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Generate impression based on findings. | Reason: small cell lung s/p chemo and RT, brain met treated. Evaluate for systemic recurrence History: none CHEST:LUNGS AND PLEURA: Right apical pleural thickening.Scarlike opacity in the right upper lobe (image 22, series 5, is decreased in size compared to the prior exam, now measuring 12 mm x 11 mm, previously, meas... | 1.Right apical pleural thickening and associated scarlike opacity in right upper lobe, which has slightly decreased in size since the prior exam.2.No new suspicious pulmonary nodules.3.Stable left adrenal nodule. |
Generate impression based on findings. | 77 year old female with metastatic breast cancer on treatment. CHEST: LUNGS AND PLEURA: Scattered, nonspecific micronodules, some of which are calcified, are unchanged. No new or suspicious pulmonary nodules identified. Lingular and bibasilar scarring/atelectasis.MEDIASTINUM AND HILA: The heart is normal in size withou... | No significant interval change in reference lymph nodes with no new sites of disease |
Generate impression based on findings. | 51-year-old female, status post kidney transplant, possible free air in the abdomen Limited study due to lack of IV contrast.ABDOMEN:LUNG BASES: Dependent atelectasis at the lung bases.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality note... | Interval excision of previously described intra-abdominal fluid collections.Small amount of fluid in the pelvis with mild wall thickening of the descending colon and sigmoid colon.Mild to moderate ileus. |
Generate impression based on findings. | 74-year-old male with hemorrhage. HEAD CT:There is a large left hemispheric bleed that is causing local mass effect with rightward midline shift of approximately 2 to 3 mm. This region of hemorrhage measures approximately 7.5 x 3.1 cm (series 5, image 19). There is also some effacement of the local sulci and effacement... | 1. Large left hemispheric hemorrhage with a CT angiography spot sign.2. CT angiographic evidence of extensive extracranial and intracranial atherosclerosis.3. No evidence of intracranial aneurysm, thrombus, dissection, or vascular malformation. |
Generate impression based on findings. | 47-year-old male with peritoneal carcinomatosis CHEST:LUNGS AND PLEURA: Moderate right-sided pleural effusion, unchanged. Left upper lobe nodule is unchanged on image number 14, series number 5. No new nodules. Dependent atelectasis in the right lower lobe, unchanged.MEDIASTINUM AND HILA: Anterior mediastinal lymph nod... | Interval development of small bowel obstruction secondary to peritoneal carcinomatosis. Slight interval increase in the size of the anterior mediastinal and retroperitoneal index lymph nodes.Slight interval increase in the amount of ascites. |
Generate impression based on findings. | Clinical question: Hit head on wall on 8 -- 27; on warfarin. Signs and symptoms: Occipital headache. Nonenhanced head CT:There is no detectable acute intracranial findings. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Prominence of the supratentorial ventricles system and mild promin... | 1.No acute intracranial findings.2.Stable exam since prior study as detailed above. Please see above comments. |
Generate impression based on findings. | Clinical question: Chronic sinusitis; operative planning. Signs and symptoms: Nasal congestion, purullent mucous drainage; nasal dryness and epistaxis. Medtronic fusion sinus CT:Frontal sinuses.Complete opacification of right frontal sinus and well pneumatized left is stable since prior.Ethmoid sinuses.Significant inte... | 1.Significant interval improvement of extensive sinusitis noted on prior study from 5 -- 21 -- 13.2.Complete opacification of smaller right chamber frontal sinus remain similar to prior study.3.Please see detailed report above. |
Generate impression based on findings. | Female 56 years old; Reason: H/O High tumor burden low grade lymphoma and kidney disease s/p 6 cycles of RCVP in need of restaging scans. Please compare to prior. History: Lymphoma CHEST:LUNGS AND PLEURA: Patchy ground-glass opacities in the right upper lobe are new (image 32/series 3), subpleural fibrotic changes and ... | 1.Slight decrease in the size of the mediastinal lymphadenopathy.2.Ascending aortic aneurysm with dissection. Follow up is recommended.3.UIP pattern of pulmonary fibrosis. |
Generate impression based on findings. | 67 year-old female. Left flank pain. Lack of intravenous and oral contrast decreases sensitivity for solid organ and bowel pathology.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality note... | No specific findings to account for the patient's symptoms. Unchanged right nephrolithiasis. |
Generate impression based on findings. | Male 60 years old Reason: abdominal pain s/p gastric bypass and hernia repair. History: abdoiminal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is no evidence of intrahepatic biliary ductal dilatation or focal mass lesion. There is a small amount of dependent debris seen within t... | 1.No clear etiology found to explain the patient's abdominal pain.2.Surgical changes consistent with prior gastric bypass surgery.3.Small fat containing paraumbilical hernia. |
Generate impression based on findings. | Reason: s/p shunt revision. eval ventricles sizes History: c/o increasing headaches. Extensive encephalomalacia of the right cerebral hemisphere is redemonstrated. Large ex vacuo right midline shift is not significantly changed. Bilateral parietal approach ventricular catheters are present though exact location of term... | 1.Interval increase in prominence of the third ventricle and frontal horn of the left lateral ventricle.2.Extensive right hemispheric encephalomalacia and ex vacuo midline shift appears unchanged.3.Ventricular drainage catheters appear unchanged from prior study. |
Generate impression based on findings. | Female 67 years old Reason: 67 yo F with h/o osteoarthritis now with h/o left hip pain associated with bladder fullness, relieved with voiding - eval for anatomical abnormality and OA of left hip History: - ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: The patient is status post cholecystect... | Examination of the pelvis is limited by streak artifact secondary to the patient's hip prosthesis.1.Evidence of degenerative changes in the head of the left femur.2.Fibroid uterus. |
Generate impression based on findings. | 67-year-old male. Bladder cancer. Evaluate for recurrence or metastases from bladder. ABDOMEN:LUNG BASES: Right lower lobe calcified granuloma. Centrilobular emphysema.LIVER, BILIARY TRACT: Very small hypodensities in the liver are too small to characterize but unchanged.SPLEEN: No significant abnormality notedPANCREAS... | Stable examination without evidence of metastatic or recurrent disease. |
