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Generate impression based on findings. | Lung cancer status post chemoradiotherapy: follow-up examination. There are unchanged bilateral level 4 and 6 subcentimeter lymph nodes. No new cervical lymphadenopathy is identified.There is persistent diffuse swelling of the left neck soft tissues with subcutaneous fat stranding and skin thickening, likely related to... | No significant interval change in the bilateral level 4 and 6 subcentimeter lymph nodes. No new lesions are identified to suggest additional metastatic disease in the neck. Please refer to the separately dictated CT chest report for additional findings. |
Generate impression based on findings. | 64-year-old female with history of pancreatic cancer CHEST:LUNGS AND PLEURA: Index right lower lobe pulmonary nodule is unchanged measuring 7 x 5 mm image number 40, series number 4.MEDIASTINUM AND HILA: Index posterior mediastinal lymph node measures 4-mm in diameter image number 46, series number 3, smaller compared ... | Interval decrease in the size of the liver metastases, retroperitoneal adenopathy, mediastinal adenopathy. |
Generate impression based on findings. | 51-year-old with hemorrhage, evaluate for change. VENTRICLES/CSF SPACES:Edema causes mass effect on the atria of the right lateral ventricle, without significant midline shift. Subarachnoid hemorrhage is identified layering within the occipital horns the lateral ventricles areBRAIN PARENCHYMA:There is an intra-axial he... | 1.Interval reduction of hyperdensity of an intra-axial hemorrhage centered within the inferior gyrus of the right temporal lobe with surrounding edema extending to the middle and superior gyri or temporal lobe and occipital lobe with slight increase/progression of mass effect from edema on the atria of the right latera... |
Generate impression based on findings. | 42 year-old female with abdominal pain. Evaluate for median arcuate ligament syndrome. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Innumerable subcentimeter hypodensities in the liver are too small to characterize, but likely represent simple cysts.SPLEEN: No significant abnormality notedP... | Broad indentation along the anterior border of the celiac artery, just distal to the origin causes mild narrowing. It is of unknown etiology but may represent postsurgical scar/fibrous tissue. |
Generate impression based on findings. | 94 year-old female with calculus of kidney. Within the limits of a non-IV contrast enhanced examination limiting evaluation of solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: No significant abnormality noted and no change since 2011.LIVER, BILIARY TRACT: Pati... | 1. Bilateral, nonobstructing renal calculi, essentially unchanged since 2011. No evidence of urinary tract obstruction. 2. Diffuse diverticulosis, unchanged and without complication. |
Generate impression based on findings. | 80 year-old male with history of resected bladder cancer This study is limited due to lack of IV contrast.CHEST:LUNGS AND PLEURA: Stable, severe emphysematous changes in both lungs. Unchanged linear scarring in the lung bases.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality n... | Left hydronephrosis and hydroureter, increased in size compared to previous study.. Interval increase in the amount of mild hydronephrosis of the right kidney. |
Generate impression based on findings. | 61-year-old male with history of bladder cancer CHEST:LUNGS AND PLEURA: Emphysema, unchanged. Scattered micronodules unchanged.MEDIASTINUM AND HILA: Small mediastinal lymph nodes are unchanged.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significan... | No significant change from previous study. Other than minimal increase in the size of the right obturator lymph node. |
Generate impression based on findings. | Pancreatic cancer CHEST:LUNGS AND PLEURA: Subcentimeter nodule in image number 49, series number 6, is unchanged.MEDIASTINUM AND HILA: Heterogeneous, significantly enlarged thyroid with solid and cystic components is unchanged. A neoplasm cannot be excluded.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BI... | Minimal interval increase in the size of the pancreatic head mass. Follow-up imaging for further evaluation of the right lower pole renal lesion is recommended.Biopsy is recommended for further evaluation of patient's significantly enlarged, greater, extending into the mediastinum. |
Generate impression based on findings. | Clinical question: CVA versus TIA?. Signs and symptoms: Left face, left upper extremity/left lower extremity numbness. Nonenhanced head CT:There is no detectable acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic strokes.There are periventricular and subcortical low attenuation... | Age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Clinical question: 4-year-old with metastatic neuroblastoma with left eye swelling. Signs and symptoms: Left eye swelling. Nonenhanced head CT:No detectable acute intracranial process.Cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation is within normal for patient'... | 1.No acute intracranial process.2.There is very limited view of the orbits and without convincing evidence of abnormalities. |
Generate impression based on findings. | Reason: sarcoid History: sob LUNGS AND PLEURA: No significant pulmonary or pleural abnormalities. No evidence of interstitial lung disease. No air trapping identified on the Tory images.MEDIASTINUM AND HILA: Multiple enlarged mediastinal lymph nodes with a precarinal lymph node (image 31, series 3) measuring 15 mm in i... | Enlarged mediastinal lymph nodes, which may represent sarcoidosis. No evidence of interstitial lung disease or pulmonary sarcoidosis. |
Generate impression based on findings. | Reason: metastatic NSCLC with bone mets on chemotherapy, re-evaluate disease History: pain CHEST:LUNGS AND PLEURA: Postoperative changes and volume loss are again noted in the right lower lobe with continued decrease in size of reference nodule adjacent to the suture line (image 60 series 4) now measuring 10 mm x 10 mm... | 1.Mild interval decrease in the reference right lower lobe nodule.2.Scattered bilateral pulmonary nodules and right pleural thickening with nodularity unchanged.3. Diffuse left lower lobe groundglass opacity similar in appearance to prior exam.4.Skeletal and adrenal metastatic disease, stable. |
Generate impression based on findings. | 32-year-old female with abdominal pain, right upper quadrant. 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: Beni... | Essentially normal examination of the abdomen and pelvis. |
