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Generate impression based on findings. | 64 year-old female. Pre-kidney transplant evaluation. Evaluate vasculature to support kidney. Lack of intravenous or oral contrast decreases sensitivity for detection of solid organ or small bowel pathology. ABDOMEN:LUNG BASES: Coronary artery calcifications. Median sternotomy. LIVER, BILIARY TRACT: No significant abno... | 1. Predominately mild atherosclerotic calcific disease of the abdominal and pelvic vasculature, as detailed above.2. Subacute fracture of the right inferior pubic ramus with possible underlying pathologic lesion. Bone scan is suggested for further characterization.Findings communicated to Dr. Grange at time of dictatio... |
Generate impression based on findings. | Reason: CT chest LOW DOSE WO. Screen for lung cancer History: tobacco use. 36 pack year hx. Fam hx lung ca LUNGS AND PLEURA: Moderate to severe centrilobular predominant emphysema is present.Basilar linear opacities consistent with scarring or subsegmental atelectasis are present.There is no evidence of lung cancer.MED... | Moderate to severe centrilobular predominant emphysema and basilar scarring. No evidence of lung cancer. |
Generate impression based on findings. | Reason: vessel occlusion History: left sided weakness and hemineglect Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is n... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease3.Multiple foci of mild atherosclerotic narrowing along the course of the left internal carotid artery along the petrous and the cavernous portions4.No evidence for intracranial hemorrhage, edema or mass effect.5.Findings were discussed with ... |
Generate impression based on findings. | Reason: s/p 1 mo after muscle sparing thoracotomy, left apical posterior lung wedge resection, mediastinal LN dissection History: 1 mo f/u LUNGS AND PLEURA: New upper lobe wedge resection. Are no prior right lower lobectomy.Scattered punctate micronodules unchanged. MEDIASTINUM AND HILA: Normal size mediastinal and hil... | New left upper lobe wedge resection and prior right lower lobectomy. No evidence of recurrent, residual or new tumor. |
Generate impression based on findings. | Male 60 years old Reason: WORK UP METS FOR PROSTATE CANCER History: PROSTATE CANCER ABDOMEN:LUNG BASES: The stomach has an intrathoracic position with evidence of postsurgical changes consistent with esophagectomy with gastric pull up.LIVER, BILIARY TRACT: There is no evidence of focal mass lesion or intrahepatic bilia... | 1.Retroperitoneal lymphadenopathy.2.No evidence of metastatic disease to the osseous structures of the abdomen and pelvis. |
Generate impression based on findings. | Reason: vessel occlusion History: left sided weakness and hemineglect Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is n... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease3.Multiple foci of mild atherosclerotic narrowing along the course of the left internal carotid artery along the petrous and the cavernous portions4.No evidence for intracranial hemorrhage, edema or mass effect.5.Findings were discussed with ... |
Generate impression based on findings. | Reason: metastatic thyroid cancer on treatment. evaluate for disease progression with measurements History: as above CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary nodules consist with metastatic disease without significant interval change.Reference measurements as follows:1. Left upper lobe nodule (series 4 imag... | Stable disease. |
Generate impression based on findings. | 52-year-old male status post right upper lobectomy for management of a T1aN0M0 stage IA squamous cell carcinoma. Recent pain on right side, evaluate with CT. CHEST:LUNGS AND PLEURA: Status post right upper lobectomy with post-operative changes to the lung parenchyma and mediastinum. There is scarring along the peripher... | 1. No evidence of local recurrence or conclusive signs of metastatic disease. 2. Mildly enlarged abdominal lymph node more likely to be benign than metastatic and can be followed on subsequent exams. |
Generate impression based on findings. | 83 year-old female. Surveillance for small bowel carcinoid tumor. CHEST:LUNGS AND PLEURA: 4 mm left upper lobe nodule (series 5, image 30) and tiny left subpleural nodule, unchanged (series 5, image 54). 1.3 x 1.6 cm right middle lobe nodule and adjacent scattered nodules are unchanged (series 5, image 56).No new nodul... | Stable examination with no significant interval change in multiple lung nodules. |
Generate impression based on findings. | Male 73 years old; Reason: PCa, staging History: PCa, high grade-recent scans in June were negative (per report). PSA very high so suspicion for mets high ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No si... | 1.No evident metastatic disease. |
Generate impression based on findings. | Atherosclerosis of native arteries of the extremities with intermittent claudication. Aneurysm of iliac artery. Aorto biiliac bypass graft with hemodynamically significant stenosis at proximal anastomosis. Short distance claudication. History of PTA to bypass with no relief of symptoms. Please evaluate for preoperative... | 1. Complex aorto-iliac reconstruction with high grade stenosis at origin of right external iliac artery at the bifurcation of right and left external iliac arteries. 2. Bilateral corona mortise variants.3. Probable bilateral renal artery FMD |
Generate impression based on findings. | 85 year old female. Lung nodule suspicious for cancer. LUNGS AND PLEURA: Left upper lobe perifissural part solid groundglass nodular opacity measuring 28 x 12 mm, previously 26 x 13 mm (4; 60) concerning for primary lung neoplasm. There is no significant interval change in size of the lesion overall, since prior CT, bu... | 1. Persistent left upper lobe part solid groundglass nodular opacity which is highly compatible with indolent invasive primary adenocarcinoma.2. Nonspecific periaortic and paratracheal lymphadenopathy.3. Mild intra-and extrahepatic biliary ductal dilation. |
Generate impression based on findings. | Reason: h/o scca of head and neck CA, multiple recurrences, last revision 1/2013 History: h/o scca of head and neck CA, multiple recurrences, last revision 1/2013 LUNGS AND PLEURA: Apical radiation fibrosis unchanged.No evidence of pleural or pulmonary metastases.Prior basal subsegmental atelectasis has resolved.MEDIAS... | Unchanged high right paratracheal lymph node. Otherwise, no evidence of metastases or change. |
