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Generate impression based on findings. | Reason: h/o buccal cancer History: eval fro lung mets LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy.Cardiac size is normal without evidence of a pericardial effusion.Mild coronary calcifications.CHEST WALL: No significant abnormality noted.UPPE... | No evidence of metastatic disease. |
Generate impression based on findings. | 67-year-old male with abdominal pain, status post IR drain placement x 2 and history of Crohn's. Evaluate fluid collections and for free air. ABDOMEN:LUNG BASES: Bilateral pleural effusions with the left side greater than right which are slightly decreased from the prior exam. Bibasilar atelectasis. LIVER, BILIARY TRAC... | Interval decrease in size of fluid collections and free intraperitoneal air. |
Generate impression based on findings. | Male 56 years old Reason: hematuria History: hematuria. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Punctate hypodensities unchanged too small to characterize likely cysts or benign lesions.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No... | Punctate nephrolithiasis right upper pole kidney. No other renal abnormalities. Other findings as above. |
Generate impression based on findings. | Male, 59 years old, with headache, basilar artery filling defect on MRA. There has been no interval change in the appearance of the brain since the prior CT. Briefly, this includes evidence of age indeterminate small vessel ischemic disease within the pons and a chronic infarct in the left occipital lobe. The vertebro-... | 1. The vertebro-basilar system is markedly dolichoectatic which alternates with areas of significant atherosclerotic narrowing.2. The vertebro-basilar junction is significantly dilated in a fusiform manner. Beyond this, there are scattered regions of significant focal stenosis reaching, at one point, 90% or more.3. Mor... |
Generate impression based on findings. | 36 year old female Reason: r/o PE History: s/p robotic hysterectomy, low O2 sats, hypoxia PULMONARY ARTERIES: Extensive motion artifact but otherwise technically adequate exam.Multiple pulmonary emboli present extending to proximal segmental arteries in the right upper lobe (image 132, series 7), right middle lobe, rig... | 1. Extensive pulmonary emboli extending to proximal segmental arteries in the right upper lobe, right middle lobe, right lower lobe, and left upper lobe. 2. Basilar atelectasis and small right pleural effusion. Findings communicated to ordering physician Dr. Hendee at 10:47. |
Generate impression based on findings. | 49-year-old female with history of colon cancer. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Multiple hepatic cysts are unchanged from the prior exam. No new focal lesions.SPLEE... | No evidence of metastatic or recurrent disease. |
Generate impression based on findings. | Reason: ILD History: sob, crest PULMONARY ARTERIES: Technically adequate exam. No evidence of pulmonary embolus. No evidence of pulmonary hypertension or right heart strain.LUNGS AND PLEURA: Mosaic attenuation on expiration views is compatible with airtrapping. Bronchial wall thickening. Scattered foci of interlobular ... | 1.No evidence of pulmonary embolus or other acute cardiopulmonary abnormality.2.Mosaic attenuation on expiration views compatible with airtrapping and small airways disease. |
Generate impression based on findings. | 37-year-old male with renal cell carcinoma, and multiple surgical complications -- evaluate for progression. CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary nodules within the lower lobes and lingula again are seen with minimal change since 6/24/13. Reference left lower lobe nodule (series 5 , image 79) measures 1... | 1. Multiple, predominately basilar lung nodules without significant change since 6/24/13. 2. New subcarinal lymph node enlargement. 3. Status post left nephrectomy with surgical drain in left retroperitoneum, with no significant residual fluid about drain. Adjacent soft tissue density may represent scarring from prior ... |
Generate impression based on findings. | Male 52 years old Reason: Pt w/ pancreatic cancer s/p ERCP w/ pancreatitis - WBC now up to 27 - please evaluate for any drainable abscess History: Elevated WBC ABDOMEN:LUNG BASES: Moderately large bilateral pleural effusions new compared to the prior exam. Associated bibasilar atelectasis or consolidation.LIVER, BILIAR... | Pancreatic necrosis involving the distal body and tail with intrapancreatic acute necrotic collection and extensive peripancreatic acute fluid collections. Some of the left-sided more caudal collections are starting to encapsulate. Ascites. Submucosal edema stomach. Small bowel ileus.Attenuated but not thrombosed splen... |
Generate impression based on findings. | 72-year-old male with metastatic prostate cancer. Evaluation of the disease after 3 cycles of investigational therapy. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are grossly unchanged.MEDIASTINUM AND HILA: Enlarged thyroid with bilateral nodules and calcifications is unchanged. Extensive mediastinal lymph... | 1. Decrease in size of mediastinal adenopathy.2. Diffuse osseous metastatic disease is unchanged. |
Generate impression based on findings. | Reason: Evaluation of neck mass and possible mets for staging History: Evaluation of neck mass and possible mets for staging CHEST:LUNGS AND PLEURA: Small pulmonary micronodules, the largest 3 mm in the right lower lobe image 163 series 5.No other evidence of pulmonary or pleural metastases are seen.MEDIASTINUM AND HIL... | 1. Nonspecific micronodules, indeterminate, which should be reviewed as part of the patient's routine cancer monitoring.2. T12 sclerotic focus most likely a bone island although should be reviewed on the patient's next follow-up study. |