Generate impression based on findings. | 72-year-old male. NHL. Reevaluate and compare to previous. CHEST:LUNGS AND PLEURA: Calcified and noncalcified micronodules are unchanged.MEDIASTINUM AND HILA: Previously measured right supraclavicular lymph node is actually a normal neck muscle. No mediastinal or hilar lymphadenopathy. Scattered small mediastinal lymph... | No evidence of disease in the chest, abdomen, or pelvis. |
Generate impression based on findings. | Reason: eval upper lobes for possible cavitation History: SOB LUNGS AND PLEURA: Dense focal areas of consolidation in both upper lobes with some associated volume loss and architectural distortion. Areas of lucency within the left upper lobe consolidation are apparently due to cysts or focal areas of aerated lung rathe... | 1.Dense bilateral upper lobe opacities with morphology suggestive of resolving and possibly organizing pneumonia. Internal lucency is present in the left upper lobe consolidation, but no specific evidence of cavitation.2. Multiple additional foci of airspace opacity in the lower lungs most compatible with infection, wi... |
Generate impression based on findings. | Reason: workup of pulmonary nodule left upper lung field History: cough LUNGS AND PLEURA: Left upper lobe tubular branching structure suggestive of a impacted bronchus bronchocele.Left upper lobe and more pronounced left lower lobe bronchiectasis with bronchial wall thickening, and mild bronchiectasis in the right base... | 1. Left upper lobe nodule noted on chest radiography consistent with a bronchocele.2. Bronchiectasis, bronchial wall thickening and bronchiolitis are present.3. Healed granulomatous disease. |
Generate impression based on findings. | 61 year old female with history of metastatic breast carcinoma. CHEST:LUNGS AND PLEURA: Interval development of a 4-mm pleural-based nodule in the right lower lobe. There is interval enlargement of a right lower lobe pleural-based nodule measuring 17 mm, previously 7 mm (51; series 5).MEDIASTINUM AND HILA: Reference su... | Interval increase in size and number of pulmonary nodules as well as mediastinal lymphadenopathy consistent with the stated history of metastatic breast carcinoma. Stable sclerotic bone metastases affects the axial skeleton. |
Generate impression based on findings. | 79-year-old male. CLL treatment regimen. Evaluate disease status. CHEST:LUNGS AND PLEURA: Irregular nodular opacities and adjacent tightly clustered nodules in the right upper lobe likely represents an infectious/inflammatory process. Bilateral lower lobe bronchial wall thickening and impaction with patchy dependent bi... | 1. Interval decrease in size of abdominal and pelvic lymphadenopathy.2. Bibasilar lower lobe bronchial wall thickening and patchy bibasilar opacities, likely representing chronic aspiration and/or infection.Right upper lobe irregular nodular opacities are probably additional foci of infection/inflammation. |
Generate impression based on findings. | Female 39 years old Reason: evaluate for obstruction/ mass History: naudea/ vomiting/ constipation ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is no evidence of intrahepatic or extra hepatic biliary ductal dilatation. No evidence of cholelithiasis or choledocholithiasis.SPLEEN: No si... | 1.No definitive etiology found to explain the symptomatology.2.Fibroid uterus. |
Generate impression based on findings. | Reason: SIADH unknown etiology- history of smoking in the past. R/O chest mass. History: SIADH unknown etiology- history of smoking in the past. R/O chest mass. LUNGS AND PLEURA: Scattered calcified granulomas are present. MEDIASTINUM AND HILA: The left vertebral artery arises directly from the aortic arch, a normal va... | No significant abnormality. No evidence of a mass. |
Generate impression based on findings. | Female 81 years old Reason: Evaluate for stones History: ABDOMEN:LUNG BASES: there is calcification of the pleura of the right lower lobe which appears to have been present on the 11/18/2012 chest x-ray. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significa... | Right-sided calcified pleural plaque. No evidence of renal stones.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 12 yr old with recurrent alveolar rhabdomyosarcoma of the right parotid gland treated with surgery, VAC chemotherapy, and radiotherapy. Head: There is no mass effect, focal edema, or suspicious enhancement to suggest brain parenchymal metastatic disease. The ventricles are stable in size and configuration. The osseous ... | 1. Extensive post-treatment findings in the right neck for alveolar rhabdomyosarcoma of the right parotid gland with interval increase of nodular soft tissue with central hypoattenuation along the deep margin of the surgical bed in the right parapharyngeal space measuring up to 19 mm, which is suspicious for tumor recu... |
Generate impression based on findings. | Clinical question: Rule out bleed. Signs and symptoms: Head after a slapped automatic door Unenhanced head CT:Examination demonstrates no evidence of acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Limited view of the maxillofacial region as well is negative for any posttraumatic findi... | 1.No evidence of acute posttraumatic findings.2.Minimal subcortical subtle foci of low-attenuation are nonspecific however could represent small vessel ischemic strokes of indeterminate age or demyelinating disease. Correlate with history and risk factors. No prior exam for comparison. |
Generate impression based on findings. | Microscopic hematuria. A 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 notedRETROPERI... | Nonspecific borderline enlarged mesenteric lymph nodes of uncertain etiology and significance. No evidence of renal stones. |
Generate impression based on findings. | Patient with chronic abdominal pain and weight loss ABDOMEN:LUNG BASES: Scarring in the lung bases.LIVER, BILIARY TRACT: Hemangiomas in the liver, unchanged.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Bilateral renal... | No definite abnormality of the small bowels. Liver hemangiomas unchanged. |
Generate impression based on findings. | 60-year-old male. Pleural mesothelioma. Needs staging. ABDOMEN:LUNG BASES: Bilateral calcified pleural plaques. Pleural nodularity is noted, please refer to separately dictated CT chest report for further details. Moderate left pleural effusion. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significa... | 1. Moderate left pleural effusion. Calcified pleural plaques and pleural nodularity. Please refer to separately dictated CT chest for further details.2. No evidence of metastasis in the abdomen or pelvis. |