Generate impression based on findings. | Clinical question: assess fusion. possible removal of halo today.Signs and Symptoms: post op posterior and anterior fixation The patient is status post anterior fusion at C3, C4 and C5 and that laminectomies at C2, C3, C4. There is a osseous bridging are present at C4-5 and at C5-6. There is anterior subluxation of C4 ... | 1.Since the previous examination some osseous bridging has developed in the cervical spine anteriorly and posteriorly to some degree as detailed above2.the patient is status post anterior fusion and posterior laminectomy in the upper cervical spine as detailed above.3.destruction of right-sided facet joints and posteri... |
Generate impression based on findings. | 35 year-old female with abdominal pain, blood and/or calcium oxalate stones and urine.? Renal stone. A ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significan... | Large mesenteric abdominal/pelvic unilocular cyst. No other abnormality seen. |
Generate impression based on findings. | 55-year-old female POD#5 from major abdominal surgery with tachycardia, recurring fevers, and with new onset cough. PULMONARY ARTERIES: No evidence of pulmonary embolus.LUNGS AND PLEURA: Bibasilar atelectasis appears unchanged compared to the CT from 08/24/13. Persistent left sided pleural effusion. Stable calcified an... | 1. No evidence of pulmonary embolism.2. Persistent left pleural effusion and basilar atelectasis. |
Generate impression based on findings. | 63-year-old male with pancreatic cancer -- staging CHEST:LUNGS AND PLEURA: Scattered micronodules again seen unchanged since December, 2012 -- most are calcified and most likely represent changes from prior granulomatous disease. No new infiltrates, nodules, masses, or effusions to suggest malignant disease.MEDIASTINUM... | 1. Continued marked decrease in size of liver metastases throughout the liver. 2. No evidence of metastatic disease in the chest. 3. Stable appearance to the small nodular densities in the omentum anterior to transverse colon without change. |
Generate impression based on findings. | 43 year-old male. Locally advanced pancreatic cancer. Evaluate for progression. EPIC history: Wilm's tumor status post right nephrectomy. CHEST:LUNGS AND PLEURA: Right middle lobe calcified granuloma. Stable scattered calcified and noncalcified micronodules. MEDIASTINUM AND HILA: Stable subcentimeter mediastinal lymph ... | 1. Stable pancreatic head/neck lesion compatible with the patient's known adenocarcinoma.2. No new lesions are identified in the chest, abdomen, or pelvis. |
Generate impression based on findings. | Male 60 years old Reason: Pt is a 60 y/o male with RCC, evaluate for recurrence, attention to pulmonary nodule History: kidney cancer The study is limited by lack of IV contrast.CHEST:LUNGS AND PLEURA: Again noted is a 4-mm noncalcified micronodule in the right lower lobe (image 54, series 3). This nodule appears stabl... | 1.No evidence of recurrence within the left nephrectomy bed.2.No evidence of lymphadenopathy or metastatic disease in the chest abdomen or pelvis.3.Right lower lobe micronodule stable since the prior examination. |
Generate impression based on findings. | 68 year-old female with a history of lung cancer. Status post 8 cycles of chemotherapy. CHEST:LUNGS AND PLEURA: Reference right lower lobe spiculated nodule measures 21 x 13 mm, previously 21 x 14 mm. (series 5, image 61).Nodular pleural thickening, generally unchanged. No new pulmonary nodules or masses are identified... | Persistent pulmonary nodules and prevascular and internal mammary chain mediastinal, as well as retrocrural nodes, with little change since 7/15/2013 but progression since 5/29/2013. |
Generate impression based on findings. | 61-year-old male. Poorly differentiated adenocarcinoma of the stomach, newly diagnosed. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: A few coarse calcifications peripherally within the liver (series 3, image 37) may represent a hemangioma or calcified granulomata. No suspicious solid hepati... | No evidence of metastases in the abdomen or pelvis. |
Generate impression based on findings. | Reason: progression of ILD History: cough, SOB, subjective fever LUNGS AND PLEURA: No significant change since 1/25/2012 in mild interstitial fibrosis characterized by subpleural reticulation and honeycombing localized to the right lower lobe periphery, and a few small foci of ground glass opacification.Scattered benig... | Mild interstitial lung disease in a pattern most consistent with UIP, unchanged since 1/25/2012. Scattered regions of ground glass opacity especially in the right upper lobe probably warrant annual follow-up. |
Generate impression based on findings. | Female 46 years old Reason: evaluation of response to chemotherapy in patient with metastatic cervical cancer History: bone pain, hip pain CHEST:LUNGS AND PLEURA: There are innumerable, punctate nodules seen scattered throughout the entire lung parenchyma in a miliary pattern. These appear dramatically reduced in size ... | Mixed response in differing regions of the body:1.Interval decrease in size of the previously demonstrated heterogeneously contrast enhancing cervical mass.2.Enlarging lesion in the distal sacrum with soft tissue component, concerning for worsening metastatic disease.3.Healing pathologic fracture of the medial acetabul... |
Generate impression based on findings. | 89 year old female with a history of esophageal cancer. Status post chemotherapy. CHEST:LUNGS AND PLEURA: Interval increase in moderate-sized bilateral pleural effusions. Right subpleural nodule is again noted and unchanged accounting for increasing adjacent compressive atelectasis. No new nodules or masses are identif... | 1. No new evidence of metastatic disease.2. Interval enlargement of bilateral pleural effusions.3. Persistent porcelain gallbladder. Gallstones without evidence of acute cholecystitis. |
Generate impression based on findings. | Clinical question: Recurrent sinusitis. Signs and symptoms: Nasal congestion and discharge. Medtronic fusion sinus CT:Frontal sinuses. There is minute mucosal thickening and with very significant interval improvement since prior exam.Ethmoid sinuses.Mild to moderate mucosal thickening of all ethmoid air cells bilateral... | 1.Significant interval improvement of extensive opacification of paranasal sinuses since prior exam.2.There is evidence of acute sinusitis of right maxillary and the sphenoid sinus since prior study. |
