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Generate impression based on findings. | Female 53 years old Reason: eval drain placement/evidence of inflammation/obstruction , tumor burden History: worsening abdominal pain CHEST:LUNGS AND PLEURA: Multifocal pulmonary nodules redemonstrated some of the increased in size. Index left lower lobe nodule series 5 image 51, 0.9-CM in longest dimension. Previousl... | Increase in size of some of the lung and liver lesions and peritoneal lesions. Possible increase in size of duodenal lesion.Small thrombus at tip of central catheter in the SVC.Other findings as above. |
Generate impression based on findings. | Female 62 years old Reason: kidney stone History: waxing and waning LLQ abd pain ABDOMEN:LUNG BASES: Basilar atelectasis. Partially visualized groundglass pulmonary nodule in the right lung possibly small intrapulmonary node. Unchanged from 6/17/13.LIVER, BILIARY TRACT: Punctate hypoattenuating foci likely cysts.SPLEEN... | No evidence of nephrolithiasis. Mild dilatation jejunum. Given lack of oral contrast correlate if there are any clinical symptoms of bowel obstruction a persistent follow-up CT with oral and IV contrast may be obtained |
Generate impression based on findings. | 50 year-old female with shoulder pain. Examination is limited due to motion artifact. There is bony demineralization of the left shoulder, which may be secondary to disuse.There are postsurgical changes of the left shoulder and proximal humerus with bony fusion seen at the glenohumeral joint and multiple screw tracts. ... | Postsurgical and degenerative changes of the left shoulder and proximal humerus as above, without evidence of acute fracture or malalignment. |
Generate impression based on findings. | Female 57 years old Reason: 57 y.o F with hx of nec pancreatitis s/p necrectomy and IR percutaneous drainage of pseudocyst who presents with leukocytosis, bloody drainage, evaluate for pancreatic abnormality and change from prior CT scans History: leukocytosis, bloody drainage from percutaneous drain Exam is not sensit... | Small pneumoperitoneum of uncertain etiology seems separate from the pneumothorax on the right. These findings were discussed with Dr.Shravani Pasupneti, pager 1193, at 9:45am, 8/25.2013.Other findings as above |
Generate impression based on findings. | Male 51 years old Reason: hematoma, reason for blood loss History: hematoma, reason for blood loss ABDOMEN:LUNG BASES: Extensive atelectasis or consolidation right lower lobe with elevation of the right hemidiaphragm. Rule out aspiration. Left base unremarkable. Coronary artery calcifications.LIVER, BILIARY TRACT: Stat... | Right lower lobe consolidation rule out aspiration. Fluid in partial nephrectomy surgical bed concerning for perinephric hematoma. Small amount of free intraperitoneal fluid may also represent hemoperitoneum. |
Generate impression based on findings. | Female 43 years old Reason: please eval for renal stones History: persistent UTI; bacteremia The exam is not sensitive detecting lesions in the bowel, solid organs of vasculature due to lack of oral or intravenous contrast. Given those limitations, the following observations are made:ABDOMEN:LUNG BASES: No significant ... | Probable submucosal edema gallbladder. Hepatomegaly. Differential diagnostic considerations include cholecystitis or generalized hepatic edema which may be associated with gallbladder edema. |
Generate impression based on findings. | Female 66 years old Reason: new onset abd pain History: see above. Additional history and pathology report indicates NASH/HCC undergoing laparoscopic liver resection 8/5/13. Exam is not sensitive for detection of lesions in the solid organs and vasculature due to lack of intravenous contrast. Given that limitation, the... | Postsurgical changes with fluid in the surgical bed and fat stranding. No discrete loculated collection to suggest abscess. Other findings as above. |
Generate impression based on findings. | Male 71 years old Reason: r/o RP bleed History: decreased hgb.Additional history from chronic problem list indicates leukemia, chronic kidney disease and presumed fungal pneumonia 7/13. The exam is not sensitive for detecting lesions in the bowel, solid organs are vasculature due to lack of oral or intravenous contrast... | New generalized anasarca. Bilateral pleural effusions and bibasilar atelectasis. Small amount of generalized nonspecific intraperitoneal fluid; ascites versus hemoperitoneum. No evidence of retroperitoneal hematoma. |
Generate impression based on findings. | Female 78 years old Reason: follow up to earlier exam, to detect contrast in distal intestine to rule out any bowel leak History: see above, time sensitive exam, discussed with RROC The exam is not sensitive for detecting lesions in the solid organs vasculature due to the lack of intravenous contrast. Given that limita... | Ill-defined loculated bubbly air and fluid collection in the left lower pelvis, above the Jackson-Pratt drain. No bowel obstruction or extraluminal contrast given limitation of progression of oral contrast only to sigmoid colon. Postsurgical changes. Bilateral hydronephrosis. Other findings as above.Findings discussed ... |
Generate impression based on findings. | Male 42 years old Reason: abd distention and and pain History: abd distention The exam is not sensitive for detecting lesions in the solid organs of vasculature due to lack of intravenous contrast. Given those limitations, the following observations are made:Findings CHEST:LUNGS AND PLEURA: No significant abnormality n... | No specific findings to explain abdominal pain. Small nonobstructive ventral hernia.Scattered lymphadenopathy of uncertain significance. Questionable cirrhotic morphology liver. Gynecomastia. Prominent mediastinal fat. Cardiomegaly. |
Generate impression based on findings. | Female 55 years old Reason: r/o pelvic fluid collection; abscess and bowel perforation History: fever and abdominal pain Exam is not sensitive for detecting lesions in the solid organs of vasculature due to lack of intravenous contrast. Given that limitation, the following observations are made:ABDOMEN:LUNG BASES: Biba... | No ascites. Previous omental implants are not measurable in obscured by the ascites. Small bubbles of gas in the subperitoneal space the low pelvis and in the left iliac fossa likely related to recent surgery.Small bilateral pleural effusions and bibasilar atelectasis or consolidation. Correlate clinically to rule out ... |
Generate impression based on findings. | Male, 63 years old, history of sarcoma originating in the neck with pulmonary recurrence. Restaging exam prior to starting treatment. The soft palate appears to be adherent to the nasopharyngeal mucosa. This may be artifactual or related to lymphoid inflammation.Elsewhere, the aerodigestive mucosa is unremarkable. No s... | No evidence of active disease in the neck. |