Generate impression based on findings. | Male 77 years old Reason: Pt is a 77 y/o male with prostate cancer, evaluate for recurrence and mets History: prostate cancer, rising PSA CHEST:LUNGS AND PLEURA: There is a calcified nodule in the right upper lobe, which likely represents a calcified granuloma. MEDIASTINUM AND HILA: There is a calcified right hilar lym... | 1.Sclerotic lesions in the thoracic and upper lumbar spine, which are concerning for possible metastatic disease and should be correlated with the bone scan performed the same day.2.Multiple small retroperitoneal lymph nodes. |
Generate impression based on findings. | 51 year-old spell. Small ventral hernia on exam. Patient with pain. Assess for hernia. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: A noncystic hypodense 3.6 x 2.6 cm lesion is present in the right hepatic lobe (series 3, image 53). SPLEEN: No significant abnormality notedPANCREAS: No signi... | 1. Noncystic hypodense lesion in the right hepatic lobe is incompletely assessed on this noncontrast exam. Recommend dedicated liver protocol CT or MRI with and without contrast for further evaluation.2. Small ventral hernia containing only fat. Findings communicated to Dr. Lipstreuer at time of dictation. |
Generate impression based on findings. | History of non-Hodgkin's lymphoma of the nasopharynxtreated with chemoradiation. There is no evidence of locoregional tumor recurrence. Indeed, the oral cavity, pharynx, larynx, and remainder of the aerodigestive tract appear unremarkable. There is no evidence of lymphadenopathy by CT criteria. The major salivary gland... | 1. No evidence of locoregional tumor recurrence of significant cervical lymphadenopathy. 2. Unchanged 16 mm heterogeneous right thyroid lobe nodule. |
Generate impression based on findings. | Reason: 71yo male hx thyroid disease now with 3-month history of diplopia and exophthalmos History: diplopia, exophthalmos The belly of the inferior rectus, superior rectus and medial rectus muscles are bilaterally thickened enlargedAtherosclerotic calcifications are present along the distal internal carotid arteries. ... | 1.Bilateral and relatively symmetric enlargement of extraocular muscles is suggestive of a thyroid ophthalmopathy.2.Encephalomalacia is present along the right temporal lobe not entirely seen on this exam3.metallic foreign bodies are present along the superficial aspect of the left parotid gland. Please correlate with ... |
Generate impression based on findings. | Malignant neoplasm status post right upper lobectomy (adenocarcinoma). LUNGS AND PLEURA: Postoperative and volume loss right upper lobectomy. Bilateral apical scarring. Small peripheral pleural/extrapleural opacity which measures a density of the complex fluid at the posterior lateral border of the right middle lobe ab... | No conclusive signs of recurrent or metastatic disease. |
Generate impression based on findings. | Reason: r/o bleed History: HA, N/V, L sided face paresthesia, L leg weakness s/p head trauma 1 wk ago 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 br... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Thymoma status post chemotherapy, secondary malignant neoplasm of the lung. CHEST:LUNGS AND PLEURA: Punctate micronodule right lower lobe stable since 11/2012, favoring a benign lesion. No new or suspicious parenchymal lesions. No pleural fluid or pneumothorax. No suspicious contralateral pleural lesions. Bilateral par... | Left hemithorax pleural and extrapleural metastases with slight increase in size of some of the lesions. Invasion of the left hemidiaphragm. Unable to exclude invasion of the left apical myocardium by tumor; consider cardiac MRI if clinically warranted. |
Generate impression based on findings. | Male, 68 years old, history of head and neck cancer. Left peri-clival enhancing mass is redemonstrated with components extending into the prepontine cistern, the middle cranial fossa and likely the left cavernous signs. It is possible that there has been a very slight interval increase in size. The tumor measures 3.7 x... | 1. No evidence of recurrent tumor or pathologic adenopathy in the neck.2. Redemonstration of presumed peri-clival meningioma, at most 1 to 2 mm larger than on the prior exam. |
Generate impression based on findings. | Reason: SAH, eval for hydrocephalus History: vomiting There is redemonstration of subarachnoid blood in the suprasellar cistern, prepontine cistern and to a lesser degree sylvian fissures left more than right. The density has decreased since the prior exam. There is mild dilation of the temporal horns of the lateral ve... | 1.Continued evolution of subarachnoid blood products and mild dilation of the temporal horns without new hemorrhage. |
Generate impression based on findings. | 45-year-old male with history of salivary gland carcinoma, status post CRT. There are post-treatment findings related to left submandibular gland resection, left neck dissection, and radiotherapy, which are not significantly changed. There is no significant change in ill-defined soft tissue within the resection bed and... | No definite evidence of locoregional tumor recurrence or lymphadenopathy. |
Generate impression based on findings. | Male 70 years old; Reason: metastatic prostate cancer to bones, COPD needs reeval History: prostate cancer with metastases, CHEST:LUNGS AND PLEURA: Severe emphysematous changes. Mild right lower lobe atelectasis with bronchial wall thickening.MEDIASTINUM AND HILA: Calcified left thyroid nodule. Asymmetric enlargement o... | 1.Decrease in the size of the reference lymph nodes. |
Generate impression based on findings. | History of ACC (adenoid cystic carcinoma of submandibular gland) CHEST: Please note that there is suboptimal contrast opacification, limiting the sensitivity for detection of pathology.LUNGS AND PLEURA: Multiple pulmonary nodules increased in size and number. Largest lesion in the left lower lobe measures 13-mm (4/55).... | Numerous pulmonary and pleural nodules, many of which are new or enlarging, now consistent with metastases. No lymphadenopathy or conclusive intra-abdominal metastases. Indeterminate lesions in the liver and right kidney are incompletely assessed. |
Generate impression based on findings. | Reason: renal transplant / HIV patient with history of T/A 1999 and 2000 now with recurrent symptoms post his transplant in Nov 2011 History: deep voice, hoarseness and sinus congestion CT neck:Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the inf... | 1.No evidence for neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.No evidence for acute intracranial hemorrhage mass effect or edema3. |
