instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | Reason: 88 yo male with history of pulmonary nodule History: pulmonary nodule LUNGS AND PLEURA: Motion artifact limits evaluation. Left apical ground glass nodule measures 4 mm (series 5, image 25). Additional scattered micronodules. Calcified granulomas in the right lower lobe and right middle lobe. Patchy opacities i... | 1.4-mm left apical ground glass nodule. No follow up is recommended.2.Patchy opacities in the right lower lobe is compatible with chronic aspiration or atypical infection, such as MAI.3.Left hydronephrosis. |
Generate impression based on findings. | 31 year-old female patient with pelvic pain and nausea. Status post Essure procedure 5/2013. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormal... | 1. No identified acute abnormality. The adnexa are poorly evaluated by CT, suggest correlation with ultrasound for further evaluation.2. No evidence of appendicitis, diverticulitis, or abscess. |
Generate impression based on findings. | Reason: Pt with history of retropharyngeal abscess. Pleave evaluate for recurrent RPA and mediastinitis. Also possible esophageal fistula History: difficulty swallowing LUNGS AND PLEURA: There are small bilateral pleural effusions that track over the apices, slightly decreased. Basilar subsegmental atelectasis and cons... | Retropharyngeal abscess has progressed into the mediastinum with multiple abscesses tracking into the superior anterior mediastinum, surrounding the trachea and esophagus. Additional abscesses extend inferiorly, left of midline, medial to the left pulmonary artery, where there is evidence of an esophageal fistula. |
Generate impression based on findings. | Gastric cancer. Compared to previous and provide index lesion. CHEST:LUNGS AND PLEURA: Nonspecific small scattered patchy ground glass opacities are seen. No nodules or masses are evident. Bibasilar subsegmental atelectasis without pleural effusions.MEDIASTINUM AND HILA: Enlarged mediastinal, hilar, and cardiophrenic l... | Widespread metastatic disease is given above |
Generate impression based on findings. | Reason: Esophageal cancer compare to last CT \T\ measure 1) LLL lesion, 2) RUL lesion, 3) right hepatic lobe lesion, 4) left retroperitoneal node, 5) mesenteric lesion History: post 2 cycles of therapy CHEST:LUNGS AND PLEURA: Numerous bilateral pulmonary nodules and masses are again present, compatible with pulmonary m... | 1. Numerous bilateral pulmonary nodules and masses compatible with metastatic disease. Reference nodules have remained stable in size since 7/5/3013 exam, but several additional non-reference nodules have increased in size. 2. Hepatic and mesenteric masses compatible with metastatic disease. Reference right hepatic mas... |
Generate impression based on findings. | 55-year-old male patient. Rectal cancer restaging after chemotherapy. CHEST:LUNGS AND PLEURA: Calcified granuloma within the right middle lobe is unchanged. The cluster of nodular opacities within the right lower lobe are stable from the prior exam. Right middle lobe micronodules are unchanged.MEDIASTINUM AND HILA: Cal... | 1. No significant change from the prior exam. 2. Stable presacral lesions. |
Generate impression based on findings. | Female, 3 months old, CSF fluid with increasing wbc's. Assess for abscess. Marked supratentorial ventriculomegaly is redemonstrated, progressed in the lateral ventricles relative to the prior examination. For example, the transaxial dimension of the frontal horns is approximately 49 mm, previously 46 mm. The right temp... | 1. No evidence of intracranial abscess.2. Ependymal enhancement seen on the prior MRI is largely undetectable with the exception of a small residual region in the left ventricular atrium. This change could reflect differences in technique or response to therapy.3. Sulcal enhancement persists, similar to the prior exami... |
Generate impression based on findings. | Reason: h/o acinic cell ca, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Multiple ill-defined pulmonary nodules with an endobronchial, peribronchial, and subpleural distribution, some of which are slightly increased in size. Reference right upper lobe nodule measures 18 x 8 mm (series 4, ... | 1.Pulmonary metastases, some of which have increased in size. 2.Increasing mediastinal and hilar lymphadenopathy. New low right paratracheal lymph node nearly completely effaces the SVC. |
Generate impression based on findings. | Reason: h/o HNC, compare to previous, measurements pls History: none LUNGS AND PLEURA: Upper lobe scarlike opacities are unchanged.Several benign appearing punctate micronodules are stable in appearance.5-mm sub-solid nodule posterior segment right upper lobe image 25 series 5 visible in hind sight on prior studies as ... | No evidence of metastases. Right upper lobe 1 mm sub-solid nodule relatively stable for some time which should be monitored as part of the patient's ongoing follow-up for their known head and neck cancer. |
Generate impression based on findings. | Metastatic thyroid CA status-post CRT CHEST:LUNGS AND PLEURA: Scarring at the left lung base. No suspicious nodules.MEDIASTINUM AND HILA: Enhancing, centrally necrotic right paratracheal lymph nodes, some of which are appear minimally larger, more confluent or have less well-defined borders. For reference, a low right ... | 1. Mild right peritracheal lymphadenopathy with slight increase in size of some of the lymph nodes.2. Stable osseous lesions may reflect treated disease.3. Right renal artery stenosis, if the patient is hypertensive, intervention would be recommended.4. Worsening stenosis of the proximal left subclavian artery. |
Generate impression based on findings. | Reason: h/o HNC, compare to previous, measurements pls History: none A small lesions along the left tongue base measures 7 x 14 mm axial dimensions previously measured approximately the same on sagittal imaging it measures 15 x 8 mm and previously measured the sameSome asymmetric thickening along the left sublingual sp... | 1.A left tongue base lesion and stable when compared to prior exams dating back to 8/29/2011. Stability suggests it may represent post treatment change.2.No evidence for neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy. |