Generate impression based on findings. | Female 64 years old. Jaundice unspecified. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Biliary stent in place with expected pneumobilia. No intrahepatic or extrahepatic biliary dilatation. Cholelithiasis with pericholecystic fat stranding consistent with acute cholecystitis.SPLEEN: No sign... | Biliary stent in place with expected pneumobilia. Cholelithiasis with gallbladder wall thickening suspicious for cholecystitis.Nephrolithiasis left kidney. |
Generate impression based on findings. | Female, 29 years old, Hodgkin's disease status post autologous transplant. Mild prominence and hyperemia previously seen to affect the nasopharyngeal mucosa and the palatine tonsillar tissues have diminished. The aerodigestive mucosa is within normal limits on the current examination.No pathologic adenopathy is detecte... | No evidence of active disease in the neck. |
Generate impression based on findings. | Female 64 years old. Reason: Pt has known CBD stricture and concern for mass on OSH imagin (in PACS) s/p ERCP w/ stent and continuing to rise TBili - please eval for pancreatic mass causing obstruction History: Jaundice, elevated Bili. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Biliary st... | Biliary stent in place with expected pneumobilia. Cholelithiasis with gallbladder wall thickening suspicious for cholecystitis.Nephrolithiasis left kidney. |
Generate impression based on findings. | Female 51 years old Reason: 51F with h/o diverticular bleed and current ongoing GIB with concern for diverticular bleed, please eval for site of bleeding History: GIB The exam is not sensitive for venous phase bleeds due to the lack of the portal venous phase.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, B... | No evidence of GI bleed in the arterial phase. No free or loculated intraperitoneal fluid. No CT signs of acute diverticulitis. Several surgical anastomoses as detailed above. |
Generate impression based on findings. | Male 63 years old Reason: See Requisition for Neck History: See Above. History sarcoma of the chest wall status post resection. CHEST:LUNGS AND PLEURA: Scattered pulmonary nodules redemonstrated. Some punctate new nodules are seen in the right middle lobe, series 4 image 46, 36/90.Index pleural based nodular opacity Se... | Lung, retroperitoneal and possible liver metastasis with measurements as above. Some punctate lesions in the right middle lobe appear new. |
Generate impression based on findings. | Female 29 years old Reason: 29 year old female with Hodgkin lymphoma s/p autologous transplant. Compare to prior scans. History: none CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Non-pathologic size nodes. Index right paratracheal node series 3 image 34 measures 0.8 x 0.6 cm. previousl... | No evidence of recurrent disease. Nonobstructive nephrolithiasis left kidney. |
Generate impression based on findings. | Female 65 years old Reason: concern for infection around G-tube site, but also assess for other etiology of abdominal pain around G-tube site (history of ruptured/infected epidermal cyst requiring resection in 2005( History: abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No sig... | No evidence of fat stranding or fluid around the G-tube site. Expected postsurgical changes. Possible nonobstructive adhesions. |
Generate impression based on findings. | Female 44 years old Reason: CD, s/p ileocecetomy/lt hemicolectomy, colostomy, lt mesenteric fat tumor, perianal abscess History: abd pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: 1.6 x 1.2 cm hypoattenuating lesion posterior segment right lobe, series 3 image 41, nonspecific likely beni... | Gallbladder polyp versus noncalcified stone should be evaluated further with ultrasound and color Doppler imaging to differentiate neoplasm from stone.Left adnexal cyst, 3.8 cm longest dimension. Although over 3cm most likely physiologic simple cyst in this age group.Left-sided epiploic appendagitis. This is often asso... |
Generate impression based on findings. | History of fall and known bilateral subdural hemorrhages. Bilateral subdural collections (left greater than right) at high convexity frontal lobes are again seen.There is no evidence of new hemorrhage since prior study or increased size of bilateral frontal subdurals. The maximum thickness of left frontal subdural meas... | 1.Stable bilateral frontal subdural hemorrhages as detailed above.2.Small vessel ischemic strokes of indeterminate age.3.No new intracranial hemorrhage. |
Generate impression based on findings. | Female, 71 years old, somnolence, increasing weakness. Hypodensity is redemonstrated within the left insula and basal ganglia. In some areas, this approaches the density of CSF with apparent encephalomalacia, while in other areas it is less distinctly chronic. In comparison with the prior examination, there has been no... | No significant interval changes. Hypodensity involving the left insula and basal ganglia is redemonstrated similar to prior. As before, portions of this abnormal region may be chronic, but the possibility of superimposed acute or subacute change cannot be excluded on CT. |
Generate impression based on findings. | Female 92 years old Reason: 92 yo F with alternating constipation/diarrhea, caregivers note abdominal mass - mild fullness in LLQ. Pls evaluate for mass, obstruction, other. Pls give oral contrast; no IV contrast. History: anemia, constipation, diarrhea The exam is not sensitive for detecting lesions in the solid organ... | Small nonobstructive right inguinal hernia. Greater than average stool burden suggestive of constipation. Atherosclerotic disease. Small hiatal hernia. Several micronodules in the lung bases. |
Generate impression based on findings. | Female 55 years old Reason: lymphoma and pulmonary nodules History: cough and pulmonary nodules CHEST:LUNGS AND PLEURA:Postsurgical changes right lower lobe. Some areas of reticular interstitial opacities, bronchiectasis, nodular opacity and groundglass opacity are redemonstrated. Scattered small nodules a roughly stab... | Stable or decreasing nodules. Interstitial changes and bronchial wall thickening redemonstrated possibly related to infection.Persistent mediastinal adenopathy.Splenomegaly unchanged from PET/CT of 9/4/12 |
Generate impression based on findings. | Female 55 years old Reason: assess for metastatic disease History: none. History from prior CT requisition indicates ovarian cancer. CHEST:LUNGS AND PLEURA: Slight increase in size of right pleural effusion. Suggestion of nodular thickening in the right lower pleura, series 2 image 74 unchanged from prior exam series i... | Minimal increase in right pleural effusion. Stable calcified nodes. No new sites of disease. |
