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Generate impression based on findings. | Ovarian cancer on treatment. Evaluate disease progression. CHEST:LUNGS AND PLEURA: Right lower lobe lung mass has is stable measuring 3.2 x 2.2 cm (image 71; series 4). As noted previously, this mass appears scarlike with linear opacities extending to the pleural surface and may represent round atelectasis. No consolid... | Unchanged examination.1.Stable right lower lobe mass which may represent round atelectasis.2.No change in reference left pelvic lesion. |
Generate impression based on findings. | 79 year-old with syncope. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage. No pathologic enhancement.FLUID:No fluid collections. No evidence of hemorrhage.BONE:No fractures. Visualized bony structures are normal. | Unremarkable CT of the head |
Generate impression based on findings. | 66 year-old male. History of Follicular NHL. Evaluate extent of disease. CHEST:LUNGS AND PLEURA: Moderate right pleural effusion with adjacent atelectasis. The previously seen 1.3 x 1.1 cm nodule in the right lower lobe is not visualized, probably obscured by the atelectasis. Mild left apical scarring continuous with a... | 1. Marked progression of extensive soft tissue infiltration of the retroperitoneum and mesentery. New soft tissue in the perirenal space encasing both kidneys.2. Omental soft tissue nodularity consistent with peritoneal spread of tumor.2. Mild increase in size of lymphadenopathy in the chest.3. Moderate right pleural e... |
Generate impression based on findings. | Reason: PT with HNC s/p CRT 3/20/13. Please re-eval for recurrences History: as above CHEST:LUNGS AND PLEURA: Numerous stable calcified and noncalcified nodules.No new pulmonary nodules identified.Stable impacted bronchi in the left upper lobe.MEDIASTINUM AND HILA: Unchanged markedly enlarged heterogeneous thyroid.Righ... | Stable multiple pulmonary nodules some of which are calcified and most likely are postinflammatory in origin. No new pulmonary nodules identified. No convincing evidence of metastatic disease. |
Generate impression based on findings. | History of lung cancer 1985 and 2012 status post bilateral mastectomy for breast cancer. CHEST:LUNGS AND PLEURA: Multiple pulmonary and pleural nodules and masses on the right. Largest right lower lobe lesion measures 31 x 37 mm (5/57), increased from 26 x 29 mm previously. Second index lesion on the right anteriorly m... | Mixed response with slight increase in size of pulmonary nodules masses in the right lung and development of right hilar, right paratracheal and right paracaval lymphadenopathy. However, the left upper lobe sub-solid nodule has significantly improved in density and is smaller in size; given the radiographically distinc... |
Generate impression based on findings. | Mesothelioma, decortication and follow-up CHEST:LUNGS AND PLEURA: Right pleural plaques with areas of dense calcification are unchanged. Focal nodular thickening is also observed along the right hemidiaphragm also unchanged. No new areas of pleural thickening or concern. No effusions.Postsurgical changes and volume los... | Left hemithorax postsurgical changes without evidence of recurrence or new superimposed acute abnormality. Right pleural plaques unchanged |
Generate impression based on findings. | 59 year old with history of bilateral lung transplant and persistent loculated fluid collection. LUNGS AND PLEURA: Postoperative changes from left side pleurodesis. The posterior and lateral pleural fluid collections on the left are decreased in size, but the loculated anterior component remains largely unchanged and c... | Large bilateral pleural effusions with persistent loculated anterior component on the right which is not in communication with the chest tube. Air in the left pleural space may be iatrogenic. Please note that CT cannot reliably distinguish infected from noninfected collections. |
Generate impression based on findings. | History of metastatic soft tissue sarcoma LUNGS AND PLEURA: Postsurgical changes in the right partial resection and wedge resections in the left upper and lower lobes are unchanged. No evidence of recurrence, specifically no new nodules. Scattered micronodules are unchanged. Basilar scarring stable. No effusions.MEDIAS... | No evidence of metastatic disease |
Generate impression based on findings. | Clinical question: 22-year-old female with history of Hodgkin's lymphoma, now two years post ABVD, evaluate disease status. Signs and symptoms: Hodgkin's lymphoma. Enhanced neck CT:Visualized intracranial contents are unremarkable.Images through the skull base including bilateral cavernous sinuses, bilateral petrous bo... | 1.Stable bilateral cervical lymphadenopathy in size, number and measurements as detailed/measured above.2.Interval complete resolution of previously noted extensive maxillary sinus disease. |
Generate impression based on findings. | 18 year old with severe asthma and recurrent wheezing. LUNGS AND PLEURA: No focal interstitial or airspace abnormality. No peribronchial thickening. No air trapping is present on the expiratory exam.No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: Small foci of air adjacent to the right postero-lateral trachea... | No evidence of interstitial lung disease or acute pulmonary abnormality. Bilateral paratracheal air collections at the level of the thoracic inlet most likely represent small tracheal diverticuli /paratracheal air cysts based on location and lack of pneumomediastinum elsewhere. |
Generate impression based on findings. | Mesothelioma, follow-up CHEST:LUNGS AND PLEURA: Postoperative left pleurectomy changes with volume loss and diaphragmatic mash unchanged. The focus of increased pleural fluid anteriorly adjacent to the left upper lobe is stable in appearance. No suspicious new masses or focal areas of pleural thickening to suggest recu... | Postoperative changes including a left pleurectomy without evidence of recurrent disease |
Generate impression based on findings. | Reason: history of bronchiectasis and nodules, follow up History: pulmonary nodules, cough LUNGS AND PLEURA: Scattered clustered nodules in tree in bud opacities are redemonstrated with new subpleural cluster of nodules in the superior segment left lower lobe.Left lower lobe nodule (image 42 series 20332) with internal... | Waxing and waning clustered nodules and tree in bud opacities compatible with chronic/recurrent infection such as MAI. |