Generate impression based on findings. | Reason: neck pain after MVA x 1 year. History: as above CT head:The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized portions... | 1.No evidence for cervical spine fracture2.the patient is status anterior fusion from C4 through C73.there multilevel degenerative changes present with uncovertebral osteophytes present with encroachment of exiting nerve roots worse at C4-5 and C7-T1 but also present at C3-4 to a lesser degreee.4.No evidence for acute ... |
Generate impression based on findings. | 57 year-old female with thyroid cancer. There are stable postoperative findings related to total thyroidectomy and neck dissection. No discrete focus of nodular enhancement to suggest residual or recurrent tumor. There is no significant lymphadenopathy. The orbits are unremarkable. The paranasal sinuses and mastoid air... | 1. Stable postoperative findings related to neck dissection without evidence of residual or recurrent locoregional tumor and no significant cervical lymphadenopathy. 2. Refer to the separately dictated chest CT report for additional findings. |
Generate impression based on findings. | Reason: thyroid cancer History: thyroid cancer CHEST:LUNGS AND PLEURA: New 5-mm nodule peripherally in the right upper lobe (series 6 image 25), and a new 3-mm nodule anteriorly in the right upper lobe (series 6 image 29). A 2-mm nodule reported on the previous scan from 2005 in the right upper lobe has not changed and... | Two new very small nodules in the right upper lobe of uncertain etiology. The differential diagnosis includes metastases, intrapulmonary lymph nodes and granulomas. A follow-up scan is recommended in approximately 6 months time to confirm stability or resolution. |
Generate impression based on findings. | Male 75 years old; Reason: TheraSphere Mapping Liver Protocol; Liver volume required; History: HCC ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver has a cirrhotic morphology with widened fissures. Status post resection of a right hepatic lesion with a capsular defect. Enhancing lesion ... | 1.2.0-cm left hepatic lobe hepatocellular carcinoma.2.Multifocal HCC involving the right hepatic lobe with malignant portal venous thrombus.3.Right lobe volume 815 cc. |
Generate impression based on findings. | Lungs CA (invasive moderately differentiated adenocarcinoma) status post resection 4 cycles of chemotherapy CHEST:LUNGS AND PLEURA: Numerous pulmonary nodules, increased in size and density compared to the prior exam. For example, a right lower lobe nodule previously measuring 2-mm now measures 1 mm (5/42). Postsurgica... | 1. Multiple pulmonary nodules which have increased in size and density from the prior examination, now consistent with metastatic disease.2. Sclerotic metastases in T1, T11 and T2 may have been present previously given the benefit of retrospect on the prior study though not readily visible. Increase in sclerosis could ... |
Generate impression based on findings. | 56 year-old female. Status post laparoscopic assisted pancreatic debridement 8/28, now with WBC 45. Assess for bowel injury. Lack of intravenous contrast decreases sensitivity for detection of solid organ pathology.ABDOMEN:LUNG BASES: Moderate left pleural effusion with dependent atelectasis. A few scattered lucencies ... | 1. Loculated left upper quadrant collection originating from the pancreatic stump has undergone drainage with near complete resolution.2. Findings suggestive of a partial small bowel obstruction. No evidence of contrast extravasation from the opacified portions of bowel. 3. Small amount of abdominopelvic ascites, incre... |
Generate impression based on findings. | Cough, evaluate pulmonary nodules. LUNGS AND PLEURA: Spiculated left upper lung nodule is unchanged in size and measures 9 mm (image 44, series 5), previously 9 mm. however it is increased in density compared to 4/22/2013, now with soft tissue components measuring up to 44HU, previously predominantly lipid in attenuati... | 1. Left upper lobe spiculated nodule unchanged in size but increased in density, remaining highly suspicious for indolent mucinous adenocarcinoma. 2. Numerous additional subcentimeter pulmonary nodules have not significantly changed and the majority have features suggestive of intrapulmonary lymph nodes. |
Generate impression based on findings. | Female 43 years old Reason: CT per living donor kidney protocol History: kidney donor ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Patient is status post cholecystectomy. There is no evidence of intrahepatic biliary ductal dilatation or focal mass lesion. The hepatic vasculature appears pat... | 1.Normal anatomic configuration to the renal arterial and venous vasculature without evidence of stenoses.2.Normal anatomy of a kidneys with solitary collecting systems bilaterally.3.No evidence of hydronephrosis, hydroureter, nephrolithiasis, ureterolithiasis or focal mass lesion. |
Generate impression based on findings. | Reason: history of allogeneic transplant for MDS with mild pulmonary fibrosis pre-transplant without symptoms. Now URI and cough. F/u on scarring and evaluate for pneumonia History: cough LUNGS AND PLEURA: Multiple bilateral micronodules, some of which are calcified, compatible with previous infection, unchanged.Interv... | Partial resolution of basilar interstitial abnormalities with mild residual reticular opacities and bronchiectasis, but no sign of pneumonia. |
Generate impression based on findings. | Adenocarcinoma of the lung. There is no evidence of acute intracranial hemorrhage, mass lesions, or territorial infarct. There is no abnormal intracranial enhancement. The ventricles are stable in size and configuration. There is no midline shift. The osseous structures are unremarkable without evidence of lytic or bla... | No evidence of intracranial metastases. |
Generate impression based on findings. | 44 year old male. Prekidney transplant evaluation. Evaluate abdominal pelvic vessels. ABDOMEN:LUNG BASES: Coronary artery calcifications.LIVER, BILIARY TRACT: Oval elongated hypodensity along peripheral inferior right hepatic lobe is favored to be a normal variant partial fissure.SPLEEN: Mild splenomegaly measuring 13 ... | 1. Mild atherosclerotic calcification of the abdominal and pelvic vasculature.2. 1 cm hyperdense right upper pole lesion incompletely characterized on this single phase exam.3. Right iliac fossa atrophic prior renal transplant. |
Generate impression based on findings. | Persistent weight loss despite improved glycemic control, early satiety, current smoker with 1 pack per day x 60 years. CHEST:LUNGS AND PLEURA: Mild centrilobular and moderate paraseptal emphysema. In the posterior lung fields bilaterally, mild peripheral traction bronchiectasis is noted in associated with a fine patte... | 1. Nodular soft tissue associated with a cyst in the left upper lobe is moderately suspicious for malignancy, recommend correlation with PET scan.2. Mild pulmonary fibrosis most likely represents UIP but is somewhat atypical in distribution, correlate for history of collagen vascular disease.3. Recommend one year CT fo... |