Generate impression based on findings. | 72 year old with question of cerebrovascular accident. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:Evaluation for acute infarct in the background of extensive small vessel disease is limited. There is an ill-defined developing hypodensity within the short gyrus of the... | 1.Evaluation for acute infarct in the background of extensive small vessel disease is limited. However, an ill-defined hypodensity within the short gyrus of the right insula may represent an acute or subacute infarct. MRI for further evaluation is recommended. 2.Moderate-severe atherosclerotic disease. An MR or CT angi... |
Generate impression based on findings. | Reason: interval expansion of SDH? History: prior SDH, generalized weakness There are extensive scattered areas of hypodensity with associated cerebral encephalomalacia, likely representing old infarcts, stable from prior examination. There is no midline shift. There is no evidence of intracranial hemorrhage, and no ed... | 1.Many scattered areas of focal encephalomalacia likely representing old infarcts, stable from prior study.2.No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | 60 year-old male with pleural mesothelioma needing staging. LUNGS AND PLEURA: Multiple bilateral partially calcified pleural plaques with a moderately large left-sided pleural effusion. There is very mild nodular thickening of the left major fissure with a maximum thickness of 4 mm (image 180, series 5) when measured o... | 1. Very mild nodular thickening of the left major fissure without other measurable disease.2. Bilateral partially calcified pleural plaques consistent with asbestos exposure.3. Moderately large left sided pleural effusion. |
Generate impression based on findings. | 46 year old female with headache. 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 abnormality. |
Generate impression based on findings. | 63 days after stem cell transplant for leukemia. Diarrhea. Evaluate for graft versus host disease. ABDOMEN:LUNG BASES: Minimal dependent opacities are present.. A pleural effusion is not seen.LIVER, BILIARY TRACT: Enhancement is normal. No biliary ductal dilatation is present. The gallbladder is distended.SPLEEN: Splee... | No lymphadenopathy. Dilated colon and filled with fluid and air. |
Generate impression based on findings. | Female, 72 years old, with neck mass. The aerodigestive mucosal tissues are within normal limits. No pathologic adenopathy is identified by size criteria. No other masses or abnormally enhancing lesions are seen.The salivary glands are free of focal lesions. The thyroid is heterogeneous with scattered areas of low dens... | No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Reason: f/u aneurysm clip History: f/u aneurysm clipping New left pterional craniotomy is noted with expected postoperative changes, including pneumocephalus, localized scalp swelling, and small mixed density extra-axial fluid collection. There is a new aneurysm clip along the left aspect of the suprasellar cistern.The... | 1.Expected postoperative changes as detailed above. New aneurysm clip is noted.2.Redemonstration of ischemic involvement of the right inferior parietal, right temporal, and right occipital lobes, unchanged from prior study. |
Generate impression based on findings. | 56 year old man who is being assessed for liver transplantation and unable to tolerate stress echo. He is referred to rule out coronary artery disease.CPT Code: 75574 Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of valsalva and bifurcates into the left anterior descending and... | 1.There are no significant coronary artery stenoses present. 2. Normal LV/ RV volumes.This portion of the report pertains to the heart and great vessels only. The remaining soft tissues of the thorax and upper abdomen will be interpreted by the attending chest radiologist and included as an addendum to this report. |
Generate impression based on findings. | 50 year old female with atypical chest pain. she is referred to rule out coronary artery disease and is enrolled into the GLOBAL clinical trial.CPT Code: 75574 Coronary arteries: No coronary calcification noted.LM: The left main coronary artery arises normally from the left sinus of valsalva and bifurcates into the lef... | 1.There are no significant coronary artery stenoses present. 2.There is no coronary calcification.This portion of the report pertains to the heart and great vessels only. The remaining soft tissues of the thorax and upper abdomen will be interpreted by the attending chest radiologist and included as an addendum to this... |
Generate impression based on findings. | 63 year old woman with coronary artery disease and chest tightness. She is referred to assess her coronary anatomy and is enrolled into the GLOBAL trial.CPT Code: 75574 Calcium Score:LM: 0LAD: 1073LCx: 279RCA: 184Total: 1536, This represents the 99th percentile for this patients age and gender.Coronary arteries: LM: Th... | 1. There is a very high burden of coronary calcium. The total calcium score is 1,536 which puts the patient in the 99th percentile for her age and race. 2. There is dense calcification with complex plaque morphology in the proximal segment of the LAD preventing adequate assessment of the lumen. Correlation with a funct... |
Generate impression based on findings. | Congenital atresia of ear in the setting of hemifacial microsomia. On the left, there is complete absence of the auricle. There is ossicle in the subcutaneous tissues that measures up to 6 mm and may represent heterotopic bone. The external auditory canal is severely stenotic, measuring up to 1 mm in diameter. No tympa... | Left hemifacial microsomia with severe congenital aural atresia, as described in the findings section, with less than 5 points on the Yeakley and Jahrsdoerfer 10-point rating scale (Yeakley JW, Jahrsdoerfer RA. CT evaluation of congenital aural atresia: what the radiologist and the surgeon need to know. J Comput Assist... |
Generate impression based on findings. | h/o of tongue SCC s/p glossectomy (2004 and 2006) and anaplastic large T-cell lymphoma, s/p chemotherapy and radiation. There has been interval decrease in size of a subcutaneous lesions in the posterior upper left neck, which now measures 10 AP x 31 RL x 20 SI mm, previously 21 AP x 34 RL x 24 SI mm. In addition, the ... | 1. Interval increase in size of a posterior left neck subcutaneous focus of lymphoma, now measuring up to 21 mm, but interval decrease in size of the other posterior left neck subcutaneous focus of lymphoma that communicates with an overlying skin defect, now measuring up to 31 mm. Both lesions demonstrate central necr... |