Generate impression based on findings. | 26 year old with tachycardia and shortness of breath. Evaluate for pulmonary embolism. PULMONARY ARTERIES: No pulmonary emboli identified.LUNGS AND PLEURA: No focal air space or interstitial opacity. No pleural effusion or pneumothorax. No emphysema.Bilateral pleural nodularity consistent with neurofibromas.MEDIASTINUM... | 1. No acute pulmonary emboli or other acute pulmonary abnormality.2. Numerous soft tissue lesions in the mediastinum, chest wall and retroperitoneum, presumably representing neurofibromas but incompletely assessed by this technique. Note: CT is insensitive for the detection of sarcomatous transformation in neurofibroma... |
Generate impression based on findings. | Female, 79 years old, status post fall, on Coumadin. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift. The ventricles and basal cisterns are pa... | No acute intracranial abnormality. |
Generate impression based on findings. | Metastatic breast cancer with some dyspnea and back pain. CHEST:LUNGS AND PLEURA: Right apical scarring. Interval development of a small bronchocele in the anterior right upper lobe (4/25). Scattered areas of tree-in-bud opacity elsewhere in the periphery of the right upper lobe. Punctate micronodules elsewhere unchang... | ]1. No convincing evidence of pulmonary metastatic disease. Peripheral endobronchial filling defects within the right upper lobe are nonspecific and may be the result of aspiration or infection. The possibility of endobronchial metastases are considered unlikely given the location and distribution.2. Stable diffuse ske... |
Generate impression based on findings. | Female 52 years old Reason: Pt is a 52 y/o female with met melanoma, evaluate for response to DTIC History: met melanoma CHEST:LUNGS AND PLEURA: Again noted are multiple pulmonary masses, which are largely unchanged in size since the prior exam. The index mass in the right lower lobe now measures 2.3 x 2.4 cm (image 46... | 1.Stable appearing lung masses, which likely represent metastatic disease.2.Stable mediastinal and mesenteric adenopathy.3.Numerous subcutaneous nodules, with interval increase in size of the reference pelvic nodule.4.Cholelithiasis. |
Generate impression based on findings. | Mesothelioma, follow-up given decortication pleurectomy CHEST:LUNGS AND PLEURA: Mild to moderate diffuse central lobular emphysema. No suspicious new superimposed intrapulmonary abnormality, specifically no nodules or masses. Postsurgical changes including volume loss and scarring in the anterior aspect of the left hem... | Postoperative changes throughout the left hemithorax from a pleurectomy and decortication. No evidence of interval change. Reference measurements are stable and provided. |
Generate impression based on findings. | 52 year old with metastatic melanoma. Please evaluate. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or intra-axial hemorrhage.FLUID:No fluid collections. No evidence of extra-axial hemorrhage.BONE:No fractures. Visualized bony structure... | 1. No evidence of intra-cranial metastases.2. 6 scalp lesions, 5 of which appear larger than the prior MRI. A new left high parietal soft tissue nodule likely represents a new metastasis as it is not clearly identified on the prior MRI. |
Generate impression based on findings. | 67-year-old with bibasilar lung nodules noted on abdominal CT. LUNGS AND PLEURA: Numerous bilateral pulmonary nodules/micro nodules which are not significantly changed dating back to 11/10/2007. The largest nodule measures 5 x 8 x 10 mm (series 5 image 61, coronal image 49), previously 5 x 8 x 5 mm contains internal wi... | Multiple small bilateral pulmonary nodules that are not significantly changed since 11/10/2007 most consistent with benign etiology such as granulomas. The largest nodule in the right lower lobe may reflect a hamartoma, also likely benign. |
Generate impression based on findings. | Breast cancer, please reassess disease CHEST:LUNGS AND PLEURA: Multiple irregular and mildly patchy opacities again seen the right upper and middle lobes peripherally appearance unchanged. Appearance suggests residual scarring radiation change over an acute process. No new suspicious nodules or masses. No effusions.MED... | Stable scattered right middle and upper lobe peripheral changes represent a suspected scarring. No findings to suggest recurrence |
Generate impression based on findings. | Mesothelioma status post newer chemotherapy agent. CHEST:LUNGS AND PLEURA: Right hemithorax nodular pleural thickening consistent with mesothelioma. Reference measurements on the right as follows:Level of the azygos arch (3/31) 5 o'clock position 0 mm compared to 5-mm previously.Level of the carina (3/32) 11 o'clock po... | Mixed response with improvement in pleural and right diaphragmatic lesions but slight increase in size of parenchymal lung metastases. |
Generate impression based on findings. | Male 67 years old Reason: Assess pancreas and for mass lesion in right upper quadrant History: 67 y.o. man with a history of abdominal discomfort and ?mass in RUQ on abdominal examination ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is no evidence of intrahepatic biliary ductal dilata... | No definitive etiology found to explain patient's right upper quadrant pain. |
Generate impression based on findings. | Prostate cancer. Rising Gleason score. CHEST:LUNGS AND PLEURA: Multiple focal areas of ground glass and air space opacity have regressed significantly. No pulmonary masses. Scattered micronodules.MEDIASTINUM AND HILA: Moderately large calcified goiter without substantial change. Moderate coronary calcifications as note... | 1.Right native renal lesion increasing in size and enhancing compatible with neoplasm. Findings text paged to Dr. Smith (pager 6709) at the time of dictation.2.Right iliac artery aneurysm, a 2.0 cm in diameter.3.No evidence of retroperitoneal bleed as clinically questioned.PWR |
Generate impression based on findings. | Recurrent UTIs 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 noted. Specifically, no ... | Negative examination. Specifically, no evidence for GU related abnormality. |
Generate impression based on findings. | 65-year-old male. Pancreatic cancer restaging. CHEST:LUNGS AND PLEURA: Right lower lobe nodule measures 1 x 0.8 cm (series 5, image 69) as compared to 0.9 x 0.8 cm on 1/2013 scan. It demonstrates new tiny cavitations along its inferior aspect.Left upper lobe nodule measures 0.6 x 0.8 cm (series 5, image 30), not signif... | 1. Few scattered subcentimeter hypodense foci in both lobes of the liver are too small to characterize and not definitely visualized on prior exams. Special attention should be given to these lesions on follow-up exams.2. Post-surgical changes of Whipple procedure. 3. Stable lung nodules. |