Generate impression based on findings. | Male, 63 years old, history of mesothelioma with neck enlargement. Evaluate for metastatic disease prior to starting new therapy. Infiltrative soft tissue, likely representing tumor, fills the upper mediastinum surrounding the trachea and esophagus, and encasing the great vessels off the arch. The brachiocephalic, comm... | 1. Extensive infiltrative tumor compatible with the history of mesothelioma. This involves the mediastinum with encasement of the great vessels off the arch and the central venous structures. It also appears to extend from here superiorly along the prevertebral and retropharyngeal spaces to the level of the nasopharyng... |
Generate impression based on findings. | Subarachnoid hemorrhage. evaluate changes in SAH/ICH There is a redemonstration of a subarachnoid hemorrhage as well as ventriculomegaly and status stent-assisted post embolic coil occlusion of a right middle cerebral artery aneurysm.A ventriculostomy tube is in stable position coursing from the right frontal lobe into... | 1.Status post ventriculostomy tube placement and embolic coil occlusion of a right middle cerebral artery aneurysm.2.Redemonstration of diffuse subarachnoid hemorrhage and blood which remains stable when compared to the prior exam.3.Ventriculomegaly has progressed since the prior exam.4.s/p left-sided craniotomy. There... |
Generate impression based on findings. | Reason: 50 smoker with pulm micronodules History: none LUNGS AND PLEURA: Punctate benign-appearing micronodules are unchanged.Focal scarring or subsegmental atelectasis is present posteriorly in the left upper lobe. MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.UPPE... | Unchanged benign-appearing micronodules. New focal atelectasis posteriorly in the left upper lobe is nonspecific, and could be from aspirated secretions or mucous plugging. No central obstructing lesion is identifiable. |
Generate impression based on findings. | 26 room male with one week history of hemoptysis and hematemesis. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus.LUNGS AND PLEURA: Again seen is a right basilar wedge-shaped opacity (series 8; image 105), appearing decreased compared to the prior study, consistent with the known hi... | Technically adequate study without evidence of pulmonary embolus. Interval decrease in previously described right basilar pulmonary infarct. |
Generate impression based on findings. | Female 60 years old Reason: assess for distended ileal conduit vs perforation of IC History: decreased UOP, pain at level of IC In the absence of oral and IV contrast only a limited evaluation of the solid parenchymal organsand vascular structures can be made.ABDOMEN:LUNG BASES: There is bilateral subsegmental atelecta... | 1.Dilated proximal small bowel with collapsed distal bowel consistent with small bowel obstruction.2.Large complex fluid collection within the pelvis, which likely represents a hematoma in the cystectomy bed.3.Delayed renal contrast excretion consistent with renal parenchymal dysfunction.4.Stable mild left-sided hydron... |
Generate impression based on findings. | 70 year-old female. Vomiting, and left lower quadrant back pain, waxing and waning symptoms. Evaluate for renal stone. ABDOMEN: Lack of intravenous and oral contrast decreases sensitivity for detection of solid organ and bowel pathology. Given this limitation, the following observations were made:LUNG BASES: Right lowe... | Choledocholithiasis without evidence of acute pancreatitis. If clinically warranted, follow-up MRCP may be performed. |
Generate impression based on findings. | Male 67 years old; Reason: distention, s/p liver biopsy History: distention, ab pain ABDOMEN: The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowel. Given these limitations, the following observations were made:LUNGS BASES: New small bilateral pleural effusions, right great... | 1.Stable hepatic metastatic lesions with interval development of a perihepatic fluid collection. Differential considerations include a biliary leak versus post procedural ascites. No evidence of intra-abdominal hemorrhage or hematoma.Dr. Havlin notified of the findings at 9:20am on 8/26/13 |
Generate impression based on findings. | Reason: mass on cxr? History: weight loss LUNGS AND PLEURA: Scarlike nodule in the right lower lobe and in the azygos esophageal recess, 4 mm, with no specific follow recommended at this time.MEDIASTINUM AND HILA: Scattered normal-sized calcified and uncalcified lymph nodes are present as well as moderate coronary arte... | No significant abnormality. No evidence of a mass. Large thoracolumbar spine osteophytes. |
Generate impression based on findings. | 11 year old female with right lower quadrant pain. Assess for appendicitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffuse hypoattenuation of the liver relative to the spleen, suggestive of diffuse fat infiltration of the liver. Size and morphology of the liver is normal. No intrahepa... | 1.Acute appendicitis with no evidence of perforation or abscess.2.Findings suggestive of diffuse fat infiltration of the liver. |
Generate impression based on findings. | Stroke. Hemorrhagic transformation. There is redemonstration of hypodensity involving gray and white matter in the left middle through artery territory predominately in nature aspect of the left temporal lobe and part of the insular cortex. The density has progressed since the prior exam. There is no convincing evidenc... | 1.Subacute left anterior temporal lobe infarction in the middle cerebral artery distribution without evidence for hemorrhagic conversion. There is mild mass effect present. |
Generate impression based on findings. | 77-year-old male with tobacco use. Hypercarbia 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 a small extra-axial calcificat... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA |
Generate impression based on findings. | Reason: Fungal Pneumonia? History: Infiltrates on CXR, Resp failure LUNGS AND PLEURA: Scattered areas of groundglass opacity are accompanied by a focal area is of consolidation in the upper lobes; this appears to have improved since the chest radiograph the/22/2013. A right pleural effusion is present. MEDIASTINUM AND ... | 1. Groundglass and patchy consolidation probably improved since the chest radiograph two days ago accompanied by right pleural effusion could be atypical edema or hemorrhage, or drug reaction. Findings are in not nearly as severe as they were during an episode of infiltration 9/25/2011.2. Cardiomegaly and a small peric... |