Generate impression based on findings. | Clinical impression: Follow up dural collection. Signs and symptoms: Subdural. Nonenhanced head CT:There is interval decreased density of acute left hemispheric subdural since prior exam. The subtalar appears low density on current study. There is very minimal interval decrease in measurement of the left hemispheric su... | 1.Near complete resolution of high density of subdural to a low density since prior exam. Minute residual high density blood in the dependent portion of subdural however remains.2.Minute interval decreased size of the left hemispheric subdural as detailed/measured above.3.Minute interval decrease in midline shift to th... |
Generate impression based on findings. | 64-year-old male with bladder cancer. CHEST:LUNGS AND PLEURA: Scattered micronodules throughout both lungs -- some of which appear dense and thus, these may represent granulomatous changes.No measurable nodules and no masses, infiltrates or effusions seen.MEDIASTINUM AND HILA: Postsurgical changes seen throughout. Medi... | 1. Cystoprostatectomy ileal loop conduit bladder. 2. Scattered micronodules throughout both lungs, some of which are calcified and represent prior inflammatory changes. 3. No definite evidence for metastatic disease seen in chest, abdomen or pelvis. 4. Right iliac bypass graft -- without IV contrast, patency cannot be ... |
Generate impression based on findings. | 78-year-old male. History of metastatic renal cancer. Assess for disease progression. Lack of intravenous contrast decreases sensitivity for detection of solid organ lesions and lymphadenopathy. Given this limitation, the following observations were made:CHEST:LUNGS AND PLEURA: Calcified and noncalcified micronodules a... | Predominately stable examination (minimal change in measurements of the pancreatic mass). |
Generate impression based on findings. | 60 year-old female with Ewing's sarcoma. Evaluate for metastases. LUNGS AND PLEURA: Status post right middle lobe wedge resection.Scattered benign appearing micronodules are unchanged.5-mm groundglass nodule right upper lobe image 43 series 6 has been present for at least one year and should be monitored annually.MEDIA... | Status post right middle lobe wedge resection. No specific evidence of metastatic disease. 5-mm right upper lobe ground glass contour should receive annual follow-up.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Microscopic hematuria ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status-post cholecystectomySPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality noted. Specifically, n... | Negative examination. Specifically, no evidence for GU related abnormality. |
Generate impression based on findings. | Diagnosis: Malignant neoplasm of upper lobe, bronchus or lung. Chemotherapy follow-up examination Radiotherapy follow-up examination A hypodense focus is present in the right centrum semi-ovale which extends into the region of the right posterior limb of the internal capsule.No abnormal enhancing mass lesions are appre... | 1.A small lesion is present in the right centrum semiovale and posterior limb of internal capsule most likely represents a lacunar infarct age indeterminant there2.a small focus of encephalomalacia is present in the vermis. One possibility is that it is related to prior vascular insult .3.no CT evidence for brain metas... |
Generate impression based on findings. | 87-year-old male. Assess for hematuria. ABDOMEN:LUNG BASES: 6 mm indeterminate nodule in the right lower lobe (series 7, image 4). A few nodular opacities along the right minor fissure may represent intrapulmonary lymph nodes (series 7, image 9). Calcified right hilar lymph nodes.LIVER, BILIARY TRACT: Status post chole... | 1. Markedly enlarged prostate is suspected to be source of the patient's hematuria. No renal, bladder, or definite urinary tract system mass is evident.2. Indeterminate right lower lobe 6 mm nodule. |
Generate impression based on findings. | Reason: 67F with altered mental status History: AMS There is mild prominence of the lateral ventricles, stable from prior study. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. There is no midline shift. No edema is identified within the brain parenchyma.There is an ar... | 1.No evidence for acute intracranial hemorrhage mass effect or edema. 2.Stable mild prominence of the lateral ventricles.3.Postoperative changes from left frontal approach biopsy of the left basal ganglia region as demonstrated on previous MRI.4.10-mm nasal septum bony spur contacting the left middle turbinate. |
Generate impression based on findings. | 67 year-old male. History of renal NHL lymphoma. Status post two cycles of right CHOP in need of restaging. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses are evident.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Mild atherosclerotic calcification of the thoracic aorta and coronary a... | 1. Large infiltrative retroperitoneal mass invading into the right kidney and encasing the IVC is smaller.2. Multiple mesenteric lymph nodes with a misty mesentery are decreased in size.3. No definite evidence of disease in the chest. 4. T6 vertebral body metastasis is unchanged. |
Generate impression based on findings. | History of sinus pain; extreme palate pain. Extensive dental streak artifact obscures regional anatomy. Within these limitation, no bony erosion or mass lesion is identified. The greater and lesser palatine foramina appear to be symmetric and not enlarged. There is mild mucosal thickening within the partially imaged le... | Extensive dental streak artifact obscures regional anatomy. Within these limitation, no bony erosion or mass lesion is identified. MRI of the oral cavity may be useful for further evaluation, if clinically indicated. |
Generate impression based on findings. | Female 68 years old; Reason: R/O bone metastasis, intraadominal mass, assess kineys in particular, assess spine History: R flank pain radiating into groin, leaking urine ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Multiple non specific hypoattenua... | 1.No acute intraabdominal pathology detected. |
Generate impression based on findings. | 66-year-old male with non-small cell lung carcinoma status post chemo radiation therapy. CHEST:LUNGS AND PLEURA: Left apical subpleural consolidation may represent post therapy changes versus residual tumor. Note is made of extensive left sided pleural thickening with associated tumor extension into the left lateral ch... | 1. Dense subpleural focal consolidation in the left apex consistent with radiation reaction with possible residual tumor. 2. Extensive left-sided pleural thickening with associated chest wall invasion and rib destruction in the surrounding area.3. Lytic lesion in the right fifth rib suspicious for metastasis.4. Large l... |
