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Generate impression based on findings. | 61-year-old male with subdural hematoma. Redemonstrated is the patient's right extra-axial, mixed density fluid collection extending across right frontal lobe with effacement of the underlying cortical sulci and right lateral ventricle. The previously demonstrated few small air bubbles status post catheter removal have... | 1.Stable right-sided subdural hematoma with mild resolution of mass effect.2.The previously demonstrated few small air bubbles status post catheter removal have resolved. |
Generate impression based on findings. | 7 year-old with facial/preauricular and swelling question abscess. Soft tissues:No enhancing fluid collections. There is minimal right preauricular fat stranding. There is no evidence of phlegmon. Lymph nodes:There is no lymphadenopathy by CT size criteria.Glands:The thyroid, submandibular and parotid glands are normal... | 1.Minimal right preauricular fat stranding. No abscess. |
Generate impression based on findings. | 73-year-old female status post tumor resection Redemonstrated are expected findings from previous right-sided craniotomy. There is continued mild interval decrease of pneumocephalus and air fluid level with a mixed density extra axial fluid collection. Hyperdensities are again noted within the surgical site representin... | 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, stable. |
Generate impression based on findings. | 51-year-old male with grid placement for seizure evaluation experiencing altered mental status Reduced there are changes of left sided craniotomy from grid placement with associated soft tissue swelling over the craniotomy site and mild pneumocephalus underlying the craniotomy site. There is stable left hemispheric mas... | 1. Status post left craniotomy and grid placement with expected postoperative changes, unchanged in appearance.2. Stable mass effect with rightward midline shift |
Generate impression based on findings. | 24 year old with HIV, evaluate for mass. Hyponatremia, concern for SIADH. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage. No abnormal enahnicng foci.FLUID:No fluid collections. No evidence of hemorrhage.BONE:No fractures. Vi... | No CT findings to suggest the presence of a mass or enhancing abnormality. |
Generate impression based on findings. | 56-year-old female presenting with right and left lower quadrant abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis. No evidence of cholecystitis or biliary dilatation.SPLEEN: Calcified splenic granulomas.PANCREAS: No significant abnormality notedADRENAL GLANDS: No s... | No CT findings to explain patient's acute abdominal pain. Cholelithiasis.Mild right hydronephrosis of uncertain etiology and significance. |
Generate impression based on findings. | Malignant melanoma of the skin CHEST:LUNGS AND PLEURA: Previously noted subcentimeter nodules have resolved. Previously noted index left upper lobe nodule is no longer visualized.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significan... | Interval resolution of the bilateral micronodules. Left adrenal nodule is unchanged. |
Generate impression based on findings. | Waldenstrom macroglobulinemia This study is limited due to lack of IV contrast.CHEST:LUNGS AND PLEURA: Bilateral small micronodules unchanged.MEDIASTINUM AND HILA: Index anterior mediastinal conglomerate right lymph node measures 3.8 x 1.1 cm image number 27, significantly smaller compared to previous CT. Other mediast... | Interval decrease in the size of the index lymph node in the chest, abdomen, and pelvis. |
Generate impression based on findings. | History of hepatocellular carcinoma now presenting with vaginal bleeding ABDOMEN:LUNG BASES: Bilateral pleural effusions and dependent atelectasisLIVER, BILIARY TRACT: Bilateral numerous hypodense lesions in the liver consistent with metastatic disease. An index mass measures 6.8 x 4.4 cm on image number 22, series num... | Bilobar hepatic. metastatic disease. Retroperitoneal adenopathy.Heterogeneous uterus. Further evaluation with pelvic ultrasound or MRI is recommended. An underlying neoplasm is suspected. |
Generate impression based on findings. | 24-year-old male with decreased oral intake and urinary frequency, HIV-positive CHEST:LUNGS AND PLEURA: Biapical large belie. Lungs are otherwise clear.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted. Gallbl... | Biapical bulla. No evidence of bowel obstruction. |
Generate impression based on findings. | 32-year-old male evaluate for abdominal pain and decubitus wounds ABDOMEN:LUNG BASES: Nonspecific ground glass opacity in the lung bases.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality note... | Extensive subcutaneous abdominal collateral vessels likely secondary to occlusion of the IVC.Decubitus ulcers in the posterior pelvis. Inflammation involves the distal sacrum and coccyx. Osteomyelitis cannot be excluded.Retroperitoneal and pelvic adenopathy, likely reactive. |
Generate impression based on findings. | 92 year-old female with elevated bilirubin ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Pneumobilia. Intra-and extrahepatic bile ducts are prominent. Common bile duct measures 1.1-cm, slightly dilated. Cholelithiasis cannot be excluded.SPLEEN: No significant abnormality notedPANCREAS: No si... | Pneumobilia and borderline dilated bile ducts. M.R.C.P. may be helpful for further evaluation of the common bile duct, clinically indicated. |
Generate impression based on findings. | 43 year-old female with left upper quadrant pain and constipation 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 CT findings to explain patient's abdominal pain.Right nephrolithiasis. |
Generate impression based on findings. | 39 year-old female with abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality ... | Mild ileus. |
Generate impression based on findings. | 47-year-old female with abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: 4-cm hypodense lesion in this plane is unchanged.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Left kidne... | Limited study due to lack of IV contrast. No significant change from previous study. |
