instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | 45 year old female with a history of brain lesions and borderline ACE in serum. Evaluate for sarcoidosis. LUNGS AND PLEURA: Note is made of scattered bilateral pulmonary nodules some of which likely represent intrapulmonary lymph nodes, appearing similar to the prior study. No new nodules or suspicious masses are ident... | 1. Prominent mediastinal lymph nodes with interval decrease in size . No pulmonary evidence of sarcoidosis.2. Persistent right adrenal mass which is incompletely characterized but likely represents a myelolipoma. |
Generate impression based on findings. | Female 40 years old; Reason: rule out upper urinary tract lesions History: microhematuria ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Hypodense subcentimeter segment 7/8 lesion (image 28/series 7) too small to accurately characterize. No suspicious lesions. Hepatic and portal veins are p... | 1.No nephrolithiasis or hydronephrosis. 2.No suspicious renal lesions. |
Generate impression based on findings. | Reason: h/o meningioma 2008 dx at northwestern. no scans here History: rhinorrhea with eating The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a rounded, dense, extraaxial mass overlying the right frontoparietal lobe measuring 19 x 12 mm with a broad dural base, consistent wit... | 1. Small meningioma.2. Mild small-vessel ischemic disease of indeterminate age. 3. Clear sinuses. |
Generate impression based on findings. | Female, 58 years old, history of esophageal cancer. Diffuse stranding through the fascial planes of the neck is redemonstrated. Mucosal edema involving the supraglottic larynx and to some degree the pharynx is similar to the prior exam. Within the neck, no focal masses or pathologic enhancement is detected. There are n... | 1. Treatment related change in the neck is stable relative to the prior examination.2. No evidence of progressive disease is seen in the neck.3. A dedicated chest CT will be dictated separately. |
Generate impression based on findings. | 48-year-old female. Rectal cancer restaging after chemo/RT. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. CHEST WALL: Bilateral prominent bilateral axillary lymph nodes. For reference. a left axillary node measures 1.6 x 0.8 cm (series 3... | 1. Eccentric wall thickening of rectum with extraluminal foci of air is consistent with post-treatment effect of known rectal cancer. 2. Interval decrease in size of pelvic and inguinal lymphadenopathy.3. Bilateral nephroureteral stents. Right moderate hydronephrosis. |
Generate impression based on findings. | Male, 22 years old, with chronic nasal polyps and history of sinus surgery. The frontal sinuses are expanded and completely opacified with soft tissue material. The ethmoid air cells are nearly completely opacified but not expanded. The sphenoid sinuses are completely opacified but not expanded.Peripheral soft tissue t... | Extensive soft tissue opacification of the maxillary sinuses and the nasal cavity compatible with the history of polyposis. There may be some superimposed active sinusitis at least within the maxillary sinuses. |
Generate impression based on findings. | Reason: head and neck cancer History: head and neck cancer CHEST:LUNGS AND PLEURA: Multiple, bilateral pulmonary nodules consistent with metastases. For continued reference a right lower lobe nodule measures 20 x 16 mm on image 53/102 (18 x 13 mm on prior). Newly linear atelectasis or scarring at right lung base. Posto... | Pulmonary and hepatic metastases have increased in the interval. Spinal lesions are more likely hemangiomas than metastases though continued follow up is recommended. |
Generate impression based on findings. | Male, 60 years old, history of newly diagnosed diffuse large B-cell lymphoma, non-germinal center phenotype after a biopsy of a mucosal lesion on the left maxillary alveolar ridge. In need of initial CT scans for staging. Brain parenchymal morphology and attenuation is within normal limits. No focal masses or pathologi... | 1. Extraconal soft tissue process within the medial right orbit most suggestive of lymphomatous involvement given the patient's history.2. Mucosal thickening and bony lysis along the left maxillary alveolar ridge is also compatible with lymphoma, particularly if this is the site of biopsy. There is the suggestion of in... |
Generate impression based on findings. | 59-year-old female. Evaluate retroperitoneal fibrosis and ureters. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS:... | 1. Stable retroperitoneal soft tissue draping over the distal aorta and iliac vessels, consistent with stated history of retroperitoneal fibrosis.2. Moderate bilateral hydronephrosis in presence of nephroureteral stents. |
Generate impression based on findings. | Male 58 years old; Reason: Hx of Follicular NHL. History: Evaluate extent of disease CHEST:LUNGS AND PLEURA: Scattered areas of atelectasis. No dominant lung lesion. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. Few scattered mediastinal lymph nodes.CHEST WALL: Stable... | 1.Stable lymphadenopathy in the retroperitoneum and mesentery.2.Increased lymphadenopathy in the right iliac fossa.3.Stable left thoracic inlet lymphadenopathy. |
Generate impression based on findings. | 79 year old female with AMS. NONCONTRAST CT HEADRedemonstrated is a large parenchymal hematoma involving the left frontal and temporal lobes, appearing mildly expanded in size. There is surrounding vasogenic edema and significant mass effect, causing effacement of the left lateral and third ventricle. Interval extensio... | 1.Slight interval expansion of large left-sided parenchymal hematoma and associated mass effect, with new extension of hemorrhage into the left lateral ventricle. 2.No evidence of aneurysm, significant stenosis, occlusive thrombus, dissection, or vascular malformation on CTA examination of the head and neck. |
Generate impression based on findings. | 43 year old status post fall with head trauma, evaluate for cervical spine injury. CT brain:VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage.FLUID:No fluid collections. No evidence of hemorrhage.BONE:No fractures. Visualized b... | 1.Unremarkable head CT.2.Mild degenerative changes of the cervical spine without evidence for acute fracture. |
Generate impression based on findings. | 23-year-old female. Status post appendectomy with pain. Evaluate for fluid collection/abscess. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy. No biliary ductal dilatation. No focal hepatic mass lesion.SPLEEN: No significant abnormality notedPANCREAS: No significan... | Expected post-surgical changes of appendectomy without evidence of complication. |