Generate impression based on findings. | 16 year old male. Evaluate disease status; Testicular germ cell tumor, rising tumor markers. CHEST:LUNGS AND PLEURA: Single new solid pulmonary nodule is visualized in the left lower lobe measuring 1.9 x 1.6 cm (image series 4 image 74) with surrounding groundglass opacity. This is concerning for metastasis.MEDIASTINUM... | 1.Single pulmonary nodule in the left lower lobe not present on recent previous exam concerning for metastasis.2.Retroperitoneal lymphadenopathy. |
Generate impression based on findings. | 60 year old male. Gastric cancer, restaging. CHEST:LUNGS AND PLEURA: Right basilar atelectasis. Scattered air cysts.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Severe coronary artery calcifications.CHEST WALL: Right chest port tip in the right atrium. No axillary adenopathy. Gynecomastia. ABDOMEN:LIV... | Gastric mass and peripancreatic lymph node as detailed above. |
Generate impression based on findings. | 58-year-old male with history of bladder cancer status post cystectomy with neobladder. Evaluate for recurrent or metastatic disease. ABDOMEN:LUNG BASES: Calcified pericardial node is unchanged from the prior exam. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: N... | 1. No evidence of recurrence.2. Right paracaval lymph node is slightly decreased in size from the prior exam. |
Generate impression based on findings. | Renal cell carcinoma status post partial nephrectomy. Evaluate for metastases. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LUNG BASES: Small bilateral pleural effusions with underlying atelectasis/conso... | No CT evidence of metastatic disease. Status post partial right nephrectomy. |
Generate impression based on findings. | Clinical question: s/p cervical laminoplasty. Signs and Symptoms: same CT of cervical spine:The alignment of vertebral column is anatomical.At C3 there is evidence of a left sided laminectomy and right-sided hinged laminoplasty.At C4 there is evidence of left sided laminoplasty with a bony graft which appears anatomica... | 1.Expected postoperative changes of cervical laminoplasty from C3 to C6 and with evidence of placement of bony graft at as detailed above.2.Expected postoperative soft tissue emphysema and minimal air within the epidural space as detailed.3.Alignment of the vertebral column remains within normal and extensive degenerat... |
Generate impression based on findings. | Reason: Pt is a 23 y/o male with h/o GCT, evaluate for progression in lungs History: GCT LUNGS AND PLEURA: Right upper lobe scarring. Scattered pulmonary micronodules without significant interval change. Reference lingular nodule measures 2 mm (series 5, image 63), unchanged, with probable central calcification.MEDIAST... | Scattered pulmonary micronodules without interval change. |
Generate impression based on findings. | 67 year old male. Flank pain, rule out kidney stones. ABDOMEN: Evaluation of the abdominal organs is limited due to lack of intravenous contrast.LUNG BASES: Bibasilar atelectasis. Dense coronary artery calcifications.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS:... | No findings to account for patient's symptoms. |
Generate impression based on findings. | Female, 56 years old, history of acinic cell carcinoma. Postsurgical changes are demonstrated subsequent to right parotidectomy. Scarlike soft tissue thickening within the surgical bed appears unchanged relative to the prior examination. No new soft tissue mass or pathologic enhancement is demonstrated at the site to s... | Stable postsurgical change in the right neck with no evidence of recurrent tumor or pathologic adenopathy. |
Generate impression based on findings. | Reason: hx H\T\N ca, s/p CRT, evaluate dx and compare measurements to previous scans History: as above LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of enteric contrast material markedly limit... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | Clinical question: Dizziness. Signs and symptoms: Dizziness. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for detection of acute non-hemorrhagic ischemic strokes.There is slight prominence of cerebellar and vermian folia for patient's stated age. Please correlate with... | No acute intracranial process. Please see above comments |
Generate impression based on findings. | Reason: recent diagnosis of epithelioid type malignant pleural mesothelioma History: recent diagnosis of epithelioid type malignant pleural mesothelioma CHEST:LUNGS AND PLEURA: Nodular right pleural thickening and focal parenchymal consolidation along the minor fissure compatible with patient's history of mesothelioma.... | 1.Right nodular visceral and parietal pleural thickening compatible with mesothelioma. 2.Large right pleural effusion.3.Pericardial extension of tumor and mediastinal adenopathy.4.No definite subdiaphragmatic extension of tumor. |
Generate impression based on findings. | Clinical question: No intracranial lesion, specifically of posterior circulation. Signs and symptoms: Vertigo. Nonenhanced head CT: Examination demonstrates no evidence of acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic stroke.Unremarkable cerebral cortex, cortical s... | 1.Negative nonenhanced head CT.2.Unremarkable CTA of intracranial circulation. |
Generate impression based on findings. | Malignant neoplasm of the larynx. History of HNC. status post CRT. LUNGS AND PLEURA: 1 mm nodule in the or adjacent to a subsegmental bronchus in the left apex (5/22) is too small to accurately characterize, but possibly may represent a mucous plug. This is not identified on the images of the lung apices from neck CT d... | 1. No suspicious pulmonary lesions.2. Mildly enlarged right hilar lymph node was not previously reported to be FDG-avid but should be monitored on subsequent exams for growth.3. Stable focal sclerosis in the left 10th posterior rib, a metastasis cannot be excluded. |
Generate impression based on findings. | Reason: follow up of histoplasmosis and mai lung History: cough LUNGS AND PLEURA: Smoothly marginated, lingular nodule remains stable at 1.7 x 1.4 cm (image 67, series 5). This is not significant changed when compared withmultiple prior studies dating back to 7/27/2012. Scattered, nonspecific pulmonary micronodules hav... | 1. Stable lingular nodule and mild mediastinal lymphadenopathy consistent with given history of histoplasmosis.2. Slight increased, symmetric gynecomastia. |
Generate impression based on findings. | Reason: pt with metastatic thryoid ca, eval for dz, compare to previous History: as above Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated.Lymph n... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.there is a superior mediastinal lymphadenopathy present which has progressed since the prior exam. Please refer to chest CT of the same date for further comments |