Generate impression based on findings. | Female, 52 years old, new diagnosis of throat cancer. No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are intact. The mucosal tissues of the left palatine tonsil are thickened and mildly hyperenhancing relative to t... | Mildly hyperenhancing soft tissue process involving the left palatine tonsil and soft palate concerning for malignancy. No definite pathologic adenopathy is identified, but see above.The right thyroid is mildly heterogeneous, a nonspecific finding by CT. Further evaluation with sonography may be considered if clinicall... |
Generate impression based on findings. | 31-year-old female. UC status post TAC with EI on 8/26 now with worsening abdominal pain. Assess for mesenteric thrombosis. ABDOMEN:LUNG BASES: Small bilateral pleural effusions with adjacent atelectasis.LIVER, BILIARY TRACT: Main portal vein is patent. Complete thrombosis of the left portal vein and anterior branch of... | 1. Complete thrombosis of the left portal vein and anterior branch of the right portal vein. Nonocclusive thrombus in the posterior branch of the right portal vein and SMV.2. Post-surgical changes of total colectomy and ileostomy with findings suggestive of an ileus.3. Large amount of pneumoperitoneum, more than expect... |
Generate impression based on findings. | 63-year-old male with history of OHT presenting with low-grade fever. History of immunosuppression, chronic steroids, CMV viremia, and disseminated aspergillosis. LUNGS AND PLEURA: Right upper lobe thick walled cavitary lesion with internal nodule now measures 2.8 x 2.5 cm (image 96, series 6), previously 2.8 x 2.3 cm.... | 1. No significant change in right upper lobe and slight decrease in size of right lower lobe cavitary lesions. 2. New left lower lobe pneumonia with stable left pleural effusion and improved right pleural effusion.3. New right upper lobe groundglass/nodular opacities could be related to acute aspiration however are mil... |
Generate impression based on findings. | history of lung cancer, rule out brain mets The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a moderate degree are present. Atherosclerotic calcifications are present along the distal internal carotid arteries.No abnormal ma... | 1.The right superior ophthalmic vein appears hyperdense relative to the left. This is a nonspecific finding but can be seen with the thrombosis of the superior ophthalmic vein. Please correlate with clinical findings..2.No evidence for acute intracranial hemorrhage mass effect or edema.3.Noncontrast CT exam is less sen... |
Generate impression based on findings. | Male 76 years old Reason: pancreatic mass History: abd pain CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: There is no evidence of mediastinal or hilar lymphadenopathy.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: There is a small hypodense, noncontrast enhanci... | 1.Pancreatic neck mass with associated peripancreatic mesenteric fat stranding likely representing pancreatic adenocarcinoma with mild focal pancreatitis.2.Encasement of the common hepatic and splenic arteries along with involvement of the SMV without complete encasement.3.Splenic vein thrombosis with associated gastri... |
Generate impression based on findings. | 55-year-old male with hypoxemia. PULMONARY ARTERIES: Slightly suboptimal study due to limited opacification of the pulmonary artery, but adequate enough to exclude pulmonary embolus down to the segmental level. Small calcified granuloma in the right middle lobe. LUNGS AND PLEURA: Bilateral basilar atelectasis. MEDIASTI... | 1. Slightly suboptimal study but adequate enough to exclude pulmonary embolus to the segmental level.2. Bilateral basilar atelectasis. |
Generate impression based on findings. | Chronic lymphoid leukemia in remission. There is no significant interval change in the diffuse mild cervical lymphadenopathy. For example a right level 5 lymph node at the level of the thyroid cartilage posterior to the internal jugular vein measures up to 12 x 7 mm (image 62, series 4), previously 11 x 8 mm. A right l... | 1. No significant interval change in the treated CLL, including diffuse cervical lymphadenopathy and minimal prominence of the Waldeyer ring structures.2. Apparent mucosal thickening in the supraglottis and prominence of the cricopharyngeus, with associated severe narrowing of the hypopharyngeal airway. A similar appea... |
Generate impression based on findings. | 10-year-old female with history of skull osteomyelitis, new morphologic change There have been subtle changes in the appearance of foci of irregularity along the anterior craniotomy flap, however without new permeative or lytic findings to suggest recurrent or progressive osteomyelitis. These may represent increased os... | 1.There have been subtle changes in the appearance of foci of irregularity along the anterior craniotomy flap, however without new permeative or lytic findings to suggest recurrent or progressive osteomyelitis. These may represent increased osseous definition as a process of healing. 2.There are no new foci of lytic or... |
Generate impression based on findings. | 77 year-old male. Abdominal pain and nausea. Evaluate for obstruction. ABDOMEN:LUNG BASES: Bibasilar atelectasis.LIVER, BILIARY TRACT: Left hepatic lobe cyst. Additional hypoattenuating focus in the liver is too small to characterize, but unchanged and likely a cyst.SPLEEN: No significant abnormality notedPANCREAS: Age... | 1. Stable post-surgical changes of subtotal colectomy with Hartmann's pouch. 2. No acute intra-abdominal abnormality, specifically no bowel obstruction. |
Generate impression based on findings. | 34 year-old female with pleuritic chest pain, right lower extremity edema and prior DVT PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus.LUNGS AND PLEURA: Left apical scarring/atelectasis. No focal consolidation, pleural effusion, or pneumothorax.MEDIASTINUM AND HILA: No significant ... | No evidence of pulmonary embolus, or other significant abnormality. |
Generate impression based on findings. | 57-year-old male with altered mental status, rule out mass, bleed The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized portio... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | 60 year-old female. Postop day number 7 status post distal pancreatectomy, splenic, with delayed return of bowel function. Evaluating for possible fluid collection versus bowel distention/ileus. ABDOMEN:LUNG BASES: Small left pleural effusion. Bibasilar atelectasis.LIVER, BILIARY TRACT: No suspicious hepatic lesions. H... | 1. Significant small bowel obstruction with transition point in the right hemi-abdomen. No evidence of bowel ischemia.2. Post-surgical changes of distal pancreatectomy with nonspecific hypodense fluid in the surgical bed.3. Status post splenectomy. |