Generate impression based on findings. | Reason: HNC History: HNC CHEST:LUNGS AND PLEURA: Diffuse severe mainly centrilobular emphysema.Stable right upper lobe pleural thickening and effusion with associated atelectasis/scarring, bronchiectasis and volume loss, compatible with radiation reaction.New patchy air space opacity in both lower lobes, more extensive... | 1 New bilateral lower lobe airspace opacity suggestive of aspiration.2.Resolution of left hilar lymphadenopathy and no specific evidence of metastases. |
Generate impression based on findings. | Reason: evaluate for intrarcanial abnormality History: syncope, LOC, head trauma 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 vi... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for early detection of nonhemorrhagic CVA |
Generate impression based on findings. | Reason: lung cancer, please evalute for disease and compare with previous scans. please provide target lesions to follow during treatment History: lung cancer CHEST:LUNGS AND PLEURA: Severe emphysema.Volume loss and architectural distortion in the right lung consistent with evolving radiation reaction. New small right ... | 1. Marked interval increase in right hepatic metastasis.2. New right pleural effusion. |
Generate impression based on findings. | 71-year-old male with a history of right lower lobe cavitary lesion. Biopsy proven non tubercular mycobacterium. Evaluate for improvement. Patient presents with cough. LUNGS AND PLEURA: Right lower lobe mass measures 2.2 x 4.2 cm, previously 2.6 x 4.2 cm (4/25) . The cavitary component has increased in size when compar... | 1. Slight interval decrease in size of cavitary right lower lobe mass consistent with stated history of mycobacterial infection.2. Persistent paratracheal lymphadenopathy, likely reactive. |
Generate impression based on findings. | History of head trauma. Likely concussion. R/o intracerebral process. There is no evidence of acute intracranial hemorrhage, mass, or territorial infarct. The ventricles are within normal limits in size and configuration. There is no midline shift. No displaced fracture is identified. There is partially imaged persiste... | 1. No evidence of acute intracranial hemorrhage, mass, or territorial infarct. 2. Persistent near-complete opacification of left maxillary sinus and occlusion of the left ostiomeatal unit, which may be odontogenic in nature, given the periapical lucency demonstrated on the sinus CT from 2010. |
Generate impression based on findings. | 88 year-old male with change in mental status, right hand weakness, aphasia. Assess for stroke. There is contrast opacification of the proximal cerebral vasculature due to recent cardiac catheterization. No major vessel occlusion is appreciated. Mild atherosclerosis of the internal carotid artery is appreciated. No abn... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.The proximal intracranial vasculature opacifies suggesting that the proximal intracranial vasculature (for example ICA and m1 segments) is patent. The possibility of more distal occlusion cannot be excluded.3.CT is insensitive for early detection of... |
Generate impression based on findings. | Reason: sarcoid, worsening SOB History: sob, cough LUNGS AND PLEURA: Severe chronic interstitial disease with marked volume loss and architectural distortion in the upper lobes.Focal areas of atelectasis are present with marked traction bronchiectasis.Mild patchy ground glass and reticular opacity is present in the lef... | 1.Severe chronic interstitial abnormalities, predominantly in the upper lung zones, consistent sarcoidosis. Diffuse groundglass and reticular interstitial opacities have improved but the lung volumes have slightly decreased since 2007.2. No sign of pneumonia or other acute abnormalities. |
Generate impression based on findings. | Reason: r/o CVA for History: AMS The CSF spaces are appropriate for the patient's stated age with no midline shift. The temporal horn of the right lateral ventricle is larger than the temporal horn of the left lateral ventricle. This could be related to a small focus of encephalomalacia in the right temporal lobePerive... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for early detection of nonhemorrhagic CVA.3.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. 4.Findings suggest small focus of encephalomalaci... |
Generate impression based on findings. | 66yo male with history of metastatic T4N2cM1 L tonsillar SCC with bilateral pulmonary nodules diagnosed in 05.05 s/p cis/docetaxel/5FU chemotherapy from 6/06-10/05 with CR, now presenting with a new oral mass and a new diagnosis of cancer. There is diffuse enlargement of the right pharyngeal tonsil, soft palate, and to... | 1. Diffuse enlargement of the right pharyngeal tonsil, soft palate, and to a lesser degree, the left pharyngeal tonsil, and extension towards the hard palate with mild thinning of the bone, collectively measuring approximately 3.0 AP x 5.1 RL x 4.4 SI cm likely represents recurrent squamous cell carcinoma. 2. Although ... |
Generate impression based on findings. | 71-year-old male with small cell lung cancer status-post chemotherapy. Follow up. CHEST:LUNGS AND PLEURA: Interval development of a subpleural nodule measuring 2.6 x 1.1 cm (image 26, series 5) with additional small peripheral nodules, suggestive of recurrence. Streaky left upper lobe opacities with atelectasis, scarri... | 1. Subpleural nodule and additional peripheral nodules suggestive of disease recurrence. 2. Markedly increased mediastinal lymphadenopathy. |
Generate impression based on findings. | New diagnosis of adenocarcinoma. Cough. Motion artifact degrades image quality, limiting assessment for detail. Suboptimal contrast opacification.LUNGS AND PLEURA: Right lower lobe nodule associated with a cyst increased in size with solid component measuring 15 x 16 mm, previously 11 x 11 mm.Scarlike opacities in the ... | 1. Exam limited for detail and accuracy of measurements due to significant artifact from patient respiration and cardiac motion as well and is poor contrast opacification from suspected central venous stenosis.2. Interval increase in right lower lobe nodule size.3. Increase in size and number of part solid to solid per... |