Generate impression based on findings. | Reason: hx H\T\N ca, s/p CRT, evaluate dx and compare measurements to previous scans History: as above There is some effacement of fat planes in the right neck associated with some surgical clips. This appearance has been stable since the prior exam.Within the suprahyoid neck on the basis of size criteria for lymphaden... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.effacement of fat planes in the right neck is most likely related to post treatment change. |
Generate impression based on findings. | 52-year-old female patient with recent history of multiple myeloma receiving chemotherapy. Diffuse abdominal pain x 1 week, nausea/vomiting, loose stools but not diarrhea. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There are multiple subcentimeter hypodense hepatic lesions which are too s... | 1. Collapsed, edematous left colon which could represent enteritis. No evidence of obstruction.2. Osseous changes consistent with multiple myeloma. 3. Right renal angiomyolipoma which is at risk for bleeding given large size. Prophylactic embolization is advised.Discussed findings with Dr. Gopalsami on the phone prior ... |
Generate impression based on findings. | Reason: rule out neoplasm History: nausea and vomitting The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.There is redemonstration of a s... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Examination is stable since the prior exam.3.CT is insensitive for the early detection of hemorrhagic CVA |
Generate impression based on findings. | Reason: h/o HNC, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: There has been significant positive response to therapy since the prior examination. The previously referenced right upper lobe nodule is no longer present; only a thin-walled cystic space remains (series 4 image 19). The large... | 1. Incidental nonocclusive thrombus at the distal left pulmonary artery, extending into the left superior and inferior lobar pulmonary arteries. The largest component occupies the proximal left inferior lobar artery. Additional left upper and lower segmental lower lobe pulmonary emboli are present. On the right, right ... |
Generate impression based on findings. | Reason: h/o HNC, compare to previous, measurements pls, s/p CRT History: none Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated.There is a 23 x 21 ... | 1.There is a laryngeal mass present involving the aryepiglottic folds left more than right. It crosses the midline posteriorly and involves the posterior most portion of the right aryepiglotic fold. And it mostly involves the left aryepiglottic fold. Findings suggest possible arytenoid cartilage involvement.2.No eviden... |
Generate impression based on findings. | Bulbus cordis anomalies and anomalies of the cardiac septal closure. Question of coronary aneurysm and AP window Bi-basilar atelectasis.Cardiac Function and Morphology:Left Ventricle:Normal ventricular size and anatomy. No evidence of ventricular septal defect.Right Ventricle:Normal ventricular size and anatomy. No evi... | 1. No evidence of AP window.2. No evidence of coronary and the reasons in the visualized portions of the coronary arteries.3. Question of main and left pulmonary artery stenoses. Post stenotic dilatation of the left pulmonary artery.4. Possible right coronary artery to PA fistula.In the light oh all these findings days... |
Generate impression based on findings. | 33 year old female. Reason: appy? History: fever, rebound tenderness, RLQ 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 notedKIDNE... | Acute appendicitis. No perforation or abscess. |
Generate impression based on findings. | Reason: mass, bleed? History: confusion, fall The CSF spaces are appropriate for the patient's stated age with no midline shift. Is a hypodense focus present surrounding the trigone of the left lateral ventricle which is stable since the prior exam and was also present on the 2/20/13 exam.No abnormal mass lesions are a... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Partial that space of the left maxillary sinus stable since the prior exam. Please correlate with clinical symptoms3.there is periventricular hypodensity present adjacent to the trigone of the left lateral ventricle which has been stable since prior... |
Generate impression based on findings. | Reason: CVA History: CVA The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized portions of the paranasal sinuses are clear. Th... | 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. | Male 80 years old; Reason: F/U on prostate cancer. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Enlarged heterogeneous thyroid with multiple nodules. Coronary artery calcifications. CHEST WALL: Partial collapse of T6 vertebral segment, which had increased activity on bone scan of 2/15/2... | 1.Bilateral ureteral stents terminate in the bladder. No hydronephrosis. Right ureteral calculus. Suprapubic tube. Decompressed bladder. 2.Mixed sclerotic and lytic metastatic changes in the T6 and L3 vertebral bodies may be stable. Increased sclerotic metastatic changes to the T10 vertebral body. |
Generate impression based on findings. | Reason: h/o recurrent HNC, compare to previous, measurements pls History: none LUNGS AND PLEURA: Stable 5-mm pulmonary micronodule (series 5 image 90). Additional scattered micronodules are unchanged. No new suspicious pulmonary nodules or pleural effusion.MEDIASTINUM AND HILA: Heart size remains stable. No new pericar... | Stable referenced left lower lobe 5-mm nodule. No new suspicious nodules. |
Generate impression based on findings. | Hoarseness secondary to dysphasia aortic and left vocal cord paralysis. CHEST:LUNGS AND PLEURA: Stable right middle lobe peripheral nodule opacity (image 84; series 10727) measuring 1.2 x 0.7 cm. Stable right lower lobe nodule (image 87) measuring 1.0 x 0.8 cm. Stable scattered micronodules and worsening emphysematous ... | 1. The abdominal aorta at the level of the diaphragm is aneurysmal measuring 4 cm in diameter but the thoracic aorta is within normal size limits. The esophagus does not appear to be significantly compressed in the thorax.2. Two stable pulmonary nodules with a enlarging opacity at the right lung apex. See discussion ab... |