Generate impression based on findings. | 60 year-old male with shortness of breath and cough. History of mesothelioma. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus.LUNGS AND PLEURA: Diffuse nodular pleural thickening and loculated fluid in the right hemithorax extending into the pleural fissures, consistent with mesothe... | 1. No evidence of pulmonary embolus.2. Interval increase in size and number of innumerable lung nodules compatible with parenchymal metastases, as well as pulmonary lyphangitic spread. Slight interval increase in diffuse nodular pleural thickening consistent with the stated history of mesothelioma. Reference measuremen... |
Generate impression based on findings. | Reason: Thyroid cancer s/p recent surgery, evaluate for residual disease History: None Since the prior exam again right sided level 2 lymph node has regressed and is not readily perceptible. Additionally a left-sided level 2 lymph node noted on the prior exam is not readily identified on the current.Since the prior exa... | 1.Since the prior examination a paratracheal soft tissue nodules as well as upper neck lymphadenopathy have regressed and are no longer visible on CT. |
Generate impression based on findings. | 77-year-old female. Bradycardia, HTN, cardiac arrest. There is an unchanged pattern of sulcal widening and ventriclar prominence representing global atrophic change. There is an unchanged pattern of patchy periventricular and subcortical white matter hypoattenuation most likely representing sequela of chronic small ves... | No significant change since the prior CT examination of the head. |
Generate impression based on findings. | Rule out obstruction, mass or infection. The following observations are made given the limitations of an unenhanced study.ABDOMEN:LUNG BASES: Bilateral lung masses at the bases are unchanged compared to prior report. Please refer to that report for details regarding measurements. Emphysematous changes are also stable. ... | Mechanical small bowel obstruction with transition point in the left lower quadrant as described above. Other findings are stable. Clinical service notified by telephone of these findings prior to this dictation by the radiology resident on call. |
Generate impression based on findings. | Male 55 years old Reason: 55 yo male h/o ESRD, bladder mass, HTN c/o 10/10 abdominal and back pain History: abdominal pain and back pain ABDOMEN:LUNG BASES: There is evidence of significant paraseptal and centrilobular emphysema with associated subpleural blebs and loss of lung parenchyma. Multiple calcific nodules are... | 1.Inferior bladder wall mass not significantly change since the prior examination.2.Diffuse mild gaseous distention of the large bowel. 3.Moderate paraseptal and centrilobular emphysema.4.No evidence of acute fracture in the visualized vertebral bodies. |
Generate impression based on findings. | Reason: r/o lung mets History: h/o larynx cancer LUNGS AND PLEURA: Scattered micronodules are present, some calcified, unchanged.Dependent opacities in the right lower lobe could be related to aspirated secretions.There is no evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: Ectatic ascending aorta.Calc... | No change, and no evidence of metastases. |
Generate impression based on findings. | Reason: new Dx AML, eval for evidence of infx prior to treatment History: h/o copd, now aml LUNGS AND PLEURA: Left upper lobe patchy consolidation is not seen on an earlier chest radiograph is consistent with infection.A smaller similar area is seen in the right upper lobe, appearing as an ill-defined nodule. Small ple... | Multifocal pulmonary opacities suggestive of infection, a morphology suggestive of atypical etiologies including fungal pneumonia. Pleural effusions and basilar atelectasis are present as well. |
Generate impression based on findings. | 37-year-old male with fever of unknown origin. Evaluate for source of infection. CHEST:LUNGS AND PLEURA: Extensive basilar atelectasis with consolidation patchy ground glass opacity with increasing pleural effusions, greater on the right. Increase in consolidation in the right upper lobe when compared to the prior stud... | Single prominent mediastinal lymph node.Progressive consolidation right upper lobe.Cannot exclude wall thickening involving colon although this may be due to poor distention. |
Generate impression based on findings. | Reason: f/u biopsy History: f/u biopsy The CSF spaces are appropriate for the patient's stated age with no midline shift. The patient has undergone left-sided parietal bone burr hole placement. An air bubble is present within the left parietal lobe presumably where the biopsy was performed. There is vasogenic edema in ... | 1.Status post left parietal lobe biopsy with postoperative changes. This is stable compared with prior exam |
Generate impression based on findings. | 20 year-old female with new oxygen requirement, tachycardia and leg pain. Rule out PE. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus.LUNGS AND PLEURA: Small bilateral pleural effusions. Mild basilar scarring.MEDIASTINUM AND HILA: No evidence of right heart strain. No pericardial e... | 1. Technically adequate study without evidence of pulmonary embolus.2. Small bilateral pleural effusions. |
Generate impression based on findings. | Reason: f/u biopsy History: f/u biopsy The CSF spaces are appropriate for the patient's stated age with no midline shift. The patient has undergone left-sided parietal bone burr hole placement. An air bubble is present within the white matter adjacent to the trigone of the left lateral ventricle presumably where the bi... | 1.Status post left parietal lobe biopsy for a lesion adjacent to the trigone of the left lateral ventricle with postoperative changes. |
Generate impression based on findings. | 77 year-old female fell on head,? Hemorrhage. No intracranial hemorrhage is identified. There are no abnormal mass lesions or midline shift. No edema is identified in the brain parenchyma. There is no calvarial fracture.Redemonstrated is a left PCA infarct in the occipital lobe with expected encephalomalacia. There is ... | 1.Redemonstration of old PCA infarct of the occipital lobe.2.No evidence for acute intracranial hemorrhage mass effect or edema. 3.No calvarial fracture. |
Generate impression based on findings. | Reason: eval sdh History: headache The CSF spaces are appropriate for the patient's stated age with no midline shift. Since the prior exam the patient has developed a focus of hypodensity involving the medial aspect of the right occipital lobe measuring 44 x 21 mm axial dimensions involving both gray and white matter c... | 1.Findings are compatible with a subacute infarction which has evolved since the prior exam in the right occipital lobe and there is no evidence for hemorrhagic conversion2.encephalomalacia along the left occipital lobe. Most likely is related to prior infarction |
