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Generate impression based on findings. | Female 58 years old; Reason: CLL for CT scans - follow up on clinical trial History: CLL LUNGS BASES: Scattered ill-defined count pulmonary nodules have regressed with a few still present in the bases.ABDOMEN:LIVER, BILIARY TRACT: Fatty infiltration of the liver as noted previously is lessprominent on this exam. Ill-de... | Stable to slightly improved adenopathy with measurements provided above. |
Generate impression based on findings. | Reason: Patient with history of AML, pre-allo stem cell transplant evaluaton History: pre-transplant evaluation LUNGS AND PLEURA: Mild dependent atelectasis.Continued decrease in size of left upper lobe nodule previously noted, now measuring 2 mm.No new suspicious pulmonary nodules.MEDIASTINUM AND HILA: No hilar or med... | Continued resolving left upper lobe micronodule most likely postinfectious in origin. No acute abnormalities identified. |
Generate impression based on findings. | Reason: evaluate R pleural effusion for size and complexity History: R PNA, pleural effusion, fever, tachycardia LUNGS AND PLEURA: There is a moderate-sized loculated right-sided pleural effusion with underlying atelectasis in the right middle and lower lobes.The left lung is clear.No suspicious pulmonary masses or nod... | Moderate-sized loculated right-sided pleural effusion with underlying atelectasis. |
Generate impression based on findings. | Female 62 years old Reason: evaluate for cause of gastric outlet obstruction, ileus - please also assess for constipation/obstipation History: high gastric residuals, zero gastric emptying on IR study after 30 minutes ABDOMEN:LUNG BASES: There are small bilateral pleural effusions with associated bibasilar compressive ... | 1.Evidence of severe diffuse colitis of the ascending, transverse and descending colon, with mucosal pattern consistent with pseudomembranous type colitis. Infectious etiology is favored; however, other etiologies cannot be excluded.2.Small amount of perinephric mesenteric fluid, pelvic fluid and presacral edema likely... |
Generate impression based on findings. | 70 year-old female with metastatic breast cancer and periodic headaches, evaluate for brain metastases. No abnormal mass lesions to suggest metastases are appreciated intracranially. No acute intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. The ventricles, sulci, and cisterns a... | 1.No evidence of intracranial metastatic disease.2.A nonspecific 3 mm sclerotic focus in the clivus may represent bone island versus treated metastasis and is stable since 2011. |
Generate impression based on findings. | Renal cell carcinoma CHEST:LUNGS AND PLEURA: Stable reference left lingular nodule (image 81; series 4) measuring 0.9 x 0.5 cm.MEDIASTINUM AND HILA: Stable mildly enlarged mediastinal lymph nodes. For reference purposes, a precarinal lymph node (image 43; series 3) currently measures 1.6 x 1.7 cm. It previously measure... | Stable examination with reference measurements given above. |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: CVA. Nonenhanced CT: No acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes. There is extensive subcortical and periventricular low attenuation of white matter bilateral cerebral hemispheres similar to prior exams and r... | 1.No acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes. 2.Advanced age indeterminate small vessel ischemic strokes |
Generate impression based on findings. | 70 year-old female with altered mental status due to sepsis and osteomyelitis from sacral decubitus wound -- evaluate rectal or pelvic mass felt on physical examination. ABDOMEN:LUNG BASES: Bilateral pleural effusions, left greater than right with left basilar atelectasis.LIVER, BILIARY TRACT: No significant abnormalit... | 1. Right gluteal abscess with tract extending to the sacral subcutaneous tissues with inflammatory changes as noted. 2. Diffuse subcutaneous anasarca. 3. Slightly bulbous and nodular fundus of the uterus, and a nonspecific appearance -- see above discussion. 4. Ascites, which may relate to diffuse anasarca. |
Generate impression based on findings. | 4-year-old male with increased amylase, lipase, TG. Evaluate for pancreatitis. ABDOMEN:LUNG BASES: Left lower lobe consolidation, slightly decreased compared to prior. Bilateral base bronchiectasis, ground glass and tree and bud opacity. Central catheter with tip in the right atrium, partially visualized.LIVER, BILIARY... | 1.Findings compatible with acute pancreatitis with no associated complications.2.Partially visualized segment of ileum with bowel wall thickening, edema, and hyper-enhancement, nonspecific, and may represent graft versus host disease, inflammation, infection, or ischemia.3.Slight interval decrease in left lower lobe co... |
Generate impression based on findings. | Male 66 years old Reason: 66 year old man with mantle cell lymphoma. Compare to prior scans. History: none This study is limited secondary to the lack of IV and oral contrast administration.CHEST:LUNGS AND PLEURA: Multiple micronodules are seen scattered throughout both lungs and appear unchanged since the prior examin... | 1.Infrarenal abdominal aortic aneurysm unchanged since the prior examination.2.No evidence of new or developing lymphadenopathy. |
Generate impression based on findings. | Reason: metastatic head and neck ca, pre tx scans, eval for dz with measurements History: as above CHEST:LUNGS AND PLEURA: Elevation of the left hemidiaphragm with basilar atelectasis.Scattered nonspecific micronodules.No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: Considerable dis... | 1.Elevation left hemidiaphragm and left basilar atelectasis.2.No suspicious pulmonary nodules. No evidence of metastatic disease within the chest and visualized abdomen.3.Soft tissue distortion at the thoracic inlet and subglottic region compatible with posttreatment changes and/or tumor involvement. See dedicated CT o... |
Generate impression based on findings. | 66 year old female with 30+ pack years of tobacco use presents with cough. LUNGS AND PLEURA: Scattered bilateral pulmonary micronodules. The largest measures 3 mm in the left upper lobe (26; series 5). No pleural effusion, pneumothorax or focal consolidation. Mild mosaic attenuation, which can be an indicator of small ... | 1. Scattered bilateral pulmonary nodules. In the absence of known primary malignancy, follow up examination in 12 months is recommended, in a high risk patient to establish stability. 2. Mild mosaic attenuation, which can be an indicator of small airways disease. |