Generate impression based on findings. | 58 year old male. Follow-up lung micronodules and renal stones. Reason: 2 issues- pulmonary micronodules and renal stones CHEST:LUNGS AND PLEURA: Multiple subcentimeter micronodules bilaterally. All nodules are stable in comparison with prior examinations. No nodule with diameter greater than 5 mm was found. MEDIASTINU... | Multiple bilateral subcentimeter micronodules. All are stable and measure less than 5 mm diameter.No renal stones.Fatty infiltration of the liver has resolved. Small fat-containing inguinal hernias. |
Generate impression based on findings. | Cough. Follow-up nodule. LUNGS AND PLEURA: Residual scarring in the superior segment of the left lower lobe. Previously seen nodule/consolidation has resolved.Flat appearing micronodules in the right upper lobe (5/43) is unchanged in size and configuration, possibly an intrapulmonary lymph node.Additional punctate micr... | Residual scarring in the superior segment of the left lower lobe, previously lesion has resolved. No suspicious pulmonary masses or nodules. |
Generate impression based on findings. | T3 N0 SCCA with tracheotomy status post CRT of 5 to 7 cycles in December 2012. CHEST:LUNGS AND PLEURA: Emphysema and peripheral subpleural reticulation consistent with fibrosis. Previously solid nodules have improved in size and density with a residual scar like appearance. Index spiculated nodule right lower lobe has ... | 1.Significant improvement in the size of multiple pulmonary nodules. The index right lower lobe nodule has significantly increased in size and density, best demonstrated by decrease in craniocaudal dimension, although the transverse measurement does not reflect this improvement. 2. Left renal mass measures slightly lar... |
Generate impression based on findings. | Reason: recurring infections, cough. COPD. hx of melanoma. History: cough LUNGS AND PLEURA: Severe apical predominant centrilobular and paraseptal emphysema. Bilateral pleural calcifications compatible with prior asbestos exposure.Small right pleural effusion. Multiple scattered pulmonary micronodules.On the left, ther... | 1. Severe centrilobular and paraseptal emphysema with multiple scattered, nonspecific pulmonary micronodules.2. Evidence of prior asbestosis exposure. Nodular left inferolateral pleural thickening measuring up to 18 mm. While this may be a focus of developing rounded atelectasis, continued surveillance imaging to exclu... |
Generate impression based on findings. | Reason: 64 y/o m with thrush, neutropenic fever, please eval for nodules suspicious for fungal infection. History: see above LUNGS AND PLEURA: Mild dependent atelectasis is present, with very small pleural effusions.Calcified right lower lobe complex is likely from granulomatous disease in the remote past. There are ot... | No specific evidence of infection. |
Generate impression based on findings. | 66 year old female patient with urothelial cancer, status post cystectomy. Evaluate for recurrence. In the absence of IV contrast limiting the evaluation of solid parenchymal organs and vascular structures, the following observation can be made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: N... | 1. No evidence of recurrence. 2. Stable porta hepatis lymph node. |
Generate impression based on findings. | Please evaluate for metastatic prostate cancer spread. Gleason 9. High-volume prostate cancer. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Subcentimeter mediastinal lymph nodes.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPL... | Enlarged lymph nodes in the lower abdomen and pelvis suspicious for lymphatic spread of disease. |
Generate impression based on findings. | Reason: Headache, facial swelling, engorged neck veins on exam, evaluating for SVC syndrome History: Headache, facial swelling, engorged neck veins on exam, evaluating for SVC syndrome LUNGS AND PLEURA: Scattered cysts. Basilar atelectasis/scarring. No parenchymal consolidation or pleural effusion.MEDIASTINUM AND HILA:... | 1.Narrowing of the right internal jugular vein as well as SVC with extensive collateral venous flow consistent with SVC syndrome. The right external jugular vein is obliterated at the level of the thoracic inlet.2.Osseous abnormalities compatible with renal osteodystrophy. |
Generate impression based on findings. | Reason: h/o HNC, compare to previous, measurements pls, s/p chemo History: none A previously noted mass at the tongue base has regressed. It previously measured 56 x 41 mm axial dimensions and it now measures 34 x 31 mm axial dimensions and predominately involves the right tongue.Since the prior exam a large left neck ... | 1.Since the prior examination bilateral neck lymphadenopathy has significantly regressed but has not resolved.2.There significant decrease in size of the tongue base mass.3.prior visualized lung nodules have become cystic on the current exam. Please refer to chest CT of same date for further comments.4.degenerative are... |
Generate impression based on findings. | 8-year-old male with history of metastatic neuroblastoma with persistent fevers despite antibiotics. Lack of intravenous contrast limits evaluation for lymphadenopathy, solid organ pathology.LUNGS AND PLEURA: There is a moderate basilar subsegmental atelectasis. Postsurgical changes in the right apex including volume l... | 1. Multiple new pleural-based/extra-pleural soft tissue masses are consistent with metastatic disease. New marked axillary lymphadenopathy. Scattered non-specific ground-glass opacities.2. Limited noncontrast examination shows relatively stable mediastinal lymphadenopathy. |
Generate impression based on findings. | 45 year old female Reason: sarcoid History: sob LUNGS AND PLEURA: Diffuse mildly coarse interstitial thickening with upper lung and peripheral predominance, slightly increased from 4/24/2009 exam and compatible with history of sarcoidosis. Mild volume loss greater in the right and upper lung zones.No superimposed nodul... | 1. Pulmonary fibrotic changes compatible with history of sarcoidosis, slightly increased from 4/24/2009 exam. |
Generate impression based on findings. | 76 year old female. Rectal cancer restaging. CHEST:LUNGS AND PLEURA: Index cavitary right lower lobe pulmonary nodule is unchanged and measures 7 mm (44/6). Moderate right pleural effusion is unchanged. Additional scattered pulmonary nodules are unchanged. MEDIASTINUM AND HILA: Cardiac size is mildly enlarged. Index pr... | 1.No significant change in index liver lesion, pulmonary nodule and mediastinal adenopathy. 2.Stable moderate right pleural effusion. |