Generate impression based on findings. | 78 year old with history of squamous cell lung cancer, please evaluate for brain metastasis. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA: Evaluation of the posterior fossa and the skull base is limited by beam hardening from dental artifact. Given this limitation, no ... | No evidence of metastatic disease to the brain. |
Generate impression based on findings. | Right lower quadrant pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPER... | Normal appendix. Hemorrhagic cyst rupture versus ectopic pregnancy. Serum beta HCG . level will enable differentiation between the two. |
Generate impression based on findings. | Left flank pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: CholelithiasisSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Bilateral nephrolithiasis. Moderate hydronephrosis involving the lef... | Bilateral nephrolithiasis. Left mid ureteral stone causing left sided hydronephrosis. |
Generate impression based on findings. | 29-year-old female with abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality ... | Enlarged right ovary with cysts of various size and density. Differential diagnosis includes ovarian torsion, tubo-ovarian abscess versus less likely an ovarian neoplasm. Pelvic ultrasound versus MRI may be helpful for better characterization. |
Generate impression based on findings. | 51-year-old male with abdominal pain ABDOMEN:LUNG BASES: Mild emphysemaLIVER, BILIARY TRACT: Mild hepatomegaly. No evidence of intra-or extrahepatic bilirubin or dilatation.SPLEEN: No significant abnormality notedPANCREAS: Pancreatic duct is dilated up to the level of the pancreatic head. The duct measures up to 1.3-cm... | Dilated pancreatic duct up to the level of the pancreatic head. Differential diagnosis includes a subtle underlying malignant neoplasm in the pancreatic head, chronic pancreatitis or main duct I PMN. Further evaluation with M.R.C.P. and/or EUS is recommended. |
Generate impression based on findings. | 51-year-old male with history of colon neoplasm CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Again noted multiple hypoattenuating lesions throughout the liver. Index lesion in segme... | No significant change from previous study. |
Generate impression based on findings. | 8-year-old with a large tumor status post biopsy. VENTRICLES/CSF SPACES:The lateral ventricles are slightly enlarged compared to the third and fourth ventricles. BRAIN PARENCHYMA:Previous brain MRI from an outside institution demonstrated presumed tumor involvement of the midbrain, peduncles, and bilateral thalami. Sma... | Postbiopsy changes as detailed above. No frank hematoma. |
Generate impression based on findings. | 78 years old Female. Reason: pe History: chest pain. PULMONARY ARTERIES: There is no evidence of pulmonary embolism. The main pulmonary artery measures about 2.8-cm, which is in the upper limits of normal.LUNGS AND PLEURA: There are inter-lobular septal thickening, and right lower lobe ground glass opacity with associa... | 1. Technically adequate study without evidence of pulmonary embolism.2. Multiple lung nodules with dominant nodule in the left upper lobe, and measures 15-mm in diameter. Suggest further evaluation with PET/CT if clinically indicated.3. Bilateral pleural effusions, right greater than left, with associated atelectasis o... |
Generate impression based on findings. | 57-year-old man with left-sided weakness, unable to perform MRI as patient refuses, follow-up evaluation for stroke. 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:... | 1.No acute intracranial hemorrhage.2.No CT evidence of acute territorial, cortical infarct. If there is continued clinical concern for acute ischemia, MRI would be recommended. |
Generate impression based on findings. | 53-year-old man with headache and dizziness. Evaluate for mass or lesion. VENTRICLES/CSF SPACES:Again demonstrated is a catheter entering through a right paramedian anterior frontal burr hole, transversing through the right frontal lobe, extending to the anterior aspect of the body of the right lateral ventricle with t... | Stable ventriculostomy catheter position, and stable ventricle sizes. No acute intracranial abnormality. |
Generate impression based on findings. | 76 years old Female. Reason: sob recent surgery History: SOB. PULMONARY ARTERIES: No significant abnormality noted.LUNGS AND PLEURA: Apical scars are noted in both sides. Scattered pulmonary micronodules are noted. Linear atelectasis is seen in the left lung base. There is no evidence of acute infiltrate, pleural effus... | 1. No evidence of pulmonary embolism.2.Stable cystic mass in the left suprarenal region, which may be further evaluated with dedicated contrast CT if clinically indicated.3. Small pericardial effusion. |
Generate impression based on findings. | 66 years old Male. Reason: evaluate for PE History: tachycardia, shortness of breath. PULMONARY ARTERIES: No significant abnormality noted.LUNGS AND PLEURA: Linear atelectasis is noted in the left lower lobe adjacent to the descending aorta.MEDIASTINUM AND HILA: Vascular calcifications are seen in the aorta and its bra... | 1. No evidence of pulmonary embolism to the level of segmental pulmonary arteries. 2. Splenomegaly.3. Coronary artery calcification may suggest clinically significant coronary artery disease. Suggest follow-up. |
Generate impression based on findings. | 53 years old Male. Reason: evaluate tahypnea and chest discomfort History: chest discomfort and tachypnea. PULMONARY ARTERIES: No significant abnormality noted.LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Calcified lymph nodes are seen in the mediastinal subcarinal regions.CHEST WALL: Multip... | No evidence of pulmonary embolism.Lymphadenopathy in the bilateral axillary regions. Suggest clinical correlation. |