Generate impression based on findings. | Reason: head trauma History: headache The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.There is opacification of the right maxillary sin... | No evidence for acute intracranial abnormality. |
Generate impression based on findings. | 52 year old female with history of metastatic melanoma, evaluate disease progression on DTIC. Numerous soft tissue nodules are noted throughout the left upper extremity compatible with metastatic disease which are globally increased in size compared to the recent prior study. Beginning distally, the following comparati... | Interval increase in size of numerous metastatic soft tissue lesions throughout the left upper extremity with reference measurements provided. |
Generate impression based on findings. | Female 65 years old Reason: Staging eval History: 65F hx of uterine carcinosarcoma, now with recurrence and mets on exam CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary nodules are again noted without significant change in size or morphology.MEDIASTINUM AND HILA: There is an enhancing mass in the anterior mediasti... | Overall marked progression of disease.1.Large heterogenous pelvic mass measuring 8.2 x 14.7 x 24.0 cm producing mass effect on the IVC, renal veins and ureters. This mass likely represents local recurrence.2.Bilateral mild/moderate hydronephrosis likely due to compressive effect of the pelvic/abdominal mass.3.New perit... |
Generate impression based on findings. | 49 year old with history of urothelial cancer. R/o intrapulmonary metastases, pneumonia, effusions. LUNGS AND PLEURA: New subpleural cavitary lesion in the left lower lobe at the site of previous left lower lobe airspace consolidation and pulmonary emboli. This is compatible with a cavitary infarct. Diminished opacific... | 1. New bilateral pleural effusions.2. No specific evidence of metastasis in the chest.3. New right lower lobe pneumonia/aspiration.4. Interval increase in size of presumed hepatic metastases and intra-abdominal ascites.5. Residual left lower lobe pulmonary embolus with cavitary infarct. |
Generate impression based on findings. | Female, 85 years old, history of CLL. No pathologic adenopathy is identified in the neck by size criteria. There are scattered small cervical lymph nodes, many of which have decreased in size by 1 or 2 mm. The most prominent of these is in the left axilla, but even here, none meet criteria for pathologic enlargement. F... | No significant interval changes. If anything, some scattered small cervical lymph nodes have decreased in size mildly. No pathologic adenopathy is detected. |
Generate impression based on findings. | Reason: 59 yo F with MMP, hx of multiple CVA, new L subclavian DVT on heparin, c/o headache and visual changes, eval for stroke History: headache, visual changes There is a very thin isodense subdural fluid collection along the right hemisphere best seen on sagittal imaging. This finding is new from the prior study. Gi... | 1.Evidence of scattered areas of ischemia are redemonstrated and probably represent old infarcts. However, CT is insensitive for subtle early ischemia. If clinically suspicious, MRI may be used for better evaluation.2.Thin isodense subdural collection along the right cerebral hemisphere, new from prior study. Given ant... |
Generate impression based on findings. | Malignant neoplasm of ampulla CHEST:LUNGS AND PLEURA: The mass with internal calcifications in the right pleura is unchanged measuring 3 x 1 .5-cm image number 76, series number 3.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Index perito... | Slight interval increase in the size of the peritoneal deposits. |
Generate impression based on findings. | Rectal cancer status post therapy. One-year surveillance. CHEST:LUNGS AND PLEURA: Few calcified granulomas, predominating in the upper lungs are unchanged. Scattered micronodules are also stable. Subcentimeter ground glass lesion in the left base is unchanged. Apical scarring appears stable.MEDIASTINUM AND HILA: Few ca... | Small lymph nodes in the abdomen are stable. Scattered micronodules are unchanged. Trace pelvic ascites. |
Generate impression based on findings. | Multiply Relapsed Follicular NHL. There has been continued interval increase in size of the majority of the bilateral occipital, pre-auricular, parotid, and cervical enhancing lymph nodes with ill-defined margins.Reference nodes are as follows:* Left occipital node: 4.6 cm, previously 3.6 cm.* Left preauricular node: 1... | Continued interval increase in size of the majority of numerous bilateral occipital, preauricular, parotid, and cervical enhancing lymph nodes, compatible with progression of lymphoma. |
Generate impression based on findings. | Female 31 years old Reason: Evaluate for redevelopment of fluid collection History: pain, low grade fevers ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is no evidence of intrahepatic biliary duct dilatation or focal mass lesion. There is evidence cholelithiasis without signs of cholec... | 1.Regressing intra-abdominal/pelvic abscess with associated inflammation and lymphadenopathy.2.Cholelithiasis without evidence of cholecystitis. |
Generate impression based on findings. | Nodule on x-ray, please follow-up LUNGS AND PLEURA: Marked interval improvement with decreased size of the multiple bilateral pulmonary nodules. The reference right upper lobe nodule (image 29 series 4) currently measures 4 mm from a prior measurement of 10 mm. Similar improvement in changes observed in the other nodul... | Marked interval improvement of the multiple previously described bilateral pulmonary nodules. The relatively prompt response to treatment suggests resolving infectious etiology over metastatic disease as previously postulated. No new abnormalities |
Generate impression based on findings. | 79-year-old female with benign neoplasm of the meninges. There is no interval change in the dural based extra-axial enhancing mass in the right temporal region is unchanged and measures up to 9 in width. Another dural based extra-axial calcified enhancing mass along the left frontal convexity is unchanged, measuring up... | Unchanged small extra-axial masses that likely represent meningiomas without associated mass-effect or edema. No evidence of acute intracranial hemorrhage. |
Generate impression based on findings. | Staging for parotid cancer LUNGS AND PLEURA: Small lung volumes and mildly asymmetric greater on the right. A single punctate subcentimeter nodule is observed adjacent to the right pericardium (image 44 series 5) along with minimal and largely dependent changes suggesting aspiration over atelectasis with scattered calc... | Mild aspiration with scattered calcified granulomatous changes with a single solitary subcentimeter nodular density noted in the right middle lobe, likely post inflammatory. Correlation with subsequent imaging however will be helpful, per protocol. |