Generate impression based on findings. | 55-year-old male patient with history of hematuria. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter enhancing hepatic lesion within the right lobe may represent a small hemangioma. SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: N... | 1. No identified abnormality within the urinary tract.2. Enlarged Prostate.3. Borderline enlarged left obturator lymph node. |
Generate impression based on findings. | Reason: egus cancer, s/p chemo ck response History: dysphagia CHEST:LUNGS AND PLEURA: Upper lobe predominant centrilobular emphysema. Scattered pulmonary micronodules, unchanged. No suspicious pulmonary nodules or masses. Mild dependent atelectasis. No pleural effusions.MEDIASTINUM AND HILA: Mild to wall thickening in ... | . 1.No evidence of metastatic disease in the chest. 2. Esophageal mass appears slightly more prominent distally this may be due to differences in distention and is incompletely evaluated without oral contrast.3. Decreasing size of gastrohepatic lymph node. |
Generate impression based on findings. | Paralysis of vocal cords; Hoarseness secondary to dysphasia aortica and left vocal cord paralysis. There is medialization of the left vocal fold with the configuration of the "sail sign" as well as asymmetric prominence of the left piriform sinus, which is indicative of vocal cord paralysis. There are secretions within... | 1. Evidence of left vocal cord paralysis without associated neck mass of significant lymphadenopathy.2. Asymmetric enlargement and irregular lateral margin of the left internal jugular bulb, which may represent a paraganglioma. Further evaluation via a thin-section skull base CT may be helpful.3. At least moderate sten... |
Generate impression based on findings. | 79-year-old male Reason: ?evidence of MAC pneumonia History: + MAC sputum Cx; also hx of latent TB and chronic productive cough LUNGS AND PLEURA: Several scattered micronodules, some of which likely represent intrapleural lymph nodes, unchanged from previous. Calcified right upper lobe granuloma. Paramediastinal and su... | 1. No specific evidence of pulmonary infection such as MAI. 2. Paraseptal emphysema, similar to previous. 3. Incompletely characterized hepatic hypodense lesions, visualized portions unchanged from 6/9/2011 exam. |
Generate impression based on findings. | 55-year-old male patient with history rectal cancer. Restaging. CHEST:LUNGS AND PLEURA: Stable scattered micronodules. MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedP... | Enlarging presacral lymph node. |
Generate impression based on findings. | Evaluate for abscess or fluid collection. History of lap band surgery now with pus drainage from the umbilicus. ABDOMEN:LUNG BASES: Minimal subsegmental atelectasis with a 6-mm nodule at the left lung base (image 11; series 4).LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality note... | 1. Status post lap band gastric surgery without evidence of intra-abdominal abscess. 2. Indeterminate left lower lobe 6-mm left pulmonary nodule; 6 month follow-up CT suggested to confirm stability.3. Cystic nodules in both adnexa which could be better evaluated with pelvic ultrasound. |
Generate impression based on findings. | 55-year-old man with metastatic prostate cancer. Rising PSA. Worsening back pain.. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Ascending aorta measures 4.3 cm in diameter, mildly dilated. Subcentimeter mediastinal lymph nodes are noted.CHEST WALL: Small bilateral axillary lymph nodes a... | Diffuse bony metastases which appear slightly more sclerotic on today's examination; correlate with bone scan. |
Generate impression based on findings. | 82 year-old female. Reason: History of adenoca of unknown primary s/p some attempt at chemotherapy. Now with increased abdominal paint, wt loss since chemo first initiated. Please assess for evidence of progression and compared to prior CT scan. History: abdominal pain, wt loss ABDOMEN:LUNG BASES: The right middle lobe... | New bilateral pleural effusions. Enlargement of hepatic metastasis. Increased ascites and stable carcinomatosis. |
Generate impression based on findings. | 58 year old female. Evaluate mesenteric hematoma. ABDOMEN: Lack of IV contrast limits evaluation of abdominal organs.LUNG BASES: Small bilateral pleural effusions, significantly decreased from prior exam.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significa... | 1.Large mesenteric hematoma is slightly decreased in size. 2.Small pleural effusions, decreased from prior exam. Findings discussed with Dr. Bryan via phone (pager 2668) at 3:20 PM on 8/23/13. |
Generate impression based on findings. | 75-year-old male Reason: Gastric cancer please assess for chest/pulmonary involvement History: As above LUNGS AND PLEURA: Scattered calcified micronodules compatible with prior granulomatous disease. Poorly marginated approximately 10 mm ground glass opacity (image 36, series 4) in the left upper lobe may represent inf... | 1. Right upper lobe poorly defined ground glass opacity measuring 10 mm may represent inflammation but cannot exclude primary lung cancer, recommend follow up imaging in approximately 3 months, then yearly. 2. Extensive upper abdominal retroperitoneal lymphadenopathy compatible with patient's diagnosis of gastric cance... |
Generate impression based on findings. | Male, 84 years old, history of squamous cell carcinoma of the right cheek. Postsurgical changes are redemonstrated consistent with right parotidectomy, resection of a portion of the right mandible and a section of the superficial soft tissues of the right face.Infiltrative, mildly enhancing soft tissue continues to ext... | Stable postsurgical change consistent with right parotidectomy and resection of right neck/face tissues. Infiltrative, mildly enhancing soft tissue within the resection bed is slightly smaller than what was seen on the prior examination. No new mass or pathologic adenopathy is detected. |
Generate impression based on findings. | 49-year-old male with fevers and cloudy drain output. Evaluate for fluid collection status post ileostomy take down and/or other abnormality. ABDOMEN:LUNG BASES: AICD lead within the heart. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality... | Anterior abdominal wall fluid collections. Subcutaneous emphysema and inflammatory changes along the anterior abdominal.Findings discussed with T. Clisby on the phone prior to dictation. |