Generate impression based on findings. | 46 years old Male. Reason: chest pain History: chest pain. PULMONARY ARTERIES: There is no evidence of pulmonary arterial emboli. The main pulmonary artery the minimally dilated which measures 3.0 centimeter in diameter.LUNGS AND PLEURA: There is 6 mm micronodular in the right middle lobe. Linear opacities are seen in ... | No evidence of pulmonary embolism.6.0 millimeter micronodule in the right middle lobe, suggest follow-up in 3 months. |
Generate impression based on findings. | 41 years old Male. Reason: new tachycardia History: new tachycardia. PULMONARY ARTERIES: No significant abnormality noted.LUNGS AND PLEURA: Stable multiple pulmonary nodules and micronodules, Reference right lower lobe nodule (series 9, image 118) measures 5.3 mm (it was 9 mm on prior study). The pulmonary nodule in th... | No evidence of pulmonary embolism. Metastatic disease in the lung, mediastinum, liver, and T9 vertebral body. |
Generate impression based on findings. | 71 years old Male. Reason: r/o PE - 71 yo male with h/o COPD, CAD, CHF p/w SOB and chest pain and inc O2 requirement History: sob, inc O2 requirement, unilateral leg swelling. PULMONARY ARTERIES: There is a mild dilation of the main pulmonary artery, which measures 3.2-cm in diameter, suggestive of pulmonary complicati... | 1. No evidence of pulmonary embolism.2. Minimal dilation of the main pulmonary artery, which may suggest pulmonary hypertension. Suggest clinical correlation.3. Left adrenal nodule. Suggest follow-up.4. Calcified gallstones in the gallbladder. |
Generate impression based on findings. | 67-year-old female with a fall and loss of consciousness Redemonstrated is confluent hypoattenuation in the cerebral white matter and focal hypodensities in the bilateral basal ganglia and thalami. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is maintained. T... | 1.Confluent small vessel ischemic disease of indeterminate age, a component of which is chronic by comparison to prior study. 2.No acute intracranial hemorrhage.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 81-year-old female status post fall with loss of consciousness experiencing headache The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is maintained. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseou... | No acute intracranial abnormality or skull fracture. |
Generate impression based on findings. | Trauma CHEST:LUNGS AND PLEURA: Pre-hilar and multifocal patchy consolidations bilaterally with associated ground glass diffuse airspace opacities.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No sig... | Multifocal patchy air space opacities as described concerning for aspiration and/or lung contusion.Grade 1 anterior listhesis of L5 over S1 with possible bilateral L5 pars fracture. |
Generate impression based on findings. | 56 year old female with altered mental status Images are motion degraded. Given this caveat:Redemonstrated is moderate periventricular and deep white matter hypoattenuation that extends from the external capsule to the subinsular cortex on the left with associated ex vacuo dilatation of the adjacent lateral ventricle. ... | 1.Images are motion degraded. Given this caveat:2.Findings compatible with chronic CVA are not grossly changed from prior study.3.Chronic small vessel disease.4.No gross acute intracranial hemorrhage. |
Generate impression based on findings. | 55-year-old female with headache. 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:Hyperostosis frontalis. Otherwise visualized bony structures are normal.PAR... | 1.No evidence of acute intracranial process.2.No evidence of orbital fracture. |
Generate impression based on findings. | 60-year-old female evaluate for soft tissue abscess within the neck. History of sore throat, swelling, trismus. Soft tissues:In maximum dimensions there is a 20 x 24 x 8 mm hypoattenuating, peripherally enhancing centrally hypodense lesion which is identified within the right tonsil with mass effect and medialization o... | 1.20 x 24 x 8mm hypoattenuating peripherally enhancing centrally hypodense lesion within the right tonsil with mass effect and medialization of the aryepiglottic fold. Given the patient's clinical history, the finding most likely represents a soft tissue abscess, however a malignancy cannot be entirely excluded. |
Generate impression based on findings. | 91 year old female status post fall, head trauma, evaluate for subdural hemorrhage. CT brain:VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:There has been been interval progression of developing hypodensity within the right posterior temporal inferior parietal lobule whe... | 1.Chronic right parietotemporal infarct which has progressed since the prior exam with developing encephalomalacia, and moderate to severe chronic small vessel disease. Evaluation for an acute infarct is limited, if clinical concern persists, an MRI examination could be obtained for further evaluation.2.Moderate degene... |
Generate impression based on findings. | 74 year-old male with intracranial hemorrhage Redemonstrated is the patient's intraparenchymal hematoma centered in the left insula again measuring 73 x 26 mm. Intraventricular hemorrhage is unchanged. Right parietal subarachnoid hemorrhage is no longer evident. There is no new hemorrhage. No change in ventricular appe... | 1.Stable left intracranial hemorrhage. 2.No interval new hemorrhage.3.Stable sequelae of small and large vessel ischemic disease. |
Generate impression based on findings. | 59-year-old female with subdural hemorrhage A thin right hemispheric subdural hematoma demonstrates decrease in density of expected evolution, however without change in size and no evidence of re-hemorrhage.Redemonstrated is a hypodensity involving the medial aspect of the right occipital lobe measuring 44 x 21 mm axia... | 1.Expected evolution of right occipital lobe infarct without hemorrhagic conversion.2.Expected evolution of thin right hemispheric subdural hematoma. |
Generate impression based on findings. | 42-year-old man with pain and swelling. Rule out fracture. 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 axial hemorrhage.CT ORBITS:Soft tissues:There is extensive soft ti... | 1.No acute intracranial hemorrhage.2.Right orbital floor fracture with extensive surrounding emphysema as detailed above and with herniation of orbital fat into the right maxillary sinus without involvement of the inferior rectus muscle. |