Generate impression based on findings. | 68 year old man referred for cardiac CT who is participating in GLOBAL trial.CPT Code: 75574 Coronary Calcium ScoreLM = 0LAD = 506LCx = 44RCA =150Total= 700, represents 82nd percentile for male of his race and age.Coronary arteries: LM: The left main coronary artery is short but arises normally from the left sinus of v... | 1. There are several calcified, partially calcified, and non-calcified plaques which are non-obstructive. 2. Although no severe stenoses are noted, the proximal to mid LAD, the ostial first diagonal artery, and the distal RCA have densely calcified segments which are non-diagnostic. 3.The patient has a high burden of c... |
Generate impression based on findings. | Clinical question: status post fall from standing, head aberration,? Alteration of mental status. Signs and symptoms:? Alteration of mental status. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic stroke.Very minimal perivent... | 1.No acute intracranial findings.2.Minimal age indeterminate small vessel ischemic stroke. |
Generate impression based on findings. | Clinical question: Evaluate for intracranial injury and status post blunt facial trauma. Signs and symptoms: Left frontal/parietal headache. Nonenhanced head CT:There is no detectable posttraumatic intracranial, calvarial, soft tissues of the scalp or partially visualized maxillofacial region.Cerebral cortex, cortical ... | 1.No detectable acute posttraumatic findings.2.Unremarkable intracranial content.3.Unremarkable paranasal sinuses, mastoid air cells and middle ear cavities.4.Small round well demarcated and minimally calcified soft tissue mass like lesions in the scalp as detailed above. Findings are suspicious for sebaceous cysts. Co... |
Generate impression based on findings. | Clinical question: Mass, intracranial hemorrhage. Signs and symptoms: Headaches for 6 days. Nonenhanced head CT:There is no detectable acute intracranial process.The cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation remains within normal.Calvarium and soft tissue... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: 63 year-old female with nausea, dizziness and falls. Evaluate for metastatic disease. Signs and symptoms: As above. Pre-and post-enhanced head CT:There is no detectable abnormal parenchymal or leptomeningeal enhancement to suggest metastatic disease.Calvarium and soft tissues of the scalp are unremar... | Negative pre-and post enhanced head CT. |
Generate impression based on findings. | Male 81 years old; Reason: please evaluate etiology of hematuria by performing a CT UROGRAM. He has a bladder vs prostate mass that may be the cause but need to exclude upper tract as well. History: hematuria ABDOMEN:LUNGS BASES: Small right pleural effusion noted. The heart is enlarged. Vascular congestion noted.Bibas... | 1.Intrahepatic and extrahepatic biliary ductal dilatation as well as pancreatic ductal dilatation. Follow up as clinically indicated.2.Small polypoid filling defect in the bladder base, incompletely characterized. 3.Air in the bladder, which could be due to prior instrumentation versus air within the bladder wall from ... |
Generate impression based on findings. | Female 58 years old Reason: question of diverticulitis History: lateral abdominal pain Examination of the parenchyma of the solid organs of the abdomen and pelvis is limited by the lack of intravenous contrast.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is no evidence of intrahepatic... | 1.3-mm obstructing ureteric stone just inferior to the lower pole of the left kidney with associated enlargement of the left kidney, hydroureter and mild hydronephrosis.2.Multiple lytic lesions in the thoracic and lumbar spine concerning for possible metastatic disease.3.Old compression fracture of the T11 vertebrae wi... |
Generate impression based on findings. | 23-year-old female with pleuritic right sided posterior chest pain. Evaluate for PE. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. LUNGS AND PLEURA: No focal pulmonary opacity or pleural effusion.MEDIASTINUM AND HILA: No pericardial effusion. No evidence of right heart strain.CHE... | Technically adequate study without pulmonary embolus or other acute pulmonary abnormality. |
Generate impression based on findings. | 30 year-old female. Right flank pain. History of stones. Concern for infected stone. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS... | Obstructing right distal ureteral stone with severe upstream hydroureteronephrosis and renal enlargement. |
Generate impression based on findings. | 68-year-old male with non-small cell lung carcinoma presents with hypoxia and dyspnea PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. No evidence of right heart strain.LUNGS AND PLEURA: Note is made of centrilobular emphysema with an upper lobe predominance. Interval increase in si... | 1. No evidence of pulmonary embolus.2. Interval increase in size and number of multiple pulmonary nodules consistent with the known history of metastatic squamous cell carcinoma.3. Interval increase in size of hilar, cardiophrenic, and mediastinal lymphadenopathy.4. Interval increase in size of large left pleural effus... |
Generate impression based on findings. | Head pain s/p trauma. Head: There is no evidence of acute intracranial hemorrhage. There is an unchanged hypodense focus within the head of the caudate, which likely represents a chronic lacunar infarct. No mass lesion is identified. The ventricles, sulci, and cisterns are symmetric stable in size and configuration, in... | 1. Left preseptal and retrobulbar hemorrhage with associated mild proptosis, but no evidence of maxillofacial fracture.2. No acute intracranial hemorrhage or mass lesions.3. Unchanged hypodense focus within the head of the caudate, which likely represents a chronic lacunar infarct. Discussed with Dr. Demeter at 8:40PM ... |
Generate impression based on findings. | 48-year-old male. Abdominal distention and pain, recent paracentesis. Concern for bleed. ABDOMEN:LUNG BASES: Cardiomegaly. LIVER, BILIARY TRACT: Nodular liver contour with fissural widening is consistent with a cirrhotic morphology, possibly from cardiac cirrhosis. Cholelithiasis. SPLEEN: Status post splenectomy. Metal... | 1. Large right hemiabdomen hematoma with active contrast extravasation from a body wall vessel.2. Loculated collection along the left iliac fossa containing foci of air, could be a residual collection from the prior left lower quadrant phlegmon/hematoma seen on 2012 exam. 3. Diffuse small and large bowel wall thickenin... |