Generate impression based on findings. | 67-year-old female. History of metastatic adrenal cancer to the lungs. Evaluate for malignancy in the lungs, abdomen. CHEST: LUNGS AND PLEURA: Small right pleural effusion with ground glass opacities and dense consolidation diffusely throughout the right lung. Endoluminal debris is seen in right lower lobe distal segme... | 1. 3 x 2.6-cm right adrenal indeterminate nodule, dedicated CT or MRI adrenal imaging may be performed if clinically warranted.2. Ground glass opacities and consolidation of the entire right lung, most consistent with aspiration and/or infection. A small nodule/mass may be obscured by this background parenchymal abnorm... |
Generate impression based on findings. | Reason: assess for bleed History: hit head with fall The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized portions of the par... | No evidence for acute intracranial hemorrhage mass effect or edema. CT is insensitive for the early detection of a nonhemorrhagic CVA |
Generate impression based on findings. | Subarachnoid hemorrhage The CSF spaces are appropriate for the patient's stated age with no midline shift. There is redemonstration of subarachnoid blood in the suprasellar cistern, prepontine cistern and to a lesser degree sylvian fissures left more than right. There is mild dilation of the temporal horns of the later... | 1.Subarachnoid hemorrhage with mild dilation of the temporal horns of the lateral ventricles. Stable since the prior exam |
Generate impression based on findings. | Cocaine use. thunderclap 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 communicating artery and the posterior communica... | 1.Subarachnoid hemorrhage predominantly in the posterior fossa and suprasellar cistern with a small amount of a third ventricular blood 2.No evidence for aneurysm.3.No evidence for cerebral vascular occlusive disease |
Generate impression based on findings. | Female 77 years old; Reason: s/p right femoral hernia repair for incarceration complicated by bleeding History: evaluate for retroperitoneal bleed ABDOMEN:LUNGS BASES: Bilateral pleural effusions, left greater than right, with compressive atelectasis noted.Left sided AICD leads noted. LIVER, BILIARY TRACT: The liver is... | 1.Right lower quadrant mesenteric hematoma with blood layering in the pelvis2.Fractures of the inferior pubic rami and proximal left femur. Wedge compression deformity of the L3 vertebral body.3.Status post right inguinal hernia repair with no residual hernia detected |
Generate impression based on findings. | 56-year-old female. Abdominal pain, drainage around anterior JP drain. Evaluate for intra-abdominal abscess/infection. ABDOMEN:LUNG BASES: Moderate loculated left pleural fluid with subtle pleural enhancement, consistent with a complex effusion. Adjacent compressive atelectasis is noted. Bilateral saline implants are n... | 1. Distal pancreas stump leak with loculated fluid collection extending into the inferior left hemipelvis, not significant changed.2. Complex moderate left pleural effusion, similar to prior exam. |
Generate impression based on findings. | Female 58 years old Reason: SBO, lung mass History: abd pain CHEST:LUNGS AND PLEURA: The lungs are hyperexpanded with bibasilar subsegmental atelectasis present. There is loss of lung parenchyma as well as peripheral blebs consistent with severe, upper lobe predominate emphysema. There is a micro-nodule seen in the rig... | 1.Marked distention of the ascending, transverse, and descending colon with collapsed rectosigmoid colon consistent with high grade distal large bowel obstruction. Given the evidence of metastatic disease in the spine, this obstruction may be secondary to a malignant process.2.Air within the urinary bladder concerning ... |
Generate impression based on findings. | Female, 74 years old, status post fall. Surgical change consistent with bilateral parietal craniotomy is redemonstrated. There is thickened partially calcified dura subjacent to the flaps.No evidence of acute intracranial hemorrhage or any abnormal extra-axial fluid collection is detected.Extensive periventricular hypo... | 1.No acute intracranial abnormalities. Redemonstrated is evidence of bilateral craniotomy change and extensive periventricular hypoattenuation of uncertain etiology, perhaps related to prior treatment and/or ischemia.2.Multilevel degenerative changes through the cervical spine without evidence of acute fracture or mala... |
Generate impression based on findings. | Possible seizure, fall, altered mental status CT head:The CSF spaces are appropriate for the patient's stated age with no midline shift. A focus of encephalomalacia is present along the left orbital gyrusNo abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is ident... | 1.No evidence for cervical spine fracture2.No evidence for acute intracranial hemorrhage mass effect or edema.3.Focus of encephalomalacia in the left frontal lobe at the orbital gyrus could be related to prior traumatic injury or vascular injury4.degenerative changes are present in the cervical spine worst at C6-7 wher... |
Generate impression based on findings. | 63-year-old female with history of wound to bone with erythema. The patient also has a prior history of Ewing's sarcoma status post radiation treatment in the 1970s. There is loss of normal fatty marrow signal along the distal tibial metaphysis and epiphysis, with sclerotic foci within the distal tibial metaphysis. The... | 1. Large soft tissue defect along the medial aspect of the right lower extremity with underlying osseous abnormality of the distal tibia as described above is suspicious for acute osteomyelitis, though may also reflect posttreatment changes of the patient's prior Ewing's sarcoma.2. Dense cortical sclerosis along the mi... |
Generate impression based on findings. | 63-year-old male with a history of mesothelioma, increasing symptoms, please evaluate for disease and compare with previous scan. CHEST:LUNGS AND PLEURA: There is interval increase in previously described small left pleural effusion with no definitive areas of pleural thickening or nodularity with increase in underlyin... | 1. Right pleural thickening and nodularity with large chest wall mass is consistent with given diagnosis of mesothelioma. The reference measurements are slightly increased as detailed above.2. Interval increase in left pleural effusion with associated left basilar atelectasis/consolidation. |
Generate impression based on findings. | Reason: lung cancer s/p 2 cycles of chemotherapy. please evaluate for disease and compare with previous scans History: lung cancer CHEST:LUNGS AND PLEURA: Left upper lobe nodule unchanged comment 8 mm current study image 25 series 6, previously 8 mm.Previously described right lower lobe mass now impossible to separate ... | Enlarging primary tumor and abdominal metastasis, with increased right base atelectasis. |