Generate impression based on findings. | 53 year old male. Gram-negative rods in the blood. Evaluate for abdominal abscess. ABDOMEN:LUNG BASES: Severe emphysema. Trace left pleural effusion. LIVER, BILIARY TRACT: Hypodense right hepatic lobe lesion measures 5.3 x 4.8 cm (series 3, image 45), not significantly changed in size or appearance. SPLEEN: No signific... | 1. No significant interval change of right hepatic lobe hypodense lesion.2. Partially visualized T7 sclerotic vertebral body. |
Generate impression based on findings. | Female 54 years old Reason: evaluate metastatic disease History: new advanced endometrial cancer, chest pain CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: There is no evidence of hilar or mediastinal lymphadenopathy.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRA... | 1.Large uterine masses with bladder wall invasion consistent with the patient's known history endometrial cancer.2.Retroperitoneal lymphadenopathy.3.Small pelvic lymph nodes.4.No evidence of metastatic disease to the osseous structures of the chest abdomen or pelvis. |
Generate impression based on findings. | 68-year-old male with chest pain, pleuritic in patient with limited mobility. Rule out PE. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus.LUNGS AND PLEURA: Slightly increased right lower lobe basilar atelectasis compared to the prior exam with continued mucoid impaction of a right ... | 1. Technically adequate study without evidence of pulmonary embolus or other acute pulmonary abnormality. 2. Severe emphysema with right upper lobe scarring and bronchiectasis. |
Generate impression based on findings. | 73-year-old female with recently diagnosed right hemispheric tumor, now status post craniotomy and tumor resection. Since the prior exam the patient has undergone right sided craniotomy with surgical tumor resection in the right frontal lobe. Significant pneumocephalus and air-fluid level with mixed density fluid colle... | 1.Status post right-sided craniotomy for right frontal lobe mass. There are postoperative changes present with a blood products and intracranial air.2.Significant vasogenic edema with midline shift appears stable.3.Status post cranioplasty on the right side. |
Generate impression based on findings. | Male, 78 years old, history of parotid cancer, compare to previous Post surgical change is redemonstrated consistent with left parotidectomy, resection of the left submandibular gland and left neck dissection. Volume loss and infiltration of the fascial planes are demonstrated through the left neck. The internal jugula... | Posttreatment change is redemonstrated in the neck with no evidence of recurrent primary tumor or pathologic adenopathy. |
Generate impression based on findings. | 66-year-old male with a history of head and neck cancer. CHEST:LUNGS AND PLEURA: Approximately 6 mm left lower lobe nodule, not significantly changed and very likely benign.Interval development of a 7-mm nodule in the right upper lobe (25/5).MEDIASTINUM AND HILA: No significant lymphadenopathy. Extensive coronary arter... | Interval development of a right upper lobe nodule suspicious for metastatic disease. Follow up examination in 3 months or PET CT could be considered for further evaluation. Partially obstructing gallstone in the common bile duct with intrahepatic biliary ductal dilatation. |
Generate impression based on findings. | Metastatic/recurrent HNC. CHEST:LUNGS AND PLEURA: Right apical scarring. Mild emphysema. Several pulmonary nodules without significant change in right upper lobe index lesion measuring 4 x 8mm on both the current and prior study (5/37). New solid lobulated nodule in the right upper lobe (5/48). Scattered new groundglas... | 1. New solid nodule the right upper lobe suspicious for a metastasis. 2. New groundglass lesions could be infectious or postinflammatory rather than metastatic; a short-term follow-up CT in may be obtained in 6 weeks if characterization would alter clinical management. 3. New hypoattenuating subcentimeter lesions in th... |
Generate impression based on findings. | Reason: lab confirmation Sarcoidosis concern for pulmonary involvement History: paresthesias, SOB LUNGS AND PLEURA: No significant pulmonary or pleural abnormalities.MEDIASTINUM AND HILA: Cyst in the right lobe of the thyroid.No mediastinal or hilar lymphadenopathy.No pericardial effusion.CHEST WALL: No significant abn... | No evidence of sarcoidosis or other significant thoracic abnormalities. |
Generate impression based on findings. | Male 57 years old; Reason: F/U for RCC. CHEST:LUNGS AND PLEURA: No suspicious pulmonary lesions. The pleural spaces are clear. The central airways are patent.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedOTHER: ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality ... | 1.No evident recurrent or metastatic disease. |
Generate impression based on findings. | Headache. There is no evidence of intracranial mass, acute hemorrhage, or territorial infarct. There is mild cerebral white matter hypoattenuation that is better depicted on the prior MRI and likely represent microangiopathy/ There is mild brain parenchymal volume loss, but no evidence of hydrocephalus. There is a 10 x... | 1. No evidence of intracranial mass, acute hemorrhage, or territorial infarct, although CT has limited sensitivity for detecting acute infarcts.2. A nonspecific 10 x 3 mm exophytic cutaneous lesion in the right temporal scalp without invasion of the underlying subcutaneous tissues. This can be further evaluated via a d... |
Generate impression based on findings. | 58 year-old male shortness of breath. Question of PE. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus.LUNGS AND PLEURA: No focal air space opacity. No pleural effusion.MEDIASTINUM AND HILA: No evidence of right heart strain. No pericardial effusion. Severe and extensive coronary art... | Technically adequate study without evidence of pulmonary embolus or other acute pulmonary abnormality. |
Generate impression based on findings. | 45-year-old female with neck swelling after being choked and beaten with unknown objects. HeadThe 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 pare... | 1.No evidence of acute intracranial hemorrhage, mass-effect, or edema.2.No acute fracture or subluxation of cervical spine.3.Mild degenerative disease involving lower cervical spine. |
Generate impression based on findings. | 81 year-old female with shortness of breath and history of cancer. Question of PE. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus.LUNGS AND PLEURA: Unchanged interstitial opacities in the upper lobes with septal lines and some small peripheral nodules.Unchanged masslike opacity in ... | 1. Technically adequate study without evidence of pulmonary embolus.2. Moderately large right pleural effusion and right middle lobe consolidation/atelectasis. Left lower lobe mass like opacity with stable small left pleural effusion. These findings have not significantly changed when compared to CT from 8/27/2013. |
