instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | 56-year-old male. Kidney stones. Lack of intravenous and oral contrast decreases sensitivity for detection of solid organ and small bowel pathology.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter hypodense focus in the right hepatic lobe (series 3, image 65) too small to characte... | Nonobstructive left renal calculus. No right renal or ureteral calculi. No hydronephrosis. |
Generate impression based on findings. | Reason: evaluate for right orbital or nasal bone fracture History: facial trauma on August 23, 2013, point tenderness over right superior orbit A hyperdense subcutaneous lesion measuring 7 mm x 14 mm coronal dimensions is present along the left frontal subcutaneous scalp adjacent to the posterior aspect of the left fro... | 1.No acute facial fractures are appreciated .2.Subcutaneous soft tissue thickening is present just above the right orbit3.Small nodules along the subcutaneous tissues of the left frontal scalp and right parietal scalp most likely represent sebaceous cysts4.Examination was made available on 9/3/13 for interpretation |
Generate impression based on findings. | 59-year-old female for a colon cancer surveillance. Elevated CEA. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules identified. No focal airspace consolidation or pleural effusion.MEDIASTINUM AND HILA: Mediastinal and bilateral lymphadenopathy is again seen.Reference right paratracheal lymph node measures 1.5 x 1... | Interval slight increase in size of a reference mediastinal lymph node. Remainder of examination is stable. |
Generate impression based on findings. | 64M with history of T1N2B base of tongue predominately nonkeratinizing squamous cell carcinoma status post CRT completed in 12/2010. The patient also had adenocarcinoma of the right lung, status post lobectomy in 10/2011. Head CT: There is no evidence of intracranial mass, hemorrhage, or infarction. There is no abnorma... | 1. Stable post-treatment findings without evidence of locoregional tumor recurrence or significant lymphadenopathy.2. No CT evidence of brain metastases.3. Gradual increase in size of the accessory right parotid tissue, now measuring up to 8 mm in thickness, which may be compensatory, although an underlying tumor canno... |
Generate impression based on findings. | Male 70 years old; Reason: Hx of ulcerative colitis w/ sigmoid colon ca, r/o mets History: None CHEST:LUNGS AND PLEURA: Scattered nonspecific micronodules notedMEDIASTINUM AND HILA: Mediastinal adenopathy noted, not pathologically enlarged by CT criteria.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIAR... | 1.No evident metastatic disease detected. |
Generate impression based on findings. | 59 year old female with lung cancer status post 4 cycles of chemotherapy. Please evaluate disease and compare with previous scans. CHEST:LUNGS AND PLEURA: Interval decrease in size of right lower lobe mass now measuring 4.7 x 3.8 cm (image 70, series 5), previously 5.4 x 4.9 cm.Reference left upper lobe nodule measures... | 1. Continuing reduction in right lower lobe mass, left upper lobe reference lesion, and mediastinal lymphadenopathy.2. Interval development of right middle lobe ground glass/airspace opacities most compatible with infection.Findings communicated to Dr Hull at 1445 hrs on the phone prior to dictation. |
Generate impression based on findings. | Male, 56 years old, history of metastatic thyroid cancer. A subtle blush of enhancement is redemonstrated within the right temporal lobe, along the temporal horn of lateral ventricle. This is similar to the prior examination and concerning for metastatic disease.Polypoid mucosal thickening is redemonstrated within the ... | 1. No evidence of recurrent disease in the thyroidectomy bed.2. No pathologic adenopathy by size criteria. Reference nodules along the right tracheoesophageal groove are unchanged.3. Interval development of a concerning lesion in the right upper lung. Please refer to dedicated chest imaging for a more thorough evaluati... |
Generate impression based on findings. | 56 year old male. Metastatic thyroid cancer, compare to previous. EPIC history: FNA of pancreatic head showed neoplastic cells favoring metastatic tumor vs pancreatic neoendocrine neoplasm. CHEST:LUNGS AND PLEURA: In the right lung apex along the major fissure is a nodular opacity with adjacent groundglass, new from pr... | 1. New nodular opacity with adjacent groundglass in the right apex, infectious/inflammatory process favored although a metastasis cannot be entirely excluded. 2. Interval increase in intrahepatic and extrahepatic biliary ductal dilatation extending to the level of the ampulla.3. Stable pancreatic head mass.4. No signif... |
Generate impression based on findings. | Female 54 years old Reason: Pt is a 54 y/o female with met RCC, evaluate for progression on pazopanib History: met RCC CHEST:LUNGS AND PLEURA: There is marked nodularity of the right pleura as well as thickening along the fissures of the right lung, which appear stable since the last examination. There is evidence of s... | 1.Stable reference metastatic hepatic lesion.2.Stable right adnexal lesion.3.Stable mediastinal, hilar and retroperitoneal lymphadenopathy.4.Asymmetric bladder wall thickening, which may represent infection versus primary neoplasm.5.Stable soft tissue mass in the right nephrectomy bed. |
Generate impression based on findings. | 46 year old female with history of mucoepidermoid cancer of the left cheek; status-post radiation and surgery. LUNGS AND PLEURA: Right lower lobe pulmonary micronodule increased in size, measuring 3 mm, compared to prior exam (image 180, series 4) when it measured approximately 1.5 mm. Other scattered pulmonary microno... | Interval increase in right lower lobe pulmonary micronodule. This may represent an intrapulmonary lymph node but recommend follow up in 6 months to confirm stability as this could represent a primary carcinoma. A metastasis is considered less likely due to the slow growth rate. |
Generate impression based on findings. | Clinical information LUNGS AND PLEURA: Severe upper lobe predominant centrilobular emphysema.Somewhat spiculated 10 mm x 9 mm nodule in the right upper lobe (image 29, series 4, is suspicious of a primary neoplasm.Scattered micronodules in both lungs, however no other suspicious pulmonary nodules or masses.No pleural e... | 1.Spiculated nodule in the right upper lobe suggestive of primary neoplasm. Recommend PET scanning for further evaluation.2.Enlarged precarinal lymph node and multiple mildly prominent mediastinal lymph nodes are suggestive lymphadenopathy.3.Sclerotic focus in the T5 vertebrae.4.New hepatic hypodensity and perihepatic ... |