Generate impression based on findings. | 58-year-old female with colon cancer CHEST:LUNGS AND PLEURA: Indexed left lower lobe lesion measures 5.2 x 3.3 cm on image number 59, series number 4, increased in size compared to previous study. Other bilateral pulmonary metastatic lesions also increased in size.MEDIASTINUM AND HILA: Calcified left hilar lymph nodes ... | Interval increase in the size of the metastatic lung lesions.Small, indeterminate hypodense lesion in the right lobe of the liver. MRI is recommended for further evaluation of the liver and this particular lesion. |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: CVA. Unenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic stroke.Examination demonstrates moderate degree of periventricular and subcortical low attenuation white matter and mild enlargement of l... | Moderate age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | 74-year-old male with history of rectal cancer CHEST:LUNGS AND PLEURA: Emphysema, unchanged.MEDIASTINUM AND HILA: Borderline enlarged mediastinal lymph nodes. A precarinal index node measures 1.9 by 1.1-cm image number 44, series number 3. The etiology and significance of these lymph nodes is uncertain.CHEST WALL: No s... | Borderline enlarged mediastinal lymph nodes of uncertain etiology and significance. |
Generate impression based on findings. | 79-year-old female with history of possible colon cancer CHEST:LUNGS AND PLEURA: A index left upper lobe spiculated nodule measures 8mm in diameter on image number 20, series number 5, minimally increased in size compared to previous study. Other bilateral smaller nodules are also stable or minimally increased in size.... | Stable to minimally increased in size bilateral lung nodules. |
Generate impression based on findings. | Reason: lung transplant evaluation History: sob LUNGS AND PLEURA: Severe diffuse panacinar or centrilobular predominant emphysema is present. Mild bronchial wall thickening is present.Apical scarring is unchanged.Scarlike opacities in the superior segment of the left lower lobe have worsened, probably inflammatory give... | Severe diffuse pan acinar or centrilobular predominant emphysema, with focal areas of scarring. |
Generate impression based on findings. | Reason: rule out progression of fallopian tube cancer in lungs History: sob, cough LUNGS AND PLEURA: No significant abnormality noted.No suspicious nodules.Tracheal bronchus supplying the apical segment of the right upper lobe, a normal variant.MEDIASTINUM AND HILA: Mildly enlarged mediastinal and hilar lymph nodes, ra... | Mildly diffusely enlarged nonspecific mediastinal and hilar lymph nodes, more likely reactive than neoplastic, though further follow-up is recommended.No apparent cause for pulmonary symptoms. |
Generate impression based on findings. | Status post left radical nephrectomy for chromophobe renal cell carcinoma 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, U... | No evidence of metastatic disease. |
Generate impression based on findings. | 65-year-old female with abdominal pain and distention.? Cause of abdominal pain CHEST:LUNGS AND PLEURA: Subpleural micronodular left lung base (series 4, image 61). 5-mm groundglass nodule in right middle lobe (series 4, image 31). These are both nonspecific. No other nodules, masses, infiltrates or effusions seen.MEDI... | 1. 2 Micronodules in the lungs have nonspecific appearance -- patient does have evidence of prior granulomatous disease with calcified lymph nodes. 2. 6-mm left renal nonobstructing calculus. 3. Numerous benign hepatic cysts throughout the liver. 4. No other abnormalities seen. |
Generate impression based on findings. | Clinical question: Evaluate for change in ICH. Signs and symptoms: As above. Nonenhanced head CT:A previously noted large acute left hemispheric hematoma is again identified without convincing evidence of any significant change. It measures approximately 60 times 35-mm in transaxial dimensions which is nearly identical... | 1.No convincing evidence of any change in size of a large left hemispheric hematoma and its surrounding edema and overall associated mass effect including 14-mm midline shift to the right.2.Stable normal size of right lateral ventricle and without evidence of hydrocephalus.3.Grossly similar small vessel ischemic stroke... |
Generate impression based on findings. | History of prostate cancer ABDOMEN:LUNG BASES: Nonspecific subcentimeter right lower lobe nodule on image number one, series number 3. Chest CT name L4 for further evaluationLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GL... | Interval resolution of the pelvic adenopathy. Sclerotic lesion in T12 vertebral body is less conspicuous.Chest CT may be helpful for further evaluation for lung nodules and previously described sclerotic vertebral body metastases. |
Generate impression based on findings. | 45-year-old female with juvenile polyposis syndrome with questionable hereditary hemorrhagic telangiectasia. TTE would lead positive bubble studies compatible pulmonary AVMs. Rule-out large pulmonary AVM. LUNGS AND PLEURA: No parenchymal infiltrates, nodules, masses. No pleural effusions.PULMONARY ARTERIES: Main pulmon... | Normal examination without evidence for arteriovenous malformation or other abnormality. |
Generate impression based on findings. | 86-year-old male with gait disorder. BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage. There is minimal scattered and more focused right periventricular hypodensities which likely represent the sequela of mild chronic small vessel disease.VENTRICLES/CSF SPACES: Arising off the anterior falx cerebri, ther... | 1.Mild subcortical and periventricular hypodensities representing the sequela of mild chronic small vessel disease.2.Presumed meningioma arising from the falx and projecting adjacent to the right superior and middle frontal gyrus as detailed above. |
Generate impression based on findings. | 51-year-old male with history of pickups and regurgitation of food one hour after eating 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 ... | No evidence of strictures in the small bowel. |
Generate impression based on findings. | Pre-kidney transplant evaluation 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 abnormality notedR... | Diffuse atherosclerotic calcifications as described above. |
Generate impression based on findings. | 81-year-old with exotropia of the left eye, rule out mass. Orbits: The globes are symmetric and normal. There is preservation of orbital fat. The ophthalmic veins are normal in appearance. There is no evidence of a retro-bulbar mass. There is deviation of the left eye laterally consistent with exotropia.Paranasal sinus... | No specific findings to account for left eye exotropia. |
Generate impression based on findings. | 72-year-old male with prostate cancer -- staging. ABDOMEN:LUNG BASES: Scarring noted in the basal, and medial portions of the lingula and right middle lobe.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: 3.2 x 1.8 cm unilocular cystic lesion in the body of the pan... | 1. No evidence for metastatic disease in the abdomen and pelvis. 2. Unilocular 3-cm cystic lesion in the pancreas most consistent with a cystic pancreatic neoplasm. |