Generate impression based on findings. | 35 year-old female. Sepsis, 2 gram hemoglobin drop, increased abdominal distention. Evaluate for infectious source, pelvic/abdominal fluid collection. CHEST:LUNGS AND PLEURA: Moderate bilateral pleural effusions. Diffuse groundglass opacities consistent with pulmonary edema. Paraseptal emphysema. Bibasilar atelectasis ... | 1. Moderate bilateral pleural effusions, edema, and bibasilar atelectasis/aspirate.2. Moderate amount of ascites. Anasarca. 3. Iron deposition in multiple organs related to history of sickle cell disease. |
Generate impression based on findings. | 66-year-old female with right calcaneal fracture on x-ray. CT of the right lower extremity reveals disruption of the talar navicular articulation and a comminuted fracture of the calcaneus. The main calcaneal fracture line extends from the posterior inferior calcaneal surface toward the posterior articular facet withou... | Comminuted calcaneal fracture with disruption of Chopart's joint with bony fragments from the navicular and cuboid bones within Chopart's joint. |
Generate impression based on findings. | 81 year-old male. New diagnosis of colon cancer. Needs staging. CHEST:LUNGS AND PLEURA: Mild centrilobular emphysema. Left lower lobe bronchial wall thickening, debris impaction, and patchy areas of consolidation concerning for aspiration and/or infection. Trace bilateral pleural effusions.MEDIASTINUM AND HILA: Calcifi... | 1. Two rectal masses and a sigmoid mass consistent with stated history of colon carcinoma.2. Circumferential marked irregular wall thickening of a long segment of transverse colon, differential is colitis (infectious/inflammatory, ischemic) vs neoplastic process. 3. Multiple bilobar liver metastasis.4. Left lower lobe ... |
Generate impression based on findings. | 35-year-old female with with altered mental status. There is an area of hypodensity in the left frontal lobe with effacement of sulci consistent with edema in the previously noted area of hemorrhage. Previously noted blood products in the left frontal lobe have decreased in density. The lateral ventricles are slightly ... | 1.No evidence for new, acute intracranial hemorrhage mass effect or edema.2.Expected evolution of previously noted left frontal lobe hemorrhage. |
Generate impression based on findings. | 26 year-old female. History of kidney stones with bilateral lower chest pain/epigastric pain radiating to bilateral flanks. Evaluate for nephrolithiasis. Lack of intravenous or oral contrast decreases sensitivity for detection of solid organ and bowel pathology.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER,... | 1. Presumed cholelithiasis, gallbladder wall thickening, and pericholecystic fluid raises concern for acute cholecystitis. Recommend ultrasound for further evaluation.2. No renal/ureteral calculi. |
Generate impression based on findings. | 85 year-old female with confusion and work finding difficulty. There there are minimal patchy areas of periventricular hypoattenuation consistent with a mild, age indeterminant, small vessel ischemic disease. The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are... | 1.Mild, age indeterminant, small vessel ischemic disease.2.No evidence for acute intracranial hemorrhage mass effect or edema. CT is insensitive for the detection of acute, nonhemorrhagic stroke. If clinical suspicion for acute ischemia persist, MRI is recommended.3.Partial opacification of bilateral mastoid air cells,... |
Generate impression based on findings. | 27 year-old female with new diagnosis of acute myeloid leukemia, evaluate for infection. LUNGS AND PLEURA: Mild bibasilar dependent atelectasis. No focal air space opacity. No pleural effusion.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of I... | No signs of infection or other acute pulmonary abnormality. |
Generate impression based on findings. | 66-year-old female status post fall. There is a small focus of hypoattenuation located in the left basal ganglia, unchanged compared to prior exam, likely representing age indeterminate small vessel ischemic disease. The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass les... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | 76-year-old male with COPD, multiple admissions for cough/shortness of breath for presumed pneumonia. Needs further evaluation. LUNGS AND PLEURA: Mild diffuse ground glass and reticulonodular opacities in a relatively uniform distribution. There is no significant honeycombing but there is mild bibasilar bronchiectasis ... | 1. Mild diffuse chronic interstitial disease without signs of infection; differential includes sarcoidosis, hypersensitivity pneumonitis, and drug toxicity in the appropriate clinical context, and non-specific interstitial pneumonia. 2. Smoothly marginate nodule at the left major fissure favors a benign etiology howeve... |
Generate impression based on findings. | 74 year-old male with intracranial hemorrhage Redemonstrated is the patient's intraparenchymal hematoma centered in the left insula measuring 73 x 26 mm (previously 73 x 28 mm), demonstrating slight interval decrease in its transverse dimension. Intraventricular hemorrhage is essentially unchanged. There is been reduct... | 1.Slight interval decrease in size of left intracranial hemorrhage with associated slight interval decrease in associated mass-effect. 2.No interval new hemorrhage.3.Stable sequelae of small and large vessel ischemic disease. |
Generate impression based on findings. | 29 year-old female with right abdominal/flank pain. History of kidney stone. 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... | 1. No renal/ureteral calculi.2. Conglomerate of mesenteric lymph nodes in the pelvis have increased in size from prior exam raising concern for tumor recurrence.Results to ER by STAT consult.Text paged to Manish Sharma 3837, covering for Dr. Polite on 8/31/13 9:40 AMEmailed to Dr. Polite |
Generate impression based on findings. | 69-year-old male with bilateral subdural hematomas experiencing headache There has been interval removal of the patient's remaining two subdural catheters. There are no findings of post procedural complication. There has been slight increase in pneumocephalus, especially on the left, secondary to the interval catheter ... | There has been interval removal of the patient's remaining two subdural catheters. There are no findings of post procedural complication. There has been slight increase in pneumocephalus, especially on the left, secondary to the interval catheter removal. There are no findings of new/rehemorrhage. |