Generate impression based on findings. | 30-year-old male. Mesothelioma status post 3 doses of chemotherapy. Evaluate disease and compare to prior scans. ABDOMEN:LUNG BASES: Please refer to the separately reported CT of the chest. Cardiophrenic enlarged lymph node is noted.LIVER, BILIARY TRACT: No focal hepatic lesion.SPLEEN: No significant abnormality notedP... | 1. Interval increase in size and confluence of retroperitoneal and pelvic lymphadenopathy 2. Increased extent of peritoneal nodularity consistent with carcinomatosis. 3. Please refer to same day separately dictated CT chest. |
Generate impression based on findings. | Mesothelioma status post 3 doses of chemo. LUNGS AND PLEURA: Right pneumonectomy with fluid in the pneumonectomy cavity. Reference measurements on the right as follows:1. Level of the aortic arch (4/33): Seven o'clock position 12-mm compared to 13-mm previously.2. Level of the main pulmonary artery (4/39): Three o'cloc... | 1. No significant change in reference level measurements in the right thorax.2. Subtle increase in size and number of nodules in the left lung.3. Pericardial nodules consistent with metastases. 4. Peritoneal caking by tumor and diffuse lymphadenopathy more prominent. |
Generate impression based on findings. | Metastatic squamous cell carcinoma of the tongue. Prior surgical resection including pectoralis flap to neck and radiation. Scan prior to chemotherapy. Please provide measurements. CT head: There was no unenhanced phase examination performed. Hyperattenuation within the globus palledi bilaterally most likely represents... | 1.Post-treatment findings related to neck dissection, tracheostomy and surgical ligation of the left carotid/jugular vessels with irregular enhancement within the right oropharynx suggests locoregional tumor recurrence.2.Extensive bulky conglomerate masses likely representing confluent necrotic nodal disease related to... |
Generate impression based on findings. | 61-year-old female with lung cancer status post chemo and surgical resection. Needs disease evaluation. CHEST:LUNGS AND PLEURA: Status post left pneumonectomy with unchanged fluid collection. No evidence of local recurrence.No pulmonary abnormalities of the right lung.MEDIASTINUM AND HILA: Small mediastinal lymph nodes... | No evidence of recurrence or metastatic disease. |
Generate impression based on findings. | 52 year old female with mesothelioma with new pulmonary nodules on last examination. LUNGS AND PLEURA: Postsurgical changes in the time loss in right hemithorax with diffuse pleural thickening and loculated effusion. Similar appearance similar in appearance to the prior exam.Index measurements are as follows:At the lev... | 1.No significant interval change in right pleural nodularity and soft tissue chest wall masses. Index measurements as noted above.2. Slight interval increase in the previously described groundglass opacities which could be related to tumor given the persistence.3. Intra-abdominal disease. Please refer to recent CT abdo... |
Generate impression based on findings. | Reason: assess stability of micronodule and adrenal nodule seen Aug 2012 History: none LUNGS AND PLEURA: Stable scattered calcified and noncalcified micronodules compatible with prior granulomatous disease.Right upper lobe nodule (image 39 series 4) is unchanged measuring 4 mm.Stable right upper lobe ground glass nodul... | 1.Stable enlarged left lobe of the thyroid gland with mediastinal extension and subsequent deviation of the trachea from left to right.2.Stable pulmonary micronodules and right upper lobe ground glass nodule most likely representing atypical adenomatous hyperplasia.3.Stable left adrenal nodules. |
Generate impression based on findings. | Female 64 years old; Reason: history of ovarian cancer, receiving treatment, please eval for response using measurements if applicable and compare with previous History: see above CHEST:LUNGS AND PLEURA: Scattered, pulmonary nodules are unchanged from the prior study. No consolidation or pleural effusion.MEDIASTINUM AN... | No evidence of recurrent or residual disease. Stable examination. |
Generate impression based on findings. | 67-year-old male. History of HNC status post CRT. History of right SI joint met status RT for that met. Compare to prior. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Mild atherosclerotic calcification of the thoracic aorta. Interval removal of c... | Stable examination with no evidence of metastases. |
Generate impression based on findings. | Female 33 years old Reason: ? nephrolithiasis History: blood in urine c flank 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 notedK... | 1.No evidence of new nephrolithiasis or ureterolithiasis.2.Stable left-sided moderate to severe hydronephrosis.3.Stable large right-sided nonobstructive renal calculus4.Stable position of left-sided ureteral stent. |
Generate impression based on findings. | 48-year-old male with renal transplant in 2013; now with fevers, had nonproductive cough for 3 weeks. Please evaluate for any pathology. LUNGS AND PLEURA: Scattered pulmonary micronodules, some of which are calcified, are unchanged.Interval improvement in very small bilateral pleural effusions with associated bibasilar... | 1. No focal airspace opacity suggestive of infection. Interval improvement in very small bilateral pleural effusions and atelectasis. 2. Innumerable hypodense lesions within the liver and native kidneys compatible with history of polycystic kidney disease. 3. Healing right sixth rib fracture new from the prior exam. |
Generate impression based on findings. | Reason: pt with Merkel Cell Ca s/p Rt to axilla History: now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: The exam was obtained in expiration and there is patient motion limiting sensitivity.Pleural thickening on the left with several subpleural nodules the largest measuring 10... | 1.Left axillary mass may represent postsurgical seroma/hematoma versus patient's tumor. Prior outside exams are not available for comparison at the time of reporting. They may be submitted at a future date for comparison purposes. 2.Suboptimal evaluation of the lungs due to patient motion as well as the exam being obta... |
Generate impression based on findings. | 65-year-old female. Abdominal pain, neutropenic, fever, diarrhea, vomiting. Evaluate for infectious process, ascending cholangitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis. No focal hepatic lesion.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormali... | Colitis of cecum and proximal ascending colon. Questionable wall thickening of the descending and sigmoid colon. |
Generate impression based on findings. | Right tonsil SCC with oligometastasis to the right SI joint (T4N2cM1). Completion of Radiation Therapy: 7/27/12 (R tonsil) and 8/17/12 (SI joint). There are stable posttreatment findings related to chemoradiotherapy of a right tonsillar squamous cell carcinoma, including diffuse edema of the pharyngeal mucosa, which ha... | Stable posttreatment changes with local tumor recurrence or cervical lymphadenopathy. |