Generate impression based on findings. | 56 year-old female. Uterine leiomyosarcoma. Evaluate for metastasis. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Scattered subcentimeter hypodense lesions in the liver ... | No evidence of metastatic disease. |
Generate impression based on findings. | 54-year-old with history of pneumonia. Assess pleural effusion. Additional history per patient chart: Patient has history of lung cancer CHEST:LUNGS AND PLEURA: Post surgical changes with volume loss and surgical staples in the right upper lobe.New complete atelectasis of the residual right upper lobe with narrowing of... | 1. New complete atelectasis of the residual right upper lobe with narrowing of the right upper lobe bronchus. This may be secondary to post-radiation scarring, recurrent tumor, or less likely mucus plugging. 2. Moderate bilateral pleural effusions which are increased compared to prior.3. Multiple nodular opacities with... |
Generate impression based on findings. | Male 82 years old Reason: hx of bladder cancer, please evaluate with delayed imaging History: none ABDOMEN:LUNG BASES: There is a pleural-based nodule in the right middle lobe (image 1, series 3), which appears unchanged since the prior examination. LIVER, BILIARY TRACT: Multiple hypoattenuating lesions are seen in the... | 1.Stable examination, with no change in the left inguinal lymph node.2.Stable left adrenal adenoma. |
Generate impression based on findings. | Male, 70 years old, with pain over left cheek, history of sinus surgery for oral fistula. Interval clearing of the left frontal sinus. The frontal sinuses and frontoethmoidal recesses are clear and patent.Minimal scattered mucosal thickening through the ethmoid air cells, improved from prior. The sphenoid sinuses and s... | Significant interval improvement in sinus opacification as seen on the prior examination. This is particularly true for the left maxillary sinus which is nearly completely clear. A small bony deficiency persists at the floor of the left maxillary sinus, but this is less conspicuous than on the prior exam. |
Generate impression based on findings. | Reason: low O2 sat, ho GVHD after stem cell transplant for MDS. Evaluate for bronchiolitis obliterans History: low O2 sat, chronic. LUNGS AND PLEURA: No significant abnormality noted. No evidence of interstitial lung disease or air trapping.MEDIASTINUM AND HILA: No hilar or mediastinal adenopathy.Cardiac size is normal... | No significant pulmonary disease without interval change. |
Generate impression based on findings. | 49-year-old male with slurred speech, rule out CVA. Redemonstrated is a stable wedge-shaped hypoattenuating area in the right occipital pole extending to the fusiform gyrus, likely representing old infarct.There is no evidence of intracranial hemorrhage or parenchymal edema. There is no midline shift. No abnormal mass ... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for early detection of nonhemorrhagic CVA. If there is clinical concern for acute ischemia, MRI would be recommended.3.A wedge shaped area of hypoattenuation within the right occipital lobe most likely represents sequela of prior i... |
Generate impression based on findings. | 79 year-old female with worsening neurological examination. HEAD:There is redemonstration of a left hemispheric hematoma measuring 95 x 44 mm axial dimensions (left frontal lobe, insular region, basal ganglia, and parts of the mesial aspect of the left temporal lobe) with surrounding vasogenic edema that is grossly unc... | 1.Relative lack of contrast opacification of the internal carotid arteries and vertebral arteries bilaterally above the C2 vertebral body level with opacification of the external carotid branches is suggestive of increased intracranial pressure compared to extracranial pressure. These findings are suggestive of but not... |
Generate impression based on findings. | 82 year-old male. History of NHL, restaging. Fatigue, night sweats. CHEST:LUNGS AND PLEURA: Scattered pulmonary nodules, in the bilateral lower lobes (series 5, images 80 and 94) are unchanged.MEDIASTINUM AND HILA: Severe atherosclerotic calcification of the thoracic aorta, coronary arteries, and aortic valve. No signi... | Stable examination. |
Generate impression based on findings. | Male, 67 years old, with idiopathic pulmonary fibrosis, chronic ethmoidal sinusitis. Deviated nasal septum and turbinate hypertrophy. The frontal sinuses and frontoethmoidal recesses are clear. There is at most minimal mucosal thickening through the ethmoid air cells. Mild peripheral thickening is evident within the sp... | No significant interval changes. There remains minimal mucosal thickening in the ethmoid air cells and a leftward deviated nasal septum. |
Generate impression based on findings. | History of pancreatic cancer CHEST:LUNGS AND PLEURA: New, focal, patchy groundglass opacities and subcentimeter nodules in the right middle lobe. These may represent atypical infection or drug reaction.MEDIASTINUM AND HILA: Borderline enlarged right hilar lymph node is stable measuring 1.4 by 1 cm image number 43, seri... | New groundglass opacities in the right middle lobe suspicious for atypical infection versus drug reaction.Stable to slightly decreased hepatic metastases.Interval decrease in the size of the patient's known pancreatic head mass. |
Generate impression based on findings. | Metastatic prostate cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Index aortopulmonary lymph node measures 9 by 7 mm on image number 35, series number 3, minimally increased in size compared to previous study.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT... | No significant change from previous study. Compression fractures of T10 vertebral body, unchanged. |
Generate impression based on findings. | Evaluate endovascular aneurysm repair ABDOMEN:LUNG BASES: CardiomegalyLIVER, BILIARY TRACT: Hypertrophic left lobe and caudate lobe liver with somewhat focal atrophy of the right lobe. These findings may represent changes secondary to chronic liver disease. Clinical correlation is recommended.SPLEEN: Mild splenomegaly ... | Changes which can be compatible with chronic liver disease. Clinical correlation and liver function tests is recommended.Mild splenomegaly.No evidence of leak from the endovascular aortic aneurysm repair.Changes consistent with chronic pancreatitis. Two well-defined cystic lesions in the body of the pancreas. There eti... |