Generate impression based on findings. | 46 year old female. Metastatic breast cancer. Baseline prior to starting new treatment regimen. CHEST:LUNGS AND PLEURA: Numerous micronodules are present bilaterally with slight upper lobe predominance; for reference, there is a 3 mm nodule in the right upper lobe (series 5, image 37). Nodular thickening of both major ... | 1. Left breast necrotic mass with axillary and mediastinal lymphadenopathy.2. Extensive tumor deposit replacing and enlarging the liver.3. Sclerotic thoracolumbar spine and pelvic metastasis. 4. Numerous nodules with slight upper lobe predominance and nodular thickening of the pleural surfaces is suspicious for lymphan... |
Generate impression based on findings. | 72-year-old male with cough and shortness of breath. Evaluate for ILD. LUNGS AND PLEURA: Bilateral reticulation and traction bronchiectasis with a lower lobe predominance. No significant air trapping, consolidation, ground glass opacity or nodularity. Equivocal honeycombing. These findings are most consistent with UIP/... | 1. Interstitial lung disease in a pattern most suggestive of UIP. Less likely considerations are NSIP or chronic HP.2. Compression fractures of T6 and T8 of uncertain chronicity. Subacute left sided rib fractures. |
Generate impression based on findings. | 91 year-old with right paratracheal lesion. Glands:Arising of the right lobe of the thyroid, and projecting posteriorly, is a 10 x 1.5 cm heterogeneously enhancing mass. Within the anterior lobe of the right thyroid, there is approximately a 5.4-mm area of hypodensity. The entire right lobe of the thyroid appears heter... | 1. Heterogenous enhancing mass involving the right lobe of the thyroid, recommend ultrasound exam and biopsy if clinically inidcated. |
Generate impression based on findings. | 66 year old male. Reason: R/O CAD History: Hypercholesterolemia Height: 5' 7"Weight: 185 lbsBSA: 1.96 m^2BMI: 29 kg/m^2Calcium Score:LM: 61.2LAD: 51.3LCx: 17.5RCA: 50.3Total: 180, This represents the 61% for this patient's age and gender.Cardiac Morphology:Left Ventricle:EDV: 119 ml The left ventricle is normal in size... | 1. Total Calcium score was 180; 61% for age and gender.2. Normal ventricular volume and morphology.3. No significant coronary artery stenoses, subject to the limitations of diffuse focal calcifications involving all of the major branches and some motion artifacts. |
Generate impression based on findings. | 30 year-old female with shortness of breath and tachycardia. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus.LUNGS AND PLEURA: No focal consolidation, pleural effusion, or pneumothorax. Mild bronchial wall thickening and basilar atelectasis.MEDIASTINUM AND HILA: Small hiatal hernia.... | 1. No evidence of PE.2. Hypodense lesion in superior pole of left kidney with surrounding inflammatory changes may represent an abscess, complex cyst, or less likely, and underlying mass. Follow up with dedicated renal imaging such as US is recommended.Findings communicated to ED via Stat Consult tool at the time of re... |
Generate impression based on findings. | Reason: History of HNC post CRT evaluate dx and compare measurement to previous scan History: as above CHEST:LUNGS AND PLEURA: Redemonstration of moderate upper lobe predominant paraseptal and centrilobular emphysema.Bronchial wall thickening with tree in bud and peripheral nodular opacities in the lower lobes, similar... | 1.Persistent changes of chronic aspiration/inflammation involving both lung bases.2.No specific evidence of metastatic disease.3.Small pericardial effusion, decreased in size since the prior exam. |
Generate impression based on findings. | Male, 67 years old, history of hypopharyngeal squamous cell cancer, follow up examination. Extensive treatment related change is reidentified in the neck including effacement of fat planes and mucosal edema involving the supraglottic tissues. Since the prior examination, the degree of fascial infiltration has progresse... | Redemonstration of treatment related change in the neck. There is no evidence of recurrent tumor or pathologic adenopathy. |
Generate impression based on findings. | 57-year-old, evaluate for edema, bleed, stroke. Evaluation is limited by technique and extensive extensive streak artifact. Images through the posterior fossa are nondiagnostic. The visualized ventricles and sulci are normal. Previously described area of hypodensity within the middle frontal gyrus of the left frontal l... | Limited exam and nondiagnostic images through the posterior fossa. Single low attenuation focus within the middle frontal gyrus within the left frontal lobe, stable from recent exam, likely small vessel ischemic disease of unknown age. An MRI could be obtained for additional characterization as clinically indicated. |
Generate impression based on findings. | Male 64 years old; Reason: prostate cancer History: prostate cancer ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, U... | 1.Decrease in the size of the retroperitoneal lymphadenopathy. |
Generate impression based on findings. | Reason: r/o bleed History: blunt head trauma Cerebral and cerebellar atrophy are grossly stable from prior study.There is small vessel ischemic disease of indeterminate age.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchy... | 1. No evidence for acute intracranial hemorrhage mass effect or edema.2. Stable cerebral and cerebellar atrophy. |
Generate impression based on findings. | 64-year-old with lightheadedness, rule out head pathology. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage.FLUID:No fluid collections. No evidence of hemorrhage.BONE:No fractures. Visualized bony structures are normal. | 1.No acute intracranial process. |
Generate impression based on findings. | 95 year-old patient with acute-on-chronic subdural hematoma. There's been interval layering of blood products within the right acute-on-chronic subdural hematoma which now forms a well-defined hematocrit level overlying the right frontotemporal convexity. This measures up to 12 mm in maximum transverse dimension (coron... | 1.New hyperdense material layering posteriorly within the left subdural fluid collection most likely representing sequelae of acute subdural hematoma. No measurable increase in size of the fluid collection or significant mass effect.2.Layering of acute blood products within the chronic subdural hematoma over the right ... |
Generate impression based on findings. | Reason: Bleed History: ams The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Several areas of stable encephalomalacia are noted including... | 1. No evidence for acute intracranial hemorrhage mass effect or edema.2. Stable areas of encephalomalacia as detailed above. |