Generate impression based on findings. | Female 47 years old; Reason: neuroendocrine cancer compare to prior CT \T\ measure 1) Segment IVb liver lesion, 2) segment VII liver lesion \T\ 3) cecal mass History: post 2 cycles CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusion. Multiple right sidednodules are unchanged. A right middle lobe referenc... | 1.Stable pulmonary nodules.2.Multiple hepatic metastases are smaller in size. 3.Decrease in size of the cecal mass and adjacent mesenteric soft tissue attenuation. |
Generate impression based on findings. | Female 63 years old Reason: evaluate for aortic dissection History: 63yo F with hypertensive emergency p/w abd pain and lactic acidosis CHEST:LUNGS AND PLEURA: There is a single, 5 mm, calcified nodule in the inferior left upper lobe, which likely represents sequelae from prior granulomatous disease.MEDIASTINUM AND HIL... | 1.No evidence of aortic dissection.2.No clear etiology found to explain the patient's abdominal pain. |
Generate impression based on findings. | History of gastric malt CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Small presumed hemangioma in segment 5 is unchanged measuring 1.3-cm image number 103, series number 3.SPLEEN... | No significant change from previous study. Pelvic ultrasound may be helpful for further evaluation of the uterus. |
Generate impression based on findings. | 52 year old female. Gastric cancer status post two cycles of chemotherapy. Evaluate for staging. EPIC history: gastric tumor at pylorus and prepyloric antrum. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: 1.3 x 1.1 cm hypodense lesion in the spleen (se... | 1. Findings consistent with gastric cancer involving the prepyloric antrum/pylorus, causing a partial gastric outlet obstruction.2. No definite evidence of metastasis in the abdomen or pelvis.3. Hypodense lesion in the spleen is favored to be benign, possibly a hemangioma. |
Generate impression based on findings. | 69-year-old male with persistent fevers and chills of unknown etiology CHEST:LUNGS AND PLEURA: Dependent atelectasis at the lung bases.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant ab... | Possible wall thickening involving a long segment of terminal ileum. Lack of opacification of terminal ileum and colon limits Ultima evaluation. Further evaluation with endoscopy and helpful.Bilateral nephrolithiasis.Significant degenerative changes and postsurgical changes involving the spine. |
Generate impression based on findings. | Male 70 years old; Reason: met rectal cancer restaging History: met rectal cancer on chemo CHEST:LUNGS AND PLEURA: Subcentimeter left pleural pulmonary nodules. These are clustered adjacent to the subsegmental airway and may be infectious in etiology. No pleural effusions.MEDIASTINUM AND HILA: No significant abnormalit... | 1.Decrease in the size of the reference lymph nodes in the retroperitoneum and mesentery.2.Probable slight increase in the size of the pelvic mass.3.Subcentimeter left lower lobe pulmonary nodules, follow up is suggested. |
Generate impression based on findings. | 65-year-old female with history of ulcerative colitis 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 significan... | Limited study to lack of IV contrast. Interval increase in the amount of bilateral lower extremity congestion.Distention of bilateral common femoral veins and common iliac veins with hyperdense material is unchanged and may represent thrombosis/thrombophlebitis. Lack of IV contrast severely limits optimal evaluation of... |
Generate impression based on findings. | 63 year old female. Metastatic pancreatic cancer. Concern for biliary obstruction. Based on blood chemistries. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Reference 12 x 8 mm precarinal lymph node is not definitely visualized. Right ch... | 1. Interval increased size of pancreatic tail mass, which now extends inferiorly to invade the gastric antrum causing a gastric outlet obstruction.2. Metastatic lesions in the chest, abdomen, and pelvis are increased in size.3. Increased size of a septated cystic lesion in the central pelvic may represent a primary ova... |
Generate impression based on findings. | Left upper quadrant abdominal mass presenting with left upper 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 not... | Unremarkable study. |
Generate impression based on findings. | Clinical question: The patient have ischemic stroke yesterday. Signs and symptoms: Left facial droop, cannot tolerate MRI. Nonenhanced head CT:No evidence of any acute intracranial process since prior exam a study of 24 hours earlier. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Mini... | 1.No evidence of acute intracranial process.2.Minimal age indeterminate small vessel ischemic strokes and unremarkable/stable exam since prior study for patient stated age of 84. |
Generate impression based on findings. | 85-year-old male. Small bowel obstruction. Evaluate for mass. ABDOMEN:LUNG BASES: Cardiomegaly. Coronary artery calcifications. Bilateral small pleural effusions with adjacent atelectasis.LIVER, BILIARY TRACT: No focal hepatic mass lesion. Hypodense gallbladder wall thickening is nonspecific. Cholelithiasis. SPLEEN: No... | 1. No small bowel obstruction. No discrete mass visualized.2. Small amount of abdominopelvic ascites. Bilateral small pleural effusions with bibasilar atelectasis. 3. Nonspecific hypodense gallbladder wall thickening and cholelithiasis, correlate with ultrasound as clinically warranted. |
Generate impression based on findings. | 67 year-old male with right eye ptosis and headache. Head CT: There is no evidence of intracranial hemorrhage, mass, or territorial infarction. The gray-white matter differentiation is preserved. The ventricles, sulci and cisterns are stable in size and configuration. The paranasal sinuses and mastoid air cells are cle... | 1. No acute intracranial hemorrhage, mass, or territorial infarct. However, CT has limited sensitivity of detection of acute infarction and MRI is recommended for further evaluation if clinically indicated. 2. A stable 1 to 2 mm outpouching at the left PCOM origin may represent a prominent infundibulum or small aneurys... |
Generate impression based on findings. | 71-year-old male. Known HCC. Evaluate for progression, new lesions, and metastases. ABDOMEN:LUNG BASES: Small bilateral pleural effusions.LIVER, BILIARY TRACT: Cirrhotic liver morphology. Heterogeneous arterially enhancing lesion in the left hepatic lobe measures 6.1 x 6.1 cm as compared to 6.9 x 6.9 cm previously (ser... | 1. Interval decreased size of dominant left hepatic lobe HCC. Satellite lesions are unchanged.2. Small amount of ascites. |