Generate impression based on findings. | Headache, stroke 5-year-old female There is a mild degree of generalized brain atrophy present\A small hypodense focus is present in the left inferior parietal lobule and another one along the right inferior parietal lobule. These are nonspecific.Atherosclerotic calcifications are present along the distal internal caro... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Hypodense foci along the inferior parietal lobules bilaterally are present. These are nonspecific. if clinically appropriate, MRI of the brain may be of further benefit in evaluating them. Differential considerations may include posterior reversible... |
Generate impression based on findings. | Intracranial hemorrhage. Fall . loss of consciousness CT head:The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized portions o... | 1.No evidence for cervical spine fracture2.No evidence for acute intracranial hemorrhage mass effect or edema.3.Multilevel degenerative changes are present in the cervical spine with some mild neural foramina encroachment at C5-6 and C6-7. |
Generate impression based on findings. | Male 37 years old; Reason: r/o SBO History: pain ABDOMEN: The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowel. Given these limitations, the following observations were made:LUNGS BASES: Bibasilar atelectasis noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPL... | 1.Mild dilation of the proximal jejunum. Differential considerations include partial obstruction from adhesions, ileus, or slow progression of oral contrast. |
Generate impression based on findings. | Intracranial hemorrhage. Fall . loss of consciousness CT head:The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized portions o... | 1.No evidence for cervical spine fracture2.No evidence for acute intracranial hemorrhage mass effect or edema.3.Multilevel degenerative changes are present in the cervical spine with some mild neural foramina encroachment at C5-6 and C6-7. |
Generate impression based on findings. | 75 year old female. Abdominal pain. Evaluate for infection. ABDOMEN:LUNG BASES: A right lower lobe lung nodule measures 9 x 10 mm as compared to 6 x 8 mm (series 5, image 26), not significantly changed accounting for differences in slice selection. Bibasilar atelectasis/scarring. LIVER, BILIARY TRACT: Post-surgical cha... | 1. No acute abnormality is evident to explain the patient's symptoms.2. Unchanged mild dilatation of the right renal collecting system. |
Generate impression based on findings. | 65 year old female with a history of lung nodule. LUNGS AND PLEURA: Reference right lower lobe spiculated mass measures 21 x 19 mm, previously 22 x 18 mm (73; series 5).Although the size is not significantly changed, there is interval development of internal air bronchograms, which may represent treatment response.Scat... | Persistent right lower lobe spiculated mass suspicious for primary lung malignancy, not significantly changed in size when allowing for differences in technique. |
Generate impression based on findings. | 33 year-old female. Abdominal pain. Evaluate for cholecystitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No focal hepatic mass. No biliary ductal dilatation. Gallbladder is unremarkable. SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No... | Appendix is not distinctly visualized; however, no definite secondary findings of appendicitis are evident. |
Generate impression based on findings. | 37 year-old male. History of ADPKD. Mild pain in the right upper quadrant radiating to right back. Evaluate for nephrolithiasis, sizes of kidneys and cystic liver. Lack of intravenous and oral contrast decreases the sensitivity for the detection of solid organ and bowel pathology. Given this limitation, the following o... | 1. Findings consistent with polycystic kidney and liver disease. No nephrolithiasis.2. Maximal dimension measurements of both kidneys are provided above. |
Generate impression based on findings. | 88 year old with headache, evaluate for intracranial bleed. VENTRICLES/CSF SPACES:No midline shift. CSF spaces are prominent for patients age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage. Moderate periventricular and subcortical white matter hypodensity, likely represents moderate chronic small vesse... | No evidence of acute infarct. Moderate periventricular and subcortical white matter hypodensity likely representing moderate chronic small vessel disease of indeterminate age. |
Generate impression based on findings. | 37 year old with seizure, evaluate for bleed. VENTRICLES/CSF SPACES:Cortical sulci and size of the lateral ventricles are large for patient stated age and suggest parenchymal volume loss. This is stable from the 2003 exam.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage.FLUID:No fluid collections. No evi... | 1.No evidence of acute intracranial hemorrhage or infarct.2.Prominence of cortical sulci and large size of lateral ventricles is more than expected for patient stated age suggesting parenchymal volume loss, stable from 2003. |
Generate impression based on findings. | Leukocytosis, fever, anemia and bacteremia status post port removal. LUNGS AND PLEURA: Moderate bilateral pleural effusions. Diffuse groundglass and interstitial opacity consistent with edema. Nonspecific bibasal ground glass and air space opacity which may be due to aspirate or infection. A small, 1-2 cm peripheral no... | 1. Moderate bilateral pleural effusions.2. Pulmonary edema.3. Nonspecific bibasal ground glass and air space opacity and a small peripheral nodular opacity in the right upper lobe which may be due to aspirate or infection. 4. Lymphadenopathy.5. Other findings as above. |
Generate impression based on findings. | 2-year-old emesis and intermittent lethargy. VENTRICLES/CSF SPACES: Unchanged from the prior exam is a ventriculostomy catheter that terminates in the vellum interpositum. Ventricle sizes are stable in appearance from the prior MR exam.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or intra-axial hemorrhage.FLUID:No... | 1.No acute intracranial process. 2.Stable appearance to the size of the ventricles, a ventriculostomy catheter terminates in the vellum interpositum. |
Generate impression based on findings. | Female, 30 years old, with neck pain. Evaluate for abscess. The left submandibular gland is edematous and the surrounding fat planes are infiltrated. No evidence of any focal glandular lesion is seen or of ductal stones. Scattered prominent cervical lymph nodes, more so on the left, are likely reactive.The remaining sa... | Sialadenitis of the left submandibular gland. No evidence of neck abscess. |