Generate impression based on findings. | 13-year-old patient. Fever and altered behavior. Rule out shunt malfunction. A ventriculostomy catheter extends via a right frontal burr hole through the right frontal lobe to the left lateral aspect of the third ventricle (unchanged). There is significant streak artifact related to a cochlear implant at the left parie... | Unchanged examination with no CT evidence of acute hydrocephalus. |
Generate impression based on findings. | Female 57 years old Reason: right lower quadrant pelvic pain History: pain for over one year sometimes on the left ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: There are multiple round hypodense noncontrast enhancing lesions in the liver, the largest measuring 2.2 x 2.4 cm in segment VIa, ... | 1.Tortuous ovarian vein with associated pelvic varices consistent with pelvic venous congestion syndrome. Consider Interventional Radiology consult for possible embolization as clinically indicated.2.Uterine fibroids.3.Minimally complex hepatic cyst. |
Generate impression based on findings. | Male, 63 years old, history of heart transplant, presenting with low-grade fever, and pertinent history of immunosuppression, chronic steroids, CMV viremia and disseminated aspergillosis. Prior opacification at the level of the right frontoethmoidal recess has cleared. There is only minimal soft tissue thickening at th... | 1. Redemonstration of right maxillary sinus involution which may be secondary to chronic outflow obstruction.2. There is very minimal sinus mucosal thickening as above, improved from the prior examination. No evidence of active or aggressive sinus inflammation is seen. |
Generate impression based on findings. | 81-year-old patient with new diagnosis of AML. Pre-treatment baseline CT. Streak artifact related to dental hardware limits assessment of the oral cavity. Within this limitation there are no significant abnormalities visualized. Frontal, ethmoid, maxillary and sphenoid sinuses are aerated. Orbital contents are normal. ... | No sinus pathology. Incidental note of degenerative C-spine changes without significant bony pathology. |
Generate impression based on findings. | 60 year-old female. Metastatic pancreatic cancer with LFT abnormalities. ABDOMEN:LUNG BASES: No significant. Right chest wall mass measures 0.9 x 1.9 cm, unchanged (series 16, image 13). Paraesophageal necrotic mass measures 3.2 x 2.9 cm (series 16, image 20), unchanged. RIght chest wall Port-A-Cath. LIVER, BILIARY TRA... | 1. Findings suggestive of pancolitis, ischemic vs. infectious/inflammatory etiologies.2. Distal portion of duodenal stent abuts a sharp turn in the bowel wall. The stomach remains distended.3. Extensive metastatic disease in the abdomen and pelvis.4. No acute abnormality is seen in the liver. Patent hepatic vasculature... |
Generate impression based on findings. | Reason: Thyroid cancer s/p recent surgery, evaluate for residual disease History: None LUNGS AND PLEURA: No evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: Thyroid region surgical clips.High right paratracheal lymph node now almost imperceptible, 4-mm short dimension previously 13 mm image 23 series 3... | Resolution of prior right paratracheal lymph node. Presently, the examination is normal. |
Generate impression based on findings. | 75-year-old female. Brain mass. Evaluate for malignancy. CHEST:LUNGS AND PLEURA: Trace dependent pleural effusions. 5 mm nodule in the right upper lobe (series 5, image 40). MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Mild atherosclerotic calcification of the thoracic aorta.CHEST WALL: Multiple subce... | 1. No definite evidence of a primary malignancy in the chest, abdomen, or pelvis. 2. Indeterminate right upper lobe 5 mm nodule.3. L4 vertebral body hemangioma. |
Generate impression based on findings. | 49-year-old male with a history of PE presents with chest pain and shortness of breath. Rule out PE. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. LUNGS AND PLEURA: Right apical scarring/atelectasis. No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: No significant abnorma... | No evidence of pulmonary embolus. |
Generate impression based on findings. | Female 37 years old Reason: Newly Diagnosed Hodgkin's Lymphoma History: Evaluate extent of disease CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: There is a 9.2 x 6.6 cm homogeneous anterior mediastinal mass, which is isodense to muscle and encases and surrounds the great vessels as well... | 1.Large anterior mediastinal mass encasing and surrounding the great vessels as well as trachea, consistent with lymphadenopathy secondary to patient's diagnosis of lymphoma.2.Supraclavicular lymphadenopathy, refer to neck CT from the same day for full description. |
Generate impression based on findings. | 71 year-old female with clamped EVD experiencing altered mental status, evaluate ventricle size Redemonstrated is subarachnoid hemorrhage, intraventricular hemorrhage, as well as ventriculomegaly and status stent-assisted post embolic coil occlusion of a right middle cerebral artery aneurysm. Ventricular sizes are stab... | Stable subarachnoid hemorrhage, intraventricular hemorrhage, as well as ventriculomegaly. |
Generate impression based on findings. | Reason: better delineate pneumonia History: AIDS, pna LUNGS AND PLEURA: Previously seen subtle areas of groundglass opacity have evolved into more obvious regions of consolidation the pattern suggestive of subsegmental atelectasis in some areas.Basilar subsegmental atelectasis/consolidation is in a pattern similar but ... | Evolution of groundglass opacities in the more solid atelectasis/consolidation. Findings are consistent with atypical infection including pneumocystis pneumonia. |
Generate impression based on findings. | Male, 3 years old, status post seizure. 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 patent and norm... | Unremarkable evaluation. |
Generate impression based on findings. | 69-year-old male with subdural hematoma and altered mental status There has been interval removal of one of the patient's right subdural catheters, with two remaining (one left, one right). These latter catheters are unchanged in position.There is continued decrease in pneumocephalus, although thin bilateral subdural c... | There has been interval removal of one of the patient's right subdural catheters, with two remaining (one left, one right). These latter catheters are unchanged in position. |