Generate impression based on findings. | Reason: hx of pyriform sinus CA, s/p XRT- Right lung lesion per prior CT chest 2/2013. Please eval- 6 month f/u History: R lung lesion on prior CT chest, please eval LUNGS AND PLEURA: Groundglass lesion in the right upper lobe is not significantly changed in size, measuring 13 mm, previously 13 mm (image 112: series 5)... | 1. No significant interval change in size of the small ground glass lesion in the right upper lobe. While some features of this lesion favor benignity, it is still considered indeterminate and long term follow up in approximately 2 years is recommended to establish stability. 2. No evidence to suggest metastatic diseas... |
Generate impression based on findings. | Reason: Lung Cancer: restaging History: none CHEST:LUNGS AND PLEURA: Significant interval decrease in the right apical mass (image 19 series 5) now measuring 3.5 cm x 2.9 cm previously measuring 4.8 cm x 3.4 cm on the exam dated 8/8/13. Satellite nodule adjacent to the major fissure (image 34, series 5) is decreased in... | 1.Significant interval reduction in size of the large right upper lobe mass and satellite nodule.2.Significant interval decrease in mediastinal and right hilar lymphadenopathy.3.Interval clearing of the bilateral pleural effusions and marked improvement in the anasarca.4.Previous noted right breast subcutaneous nodule ... |
Generate impression based on findings. | Male 25 years old; Reason: left flank pain, history of stones History: flank pain 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 no... | 1.Two left distal ureter calculi at the level of the UVJ. Minimal proximal collecting system dilatation.2.No evident residual calculi in either kidney. |
Generate impression based on findings. | Female 81 years old Reason: fluid collection, infection, abscess, colitis History: post-op abdominal pain ABDOMEN:LUNG BASES: There is cardiomegaly.LIVER, BILIARY TRACT: There is evidence of mostly left-sided pneumobilia, which limits the evaluation of biliary ductal dilatation. This is likely due to prior instrumentat... | 1.Stable peripancreatic fluid collection with associated mesenteric fat stranding likely sequelae from pancreatitis.2.Stable pneumobilia. |
Generate impression based on findings. | Head injury with loss of consciousness. There is no evidence of intracranial hemorrhage, mass, or edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is no evidence of a depressed skull fracture. The extracranial structures are unremarkable. | No evidence of acute intracranial hemorrhage or depressed skull fracture. |
Generate impression based on findings. | 73-year-old male with altered mental status and concern for possible worsening of underlying pneumonia. LUNGS AND PLEURA: There is interval increase in previously described multifocal bilateral consolidation with associated air bronchograms involving the left upper and lower lobes, as well as the right lower lobe.Addit... | 1. Interval increase in multifocal pulmonary consolidation with associated multiple nodular opacities highly suggestive of granulomatous infection, including atypical etiologies such as fungal and mycobacterial. 2. Slight interval increase in bilateral pleural effusions. |
Generate impression based on findings. | Female 49 years old Reason: Hx of metastatic renal cancer assess for progressive disease History: neuropathic pain down left leg. Assess for spinal disease or pelvic lymphadenopathy ABDOMEN:LUNG BASES: The previously seen micronodule in the right lower lobe now measures 4 x 3 mm (image 9, series 3) and previously measu... | 1.Multiple small hypodense lesions seen in the hepatic parenchyma; however, the degree of fatty infiltration and heterogeneity limits CTs ability to assess these mass lesions. If clinical concern for hepatic metastatic disease exists, consider dedicated liver MR to further and better characterize these lesions.2.Interv... |
Generate impression based on findings. | Respiratory failure, rule out infectious pulmonary process. Motion limits sensitivity.LUNGS AND PLEURA: Left basilar atelectasis . Questionable small non-specific ground glass nodule in the right lower lobe. No pleural effusion.MEDIASTINUM AND HILA: Endotracheal tube present with tip approximately 2.5 cm above the cari... | 1. Left basilar atelectasis without evidence of infection.2. Mixed density abdominal collection compatible with hematoma correlates to history of retroperitoneal bleed, see abdominal report for full details. |
Generate impression based on findings. | Reason: fever, known vertebral osteomyelitis, new RUL pneumonia. R/o septic pulmonary emboli History: fever, SOB Motion limits sensitivity.LUNGS AND PLEURA: Multifocal areas of subpleural atelectasis and consolidation are noted throughout both lungs.No pleural effusions.MEDIASTINUM AND HILA: Adherent debris along the r... | Multifocal areas of subpleural consolidation and atelectasis suggestive of organizing pneumonia and may be secondary to infection, infarction, or aspiration.. |
Generate impression based on findings. | Male, 69 years old, with subdural hemorrhage. Redemonstration of three subdural catheters, one on the left and two on the right, unchanged in position.Significant normalization of the previously expanded bilateral subdural spaces. Whereas previously the subdural spaces contained air and mixed attenuation fluid, on the ... | 1. Multiple bilateral subdural drains are in stable position.2. Interval partial resolution of pneumocephalus and marked improvement in the degree of subdural space expansion.3. There remain thin low density subdural fluid bilaterally. On the left, external to this collection, there is a thin rim of more hyperdense mat... |
Generate impression based on findings. | Male, 69 years old, follow up status post subdural drain placement. Since the prior examination, three calvarial bur holes have been created, one in the left parietal bone and two in the right parietal bone. Three catheters have been placed through these holes into the bilateral subdural spaces.There has been partial e... | 1. Surgical change consistent with placement of 3 subdural catheters as above.2. Interval partial evacuation of the previously seen bilateral holohemispheric subdural hematomas. There does remain some mixed attenuation fluid along the left hemisphere.3. Mild interval re-expansion of the lateral ventricles. |