Generate impression based on findings. | Occlusion and stenosis of carotid artery with some mention of cerebral infarction 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 criteri... | 1.There are tandem stenoses present along the right internal carotid artery intracranially. One at the junction of petrous and cavernous portions where is 80% short segment stenosis and one at the clinoid all segment where there is 70% stenosis.2.There is a large 3.5 mm infundibulum at the origin of the right posterior... |
Generate impression based on findings. | 29-year-old female. Intermittent fevers 3 weeks postpartum at 3 weeks. Evaluate for pelvic thrombophlebitis or intra-abdominal abscess. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: A few hypodense subcentimeter foci in the liver are too small to accurately characterize, but likely cysts. No... | No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | 77-year-old male with shortness of breath and cough. Evaluate ILD. LUNGS AND PLEURA: Note is made of reticulation and mild traction bronchiectasis with a slight lower lobe predominance. There is no definite evidence of honeycombing. No focal consolidation, groundglass opacities, or pleural effusion. No evidence of air ... | Mild/moderate nonspecific pulmonary fibrosis with a slight lower lobe predominance. |
Generate impression based on findings. | 71-year-old with fall, confusion, question metastatic lung cancer. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or intra-axial hemorrhage. Chronic, low density focus in left insula is stable from prior exam and likely represents mild sm... | No acute intracranial process. |
Generate impression based on findings. | back and leg pain Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall height. The patient is status post posterior fusion at L5-S1 with bilateral pedicle screws and interconnecting rods . The patient has a laminotomy at 05 S1There some osseous bridging across the right sacroili... | 1.The patient is status post posterior fusion at L5-S1 as well as anterior fusion at L5-S1.2.Metal artifact obscures subtle abnormalities at L5-S1 and L4-5. As a result it is not clear whether there is spinal stenosis or neural frontal encroachment at these3.there is a moderate degree of spinal stenosis at L3-4 related... |
Generate impression based on findings. | Pt in c-collar, could not move head or neck. Pt unable to lay flat. Head was secured but pt confused and moving. Best scan possible. CT head:Periventricular and subcortical white matter hypodensities of a moderate degree are present.Atherosclerotic calcifications are present along the distal internal carotid arteries.N... | 1.No evidence for cervical spine fracture2.No evidence for acute intracranial hemorrhage mass effect or edema.3.There multilevel degenerative changes present in the cervical spine with a mild narrowing of the spinal canal and reversal of the normal cervical curvature and multilevel neural frontal encroachment of the ex... |
Generate impression based on findings. | Female 79 years old; Reason: gastric cancer History: gastric cancer restaging after chemo CHEST:LUNGS AND PLEURA: Left upper lobe sub-pleural fibrosis.The pleural spaces are clear.MEDIASTINUM AND HILA: Right chest port terminates at the cavoatrial junction. No mediastinal lymphadenopathy. Trace pericardial effusion. He... | 1.No significant change in the gastric thickening. Within the limitations of a noncontrast CT, no evident metastatic disease. |
Generate impression based on findings. | Male, 75 years old, history of larynx cancer status post laryngectomy with right neck pain consistent with carotidynia Surgical change consistent with laryngectomy with tracheostomy and neo-pharyngeal reconstruction is demonstrated appearing similar to the prior examination. No evidence of recurrent disease is seen wit... | Redemonstration of surgical change without evidence of recurrent disease. |
Generate impression based on findings. | Male, 90 years old, history of prior tracheostomy, now with vocal fold dysfunction, concern for subglottic stenosis. Partial intracranial views demonstrate calcification of the vertebral arteries and a dolichoectatic basilar artery. There is evidence of parenchymal volume loss and small vessel ischemic disease.The oral... | 1. Enlargement of the right piriform sinus and the bilateral laryngeal ventricles is of uncertain significance. The glottis itself appears symmetric and normal.2. The subglottic airway is irregular but patent throughout. There is an area of relatively mild transverse narrowing just below the sternal notch. At precisely... |
Generate impression based on findings. | evaluate for change .SAH , headache 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 lateral ventricles. There is now some blood in the lateral ventricles. The s... | 1.Continued evolution of subarachnoid hemorrhage with mild dilation of the temporal horns of the lateral ventricles. Stable since the prior exam. |
Generate impression based on findings. | Clinical question: Normal pressure hydrocephalus. signs and symptoms: Headache. Nonenhanced head CT:No acute intracranial process.There is moderate dilation of the supratentorial ventricular system with out abnormality of cerebral cortical sulci. The third ventricle is only minimally enlarged.Images through posterior f... | 1.No acute intracranial process.2.Minute age indeterminate small vessel ischemic strokes.3.Moderate enlargement of lateral ventricles and normal to minimally dilate the third ventricle as detailed above. |
Generate impression based on findings. | 83 yo. After the scan noticed patient bleeding from the neck tumor, took patient back to er after the scan informed the er service The patient is status-post right-sided mandibulectomy and metallic prosthesis. There are metallic screws extending into the symphysis of the mandible as well as the neck of the mandible. Th... | 1.Since the prior exam a large mass located in the superficial aspect of the right neck extending to the skin surface has a significantly enlarged. It is associated with the right at suprahyoid level 2 lymphadenopathy.2.There is a venous structure extending from the tumor mass skin surface where is irregular and draini... |
Generate impression based on findings. | Clinical question: Rule out stroke. Signs and symptoms: Confusion and worsening of headache. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Small linear focus of low-attenuation extending from right lateral ventricle through... | No acute intracranial process. |