Generate impression based on findings. | 41 year-old male. Acute right lower back pain, groin pain. RLQ abdominal pain. Dizziness x several hours, WBC 15. Evaluate for appendicitis, cholecystitis, nephrolithiasis, infected kidney stone. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted. No pericholecyst... | 1. No renal/ureteral calculi. 2. Appendix is unremarkable.3. No CT evidence of acute cholecystitis; however, if high clinical concern remains, may perform ultrasound for further evaluation. |
Generate impression based on findings. | 76-year-old male. Evaluate interval change in pelvic fluid collection. ABDOMEN:LUNG BASES: Small to moderate bilateral pleural effusions, increased from prior exam.LIVER, BILIARY TRACT: Unchanged hypoattenuating focus in segment 7, likely a cyst. Calcified granulomata.SPLEEN: Calcified granulomata.PANCREAS: Age-related... | Interval decrease in size of multiple loculated abdominal collections with exception of the pelvic collection which is approximately the same size. |
Generate impression based on findings. | 45-year-old female. Generalized abdominal pain. Evaluate for abscess. 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, URETE... | Right lower anterior abdominal wall skin thickening and subcutaneous fat stranding suggestive of cellulitis. No abscess identified. |
Generate impression based on findings. | 46-year-old female. Rule out lung mass, surveillance for upper tract UC. LUNGS AND PLEURA: Mild bilateral paramediastinal scarring with architectural distortion suggestive of radiation fibrosis. Volume loss of the right upper lobe with cephalad retraction of the minor fissure.Right lower lobe septal thickening. There i... | 1. Cluster of poorly defined small opacities in the right upper lobe; these are most likely to be infectious in etiology though follow up is recommended in 3-6 months to prove stability or resolution. Metastatic disease is considered unlikely. 2. Additional scattered right lung small nodular opacities are also consider... |
Generate impression based on findings. | 39-year-old female grade fever, diarrhea, vomiting, and abdominal wall fluid collection. Evaluate for abscess, fistula. EPIC history: EC fistula takedown, LOA, ventral hernia repair/abdominal wall reconstruction now with raised area under incision. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRAC... | Increased encapsulation of multiple loculated fluid collections in the anterior body wall, some of which possibly extend beneath the fascia. While no significant oral contrast accumulation is seen to suggest communication with bowel on this exam, a delayed CT may be performed later on today to look for any contrast acc... |
Generate impression based on findings. | 24-year-old with right lower extremity weakness. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage. FLUID:No fluid collections. No evidence of hemorrhage.BONE:No fractures. Visualized bony structures are normal. | No acute intracranial process. |
Generate impression based on findings. | 59 year old with acute stroke symptoms and history of prior stroke. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:There is a discontinuous infarction in the distribution of the right middle cerebral artery with edema involving the right insula, right frontal lobe, and r... | Non-hemorrhagic infarction in the distribution of the right middle cerebral artery involving the right insula, frontal lobe, and right parietal lobe. Sulcal effacement suggests an acute component. MRI of the brain could be obtained for confirmation of acute ischemic components is deemed clinically indicated.Critical fi... |
Generate impression based on findings. | 88-year-old male with altered mental status and right-sided weakness. There is persistent, residual contrast within the proximal cerebral vasculature due to recent cardiac catheterization. No major vessel occlusion is appreciated. Atherosclerotic calcifications of bilateral internal carotid arteries and vertebral arter... | 1. No evidence for acute intracranial hemorrhage mass effect or edema. CT is insensitive for the detection of acute, nonhemorrhagic, ischemic stroke. If clinical suspicion persists, MRI is recommended.2. Redemonstration of periventricular age indeterminant, small vessel ischemic disease.3. Redemonstration of prior lacu... |
Generate impression based on findings. | 73-year-old female with frontal tumor, follow-up resection. Redemonstration of findings consistent with right-sided craniotomy. There is mild interval resolution of pneumocephalus and air fluid level with a mixed density fluid collection. The CSF spaces are appropriate for the patient's stated age with no midline shift... | 1.Status post right-sided craniotomy for right frontal lobe tumor resection. Expected evolution of postoperative blood products and pneumocephalus.2.Redemonstration of significant vasogenic edema with associated midline shift with mild improvement. |
Generate impression based on findings. | 56-year-old female status post TPA. 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 a... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | 61-year-old male status post subdural hemorrhage, follow-up intracranial JP drain. Redemonstration of right extra-axial, mixed density fluid collection extending across right frontal lobe with effacement of the underlying cortical sulci and right lateral ventricle. This subdural hematoma measures 10mm, previously measu... | 1.Redemonstration of the right-sided subdural hematoma with mild resolution of mass effect.2.Unchanged position of subdural drainage catheter. |
Generate impression based on findings. | 56-year-old male with history of HNC, status post CRT. Compared to previous. LUNGS AND PLEURA: Scattered focal scarring and mild bibasilar dependent atelectasis.No evidence of pulmonary or pleural metastases. MEDIASTINUM AND HILA: Small mediastinal and hilar lymph nodes, unchanged.Severe coronary artery calcifications.... | No significant change from the prior exam. No sign of metastatic disease. |
Generate impression based on findings. | 37-year-old male with history of Alport syndrome and rejection of kidney with hemoptysis. LUNGS AND PLEURA: Multiple thickened interlobular septa and symmetric bilateral pleural effusions. Patchy ground glass opacities, more predominant in the lower lobes.Multiple bilateral small pulmonary nodules ranging up to 6 mm of... | 1. Septal lines with ground glass opacities and pleural effusions most compatible with pulmonary edema, however could also be due to hemorrhage. 2. Multiple small solid pulmonary nodules which are compatible with infection, of uncertain chronicity and etiology. If the patient is immunocompromised, opportunistic infecti... |