Generate impression based on findings. | 68-year-old female with history of adenocarcinoma ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Status post right adrenalectomy. No evidence of recurrence.KIDNEYS... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Reason: lung nodule progression History: hx of lung nodule LUNGS AND PLEURA: Biapical scarring compatible with radiation reaction, unchanged.Multiple bilateral well-defined micronodules, compatible with previous infection, unchanged.Bilateral basilar scarring and bronchial thickening compatible with previous infection ... | 1. Multiple stable micronodules compatible with previous infection.2. Enlarged right axillary lymph node of uncertain significance. The right breast is not completely visualized and if mammography has not been performed recently, it is recommended. |
Generate impression based on findings. | Male 33 years old Reason: Hx of testicular cancer. Eval for recurrent/metastatic disease. History: See above ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is no evidence of focal mass lesion within the hepatic parenchyma. There is no evidence of intrahepatic or extra hepatic biliary du... | 1.No evidence of pathologic lymphadenopathy or metastatic disease. |
Generate impression based on findings. | Reason: pleural plaques History: pleural plaques LUNGS AND PLEURA: Calcified pleural plaques unchanged and presumably secondary to prior asbestos exposure.No suspicious pulmonary/pleural nodules or masses.Mild basilar scarring/discoid atelectasis.MEDIASTINUM AND HILA: Enlarged spinal lymph nodes demonstrating some inte... | 1.Stable pleural calcifications compatible with prior asbestos exposure.2.Nonspecific enlarged mediastinal and hilar lymph nodes demonstrating mild interval increase in size. |
Generate impression based on findings. | Female, 72 years old, with altered mental status. Since the prior CT examination, edema within the right temporal lobe has resolved leaving only minimal if any residual hyperdensity. This process had already largely resolved on the more recent prior MRI.Encephalomalacia involving the left frontal lobe is redemonstrated... | 1. Resolution of prior right temporal edema.2. Stable left frontal encephalomalacia.3. Probable progression of periventricular hypoattenuation which may reflect age indeterminate small vessel ischemic disease. The pons is also likely involved as well.4. Mild right lateral ventricular expansion.5. No definite new or acu... |
Generate impression based on findings. | Clinical shunt: Evaluate for hemorrhagic conversion, evolution of CVA. Signs and symptoms: Stroke. Nonenhanced head CT:Compared to prior exam there is better visualization of a left MCA subacute ischemic stroke without evidence of hemorrhagic conversion. Strokes involves the left anterior and mid temporal lobe with res... | Subacute left MCA territory stroke in the anterior and mid temporal lobe with resultant regional mass effect however without evidence of hemorrhagic inversion. |
Generate impression based on findings. | 24 year old male. Constant LLQ for over one year. Unresponsive to constipation and muscle strain treatment. Evaluate for hernia or mass. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality ... | No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Clinical question: Evaluate for subdural hematoma. Signs and symptoms: AMS. Nonenhanced head CT:The examination demonstrates a low attenuation right sided subdural collection in the right posterior temporal -- occipital and extending superiorly into right posterior frontal parietal region. The subdural measures a maxim... | 1.Low-attenuation right sided subdural in the right posterior temporal/occipital junction and extending superiorly to right posterior frontal -- parietal with images of regional mass effect. Subdural measures a maximum of 13.8-mm.2.Small left pterional acute subdural measuring maximum of approximately 3.6 millimeter in... |
Generate impression based on findings. | 53 year-old female. Assess for hematuria. 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: Right upper pole renal c... | No renal, ureteral, or definite bladder mass. No nephrolithiasis. |
Generate impression based on findings. | 56-year-old male assess for pelvic fluid collection 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: Right pelvic k... | Near complete resolution of the pelvic fluid collection. |
Generate impression based on findings. | Female, 59 years old, with headache. Evaluate subdural hemorrhage. Redemonstration of a thin isodense subdural collection along the right cerebral hemisphere. In comparison with the immediate prior examination, this collection is 1 to 2 mm thicker.Subtle hypoattenuation is evident within the right occipital lobe. This ... | 1. Redemonstration of a thin isodense right subdural collection which has increased slightly in thickness since the prior examination.2. New hypoattenuation within the right occipital lobe is compatible with developing acute ischemia.3. Redemonstration of scattered areas of chronic ischemic change.Findings discussed wi... |
Generate impression based on findings. | 71 year-old male. History of right renal cell cancer status post right partial nephrectomy now with left renal mass. CHEST:LUNGS AND PLEURA: Calcified right lower lobe granuloma. Mild dependent pleural thickening bilaterally is unchanged.MEDIASTINUM AND HILA: Mildly ectatic tortuous distal aortic arch, similar to prior... | 1. Three heterogeneously enhancing masses in the left kidney, highly suspicious for multifocal RCC. Mass in the left interpolar region has progressively increased in sized from 2010 MRI.2. Post-surgical changes in the right kidney. Multiple hypodense lesions in the right kidney are not significantly changed, although a... |
Generate impression based on findings. | Male 64 years old; Reason: restaging scans; please compare to previous scans History: hx of prostate cancer CHEST:LUNGS AND PLEURA: Upper lobe subpleural emphysematous changes, unchanged. Scattered areas of cysts / emphysema. Scattered pulmonary nodules, some of which are calcified.MEDIASTINUM AND HILA: No significant ... | 1.Stable exam without new lymphadenopathy.2.Sclerotic lesions in the thoracic and vertebral body, ribs and pelvis. The thoracic vertebral body lesion may represent Paget's disease. |
Generate impression based on findings. | Reason: Please compare to CT on 7/24 showing cavitary micronodular and bronchiolitis pattern. Evaluate for resolution. Also evaluate LAD. History: abnormal CT LUNGS AND PLEURA: Mild interval improvement in the numerous groundglass nodules as well as centrilobular and tree in bud opacities nodular opacities particularly... | 1.Overall interval improvement in the numerous pulmonary nodules and tree in bud opacities particularly in right upper lobe.2.Cavitary lesions are stable.3.Interval decrease in the lymphadenopathy |