Generate impression based on findings. | Male, 51 years old, with confusion, right sided foot drop, falls, and ataxia. White matter hypoattenuation compatible with vasogenic edema has progressed surrounding a hypodense lesion within the medial left temporal lobe/splenium of the corpus callosum. The edema extends from the medial temporal lobe to involve the an... | Progressive edema surrounding the patient's known GBM in the left medial temporal region. Findings are suggestive of progressive disease, though other possibilities exist in the context of ongoing treatment. Further evaluation with MRI is recommended. |
Generate impression based on findings. | Reason: pulmonary nodules; heavy tobacco history History: nodules LUNGS AND PLEURA: Mild upper centrilobular emphysema and diffuse moderate bronchial thickening consistent with bronchitis.Very small nodular scarlike opacities at the apices and small micronodules elsewhere ranging up to approximately 2 mm, best seen on ... | 1.Small scars and nonspecific micronodules, consistent with previous infection but no suspicious nodules.2. Mild emphysema and bronchitis. |
Generate impression based on findings. | Metastatic breast cancer CHEST:LUNGS AND PLEURA: Extensive diffuse mostly pleural-based disease encasing the high right lung invading the chest wall and in the ribs. These masses also in the diaphragm and extends inferior to the diaphragm surrounding the liver. There are also multiple parenchymal based lesions within t... | Mostly pleural-based, extensive right-sided disease invading the entire right lung and chest wall and the ribs. Mediastinal infiltrative adenopathy invades the SVC and right subclavian vessels.Pathologic fracture involving the T8 vertebral body causing vertebral body collapse.Bilateral lung metastases and small right-s... |
Generate impression based on findings. | Clinical information Reason: Pt with hx of HNC. s/p CRT. please re-eval and compare History: as above LUNGS AND PLEURA: Right lower lobe reference nodule, 6 x 4 mm but decreased in density compared to previous (series 7, image 49).Additional nonspecific nodules, unchanged.MEDIASTINUM AND HILA: Aberrant right subclavian... | Interval decrease in right lower lobe nodule and mediastinal lymphadenopathy. No new findings. |
Generate impression based on findings. | Abnormal findings on MRI. On the right, the external auditory canal and tympanic membrane are unremarkable. The middle ear and mastoid air cells are clear. The tegmen mastoideum and tympany are intact without evidence of cephalocele. The ossicular chain is intact. The facial nerve describes a normal course, although po... | Unremarkable temporal bones without signs of CSF leak in this region. |
Generate impression based on findings. | 43-year-old female with history of pancreas cancer CHEST:LUNGS AND PLEURA: No significant change in the micronodules.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Index right lobe lesion measures 2.4 x 2 .3-cm image number 101, series n... | Interval increase in the size of the hepatic metastatic lesions and retroperitoneal adenopathy |
Generate impression based on findings. | History of cancers rectal polyp 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 notedRE... | Normal study. |
Generate impression based on findings. | Reason: Pt with hx of Tonsil cancer completed CRT 2011; s/p left VATS/Robotic left lower lobe wedge resection with mediastinal lymphadenectomy (12/5/12) History: as above CHEST:LUNGS AND PLEURA: Moderate centrilobular emphysema and stable micronodules.Surgical staples in the left lower lobe.No suspicious nodules.MEDIAS... | Minimally increased lymphadenopathy. No new findings. |
Generate impression based on findings. | History of prostate cancer CHEST:LUNGS AND PLEURA: Scattered calcified and noncalcified micronodules and nodules are stable.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality n... | Interval progression of disease with interval increase in the size of the right adrenal metastatic lesion, some of the retroperitoneal deposits, pelvic adenopathy and interval development of left adrenal metastatic lesion. |
Generate impression based on findings. | 67 year-old male follow up Graves' disease. Globe:There is symmetric bilateral proptosis not significantly changed since the prior exam. The globes are symmetric and intact.The lenses are symmetric.Extraocular muscles:There is stable severe enlargement of the bilateral medial, inferior, and superior rectus muscle belli... | Findings are consistent with thyroid associated orbitopathy with bilateral proptoses, orbital bony remodeling and compression of the optic nerves at the orbital apex by enlargement of the extraocular muscles. |
Generate impression based on findings. | 64-year-old female with history of right arm and leg weakness, altered sensation, blurring, and right monocular vision and abnormal gait for 3 weeks. Concern for subacute stroke. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhag... | No acute intracranial process. |
Generate impression based on findings. | Reason: is there a bleed History: headache sp mva yesterday 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 ... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Metastatic breast cancer - please eval disease status There is a 36 x 44 mm angled dimension left supraclavicular lymph node present. There is a 40 x 40 mm axial dimension heterogeneous in appearance lobulated left level 4 jugular chain lymph node.Smaller lymph nodes are identified in the right and left jugular chains ... | 1.There is left lower neck and the left supraclavicular lymphadenopathy present2.lymph nodes identified in the jugular chains which don't meet size criteria are somewhat suspicious based on their number3.findings raise a question of a vocal cord paralysis/paresis on the left.4.There is a right pleural effusion present ... |
Generate impression based on findings. | Female 62 years old; Reason: renal artery aneurysm History: renal artery aneurysm ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Small hypoattenuating lesion in the liver comment completely characterize. The gallbladder is surgically absentSPLEEN: No significant abnormality noted.PANCREAS: ... | 1.Left renal artery aneurysms as described above. |
