |
Generate impression based on findings. | Non-small cell lung cancer, following radiation therapy CHEST:LUNGS AND PLEURA: A spiculated 1.7 x 1.7-cm mass (image 45 series 5) is observed in the anterior left upper lobe with extension towards the hilar region. Mass also extends towards the pleural surface with associated mild pleural thickening. Overall appearanc... | Massive emphysematous changes with healed granulomatous disease exposure and primary malignancy observed in the left upper lobe anteriorly. |
Generate impression based on findings. | 65-year-old male with neoplasm of unknown primary, with liver metastases. Has not been treated. CHEST:LUNGS AND PLEURA: Emphysematous changes in both lungs, stable. Several punctate calcified and noncalcified micronodules, all measuring 4 mm or less, noted bilaterally are stable. MEDIASTINUM AND HILA: Heart size normal... | Multiple hypoenhancing liver lesions are stable to equivocally enlarged. Reference lymph nodes are smaller. Unchanged and indeterminate lucent area in the T12 vertebral body which should be followed or correlated with bone scan. |
Generate impression based on findings. | 48 year old female. Persistent fevers, sternal wound infection. Evaluate for abscess. Evaluate sternum for osteomyelitis. CHEST:LUNGS AND PLEURA: Moderate right pleural effusion, not significantly changed from prior exam. Scattered pulmonary micronodules are unchanged.MEDIASTINUM AND HILA: Mildly enlarged mediastinal l... | Sternal wound dehiscence without drainable fluid collection. Wound tracks to bone, thus osteomyelitis cannot be excluded. |
Generate impression based on findings. | Male, 60 years old, history of base of tongue cancer, lung cancer, restaging exam. Post treatment and post surgical change is redemonstrated in the right neck including volume loss and infiltration of the fascial planes. Volume loss at the right tongue base is also a stable finding likely related to treatment.No new ma... | Stable treatment related change. No evidence of recurrent disease. |
Generate impression based on findings. | Female, 78 years old, with altered mental status. A large right frontal lobe resection cavity is redemonstrated, stable to smaller in size. The cavity measures 4.8 x 4.4 cm. Hyperdense material continues to layer within the cavity posteriorly. A small amount of intracranial air persists.Hypoattenuation consistent with ... | 1. Redemonstration of postoperative change. A large right frontal resection cavity is stable in size.2. The anterior one third of the superior sagittal sinus does not opacify suggesting occlusion or invasion by dural tumor. More posteriorly, the superior sagittal sinus is widely patent. A similar appearance is suggeste... |
Generate impression based on findings. | 70-year-old male. Bladder cancer. Assess for recurrence. LUNGS AND PLEURA: Mild paraseptal emphysema in the apices. Right basilar atelectasis. No suspicious pulmonary nodules or masses. No pleural effusion.MEDIASTINUM AND HILA: Atherosclerotic calcification of the thoracic aorta and coronary arteries. Cardiac size is n... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: lung cancer s/p immunotherapy x 4 doses that caused lung reaction. Prednisone given and clearing up reaction. Please evaluate the target lesions now compared to baseline ON 5/25/13 History: lung cancer, lung reaction that is improving. Need evaluation of target lesions compared to previous scan. CHEST:LUNGS AND... | 1. Significant improvement in upper lobe ground glass opacities/consolidations thought to represent hypersensitive pneumonitis or drug reaction. 2. New basilar centrilobular opacities which may indicate aspiration. 3. Right upper lobe masses biopsy-proven to be cancer obscured by atelectasis and pleural effusion. |
Generate impression based on findings. | Clinical question: Rule out bleed. Signs and symptoms: Box fell on head. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation.Un... | Negative nonenhanced head CT. |
Generate impression based on findings. | 63 year-old female with weight loss and weakness. Question of cancer. CHEST:LUNGS AND PLEURA: There is a left hilar mass measuring 2.0 x 1.7 cm (image 33, series 4) with associated complete opacification of the left hemithorax which is likely due to a combination of distal atelectasis and pleural effusion. There is als... | 1. Complete opacification of the left hemithorax with a hilar mass and lymphadenopathy consistent with neoplastic disease.2. Non-occlusive mural thrombus within the superior mesenteric artery and splenic artery.Discussed finding 2 with Dr Tatachar on the phone prior to dictation. |
Generate impression based on findings. | 29-year-old male with right upper quadrant pain after MVC -- rule-out liver laceration. ABDOMEN:LUNG BASES: A two areas of left basilar airspace consolidation with some air bronchograms -- minimal groundglass changes at the right lung base. In light of history of trauma these could be areas of lung contusion. These are... | 1. No acute abdominopelvic abnormality seen. 2. Left basilar areas of infiltrate -- in light of history of pulmonary contusion would be most likely, whether these are nonspecific, as described above. |