Generate impression based on findings. | Nausea vomiting ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Fatty infiltration of the liver. No focal liver lesions.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality... | Evaluation of the pelvis is limited due to artifacts from the hip prosthesis. Distal small bowel obstruction with the transition point at the distal ileum in the pelvis. The etiology is likely adhesions. |
Generate impression based on findings. | 73-year-old female status post craniotomy for tumor resection Redemonstrated are expected findings from previous right-sided craniotomy. There is continued decrease of pneumocephalus and air fluid level with increasing volume of mixed density extra axial fluid collection. Hyperdensities are again noted within the surgi... | 1.There is continued decrease of pneumocephalus and air fluid level with increasing volume of mixed density extra axial fluid collection.2.Hyperdensities within the surgical site representing postoperative blood products are not significantly changed3.Redemonstration of significant vasogenic edema and mass effect with ... |
Generate impression based on findings. | 20 year-old female experiencing headache, history of prior sinus thrombosis. Brain CTV: Comparison CTV demonstrated a filling defect present within the left transverse sinus distally extending to the left sigmoid sinus. The current study demonstrates some irregularity of the left transverse sinus just proximal to the s... | There is some irregularity of the left transverse sinus just proximal to the sigmoid segment at the site of prior left transverse sinus thrombosis. It is notable that at this level there is confluence of an entering vein, thus this appearance may represent asymmetric vascular anatomy versus incomplete recanalization of... |
Generate impression based on findings. | 13-year-old status post head trauma and headache. CT Brain:LINES AND TUBES:Endotracheal tube terminates in between the clavicles. The nasogastric tube terminates is not identified.VENTRICLES/CSF SPACES:There is an approximately 7 mm right to left midline shift. There is obliteration of the third ventricle and basilar c... | 1.Complete loss of gray white matter differentiation through the brain concerning for diffuse edema with diffuse effacement of the basilar cisterns, and third ventricle resulting in a 7-mm right to left midline shift and downward herniation of the cerebellar tonsils through foramen magnum.2.Multiple intraparenchymal he... |
Generate impression based on findings. | Groin 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: Bilateral nephrolithiasis. Distal left ureteral stone m... | Bilateral nephrolithiasis. Left distal ureteral stone causing mild left hydroureteronephrosis.CT UPPER ABD AND PELVIS WO 9/1/2013 12:18 PMCLINICAL INFORMATION:TECHNIQUE: COMPARISON: FINDINGS:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant ... |
Generate impression based on findings. | 46-year-old male with fever and Crohn's disease ABDOMEN:LUNG BASES: UnremarkableLIVER, BILIARY TRACT: Stable liver hemangiomas. Cholelithiasis and contracted gallbladder.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No... | Fistula between the terminal ileum and sigmoid colon is again noted. Mild active inflammation involving the terminal ileum and rectosigmoid colon, unchanged. |
Generate impression based on findings. | Metastatic endometrial cancer CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abno... | Large left thigh mass |
Generate impression based on findings. | 52 year old female with abdominal pain and nausea and vomiting This study is severely limited due to lack of oral and IV contrastABDOMEN:LUNG BASES: Significant cardiomegaly bilateral moderate pleural effusions and small pericardial effusionLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant ab... | Interval development of distal small bowel obstruction.Left-sided hydronephrosis secondary to an infiltrative mass at the level of the renal hilum, unchanged.Cardiomegaly, bilateral moderate pleural effusions, small pericardial effusion, unchanged.Interval development of mild ascites.Possible calcified mass at the smal... |
Generate impression based on findings. | 46 year old female with history of left buccal mucosa a dermoid cancer, evaluate for recurrence. Redemonstrated changes from prior left maxillectomy extending into the hard palate with a reconstruction flap that fills the left masticator space and infratemporal fossa. There are also changes of previous left mastoidecto... | 1.Previously demonstrated complete opacification of the left maxillary sinus demonstrates a small amount of interval aeration along its anterosuperior aspect. 2.Previously demonstrated vague enhancement along the lateral wall of the reconstructed oral cavity, most conspicuous on the prior CT head and neck from 2010, is... |
Generate impression based on findings. | Evaluate for bowel obstruction 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 notedRET... | Distal small bowel obstruction with transition point in the mid lower abdomen. |
Generate impression based on findings. | Concern for cholangitis This study is severely limited due to lack of IV contrast.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Patient's known liver metastases are not well seen on this noncontrast CT. There is some interval increase in the amount of biliary dilatation in both lobes but par... | Limited study due to lack of IV contrast. Patient's known hepatic and pancreatic masses are not well seen with this noncontrast study. Interval development of biliary dilatation and gallbladder distention despite the plastic stent. |
Generate impression based on findings. | 39-year-old female status post total abdominal colectomy. Evaluate for abdominal abscess ABDOMEN:LUNG BASES: Bilateral small pleural effusions.LIVER, BILIARY TRACT: Right lobe hemangioma, unchanged.SPLEEN: No significant abnormality notedPANCREAS: Mild pancreatic ductal prominence, unchanged.ADRENAL GLANDS: No signific... | Postsurgical changes secondary to total proctocolectomy. Interlope in the bilateral pleural effusions, ascites and mild ileus. |