Generate impression based on findings. | Clinical question: Evaluate for acute brain injury. Signs and symptoms: Altered mental status. Unenhanced head CT:There is no detectable acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic strokes thereunremarkable cerebral cortex, cortical sulci, ventricular system, CSF cistern... | 1.No acute intracranial process.2.Extensive long-standing chronic sinusitis of left maxillary sinus and is partially opacified left anterior ethmoid air cell and left chamber of the sphenoid sinus with interval worsening since prior exam there |
Generate impression based on findings. | Systemic lupus erythematosus. Unspecified cerebral artery occlusion with cerebral infarction. Head: There are unchanged areas of encephalomalacia in the left the PCA territory, involving the left PCA territory and right MCA territory, involving the superior temporal and middle frontal gyri. No intracranial mass or hemo... | 1. Unchanged areas of encephalomalacia, compatible with chronic left PCA and right MCA territory infarcts. However, CT is relatively insensitive for acute cerebral infarction and if there is clinical concern for this, MRI is recommended.2. Hypodensity within the inferior right internal jugular vein surrounding the veno... |
Generate impression based on findings. | Reason: bronchiectasis, mass, cavitary lesions? History: hemoptysis, renal insufficiency and LUNGS AND PLEURA: Mixed paraseptal and centrilobular emphysema as well as scattered pulmonary cysts is present is present. Patchy lingular air space opacity is superimposed on emphysema in the lingula, and appears somewhat roun... | 1. Severe emphysema with a lingular opacity suggestive of infection or aspiration. This should be followed to resolution to exclude underlying tumor, however.2. Hemorrhage or aspirated material affects the left-sided central airways.3. Chronic pancreatitis with dense calcification. |
Generate impression based on findings. | Male 29 years old Reason: kidney stone History: L groin pain, nausea, vomiting Evaluation of the parenchyma of the abdominal organs is limited by the lack of intravenous contrast.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: The liver demonstrates heterogeneous, hypodense parenchyma with foc... | 1.Obstructing renal stone seen at the left ureterovesicular junction with proximal dilatation of the ureter and renal collecting system.2.Heterogeneous, hypodense hepatic parenchyma with associated focal sparing, consistent with hepatic steatosis. |
Generate impression based on findings. | Clinical impression: Unequal pupils in setting of hypertension with systolic blood pressure over 200, evaluate for stroke. Signs and symptoms: As above. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Subtle perivent... | 1.No acute intracranial process.2.Mild age indeterminate small vessel ischemic stroke.3.Acute left maxillary and right posterior ethmoid sinusitis and minimal chronic sinus disease of other paranasal sinuses. |
Generate impression based on findings. | Reason: evaluate for PE History: dyspnea with exertion PULMONARY ARTERIES: Technically adequate examination without evidence of pulmonary embolism. Normal caliber pulmonary artery without evidence of right heart strain.LUNGS AND PLEURA: Mild dependent atelectasis is present, the lungs are otherwise unremarkable. MEDIAS... | No evidence of pulmonary embolism, or other significant abnormality. |
Generate impression based on findings. | 51-year-old female. Status post renal transplant. CXR in clinic with free air. Evaluate for source of free air. EPIC history: renal transplant performed on 8/15. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No... | 1. Two large mesenteric fluid collections with air/debris described above, and probably communicate with smaller interloop collections. 2. Thickened sigmoid colon wall with potential pneumatosis adjacent to inferior large collection and may be source of bowel perforation, either from primary inflammatory bowel process ... |
Generate impression based on findings. | 61-year-old male with hepatitis C and alcohol cirrhosis admitted with persistent E. coli bacteremia, spontaneous bacterial peritonitis -- evaluate for intra-abdominal source or abscess. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Liver, again shows cirrhotic morphology without change. Port... | 1. Marked cirrhotic morphology liver, without change. 2 gallstones without complication seen. 3. Increasing amount of ascites without loculation seen to suggest abscess. 4. Right nephrolithiasis, unchanged. |
Generate impression based on findings. | 64-year-old female with history of PE presents with persistent shortness of breath. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. No definitive evidence of right heart strain.LUNGS AND PLEURA: Biapical scarring/atelectasis. Centrilobular and paraseptal emphysema with an upper lob... | 1. No evidence of pulmonary embolus.2. Centrilobular and paraseptal emphysema with an upper lobe predominance.3. Mild bronchial wall thickening may represent bronchiolitis or reactive airway disease.4. L1 vertebral body compression fracture of indeterminate age. |
Generate impression based on findings. | Female 56 years old Reason: hepatobiliary pathology History: RUQ/epigastri abd pain, h/o choly, h/o appy, h/o gastric bypass now w/ elevated AST/ALT, alk phos ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is evidence of minimal intrahepatic and moderate extrahepatic biliary ductal dila... | 1.Extrahepatic biliary ductal dilatation to the level of the ampulla without associated abnormality. Given the elevation in alk phos, obstruction is possible. If clinical suspicion of obstruction exists, further evaluation may be warranted. |
Generate impression based on findings. | Reason: 77yo w/met breast CA, on chemo. Admit with increased abdominal pain. Requesting CT w/only IV (no need for oral) to evaluate for progression of disease or other pathology History: abdominal pain CHEST:LUNGS AND PLEURA: Loculated right-sided pleural effusion unchanged from the prior exam.Right pleural nodularity ... | 1.Loculated right pleural effusion with i interval ncrease in right pleural nodularity presumably representing pleural seeding.2.Increase in interlobular septal thickening and patchy ground glass opacities in the right middle and upper lobes, compatible with edema.3.Stable to slight increase in size of multiple soft ti... |