Generate impression based on findings. | 59-year-old female with vomiting and pain -- rule-out small bowel obstruction. Review of chart reveals prior history of colon cancer. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted -- no focal liver lesions seen to suggest metastases. Gallbladder appears norma... | 1. No evidence of bowel obstruction. 2. No evidence for metastatic disease. 3. No findings seen to account for patient's symptomatology. |
Generate impression based on findings. | Clinical question: Hemorrhage. Signs and symptoms: Trauma. Nonenhanced head CT:There is no detectable acute intracranial process.CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation rem... | Negative exam. |
Generate impression based on findings. | 59-year-old female Reason: pe History: 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: Previously identified right middle lobe and lingular ground glass opacities have resolved. Mild upper lobe predo... | 1. No pulmonary emboli.2. Resolved right middle lobe and lingular ground glass opacities seen on prior outside exam.3. Hepatomegaly and right upper quadrant post-surgical changes. |
Generate impression based on findings. | 66-year-old male. Abdominal pain. Evaluate for colitis. Lung cancer. CHEST:LUNGS AND PLEURA: Basilar scarring and centrilobular emphysema is unchanged. Innumerable round subpleural intrapulmonary nodules are again seen, compatible with metastatic disease. Reference left upper lobe subpleural nodule measures 11 x 9 mm (... | 1.Interval resolution of inflammatory changes involving the cecum, now with normal-appearing colon. 2.No significant interval change in pulmonary nodules, mediastinal, and abdominal adenopathy. |
Generate impression based on findings. | Clinical question: Out bleed. Signs and symptoms: Status post fall. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial or calvarial findings.There is evidence of left paramedian posterior parietal subgaleal hemorrhage and scalp laceration without underlying bony changes.Unremarkable cerebral co... | 1.No acute intracranial or calvarial posttraumatic findings.2.Small focus of hemorrhage and edema in left posterior parietal paramedian scalp.3.Unremarkable intracranial content.4.A small high density well demarcated round foreign body (BB) in the left preseptal periorbital soft tissues is noted. |
Generate impression based on findings. | 46-year-old female with right flank pain. Rule out stone. In the absence of IV contrast limiting the evaluation of solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: There is a cavitary lesion within the right middle lobe which could be infectious in etiology. T... | 1. Evidence of right urinary tract inflammation which potentially could be due to recent stone disease or pyelonephritis. 2. Right middle lobe cavitary lesion which should be followed. Discussed finding 2 with Dr Moore on the phone prior to dictation. |
Generate impression based on findings. | Reason: evaluate mediastinal mass History: hemoptysis and mass noted on CXR LUNGS AND PLEURA: 4.4 x 4.2 cm right lower lobe mass encases and likely invades several right lower lobe segmental bronchi medially (series 3, image 64). Smaller satellite lesions surround the mass. Opacity in the right posterior costophrenic s... | 1.Right lower lobe mass with encasement and likely invasion of several right lower lobe segmental bronchi is suspicious for primary lung cancer. This constellation of findings likely explains the patient's hemoptysis.2.Prominent right hilar and lower right paratracheal lymph nodes.3.Goiter. |
Generate impression based on findings. | 70 year-old male with ileus, hyperbilirubinemia, anemia -- follow-up of abdominal hematoma. ABDOMEN:LUNG BASES: A bilateral peripheral airspace consolidation with some ground glass components -- the distribution and extent appears unchanged. At the bases, however, new cavitation is seen in the right middle lobe it infi... | 1. No evidence for bowel obstruction. 2. Evolution of pulmonary parenchyma peripheral based airspace consolidation -- now with cavitation on the right. Differential would include pulmonary embolic disease with infection or atypical infection. 2. Bilateral pleural effusions. 3. Splenic infarction. 4. Ascites and diffuse... |
Generate impression based on findings. | Hypertensive emergency, papilledema. Signs and symptoms: Hypertensive emergency, papilledema. Nonenhanced head CT:This examination is performed after an enhanced CT of the abdomen and residual contrast is detected on the exam.There is no evidence of abnormal parenchymal or leptomeningeal enhancement.There are symmetric... | 1.Symmetrical bilateral low-attenuation white matter and posterior parietal and occipital regions are concerning for hypertensive encephalopathy. No evidence of any hemorrhage or associated mass effect.2.Unremarkable exam otherwise. Residual contrast on the exam from enhanced CT of abdomen which was performed immediate... |
Generate impression based on findings. | 37 year old male. Metastatic cancer unknown primary, incomplete CT at outside hospital. CHEST:LUNGS AND PLEURA: Right pleural effusion with compressive atelectasis. Numerous round bilateral pulmonary nodules compatible with metastatic disease. For reference right lower lobe pulmonary nodule measures 1.6 x 1.3 cm (image... | 1.Diffuse metastatic disease extensively involving the liver, also with lung and bone involvement. Based on the extensive liver involvement, with relative paucity of involvement elsewhere, we suspect liver primary. Based on the vascular invasion, hepatocellular carcinoma is considered most likely.2.Thrombus within the ... |