Generate impression based on findings. | Patient with history of stage IV metastatic melanoma following therapy The soft tissue density at the site of the resected left occipital lesion is again demonstrated. Accounting for difference in scan angle, dimensions have not significantly changed from previous. This measures approximately 5.6 x 1.1 cm in axial dime... | 1.Changes at the site of the previously described left occipital flap suggest expecteded postsurgical change. PET may be a more sensitive modality in assessing for subtle local recurrence.2.Interval stability or decrease in the size of each of the previously described index nodes at level II on the left and in the retr... |
Generate impression based on findings. | NSCLC status post chemo and RT, restaging off TX. CHEST:LUNGS AND PLEURA: Moderate right pleural fluid collection, unchanged.Peripheral atelectasis and consolidation in the right lower and middle lobes, but no distinctly measurable lesions. Paramediastinal radiation fibrosis, right greater than left.Left lower lobe sub... | Enlarging mesenteric mass, presumably an occult metastasis. An abscess is considered unlikely but may be considered in the appropriate clinical context. Otherwise unchanged exam. |
Generate impression based on findings. | Female, 68 years old, history of sarcoma, evaluate for recurrence/progression. Extensive surgical change is redemonstrated within the left supraclavicular fossa and left posterior neck. This includes volume loss with resection of at least the trapezius and levator scapulae muscles. The defect is bridged with a fatty so... | No evidence of recurrent disease. |
Generate impression based on findings. | Shortness of breath. Heart transplant on immunosuppression LUNGS AND PLEURA: Assistant minimal left basilar scarring and/or atelectasis without interval change. No effusions. Scattered micronodules without new air space abnormalities, specifically no opacities or findings to suggest infection.MEDIASTINUM AND HILA: No l... | No acute abnormality or lymphadenopathy. Minimal left lung base scarring, likely post traumatic and following transplant |
Generate impression based on findings. | Metastatic lung cancer, compared to prior CHEST:LUNGS AND PLEURA: Left hemithorax volume loss with diffuse bilateral severe and the seminal changes. The focal right lower lobe nodular density is unchanged again measuring 19 x 10 mm (image 55 series 5). The more up secured a smaller nodule in the right lower lobe (image... | Stable cardiopulmonary appearance with postsurgical or treatment changes. Stable right lower lobe spiculated nodular density and lymphadenopathy. Reference measurements provided |
Generate impression based on findings. | Metastatic breast cancer, compare to prior LUNGS AND PLEURA: Stable right and left apical line loss and bronchiectasis with scarring. There is remains nonspecific no and similar changes along the midline again suggest post radiation. Scattered micronodules unchanged. No new findings to suggest intrapulmonary metastatic... | Interval improvement with decreased mediastinal lymphadenopathy and no new intrapulmonary abnormalities. Reference measurements provided |
Generate impression based on findings. | Check lung nodule. Patient is asymptomatic LUNGS AND PLEURA: Scattered bilateral micronodules all under 4 mm. Largest is in the left apex. Suspected fissural lymph nodes observed in the major fissure on the left. No suspicious new air space abnormality. No effusions. Specifically the identified nodular density in the l... | Nonspecific scattered micronodules without any dominant solitary lesion. A low risk patient, these scattered micronodules do not require follow up |
Generate impression based on findings. | Male 51 years old Reason: mets lung ca, s/p chemo, c/o abd discomfort. Pls c/w previous study to evaluatre dz status. History: mets lung ca ABDOMEN:LUNG BASES: There is a small left-sided pleural effusion with associated basilar atelectasis which appear slightly larger since prior examination.LIVER, BILIARY TRACT: Ther... | 1.Interval development of multiple hepatic lesions concerning for metastatic disease.2.Interval development of retroperitoneal lymphadenopathy.3.Increase in size of the previously demonstrated mesenteric lymphadenopathy.4.Slight increase in size of the left-sided pleural effusion with associated basilar atelectasis. |
Generate impression based on findings. | Reason: evaluate for progression of cancer (SCLC) History: none CHEST:LUNGS AND PLEURA: Mild interval decrease in the subpleural left lower lobe nodular opacity (image 59 series 4) now measuring 18 mm x 9 mm previously measuring 20 mm x 9 mm. There is associated focal pleural thickening.Minimal basilar scarring/atelect... | 1.Stable to slight decrease in size of the reference left lower lobe subpleural nodule.2.Increasing mediastinal lymphadenopathy with significant interval enlargement of a subcarinal lymph node.3.Interval increase in size of left adrenal metastasis.4.Nodule within the subcutaneous tissue of the left lower anterior abdom... |
Generate impression based on findings. | Male 34 years old Reason: recurrent acute pancreatitis History: abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is diffusely decreased attenuation of the hepatic parenchyma as well as hypertrophy of the caudate lobe with focal fat sparing adjacent to the gallbladder fossa,... | 1.Morphology of the pancreas raising the question of possible IgG4 related autoimmune pancreatitis.2.Hepatomegaly with associated hepatic steatosis.3.Splenomegaly.4.Common bile duct stent with the distal tip in the second part of the duodenum. |
Generate impression based on findings. | 65 year-old male with lung cancer status post 15 cycles of chemotherapy. Please evaluate disease and compare with previous scans. CHEST:LUNGS AND PLEURA: Postoperative changes of left upper lobectomy and right upper lobe wedge resection.The ground glass nodule in the right upper lobe appears unchanged in morphology and... | 1. No significant change from the prior exam. Stable mediastinal lymphadenopathy and post-surgical lung changes.2. Right upper lobe nodule is unchanged in appearance and is suspicious for an indolent primary adenocarcinoma. Recommend continued surveillance at annual intervals. |
Generate impression based on findings. | 73-year-old male. Basal cell carcinoma. Evaluate for progression of metastatic disease. CHEST:LUNGS AND PLEURA: Right suprahilar and left infrahilar scar-like opacities and volume loss are stable. Calcified and noncalcified micronodules are unchanged. No new or suspicious nodules.MEDIASTINUM AND HILA: Index left infrah... | Stable examination with no significant interval change in reference left infrahilar lesion. |