Generate impression based on findings. | 34-year-old female. Diffuse abdominal pain, nausea/vomiting, elevated LFTs. No gallstones on ultrasound. Assess for hepatic, pancreatic, or other acute intra-abdominal process. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter hypodense lesion in the right hepatic lobe is too small... | Contracted gallbladder. No evidence of pancreatitis. Remainder of examination is unremarkable. |
Generate impression based on findings. | Suspect colon carcinoma CHEST:LUNGS AND PLEURA: Stable fibrosis and micronodulesMEDIASTINUM AND HILA: Stable mildly enlarged mediastinal lymph nodesCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Cirrhotic morphology. Interval increase in size of low attenuation peripheral focus segment 5 of t... | Interval increase in size of peripheral segment 5 right lobe liver lesion. |
Generate impression based on findings. | Reason: 49-year-old female with a history of metastatic breast Ca, losing weight, evaluate for changes in lung and liver History: cough CHEST:LUNGS AND PLEURA: Reference measurements are as follows:1.Right middle lobe nodule (image 53, series 5), measures 8 x 4 mm, previously 5 x 4.2.Left lower lobe nodule (image 55, s... | 1.Interval marked increase in size and number of numerous pulmonary and liver metastases consistent with progression of disease.2.Persistent right axillary mass which may represent necrotic lymphadenopathy.3.Interval development of small bilateral pleural effusions.4.Indeterminate left adrenal nodule. |
Generate impression based on findings. | Metastatic prostate carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Sclerotic foci involving T11 and T12 vertebral bodies worrisome for metastatic fociABDOMEN:LIVER, BILIARY TRACT: Right lobe hepatic dome too small to characterize subce... | Bony sclerotic foci worrisome for metastatic lesions as described. No evidence for visceral metastasis or adenopathy. |
Generate impression based on findings. | 42-year-old female with history of symptomatic varicose veins with peroneal varices 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 noted... | Normal CT angiography study. |
Generate impression based on findings. | 76 year old patient. History of right carotid stenting and left carotid stenosis with low velocities. Please evaluate for proximal stenosis. Neck CTA: There is an atypical pattern of branching at the aortic arch. The origin of the left common carotid artery arises from the right innominate artery. The left subclavian d... | 1.Atypical pattern of branching at the aortic arch including left common carotid artery originating from the innominate artery and aortic origin of the left vertebral artery.2.Bilateral vertebral artery occlusion at their respective origins.3.Reconstitution of the distal left vertebral artery by collaterals from the as... |
Generate impression based on findings. | 62 year old woman with s/p ASD repair and mitral valve cleft s/p Bjork Shiley MV. Patient has mild aortic regurgitation and possible mitral regurgitation. Referred to rule out coronary disease and evaluate mitral valve.CPT Code: 75574 Coronary arteries: LM: The left main coronary artery arises normally from the left si... | 1.There are no significant coronary artery stenoses present which the exception of what is detailed below. 2. The left ventricle is severely dilated. There overall systolic function is mildly reduced (estimated LVEF 50%) with evidence of akinesis and severe thinning of the the mid to apical inferior and inferolateral w... |
Generate impression based on findings. | Clinical question : rule out CVA. Signs and symptoms : history of intermittent dizziness and expressive aphasia. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Small focus of low attenuation in the left basal ganglia similar... | No acute intracranial process. |
Generate impression based on findings. | Clinical question : Fall. Signs and symptoms: pain Nonenhanced head CT:There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Unremarkable cerebral cortex, cortical sulci, ventricular system, cisterns cisterns and gray -- white matter differentiation.Unremarkable calvar... | No acute posttraumatic findings. Unremarkable exam. |
Generate impression based on findings. | 40 year-old with history of GIST presenting with chest pain. Evaluate for pulmonary embolus. PULMONARY ARTERIES: Technically adequate exam with no pulmonary emboli detected through the subsegmental level.LUNGS AND PLEURA: No focal air space opacity or consolidation. Calcified right lower lobe granulomas. No suspicious ... | No pulmonary emboli through the subsegmental level. No findings to suggest an etiology of the patient's symptoms. |
Generate impression based on findings. | 35-year-old female with pleuritic chest pain with history of PE. Evaluate for pulmonary embolus. PULMONARY ARTERIES: No evidence of pulmonary embolus.LUNGS AND PLEURA: Right basilar atelectasis. No focal airspace opacity or consolidation. No pleural effusion.MEDIASTINUM AND HILA: No pericardial effusion.CHEST WALL: No ... | Technically adequate study without evidence of pulmonary embolus. |
Generate impression based on findings. | Male 40 years old Reason: Cancer History: abd pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is no evidence of intrahepatic biliary ductal dilatation or focal mass lesion. The hepatic vasculature appears patent, and there is no evidence of cholelithiasis or extrahepatic biliary duc... | 1.Thickening of the ascending and proximal transverse colonic wall, concerning for colitis.2.No evidence of local recurrence in the gastric surgical bed or lymphadenopathy. |
Generate impression based on findings. | 90 year-old male. Abdominal pain and rectal bleeding. Evaluate for mass or infection. ABDOMEN:LUNG BASES: Coronary artery calcifications. Right hilar calcified lymph nodes. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLA... | 1. Interval slight increase in size of infrarenal abdominal aortic aneurysm. No evidence of rupture.2. Distended bladder in presence of a markedly enlarged prostate. 3. No other acute abnormality identified in the abdomen or pelvis. |
Generate impression based on findings. | 34 year old male s/p motor vehicle accident with right ankle fracture. CT of the right ankle demonstrates fractures of the ankle including a transverse fracture of the distal fibula in near anatomic alignment, a multipart comminuted fracture of the distal tibia with intraarticular extension, and a minimally displaced v... | 1. Mildly impacted, comminuted fracture of the distal tibia involving the medial malleolus with intra-articular extension involving the tibiotalar joint.2. Transverse distal fibular fracture.3. Equivocal lucency within the talus that may represent a fracture. |