Generate impression based on findings. | Male 56 years old; Reason: NHL, now with headaches, constitutional symptoms History: NHl CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules. Micronodules in the right middle lobe (series 4 image 52) and left lower lobe (series 4 image 53) are stable since at leastSeptember 2008.MEDIASTINUM AND HILA: No enlarged me... | 1. Stable right inguinal and external iliac lymphadenopathy.2. Pulmonary micronodules stable since at least September 2008; benign etiology is favoredgiven stability.3. Nonobstructive left renal calculi4. Enlarged prostate gland |
Generate impression based on findings. | Unspecified essential hypertension. There is no evidence of intracranial hemorrhage, mass, or edema. The ventricles and basal cisterns are normal in size and configuration. The imaged portions of the paranasal sinuses and mastoid air cells are clear. There are bilateral lens implants. | No evidence of intracranial hemorrhage, mass, or edema. Note that CT is relatively insensitive for detecting acute infarction and MRI is recommended for further evaluation if there is clinical concern. |
Generate impression based on findings. | eval ich History: ams. There is a hyperdense intraparenchymal hematoma centered in the left insula that measures 7.5 AP x 3.0 RL x 4.3 SI cm. There is minimal surrounding vasogenic edema. There is a small amount of hemorrhage layering in the lateral ventricles. There is partial effacement of the left lateral ventricle ... | 1. Acute intraparenchymal hematoma centered in the left insula that measures 7.5 cm with minimal associate vasogenic edema, intraventricular extension, and 2 mm of midline shift to the right, but no herniation.2. Extensive confluent cerebral white matter hypoattenuation likely represent underlying small vessel ischemic... |
Generate impression based on findings. | Reason: new lung nodule noted on CXR; history of nodules, please compare to CT chest of 2008, Super D protocol History: none, LUNGS AND PLEURA: Multiple small pulmonary nodules, some of which are calcified ranging up to about 6 mm, unchanged from the previous scan compatible with healed granulomas.Focal scarring in the... | 1. Stable small pulmonary nodules compatible with healed granulomas. The nodule questioned on the chest radiograph was probably due to a vascular structure.2. Indeterminate small intraluminal nodule at the take off of the left lower lobe bronchus, increased in size, and therefore suspicious for a neoplasm. |
Generate impression based on findings. | Male 78 years old; Reason: ct urogram to eval for hematuria, upper tract dz History: see above CHEST:LUNGS AND PLEURA: Scattered nodules and micronodules noted throughout the lungs. Reference left upper lobe lesion measures 5 mm (series 5 image 41).MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No s... | 1.Scattered nodules and micronodules in the lungs, with reference node measuring 5 mm as above.2.Asymmetric thickening of the left aspect of the bladder dome, non specific. but can represent patient`s known bladder cancer |
Generate impression based on findings. | Clinical question: Rule out acute hemorrhage. Signs and symptoms: Altered mental status. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Cortical sulci, ventricular system, CSF cisterns and gray -- white differentiat... | No acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes. |
Generate impression based on findings. | Reason: 63 yo f w mild bronchiectasis and R lobe nodule - eval extent of bronchiectasis and progression of nodule History: sob LUNGS AND PLEURA: Unchanged right middle lobe nodule (image 51, series 5) measuring 8 mm x 8 mm.Stable scattered areas of bronchiectasis and tree in bud opacities compatible with aspiration bro... | 1.No interval change in the right middle lobe nodule with internal characteristics suggesting a hamartoma.2.Stable changes of mild bronchiectasis and aspiration bronchiolitis. |
Generate impression based on findings. | Male 60 years old Reason: 60 y.o. male with pancreatic cancer s/p distal pancreatectomy \T\ splenectomy in 12/12 had complications of fluid collection; please evaluate for abnormalities History: pancreatic cancer ABDOMEN:LUNG BASES: Again noted is a filling defect in the left ventricle, which may represent thrombus.LIV... | 1.Interval decrease in the splenectomy bed fluid collection as well as decrease in the focus of gas within the collection.2.No evidence or recurrent disease within the pancreatectomy/splenectomy bed.3.No evidence of pathologic lymphadenopathy.4.Filling defect within the left ventricle which may represent thrombus.These... |
Generate impression based on findings. | 12-year-old male with recurrent alveolar rhabdomyosarcoma. Assess for pulmonary metastasis. LUNGS AND PLEURA: Previously seen ground glass nodule in the superior segment of the left lower lobe is no longer visualized. A micronodule along the right minor fissure, likely represents an intrapulmonary lymph node and is unc... | Interval resolution of ground glass nodule in the superior segment of the left lower lobe, likely atelectasis, postinflammatory or postinfectious in etiology. No new or suspicious pulmonary nodules or masses. |
Generate impression based on findings. | 24 year-old male. Nausea/vomiting for two weeks with fever and chills. Lack of IV contrast decreases sensitivity for detection of solid organ pathology. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No signific... | 1. Stercoral colitis and chronic cystitis. No acute intraabdominal abnormality.2. Ongoing chronic osteomyelitis and septic arthritis of the bilateral hip joints, sacrum, and coccyx. |
Generate impression based on findings. | Female 45 years old Reason: luq pain X 2 wks. History: ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is no evidence of hepatic biliary ductal dilatation or focal mass lesion. There is no evidence for cholelithiasis or choledocholithiasis.SPLEEN: No significant abnormality notedPANCREAS... | 1.Enlarged uterus with multiple heterogeneous masses consistent with fibroid tumors.2.No abnormality found to explain the patient's abdominal pain. |
Generate impression based on findings. | Male 64 years old; Reason: 64 y.o. male with hx of gastric cancer; please evaluate for abnormalities History: gastric cancer CHEST:LUNGS AND PLEURA: Right upper lobe pulmonary nodule measures 6-mm (image 39/series 5) unchanged. Nodule adjacent to the minor fissure on image 67/series 5 measures 6-mm, unchanged.New groun... | 1.New air space opacities involving the right lower lung. Imaging features are suggestive of an infectious/inflammatory process and follow up is suggested.2.Apart from the above findings, no evidence for metastatic disease. |
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