Generate impression based on findings. | 63 year old male. Pancreatic cancer. Restaging. Status post chemo and radiation. CHEST:LUNGS AND PLEURA: Several micronodules are unchanged. No suspicious nodules or masses. No focal airspace consolidation or pleural effusion.MEDIASTINUM AND HILA: Atherosclerotic calcification of the thoracic aorta. Severe native coron... | 1. No significant interval change in pancreatic mass and celiac axis encasement by tumor.2. Stable occlusion of the splenic vein. |
Generate impression based on findings. | ILD eval, dyspnea LUNGS AND PLEURA: Bilateral, relatively peripheral diffuse interstitial abnormality with traction bronchiectasis. There is no distinct apicobasal gradient. There are probable areas of honeycombing. The upper lobes appear to be affected with centrilobular and paraseptal emphysema. No discrete nodularit... | Interstitial fibrosis in a pattern which is most likely due to UIP, though some of the findings are atypical. Superimposed emphysema makes evaluation of honeycombing more difficult. Chronic HP and NSIP are additional considerations. |
Generate impression based on findings. | Metastatic thyroid cancer on treatment. Evaluate for disease progression with measurements. CHEST:LUNGS AND PLEURA: Multiple scattered calcified and noncalcified pulmonary micronodules appear similar to the previous exams. A 5-mm micronodule in the right middle lobe is unchanged (image 50, series 4). In addition a micr... | Stable pulmonary nodules. Nodules in thyroid bed are grossly unchanged, see neck CT report for further details. |
Generate impression based on findings. | Malignant neoplasm of brain, essential hypertension . Patient is status post left occipital craniotomy. Hypodensity involving much of the left occipital lobe and a the splenium of the corpus callosum associated with some narrowing of the occipital horn of the left lateral ventricle. Hypodensity extends into the left te... | 1.No evidence for acute intracranial hemorrhage.2.Known neoplasm involving the left occipital lobe, splenium of corpus callosum, temporal lobe and parietal lobe. Please refer to MRI of the brain with contrast for further comments. |
Generate impression based on findings. | Reason: 65 male with AML, neutropenic fever, r/o infiltrate History: Neutropenic fever LUNGS AND PLEURA: Multi-lobulated right upper lobe predominant masslike opacities comment near complete opacifying the superior aspect of the right hemithorax. Although the left lung is primarily spared, the right middle and right lo... | Extensive masslike areas of consolidation, right lung predominant, consistent with infection, likely fungal in etiology. |
Generate impression based on findings. | Clinical question: f/u vertebral anatomySigns and Symptoms: c1/2 ligamentous injury Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET crite... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease. The left vertebral artery is tortuous but not compromised by the rotatory subluxation3.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 an... |
Generate impression based on findings. | Lung nodule found on head and neck CT. LUNGS AND PLEURA: 8mm irregular nodule in left upper lobe (image 77/300 Hi res series).Part solid, part ground glass 10-mm nodule in the anterior left upper lobe (image 108/300). The solid component is roughly 5 mm. Subpleural micronodule measuring < 4 mm in left lower lobe (image... | Two nodules in the left upper lobe as described above. The 10 mm part solid, part ground glass nodule is nonspecific but is the most concerning for malignancy, such as an indolent adenocarcinoma. Typically, a CT follow up is obtained in 3 months to confirm presence. If the nodule is still present and the solid componen... |
Generate impression based on findings. | History of head and neck squamous cell carcinoma, completed therapy 7/26/2013 CHEST:LUNGS AND PLEURA: Centrilobular and tree in bud nodular opacities, predominantly in the right middle lobe, highly suggestive of aspiration, especially considering aspirated debris seen in right mainstem bronchus. Scattered punctate micr... | No evidence of metastatic disease. Findings consistent with recurrent aspiration. |
Generate impression based on findings. | 65 neural male with AML experiencing neutropenic fever The ostiomeatal complex units are patent bilaterally. Redemonstrated is a small soft tissue density along than right nasal passage which has increased in size. Additionally, a previously demonstrated much smaller focus within the left nasal passage has significantl... | 1.Redemonstrated is a small soft tissue density along than right nasal passage which has increased in size. Additionally, a previously demonstrated much smaller focus within the left nasal passage has significantly increased in size. Both demonstrate soft tissue density and may reflect enlarged loculated foci of mucosa... |
Generate impression based on findings. | 72-year-old female with previous history of bilateral lung cancer, status post chemo/RT CHEST:LUNGS AND PLEURA: Status post right lower lobe wedge resection.Left lower lobe nodular opacity (image 28 series 5) measures 10 x 5 mm , previously 11 mm x 5 mm .Reference nodular opacity (image 28 series 5) posteriorly in the ... | 1.Increasing groundglass opacity in the left upper lobe adjacent to the fissure. Persistent left upper and lower lobe nodular opacities. This does raise the question of a primary neoplasm, although inflammatory etiologies could also be considered.2.Right apical subpleural nodular density is stable |
Generate impression based on findings. | 57 yo M hx of BRCA2, former smoker (30+ years, 1-2 ppd, quit 15 y ago) - screening for lung cancer LUNGS AND PLEURA: Punctate 1 -- 2-mm micronodule in medial left upper lobe (image 41/114). Scattered small perifissural micronodules on the right (image 52/114) likely post inflammatory nodes. Nonspecific patchy groundgla... | Punctate 1-2 mm micronodule in the left upper lobe which is most likely postinflammatory. However, in patients with a history of smoking, current recommendations are to follow nodules <4 mm with a 12 month CT to confirm stability and exclude the remote possibility that there is growth/evidence of malignancy. |
Generate impression based on findings. | Male 20 years old Reason: assess for hematuria History: microscopic hematuria, cystoscopy negative ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant ab... | 1.No evidence of nephrolithiasis or ureterolithiasis.2.No evident renal mass. |