Generate impression based on findings. | 62-year-old male with worsening metastatic disease This study is limited due to lack of IV contrastABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Patient's known hepatic metastases cannot be well seen on today's study the lack of IV contrast. Index lateral segment left lobe lesion measures 1.... | Limited study to lack of IV contrast. Hepatic metastases and retroperitoneal adenopathy cannot be well seen without IV contrast. Within the limitations index lesions and gastric outlet obstruction appears stable. MRI may be a better imaging modality to follow-up the lesions of this patient. |
Generate impression based on findings. | 17 year-old male, shunted neurofibromatosis-1 patient, experiencing headache with swelling around VP shunt tract Redemonstrated are bilateral frontal approach ventriculoperitoneal shunt catheters, the right catheter terminating near the midline, and the left catheter terminating in the body of the left lateral ventricl... | 1.No change in shunt catheters, ventricular sizes, or size of arachnoid cysts. 2.No acute intracranial hemorrhage or generalized mass effect.3.Grossly stable appearance of the optic chiasm mass which appears to infiltrate the septum pellucidum and fornices, consistent with an optic pathway glioma. |
Generate impression based on findings. | Abdominal pain in the right lower quadrant, status post right renal biopsy 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, ... | Large right perinephric and retroperitoneal hematoma. |
Generate impression based on findings. | Purulent drainage from midline incision site ABDOMEN:LUNG BASES: Small pleural effusions and dependent atelectasisLIVER, BILIARY TRACT: Previous described perihepatic fluid collection is now smaller measuring 5.4 x 3.3 cm. Postsurgical changes in the liver secondary to right hepatectomy. Fluid collection within the lef... | Interval decrease in the size of the perihepatic and infrahepatic collections. |
Generate impression based on findings. | 68-year-old male with history of gastric output obstruction ABDOMEN:LUNG BASES: Bilateral trace pleural effusions and dependent atelectasis.LIVER, BILIARY TRACT: Cholelithiasis. No evidence of biliary dilatation.SPLEEN: Not visualized.PANCREAS: There are complex fluid collections in the lesser sac. One of the large poc... | Complex peripancreatic fluid collections causing gastric outlet obstruction is suspected. Postsurgical changes secondary to distal pancreatectomyNew peritoneal soft tissue density nodules which represent carcinomatosis versus inflammatory changes. Follow-up is recommended.Retroperitoneal and pelvic adenopathy, unchange... |
Generate impression based on findings. | Back pain, vomiting obstruction The study is severely limited due to lack of IV contrast.ABDOMEN:LUNG BASES: Significant cardiomegaly.LIVER, BILIARY TRACT: Hepatomegaly.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No ... | Limited study due to lack of IV contrast and poor oral contrast opacification.Significant cardiomegaly and hepatomegaly.Mildly distended stomach. |
Generate impression based on findings. | 63-year-old male with vomiting This study is limited due to lack of IV contrast.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: Calcifications in the head of the pancreas representing chronic pancreatitis.ADRENAL... | Limited study due to lack of IV contrast. Calcifications in the the pancreas representing chronic pancreatitis. |
Generate impression based on findings. | Shortness of breath and chest pain. PULMONARY ARTERIES: No significant abnormality noted.LUNGS AND PLEURA: Bilateral upper lobectomy surgical changes are noted with bilateral paramediastinal fibrotic changes with linear margins suggesting prior radiation. Moderate upper predominant centrilobular emphysematous changes a... | 1.No evidence for pulmonary embolism.2.Superior right lower lung 1 cm nodule which is suspicious for neoplasm.3.Pancreatic tail 1cm hypodense nonspecific nodule. Consider dedicated imaging with CT versus MRI with contrast.4.Postsurgical and emphysematous changes as above.5.Right adrenal likely adenoma.These findings we... |
Generate impression based on findings. | Chest pain. PULMONARY ARTERIES: No significant abnormality noted.LUNGS AND PLEURA: No significant abnormality noted. There is a small calcified granuloma noted within the right upper lobe.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of enteri... | No evidence of pulmonary embolus. The lungs are grossly clear. |
Generate impression based on findings. | Right-sided pleural effusion worsening versus new infiltrate, chest tube positioning. LUNGS AND PLEURA: Spinal curvature distorts the lung parenchymal architecture/volumes. A right-sided chest tube enters the right lower lateral chest wall and ascends posteriorly with tip near the right apex. There is no evidence of pn... | Right-sided chest tube tip along the posterior apex without pneumothorax. Right basilar airspace disease (likely atelectasis) with small/moderate pleural effusion. |
Generate impression based on findings. | Reason: stroke History: stroke. 79 year old female Hypodense foci are present within the posterior circulation involving gray and white matter including: the inferior aspect of the right cerebellar hemisphere measuring 31 x 39 mm in axial dimensions, patchy areas in the right and left superior cerebellar hemispheres, r... | 1.Multiple foci suspicious for infarction involving the posterior circulation including cerebellar hemispheres, brainstem, hippocampi, thalami and occipital lobes2.small focus of hemorrhagic conversion is suspected along the left thalamus |