Generate impression based on findings. | Female 56 years old Reason: Stage IV gallbladder cancer please compare to prvious scan and provide index lesion measurements for RECIST History: As above CHEST:LUNGS AND PLEURA: Apical scarring. Areas of scarring and peripheral placed nodularity in the lung apices redemonstrated. These are unchanged. No new nodules. No... | Progression of disease. New biliary obstruction may require stenting. New metastasis in the omentum and anterior abdominal musculature. Findings discussed with Keisha Allen, pager 9560 at the time of this dictation. |
Generate impression based on findings. | Reason: 64 female with AML, neutropenic fever. r/o infiltrate History: Neutropenic fever LUNGS AND PLEURA: Left anterior subpleural scarring and fibrosis from prior treatment for breast cancer.Multiple upper lobe predominant well marginated nodules, representative nodule 5 mm in the left upper lobe image 95 series 5; t... | 1. No specific evidence of pneumonia, atypical or otherwise.2. Small pulmonary nodules could be postinflammatory versus metastases given the patient's history of breast cancer.3. Hepatic hypodensity unknown etiology, a dedicated liver protocol CT recommended. |
Generate impression based on findings. | 51 year old female with abdominal wall defect ABDOMEN: Within the limits of a non-IV contrast enhanced examination which limits evaluation of solid parenchymal organs and vascular structures, the following observations can be made:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffuse fatty infiltrat... | Anterior umbilical ventral wall hernia containing only mesenteric fat. No other abnormality seen. |
Generate impression based on findings. | Reason: follow lung nodule, h/o RA History: dyspnea, prior ILD LUNGS AND PLEURA: Basilar predominance reticular opacities, septal thickening, architectural torsion with traction bronchiectasis, and groundglass opacities without subpleural sparing. No evidence of honeycombing or or air trapping. Findings consistent with... | 1.No interval change in the basilar predominant ILD in an NSIP pattern, which may be secondary to mixed connective tissue disease.2.Stable pulmonary nodules . No suspicious pulmonary nodules or masses.3.The mildly prominent axillary and mediastinal lymph nodes, unchanged. |
Generate impression based on findings. | 56-year-old male. Lymphadenopathy, not otherwise specified. Intermittent fatigue. CHEST:LUNGS AND PLEURA: Minimal thickening of the pleural with associated nodularity is unchanged.MEDIASTINUM AND HILA: Mediastinal adenopathy is not significantly changed, with reference pretracheal lymph node measuring 1.6 x 1.1 cm (ima... | Interval increase in abdominal and pelvic lymphadenopathy. Unchanged lymphadenopathy in the chest. |
Generate impression based on findings. | Clinical question: History of headache with slurring of nodes, evaluate for acute changes. Signs and symptoms: Left-sided headache and nausea. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Cerebral cortex, cortical sulci, v... | No acute intracranial process. |
Generate impression based on findings. | 58-year-old male with ear congestion, edematous right lateral wall. Evaluate for chronic sinusitis. The orbits and limited view of the brain parenchyma are unremarkable. Trace right maxillary mucosal thickening. Otherwise, the left maxillary sinus, frontal sinuses, frontal-ethmoid recesses, anterior/posterior ethmoids,... | 1.Trace right maxillary sinus mucosal thickening.2.Nonspecific partial opacification of the bilateral mastoid air cells. |
Generate impression based on findings. | 68 year old female with biopsy proven amyloidoses with mediastinal and cervical lymphadenopathy; amyloidosis thought to be a result of MGUS; pt also with positive PPD and on treatment for latent TB; now with cough and dyspnea, rule out cavitary lesions. LUNGS AND PLEURA: Several small non-specific nodules in the right ... | 1. Massive calcified lymphadenopathy in the cervical, mediastinal, and hilar regions compatible with patient's history of amyloidosis. Correlation with previous examinations would be helpful to assess evolution. 2. Obstructive endobronchial lesion likely causing atelectasis of left lower lobe, also compatible with amyl... |
Generate impression based on findings. | 51-year-old male with history of osteomyelitis. Evaluate for progression of disease. Evaluate C6-7 fusion and diskitis. Redemonstration of vertebral body height loss of C6 and C7, end plate destruction at C6-C7, and complete loss of the C6-C7 intervertebral disk space with fusion of the posterior aspects of C6 and C7 v... | Expected evolution of findings compatible with now chronic C6-C7 diskitis and osteomyelitis, with stable minimal retropulsion of C6 into the spinal canal, resulting in mild to moderate asymmetrically right-sided central spinal canal stenosis. |
Generate impression based on findings. | Clinical question: Chronic sinusitis. Signs and symptoms: Chronic sinusitis. Medtronic fusion sinus CT:Frontal sinuses are well pneumatized and unremarkable.Ethmoid sinuses demonstrate extensive left-sided opacification of ethmoid air cells anteriorly and to a lesser degree of right anterior ethmoid air cells.Sphenoid ... | 1.Complete bilateral maxillary sinus opacification and occluded bilateral ostiomeatal units.2.Extensive bilateral anterior ethmoid air cell opacification (left greater than right).3.Unremarkable other paranasal sinuses.4.Well pneumatized mastoid air cells and bilateral middle ear cavities are |
Generate impression based on findings. | 4 year old female with a history of neuroblastoma currently receiving therapy. Elevated urine catecholamines. CHEST:LUNGS AND PLEURA: Mild patchy dependent and nondependent subsegmental atelectasis. Few scattered non-specific micronodules. No suspicious pulmonary masses or nodules. No pericardial effusion or pneumothor... | Retroperitoneal mass as described is unchanged, with no new metastases identified. Mild right hydroureteronephrosis is unchanged. |