Generate impression based on findings. | 52-year-old man with headache, evaluate for bleed. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:The area of restricted diffusion in the left lower pons seen on the prior MRI shows no correlate on the present CT. No abnormal mass lesions, edema, or hemorrhage. Small lin... | 1.No acute intracranial process.2.Previously identified focus of restricted diffusion in the left lower pons not well seen on the current study because of beam hardening artifact.3.Small, stable pineal cyst. |
Generate impression based on findings. | 70 y/o F with h/o HTN, COPD, NSCLC s/p LUL resection in 5/2011 (VATS procedure), recurrent supraglottic SCC (s/p XRT) s/p total laryngectomy 2/4/13. There are postsurgical findings related to left, bilateral submandibular gland resection, neck dissection, laryngectomy, tracheostomy, and soft tissue flap reconstruction ... | Expected postsurgical findings without evidence of locoregional tumor recurrence, significant cervical lymphadenopathy, or abscess. |
Generate impression based on findings. | Non-Hodgkin's lymphoma CHEST:LUNGS AND PLEURA: Interval appearance of extensive bilateral numerous nodular air space opacities without volume loss. No effusions.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Stable reference left retropectoral lymph node seen on image 24 series 3 measuring 0.9 x 0.6... | Interval appearance of extensive bilateral numerous nodular air space opacities involving both lungs. Favor opportunistic infection over lymphoma. Hemorrhage considered less likely.No new adenopathy.Interval appearance of diffuse gallbladder wall thickening associated with cholelithiasis; would recommend correlation wi... |
Generate impression based on findings. | 85 year-old female. History of metastatic cancer. No therapy. Assess for growth. CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules consistent with metastases are increased in size. Reference right middle lobe nodule measures 9 mm, previously 8 mm (series 5, image 59) and right lower lobe nodule measures 1.7 x 1 cm, pr... | Increased size of pulmonary metastases and right supraclavicular mass. |
Generate impression based on findings. | Male 67 years old Reason: r/o metastatic disease History: hematuria ABDOMEN:LUNG BASES: There is evidence of mild centrilobular emphysema. LIVER, BILIARY TRACT: There is prominence of the interlobar fissure and mild hypoattenuation of the hepatic parenchyma concerning for hepatic steatosis. There is a hypoattenuating n... | 1.Exophytic mass lesion arising off the left anterolateral bladder wall concerning for possible transitional cell carcinoma.2.No evidence of lymphadenopathy or metastatic disease seen. |
Generate impression based on findings. | 46-year-old with unknown head and neck primary malignancy status post chemotherapy and radiation. Evaluate for recurrence. CHEST:LUNGS AND PLEURA: No dominant suspicious pulmonary nodules. No focal air space opacity. No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. The ... | No evidence of metastatic disease in the chest and upper abdomen. |
Generate impression based on findings. | 64 year old with history of head and neck cancer. Evaluate for interval change. CHEST:LUNGS AND PLEURA: Post surgical changes and volume loss from right lower lobectomy. Posterior pleural thickening is unchanged.No dominant suspicious pulmonary nodules. Unchanged pulmonary micronodules.Paraseptal emphysema and right ap... | Stable examination without evidence of metastatic disease in the chest and upper abdomen. Unchanged reference lesion measurements. |
Generate impression based on findings. | 77-year-old male with mandible cancer. Rule out chest metastases. LUNGS AND PLEURA: Scattered pulmonary micronodules, some of which are calcified.Moderate centrilobular emphysema. Thick-walled bronchi compatible with bronchitis. No pulmonary or pleural metastatic lesions. MEDIASTINUM AND HILA: No mediastinal or hilar l... | 1. No pulmonary or pleural metastatic disease.2. Thick-walled bronchi compatible with bronchitis. Moderate emphysema. 3. Multiple hepatic lesions which are likely benign but recommend follow up imaging to confirm stability. 4. Hypoattenuating lesion in the pancreas likely represents a lipoma. |
Generate impression based on findings. | 65-year-old female status post fall, rule out intracranial hemorrhage. Redemonstrated are multiple scattered foci of periventricular and subcortical hypoattenuation which are nonspecific but likely represent small vessel ischemic disease of indeterminate age. There is no evidence of intracranial hemorrhage. There are n... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Multiple scattered foci of hypoattenuation likely represent small vessel ischemic disease of indeterminate age, stable from prior study.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Nasal congestion. There is complete opacification of the bilateral frontal sinuses and frontoethmoid recesses. There is complete opacification of the anterior right ethmoid air cells and near complete opacification of the left anterior ethmoid air cells with areas of hyperdense secretions that measure up to 140 HU. The... | Pansinus opacification with areas of hyperdense areas that may indicate inspissated secretions or perhaps fungal sinusitis. |
Generate impression based on findings. | Reason: lung cancer s/p 2 cycles of chemo. please evaluate for disease and compare withpreivous scans using same target lesions from baseline scan on 7/24/13 History: lung cancer CHEST:LUNGS AND PLEURA: Peripheral right upper lobe mass involving the pleural surface and right lateral chest wall (image 27 series 8023) is... | 1.Mild interval increase in size of the right upper lobe peripheral mass invading the chest wall. 2.Mild interval increase in hepatic metastasis.3.Stable left upper lobe mixed solid and groundglass chronic opacity. |
Generate impression based on findings. | Reason: please compare to previous - RLL consolidation History: lung mass LUNGS AND PLEURA: Severe centrilobular emphysema.A triangular shaped subpleural opacity in the right lower lobe measuring 26 x 11 mm is unchanged on the axial and coronal reconstructions (series 4 image 81), most compatible with postinfectious or... | Stable right lower lobe scar. No suspicious nodules. |
Generate impression based on findings. | 83-year-old male with prostate cancer, headache, evaluate for metastases. The entire calvarium and skull base appears diffusely sclerotic. Findings are new from prior and highly suggestive though not definitively diagnostic of widespread metastatic disease. Sclerosis extends to the TMJs which are deformed bilaterally, ... | 1.Findings highly suggestive of bony metastatic disease, as above.2.Thin low density subdural collection present in the right cerebral hemisphere, likely represents effusion versus chronic hematoma.3.No evidence of parenchymal metastatic disease. |