Generate impression based on findings. | 78-year-old male with abdominal pain, right lower quadrant. ABDOMEN:LUNG BASES: No significant abnormality noted in normal appearing parenchyma and vascular structures. Gallstones again seen without complication. No intrahepatic or extrahepatic biliary duct dilatation seen.LIVER, BILIARY TRACT: No significant abnormali... | 1. Interval reduction of prior noted right inguinal hernia. 2. No evidence of bowel obstruction or bowel wall abnormality. 3. No other significant abnormalities seen. |
Generate impression based on findings. | Right lower quadrant abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality not... | Acute appendicitis with appendicolith. Probable discontinuity of the distal appendiceal wall with associated loculated fluid suggestive for perforation and early abscess formation. Mild diffuse ascites |
Generate impression based on findings. | 59 year old female with dyspnea and tachycardia and history of ovarian carcinoma. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. No evidence of right heart strain.LUNGS AND PLEURA: Note is made of multifocal bilateral scattered nodular consolidation and groundglass opacities with ... | 1. No evidence of pulmonary embolus.2. Multifocal bilateral scattered consolidation and groundglass opacities with associated bilateral hilar lymphadenopathy as well as a small right pleural effusion. These findings are suspicious for metastatic disease given the stated history of ovarian carcinoma. 3. 7.5-cm mass in t... |
Generate impression based on findings. | 73-year-old female with swelling, mass or lump in head and neck. Rule-out primary tumor in chest, abdomen or pelvis. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No adenopathy or masses. Coronary artery calcification seen.CHEST WALL: Thyroid nodules. Asymmetry of the breast tissue with... | 1. Thyroid nodules. 2. Asymmetric soft tissue densities in right breast -- CT is unable to characterize, soft tissues in the breast -- if concern over breast mass exists, mammography or MR examination could better characterize these tissues. 3. Abnormality seen. |
Generate impression based on findings. | Patient with history of recurrent retropharyngeal abscess with mediastinitis and now with fistulous tract to esophagus. Please evaluate for worsening findings compared to OSH imaging. There are postoperative findings related to intraoral incision and drainage, left neck exploration, removal of cervical hardware, and se... | 1. Persistent retropharyngeal and prevertebral space collection that extends into the upper left mediastinum with fistulous track to the skin anterior to the left sternocleidomastoid muscle at the level of the thyroid gland with associated cellulitis and myositis. The previously described fistulous tract with hypophary... |
Generate impression based on findings. | Male 19 years old Reason: appendicitis History: RLQ pain, nausea ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is no evidence of intrahepatic biliary ductal dilatation or focal mass lesion. There is no evidence of cholelithiasis, choledocholithiasis or extrahepatic biliary ductal dilat... | 1.Small amount of dependent free fluid seen within the pelvis of unclear significance.2.No evidence of appendicitis, diverticulitis or other etiology found to explain the patient's right lower quadrant pain. |
Generate impression based on findings. | Reason: evaluate pleural effusion, size/etiologies History: s/p lung transplant LUNGS AND PLEURA: Status post bilateral lung transplant.A small to moderate sized right hydropneumothorax, and a smaller left hydropneumothorax, are present as well as anteriorly located soft tissue emphysema bilaterally.Bilateral pleural e... | 1. Bilateral height pneumothoraces, right greater than left.2. Small to moderate sized bilateral pleural effusions.3. Pulmonary opacities consistent with edema, but confluent in the bases partially from compression by the above described pleural effusions. |
Generate impression based on findings. | Clinical question: Evaluate for postop hemorrhage. Signs and symptoms: Headache. Nonenhanced head CT:Examination demonstrates expected postoperative changes of transsphenoidal hypophysectomy. Fluid/soft tissue density/air occupies in the sphenoid sinus and there is evidence of small bilateral air-fluid levels within th... | 1.No detectable acute intracranial findings as result of transsphenoidal hypophysectomy.2.Expected postoperative changes of transfer no hypophysectomy. |
Generate impression based on findings. | Gait disorder evaluate ventricles. The CSF spaces are appropriate for the patient's stated age, without midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. There are minimal periventricular white matter mic... | 1.No evidence of hydrocephalus. 2.No significant brain parenchymal volume loss to suggest a neurodegenerative condition. If there is clinical concern for early Alzheimer's disease, may obtain FDG or amyloid-specific PET.3.No evidence for acute intracranial hemorrhage, mass, or territorial infarct. |
Generate impression based on findings. | Clinical question: Evaluate for hemorrhage. Signs and symptoms: Headache. Nonenhanced head CT:Examination demonstrates expected postoperative changes of a high convexity right frontal craniotomy. Craniotomy extends to the immediate left paramedian frontal region as well. Residual postoperative air in the subarachnoid s... | Expected postoperative changes of bilateral frontal (right greater than left) craniotomy for removal of right frontal lobe tumor. |
Generate impression based on findings. | Abdominal pain hematuria with left renal mass seen on recent CT ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Possible fatty infiltration of the liverSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URE... | Subcentimeter left renal lesion with intrinsic high attenuation demonstrates no enhancement and is therefore representative of a benign complex cyst. |
Generate impression based on findings. | recurrent drainage from decubitus ulcer over L45 after IR drain removed 2 mo ago. Signs and Symptoms: recurrent drainage from decubitus ulcer over L45 after IR drain removed 2 mo ago. Acute osteomyelitis, Thoracic spine:12 rib bearing vertebrae are present and is 6 lumbar non-rib bearing vertebrae are present.The patie... | 1.Since the previous examination drainage tubing has been removed from the left subcutaneous fluid collection. This fluid collection has collapsed and there is now some soft tissue thickening in that location. Please note that the perivertebral musculature and the spine are partially obscured by metal artifact which ma... |