Generate impression based on findings. | Male 71 years old Reason: 71 y/o m w carcinoid tumor and LLQ enterocutaneous fistula now draining, please eval. History: nausea. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Normal size. Calcific granuloma.PANCREAS: No significant abnormality notedADR... | Minimal interval change of massively dilated and distorted small bowel probable high grade obstruction, chronic, likely at the ileoileal anastomosis in the right lower quadrant with additional areas of multifocal adhesions. Small amount of ascites. No intramural air or free air.Enterocutaneous fistula left abdomen prob... |
Generate impression based on findings. | 34 year old female. Two weeks status-post appendectomy with pain in abdominal wall firmness. Evaluate abdominal pain, left lower quadrant, near trocar site per ER resident. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedP... | 1.Changes status post appendectomy without evidence of complication. 2.Mild enlargement of the left rectus abdominis with small area of hypoattenuation, and adjacent fat stranding of subcutaneous tissue, compatible with resolving hematoma from prior trocar insertion. |
Generate impression based on findings. | 60 year-old female with worsening abdominal pain with erythema/blistering and hard gastropexy mass s/p hiatal hernia repair. ABDOMEN:LUNG BASES: Bibasilar atelectasis.LIVER, BILIARY TRACT: Cholecystectomy clips.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signific... | Gastroenterocutaneous fistula with marked subcutaneous emphysema. |
Generate impression based on findings. | 43-year-old female with epigastric/burning pain. Evaluate for biliary pathology. ABDOMEN: Motion artifact and artifact from overlying arms limits to some degree clarity of the images.LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Marked streak artifact crosses the liver, however, no sizable parenchym... | 1. Fibroid changes in the uterus. 2. No abnormality seen in the abdomen or pelvis to account for patient's symptomatology. |
Generate impression based on findings. | 71 year old female. Lung cancer. Hepatomegaly and shortness of breath. Evaluate for progression. CHEST:LUNGS AND PLEURA: There is new diffuse groundglass opacity in the right lower lobe with focal areas of consolidation and septal thickening. This may represent infection due to obstruction from increased tumor burden. ... | 1.New large necrotic mass involving the diaphragm, with apparent invasion of the adjacent pericardium, encasement of the IVC and direct invasion of right adrenal gland.2.Interval development of ground glass opacities in the right lower lobe with focal areas of consolidation, which may represent infection due to obstruc... |
Generate impression based on findings. | Female 36 years old Reason: persistent pain and follow up fluid collection near right adnexa on previous outside CT scan; also diagnosed with right ovarian thrombosis. Status post robotic hysterectomy June 2013 History: bilateral pelvic pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No s... | Upper normal size right ovary with several presumed cysts. No free or loculated fluid collections to suggest abscess. Injection sites anterior abdominal wall. I believe the right gonadal vein is patent. |
Generate impression based on findings. | Reason: h/o lung cancer s/p 3 cycles of chemotherapy, restaging exam History: none CHEST:LUNGS AND PLEURA: Spiculated right upper lobe nodule with internal cystic components, measuring 23 x 24 mm, slightly decreased from 24 x 26 mm previously.Left upper lobe spiculated nodule measuring 22 x 27 mm, decreased from 34 x 4... | 1. Slightly decreased right upper lobe nodule. 2. Decreased left upper lobe nodule but with increased peripheral opacity suggestive of infection.3. New small sclerotic focus in the T4 vertebral body, which may represent a metastasis. |
Generate impression based on findings. | 70-year-old male. History of abdominal aortic aneurysm status post EVAR. ABDOMEN:LUNG BASES: Mild bibasilar atelectasis. Severe atherosclerotic calcification of the coronary arteries.LIVER, BILIARY TRACT: Adenomyomatosis of the gallbladder fundus, unchanged.SPLEEN: No significant abnormality notedPANCREAS: Age-related ... | 1.Persistent, unchanged type II and type III endoleaks as detailed above with stable aneurysm sac size.2.Thrombosed right limb of the stent graft, which is unchanged, with collateral reconstitution of flow distally at the level of the common iliac bifurcation. |
Generate impression based on findings. | Reason: vocal cord lesion, smoker History: vocal cord lesion, smoker LUNGS AND PLEURA: Scattered pulmonary nodules/micronodules, some of which are calcified, measuring up to 5 mm at the right apex (series 5, image 50). Upper lobe predominant centrilobular emphysema. Mild bronchial wall thickening with intraluminal debr... | Scattered pulmonary nodules/micronodules, probably benign, however continued surveillance is recommended. |