Generate impression based on findings. | 61-year-old female presents with confusion, assess for bleed. There is extensive periventricular and subcortical hypoattenuation, which is nonspecific, but likely represents extensive small vessel ischemic disease of indeterminate age. There are also focal hypodensities within the bilateral thalamocapsular junctions an... | 1.No evidence for acute intracranial hemorrhage, mass effect or edema.2. Extensive periventricular and subcortical hypoattenuation, which may represent small vessel ischemic disease and less likely a toxic metabolic process. However, MRI/MRA may be used for further characterization if clinically indicated.3. Focal hypo... |
Generate impression based on findings. | Clinical question: status post trauma and loss of consciousness. Signs and symptoms: As above. Nonenhanced head CT:Examination demonstrates no evidence of acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and ... | Unremarkable head CT. |
Generate impression based on findings. | 46-year-old male with history of sarcoidosis with right pleuritic chest pain and right leg pain/swelling. Rule out pulmonary embolus. PULMONARY ARTERIES: Multiple filling defects compatible with acute and subacute pulmonary emboli with moderate embolism burden. Filling defects bilaterally including the distal right mai... | Technically adequate study with multiple acute to subacute pulmonary emboli. Moderate embolism burden and signs of right heart strain as detailed in the body of the report. Basal opacities compatible with pulmonary hemorrhage. |
Generate impression based on findings. | 69 year old presenting with dyspnea. Evaluate for pulmonary embolus. Additional history per patient chart: Patient has history of breast cancer. PULMONARY ARTERIES: Technically adequate exam with no pulmonary emboli identified through the subsegmental level.LUNGS AND PLEURA: Right apical reticulonodular opacity has inc... | 1. No pulmonary emboli to the subsegmental level.2. New multifocal airspace opacities and bronchial wall thickening compatible with infection/aspiration, but atypical edema and pulmonary hemorrhage cannot be entirely excluded.3. New moderate bilateral pleural effusions.4. Increased reticulonodular opacities in the righ... |
Generate impression based on findings. | 78-year-old male with left-sided weakness. Concern for stroke versus bleed versus other intracranial process. There is a new area of hypoattenuation in the right corona radiata and centrum semiovale, anterior to the precentral gyrus. This likely represents an infarct, age indeterminate, but new from the prior study fro... | 1.Hypoattenuation in the right white matter anterior to precentral gyrus, which is new from May 20123 and likely represents infarct, age indeterminate. Metastatic disease is less likely.2.Stable focal areas of hypoattenuation in the basal ganglia bilaterally likely represent old infarcts.3.Mild small vessel ischemic di... |
Generate impression based on findings. | Male 66 years old Reason: r/o diverticulitis History: abd pain ABDOMEN:LUNG BASES: There is a small right-sided pleural effusion.LIVER, BILIARY TRACT: There is a moderate amount of perihepatic ascites. The liver demonstrates decreased parenchymal attenuation and measures 26 cm in length. There are multiple gallstones w... | 1.Ascites and body wall edema consistent with anasarca.2.Hepatomegaly with associated evidence of hepatic parenchymal disease.3.Atrophic appearing kidneys and nonobstructing left-sided renal stones.4.Diverticulosis without evidence of diverticulitis.5.Cholelithiasis without evidence of cholecystitis. |
Generate impression based on findings. | 26 year old female. Abdominal pain, diffuse. 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 abnorm... | Small bowel feces sign in distal ileal loops suggests delayed transit, possibly from chronic low grade obstruction. Recommend SBFT for further evaluation. |
Generate impression based on findings. | Female 36 years old Reason: stone History: flank pain Exam is limited by the patient's body habitusABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hepatic parenchyma appears heterogeneous and diffusely hypoattenuating, consistent with fatty infiltration. There is no evidence of focal mass lesi... | Exam is limited due to patient's body habitus and evaluation of the solid organ parenchyma is limited secondary to the lack of IV contrast.1.No definitive evidence of obstructing renal or ureteral stone.2.Hepatic steatosis.3.Left upper quadrant nodule unchanged since the prior examination. |
Generate impression based on findings. | 89 year old male. Aortic stenosis. VESSELS:SINUS OF VALSALVA: 3.4 x 3.1 x 3 cm.SINOTUBULAR JUNCTION: 2.9 x 2.8 cm.ASCENDING THORACIC AORTA AT LEVEL OF MAIN PULMONARY ARTERY: 3.6 x 3.3 cm.ASCENDING THORACIC AORTA IMMEDIATELY PROXIMAL TO THE INNOMINATE ARTERY: 3.2 x 3.4 cm. PROXIMAL DESCENDING THORACIC AORTA IMMEDIATELY ... | 1. Extensive calcification of the aortic valve leaflets, mitral valve, coronary arteries, and aorta. 2. Moderate bilateral pleural effusions and pulmonary edema.3. Nonspecific enlarged mediastinal lymph node, as described above.4. Atherosclerotic changes of the iliac arteries, left greater than right. |
Generate impression based on findings. | Clinical question: Hemorrhage. Signs and symptoms: Fell off bike. Unenhanced head CT:Examination demonstrates two foci of encephalomalacia one involving the left inferior frontal and a second involving the cortex and subcortical white matter of left anterior temporal lobe laterally. Please correlate with history and ri... | 1.No acute posttraumatic findings.2.Small foci of encephalomalacia in left inferior frontal and left anterior temporal of unknown exact etiology. Please correlate with past history and risk factors.3.Unremarkable exam otherwise. Please see above comments. |
Generate impression based on findings. | Clinical question: Patient with new right arm twitching, left facial droop with metastatic cancer, evaluate for brain metastases. Signs and symptoms: As above. Enhanced head CT:The cerebral cortex, cortical sulci, ventricular system, cisterns cisterns and gray -- white matter differentiation is within normal for patien... | 1.Enhanced head CT demonstrates unremarkable intracranial content and no evidence of abnormal parenchymal or leptomeningeal enhancement.2.Right-sided retro-orbital extraconal and right medial rectus muscle enhancing lesion measuring 12.2 times 10-mm in size and is believed to represent a metastatic lesion to proven oth... |