Generate impression based on findings. | Reason: evaluate post-op swelling History: GBM The patient is status post right sided craniotomy and cranioplasty with surgical tumor resection in the right frontal lobe. Since the prior exam postoperative changes including blood products and subdural collection and air are stable . Residual tumor and vasogenic edema r... | 1.Status post right-sided craniotomy and cranioplasty for right frontal lobe mass. There are postoperative changes present with, subdural collection, blood products and intracranial air.2.There is redemonstration of vasogenic edema and subdural collection with midline shift, uncal herniation and subfalcine herniation w... |
Generate impression based on findings. | Reason: evaluate SDH History: SDH There is redemonstration of a a focus of hypodensity involving the medial aspect of the right occipital lobe measuring 44 x 24 mm axial dimensions involving both gray and white matter compatible with infarction.There is a stable right-sided subdural hematoma which appears to be in a ch... | 1.Findings are compatible with a subacute infarction in the right occipital lobe and there is no evidence for hemorrhagic conversion which is a stable.2.There is a stable right-sided subdural hematoma which appears to be in a chronic stage measuring 10 mm in thickness adjacent to the right hemisphere the brain.3.Foci o... |
Generate impression based on findings. | Reason: Pt is a 77 y/o female with met urothelial cancer, evaluate for brain mets, headache History: headache 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.No abnormal mass lesions are apprec... | 1.No evidence for brain metastasis on the basis of this examination. Please note that MRI is more sensitive in the detection of brain metastases than CT. 2.No evidence for acute intracranial hemorrhage mass effect or edema.3.Periventricular and subcortical white matter changes of a moderate degree are nonspecific. At t... |
Generate impression based on findings. | Reason: CVA History: 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.Periventricular and subcortical white matter hypodensities of ... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA3.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. 4.Findings are suggestive of a right sided chr... |
Generate impression based on findings. | 39-year-old female presents with flank pain. Evaluate for stone. ABDOMEN: Lack of intravenous and oral contrast limits evaluation for lymphadenopathy, solid organ, and bowel pathology.LUNG BASES: Nonspecific right lung base micronodule with possible calcification compatible with prior granulomas disease. No pleural eff... | Non-obstructing right renal calculi. |
Generate impression based on findings. | Male 33 years old Reason: extent of aortic dissection History: Aortic dissection This exam is limited by the lack of IV contrastABDOMEN:LUNG BASES: There are bilateral small pleural effusions with mild associated compressive atelectasis. Two mediastinal drains are in place. There is cardiomegaly.LIVER, BILIARY TRACT: T... | 1.Left-sided perinephric fat stranding and branching hyperdense lesion within the renal arteries concerning for possible renal arterial or venous thrombus. Other potential etiologies include pyelonephritis or possible neoplastic urinary obstruction. Would recommend MR angiography or ultrasound of the kidneys with Doppl... |
Generate impression based on findings. | 76-year-old male with increased oxygen requirement, tachypnea, tachycardia. Assess for PE. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus.LUNGS AND PLEURA: Right lower lobe mass measures 5.1 x 3.2 cm (image 100, series 10), previously 4.9 x 3.0 cm.Solid right upper lobe nodule meas... | 1. No evidence of pulmonary embolus.2. Minimal increase in size of right lower lobe mass and consolidation/atelectasis of left lower lobe.3. Increased mild pleural effusions.4. Increased distention of the gallbladder compared to recent CT of the abdomen from 8/29/2013. If further evaluation clinically warranted, ultras... |
Generate impression based on findings. | 59-year-old with history of PE presenting with shortness of breath. Evaluate for PE. Additional history from patient chart: Patient has history of HIV. PULMONARY ARTERIES: No pulmonary emboli are evident.LUNGS AND PLEURA: Severe paraseptal and centrilobular emphysema, unchangedSmall focal consolidation in the right upp... | 1. No pulmonary emboli.2. Multifocal interstitial and ground glass opacities compatible with edema or possibly infection including pneumocystis jiroveci. 3. Lucent lesions within multiple vertebral bodies are new compared to prior and lack sclerotic borders. These may represent sequelae of metabolic bone disease, but g... |
Generate impression based on findings. | 47-year-old female presents with colicky abdominal pain and bilateral flank pain. ABDOMEN: Lack of intravenous and oral contrast limits evaluation for lymphadenopathy, solid organ, and bowel pathology.LUNG BASES: Dependent subsegmental atelectasis. No pleural effusions. No suspicious pulmonary masses or nodules. Normal... | Obstructing 5-mm right ureterovesical junction stone with proximal hydroureter and moderate hydronephrosis. Additional renal calculi as described. |
Generate impression based on findings. | Reason: r/o mass History: recurrent HA 74-year-old female 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.A hypodense focus of CSF dens... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Please note that noncontrast CT is less sensitive for the detection of a intracranial mass than MRI or contrast enhanced CT.3.a small focus of encephalomalacia is present along the medial aspect the left occipital lobe4.CT is insensitive for the ear... |
Generate impression based on findings. | 71-year-old male with a abdominal pain and distention. Evaluate for SBO. ABDOMEN:LUNG BASES: No significant abnormality noted in the lungs. Coronary artery calcifications.LIVER, BILIARY TRACT: Cirrhotic liver morphology.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No... | 1. Cirrhotic liver morphology2. Moderate ascites.3. No bowel obstruction. |