Generate impression based on findings. | 81 year old male. Reason: eval for mets. Patient has prostate cancer History: prostate cancer ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnorma... | Enlarged prostate with TURP defect. No definite evidence of metastases. |
Generate impression based on findings. | Female 35 years old; Reason: Metastatic breast cancer on chemotherapy, restaging. History: Chronic bone pain CHEST:LUNGS AND PLEURA: Stable biapical scarring. Subpleural fibrotic changes anterior right upper lobe, stable. Stable punctate micronodules best seen on the maximal intensity reconstructions.MEDIASTINUM AND HI... | Extensive osseous metastases without evidence of significant change. Status post right mastectomy. |
Generate impression based on findings. | Reason: Pt with hx of HNC now with new neck nodule. please re-eval and compare to prior scans History: as above CHEST:LUNGS AND PLEURA: Mild to moderate centrilobular predominant emphysema.There is no evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: Moderate to severe coronary artery calcification is p... | No evidence of metastases, or interval change. |
Generate impression based on findings. | Reason: Pt with hx of HNC now with new neck nodule. please re-eval and compare to prior scans History: as above The patient is status post left neck surgery with a removal of the left parotid gland and the left submandibular gland. There is a infiltration of the fat planes in the left neck which are stable since the pr... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy.2.Since the prior exam carotid stent has been placed. The left external carotid artery is occluded. |
Generate impression based on findings. | Female, 50 years old, altered mental status on Lovenox. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift. The ventricles and basal cisterns are... | No acute intracranial abnormality, and specifically, no intracranial hemorrhage. |
Generate impression based on findings. | Nausea vomiting with food intake. No bowel movement in two days. Abdominal distention and pain. Prior allergic reaction to IV contrast. ABDOMEN:LUNGS BASES: Minimal subsegmental atelectasis at the lung bases.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No sig... | Sigmoid diverticulitis. Stable right common iliac artery aneurysm. |
Generate impression based on findings. | 43 year-old female with brain lesion on MRI. Rule out neoplastic process. CHEST:LUNGS AND PLEURA: There are scattered right lower lobe pulmonary micronodules.There is a 2.7 x 5.2 cm mass along the lower left major fissure. No pleural effusions. MEDIASTINUM AND HILA: Reference left hilar lymph node measures 1.3 x 1.0 cm... | 1. Large left lung mass.2. Lesions within the liver, spleen, and bone which likely represent metastatic disease. 3. Bilateral non-specific adrenal nodules. |
Generate impression based on findings. | Cough and shortness of breath. LUNGS AND PLEURA: No pleural fluid or pneumothorax. There is a fine pattern of diffuse emphysema mainly affecting the upper lung zones.Although difficult to compare, right apical scarlike abnormality was likely present on prior radiographs dating back to 2009. There is a small linear opac... | 1. Moderate to severe emphysema; the pattern is very fine and thus not visible on conventional radiographs.2. Right apical scarring has been present since 2009. A linear component also most likely reflects scarring however 3 to 6 month CT follow-up is suggested to exclude the remote possibility of growth from a scar ca... |
Generate impression based on findings. | 36-year-old female with a history of appendiceal cancer status-post colon resection and HIPEC procedure; please evaluate for recurrence and for abnormalities. Postoperative follow. ABDOMEN:LUNG BASES: Scarring is again seen in the right lung base.LIVER, BILIARY TRACT: Mild fatty infiltration.SPLEEN: No significant abno... | No evidence of metastatic or residual disease. |
Generate impression based on findings. | Patient history of left renal cyst excision 2007 and PET/CT with pulmonary nodules. Now with right flank pain. Please assess. CHEST:LUNGS AND PLEURA: Scattered subcentimeter, subpleural nodules have not changed substantially since prior examinations and are likely benign. No effusions. Apical scarring. Emphysematous ch... | Stable pulmonary micronodules. Postsurgical defect in the lateral left kidney, stable. No findings to explain flank pain. |
Generate impression based on findings. | 57 year old male. Metastatic lung cancer. EGFR s/p Terceva now PD, please compare with prior. CHEST:LUNGS AND PLEURA: Postsurgical changes in the left lung with associated pleural thickening and volume loss, similar to prior exam. Right upper lobe pulmonary nodule is unchanged. No new suspicious pulmonary nodules or ma... | 1.Mediastinal adenopathy is slightly increased. 2.Interval increase in confluent hypoattenuating hepatic lesions compatible with metastatic disease.3.New ill defined lytic lesions in thoracic vertebral body, highly suspicious for metastatic disease. |
Generate impression based on findings. | Female, 88 years old, status post fall, blunt head trauma. The high right parietal scalp is edematous. The underlying bones of the calvarium show no evidence of fracture.Parenchymal volume loss is seen as evidenced by prominence of the sulci and ventricles. Patchy periventricular and basal ganglia hypodensities are see... | Right parietal scalp injury without evidence of calvarial fracture or acute intracranial abnormality. |
Generate impression based on findings. | 8-year-old male with metastatic neuroblastoma with persistent fevers despite antibiotics. There is a soft tissue mass that arises from the right maxillary alveloar process that contains spiculated periosteal reaction and measures up to 15 mm in thickness, which appears to be new since 2011.There is a soft tissue mass a... | 1. Progressive increase in size of the maxillofacial and the partially imaged intracranial presumed neuroblastoma metastases. In particular, left orbital lesions result in proptosis. Brain MRI may be useful to better delineate the intracranial lesions.2. Pan-sinus opacification, increased since July 2013 and possibly a... |