Generate impression based on findings. | 53 year old female. Upper abdominal pain with vomiting. Evaluate for pancreatitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No focal hepatic mass. No biliary ductal dilatation. Diffuse gallbladder wall thickening and enhancement is nonspecific on CT. Adenomyomatosis is a possible etiolo... | 1. No evidence of pancreatitis.2. Nonspecific diffuse gallbladder wall thickening and enhancement, adenomyomatosis is a consideration although a neoplastic process cannot be entirely excluded by this examination. Further characterization with ultrasound is recommended. |
Generate impression based on findings. | Clinical question: Rule-out mass lesion. Signs and symptoms: Headache for one month mostly the top of the head and back of the neck. No fevers. Nonenhanced head CT:There is no evidence of acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.The cerebral cortex, co... | Negative nonenhanced head CT. |
Generate impression based on findings. | 57-year-old male. Abdominal pain. Evaluate for stone. Lack of intravenous and oral contrast decreases sensitivity for detection of solid organ ABDOMEN:LUNG BASES: Mild centrilobular emphysema in the right lung base.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: N... | 1. Left proximal ureteral stone with minimal hydroureteronephrosis.2. Mild emphysematous changes in the right lung base. |
Generate impression based on findings. | 74-year-old female with AMS, evaluate for CVA. There are periventricular and subcortical white matter hypodensities, most pronounced in the parietal-occipital lobes bilaterally, and extending to the right occipital lobe cortex. The CSF spaces are appropriate for the patient's stated age with no midline shift. No mass l... | 1.Confluent white matter hypodensities, most pronounced in the bilateral parieto-occipital lobes as well as cortical hypodensity in the right occipital lobe may represent ischemia of indeterminate ages versus PRES. MRI is recommended for further characterization.2. No evidence of acute intracranial hemorrhage or mass. |
Generate impression based on findings. | 74-year-old with metastatic gastric cancer. CT chest for full baseline staging. LUNGS AND PLEURA: No focal air space opacity or consolidation.Multiple bilateral subpleural nodules measuring up to 4 x 7 mm. While these may represent benign peri-fissural lymph nodes, close follow-up is recommended.Scattered nonspecific p... | 1. Multifocal mediastinal and hilar lymphadenopathy. The etiology of this lymphadenopathy is uncertain. The distribution is atypical for the patient's primary malignancy, however the possibility of metastatic disease cannot be entirely excluded.2. Multiple prominent subpleural nodules as described are nonspecific, but ... |
Generate impression based on findings. | 74-year-old male patient reporting history of possible lung cancer without biopsy or treatment. LUNGS AND PLEURA: There is a cluster of septal pulmonary nodules measuring 6 mm in the superior portion of the right lower lobe without discrete associated interstitial abnormality (image 151, series 5). This is superimposed... | 1. Suspicious right lower lobe nodules which in a high risk patient warrants follow up. If prior CT imaging is not available to prove stability, follow up imaging should be performed in 6 months. 2. Emphysema and pulmonary hypertension.Findings communicated with K. Concordia on the phone at 1134 hrs. |
Generate impression based on findings. | 69-year-old male with bilateral SDH There are bilateral holohemispheric subdural hematomas. Both the right and left subdural hemorrhages demonstrate layering of blood products, which is more pronounced on the right, likely indicating recent upon chronic hemorrhage. The right subdural collection measures 21 mm in maxima... | Bilateral holohemispheric subdural hematomas, measuring up to the 21 mm on the right and 19 mm on the left. Both demonstrate layering of blood products, likely indicating recent hemorrhage into chronic subdural hematomas. |
Generate impression based on findings. | 80 year old patient with acute on chronic subdural hemorrhage status post burr hole placement for surveillance. The previously placed ventriculostomy device is unchanged, coursing from the right frontal burr hole inferomedially to lie at the level of the septum pellucidum. Associated reservoir and shunt tubing are demo... | 1.Significant interval improvement in the size of the left subdural hematoma.2.Improvement in the size of the right sided subdural hematoma with residual pneumocephalus and curvilinear foci of hyperattenuation likely representing membrane formation.3.Note of bilateral parietal burr holes and stable right frontal ventri... |
Generate impression based on findings. | 6-year-old male with stage IV neuroblastoma; assess response to therapy; chemotherapy; transplant, radiation. CHEST:LUNGS AND PLEURA: No new or suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Left subclavian central catheter with tip at the RA/SVC junction. Small mediastinal lymph nod... | Stable superior mediastinal mass/lymphadenopathy. No new masses. |
Generate impression based on findings. | Headache There is no evidence of acute intracranial hemorrhage, mass lesion, or large territorial infarct. The grey-white matter differentiation is preserved. There is no midline shift. The ventricles are within normal limits in size and configuration. The imaged portions of the calvarium, mastoid air cells, paranasal ... | No evidence of acute intracranial hemorrhage, mass lesion, or large territorial infarct. |
Generate impression based on findings. | Acute and subacute necrosis of liver. Evaluate for baseline cerebral edema. There is no evidence of cerebral edema, acute intracranial hemorrhage, mass lesion, or large territorial infarct. The grey-white matter differentiation is preserved. There is no midline shift. The ventricles are within normal limits in size and... | No evidence of cerebral edema. |
Generate impression based on findings. | 50 year-old with idiopathic pulmonary fibrosis presenting with hypoxia. Evaluate for worsening of interstitial lung disease. LUNGS AND PLEURA: Multifocal reticulation, honeycombing, and architectural distortion, mildly worse in the right lung compared to the left. While there is no clear basilar predominance, the appea... | Findings of interstitial lung disease as described with interval increase in mosaic airtrapping. |