Generate impression based on findings. | 14-year-old female with shortness of breath, left upper extremity edema, please evaluate for PE. PULMONARY ARTERIES: Multiple right lower lobar and bilateral segmental and subsegmental acute and chronic pulmonary emboli. The main pulmonary artery has increased from 2.2 cm to 2.7 cm, which can be seen in pulmonary arter... | 1.Multiple right lower lobar and bilateral segmental and subsegmental acute and chronic pulmonary emboli. 2.Borderline enlargement of the main pulmonary artery, which is increased compared to prior and may be seen in pulmonary arterial hypertension.3.Stable bibasilar subpleural opacities which may represent sequelae of... |
Generate impression based on findings. | 34-year-old male. Patient has a G-tube in place. History of esophageal cancer with mets to the liver. Evaluate for obstruction, infection. ABDOMEN:LUNG BASES: Right moderate and small left pleural effusions. Bibasilar patchy opacities likely represent atelectasis and aspirate. LIVER, BILIARY TRACT: Cirrhotic liver morp... | 1. New bilateral adrenal nodules suspicious for metastasis.2. Two new sclerotic lesions in T12 vertebral body highly suspicious for metastasis.3. No significant interval change in liver lesions.3. Large amount of ascites. Diffuse bowel wall thickening likely related to hypoalbuminemia. 4. Bilateral pleural effusions an... |
Generate impression based on findings. | Male 41 years old Reason: assess for progression of disease History: nausea, severe abdominal pain, ileus ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There are numerous hyperattenuating lesion scattered throughout the liver as well as hypoattenuating lesions with peripheral enhancement, wh... | 1.Stable, innumerable hyperattenuating lesion throughout the liver with associated peripancreatic lymphadenopathy consistent with metastatic disease.2.New hyperattenuating lesions within the bony structures of the pelvis concerning for metastatic disease.3.No new etiology found to explain the patient's severe abdominal... |
Generate impression based on findings. | Reason: is there vascular occlusion History: possible stroke 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 no signifi... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease3.CT is insensitive for the early detection of nonhemorrhagic CVA. |
Generate impression based on findings. | Male, 12 years old, status post ATV accident without helmet. 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 cistern... | 1. No acute intracranial abnormality. 2. Right premaxillary soft tissue injury.3. Probable right nasal bone fracture. |
Generate impression based on findings. | 23-year-old male. Abdominal pain. Evaluate for stone. Lack of oral or intravenous contrast decreases sensitivity for detection of solid organ and bowel pathology.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No... | No renal/ureteral calculi or hydronephrosis. Increased density of medullary pyramids bilaterally suggestive of medullary nephrocalcinosis. |
Generate impression based on findings. | 37-year-old presenting with cough and shortness of breath. PULMONARY ARTERIES: No pulmonary emboli. The main pulmonary artery is enlarged measuring 3.8 cm in diameter. This is compatible with pulmonary hypertension. There is no bowing of the interventricular septum or reflux of contrast into the hepatic veins to indica... | 1. No pulmonary emboli.2. Patchy ground glass opacities occupy the majority of the lung parenchyma in all pulmonary lobes. This appearance is compatible with pulmonary edema, atypical infection including pneumocystis jiroveci and less likely hemorrhage. |
Generate impression based on findings. | Reason: aneurysm History: headache The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized portions of the paranasal sinuses are... | No evidence for acute intracranial hemorrhage mass effect or edema.CT ANGIO HEAD WWO, CT HEAD WO, 9/3/2013 1:15 AM; INDICATIONS: 39-year-old female with headache. Evaluate for aneurysmTECHNIQUE: CT of the head without contrast and CTA of the head with contrast were obtained as follows:Contiguous axial images were obtai... |
Generate impression based on findings. | 31-year-old female with hypoxia on room air. History of dermatomyositis. Evaluate for PE. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus.LUNGS AND PLEURA: Small right pleural effusion.Patchy right lower lobe groundglass opacities.Bibasilar atelectasis, scarring, and septal thickeni... | 1. No evidence of pulmonary embolus. 2. Small right pleural effusion and chronic scarring/discoid atelectasis at the lung bases. |
Generate impression based on findings. | Reason: TIA/Stroke History: intermittent numbness/tingling/inabilty to swallow The CSF spaces are appropriate for the patient's stated age with no midline shift. Atherosclerotic calcifications are present along the distal internal carotid arteries. Atherosclerotic calcifications are present along the distal vertebral a... | No evidence for acute intracranial hemorrhage mass effect or edema.CT ANG HEAD AND NECK WWO 7:45 PMCLINICAL INFORMATION:64-year-old male with unilateral weakness. Evaluate for stroke.COMPARISON: 9/2/13 head CTTECHNIQUE: Using multidetector helical CT, contiguous CT axial 5 mm scans were obtained through the head withou... |
Generate impression based on findings. | 34-year-old presenting with shortness of breath. Evaluate for PE. Additional history per patient chart: Patient has metastatic esophageal cancer. PULMONARY ARTERIES: Multiple bilateral pulmonary emboli most notably in the left lobar pulmonary arteries with smaller segmental level pulmonary emboli on the right.The main ... | 1. Multiple lumbar and segmental pulmonary emboli bilaterally as described. The main pulmonary artery is enlarged compatible with pulmonary hypertension, however there is no definite evidence of acute right heart strain.2. Multifocal air space consolidations compatible with pneumonia/aspiration. This appearance could a... |
Generate impression based on findings. | Female, 70 years old, fever, altered mental status. 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 pat... | No acute intracranial abnormality. |