Generate impression based on findings. | Reason: h/o HNC, s/p CRT, compare to previous, measurements pls History: none LUNGS AND PLEURA: Persistent left lower lobe atelectasis. Scattered pulmonary micronodules, some of which are calcified, unchanged. No new suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Heart size is normal... | 1.No evidence of pulmonary metastatic disease. 2.Left clavicular head mass is stable to slightly increased in size. |
Generate impression based on findings. | 57-year-old female with metastatic primary peritoneal cancer, now with abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No parenchymal liver lesions identified. Portal and hepatic veins appear normal.Patient is status post cholecystectomy. No intrahepatic or extrahepatic biliary... | 1. Stable appearance to peritoneal carcinomatous lesions. 2. No change appearance of bilateral hydronephrosis with bilateral ureteral stents. 3. Moderate thickening of the distal ascending colon and transverse colon walls suggestive of colitis. |
Generate impression based on findings. | 75 year old female with pain and vomiting. Evaluate for mass versus a small bowel obstruction. In the absence of IV contrast limiting the evaluation of the solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: Hyperexpanded left lung with scarring of the base of th... | No identified acute abnormality within the abdomen. No evidence of small bowel obstruction or mass. |
Generate impression based on findings. | Reason: History of metastatic breast cancer on treatment. Evaluate for response and extent of disease. History: History of metastatic breast cancer on treatment. Evaluate for response and extent of disease. CHEST:LUNGS AND PLEURA: Stable micronodules, likely benign.Focal basilar scarring.No suspicious nodules.MEDIASTIN... | Marked interval decrease in mediastinal lymphadenopathy and further decrease in the hepatic lesion compatible with treatment response. |
Generate impression based on findings. | Reason: concern for PE History: episodes of hypoxia in the OR PULMONARY ARTERIES: No evidence of a pulmonary embolus. Pulmonary artery is of normal caliber. LUNGS AND PLEURA: Bilateral basilar atelectasis.No suspicious nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: Prominent right paratracheal lymph nodes... | 1.No evidence of a pulmonary embolus.2.Mild bilateral basilar atelectasis. No suspicious pulmonary nodules or masses.3.Small amount of free peritoneal air with air extending into the right anterolateral upper abdominal body wall and presumably is secondary to recent surgery.4.Prominent mediastinal lymph nodes may repre... |
Generate impression based on findings. | 18 year-old female post MVC with midline pain. Evaluate for fracture. Reversal of the normal cervical spine lordosis may be due to positioning or muscle spasm. Alignment is otherwise anatomic. Vertebral body heights are preserved. Intervertebral disk spaces are preserved. No acute fracture or subluxation is evident.Sma... | No acute fracture or subluxation. |
Generate impression based on findings. | Reason: pt with mesothelioma s/p left sided vats procedure History: now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Nodular left pleural thickening and left hemithorax volume loss compatible with patient's history of mesothelioma.Reference measurements are as follows:1.At the ... | 1.Increasing pleural nodularity, chest wall involvement and rib erosion.2.Increasing soft tissue masses in the left hemiabdomen encasing and invading the spleen.3.Increasing hepatic metastases.4.New enlarged retroperitoneal lymph node. |
Generate impression based on findings. | 82-year-old female with subarachnoid hemorrhage, end-stage renal disease, evaluate vasculature. NONCONTRAST BRAIN: Small ill-defined area of hyperattenuation in the right inferior frontal sulcus is now less conspicuous, consistent with subarachnoid hemorrhage. There is no evidence of new hemorrhage, extra-axial fluid c... | 1. Small right inferior frontal subarachnoid hemorrhage, less conspicuous than on the prior study2. Moderate stenosis of the right and mild stenosis of the left supraclinoid internal carotid arteries.3. Heavy focal calcification of both intracranial vertebral arteries, which limits evaluation of the lumen. The vertebra... |
Generate impression based on findings. | Clinical question: Rule out chronic sinusitis. Status post septoplasty and sinus surgery. Signs and symptoms: Nasal congestion (left greater than right) and sinus pain/pressure, not relieved by antibiotics or intranasal steroids and antihistamine. Medtronic fusion sinus CT:Frontal sinuses are well pneumatized and unrem... | 1.Diffuse (left greater than right) mucosal thickening of the maxillary sinuses and with multiple varying size retention cysts as detailed. Prior endoscopic functional sinus surgery with patent right sinonasal window and compromised left due to mucosal thickening.2.Minimal bilateral anterior ethmoid air cell opacificat... |
Generate impression based on findings. | Female 14 years old; Reason: Patient has history of osteosarcoma of the right femur with pulmonary metastases History: Routine surveillance. LUNGS AND PLEURA: Interval resolution of the multiple small subpleural nodules. Postoperative changes in the superior segment of the left lobe again seen. No new micronodules or s... | Interval resolution of previously described subpleural nodules. No new micronodules or subpleural nodules. |
Generate impression based on findings. | 59-year-old male with history of melanoma. Rule out mets. CHEST:LUNGS AND PLEURA: Pulmonary micronodules in the left upper lobe and the right middle lobe are unchanged. Small calcified pleural plaques are unchanged.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN... | No significant change from the prior exam. No evidence of metastatic disease. |
Generate impression based on findings. | 75 year old female. History of CLL, clinical trial. Lymphadenopathy. CHEST:LUNGS AND PLEURA: Persistent low lung volumes with diffuse groundglass opacities, unchanged. Calcified granuloma.MEDIASTINUM AND HILA: Index pretracheal lymph node measures 5 mm (image 18, series 3) previously, 5 mm.CHEST WALL: Right chest port ... | 1.Interval decrease in adenopathy in the abdomen and pelvis.2.Persistent solid enhancing left renal mass. |
Generate impression based on findings. | Female, 4 years old, history of neuroblastoma. Surgical change is redemonstrated compatible with a prior left neck dissection. Scattered small lymph nodes are evident bilaterally, with none meeting criteria for pathologic enlargement.The mucosal tissues of the aerodigestive tract are unremarkable. The salivary glands a... | No evidence of active or progressive disease in the neck. |