Generate impression based on findings. | 73-year-old with pulmonary nodule. Interval follow up exam. LUNGS AND PLEURA: Mild apical predominant centrilobular emphysema.11 mm nodule in the lingula is unchanged since 3/21/10 compatible with a benign lesion (series 5 image 72). This previously measured 11 mm.Scattered pulmonary micronodules and granulomas are unc... | Left upper lobe pulmonary nodule unchanged since 3/21/10 compatible with a benign lesion. No further follow-up is recommended. |
Generate impression based on findings. | Reason: evaluate for disease progression. History: metastatic leiomyosarcoma. LUNGS AND PLEURA: A left upper lobe reference nodule (series 5 image 22) 7 x 7 mm, slightly increased from 6 x 5 mm previously.A reference left lower lobe nodule is partially blurred by motion artifact but has not appreciably changed, measuri... | Interval progression of pulmonary metastases and left scapular mass. |
Generate impression based on findings. | Female, 59 years old, history of non-Hodgkin's lymphoma, status post stem cell transplant, needing reevaluation. Enhancing intracranial lesion along the left orbital roof is not significantly changed and likely represents a meningioma. The partially imaged intracranial contents are otherwise unremarkable.Thickening of ... | Definite areas of interval improvement including the nasopharyngeal mucosa and some scattered cervical lymph nodes. Other nodes are not substantially changed, and a few are larger by 1 or 2 mm.New extensive scattered groundglass opacities in the lungs are better assessed on dedicated chest imaging, dictated separately. |
Generate impression based on findings. | 67-year-old with history of mesothelioma. Status post 4 cycles of maintenance therapy. Evaluate for interval change. CHEST:LUNGS AND PLEURA: Persistent left lung volume loss with circumferential pleural thickening compatible with the history of mesothelioma. Reference measurements as follows:At the level of the aortic ... | Stable examination of the chest. No evidence of metastatic disease in the upper abdomen. |
Generate impression based on findings. | 70 year-old female with history of lung and larynx cancer. History of pulmonary nodule, please assess interval change. LUNGS AND PLEURA: Small subpleural consolidation in the right middle lobe has progressively decreased in size and is probably related to aspiration pneumonia.Interval development of a cluster of nodula... | 1. Decrease in size of subpleural right middle lobe nodule which is likely inflammatory in nature. 2. Interval development of right middle lobe ground glass nodular opacities most compatible with infection, possibly from aspiration. |
Generate impression based on findings. | Hepatoblastoma. Planning surgery. CHEST:LUNGS AND PLEURA: Dependent atelectasis is present. No focal opacity is identified. A pleural effusion is not present.MEDIASTINUM AND HILA: Heart size is normal. No mediastinal or hilar lymphadenopathy is present.CHEST WALL: The central line has its tip in the right atrium.ABDOME... | Continued decrease in size of hepatic mass. |
Generate impression based on findings. | Several forehead and left cheek skin cancer excisions. There are post-treatment findings related to left partial parotidectomy and left neck dissection. There is hyperattenuation and nodularity of the remaining portions of the left parotid gland and to a lesser extent the left submandibular gland, which may be related ... | 1. Extensive post-treatment findings related to left partial parotidectomy and left neck dissection without definite evidence of locoregional tumor recurrence or significant cervical lymphadenopathy. 2. Asymmetric effacement of the left piriform sinus with associated diffuse mucosal thickening and enhancement may repre... |
Generate impression based on findings. | 52-year-old. Pancreatic cancer complicated by post ERCP pancreatitis. Assess for interval change. ABDOMEN:LUNG BASES: Small bilateral pleural effusions with bibasilar atelectasis. LIVER, BILIARY TRACT: Biliary stent with expected pneumobilia. No focal liver lesions. Hepatic vasculature patent. Collapsed gallbladder wit... | 1. Increased encapsulation of extensive peripancreatic fluid collections consistent with pseudocyst formation from necrotic pancreatitis. 2. Pancolitis, consider C. difficile infection. 3. Small bilateral pleural effusions. |
Generate impression based on findings. | Female 74 years old Reason: RECTAL CANCER ON CHEMOTHERAPY HOLIDAY. EVALAUTE FOR DISEASE PROGRESSION History: RECTAL CANCER CHEST:LUNGS AND PLEURA: The previously seen micro-nodule in the posterior segment of the right lower lobe appears to have enlarged slightly in the intervening period, which now measures 6 mm in max... | 1.Interval increase in size of the known hepatic metastatic lesions.2.Interval increase in size of the previously described pulmonary nodule. |
Generate impression based on findings. | Male, 52 years old, with nasal congestion and discharge. Some interval improvement in opacification of the left frontal sinus and left frontoethmoidal recess. The right frontal sinus and frontoethmoidal recess remain opacified.Postsurgical change consistent with partial ethmoidectomy. The residual ethmoid air cells are... | Interval surgical change with resection of polypoid mucosal thickening at the left choana and within the nasopharynx.Persistent pan sinus mucosal inflammatory change, slightly better in some areas, slightly worse in others. There may be some superimposed acute inflammation, at least within the sphenoid sinuses. |
Generate impression based on findings. | Reason: evaluate ILD History: cough sob fibrosis LUNGS AND PLEURA: Diffuse interstitial disease, with subpleural and basilar predominance, more severe in the left lung.The pattern is groundglass and reticulonodular with mild traction bronchiectasis at the lung bases. No significant honeycombing is visible.MEDIASTINUM A... | Basilar predominant interstitial disease with evidence of traction bronchiectasis indicative of fibrosis. The differential diagnosis includes fibrosing NSIPand atypical UIP. |
Generate impression based on findings. | Reason: lung cancer s/p 3 months on Crizotinib. Please evaluate for disease and compare with previous scans History: lung cancer CHEST:LUNGS AND PLEURA: Right upper lobe reference nodule (series 5 image 15) measuring 10 x 5 mm, slightly decreased from 10 x 8 mm.Second right upper lobe reference nodule (series 5 image 2... | 1. Stable or decreased lung nodules and mediastinal lymphadenopathy.2. Slightly increased anterior pleural nodularity.3. Markedly increased hepatic metastases. |