Generate impression based on findings. | 50 year-old female with metastatic breast cancer -- evaluate response to treatment. CHEST:LUNGS AND PLEURA: Left lower Lobe nodule (series 5, image 80) measures1.2 x 1.1 cm, previously 1.1 x 1.0 cm. This has dense central calcification and remains nonspecific in its imaging characteristics. No new nodules are seen. Per... | 1. Stable scattered small mediastinal lymph nodes. 2. Stable small nonspecific left lower lobe lung nodule. 3. Stable size appearance and distribution of sclerotic bony metastases. 4. Hepatic prior reference liver lesions all appear to be cysts. |
Generate impression based on findings. | Bronchial carcinoma, compare to prior CHEST:LUNGS AND PLEURA: Persistent and stable appearing mixed semisolid and ground glass of focal opacity in the right upper lobe, again measuring 15 x 10 mm (image 51 series 7). Previous identified right upper lobe nodules at that had resolved and not returned. The reference left ... | Stable pulmonary disease and questionably smaller left lower lobe focal nodule representing questionably a responding metastatic focus. Reference measurements provided |
Generate impression based on findings. | Female 73 years old Reason: Evaluate for progression of endometrial cancer. History: Endometrial cancer. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are again noted, reference nodule (image 28, series 80289), which previous measured 4.6 mm in diameter. Two other micronodules, which which more prominent on ... | 1.Development of an enlarged mesenteric lymph node, which may be inflammatory in etiology secondary to the prior hysterectomy.2.Stable retroperitoneal and pelvic lymph nodes.3.Stable mediastinal and hilar lymph nodes.4.Stable intrahepatic and extra hepatic biliary ductal dilatation.5.Patient has undergone hysterectomy ... |
Generate impression based on findings. | 3-year-old female with abdominal mass, neuroblastoma, status post 5 cycles chemotherapy. CHEST:LUNGS AND PLEURA: No new or suspicious nodules or masses. Previously seen loculated right paraspinal soft tissue mass has significantly decreased in size and no longer is measurable. Previously seen left paraspinal mass has a... | 1.Significant interval decrease in size of left adrenal mass, paraspinal chest masses, and retroperitoneal lymphadenopathy. 2.Decreased appearance of sclerotic and lytic lesions in the L2 vertebral body, pelvis, and proximal femora. |
Generate impression based on findings. | Lung cancer. CHEST:LUNGS AND PLEURA: Nodule in the right middle lobe with a lobular contour not significantly changed measure 11 x 12 mm, previously 11 x 12 mm (4/40). Borders of the nodule are spiculated or pseudo-spiculated due to adherence to the minor fissure.Interval resolution of centrilobular nodules seen previo... | 1. Stable size of the right middle lobe nodule.2. No evidence of intrathoracic metastases. Previously seen centrilobular nodules have resolved, presumably respiratory bronchiolitis.3. Focal gallbladder wall thickening more likely to represent a benign process than neoplasm given chronicity. This may be further assessed... |
Generate impression based on findings. | Mesothelioma, follow up CHEST:LUNGS AND PLEURA: Status post left pleurectomy with left-sided volume loss and basilar atelectasis and scarring. The stable small left basilar pneumothorax adjacent to the graft and mesh diaphragm is unchanged.The left basilar nodularity is stable in appearance. The index soft tissue nodul... | Stable postsurgical changes and reference measurements provided |
Generate impression based on findings. | 71-year-old female with a history of lung carcinoma and pulmonary nodules. CHEST:LUNGS AND PLEURA: Postop changes again seen in right lower lobe following lobectomy with a loculated right pleural effusion, appearing similar to the prior study. Right upper lobe nodule measures 1.9-cm, previously 1.9 cm (6/26) unchanged.... | Persistent multiple pulmonary mixed solid and groundglass nodules most consistent with a spectrum of atypical adenomatous hyperplasia to minimally invasive adenocarcinoma. |
Generate impression based on findings. | Reason: lung infiltrate History: history of lung cancer s/p lung resection 2001, recent pneumonia LUNGS AND PLEURA: Postsurgical changes and volume loss related to a previous right upper lobectomy.Stable left lower lobe micronodule.No suspicious pulmonary nodules or masses.Moderate upper lobe predominant centrilobular ... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 57-year-old female. History of left distal ureteral stricture. Recent ultrasound shows no hydronephrosis. Now having significant left lower quadrant pain with nausea and vomiting daily. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Left hepatic lobe cyst.SPLEEN: No significant abnormality no... | No evidence of hydronephrosis/hydroureter or ureteral stricture. No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Reason: h/o HN, s/p abnl outside PET, compare to previous, PET History: none LUNGS AND PLEURA: New fibrotic-like irregular opacity in the left upper lobe containing a cyst adjacent to where a soft tissue mass had been 5/17/2012, presumably the late sequela of radiation therapy to this area.Scattered pulmonary micronodu... | No evidence of tumor recurrence. New opacity in the left lung adjacent to the prior chest wall mass most likely is radiation fibrosis with an internal cyst or dilated bronchus. |
Generate impression based on findings. | Check for metastatic disease. Patient with a history of sarcoma CHEST:LUNGS AND PLEURA: Persistent elevated left hemidiaphragm with suspected phrenic nerve paralysis and left basilar atelectasis. Calcified granulomas without new superimposed suspicious nodules or masses. No effusions. Mild left apical radiation fibroti... | No evidence of metastatic disease or acute abnormality |
Generate impression based on findings. | Reason: history of RUL lung cancer treated with SBRT. also has a history of stable rheumatoid nodules. History: lung cancer CHEST:LUNGS AND PLEURA: Multiple bilateral small pulmonary nodules, many of which are subpleural, and some of which are cystic or cavitary, have decreased in size since the previous scan. These ma... | 1. Interval decrease in multiple small pulmonary nodules, consistent with a history of rheumatoid nodules.2. Decreased area of focal subpleural masslike consolidation in the right lower lobe which may represent residual tumor and/or scar tissue.3. No new sites of disease. |
Generate impression based on findings. | 75-year-old male with history of GIST, recent lingular mass -- infiltrate versus tumor. Please re-evaluate, now status post antibiotics. LUNGS AND PLEURA: No observed pulmonary mass or focal airspace opacities. Mild bibasilar dependent atelectasis. Scattered pulmonary micronodules on the right, some of which are calcif... | 1. No observed lingular mass or airspace opacity. 2. Exophytic mass along the anterior gastric wall consistent with known history of GIST. |