Generate impression based on findings. | 56 year old female. Distal pancreatectomy, splenectomy, liver wedge resection, complicated by pancreatic leak status post multiple drains. Assess resolution of collection. Elevated white blood cell count. ABDOMEN:LUNG BASES: Moderate left pleural effusion with compressive atelectasis, similar to prior exam.LIVER, BILIA... | 1.Interval placement of drain in inferior aspect of large abdominal fluid collection, with interval decrease in size of the collection.2.The fluid collection contains a large amount of fat material throughout, which could represent saponification of mesenteric fat from pancreatic enzymes from the distal pancreas. 3.Per... |
Generate impression based on findings. | 35-year-old female Reason: r/o clot History: hypotension, SOB PULMONARY ARTERIES: Image noise artifact due to the patient's body habitus, but technically adequate exam to the segmental level.No pulmonary emboli.Main pulmonary artery normal in size. No evidence of right heart strain.LUNGS AND PLEURA: No focal airspace o... | 1. No acute pulmonary emboli. 2. Central obstruction of the left subclavian vein with extensive collateral circulation. |
Generate impression based on findings. | 76 year old female, lymphoma staging. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Small, nonspecific mediastinal lymph nodes, but no pathologically enlarged mediastinal or hilar lymph nodes. Coronary artery and thoracic aorta atherosclerotic calcifications.CHEST WALL: No axillary lymp... | No significant lymphadenopathy in the chest, abdomen or pelvis. |
Generate impression based on findings. | Reason: Low dose chest CT for lung cancer screening History: No active pulmonary symptoms, but 40+ pack-year hx LUNGS AND PLEURA: Mild predominantly upper zone centrilobular emphysema.Moderate bronchial thickening compatible with bronchitis.Small scar-like opacities but no suspicious nodules.MEDIASTINUM AND HILA: No si... | Mild emphysema with bronchitis. No specific evidence of lung cancer. |
Generate impression based on findings. | 20 year-old male with abdominal pain. Evaluate for small bowel obstruction. 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,... | No identified acute abnormality. No evidence of small bowel obstruction. |
Generate impression based on findings. | 46 year old male. Pre-kidney transplant evaluation. Assess status of diverticular disease. ABDOMEN: Evaluation of abdominal organs is limited due to lack of intravenous contrast.LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANC... | 1.Minimal atherosclerotic disease.2.Atrophic kidneys compatible with medical renal disease.3.Colonic diverticulosis. |
Generate impression based on findings. | Reason: define 1.8 cm nodule seen on CXR History: cough x 1 month LUNGS AND PLEURA: 9-mm nodular opacity in the posterior basal segment of right lower lobe with poorly defined margins and no internal calcification. This probably corresponds to a larger nodule seen on on the chest radiograph of 8/7/2013. In view of the ... | 9-mm right lower lobe nodular opacity, almost certainly decreased in size since the chest radiograph of 87/2013, and likely due to infection. However because the chest radiograph and CT scan are not directly comparable, a low dose nonenhanced CT scan is recommended in approximately 3 months time to confirm stability or... |
Generate impression based on findings. | 68 year old female. Periumbilical pain. Evaluate for hernia versus abscess. ABDOMEN:LUNG BASES: Calcified pulmonary nodule and calcified mediastinal lymph node compatible with prior granulomatous disease. Bibasilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality note... | Skin thickening about the umbilicus compatible with cellulitis. No discrete fluid collection. |
Generate impression based on findings. | 74 year old female. Metastatic adenocarcinoma to the pleura. Investigated etiology of primary malignancy. CHEST:LUNGS AND PLEURA: Pleural based mass abutting the left heart border measuring 4.4 x 3.6 cm (image 44, series 3). Centrilobular emphysema. Moderate left pleural effusion with compressive atelectasis. Left pleu... | 1.Left pleural based mass, with left pleural effusion, compressive atelectasis and pleural nodularity.2.Necrotic thyroid nodule, recommend further evaluation with ultrasound.3.Multiple lytic osseous lesions involving the spine, pelvis, ribs and humerus compatible with metastatic disease.4.Thoracic vertebral body lytic ... |
Generate impression based on findings. | 61-year-old female with left lower quadrant pain, greater than right mid-quadrant pain. History of diverticulosis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: N... | Changes characteristic of diverticulitis without discrete pericolonic fluid collection seen.Findings discussed with Dr. Blackmann at 4:45 PM |
Generate impression based on findings. | 58 year-old female with malignant solitary fibrous tumor with lung, pleural mets, possible liver mets, and splenic lesions. Please measure using RECIST criteria. CHEST:LUNGS AND PLEURA: Scattered interstitial ground glass opacities within the left lung which could be secondary to inflammation or infection. There are mu... | 1. Large right pulmonary/pleural masses with reference mass measured and interval improvement in right pleural effusion. 2. No identified hepatic lesions. 3. No definite osseous metastatic disease. |
Generate impression based on findings. | 40 year old female. Left lower quadrant abdominal pain. Evaluate for diverticulitis. ABDOMEN:LUNG BASES: Bilateral breast implants are noted.LIVER, BILIARY TRACT: Round, flat right hepatic lobe hypoattenuating lesion is incompletely characterized and measures 1.1 x 1.6 cm (image 32 series 3). MRI is recommended for fur... | 1. No findings to account for patient's symptoms.2. Hypoattenuating hepatic lesion is incompletely characterized. MRI is recommended for further evaluation. |
Generate impression based on findings. | Reason: Known type b dissection with worsening neuro status - concern for retrograde dissection History: Confusion DOB:11/13/1937 (75 yrs.) - F The CSF spaces are appropriate for the patient's stated age with no midline shift. There is mild motion artifact present obscuring visualization of the skull base structures.No... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of non-hemorrhagic CVA.3.Examination is mldly compromised by patient motion which may obscure subtle findings. |