Generate impression based on findings. | Reason: new hypoxia, DOE, ? allergic pneumonitis History: hypoxia LUNGS AND PLEURA: Diffusely distributed groundglass opacity throughout both lungs with scattered areas of sparing are unchanged from a prior exam. No evidence of subpleural sparing. No evidence of pulmonary nodules or masses.No evidence of air trapping i... | Diffuse groundglass opacity with scattered areas of sparing unchanged from prior exam. The differential diagnosis would include acute hypersensitivity pneumonitis, drug reaction, and possibly diffuse pulmonary hemorrhage. Infectious etiologies such as pneumocystis would be less likely unless the patient is immunocompro... |
Generate impression based on findings. | 72-year-old male with a history of non-small cell lung cancer. Evaluate for disease. Compared to previous examination. CHEST:LUNGS AND PLEURA: Right lower lobe reference nodule 27 x 26 mm, previously 25 x 25 mm (91; series 4).Spiculated mass anterior to the right hilum in the right upper lobe and middle lobe 48 x 36 mm... | Slight increase in size of multiple pulmonary nodules consistent with the stated history of non-small cell lung cancer. No new sites of disease or pulmonary nodules are identified. |
Generate impression based on findings. | 66-year-old male. Colon cancer. Please compare to previous scan and provide index lesion measurements for RECIST. CHEST: LUNGS AND PLEURA: Again seen is a calcified granuloma in the right middle lobe. Scattered micronodules are unchanged. No suspicious pulmonary nodule or masses.MEDIASTINUM AND HILA: Left internal jugu... | 1. Sigmoid colon wall thickening consistent with the patient's known colon carcinoma, unchanged.2. Numerous liver metastasis are more prominent on today's exam, thought to be due to increased background attenuation of the liver from improved hepatic steatosis. Compared to prior exams from 7/12/2012 to 1/22/2013, the me... |
Generate impression based on findings. | Reason: History of palate myoepithelial carcinoma. Older scans uploaded, none from the chest. Looking for distant mets. History: Pain CHEST:LUNGS AND PLEURA: Nonspecific dependent opacities.No evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant a... | No evidence of intrathoracic metastases. Scattered hepatic hypodensities likely represent hemangiomas although this could be further characterized by a dedicated abdomen/liver protocol CT. |
Generate impression based on findings. | Metastatic breast cancer, presenting with headache. There is no mass, mass effect, edema, midline shift, or acute hemorrhage. The gray-white matter differentiation is preserved. There is an unchanged probable developmental venous anomaly in the left frontal lobe/cingulate gyrus. Otherwise, there is no evidence of abnor... | No evidence of intracranial metastases. |
Generate impression based on findings. | 95 year old patient with acute on chronic subdural hematoma, evaluate subdural hematoma The bilateral holohemispheric subdural hematomas are unchanged. The right subdural hematoma contains layering hyperdense blood products. The subdural collections measure up to 11 mm in width on the right and 13 mm on the left. There... | 1.Unchanged right holohemispheric subdural hematoma with acute/subacute upon chronic hemorrhage that measures up to 11 mm in width and chronic left holohemispheric subdural hematoma that measures up to 13 mm. 2.No interval intracrnaial hemorrhage, herniation, or significant midline shift.3. partially imaged soft tissue... |
Generate impression based on findings. | 72-year-old male with a history of lung adenosquamous carcinoma. LUNGS AND PLEURA: Interval increasing size and number of multiple bilateral pulmonary nodules.Reference measurements are as follows:Increasing right lower lobe nodule measures 7 x 7 mm, previously 6 x 5 mm (series 5, image 86). Increasing left upper lobe ... | 1. Interval increase in size and number of multiple pulmonary nodules, as described above.2. 5.1-cm abdominal aortic aneurysm. |
Generate impression based on findings. | Swelling, mass, or lump in head and neck, sialoadenitis. There is a well-defined mildly lobulated ovoid homogeneously hypodense (20 to 30 HU) lesion within the right submandibular space that measures 4.3 AP x 2.3 RL x 2.6 SI mm. The lesion exerts mass effect upon the right submandibular gland, which is located posterio... | Well-defined mildly lobulated ovoid homogeneously hypodense lesion within the right submandibular space that measures up to 4.3 cm. Differential considerations include sialocele, venolymphatic malformation, dermoid, and less likely lymphadenopathy. No evidence of sialolithiasis. |
Generate impression based on findings. | 57-year-old male with metastatic lung cancer, EGFR positive. On Erlotinib and Metmab/placebo, s/p cycle 16. Please compare with previous study and evaluate treatment response. CHEST:LUNGS AND PLEURA: Post surgical scarring and radiation reaction in the right hemithorax with traction bronchiectasis is unchanged on the p... | No significant change from the prior exam with slight decrease in size of hepatic reference lesion. No new lesions. |
Generate impression based on findings. | Female 27 years old Reason: ureter perf, hydronephrosis? History: r flank pain, new ureter stent 10 day ago ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signi... | 1.Duplication of the right renal collecting system with associated hydronephrosis, hydroureter and renal cortical thinning/atrophy of the upper pole moiety. There is mild hydronephrosis and hydroureter of the lower pole moiety. Not significantly changed since 2007.2.Nephrovesicular stent in the right-sided lower pole m... |
Generate impression based on findings. | 70 year-old male with prostate cancer. ABDOMEN:LUNG BASES: Calcified granuloma right lung base -- No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEY... | 1. No evidence for metastatic disease in the abdomen or pelvis. 2. Diverticular changes in the descending/sigmoid colon without complication. 3. No other abnormality seen. |
Generate impression based on findings. | Colon carcinoma CHEST:LUNGS AND PLEURA: Stable micronodulesMEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS... | Stable negative examination. No evidence for acute or metastatic process. |
Generate impression based on findings. | 17 year-old female with history of recurrent clear cell sarcoma. Status post resection, thoracotomy, chemotherapy. On therapy (IRB 121169) comparison. CHEST:LUNGS AND PLEURA: Post surgical changes of the left upper lobe. Biapical pulmonary scarring and nodularity in the right apex is similar to prior. Right anterior pa... | New soft tissue mass in the right nephrectomy resection bed suspicious for recurrence. |