Generate impression based on findings. | 81-year-old female with recurrent squamous cell cancer of the right floor of mouth. She had a T2N2B SCC of right oral tongue s/p partial glossectomy, submental island flap and bilateral neck dissections followed by XRT completed 3/13. She had a new cystic lesion on surveillance CT scan 8/2/13 and biopsy done 8/8/13 was... | 1.No significant interval change in the recently biopsied recurrent tumor in the right posterior floor of mouth adjacent to the hemiglossectomy margin that measures up to 3.0 cm. 2. No significant cervical lymphadenopathy. |
Generate impression based on findings. | 63-year-old male with history of head and neck cancer. Evaluate for metastatic disease. LUNGS AND PLEURA: Nodular ground glass opacities in the right lower lobe and left lower lobe (arrows) are unchanged in size and appearance. The index nodule measures 8 mm (image 81, series 5), previously 8 mm.Scattered pulmonary mic... | Ground glass nodular opacities in the left and right lower lobes are unchanged but have morphology suspicious for indolent primary adenocarcinoma. Recommend continued follow up at annual intervals. |
Generate impression based on findings. | Reason: PULMONARY NODULE History: SOB LUNGS AND PLEURA: Interval resolution of a previously described right upper lobe mass with a small residual scar in this location.Focal scar like opacity medially at the left base. No pleural effusion.MEDIASTINUM AND HILA: Focal abnormality of the aortic arch, previously characteri... | Interval resolution of previously described right lung nodule, with a small residual scar. |
Generate impression based on findings. | 68 year-old female. Intermittent RLQ abdominal pain. Evaluate for partial SBO. 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 notedKIDNE... | No specific findings to explain the patient's symptoms. No bowel obstruction as clinically questioned. |
Generate impression based on findings. | Female 34 years old Reason: history of cervical cancer. for surveillance exam. History: as above CHEST:LUNGS AND PLEURA: There has been interval development of a homogeneously hyperattenuation 4-mm nodule in the right lower lobe (image 62, series 3), and a cavitary nodule within the inferior portion of the left lower l... | 1.Two new pulmonary nodules, which may be inflammatory or infectious in etiology; however, metastatic disease cannot be ruled out. Special attention should be paid to these areas on follow-up examinations.2.Wall thickening of the rectum, sigmoid colon and intrapelvic small bowel consistent with sequela from prior radia... |
Generate impression based on findings. | Reason: h/o HNC, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Stable scattered, calcified and noncalcified pulmonary micronodules.No new suspicious pulmonary nodules or masses.Focal area of atelectasis/consolidation noted medially in the right lower lobe may be secondary to aspiration. No... | 1.New focal area of atelectasis/consolidation involving the right lower lobe in its medial aspect and may be related to aspiration.2.No evidence of metastatic disease. |
Generate impression based on findings. | 31-year-old female. Abdominal pain. Evaluate for strangulated hernia. 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... | 1. No evidence of bowel obstruction.2. Mild right pelvicaliectasis. |
Generate impression based on findings. | 78 year old female with history of VSD repair and atrial fibrillation referred for evaluation of left atrial anatomy prior to possible ablation procedure.CPT: 75572 Left Atrium: The left atrium is severely dilated. The left atrial volume minus the pulmonary veins is 218 ml. There are five (3 on right and 2 on left) dis... | 1.Severe left atrial dilation with normal pulmonary vein anatomy. 2.There is no evidence of left atrial appendage thrombus. 3.There are multiple calcified plaque throughout the coronary tree. 4. There is end-systolic bulging of the RV apex suggesting the presence of decreased RV systolic function or a RV regional wall ... |
Generate impression based on findings. | Reason: eval for lung mets, h/o larynx cancer History: eval for lung mets LUNGS AND PLEURA: Mild basilar scarring.No suspicious nodules.A previously described micronodule is not confirmed on the current scan.MEDIASTINUM AND HILA: Postsurgical changes consistent with neck dissection, laryngectomy, and phonation device p... | No evidence of metastatic disease. |
Generate impression based on findings. | 16-year-old female with with abdominal pain, history of fungal lung infection. Status post stem cell transplant, now engrafted, evaluate for abscess and fungal. CHEST:LUNGS AND PLEURA: Interval resolution of left lower lobe cavitation with residual linear and nodular opacity (series 4 image 35). Multiple bilateral grou... | 1.Interval resolution of left upper lobe cavitary nodule with residual linear and nodular opacity. Multiple bilateral pulmonary nodules and micronodules are not significantly changed. New left lingular pulmonary micronodules, adjacent to the major fissure.2.New moderate ascites. No loculated fluid collection to suggest... |
Generate impression based on findings. | Clinical question: Stroke or intracranial hemorrhage versus infection. Signs and symptoms: Altered mental status. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Extensive periventricular and subcortical low attenuation of wh... | 1.No acute intracranial process.2.Extensive age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Clinical question: Rule out meningitis. Signs and symptoms: Pain/fever. Nonenhanced head CT:There is no detectable acute intracranial process.No evidence of hemorrhage, edema, mass-effect, midline shift or hydrocephalus.Unremarkable cortical sulci, cerebral cortex and preserved gray -- white matter differentiation.Lack... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Concern for stroke. Signs and symptoms: Facial droop and dysarthria for two days Nonenhanced head CT:No detectable acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gr... | 1.Negative nonenhanced head CT.2.Chronic long-standing right maxillary sinusitis and unremarkable other paranasal sinuses. |
Generate impression based on findings. | Female 38 years old; Reason: IRB 10-666 re-evaluate disease status following additional systemic therapy; compare to previous exam and provide bi-dimensional measurements History: Stage IV metastatic melanoma CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Stable reference right paratrach... | Stable to slightly improved examination with no new metastatic lesions. |