Generate impression based on findings. | 78 year old female Reason: Pancreatic cancer please assess and rule out any chest involvement History: As above LUNGS AND PLEURA: Moderate upper lobe predominant centrilobular emphysema.Apical mild ground glass and reticular opacities which may be related to respiratory bronchiolitis. Mild basilar scarring and atelecta... | 1. Moderately enlarged non-specific subcarinal lymph nodes with the largest measuring 14 mm in short axis; no other evidence of thoracic metastatic disease. 2. Moderate emphysema. |
Generate impression based on findings. | Female 63 years old Reason: patient with elevated tbili and liver enzymes; please eval for acute path History: patient with elevated tbili and liver enzymes; please eval for acute path.Additional history per discussion with hematology oncology service indicates history of liver dysfunction, history of colorectal cancer... | Possible cecal mass and focal thickening sigmoid. Numerous hepatic and lung metastases many increasing in size. Mild intrahepatic biliary dilatation without a clear point of obstruction.Marked splenomegaly and varices with venous collaterals extending from the level of the superior mesenteric vein to the left perirecta... |
Generate impression based on findings. | 52 year old female. History of metastatic renal cell carcinoma. Assess for disease progression. CHEST:LUNGS AND PLEURA: Interval increase in size of right upper lobe pulmonary mass measuring 6.0 x 4.6 cm (image 31, series 4) previously 5.3 x 3.5 cm. There is adjacent invasion with tumor thrombus of the pulmonary vein (... | 1.Interval increase in size in right pulmonary mass, with adjacent invasion and tumor thrombus of pulmonary vein.2.Left renal lesions which have increased in size, suspicious for neoplasm.3.Diffuse patchy hypoattenuation of liver parenchyma, favor metabolic etiology such as fatty infiltration. |
Generate impression based on findings. | Clinical question: Stroke. Signs and symptoms: Rule out stroke. Nonenhanced portable head CT:Examination demonstrate a large focus of low attenuation involving the cortex and subcortical white matter of the medial aspect of the right mid and posterior right temporal lobe and extending to the right occipital lobe. Findi... | 1.Late acute to subacute nonhemorrhagic stroke in the entire right posterior cerebral artery territory involving the medial aspect of right mid to posterior temporal lobe, right occipital and right thalamus. Finding is associated only with regional mass-effect and effacement of adjacent cortical sulci.2.Unremarkable no... |
Generate impression based on findings. | Reason: lung CA, s/p chemo and RT. followup. History: none CHEST:LUNGS AND PLEURA: Paramediastinal radiation fibrosis, right greater than left, unchanged with no evidence of tumor recurrence.Right upper lobe wedge resection and mild centrilobular emphysema are stable.Scattered punctate benign-appearing micronodules are... | No evidence of disease recurrence or metastases. |
Generate impression based on findings. | 65-year-old male with history of renal cancer, lymphadenopathy (likely benign.) For follow-up. CHEST:LUNGS AND PLEURA: Stable scarring in the right lower lobe laterally at the base. Stable 5-mm reference nodule (series 6, image 80). No new nodules, masses, infiltrates or effusions seen..MEDIASTINUM AND HILA: Stable app... | 1. Prior right nephrectomy and adrenalectomy without evidence of tumor recurrence. 2. Stable appearing small. Reference, lymph nodes but no evidence of new metastatic foci. |
Generate impression based on findings. | Clinical question: Static thyroid cancer on treatment. Evaluate disease progression with measurement. Signs and symptoms: As above. Enhanced head CT:Examination demonstrates no evidence of abnormal parenchymal or leptomeningeal enhancement.The cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray t... | 1.Negative enhanced head CT.2.Stable heterogeneous enhancing left thyroid bed mass. Please see above comments/measurements.3.Stable left pretracheal lymph node however please review report of dedicated CT of chest performed this date. |
Generate impression based on findings. | Female 67 years old Reason: abdominal pain, epigastric, with food, hx of adhesions and large bowel obstruction History: abdominal pain.Additional history from prior report indicates Hodgkin's lymphoma. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Large gallstone in the neck of the gallbladd... | Stable atherosclerotic disease and bulge of distal abdominal aorta. Renal cortical thinning with scarring left lower pole. Gallstone. No specific findings to explain abdominal pain.30 cc saline extravasation as detailed in technique above. |
Generate impression based on findings. | Reason: lung exam for possible liver transplant, abnormal PFT History: dyspnea LUNGS AND PLEURA: No evidence of interstitial lung disease. There is no sign of bronchiectasis or bronchial wall thickening. No pulmonary micronodules are noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significan... | 1. No intrathoracic disease.2. New or increasing ascites and known cirrhosis with its other associated findings including splenomegaly and varices. |
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