Generate impression based on findings. | 65 year old female with history of metastatic osteosarcoma. Evaluate for progression. LUNGS AND PLEURA: Multiple upper lobe predominant ground glass opacities are not significantly changed from the prior exam. Ground glass opacity in the left lung apex measures 7 mm (image 18, series 4), previously 7 mm. Status post le... | 1. No significant change in groundglass opacities in the lungs, for which continued annual follow-up is recommended. 2. No significant change from the prior exam of the left upper lobe resection site, where there appears to be ossification/calcification. |
Generate impression based on findings. | 79 year-old female with acute mental status change. Evaluate for intracranial hemorrhage There is redemonstration of a left hemispheric hematoma measuring 95 x 44 mm axial dimensions and previously measuring the same. It is associated with a midline shift appeared the septum pellucidum has shifted 10 mm to the right of... | 1.Since the prior exam the patient's left hemispheric hematoma associated with intraventricular blood has not changed2.since the prior exam subfalcine herniation associated with the right ventricular enlargement and uncal herniation remain stable. |
Generate impression based on findings. | 60-year-old male. Restaging for GIST. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Previously seen 1.9-cm right cardiophrenic lymph node on 11/2012 CT has decreased in size with no measurable lesion remaining.CHEST WALL: No axillary ly... | 1. Large pelvic mass is stable in size. 2. Bilateral mild hydronephrosis. Nephroureteral stents are in place. |
Generate impression based on findings. | intraparenchymal hemorhage There is redemonstration of a left hemispheric hematoma measuring 95 x 44 mm axial dimensions which previously was smaller measuring 72 x 44 mm axial dimension. It has enlarged along its posterior aspect. There is now associated with more intraventricular blood than on the prior exam. Since t... | 1.Since the prior exam there has enlargement of a left hemispheric hematoma now associated with intraventricular blood2.since the prior exam there has been progression of uncal herniation3.since the prior exam subfalcine herniation has progressed and there is some progression of the dilation of the right lateral ventri... |
Generate impression based on findings. | Reason: mets lung cancer, s/p chemo and s/p RT, pls c/w previous study and evaluate dz status. History: lung ca CHEST:LUNGS AND PLEURA: Marked interval decrease in a left pleural effusion with a small residual but significant increase in the right pleural effusion.Reexpansion of the left lung with a residual nodules an... | 1.Increased septal thickening and nodules in the upper thorax, some of which are new or increased compared to previous.2. Increased enhancing lymphadenopathy in the left axilla.3. New ascites and findings in the abdomen suspicious for metastatic disease in the mesentery. |
Generate impression based on findings. | 65-year-old male. Metastatic pancreas cancer restaging status post 6 cycles of chemotherapy. CHEST:LUNGS AND PLEURA: Unchanged calcified and noncalcified micronodules.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.CHEST WALL: Loss of height of T7 and T8 vertebral bodies as well as disk space, sequelae of... | 1. Unchanged pancreatic body lesion and retropancreatic soft tissue that narrows the SMV.2. Interval increased size of reference hepatic lesions.3. No evidence of metastasis in the chest. |
Generate impression based on findings. | 62-year-old male with colon cancer. Status post colectomy 2011, needs surveillance imaging. Evaluate for recurrent/metastatic disease. CHEST:LUNGS AND PLEURA: Two Left lung micronodulesbest seen on MIP images (series 80249, image 37 and 42) unchanged since 3/22/11 and most likely benign. No new nodules, infiltrates, ma... | 1. Stable examination without interval changes to suggest metastatic disease or recurrent colon cancer disease. 2. Morphologic changes in the liver, raising question of underlying chronic liver disease. Morphology is unchanged. 3. Upper abdominal lymph node prominence, unchanged in size or appearance since 2011. If pat... |
Generate impression based on findings. | Female 65 years old Reason: Pancreas cancer please compare to previous scan and provide index lesion measurements for RECIST History: As above CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules are again seen, and appears stable in size since the prior examination. The reference left upper lobe nodule currently measure... | Stable pancreatic head mass and lung nodules. Previously seen liver lesion is no longer visualized.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 57-year-old female, please evaluate for bladder neck/renal dysfunction This study is limited due to lack of IV contrast.ABDOMEN:LUNG BASES: Large left and moderate right-sided pleural effusion and dependent atelectasis, unchanged.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality n... | Limited study to lack of IV contrast. No significant difference from previous study. Bilateral pleural effusions and peripancreatic fluid collections and multiple drains are stable. |
Generate impression based on findings. | Malignant neoplasm of nasopharynx, unspecified site. Effects of radiation, unspecified. Other diseases of nasal cavity and sinuses. Other and unspecified diseases of the oral soft tissues There is redemonstration of a destructive mass along the left skull base without where a function of the left sphenoid bone extendin... | 1.There is an ill defined erosive lesion at the skull base eccentric to the left which appears stable since the prior exam.2.Redemonstration of a paranasal sinus opacification which is changed little since the prior exam. Some associated air bubbles within this raises the question of a superimposed acute sinusitis . Pl... |
Generate impression based on findings. | Clinical question:s/p shunt revision. Signs and symptoms: As above. Nonenhanced head CT:There is a right posterior temporal approach ventricular catheter traversing the brain parenchyma and right lateral ventricle with the tip projecting immediately to the left paramedian region.Minimal expected postoperative air along... | 1.Postoperative changes of right posterior temporal approach ventricular catheter placement with minimal intracranial pneumocephalus, minimal hemorrhage in the right lateral ventricle as detailed.2.Very small size of right lateral ventricle however with minute interval increased size since prior exam.3.Stable normal si... |
Generate impression based on findings. | 22-year-old, evaluate for acute intracranial abnormality. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage.FLUID:No fluid collections. No evidence of hemorrhage.BONE:There is a mixed sclerotic and lytic process within the sphe... | 1.There no evidence of acute intracranial abnormality.2.Congenital process, fibrous dysplasia replacing the sphenoid sinus. |