Generate impression based on findings. | Female 78 years old Reason: r/o worsened mets vs sbo History: abdominal pain ABDOMEN:LUNG BASES: There are bilateral moderate pleural effusions with associated mild compressive atelectasis. The thoracic esophagus is patulous and filled with fluid. There is mild calcification of the proximal bronchial walls.LIVER, BILIA... | 1.Proximal small bowel obstruction with transition point in the fourth part of the duodenum, likely secondary to duodenal wall invasion from the known pancreatic mass.2.Slight interval decrease in size of the known pancreatic head mass, with stable hepatic metastases and lymphadenopathy.3.New hypoattenuating lesions se... |
Generate impression based on findings. | 78 year old female with shortness of breath. Rule out PE. PULMONARY ARTERIES: Technically adequate study without evidence of acute pulmonary embolus.LUNGS AND PLEURA: Moderate bilateral pleural effusions with associated compressive atelectasis.Multifocal poorly marginated airspace opacities and scattered ground glass o... | 1. Technically adequate study without evidence of acute pulmonary embolus.2. Extensive, multifocal airspace opacities which are greater on the right most suggestive of acute edema. In the appropriate clinical context, differential considerations could include acute drug reaction, acute pulmonary hemorrhage, or atypical... |
Generate impression based on findings. | Male 70 years old; Reason: r/o renal abscess, r/o renal stone History: nausea, vomiting, fever, ams ABDOMEN: Lack of IV contrast limits evaluation of the mediastinum, and solid organs. Given these limitations, the following observations were made:LUNGS BASES: There are new bilateral pleural effusions with compressive a... | 1.New right perinephric stranding with hypoattenuation of the renal parenchyma. Subtle loculation in the fluid collections suggest superinfection, possibly pyonephrosis from obstruction versus xanthogranulomatous pyelonephritis. Clinical service notified of these findings prior to this dictation.2.Decrease in size of t... |
Generate impression based on findings. | 9yo M presents with headaches s/p head injury. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. The grey-white matter differentiation is preserved. The cerebellar tonsils are not low-lying. The osseous structures are unrema... | 1. no evidence of intracranial hemorrhage, mass, cerebral edema, or hydrpcephalus. 2. Complete opacification of the right sphenoid sinus. |
Generate impression based on findings. | 30-year-old female. Abdominal pain. Evaluate for appendicitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffuse fatty infiltration of the liver. Hepatomegaly. No focal lesion. Patent hepatic vasculature. Status post cholecystectomy. SPLEEN: No significant abnormality notedPANCREAS: No s... | 1. Appendix not definitely seen, may be a small abortive appendix if no prior history of appendectomy.2. Hepatomegaly and fatty infiltration of the liver.3. Contrast reaction description:Supervising radiologist: Dr. van BeekSigns and symptoms: Urticaria and shortness of breath.Treatment given: Supplemental oxygen and 5... |
Generate impression based on findings. | Head injury. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. The grey-white matter differentiation is preserved. The cerebellar tonsils are not low-lying. The osseous structures are unremarkable without evidence of displac... | No evidence of intracranial hemorrhage, mass, cerebral edema, or displaced fracture. |
Generate impression based on findings. | 3 year-old female status post fall from 6 feet. There is a 5-mm thick subgaleal hematoma at the vertex.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 b... | No evidence for acute intracranial hemorrhage mass effect or edema.Small subgaleal hematoma at the vertex measuring 5 mm in thickness. |
Generate impression based on findings. | 56 year old female. Left groin cellulitis/abscess. UTERUS, ADNEXA: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: Marked bony destruction, sclerosis and deformity of the left hip... | 1. Chronic septic arthritis and osteomyelitis of the left hip joint. Left femoral head is completely eroded with subluxation of the femoral shaft. 2. 2.5 cm low density fluid collection in the superficial soft tissues of the left groin with apparent communication to the skin. 3. Extensive fibroinflammatory changes bila... |
Generate impression based on findings. | Female, 65 years old, with vertigo. Evaluate for stroke. At most minimal periventricular hypoattenuation which is nonspecific but likely reflects age indeterminant small vessel ischemic disease.No CT evidence of acute territorial ischemia. No focal parenchymal edema, mass-effect or midline shift. No intracranial hemorr... | No acute intracranial abnormality. |
Generate impression based on findings. | 25-year-old male, hit head in rugby game 3 days ago, again on an exit sign today, rule out bleed. The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain ... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Male, 51 years old, with epilepsy, postop from resection. Status post left temporoparietal craniotomy. Since the prior examination, the intracranial grid has been removed. Pneumocephalus, a small amount of extra-axial fluid and blood product, scalp swelling and a subcutaneous drain are consistent with recent surgery.It... | Expected postoperative changes status post left temporal resection. |
Generate impression based on findings. | 24 year-old female with elevated D-dimer, pleuritic chest pain. Question of PE. PULMONARY ARTERIES: Technically nondiagnostic study due to poor opacification of the pulmonary arterial tree. LUNGS AND PLEURA: Thickened interlobular septae and multifocal centrilobular ground glass opacities. No pleural effusion. Severe b... | 1. Technically nondiagnostic study due to poor opacification of the pulmonary arteries, unable to rule out pulmonary embolus. 2. Multifocal ground glass opacities and thickened septae; differential diagnosis includes acute noncardiogenic edema, infection (viral, mycoplasma), and acute drug reaction.3. Focal peripheral ... |