Generate impression based on findings. | Female, 62 years old, left leg pain, worsening back pain. Post laminectomy. Vertebral body heights are preserved. Alignment is anatomic. No focal destructive bony lesions are seen.Laminectomy and diskectomy have been performed at L5-S1. An intervertebral spacer device is in place within the L5-S1 disk space.Endplate sc... | 1. Postoperative change consistent with diskectomy and laminectomy at L5-S1.2. Degenerative disease in the lumbar spine, predominantly involving the posterior elements. This results in only a mild generalized canal narrowing at L4-5.3. Scattered variable foraminal narrowing, most severe at L4-5. |
Generate impression based on findings. | Male, 59 years old, history of melanoma status post parotid and neck dissection for recurrence. Evaluate for recurrent disease. Interval resection of the left parotid gland has been performed including an enhancing parotid nodule which was seen on the prior exam. The parotidectomy bed contains ill-defined soft tissue w... | 1. Interval resection of the left parotid gland including an enhancing left parotid nodule seen previously, and dissection of the left neck.2. No evidence of new soft tissue masses or pathologic adenopathy to suggest recurrent disease. |
Generate impression based on findings. | 38 year old female. Right lower quadrant pain and cramping. History of tubal ligation. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted. Liver is normal in size and contour and portal venous system appears patent.SPLEEN: Splenic collateral vessels, which could r... | 1.Changes status post tubal ligation. 2.Right cystic adnexal lesion, most likely physiologic. Ultrasound is advised as clinically warranted.3.Normal appendix. 4.Splenic collateral vessels, which could represent sequela of portal hypertension. Recommend clinical correlation. |
Generate impression based on findings. | Reason: f/u aneurysm clipping History: clipping The patient is status post right sided craniotomy for anterior communicating artery aneurysm clipping. A new 14mm hypodense focus is present in the region of the right caudate nucleus and brain parenchyma adjacent to the aneurysmThere is a right-sided extra-axial collecti... | 1.Status post right-sided craniotomy for ACOMA aneurysm clipping. There are associated postoperative changes present.2.A the new hypodense focus is present involving the inferior aspect of the right caudate nucleus and brain parenchyma adjacent to it. One possibility is that this may represent a small vascular injury. |
Generate impression based on findings. | Reason: pt with CLL on clinical trial, for reevaluation, compare with previoua scans History: lymphadenopathy Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is... | 1.No evidence for neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy. The examination is stable when compared to prior exams2.eyeball posterior staphylomas are stable |
Generate impression based on findings. | Clinical question: Growth increasing size of mass. Signs and symptoms: Increasing ataxia. Pre-and post enhanced head CT:Examination demonstrates an enhancing extra-axial mass along the inner table of right frontal bone in right inferior frontal region. Consistent with patient's known history. The mass measures approxim... | 1.Minimal interval increased peritumoral edema since prior exam however without definitive change in the size of tumor.2.An extra-axial paramedian right inferior frontal meningioma measuring approximately 17.3 x 20-mm is again identified.3.Mild age indeterminate small vessel ischemic stroke is present. |
Generate impression based on findings. | Reason: eval for posterior circulation stroke History: vertigo, blurry vision, occipital HA Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No aneurysms or intracranial stenosis is appreciated.The ... | 1.No evidence for aneurysm.2.No evidence for cerebral vascular occlusive disease3.CT is insensitive for the early detection of nonhemorrhagic CVA4.no evidence for acute internal hemorrhage mass effect or edema. |
Generate impression based on findings. | 60 year-old female with free fluid on outside hospital CT. S/p cystectomy. In the absence of IV contrast limiting evaluation of solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No obvious hepatic lesions ho... | 1. Large complex collection within the pelvis may represent fluid and hemorrhage within the bed of the bladder. Given the lack of history and IV contrast, this is difficult to determine. Pelvic ultrasound can be obtained for further characterization.2. Multiple enlarged mesenteric lymph nodes and mesenteric changes con... |
Generate impression based on findings. | Reason: eval for PE History: SOB, spina bifida with ventricular-pleural shunt which became infected was removed, now with ventriculo-peritoneal shunt PULMONARY ARTERIES: Technically adequate exam.Small distal segmental embolus in the right lower lobe (image 171, series 7).Main pulmonary artery is slightly dilated at 34... | 1. Small distal segmental pulmonary embolus in the right lower lobe.2. Interval improvement of large left loculated hydropneumothorax with resolution of pneumothorax component.3. Non-specific small prevascular lymph nodes, unchanged. 4. Right IJ central venous catheter with tip retrograde into right subclavian vein. 5.... |
Generate impression based on findings. | Reason: 43 yo female with left chest pain, worse with respiration History: left chest pain worse with respiration PULMONARY ARTERIES: Technically adequate study with no evidence of pulmonary embolism.LUNGS AND PLEURA: Mild dependent atelectasis, the lungs are otherwise unremarkable.MEDIASTINUM AND HILA: Narrowing of th... | No evidence of pulmonary embolism, or other significant abnormality. |
Generate impression based on findings. | Reason: evaluate for aneurysm or avm causing headache symptoms History: headache Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No aneurysms or intracranial stenosis is appreciated.The anterior co... | 1.No evidence for aneurysm.2.No evidence for cerebral vascular occlusive disease3.CT is insensitive for the early detection of nonhemorrhagic CVA4.no evidence for acute intracranial hemorrhage mass effect or edema |