Generate impression based on findings. | 66 years old patient who fell and hit head after a seizure and is now in a cervical collar. There is invagination of the dens relative to C1. There is a soft tissue thickening present posterior to the dens. These findings were present on prior exams dating back to March of 2013 and January of 2013 .The left lateral mas... | 1.There is right to lateral translation of the C1 relative to C2 with rotatory subluxation associated with hypertrophy of the cruciate ligaments at C1-2 and mild basilar invagination . The left lateral mass of C1 and C2 are deformed. This is suspected to be related to remote injury at this level with rotatory subluxati... |
Generate impression based on findings. | 50 year-old female with abdominal 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: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No s... | No evidence of urinary tract obstruction. |
Generate impression based on findings. | 77-year-old female with abdominal pain over right inguinal hernia. Evaluate right inguinal hernia. In the absence of IV contrast limiting evaluation of solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: Bilateral pleural effusions with the left larger than right... | 1. Fat containing right inguinal hernia without seen complication.2. Acute fracture of the right inferior pubic ramus. |
Generate impression based on findings. | 61-year-old male. Evaluate for focal fluid collection/biliary dilation, hematoma (status post transjugular biopsy). In the absence of IV contrast limiting the evaluation of solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER,... | No evidence of gross fluid collection though evaluation limited without IV contrast. |
Generate impression based on findings. | 66-year-old male with pain and rib fracture. Evaluate for splenic rupture. ABDOMEN:LUNG BASES: Indeterminate pulmonary nodule within the right lower lobe. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Small hypodensity within the spleen is non-specific and likely benign. No capsular disturbance of the s... | 1. Left 9th rib fracture without evidence of pneumothorax or visceral injury.2. Indeterminate right lower lobe pulmonary micronodule. If prior scan is not available for comparison, surveillance is suggested.3. Left renal lesion which does not meet criteria of a simple cyst. Recommend further characterization with dedic... |
Generate impression based on findings. | Male, 56 years old, cavernous sinus lesion seen on CT of the head. Presenting with nausea and vomiting. The brain parenchyma is remarkable only for a small linear region of encephalomalacia in the left frontal lobe which likely represents chronic ischemic change. No CT evidence of acute territorial ischemia is demonstr... | 1. Redemonstration of a soft tissue lesion occupying the left aspect of the sella and perhaps the left cavernous sinus. The lesion may contact the left ICA, but is not vascular or aneurysmal in nature and does not cause any deformation of the artery. The native pituitary gland is not clearly distinguished, and as such,... |
Generate impression based on findings. | 80 year-old male with epigastric pain. Evaluate for biliary pathology. ABDOMEN:LUNG BASES: Coronary artery calcifications.LIVER, BILIARY TRACT: Punctate hepatic calcification likely representing prior granulomatous disease. There is a hyperattenuating structure at the neck of the gallbladder which likely represents a g... | Cholelithiasis with possible gallbladder wall thickening. Recommend ultrasound of the gallbladder for further evaluation. |
Generate impression based on findings. | 45-year-old male with hematuria. History of kidney transplant. ABDOMEN:LUNG BASES: Cardiomegaly with a small pericardial effusion.LIVER, BILIARY TRACT: Subcentimeter hypodense lesion within the left lobe liver is too small to characterize.SPLEEN: Splenic calcifications.PANCREAS: No significant abnormality notedADRENAL ... | Large, edematous, non-enhancing transplant kidney without contrast excretion consistent with devitalization. |
Generate impression based on findings. | 82 year-old female with intractable nausea. History of angiosarcoma of the scalp status post radiation to the scalp. CHEST:LUNGS AND PLEURA: The previously noted left lower lobe pulmonary nodule is stable. Scattered pulmonary micronodules are unchanged.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: ... | Stable left lower lobe pulmonary nodule. No further evidence of metastatic disease. |
Generate impression based on findings. | Reason: r/o lung mets History: h/o thyroid cancer; s/p neck dissection x3; known lung mets; s/p xrt CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary nodules. For reference, a right upper lobe nodule measures 9 x 7 mm (series 5, image 20). Mild basilar scarring.MEDIASTINUM AND HILA: Status post thyroidectomy. Heart ... | Multiple bilateral pulmonary nodules compatible with metastatic disease. |
Generate impression based on findings. | Reason: Evaluate patient for worsening, pneumonia, pneumothorax or changes. History: History of COPD. Patient had airway valves placed 4 years ago. Patient in long-term follow up and is aware of valve placement. LUNGS AND PLEURA: Extensive centrilobular emphysema. No suspicious pulmonary nodules or masses. No pleural e... | Extensive centrilobular emphysema without acute cardiopulmonary abnormality. |
Generate impression based on findings. | Reason: pt with lung ca s/p chemo and rt History: now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Interval decrease in size of thick walled cavitary mass in the left lower lobe, which now measures 5.7 x 2.6 cm (series 5, image 45), previously 7.1 x 3.9 cm. Adjacent satellite n... | 1.Decreasing cavitary mass and previously noted satellite nodules in the left lower lobe. 2.New left lower lobe subpleural nodule is suspicious for tumor, although given surrounding patchy consolidation, infection/aspiration is not excluded.3.New upper lobe predominant ground glass and reticular opacities compatible wi... |
Generate impression based on findings. | Reason: lung cancer s/p 4 cycles of treatment. please evaluate for disease and compare with previous scans using same target lesions History: lung cancer CHEST:LUNGS AND PLEURA: Interval increase in right upper lobe mass and satellite nodules. Right upper lobe mass measures 35 x 26 mm (series 6, image 35), previously 2... | 1.Increasing pulmonary mass / nodules.2.Increasing lytic lesion in the T6 vertebral body suspicious for metastasis.3.Stable mediastinal lymph nodes.4.New left adrenal nodule. |