Generate impression based on findings. | Male, 51 years old, with neck swelling. Multiple scalp and intracranial electrodes obscure visualization of the orbits and intracranial structures. The patient is status post left temporal craniotomy and there are electrode arrays within the left middle cranial fossa.Mild infiltration of the subcutaneous and deeper fat... | Mild infiltration of the soft tissues of the left neck is suggestive of cellulitis. No evidence of abscess or any mass lesion is seen. |
Generate impression based on findings. | 40 year-old man with gastric cancer. Restaging. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Right chest wall Port-A-Cath with its tip in the SVC.Extensive osseous metastases involving the sternum, bilateral ribs and multiple thoracic vertebra... | Overall no substantial interval change compared to prior.1.Thickening of the gastric wall compatible with patient's known gastric carcinoma. 2.Extensive sclerotic osseous metastases compatible with metastatic disease, not significantly changed. |
Generate impression based on findings. | 66-year-old male with hemoptysis, tachycardia, and shortness of breath. Evaluate for pulmonary embolus. Additional history of sarcoidosis provided by the clinical service. PULMONARY ARTERIES: Technically adequate study without evidence of acute pulmonary embolus. The main pulmonary artery is enlarged to 4-cm in transve... | 1. Technically adequate study without evidence of pulmonary embolus.2. Obstruction of the right lower lobe bronchus by surrounding soft tissue which may be due to tumor or sarcoid-associated fibrosing mediastinitis.3. Right lower lobe consolidation significantly worse and may be a postobstructive pneumonia or tumor suc... |
Generate impression based on findings. | 46-year-old female with subarachnoid hemorrhage, postop Redemonstrated are changes from prior left pterional craniotomy. Expected postoperative changes, including pneumocephalus, localized scalp swelling, and small mixed density extra-axial fluid collection are unchanged. There is redemonstration of an embolic coil as ... | 1.Stable postoperative changes.2.Redemonstration of ischemic involvement of the right inferior parietal, right temporal, and right occipital lobes, unchanged from prior study. |
Generate impression based on findings. | Male, 43 years old, status post eye injury. Head: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 patent... | 1. No acute intracranial abnormality.2. Mild fractures of the lamina papyracea and orbital floor on the right.3. No evidence of globe or intraconal injury. |
Generate impression based on findings. | Right lower quadrant abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Minimal right pelvocaliectasi... | Several uterine and adnexal findings described above including right adnexal mass which should be further evaluated using gynecologic ultrasound. Possible pelvic venous congestion syndrome. Uterine fibroids. |
Generate impression based on findings. | 8 year-old male with stage 4 high-risk neuroblastoma, fever, tachypnea, tachycardia -- evaluate tumor burden; also please evaluate for infection. CHEST:LUNGS AND PLEURA: Postsurgical changes in the right lung including volume loss and sutures. Interval increase in bilateral small to moderate sized pleural effusions wit... | 1.Interval increase in size of bilateral pleural based nodules.2.Interval increase in bilateral pleural effusions and lower lobe atelectasis and consolidation.3.Slight interval increase in mediastinal lymphadenopathy.4.Stable axillary lymphadenopathy.5.Diffuse mixed sclerotic and lytic lesions. Interval increase in bil... |
Generate impression based on findings. | Reason: evaluate for signs of pneumonia History: 49yo M with prior OHT p/w increased SOB and Orthopnea - concern for pneumonia at OSH vs rejection LUNGS AND PLEURA: Moderate bilateral pleural effusions, greater on the right, with mild dependent and compressive atelectasis.No specific evidence of pneumonia. MEDIASTINUM ... | Pleural effusions and atelectasis. No specific evidence of pneumonia. |
Generate impression based on findings. | Male 67 years old Reason: Pt is a 67 y/o male with prostate cancer, with rising PSA , evaluate for mets History: prostate cancer, rising PSA CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: There is prominent calcification of the left main coronary artery and its branches.CHEST WALL: No sig... | 1.No evidence of metastatic disease.2.Prominent calcifications in the left main coronary and its branches.3.Stable small retroperitoneal lymph nodes. |
Generate impression based on findings. | Male, 59 years old, with neck pain and right pharyngeal swelling. The oropharyngeal, hypopharyngeal and retropharyngeal tissues are markedly edematous. Centered within this process, there is an irregularly marginated, ring enhancing region of lower density which likely represents abscess formation. This is best appreci... | Findings most compatible with a retropharyngeal/pharyngeal abscess. There is extensive associated mucosal edema which results in significant airway effacement. |
Generate impression based on findings. | 64 year old female. Cholangiocarcinoma. Restaging CT after CRT last 2/2013. CHEST:LUNGS AND PLEURA: Calcified right lower lobe granuloma. Stable biapical scarring.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Stable aneurysmal dilatation of the mid-ascending thoracic aorta with AP dimension of 4.7 cm (... | 1. A subcentimeter hypodense focus in the right hepatic lobe not definitely seen on prior exams is too small to characterize, special attention should be paid to this finding on follow-up exams.2. Vague subtle area of differential enhancement in segment 6 of the liver could be artifact but attention should be paid to t... |
Generate impression based on findings. | Reason: Evaluating for LVAD placement History: Shortness of breath LUNGS AND PLEURA: Multiple small solid and non-solid pulmonary nodules throughout the lungs ranging up to 10 mm in diameter.Diffuse ground glass and air space opacity in the left lower lobe and to a lesser extent in the right middle lobe and right lower... | 1.Groundglass and air space pulmonary opacity in the lower lobes and middle lobes suspicious for hemorrhage secondary to pulmonary embolism. Note that this is a nonenhanced scan which precludes detection of pulmonary emboli.2. Numerous small discrete pulmonary nodules suggestive of atypical infection.These findings wer... |
Generate impression based on findings. | Reason: lung nodule History: same LUNGS AND PLEURA: Mild basilar atelectasis and small pleural effusions may be from aspirated secretions or mucous plugging.No pulmonary nodules identified.MEDIASTINUM AND HILA: Minimal coronary calcifications.No mediastinal or hilar lymphadenopathy present.CHEST WALL: Degenerative hype... | Nonspecific basilar atelectasis with pleural effusions, probably related to mucous plugging or aspirated secretions. The soft tissue opacity seen on the chest radiograph corresponds to tortuous brachiocephalic vessels and requires no further follow-up. |