Generate impression based on findings. | Metastatic thyroid cancer. Check measurements CHEST:LUNGS AND PLEURA: The previously described reference right upper lobe nodule remains under 4 mm similar in appearance the prior exam (image 34 series 4). Slight differences in measurement and appearance may be due to volume averaging. Additional pulmonary nodules are ... | Stable reference measurements and without new abnormalities. |
Generate impression based on findings. | Metastatic lung cancer status post chemo and chest RT. History of RT pneumonitis. LUNGS AND PLEURA: Small left hydropneumothorax. The pneumothorax component measures up to 9-mm in size, decreased from the previous study.Left paramediastinal traction bronchiectasis and pulmonary fibrosis with near complete collapse of t... | 1. Minimal improvement in small left hydropneumothorax; unless there is a history of recent intervention, this is suspicious for bronchopleural fistula.2. Improving the residual soft tissue between the lingular and left lower lobe bronchus which may represent treated or residual tumor.3. Multiple new hepatic lesions, m... |
Generate impression based on findings. | 52-year-old male. Rectal cancer with lung and liver METs. Measured using RECIST criteria. Pre-chemotherapy. CHEST:LUNGS AND PLEURA: Circumferential soft tissue nodules/masses in the periphery of the right hemithorax, which appear to arise from the pleura. Some of the nodules are plaque-like and some have internal calci... | 1. Extensive pleural soft tissue masses in the right hemithorax. While these may represent metastasis, the appearance is atypical for colon carcinoma metastasis and a primary pleural malignancy cannot be entirely excluded.2. Mediastinal, retroperitoneal, and pelvic lymphadenopathy.3. Right T9 rib bone metastasis. 4. In... |
Generate impression based on findings. | Reason: h/o HNC, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Previously seen irregular scarlike nodules are unchanged as far back as at least 6/20/2012; previously measured right upper lobe nodule still 4 mm, image 54 series 4.Severe centrilobular predominant emphysema is present. Basila... | No specific evidence of metastasis. Stable scarlike nodules are present. |
Generate impression based on findings. | Male 52 years old; Reason: pancreatic cancer compare to last CT \T\ measure 1)liver met, 2) pancreatic lesion, 3) gastrohepatic node \T\ 4) retroperitoneal node History: post 2 cycles of therapy CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Lef... | Stable Pancreatic lesion and metastatic disease as described above. Stable thrombosis of the splenic vein. |
Generate impression based on findings. | 66-year-old male status post lung resection for lung carcinoma 4 years ago. LUNGS AND PLEURA: Post surgical changes from a left upper lobectomy including left hemithorax volume loss are unchanged. Left lower lobe linear atelectasis/scarring. Mild upper lobe predominant centrilobular emphysema and left apical bleb are s... | No interval change in left hilar lymph node or postoperative findings. No new or suspicious pulmonary nodules or masses. |
Generate impression based on findings. | Reason: Lung ca screening History: none LUNGS AND PLEURA: Benign-appearing 3-mm left lower lobe micronodule image 209 series 4, unchanged since 1/12/2009.No other nodules identified.Borderline bronchiectasis affects the lower lobes.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Moderate coronary calcific... | No evidence of intrathoracic tumor, stable 3-mm right lower lobe micronodule, no further CT follow-up recommended at this time. |
Generate impression based on findings. | Lung cancer, left upper lobe resection LUNGS AND PLEURA: Lobulated left upper lobe pulmonary nodule was surgically removed with minimal post surgical changes. The probable intrapleural lymph node is unchanged (image 47, series 4). Scattered nonspecific micronodules are unchanged. No new nodules or masses are identified... | Interval removal of the left lung nodule; exam is otherwise unchanged. |
Generate impression based on findings. | Female 83 years old Reason: Hx of lung cancer now with global/abdominal burning/pelvic aching and general malaise History: See Above The study is limited by the lack of IV contrast.CHEST:LUNGS AND PLEURA: There is a large, likely loculated anterior/superior left sided pleural effusion as well as a small dependent poste... | The sensitivity of this exam is limited by the lack of IV contrast.1.Patient is status post ressection of the previously seen left hilar mass and left upper lobectomy.2.Loculated pleural effusion seen in the anterior/superior aspect of the left hemithorax and a smaller inferior left-sided pleural effusion.3.Stable pulm... |
Generate impression based on findings. | 60 year-old male. Pre-kidney transplant evaluation. Evaluate vasculature. Lack of intravenous and oral contrast decreases sensitivity for detection of solid organ and bowel pathology.ABDOMEN:LUNG BASES: Trace left pleural effusion.LIVER, BILIARY TRACT: Cholelithiasis.SPLEEN: No significant abnormality notedPANCREAS: Fa... | 1. Calcified atherosclerotic disease of the abdominal aorta, common iliac, and external iliac arteries, as detailed above.2. Atrophic native kidneys. Right iliac fossa transplant kidney. |
Generate impression based on findings. | Clinical question: Rule out cause of headaches. Signs and symptoms: Headaches. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.There is minimal crowding of the cerebellar tonsils at the level of foramen magnum howeve... | Negative nonenhanced head CT. |
Generate impression based on findings. | Metastatic PTC on clinical trial (IRB 10-182) with cediranib+lenalidomide. Head CT: There is no evidence of intracranial mass, hemorrhage, or infarction. There is no abnormal intracranial enhancement. The ventricles are stable in size and configuration. There is a small air-fluid level within the left maxillary sinus. ... | 1. Interval decrease in size and cystic transformation of the metastatic cervical lymphadenopathy.2. No evidence of intracranial metastatic disease. |
Generate impression based on findings. | Right upper lobe adenocarcinoma with chemo and radiation therapy CHEST:LUNGS AND PLEURA: Interval decreasing size of the heterogeneous right upper lobe mass with adjacent atelectasis. Currently the mass measures 4.3 x 4.3 cm (image 33 series 5) from a prior measurement of 7.4 x 6.8 cm. Decreased attenuation of the righ... | Interval decreasing size of the large right upper lobe mass compatible with the history of treatment. Associated decreasing lymph adenopathy. |