Generate impression based on findings. | Jaundice, hepatic encephalopathy. Evaluate for hepatic vein clot. ABDOMEN:LUNG BASES: Bi-basilar pleural effusions with overlying compressive atelectasis.LIVER, BILIARY TRACT: Cirrhotic appearing liver with findings of portal hypertension including varices and splenomegaly. Gallstones. The portal vein, hepatic artery, ... | Cirrhotic liver with findings of portal hypertension including splenomegaly and large splenorenal shunt. Vied lateral pleural effusions with overlying compressive-type atelectasis. Gallstones. |
Generate impression based on findings. | Reason: eval for PE, hx of PE at OSH on coumadin, now with SOB. Possible LLL infilitrate at NH History: SOB PULMONARY ARTERIES: Technically adequate exam. No evidence of acute pulmonary embolus. Two linear filling defects in branches of the right lower lobe pulmonary artery are compatible with webs (series 6, image 160... | 1.No evidence of pulmonary embolus. 2.Small pleural and pericardial effusions. |
Generate impression based on findings. | Reason: evaluate for intracranial process History: headache 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 ... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of a nonhemorrhagic CVA |
Generate impression based on findings. | Clinical question: Mass versus hemorrhage. Signs and symptoms: Seizure. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for the tension of acute nonhemorrhagic ischemic strokes.Cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter the... | Negative nonenhanced head CT. |
Generate impression based on findings. | Reason: Patient with history of recurrent retropharyngeal abscess. Please evaluate for recurrent RPA and for mediastinitis History: Difficulty swallowing CT head:The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial he... | 1.There is a retropharyngeal abscess present extending into the mediastinum with superior extent at T2. There is a tract extending to the skin surface on the left side anterior to the sternocleidomastoid muscle and another tract which appears to extend to the hypopharynx. Overall the extent of the lesion has not change... |
Generate impression based on findings. | Malignant neoplasm of the esophagus, unspecified site. CHEST:LUNGS AND PLEURA: Scattered micronodules. Small bullae.MEDIASTINUM AND HILA: Indwelling esophageal stent. Multiple enlarged mediastinal lymph nodes. For reference purposes, a precarinal lymph node measures 2.1 x 1.5 cm (image 33; series 3).CHEST WALL: No sign... | Esophageal carcinoma with indwelling upper esophageal stent. Peritoneal carcinomatosis and ascites. Mediastinal lymphadenopathy. |
Generate impression based on findings. | 34 year old female. History of Crohn's disease status post subtotal colectomy with ileorectal anastomosis. Now status post DLI during pregnancy with new rectal mass, EUA 8/22 with biopsy, consistent with adenocarcinoma. Assess for metastatic disease. CHEST:LUNGS AND PLEURA: Geographic areas of lucency, which could be d... | 1.Changes status post subtotal colectomy.2.No evidence of metastatic disease in the chest from abdomen or pelvis.3.Small, nonspecific lymph nodes in the pararectal fat, which are not pathologically enlarged by size criteria. Suggest continued surveillance. |
Generate impression based on findings. | Male, 55 years old, with throat pain. Evaluate for soft tissue abscess or airway compromise. The nasopharyngeal mucosa and the palatine tonsils are mildly thickened. Within the left palatine tonsil, there is a subcentimeter focus of hypodensity without enhancement or significant associated inflammatory change. The ling... | 1. No discrete or rim enhancing fluid collections are seen to suggest the presence of an abscess. There is a subcentimeter hypodensity in the left palatine tonsil may reflect a small area of phlegmonous change or perhaps a tonsillar cyst.2. Supraglottic edema is evident without significant airway compromise. This findi... |
Generate impression based on findings. | 40 year-old male post vascular mention for type B dissection, now with fever. Evaluate for fluid collection. CHEST:LUNGS AND PLEURA: Minor pleural effusions with basilar atelectasis.MEDIASTINUM AND HILA: No adenopathy or fluid collection.CHEST WALL: Postoperative change involving the right chest wall with associated ed... | 1. Postsurgical change involving the right chest, abdomen and pelvis subcutaneous tissues and musculature without defined fluid collection.2. Small pleural effusions with atelectasis.3. Slight infiltrative change in the low retroperitoneum of uncertain etiology. |
Generate impression based on findings. | 30 year-old female with right facial swelling and pain. Redemonstrated is an air and fluid collection involving the right floor of mouth, sublingual space and submandibular space, consistent with an abscess. The collection appears to be slightly wider in transverse dimension, measuring 1.8 cm and previously 1.2 cm (ima... | 1. Right floor of mouth/sublingual/submandibular abscess has developed a more mature appearance with more discrete enhancing rim and at most appears mildly expanded in the transverse dimension, otherwise similar in size and extent to the prior exam. There has been improvement in soft tissue inflammation, particularly t... |
Generate impression based on findings. | 75-year-old female with a known type B dissection with worsening neuro status -- concern for retrograde dissection. CHEST:LUNGS AND PLEURA: Interval development of bilateral pleural effusions.MEDIASTINUM AND HILA: Endotracheal tube in place, terminating prior to the carina. There is no dilatation or dissection of the t... | 1. No identified extension of known Type B aortic dissection.2. Interval development of bilateral pleural effusions. |
Generate impression based on findings. | Reason: evaluate for PE History: tachypnea, tachycardia, shortness of breath PULMONARY ARTERIES: Exam diagnostic to the segmental pulmonary arterial level. This is slightly limited secondary to bolus technique. No evidence of pulmonary embolus.LUNGS AND PLEURA: Motion artifact limits evaluation of the lungs. Dense stre... | 1.No evidence of pulmonary embolus to the segmental level. 2.Improving basilar opacities compatible with aspiration/atelectasis.Contrast extravasation description:Supervising radiologist: Dr. SinghMinor or major extravasation: majorContrast type:85 cc of Omnipaque 350 were administered. Amount extravasated: 60 ccLocati... |