Generate impression based on findings. | 70 year-old female. Palpable superficial mass in the right lower quadrant. Evaluate for mass. EPIC history: palpable 5 cm mass, firm right lower quadrant, nontender. ABDOMEN:LUNG BASES: Right basilar patchy opacities, may represent atelectasis and aspiration. Calcified right hilar nodes related to healed granulomatous ... | 1. No superificial abdominal wall lesion to correlate to the palpable abnormality in the right lower quadrant.2. Calcified atherosclerotic disease of the aorta with mildly ectatic infrarenal aorta.3. Right basilar atelectasis and/or aspiration. |
Generate impression based on findings. | Syncope and collapse Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no significant stenosis at the carotid bifurcation... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease3.hypodense lesion involving left centrum semiovale and left basal ganglia and internal capsule has been present since June where it was in the acute phase and likely represents prior infarction4.Periventricular and subcortical white matter c... |
Generate impression based on findings. | 60 year-old metastatic thyroid cancer. Evaluate for disease progression. CT neck:Soft tissues:Postsurgical changes identified from thyroid resection and soft tissue neck dissection.More prominent than on the prior exam, is a 12 x 10 mm heterogeneously, minimally enhancing soft tissue nodule just anterior to the esophag... | 1.12 x 10 mm heterogeneously, minimally enhancing soft tissue nodule just anterior to the esophagus causing mass effect on the posterior aspect of the trachea. Recommend laryngoscope for direct visualization or MRI of larynx as clinically indicated.2.Stable 20 x 16mm cystic lesion anterior to the left sternocleidomasto... |
Generate impression based on findings. | Male 76 years old Reason: hematuria workup History: hematuria x 3, Prostate cancer and radiation therapy ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is a fluid density with a lobular margin and single septation in segment 4a/b, consistent with a minimally complex hepatic cyst. There ... | 1.Bilateral punctate renal calcifications, which likely represent nephrolithiasis versus vascular calcification. 2.No evidence of hydronephrosis or hydroureter. 3.No evident focal mass lesion within the kidneys, ureter or bladder. |
Generate impression based on findings. | 48 year old male with chest pain. Rule out coronary artery disease. Height: 5'9"Weight: 185 lbsBSA: 2 m^2BMI: 27.3 kg/m^2Calcium Score:LM: 0LAD: 0LCx: 0.6RCA: 0Total: 0.8, This represents the 56% for this patient's age and gender.Cardiac Function and Morphology:Left Ventricle:EDV: 148 ml The left ventricle is normal in... | 1.Normal left ventricular size and shape.2.Total Calcium score was 0.8; 56% for age and gender.3.No significant coronary plaque. |
Generate impression based on findings. | 58-year-old male. Urothelial cancer. Evaluate for recurrence. Lack of intravenous and oral contrast limits evaluation for solid organ and bowel pathology. Given this limitation, the following observations were made.CHEST:LUNGS AND PLEURA: Multiple calcified pulmonary nodules bilaterally consistent with healed granuloma... | 1. Postsurgical changes of cystoprostatectomy and neobladder with ureteral diversion. No definite evidence of metastasis.2. Atrophic small left kidney with perinephric fat stranding, probably related chronic left UVJ obstruction as seen on prior CT.3. Geographic lytic lesion in the right acetabulum is most likely benig... |
Generate impression based on findings. | Female 64 years old Reason: assess for progressive disease History: left sided abdominal pain. Additional history from EPIC indicates that she is status post BSO, hysterectomy,omentectomy, and bilateral pelvic and para-aortic lymph node dissection on 4/2/2012 withpathology showing borderline tumor of the ovary with mic... | 1.Multiple hypodense cystic lesions in both renal calices consistent with renal sinus cysts.2.No evidence of metastatic disease.3.Diverticulosis without evidence of inflammation. |
Generate impression based on findings. | Reason: metastatic breast CA to rib, on hormonal therapy. followup History: enlarging left breast mass CHEST:LUNGS AND PLEURA: Stable nonspecific micronodules and scarring at the lung bases. No new suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy... | 1.Left breast mass with slight interval increase in size as well as increase in skin thickening involving left breast.2.Increase in permeative osteolytic lesion involving the left seventh rib posteriorly.3.No new sites of disease identified. |
Generate impression based on findings. | 54 year old male. Reason: restaging scans s/p 2 cycles of oral systemic therapy. History: hx of metastatic renal cell cancer. CHEST:LUNGS AND PLEURA: Diffuse bilateral pulmonary nodules. For reference, in right upper lobe there is a 1.2 cm diameter nodule at image 60 of series 4. MEDIASTINUM AND HILA: No significant ab... | Left renal masses. Cystic lesions in the liver. Bilateral pulmonary nodules. L2 vertebral body healing metastasis. |
Generate impression based on findings. | Reason: Patient with a h/o scca tonsil s/p crt.Had ORN of mandible s/p surgical resection. PLease eval interval change. History: SCCA tonsil LUNGS AND PLEURA: Punctate micronodules, the largest which are calcified, are stable and presumably post inflammatory.MEDIASTINUM AND HILA: Scattered small subcentimeter lymph nod... | No evidence of metastatic disease. |
Generate impression based on findings. | Female 69 years old; Reason: pt with metastatic breast cancer please assess response to therapy and compare to previous imaging History: MBC CHEST:LUNGS AND PLEURA: Small calcified micronodules consistent with previous granulomatous infection. No suspicious nodules.Mild chronic reticular and ground-glass interstitial o... | 1.Stable nodularity in the right breast with stable inguinal nodal involvement. 2.Linear enhancement of the left gluteus muscle of unclear etiology. |
Generate impression based on findings. | Female 34 years old; Reason: Pre-Kidney Transplant Evaluation. Evaluate aorta and iliac vessels for kidney transplant History: Hx significant for sclerosing peritonitis, evaluate vessels for kidney transplant ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SP... | 1.Minimal / mild calcific arteriosclerotic disease of the abdominal aorta and external iliac vessels.2.Large bilateral adnexal cysts, follow up pelvic sonography is suggested if not previously performed. |