Generate impression based on findings. | Clinical question:CVA. Signs and symptoms: CVA. Nonenhanced head CT:There is no evidence of acute intracranial process.CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.There are extensive patchy foci of low attenuation involving the subcortical and periventricular white matter bilateral ... | 1.No acute intracranial process.CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.2.Extensive periventricular and subcortical low-attenuation of white matter is suspected of age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Metastatic lung cancer and status post chemotherapy. Check for response CHEST:LUNGS AND PLEURA: Stable mild centrilobular emphysema with stable basilar streaky changes suggesting scarring and/or recurrent atelectasis. Mild superimposed aspiration cannot entirely be excluded. No suspicious nodules although a small stabl... | No significant interval change with minimal improvement were stable reference measurements, measurements provided. |
Generate impression based on findings. | Left lower quadrant abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality not... | There are several abnormalities in the left lower quadrant which could result abdominal pain including a large left adnexal cystic structure and ovarian varices which may reflect underlying pelvic venous congestion syndrome. Correlation with gynecologic ultrasound is advised. |
Generate impression based on findings. | 49-year-old female. Metastatic breast cancer. Baseline exam prior to starting new chemotherapy regimen. CHEST:LUNGS AND PLEURA: Paramediastinal traction bronchiectasis, fibrosis, and architectural distortion, most likely reflecting post-radiation change. 4 mm right upper lobe nodule (4/38). Left lower lobe micronodule ... | 1. Right lower lobe nodule. Paramediastinal post-radiation changes. 2. Anterior mediastinal mass with invasion into the pericardium. 3. Extensive bone metastasis. |
Generate impression based on findings. | 18 year-old male with neuroblastoma; off therapy for 1.5 years; assess for progression of disease. CHEST:LUNGS AND PLEURA: Stable punctate superior segment right lower lobe pulmonary micronodule. No new or suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size i... | 1.Stable right paraspinal masses in the abdomen.2.Stable right lower lobe pulmonary micronodule. 3.Non-obstructing right renal calculi. |
Generate impression based on findings. | 35-year-old male patient with relapsed Hodgkin's lymphoma. PET scan prior to stem cell transplant. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Mediastinal lymphadenopathy. For reference purposes, a right paratracheal lymph node (image 35; series 701) measures 3.8 x 2.1 cm.CHEST WALL: N... | Mediastinal lymphadenopathy |
Generate impression based on findings. | Mesothelioma status post 4 cycles of chemo and RT to skeletal mets. Doing fairly oh K.. CHEST:LUNGS AND PLEURA: Left hemithorax circumferential pleural thickening consistent with mesothelioma. Tumor extends into the major fissure, consistent with visceral pleural involvement. Reference measurements on the left as follo... | 1. Thrombus in the left ventricular apex likely indicates myocardial invasion by tumor. Thrombus in the left atrial appendage also noted. Clinical service notified verbally at the time of dictation.2. Obstructing soft tissue mass in the left renal pelvis causing hydronephrosis. The clinical service notified via text pa... |
Generate impression based on findings. | 45-year-old male. Penile cancer, new edema in the right inguinal area, anemia with no change in hemoglobin status post transfusion with 2 units PRBCs. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Mild hepatomegaly. No focal lesion is evident within limits of noncontrast exam. Cholelithiasis... | 1. Large necrotic bilateral inguinal masses. 2. Pelvic right kidney that is enlarged with perinephric fat stranding and hydroureteronephrosis. Right distal ureter is herniated into the right inguinal region with an intraluminal stent that terminates in the bladder.3. Pelvic lymphadenopathy.4. Mild hepatosplenomegaly. |
Generate impression based on findings. | 32 year-old female with gross hematuria, nausea and vomiting. ABDOMEN: Within the limits of a non-IV contrast enhanced examination which limits evaluation of solid parenchymal organs and vascular structures, the following observations can be made:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No sign... | 1. No urinary tract calculus disease and no evidence of urinary tract obstruction. 2. No other abnormality seen in the kidneys, ureters, or bladder caliber. Lack of IV contrast limits ability to detect other causes of hematuria. 3. No other abnormalities identified. |
Generate impression based on findings. | Fever cough and previous history of aspergillosis LUNGS AND PLEURA: Stable right upper lobe thick walled cavitary lesion with internal nodule again measuring 2.8 x 2.5 cm (image 23 series 4). The right lower lobe cavitary lesion is also unchanged measuring 1.7 x 1.4 cm (image 59 series 4). This latter lesion again demo... | Stable appearing right lung cavitary lesions with questionable mild stable changes the left lung base more likely representing aspiration. Bilateral mildly larger pleural effusions |
Generate impression based on findings. | 75 year old female. Metastatic renal cell carcinoma. Baseline prior to starting a systemic therapy. Status post left lower lung mass wedge resection, pathology yielded metastatic RCC. CHEST:LUNGS AND PLEURA: Interval resection of left lower lobe subpleural mass with post-surgical scarring/atelectasis and sutures. Right... | 1. Interval resection of left lower lobe subpleural mass with post-surgical changes and a small left pleural effusion. 2. 7 mm right lower lobe nodule is unchanged.3. Unchanged mediastinal and hilar lymphadenopathy. 4. Loculated mildly hyperdense fluid in the dependent aspect of the pelvis. |
Generate impression based on findings. | Reason: eval of anterior mediastinal mass History: eval of anterior mediastinal mass LUNGS AND PLEURA: Cluster of multiple nodular opacities in the left upper lobe ranging from 2.4 cm to 1.8 cm in size..Subsegmental atelectasis involving the lingula.No pleural effusions.MEDIASTINUM AND HILA: Demonstration of the huge a... | 1.Large anterior mediastinal mass with central areas of probable necrosis. The differential diagnosis includes primarily lymphomatous disorders and less likely a germ cell tumor or thymoma.2.Prominent mediastinal lymph nodes most likely representing lymphadenopathy.3.Left upper lobe nodules compatible with metastatic d... |
Generate impression based on findings. | Hemoptysis LUNGS AND PLEURA: The large left suprahilar mass abutting the aortic arch and mediastinum is grossly unchanged. This mass continues to measure 5.1 x 3.0 cm (image 28 series 7) with surrounding spiculation and small satellite nodules. The bilateral scattered pulmonary nodules are all unchanged. There is a sma... | No significant interval change other than mild pulmonary changes most likely representing atelectasis with an otherwise essentially stable left upper lobe mass adjacent and indistinguishable from the mediastinum and aortic archLivia contacted with these results. |