Generate impression based on findings. | 78-year-old female with altered mental status and subdural hemorrhage Redemonstrated is a low attenuation right sided subdural collection overlying the right posterior temporo-occipital region and extending superiorly into right posterior frontoparietal region. As before, it measures 14 mm at the mid convexity right pa... | 1.Stable low-attenuation right sided subdural in the right posterior temporal/occipital junction and extending superiorly to right posterior frontoparietal region.2.Stable small left pterional acute subdural.3.Stable moderate to advanced age indeterminate small vessel ischemic stroke noted. |
Generate impression based on findings. | 56 year-old female, concern for CVA The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized portions of the paranasal sinuses ar... | No evidence for acute intracranial hemorrhage mass effect or edema. If there is continued clinical concern for acute ischemia, MRI would be recommended. |
Generate impression based on findings. | Male, 37 years old, with fever. Evaluate for source of infection. Edema along with mild sulcal and gyriform enhancement is demonstrated within the left anterior temporal lobe compatible with subacute infarct.The nasopharyngeal mucosa is moderately prominent with areas of low density which may reflect trapped secretions... | 1. No obvious source of infection is seen in the neck.2. Pleural effusion with atelectasis and/or parenchymal opacification is demonstrated in the right lung which may be the source of the patient's fevers. Dedicated chest imaging should be considered as clinically warranted.3. Subacute infarct of the anterior left tem... |
Generate impression based on findings. | 67-year-old male smoker with acute hypoxia. LUNGS AND PLEURA: Moderate centrilobular and paraseptal emphysema with an upper lobe predominance. Small left and moderate right sized pleural effusions. Scattered right upper and lower lobe airspace opacities as well as subtle groundglass opacities in the right lower lobe wi... | 1. Scattered left upper and lower lobe airspace opacities as well as subtle groundglass opacities in the right lower lobe with associated interlobular septal thickening. These findings are most consistent with acute infection, however a component of pulmonary edema may also be present. 2. Bilateral pleural effusions, r... |
Generate impression based on findings. | Reason: s/p 22mo after left lower lobectomy for management of a T1aN0M0 stage IA adenocarcinoma History: 3 mo f/u LUNGS AND PLEURA: 6-mm right upper lobe ground glass nodule image 28 series 5 unchanged since at least 11/4/2011, probably atypical adenomatous hyperplasia. A vague area of ground glass anterior to this ima... | 1. Sub-solid nodules described above for which continued annual follow up is recommended.2. Decompression fracture of L1 with fragments extending posteriorly into the canal. There is no indication that this is a pathologic fracture, however. This was discussed with the referring service pager 2076 at the time of dictat... |
Generate impression based on findings. | Headache. Fullness of the pituitary relates to a pituitary macroadenoma which is better described on the MRI examination performed the same day. Refer to that report for further detail. There is no other intracranial mass, extra-axial fluid collection or hemorrhage. There is no CT evidence of acute hydrocephalus or isc... | Sellar mass which is better characterized on MRI examination (refer to that report for further detail). No acute intracranial abnormality demonstrated. |
Generate impression based on findings. | Female; 15 years old. Reason: r/o renal stone History: abd/flank pain and hematuria. ABDOMEN: Evaluation of solid organs of the abdomen is limited due to lack of IV contrast.LUNG BASES: The lung bases are normal.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No s... | Bilateral punctate lucencies in the kidney likely represent renal stones. These findings were discussed with the ER physician, Dr. Rohde, on 8/30/13 at 1043. |
Generate impression based on findings. | Male, 8 years old, stage IV high risk neuroblastoma. Evaluate for orbital tumor burden, and evaluate for infection. Tumor arising along the right mandibular alveolar process with evidence of spiculated periosteal reaction may be slightly smaller, measuring 12 mm in thickness versus 15 mm previously. A rim of soft tissu... | Mixed interval response with some areas of periorbital tumor decreasing in size while others are stable or mildly increased. Among the areas which may have increased in prominence is the prominent intraorbital component along the left maxillary zygomatic process which results in significant deformation of the globe. Ex... |
Generate impression based on findings. | 63-year-old male status post chemoradiation for a T4 larynx cancer completed in May of 2008 and endoscopic resection of a superficial epiglottis lesion. There are stable post-treatment findings in the region of the larynx, including asymmetric morphology of the vocal cords, mild regional mucosal edema, and asymmetry of... | 1. Stable post treatment findings related to without evidence of locoregional tumor recurrence or cervical lymphadenopathy.2. At least moderate stenosis of the bilateral proximal internal internal carotid arteries secondary to irregular mixed low attenuation and calcified plaque, which has progressed since 2007.3. Stab... |
Generate impression based on findings. | Reason: Newly diagnosed Hodgkins Lymphoma History: Evaluate extent of disease There is extensive mediastinal adenopathy present a the visualized superior mediastinum.There is a right jugular chain level 4 lymph node measuring 21 m 27 mm axial dimensions . Adjacent to this there is a 10 x 15 mm lymph node presentWithin ... | 1.There is right neck lymphadenopathy and extensive mediastinal lymphadenopathy present. 2.Please refer to CT of the chest of the same date for further comments |
Generate impression based on findings. | Female 81 years old Reason: eval for stone, obstruction, urinoma - noncontrast scan please History: left flank pain The study is limited by the lack of IV contrast.ABDOMEN:LUNG BASES: There is a calcific nodule in the right lower lobe consistent with calcified granuloma.LIVER, BILIARY TRACT: The patient is status post ... | 1.Persistent left sided hydronephrosis and hydroureter, likely secondary to cervical mass invasion of the distal left ureter.2.Ovoid fluid collection in the inferior pararenal space which appears smaller since the prior examination and may represent a resolving urinoma.3.Heterogeneous and enlarged cervix with extension... |
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