Generate impression based on findings. | 89-year-old female with speech changes. Patchy areas of periventricular hypoattenuation, left greater than right, is suggestive of age indeterminate, small vessel ischemic disease. The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially.... | 1.No evidence for acute intracranial hemorrhage mass effect or edema. CT is insensitive for detection of nonhemorrhagic, acute ischemic stroke. If clinical suspicion persists, MRI is recommended.2.Moderate age indeterminate, small vessel schema disease, left greater than right. |
Generate impression based on findings. | 61-year-old male with subdural hematoma status post removal of JP drain. There is redemonstration of right extra-axial, mixed density fluid collection extending across right frontal lobe with effacement of the underlying cortical sulci and right lateral ventricle. There has been interval removal of drainage catheter fr... | 1.Redemonstration of the right-sided subdural hematoma with mild resolution of mass effect.2.Interval removal of the subdural drainage catheter. |
Generate impression based on findings. | 51-year-old male with seizures and language disturbance. Patient is status post left sided craniotomy and grid placement with associated soft tissue swelling over the craniotomy site and mild pneumocephalus underlying the craniotomy site. There is increasing mass effect causing worsening sulcal effacement and new left ... | 1. Status post left craniotomy and grid placement with expected postoperative changes.2. Mass effect with rightward midline shift.Findings were discussed with fellow, pager 3086, at 1323 on 8/31/2013. |
Generate impression based on findings. | 8 year-old male with seizures. There is soft tissue swelling over the left, midline left frontal bone. There is an area of the hypoattenuation in the left peri-insular brain suggestive of gliosis given a lack of mass effect, associated with local encephalomalacia.The CSF spaces are appropriate for the patient's stated ... | There is an area of the hypoattenuation in the left peri-insular brain suggestive of gliosis given a lack of mass effect, associated with local encephalomalacia. |
Generate impression based on findings. | 72-year-old female. Reason: CVA History: CVA There are two identified foci of cortical hypoattenuation, neither of which has the chronic appearance of encephalomalacia. First, there is an area of hypoattenuation in the temporal/occipital lobe involving the overlying gray matter. There is a second area of hypoattenuatio... | 1.Focus of hypoattenuation in the temporal/occipital lobe obscuring gray-white matter differentiation. A sedond focus of hypoattenuation located in the posterior parietal lobe obscuring gray-white matter differentiation. MRI could better define the acuity of these lesions if deemed clinically beneficial.2.Focus of hypo... |
Generate impression based on findings. | Reason: Evaluate for hemorrhagic conversion s/p acute stroke History: acute stroke No intracranial hemorrhage is identified. There is no midline shift.A new hypodense focus is present involving gray and white matter of the anterior aspect of the left inferior parietal lobule , lateral aspect of the left post central gy... | 1.Small subacute (22mmx35mm) infarction involving a small portion of the left parietal lobe extending so a portion of the subcentral lobule and insular cortex.2.The proximal intracranial vasculature opacifies suggesting that the proximal intracranial vasculature (for example ICA and m1 segments) is patent. The possibil... |
Generate impression based on findings. | Reason: 72 y/o with AML, plt 8 now with slurred speech x 1 day. No other neurologic deficits History: see above 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 wit... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of non-hemorrhagic CVA. |
Generate impression based on findings. | 25-year-old loss of consciousness. CT brain:VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage.FLUID:No fluid collections. No evidence of hemorrhage.BONE:There are minimally displaced bilateral, chronic nasal bone fractures.PARA... | 1.No acute intracranial process.2.No fracture of cervical spine. |
Generate impression based on findings. | 37-year-old male with right lower quadrant abdominal pain, postop day number 11 ABDOMEN:LUNG BASES: Linear atelectasis at the lung bases.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality note... | Interval development of moderate amount of ill-defined fluid in the pelvis. More inferior smaller collections are difficult to characterize with CT and may represent a combination of ovaries and bladder trapped to effusions. MR may be helpful for better characterization of these small collections. |
Generate impression based on findings. | 40 year-old fall with pain in the back of the head. CT brain:VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage.FLUID:No fluid collections. No evidence of hemorrhage.BONE:No fractures. Hyperostosis of the skull. There is minimal... | 1.No acute intracranial process.2.Mild degenerative changes of the cervical spine.3.Pulmonary nodules in the right upper lobe, diffuse bilateral ground glass attenuation. These finding could be better characterized by dedicated chest CT if deemed clinically benficial. |
Generate impression based on findings. | 72-year-old female with left-sided weakness and known stroke Redemonstrated is hypodensity within foci of acute ischemia as documented yesterday involving the right parietal and posterior frontal lobes. There is no CT evidence of hemorrhagic transformation. Also redemonstrated are findings of chronic small vessel ische... | Redemonstrated is hypodensity within foci of acute ischemia as documented yesterday involving the right parietal and posterior frontal lobes. There is no CT evidence of hemorrhagic transformation. |
Generate impression based on findings. | 9-year-old status post MVA with neck pain. There is no prevertebral soft tissue swelling. Minimal straightening of the cervical spine is positional. No acute fractures. Vertebral body heights are preserved. The thyroid is normal. Lungs are clear. | No fracture of the cervical spine. |
Generate impression based on findings. | 57-year-old man with left-sided weakness, headache, tingling and loss of consciousness. Head CT: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:Postsurgical changes ... | 1.No acute intracranial process.2.No cervical spine fracture. |
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