Generate impression based on findings. | Reason: pleaseeval for interstitial abn History: concern for fungal vs bacterial pna LUNGS AND PLEURA: Diffuse upper lobe predominant ground glass opacities and septal thickening with interspersed areas of sparing.Bilateral basilar fibrosis with traction bronchiectasis, interlobular septal thickening, and areas of subp... | 1.Extensive ground glass opacity throughout the upper lung zones bilaterally with basilar predominant interstitial fibrosis. Differential diagnosis would include NSIP or chronic hypersensitivity pneumonitis with acute exacerbations.2.Areas of sclerosis within the right humeral head compatible with a previous bone infar... |
Generate impression based on findings. | 71-year-old with history of non-small cell lung cancer now with hypoxia and altered mental status. Evaluate for pulmonary embolus. PULMONARY ARTERIES: No pulmonary emboli are identified. The main pulmonary artery is mildly enlarged measuring 2.9 cm in diameter which suggests pulmonary hypertension, however this is not ... | 1. No pulmonary embolism.2. Right lower lobe and right middle lobe consolidation compatible with pneumonia is minimally increased compared to prior.3. Large partially necrotic mass destroying the diaphragm and extending into the abdomen as described is not significantly changed compared to prior. Mediastinal lymphadeno... |
Generate impression based on findings. | 4-year-old with falls. Evaluate for intracranial mass. 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. | No acute intracranial process or intracranial mass. |
Generate impression based on findings. | Female 85 years old Reason: CLL for Ct scan for clinical trial, please compare with previous History: CLL CHEST:LUNGS AND PLEURA: Right lower lobe bronchial wall thickening and bronchiectasis consistent with chronic aspiration. No evidence of pleural effusions. The previously seen nodule in the right middle lobe appear... | 1.Increasing size of right middle lobe pulmonary nodule, given rapidity of change, favor drug-related or infectious etiology over neoplastic process.2.Stable mediastinal, axillary, retroperitoneal and pelvic lymphadenopathy.3.Stable mild aneurysmal dilatation of the abdominal aorta.4.Stable hepatomegaly and splenomegal... |
Generate impression based on findings. | 71-year-old female. History of stage IC endometrial cancer. Assess for recurrent disease. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Stable subcentimeter pretracheal lymph node.CHEST WALL: No axillary lymphadenopathy.ABDOMEN:LIVER, BI... | Stable examination. |
Generate impression based on findings. | 40 year-old male. Chronic open draining wound with sinus tract. Evaluate for abdominal fluid collection. EPIC history: Ulcerative colitis s/p TAC with an end ileostomy. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCR... | 1. Large ventral midline abdominal defect containing nonobstructed small bowel loops. 3.2 x 8.2 cm soft tissue density with questionable interspersed fluid at the inferior aspect of the defect. 2. Nonspecific multiple subcentimeter and mildly enlarged retroperitoneal and pelvic lymph nodes. |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: CVA. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.There is evidence of moderate periventricular and subcortical low attenuation of white matter highly suspected of age i... | 1.No acute intracranial findings.2.Moderate small vessel ischemic strokes with resultant mild dietitian the supratentorial ventricular system.3.Heavy bilateral vertebral arteries and bilateral cavernous and supraclinoid internal carotid vascular calcification. 4.Extensive acute on chronic pansinusitis. |
Generate impression based on findings. | Endometrial carcinoma CHEST:LUNGS AND PLEURA: Stable right pleural based nodule best seen on image 81 of series 5 measuring 1.1 x 0.9 cm. Other micronodules also stableMEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Stable benign appearin... | Stable examination |
Generate impression based on findings. | Reason: mets lung ca, s/p chemo and on Erlotinib, pls c/w previous study and evaluate dz status. History: lung ca CHEST:LUNGS AND PLEURA: Postsurgical and post radiation changes in the right lung are redemonstrated.Right apical subpleural area of atelectasis/consolidation demonstrates improvement with increased aeratio... | 1.Interval increase in size of right lower lobe nodule.2.Interval improved aeration in a focal area of consolidation/atelectasis within the superior segment of the right lower lobe.3.Stable right pleural effusion. |
Generate impression based on findings. | 79 year-old female with acute mental status change. Evaluate for intracranial hemorrhage The images are partially degraded by patient motion.There is no significant interval change in size of the left hemispheric hematoma that measures up to 9.5 cm with surrounding vasogenic edema and associated midline shift to the ri... | 1.No significant interval change in the large left cerebral hemisphere intraparenchymal hemorrhage with surrounding edema and associated 10 mm of midline shift, uncal and subfalcine herniation, and entrapment of the right lateral ventricle.2.The associated intraventricular extension of the hemorrhage, as well as scatte... |
Generate impression based on findings. | Reason: Pt with recurrent HNC s/p CRT 8/2011. Please re-eval and compare History: as above CHEST:LUNGS AND PLEURA: Stable scattered micronodules.No new suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN... | No evidence of metastatic disease.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Male, 55 years old, status post head trauma. Prominence of the cerebral sulci and cerebellar fissures is redemonstrated, perhaps mildly progressed relative to the prior examination.No acute intracranial hemorrhage or abnormal extra-axial fluid collection is seen. No parenchymal edema or other focal proximal abnormaliti... | 1. No acute intracranial abnormality.2. Mild parenchymal volume loss, slightly progressed relative to the prior study. |
Generate impression based on findings. | 65-year-old male with history of chronic lymphoid leukemia CHEST:LUNGS AND PLEURA: Right upper micronodules are unchanged. MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Index left axillary lesion measures 9 x 6 mm and a 23, series number 3. Index lesion in the right axilla is also unchanged measurin... | Significant interval increase in the size of the retroperitoneal lymph nodes. Minimal increase in size of the pelvic lymph nodes. Chest findings are stable. |