Generate impression based on findings. | Female 64 years old Reason: Newly Dx HOP Cancer, adeno. On presentation Jaundiced with CA 19-9 >44,000. Needs Pancreas protocol CT Scan and full evaluation for metastasis. History: Weight loss, jaundice, Decreased appetite Weakness CHEST:LUNGS AND PLEURA: There are multiple bilateral pulmonary nodules. The right middle... | 1.Hypodense pancreatic head mass consistent with patient's history of pancreatic adenocarcinoma sparing major vessels but with encasement of the GDA.2.Mildly enlarged peripancreatic lymph node.3.No evidence of hepatic metastasis.4.Bilateral small pulmonary nodules. |
Generate impression based on findings. | Pierre Robin Sequence. The images are degraded by patient motion. There is bimandibular micrognathia with approximately 15 mm of overjet and associated glossoptosis and marked narrowing of the oropharyngeal airway. An enteric tube is in position. There is also evidence of bimaxillary retrognathia with reduced sagittal ... | Stigmata of Pierre Robin Sequence with bimandibular micrognathia as well as evidence of bimaxillary retrognathia resulting in approximately 15 mm of overjet and associated glossoptosis and marked narrowing of the oropharyngeal airway. |
Generate impression based on findings. | Greater than 30+ pack year smoker. Her lobe lung mass. LUNGS AND PLEURA: No pleural fluid or pneumothorax. Focal fibrosis with traction bronchiolectasis predominantly in the right middle lobe, correlate for history of radiation therapy to the chest wall. Very mild, fine pattern of emphysema.Multiple pulmonary micronodu... | 1. No pulmonary mass or dominant suspicious nodule.2. 6-mm focus of groundglass density in the left upper lobe is fairly flat and could represent an area of atypical adenomatous hyperplasia. One year CT follow-up (September 2014) is recommended to exclude growth.3. Mild subpleural fibrosis in the anterior right lung in... |
Generate impression based on findings. | Non-tender mass on the back of her neck. It has been present for many years but has enlarged in size over the past 5 years. There is a fat density mass within the posterior neck subcutaneous tissues that extends from the level of C3 through C6 in the midline and to the right of midline, measuring approximately 1.5 AP x... | 1. Posterior neck subcutaneous lipoma that measures up to 4.5 cm.2. Multinodular thyroid goiter. Thyroid ultrasound may be useful for further characterization. 3. Extensive pulmonary emphysema. |
Generate impression based on findings. | Male 54 years old; Reason: Pre-kidney transplant evaluation History: Evaluate aortic and illiac vessles for kidney transplant ABDOMEN: The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowel. Given these limitations, the following observations were made:LUNGS BASES: No signif... | 1.Mild calcification of the abdominal aorta. Very mild calcification of the common iliac arteries bilaterally. Near 360 degree calcifications of the bilateral external and internal iliac arteries. 2.Status post left iliac fossa renal transplant with atrophic native kidneys. 3.Bladder stone as above. |
Generate impression based on findings. | 50 year-old female with history of metastatic renal cancer. CHEST:LUNGS AND PLEURA: The index right upper lobe lesion (series 6, image 26) has slightly decreased in size and measures 0.6 x 0 .6 cm, previously 0.8 x 0.7 cm. no other nodules, masses, or effusions seen.MEDIASTINUM AND HILA: The index precarinal lymph node... | 1. Status post left nephrectomy with slight change in size of mediastinal lymph nodes. 2. No abdominal lymphadenopathy or sites of residual/recurrent tumor seen.. |
Generate impression based on findings. | Metastatic breast cancer. CHEST:LUNGS AND PLEURA: Scattered micronodules can be followed. Scarring at both lung bases is noted.MEDIASTINUM AND HILA: Mediastinal adenopathy. For reference purposes, a precarinal lymph node measures 2.1 x 1.3 cm (image 35; series 3).CHEST WALL: Right axillary adenopathy. For reference pur... | Widespread metastatic disease with reference measurements given above. |
Generate impression based on findings. | Male 64 years old Reason: r/o RP bleed History: r/o RP bleed The sensitivity of this exam is limited by the lack of IV and oral contrast administration.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Evaluation of hepatic parenchyma is limited by lack of IV contrast; however, there is diffuse ... | 1.No evidence of retroperitoneal hemorrhage or hematoma.2.Pressure dressing was expected level of subjacent perivascular infiltration without evidence of sizable hematoma.3.Diffuse fatty infiltration of the liver.4.Left-sided adrenal nodule which is too small to characterized. |
Generate impression based on findings. | Male 47 years old; Reason: 47-year-old male with a history of renal cell carcinoma s/p multiple resections complicated by pancreatic leak with drain placement. Having fevers and abdominal pain with fliuid leakage about drain. History: fevers, abdominal pain, wound leakage LUNG BASES: Stable scattered pulmonary nodules.... | 1. New inflammatory change without discernible fluid collection along the left lateral pericolic gutter could represent phlegmonous collection versus inflammatory reaction. 2. Status post left nephrectomy with surgical drain in left retroperitoneum, with no significant residual fluid about drain. Adjacent soft tissue d... |
Generate impression based on findings. | 79-year-old male. No bowel movement. Abdominal pain. History of rectal cancer on chemotherapy. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter hypodense lesion in the liver dome (series 3, image 23) is too small to characterize, but unchanged. 1.1 cm hypervascular focus in the do... | 1. Rectosigmoid colon wall thickening, more pronounced than on prior exam. No bowel obstruction is evident.2. Small amount of ascites.3. Hypervascular liver dome lesion is unchanged from 2012, likely benign and could be an FNH or flash-filling hemangioma. 4. Subtle mesenteric nodularity concerning for persistent perito... |
Generate impression based on findings. | Cerebral palsy and seizure like episode. The images are degraded by patient motion. There are dysmorphic ventricles with absence of the septum pellucidum and schizencephalic clefts involving the right frontal and temporal lobes. The schizencephalic clefts are lined by abnormal grey matter. There are non-specific puncta... | Septo-optic dysplasia with schizencephaly, which can be a source of seizure activity. However, MRI is more sensitive for evaluating seizure foci and other associated anomalies. |