Generate impression based on findings. | Reason: assess for PE History: tachypnea, syncope, s/p surgery 1 week ago PULMONARY ARTERIES: Technically adequate study, with no evidence of pulmonary embolism.LUNGS AND PLEURA: Basilar atelectasis right greater than left, with an elevated right hemidiaphragm that may be related to recent surgery.MEDIASTINUM AND HILA:... | Status post right partial nephrectomy, with elevation of the right hemidiaphragm, basilar atelectasis, but no evidence of pulmonary embolism. |
Generate impression based on findings. | 58 year old female. Abdominal pain, elevated lipase, transaminitis. Assess for common bile duct obstruction, pancreatic cyst, hepatic inflammation. ABDOMEN:LUNG BASES: Basilar atelectasis.LIVER, BILIARY TRACT: Intrahepatic and extrahepatic biliary dilatation, with transition distally at the level of the pancreatic head... | 1.Intrahepatic and extrahepatic biliary dilatation. No pancreatic mass or gallstones are evident. Recommend MRCP/ERCP for further evaluation.2.Interval increase in size of left adrenal nodule. |
Generate impression based on findings. | Reason: Patient with history of recurrent retropharyngeal abscess. Please evaluate for recurrent RPA and for mediastinitis History: Difficulty swallowing CT head:The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial he... | 1.There is a retropharyngeal abscess present extending into the mediastinum with superior extent at T2. There is a tract extending to the skin surface on the left side anterior to the sternocleidomastoid muscle and another tract which appears to extend to the hypopharynx. Overall the extent of the lesion has not change... |
Generate impression based on findings. | Reason: fall, seizure History: bruise, seizure, AMS 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 para... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Findings there is a question of a C1 compression. This is not entirely imaged on this exam. If clinically appropriate additional imaging of the cervical spine may further evaluate this.3.CT is insensitive for the early detection of nonhemorrhagic CV... |
Generate impression based on findings. | Reason: eval for lung nodule in R lung base History: follow up scan LUNGS AND PLEURA: Left lower lobe calcified granuloma, stable.Less than 3-mm lingular scar like nodule unchanged.There is no evidence of a right lung base nodule, nor was one seen 6/16/2011. MEDIASTINUM AND HILA: Scattered normal sized mediastinal lymp... | 1. Insignificant pulmonary nodules, for which no further CT follow-up is recommended at this time.2. Abdominal hemihypertrophy unchanged.3. Right nephrectomy and left hepatic lobe segmentectomy. |
Generate impression based on findings. | Female, 28 years old, status post trauma to the left eye yesterday, now with swelling after blowing her nose. An acute appearing fracture of the left lamina papyracea is identified. Orbital fat and a portion of the medial rectus muscle herniate into the defect. Fairly extensive extraconal orbital emphysema is demonstra... | 1. Fracture of the left lamina papyracea with mild herniation of orbital fat and the medial rectus muscle.2. Extensive extraconal orbital emphysema. |
Generate impression based on findings. | Reason: Signs of infection in the sinuses History: 15 year old with ALL s/p stem cell transplant with fevers The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated. The nasal septum is mildly deviated towards the right. There is concha bullosa on the left si... | 1.Since the prior examination mucosal thickening in the maxillary sinuses has increased. This is unlikely inflammatory in nature. No air-fluid levels are appreciated the suggest acute sinusitis.2.No paranasal sinus outlet obstruction is appreciated3.Some roots of molars extend into the inferior aspects of the maxillary... |
Generate impression based on findings. | Reason: hx H\T\N ca, s/p CRT, evaluate dx and compare to previous measurements History: as above CHEST:LUNGS AND PLEURA: Mild upper zone centrilobular emphysema and diffuse bronchial thickening compatible with bronchitis.No suspicious nodules.MEDIASTINUM AND HILA: No significant lymphadenopathy.Noncalcified atheroscler... | No evidence of metastatic disease. |
Generate impression based on findings. | Metastatic renal cell carcinoma. Assess for disease progression. CHEST:LUNGS AND PLEURA: New and enlarging pulmonary nodules. The reference right lower lobe pulmonary nodule currently measures 1.4 x 1.3 cm (image 63; series 5).MEDIASTINUM AND HILA: There is been progression of mediastinal and hilar adenopathy. Referenc... | Interval progression of disease with measurements given above. |
Generate impression based on findings. | 22 year-old female with sudden back pain. Question of dissection. LUNGS AND PLEURA: No significant abnormality noted. MEDIASTINUM AND HILA: No evidence of aortic aneurysm or dissection. All the major aortic branches are patent with good flow.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of enteric... | No evidence of aortic dissection. |
Generate impression based on findings. | Reason: histoplasmosis; compare to previous History: cough and wheeze LUNGS AND PLEURA: Left upper lobe surgical abnormalities with staples and a residual adjacent nodular opacity measuring 15 mm in diameter, unchanged when using comparable measurement parameters.Small right lower lobe nodule adjacent to the major fiss... | Stable abnormalities consistent with histoplasmosis. |
Generate impression based on findings. | 69 year old female. Metastatic renal cancer, assess for progression. CHEST:LUNGS AND PLEURA: Multiple large bilateral metastatic pulmonary lesions, overall, increasing in size, with some unchanged. Reference right upper lobe lesion measures 1.8 x 1.7 cm (image 20, series 4) previously 1.7 x 1.5 cm. Right perihilar lesi... | Overall, the pulmonary metastases are increasing in size, with some unchanged. Increasing necrosis in hilar lymph nodes. |
Generate impression based on findings. | Reason: eval for lung cancer recurrence History: eval for lung cancer recurrence LUNGS AND PLEURA: Calcified and uncalcified benign appearing micronodules unchanged.Status post right upper lobectomy for prior lung cancer. Centrilobular emphysema is mild.MEDIASTINUM AND HILA: Moderate to severe coronary artery calcifica... | Right upper lobe resection for lung cancer, with no evidence of new or recurrent disease. |
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