Generate impression based on findings. | Clinical question: Evaluate intracranial hemorrhage. Signs and symptoms: Evaluate IPH. Nonenhanced head CT:Trace increased density in the subarachnoid space in the right inferior parietal lobule appears less conspicuous since prior study. No evidence of acute interval new finding since prior exam.Unremarkable cerebral ... | Trace residual right inferior parietal lobule subarachnoid hemorrhage which appears less conspicuous since prior study. |
Generate impression based on findings. | Female 86 years old Reason: assess for dissection History: chest pain PULMONARY ARTERIES: There are bilateral massive pulmonary emboli in the right and left pulmonary arteries with extension into the branches of the pulmonary arteries. The right ventricle appears slightly enlarged with flattening of the interventricula... | 1.Large bilateral pulmonary emboli extending into the branches of the pulmonary arteries.2.Ground glass opacities in the left upper lobe likely representing edema secondary to the pulmonary emboli.3.Incompletely characterized lesion in the left kidney, which likely represents a simple hepatic cyst. |
Generate impression based on findings. | 93-year-old female status post fall. Assess for fracture. There are no acute posttraumatic abnormalities. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. There is no midline shift.There is minute periventricular and s... | 1.No acute posttraumatic abnormalities are noted.2.No evidence for acute intracranial hemorrhage mass effect or edema.3.Advanced degenerative changes of the cervical spine with severe facet arthropathy, stable from prior study. |
Generate impression based on findings. | 64-year-old female with abdominal pain. Possible gastrostomy tube leaking with positive enterococcus and abdominal distention. Rule-out bowel obstruction, abscess. ABDOMEN:LUNG BASES: Bilateral pleural effusions with associated atelectasis, right greater than left. These are new since 2010.LIVER, BILIARY TRACT: Liver s... | 1. patent gastrostomy tube with expected appearance. 2. Small anterior abdominal wall ventral hernia without complication. 3. Small amount of perihepatic ascites. |
Generate impression based on findings. | Male, 34 years old, with subarachnoid hemorrhage. Evaluate for aneurysm. Non-angiographic findings:Subarachnoid hemorrhage seen on the prior examinations is no longer clearly identified. No new intracranial hemorrhage is suspected.Brain parenchymal morphology is unremarkable. No focal lesions, edema, mass effect or mid... | 1. Resolution of previously seen subarachnoid hemorrhage. No new intracranial hemorrhage is demonstrated.2. Unremarkable CTA of the brain. Specifically, no aneurysms are detected within the limitations of technique. |
Generate impression based on findings. | 49 year-old male. Rectal pain, abdominal pain, status post open bowel resections. Evaluate extent of Crohn's disease, ventral/incisional hernias, fistula tracts. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No... | 1. Proctitis with multiple perianal fistulas and short segment wall thickening of the neoterminal ileum consistent with Crohn's disease.2. Marked induration/phlegmonous changes of the posteromedial gluteal regions bilaterally extending anteriorly through the perineum to the base of the scrotum. |
Generate impression based on findings. | Male 21 years old Reason: assess for appy History: RLQ pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is no evidence of intrahepatic biliary ductal dilatation or focal mass lesion. There is evidence of cholelithiasis without evidence of cholecystitis. The hepatic vasculature appear... | 1.Acute appendicitis without evidence of abscess or rupture.2.Cholelithiasis without evidence of cholecystitis. |
Generate impression based on findings. | 52-year-old male with a history of lung carcinoma with metastatic brain lesion. Status post SRS. CHEST:LUNGS AND PLEURA: 12-mm irregular solid nodule in the left apex which correlates to the hypermetabolic focus seen on recent PET/CT (22; series 4). 5-mm nodule along the right major fissure likely represents an intrapu... | 1. 12-mm left apical nodule consistent with the stated history of lung carcinoma. 2. 5.2 cm left hilar mass, suspicious for necrotic lymphadenopathy. Pulmonary nodules in the right upper lung may be inflammatory although these could represent metastatic disease. |
Generate impression based on findings. | 40 year-old female with abnormality found in cervical spine. CT examination. Evaluate pulmonary nodule and ground glass opacities. LUNGS AND PLEURA: Scattered pulmonary micronodules. Lingular atelectasis/scarring. No focal consolidation, pleural effusion, ground glass opacities, or pneumothorax. No suspicious nodules o... | 1. Scattered pulmonary micronodules. Previously described groundglass opacities are likely related to expiration.2. No suspicious pulmonary nodules or masses.3. 1.8-cm lesion in the superior pole of the left kidney is incompletely characterized on this noncontrast examination, but does not measure the density of a simp... |
Generate impression based on findings. | 46 year old female. Status post renal transplant presenting with abdominal pain, found to have SBO, ? mass posterior to duodenum vs adenopathy vs collapsed bowel needing clarification. Evaluate for diverticulitis. ABDOMEN:LUNG BASES: Cardiomegaly. LIVER, BILIARY TRACT: A few hypoattenuating foci scattered in the liver ... | 1. Proximal jejunal loop wall thickening with adjacent interloop air-fluid collection, concerning for perforation. 2. Previously seen soft tissue density around the second and third parts of the duodenum are demonstrated to be the IVC and aorta on this contrast enhanced exam. No mass or significant lymphadenopathy is i... |
Generate impression based on findings. | Female 40 years old Reason: eval perirectal abscess History: rectal pain UTERUS, ADNEXA: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: There is evidence of pelvic lymphadenopathy, with reference right-sided obturator node measuring 2.4 x 1.1 cm (image 33, series 3).BOWEL, MESENTE... | 1.Right-sided perianal fluid collection, likely representing a perianal abscess.2.Pelvic lymphadenopathy. |
Generate impression based on findings. | 82-year-old female. Metastatic renal cancer on surveillance. Evaluate for change. Lack of intravenous contrast decreases sensitivity for detection of solid organ pathology. CHEST:LUNGS AND PLEURA: Stable right lower lobe micronodule. No new pulmonary nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymph... | Interval increased size of left adrenal mass and right pelvic mass. Peripancreatic mass is also larger with increased invasion into the lumen of an adjacent small bowel loop. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.