Generate impression based on findings. | 58-year-old male. New EC fistula. Evaluate fistula anatomy. ABDOMEN:LUNG BASES: Bilateral lower lobe tree-in-bud opacities and right greater than left patchy opacities suggestive of aspiration and/or infection, also seen on prior CT.LIVER, BILIARY TRACT: Status post cholecystectomy. SPLEEN: Status post splenectomy. PAN... | 1. Diffuse mesenteric haziness and lack of intraabdominal fat makes it difficult to assess for interloop pathology. If patient has a visible tract draining to the skin, consider injection of the tract with a fluoroscopic study, which would be a better examination for fistula characterization.2. No extraluminal oral con... |
Generate impression based on findings. | Thoracoabdominal aortic aneurysm The following observations are made given limitations of an arterial weighted study.CHEST:LUNGS AND PLEURA: Bi-basilar small pleural effusions with overlying compressive atelectasis. Central lobular emphysema. No pulmonary masses.MEDIASTINUM AND HILA: Presumed mucous in the posterior as... | Massive, supraceliac thoracoabdominal aortic aneurysm. Findings were discussed with Dr. Milner prior to dictation. |
Generate impression based on findings. | Clinical question: Hemorrhage. Signs and symptoms: Fall Nonenhanced head CT:There is no detectable acute posttraumatic intracranial or calvarial findings.Soft tissue swelling and small hemorrhage is present in the left supra-orbital soft tissues. Limited images through the orbits demonstrate no evidence of retro-orbita... | 1.Left supra-orbital soft tissue edema and minimal hemorrhage.2.Unremarkable nonenhanced head CT otherwise. |
Generate impression based on findings. | Clinical question: Rule out intracranial hemorrhage. Signs and symptoms: Headache and hypertension. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Minute subcortical foci of low-attenuation is suspected for small vessel isch... | Minute intracranial small vessel ischemic strokes. |
Generate impression based on findings. | Clinical question: Hemorrhage. Signs and symptoms: Presyncope and abnormal gait. Nonenhanced head CT:Examination demonstrates no evidence of acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.There are diffuse ill-defined foci of parenchymal low-attenuation invo... | 1.No acute intracranial process.2.Mild to moderate age indeterminate small vessel ischemic strokes.3.Slight prominence of right cavernous sinus likely due to tortuous right cavernous carotid. Correlate with history and follow-up with an MRI if clinically deemed necessary. |
Generate impression based on findings. | Female 40 years old Reason: r/o stone History: pain ABDOMEN:LUNG BASES: Minimal right basilar subsegmental atelectasis.LIVER, BILIARY TRACT: Assessment of hepatic parenchyma is limited due to lack of IV contrast; however, there is no evidence of intrahepatic biliary ductal dilatation. There is a hypodense focus in segm... | Right-sided perinephric fat stranding without evidence of hydronephrosis or obstructing stone, likely representing pyelonephritis or a passed renal stone. |
Generate impression based on findings. | Clinical question: Hemorrhage. Signs and symptoms: Fall. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial or calvarial findings.Soft tissue thickening and hemorrhage in the right anterior frontal scalp is noted and measuring approximately 6 mm in thickness and 32-mm in length. No underlying c... | 1.No acute intracranial or calvarial findings.2.Age indeterminate small vessel ischemic stroke is noted.3.Right frontal scalp/subgaleal edema/hemorrhage. |
Generate impression based on findings. | 70 year old female with pain after fall, humerus fracture. A nonenhanced CT of the right upper extremity is provided which again reveals a comminuted, impacted surgical neck fracture of the humerus as was seen on the recent prior radiograph. The fracture is again noted to involve the surgical neck, greater tuberosity, ... | Comminuted humeral fracture as described above. |
Generate impression based on findings. | 54 year old female with acute respiratory decompensation and tachypnea to the 40s. PULMONARY ARTERIES: Technically adequate study without convincing evidence of any significant pulmonary embolus. Enlarged pulmonary artery suggestive of pulmonary arterial hypertensionLUNGS AND PLEURA: New diffuse ground glass opacities ... | 1. no significant pulmonary embolus with findings suggestive of pulmonary arterial hypertension. 2. Diffuse ground glass opacities and interlobular septal thickening compatible with pulmonary edema/ARDS increased from prior outside exam.3. Concomitant infection with consolidation and air-filled cavities concerning for ... |
Generate impression based on findings. | 69 year-old female. Abdominal pain, history of Crohns. Assess for SBO and pneumatosis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis. No gallbladder wall thickening or pericholecystic fluid. SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRE... | 1. Extensive post-surgical changes in the bowel. Diffusely dilated small bowel without a distinct transition point suggests an ileus.2. Pneumatosis intestinalis in dilated pelvic loops with small foci of mesenteric air may be seen with benign causes such as steroid usage or recent mucosal biopsy; however bowel ischemia... |
Generate impression based on findings. | Reason: therapy related AML-rule out chest infection History: immunosuppressed patient-initial AML work up to rule out chest involvement (disease/infection) LUNGS AND PLEURA: Multiple irregular nodular opacities, the largest in the anterior segment of right upper lobe are consistent with atypical infection, a fungal et... | Multiple pulmonary nodules consistent with atypical infection such as a fungal etiology, or leukemic infiltration of the lung given the clinical history of AML and highly elevated white blood count. |
Generate impression based on findings. | And male with chronic myeloid leukemia in remission with abdominal pain. Abdominal distention. Question of intra-abdominal mass. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Liver Parenchyma appears normal with normal Portal and hepatic venous structures. Gallbladder and biliary tract show ... | 1. Palpable abdominal mass almost certainly relates to marked splenomegaly, increased since 2006. 2. No lymphadenopathy or other signs of malignancy. |
Generate impression based on findings. | Male 38 years old Reason: abd pain History: abd pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: The previously seen pneumobilia present resolved, and the intra and extrahepatic biliary ductal dilatation is persistent and unchanged. The common duct measures 1.3 cm in diameter at the level ... | 1.Colitis of the transverse, descending and distal sigmoid colon.2.Persistent and unchanged intra and extrahepatic biliary ductal dilatation.3.Occlusion of the common iliac arteries with distal reconstitution.4.Moderate improvement of the previously seen gastric distention. |
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