Generate impression based on findings. | Reason: pt with h/o lymphoma > 20 yrs ago now with lung ca s/p chemo/rt/resection History: now on oral agent Tarceva needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Right lung volume loss following resection of the right middle lower lobes. Moderate loculated pleural effusion and... | 1.Persistent right hydropneumothorax suggestive of a bronchopleural fistula slightly decreased in size from the prior exam.2.No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 37 year old female. Reason: r/o stone History: R flank pain, RLQ abd pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, U... | Multiple bilateral punctate renal calculi. No obstructing urinary calculi. No hydronephrosis or hydroureter. No specific abnormality to explain RLQ pain. Normal appendix. |
Generate impression based on findings. | Male, 75 years old, squamous cell carcinoma of the palate. No intracranial mass, focal edema or pathologic enhancement is demonstrated to suggest metastatic disease to the brain. Encephalomalacia involving the right caudate head and basal ganglia is redemonstrated consistent with prior ischemia. No suspicious or concer... | 1. A bulky soft palate tumor seen on the prior examination is no longer distinctly visualized, which likely represents a combination of surgical change and response to medical treatment.2. A reference left level 2 lymph node has decreased in size. No new pathologic adenopathy detected.3. No intracranial metastatic dise... |
Generate impression based on findings. | Lumbar back pain Five lumbar type vertebral bodies are presumed to be present. There is diffuse osteopenia present. There is approximately 30% loss of vertebral body height at L3 and about 10% loss of the true body height at L1 and 30% loss of body height at T11.At L5-S1 there is no significant compromise to spinal can... | 1.Osteopenia with mild compression fractures at the L3, L1 and T11. Please correlate with clinical history for possibility of osteoporosis.2.Degenerative changes are present in the lumbar spine worse at L4-5 and L5-S1 where there is marked facet hypertrophy and mild subluxation3.Ascites. Please correlate with clinical ... |
Generate impression based on findings. | Localization and related epilepsy and the optic syndrome. Malignant neoplasm of the tonsil CT neck:The patient is status post right partial mandibulectomy and placement of prosthesis. Surgical clips are present in the right submandibular space. The right submandibular gland has been removed.Within the suprahyoid neck o... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.No evidence for brain metastases.3.Status post right upper mandibulectomy and removal of right submandibular gland. |
Generate impression based on findings. | Reason: Pt with metastatice HNC s/p 4 cycles of 5-FU q21 days. Please re-eval and compare to prior scans History: as above CHEST:LUNGS AND PLEURA: Multiple pulmonary metastases.Reference anterior right upper lobe nodule (series 5 image 237) 22 x 17 mm (22 x 16 mm previously).Lingular nodule (series 5 image 58) 25 x 23 ... | Grossly stable metastases with measurements as above. No new sites of disease. |
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 left anterior subpleural reticulation and bronchiectasis, compatible with post radia... | Stable CT with no definitive evidence of metastatic disease. A subcentimeter left axillary lymph node is stable. |
Generate impression based on findings. | Reason: evaluate ILD History: cough hypoxemia sob LUNGS AND PLEURA: Basilar predominant fibrosis consisting of subpleural reticular opacities, scattered regions of honeycombing, traction bronchiectasis.No significant groundglass opacity is present.Expiration series show no evidence of air trapping.MEDIASTINUM AND HILA:... | Moderate to severe interstitial lung disease, a pattern most consistent with UIP. Mild distal esophageal dilatation may indicate scleroderma. |
Generate impression based on findings. | Reason: evaluate ILD History: cough sob fibrosis outside LUNGS AND PLEURA: Severe basilar predominant pulmonary fibrosis consisting of reticular opacities, honeycombing and traction bronchiectasis.No groundglass opacity is noted.Expiration series show no evidence of air trapping.MEDIASTINUM AND HILA: Slight enlargement... | Severe interstitial lung disease consistent with UIP. |
Generate impression based on findings. | Reason: 67-year-old male with a history of mesothelioma, s/p 4 cycles of chemo. please evaluate for disease and compare with scan from 7/9/13 using same target lesions History: mesothelioma CHEST:LUNGS AND PLEURA: Volume loss and extensive pleural thickening in the left hemithorax consistent with mesothelioma.Diffuse p... | Slight interval decrease in tumor measurements and pleural thickening/nodularity in the left hemithorax as described above. |
Generate impression based on findings. | Male 60 years old Reason: newly diagnosed DLBCL, nongerminal center phenotype after a biopsy of a mucosal lesion on the L maxillary alveolar ridge in need of initial CT scans for staging. History: DLBC Lymphoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality note... | 1.No evidence of lymphadenopathy.2.Calcific changes are consistent with atherosclerosis in the abdominal aorta and its branches. |
Generate impression based on findings. | Clinical question: carotid stenosis and aneurysm , 6 month follow up with CTA in amSigns and Symptoms: 6 month follow up carotid stenosis and unruptured cerebral aneurysm Neck CTA: The origin of the innominate artery measures 5 mm in diameter. Distal to this the innominate artery measures 15 mm and the more distal to t... | 1.Findings indicate small bilateral communicating segment aneurysms. These are stable since 1/31/13.2.60% stenosis at the origin of the right vertebral artery is new since the prior exam.3.There is a 65% stenosis present at the origin of the right internal carotid artery due to atherosclerosis. This is stable since 1/3... |
Generate impression based on findings. | Female 65 years old Reason: pt history ovarian cancer currently receiving treatment - eval for response/progression, compare with previous using measurements if applicable History: see above CHEST:LUNGS AND PLEURA: The referenced right lower lobe nodule seen on the prior CT scan now measures 6 mm (image 54, series 3), ... | 1.Stable mediastinal lymphadenopathy.2.Interval decrease in size of previously seen hepatic metastasis.3.Stable peritoneal carcinomatosis.4.Numerous osseous lesions in the right hemipelvis, lumbar spine and thoracic spine, which appear stable since the prior CT examination. |
Generate impression based on findings. | 64-year-old female. Abdominal bloating. Assess response to chemotherapy. History of ovarian cancer. CHEST:LUNGS AND PLEURA: Calcified nodules in the right lung consistent with prior granulomatous disease. No suspicious nodule or mass is evident. MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Calcified s... | Significant interval decrease in abdominopelvic ascites and peritoneal carcinomatosis. |
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