Generate impression based on findings. | 55-year-old male with history of bladder cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No sig... | No significant change from previous study. Left ischial lytic lesion and right hydronephrosis are stable. |
Generate impression based on findings. | Reason: concern for metastisis History: new diagnosis of liver cancer LUNGS AND PLEURA: Increased lung volumes with mild diffuse bronchial wall thickening.No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Cardiac size is normal without evidence ... | 1.No evidence of intrathoracic metastatic disease.2.Cirrhotic liver with ascites and abundant collaterals. See dedicated abdominal CT dated 7/30/13 |
Generate impression based on findings. | 49-year-old male. History of necrotizing pancreatitis and pseudocyst. Patient has symptoms of cyst formation. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted. Portal vein and hepatic veins are patent.SPLEEN: No significant abnormality noted. Chronically thrombo... | 1. Significant interval increase in size of pancreatic body/tail pseudocyst that extends down into the left inferior retroperitoneum. New right loculated inferior retroperitoneal collection.2. Bilateral mild hydronephrosis. |
Generate impression based on findings. | 51-year-old male with a history of malignant lymphoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Nonenlarged benign appearing axillary lymph nodes bilaterally.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significa... | No evidence of significant adenopathy in the chest abdomen or pelvis. |
Generate impression based on findings. | 8 -year-old with refractory seizures. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age. The body of the lateral ventricles have a slightly parallel course findings may suggest a degree of corpus callosum agenesis.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage. Grey white m... | 1. No acute intracranial process.2. There is a smooth appearance to the brain with absence of gyri. CT is inadequate at resolving microgyri verse agyria but the constellation of these findings is suggestive of lisencephaly. Recommend MRI exam of the brain for further evaluation. |
Generate impression based on findings. | Reason: 59 F can't extubate, hypoxic History: see above LUNGS AND PLEURA: Left lower lobe consolidation/atelectasis and right basilar subsegmental atelectasis with small effusions.Patchy ground glass opacities and centrilobular nodules with interlobular septal thickening, compatible with edema and/or inflammatory in or... | 1.Left lower lobe consolidation/atelectasis, right basilar subsegmental atelectasis, and small pleural effusions.2.Patchy ground glass opacities, centrilobular nodules , and interlobular septal thickening most likely represents edema, however, superimposed infection cannot be excluded.3.Cardiomegaly with a small to mod... |
Generate impression based on findings. | Reason: Pt. with HNC. s/p CRT 6/2010. Please re-eval disease and compare to previous scans. History: none CHEST:LUNGS AND PLEURA: No evidence of pulmonary pleural metastases.MEDIASTINUM AND HILA: No enlarged mediastinal or hilar lymph nodes. Moderate to severe coronary artery calcifications are present.CHEST WALL: Dege... | No evidence of metastases or other significant abnormality. |
Generate impression based on findings. | 51 year old male with history of pleural mesothelioma. LUNGS AND PLEURA: Right pleural thickening, nodularity, and loculated pleural fluid with areas of pleural calcification. Reference measurements are as follows:1.At the level of the carina (series 3, image 42) there is nodular pleural thickening at the 12 o'clock po... | 1.Interval increase in right pleural thickening and nodularity compatible with history of mesothelioma. Reference measurements as above.2.Right pulmonary edema, slightly increased when compared to the prior study.3.Slight interval increase in size of mediastinal and right hilar lymphadenopathy.4.Persistent subdiaphragm... |
Generate impression based on findings. | 40 year-old female with syncope and headache and head mass. 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 port... | 1.No evidence for cervical spine fracture2.No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Reason: F/u lung nodules and resolution of pneumonia History: cough, shortness of breath LUNGS AND PLEURA: Partial left upper lobectomy. Multiple pulmonary nodules are identified in the left upper and left lower lobe, as well as right lower lobe.Left upper lobe anterior nodule (image 39, series 4) demonstrates interval... | 1.Multiple pulmonary nodules some of which are stable compared to an exam dated 10/6/10. However, left upper lobe nodules present on the recent outside exam dated 6/26/13 and not present on the exam dated 10/6/10 may be metastatic, although infection cannot be excluded2.Severe upper lobe predominant centrilobular emphy... |
Generate impression based on findings. | Reason: hx of lung nodules on 3/13 CT scan, please compare History: none LUNGS AND PLEURA: Numerous benign-appearing smoothly marginated micronodules are present, the largest 7 mm in the right upper lobe image 43 series 5, previously 6 mm. Other micronodules are not well seen on the prior studies likely due to differen... | 1. Benign-appearing pulmonary nodules, not obviously different than before although prior images are degraded by expiratory motion artifact. A 1-year CT follow-up is recommended.2. Extensive vascular calcifications and renal atrophy are present.3. Milk of calcium bile layers in the gallbladder. |
Generate impression based on findings. | 73-year-old male, please evaluate for acute intracranial process VENTRICLES/CSF SPACES:The ventricles and sulci are prominent for stated age, and mildly increased in prominence when compared to the prior exam, findings suggest chronic volume loss.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or intra-axial hemorrha... | 1.No evidence of acute intra-or extra-axial hemorrhage. Moderate to severe chronic small vessel disease, if there is ongoing clinical concern for acute infarct, an MRI exam could provide additional information. |
Generate impression based on findings. | 34-year-old male with history of right flank pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant a... | No evidence or renal stones. No evidence of appendicitis. No CT findings to explain patient's acute abdominal pain. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.