Generate impression based on findings. | Reason: eval for PE History: sob, chest tightness PULMONARY ARTERIES: No evidence of pulmonary embolus. Several upper lobe segmental pulmonary artery branches are not seen superiorly. LUNGS AND PLEURA: Right upper lobe cavitary lesion with surrounding pleural thickening, architectural distortion, and bronchiectasis are... | 1.No evidence of pulmonary embolus. Right upper lobe segmental pulmonary arteries are not seen superiorly likely due to surrounding pulmonary abnormalities.2.Right upper lobe cavitary lesion with surrounding pleural thickening architectural distortion bronchiectasis are not significantly changed from the prior exam and... |
Generate impression based on findings. | Female 14 years old; Reason: eval for mediastinal mass History: neck mass, concern for mediastinal mass, new onset Graves. LUNGS AND PLEURA: Bibasilar atelectasis without micronodules or mass.MEDIASTINUM AND HILA: The thymus has convex borders and at this age we would expect the borders to be concave with a more triang... | 1.Thymic hyperplasia due to Graves hyperthyroidism.2.Enlarged right hilar lymph node, likely reactive. |
Generate impression based on findings. | Hemoptysis and dyspnea. LUNGS AND PLEURA: Opacities are present abutting the pleural surfaces in the bases. These opacities form acute angles with the pleura. No pleural effusion is seen.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy is seen. No mass is identified. The branching pattern of the great vess... | Opacities in the lung bases. These may be atelectasis. No mediastinal mass. |
Generate impression based on findings. | Male, 25 years old, severe sore throat, fever, evaluate for peritonsillar abscess versus epiglottitis. The adenoids are prominent but elsewhere the lymphoid tissue is within normal limits. No evidence of peritonsillar abscess is seen.The oral tongue and floor of mouth are normal. The epiglottis and aryepiglottic folds ... | 1. No evidence of peritonsillar or deep space abscess.2. Prominence of the adenoids may reflect inflammation or infection.3. Scattered cervical lymph nodes are demonstrated, some top normal or mildly enlarged by size criteria. There are no aggressive features. These may simply be reactive, and assuming appropriate reso... |
Generate impression based on findings. | Male, 41 years old, with stroke. Evaluate for vascular disease. Precontrast CT demonstrates findings similar to those seen on the prior noncontrast head CT, and correlating with findings on the more recent MRI. Briefly, there is ill-defined hypodensity in the right frontal lobe with loss of gray-white differentiation a... | 1. No significant vascular disease in the neck.2. Mild atherosclerotic disease affects the right cavernous ICA. Moderate atherosclerotic disease is suspected near the origin of the left PICA. Otherwise, the intracranial circulation is free of significant focal stenosis.3. Brain parenchymal abnormalities consistent with... |
Generate impression based on findings. | Female, 46 years old, with chronic nasal and ear congestion, rhinorrhea, postnasal drip. The frontal sinuses are clear. There is mild soft tissue thickening at the level of the frontoethmoidal recesses. A few scattered ethmoid air cells are opacified. The left sphenoethmoidal recess is patent. The right sphenoethmoidal... | Mild scattered mucosal thickening as above without evidence of significant active sinusitis. |
Generate impression based on findings. | Female 57 years old Reason: eval for mass/obstruction, hx of bloating and heme + stool History: bloating, heme+ stool ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholecystectomy clips.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signi... | No evidence of obstruction. No CT findings to explain blood in stool. Diverticulosis without evidence of diverticulitis. |
Generate impression based on findings. | Male 78 years old Reason: eval for hernia History: R inguinal pain helical CT images abdomen pelvis. Oral Omnipaque. 90 cc intravenous Omnipaque 350. Coronal reconstructions. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis. No biliary dilatation. No focal liver lesions.SPLEEN: S... | Right inguinal hernia with dilated small bowel entering the hernia sac with small bowel feces sign suggestive of chronic low-grade obstruction secondary to the hernia.Cholelithiasis. Atherosclerotic disease. Calcification along the capsule of the spleen. Other findings as above. |
Generate impression based on findings. | 78-year-old female shortness of breath and hypoxia. Evaluate for PE. PULMONARY ARTERIES: Multiple acute pulmonary emboli in the segmental and subsegmental branches of the right middle, lower, and upper lobes and left upper lobe. The main pulmonary caliber is enlarged and measures up to 3.5-cm, which can be seen in pulm... | 1. Multiple segmental/subsegmental level bilateral acute pulmonary emboli.2. Findings, which are nonspecific, but can be seen in pulmonary arterial hypertension and right heart strain.3. No significant interval change in large right paramediastinal mass and other lesions suspicious for metastasis.4. New moderate bilate... |
Generate impression based on findings. | Female 53 years old Reason: eval for obstruction History: vomiting, abdominal pain, constipation ABDOMEN:LUNG BASES: Basilar atelectasis.LIVER, BILIARY TRACT: Cholecystectomy. No biliary dilatation. No focal liver lesions.SPLEEN: No significant abnormality notedPANCREAS: Known lobulated cystic lesion with thin septatio... | Nonspecific colonic dilatation possibly colonic ileus. Minuscule amount of free fluid in the pelvis. No small bowel obstruction. Pancreatic lesions unchanged. Other findings as above. |
Generate impression based on findings. | Female 27 years old Reason: stone History: abd pain.Additional history per radiology resident on-call indicates patient has right upper quadrant pain radiating to the back. Therefore there is concern for renal stone or appendicitis. Exam is not sensitive for detecting lesions in the bowel, solid organs of vessels due t... | No specific findings to explain the patient's symptoms. |
Generate impression based on findings. | Male 78 years old Reason: Eval for colitis, aortic pathology History: Abdominal pain Some blurring due to respiratory motion. No oral contrast limits sensitivity for the bowel.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality not... | No specific findings to explain the patient's symptoms. Multiple other findings as above. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.