Generate impression based on findings. | Female 46 years old Reason: evaluate for intraabdominal infection History: abdominal pain, chills, wbc 16.6 The study is limited by lack of IV contrast, poor oral contrast opacification and paucity of intra-abdominal fat.ABDOMEN:LUNG BASES: There is cardiomegaly present.LIVER, BILIARY TRACT: The liver measures 19.5 cm ... | 1.Proximal small bowel dilatation with distal decompression consistent with a small bowel obstruction. 2.Luminal narrowing and bowel wall thickening of a proximal jejunal loop. The etiology is unknown but this may represent lymphoma, enteritis or metastatic disease.3.Soft tissue density surrounding the second and third... |
Generate impression based on findings. | 56 year-old male. ABDOMEN:LUNG BASES: Small right and trace left pleural effusions with adjacent atelectasis. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Large ri... | Interval increased size of right perinephric and retroperitoneal hematoma. |
Generate impression based on findings. | 45-year-old male with head and neck squamous cell carcinoma. Surgical Bed:There are post-treatment findings related to left maxillectomy with flap reconstruction, resection of left mandibular angle and ramus, resection of left hard palate, orbital floor, and pterygoid plates, partial glossectomy, left parotid and subma... | 1.Stable extensive post-treatment findings in the left side of the face and neck without evidence of residual or recurrent tumor. No significant cervical lymphadenopathy.2. A 7 mm focus of enhancement in the posterior aspect of left nasopharynx may represent a focus of mucositis and less likely neoplasm . Direct visual... |
Generate impression based on findings. | CT HEAD WO, CT CERVICAL SPINE WO, 9/3/2013 5:03 AM There is an area of hyperdensity in the sulci of the right parietal lobule likely represents a small subarachnoid hemorrhage. There is no associated mass effect. Otherwise the ventricles, sulci, and cisterns are normal in size and configuration. There is no edema noted... | 1.Small subarachnoid hemorrhage in the right inferior parietal lobule. No mass-effect or midline shift.2.Soft tissue swelling at the left temple with no depressed calvarial fracture. 3.Partial fusion of C1-C2, likely congenital. |
Generate impression based on findings. | Female, 51 years old, headache, blurred vision, nausea vomiting. 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 cis... | Unremarkable evaluation. |
Generate impression based on findings. | 67-year-old female. Asymptomatic. Evaluate peritoneal mass. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Unchanged heterogeneous left thyroid lobe nodule is nonspecific. No mediastinal or hilar lymphadenopathy. Unchanged small mediastinal lymph nodes. Main pulmonary artery dia... | Stable to slight decrease in peritoneal and mesenteric soft tissue consistent with stated history of mesothelioma. |
Generate impression based on findings. | Male, 5 months old, status post blunt head trauma. A small area of right frontal scalp swelling/hematoma is identified. No underlying calvarial fracture is demonstrated.The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial flui... | Right scalp soft tissue injury. No acute intracranial abnormality. |
Generate impression based on findings. | 57-year-old with left tonsillar squamous cell cancer. Surgical Bed/Soft Tissues:Posttreatment findings are redemonstrated with effacement of the neck fat planes, thickening of the platysma and clips along the left side of the neck. In the left tonsillar fossa there is asymmetry secondary to treatment, but no focal area... | Post-treatment findings without evidence of recurrent left tonsillar tumor. Overall reduction in size of the cervical lymph nodes without the development of new lymphadenopathy. |
Generate impression based on findings. | Female, 82 years old, delirium. Right frontal hypoattenuation and mild encephalomalacia are stable and likely reflective of prior ischemia. Periventricular hypoattenuation is also unchanged consistent with age indeterminate small vessel ischemic disease.No evidence of intracranial hemorrhage or abnormal extra-axial flu... | 1. Chronic right frontal lobe ischemic change.2. Age indeterminate small vessel ischemic disease.3. No acute intracranial abnormality. |
Generate impression based on findings. | Female, 5 years old, woke up with severe headache. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. The the cerebellar tonsils descend to the level of the foramen magnum which is within normal limits. The corpus callosum is fully formed. The pituitary region is unremarkabl... | No acute intracranial abnormality or other specific findings to account for the patient's symptoms. |
Generate impression based on findings. | 19 year-old male. Crohn's disease, descending colon stricture, abscess status post drain. Follow up for abscess and stricture. Abdominal pain. Lack of intravenous contrast decreases sensitivity for detection of solid organ pathology. ABDOMEN: Small bilateral pleural effusions.LUNG BASES: No significant abnormality note... | 1. Long colonic stricture and wall thickening, presumably related to stated history of inflammatory bowel disease. No loculated fluid collection/abscess seen within limits of noncontrast exam.2. Small amount of abdominopelvic ascites. Anasarca. |
Generate impression based on findings. | 40 year-old male. Hepatic failure. Dropping hemoglobin. Evaluate for hematoma. Lack of intravenous and oral contrast decreases sensitivity for detection of solid organ and bowel pathology.ABDOMEN:LUNG BASES: Small bilateral pleural effusions with adjacent atelectasis.LIVER, BILIARY TRACT: No significant abnormality not... | 1. No intra-abdominal hematoma as clinically questioned.2. Small bilateral pleural effusions and bibasilar atelectasis. |
Generate impression based on findings. | Male, 46 years old, head and neck cancer of unknown primary status post CRT. Treatment related changes are demonstrated in the neck. This includes edema of the epiglottis and aryepiglottic folds as well as mild infiltration of the fascial planes. Prior left neck dissection also noted. Within this background, no soft ti... | Treatment related change with no evidence of recurrent disease. |
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