Generate impression based on findings. | 17 year-old man with VP shunt presents with headache status post lumbar puncture. Please evaluate ventricular size. VENTRICLES/CSF SPACES:Ventricular shunt catheter tip is identified within the frontal horn of the left lateral ventricle. No midline shift. The appearance of the lateral ventricles is slightly more promin... | 1.Slightly more prominent size of the lateral ventricles when compared to the most recent prior exam; but still within normal limits.2.No evidence of acute intracranial hemorrhage. |
Generate impression based on findings. | 35-year-old male patient with history of recurrent oral tongue cancer s/p TFHX completed 7/5/12 who presents for routine follow-up. He is clinically and radiographically NED. There are stable post-treatment findings related to partial left glossectomy and selective left neck dissection. There is no discrete mass lesion... | Unremarkable post-treatment findings in the left oral tongue and without evidence of locoregional tumor recurrence or lymphadenopathy. |
Generate impression based on findings. | -year-old female with history of Hodgkin lymphoma CHEST:LUNGS AND PLEURA: Subcentimeter right lower lobe nodule is unchanged.MEDIASTINUM AND HILA: Index left supraclavicular node measures 2.2 x 0.9 cm on image number 7, series number 3, unchanged. Anterior mediastinal soft tissue density lesion measures 4 by 2.2 cm on ... | Slightly decreased to stable sized lymph nodes. |
Generate impression based on findings. | Mesothelioma status post-pleurectomy decortication CHEST:LUNGS AND PLEURA: Postsurgical changes right hemithorax. The small volume of loculated pleural fluid anteriorly near the diaphragm, unchanged. Minimal pleural thickening a laterally at the costophrenic angle, difficult to measure, 6-mm at the 9 o'clock position, ... | 1. Interval increase in size of an enhancing soft tissue nodule in the right lateral chest wall consistent with an occult tumor deposit.2. Interval increase in size of the pulmonary ground glass nodules now suspicious for indolent primary pulmonary malignancy such as adenocarcinoma in situ or perhaps minimally invasive... |
Generate impression based on findings. | Reason: lung ca, s/p chemo RT and resection, pls c/w previous study and evaluate dz status. History: lung ca CHEST:LUNGS AND PLEURA: Redemonstration of postsurgical volume loss and mild pleural thickening in the right hemithorax.Stable scattered micronodulesNo two suspicious pulmonary nodules or masses.Mild upper lobe ... | No interval change. No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 62-year-old male with history of peritoneal mesothelioma This study is limited due to lack of IV contrast.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signifi... | Limited study due to lack of IV contrast there is interval increase in the amount of ascites and omental soft tissue density |
Generate impression based on findings. | Prostate cancer. CHEST:LUNGS AND PLEURA: Centrilobular emphysema.Anteriorly at the right lung base (image 79; series 10291), there is a 3.0 x 2.7 cm opacity that contains air bronchograms. Differential diagnosis includes round pneumonia versus neoplasm. Follow-up chest radiograph is suggested 6 weeks to assess stabilit... | 1. Right basilar round pneumonia versus neoplasm. Suggest follow up chest radiograph in 6 weeks to assess stability.2. Right common iliac artery occlusion. Patient has claudication symptoms referrable to the right leg, consider Interventional Radiology consultation. |
Generate impression based on findings. | Maxillary sinus chondrosarcoma LUNGS AND PLEURA: Multiple lung micronodules are identified bilaterally, however appears to be decreasing in number. No effusions or pneumothorax.MEDIASTINUM AND HILA: Central line again noted. Lack of contrast material limits interpretation of mediastinal mass.CHEST WALL: Interval resolu... | Interval improvement in the number of bilateral lung micronodules in resolution of right axillary soft tissue mass. |
Generate impression based on findings. | Malignant neoplasm of the larynx, follow-up CHEST:LUNGS AND PLEURA: Acute improvement and near complete resolution of the previously described tree in bud pattern representing suspected bronchiolitis greatest in the left upper lobe and now posterior left lower lobe peripherally. A focal area of consolidation in the ant... | 1. Minimal changes again representing shifting foci of aspiration. A more focal area of consolidation observed in the peripheral left lower lobe has decreased and likely represents a resolving superimposed acute changes related to radiation2. Resolving questionable previously described lymphadenopathy |
Generate impression based on findings. | Male, 78 years old, with left-sided weakness. No significant interval changes from the same day head CT. Briefly, there is hypoattenuation within the right centrum semi-ovale suggestive of age indeterminate ischemic disease. Scattered additional small hypodensities are seen in the periventricular regions and the basal ... | 1. No evidence of high-grade stenosis is identified within the large proximal branches of the circle of Willis.2. There may be some atherosclerotic narrowing of one or two M2/M3 branches on the right which could correlate with the parenchymal changes noted above. The acuity of this finding is uncertain and it may be en... |
Generate impression based on findings. | Reason: asthma History: severe asthma LUNGS AND PLEURA: Mild basilar scarring/discoid atelectasis.Mild bronchial wall thickening.No suspicious pulmonary nodules or masses.No evidence of air trapping on expiration imaging.No pleural effusions.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy.Cardiac size is ... | Mild bronchial wall thickening. No evidence of air trapping. Bilateral basilar scarring/discoid atelectasis. |
Generate impression based on findings. | 61-year-old male patient with history of bilateral glottic carcinoma who is now 2 years and 2 months since completing radiation therapy and returns for a routine follow up visit. Head CT: There is no evidence of intracranial mass, extra-axial fluid collection, hydrocephalus, or focus of pathologic enhancement. There is... | No soft tissue mass or enhancement demonstrated on CT suggest locoregional recurrent/residual tumor, lymphadenopathy, or intracranial metastaases.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Clinical question: CLL for follow evaluation two years to status post chemotherapy. Signs and symptoms: CLL. Enhanced neck CT:Limited images of the intracranial space demonstrate a small 6 x 7 mm heavily calcified dural based lesion in the right frontal region. This finding could represent a burnt out meningioma or a d... | 1.No detectable mass or pathologic adenopathy by CT size criteria. Stable exam since prior study.2.Mild chronic pansinusitis. |
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