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Generate impression based on findings. | 17 year old male with hemoptysis, increased work of breathing, fever, decreased PFTs. Evaluate lung fields in CF patient with exacerbation. LUNGS AND PLEURA: Diffuse bronchiectasis, mucus plugging, and tree in bud opacity compatible with history of cystic fibrosis. Focal consolidation in the right and left lower lobes,... | Findings compatible with cystic fibrosis. Focal consolidation in the right and left lower lobes likely due to mucous plugging with superimposed infection. |
Generate impression based on findings. | Clinical question: Evaluate for intracranial hemorrhage. Signs and symptoms: CBN headache with known aneurysm. Nonenhanced head CT:There is no detectable acute intracranial process in particular hemorrhage as is questioned clinically. CT Homer is insensitive for detection of acute nonhemorrhagic ischemic strokes.There ... | No acute intracranial process and stable exam since prior head CT from 10 -- 26 -- 12. Please see above comments. |
Generate impression based on findings. | 66-year-old male with shortness of breath, chest pain. Assess for aortic dissection. CHEST:LUNGS AND PLEURA: Bilateral large pleural effusions, new since 4/2/13. Bibasilar atelectasis. No nodules, masses, or other infiltrates identified.MEDIASTINUM AND HILA: Scattered normal sized anterior and mid mediastinal lymph nod... | 1. Punctate aortic valve calcification seen -- no other abnormality seen in the aorta. 2 cirrhotic morphology to the liver again seen without change since 4/2/13. |
Generate impression based on findings. | Clinical question: Altered mental status. History of ruptured cerebral aneurysm. Evaluate for any intracranial abnormalities including acute CVA. Signs and symptoms: Decline in mental status. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for detection of acute nonhemor... | 1.No acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic stroke.2.Postoperative changes of right anterior temporal -- frontal craniotomy for clipping of an aneurysm.3.Stable position of a single right parasellar aneurysm clip.4.Stable multiple foci of encephalomalacia in the rig... |
Generate impression based on findings. | Left breast swelling and redness CHEST:LUNGS AND PLEURA: Calcified left lower lobe granuloma. No pleural effusion, pneumothorax, or focal consolidation.MEDIASTINUM AND HILA: No evidence of mediastinal or hilar lymphadenopathy.CHEST WALL: Note is made of minimal fat stranding in the soft tissues of the left breast with ... | 1. Findings suggestive of left breast cellulitis without evidence of abscess formation.2. Nonspecific mesenteric lymphadenopathy may be reactive, but is slowly progressing since 2/23/2007. |
Generate impression based on findings. | 50 year-old female. Crohns status post proctocolectomy with bleeding from stoma. History of varices near stomach. Please do delayed phase contrast to determined if varices are larger than on last CT. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hepatomegaly with cirrhotic liver morphology. ... | 1. Peristomal varices are not significantly changed.2. Multiple skip segments of small bowel wall thickening with intervening dilated bowel due to a functional obstruction. These findings are compatible with active inflammatory bowel disease. |
Generate impression based on findings. | Clinical question: History of brain metastases, now with right upper extremity weakness x couple of days, evaluate for etiology. Signs and symptoms: Right upper extremity weakness. Enhanced head CT:Examination redemonstrates a focus of vasogenic edema in the left parietal lobe with subtle associated mass-effect and eff... | 1.There is interval increased vasogenic edema in the left parietal lobe representing peritumoral edema. The tumor at the site measures approximately 15 x 20-mm compared to prior MRI study measurement of 19 x 22.2.Small enhancing metastatic lesion without surrounding edema or any appreciable mass effect in the left late... |
Generate impression based on findings. | 56-year-old female with right lower quadrant pain, along with right flank pain, history of HIV -- assess for diverticulitis, appendicitis, pyelonephritis. ABDOMEN:LUNG BASES: Emphysema with bronchiectasis again seen.LIVER, BILIARY TRACT: Liver appears unchanged compared to prior with no focal hepatic lesions. Again not... | 1. Diffusely distended current, improved since prior examination, most likely representing nonmechanical ileus. No evidence of obstruction. 2. Left rectus sheath and left abductor muscle hematoma with expected evolution. 3. Cholelithiasis without other complications seen. 4. No source for patient's symptomatology ident... |
Generate impression based on findings. | Reason: evaluate tumor History: scc head and neck CHEST:LUNGS AND PLEURA: Moderate to severe centrilobular emphysema.Basilar linear scarring or subsegmental atelectasis is new.Scattered micronodules, some calcified, are benign appearing. MEDIASTINUM AND HILA: Moderate coronary calcifications are present.There is no med... | No evidence of metastases. Moderate centrilobular emphysema is present. |
Generate impression based on findings. | 24 year-old patient. Fall with abnormal gait. There is no intracranial mass or extra axial fluid collection. The small focus of hyperattenuation associated with the right frontal horn most likely represents a benign intraventricular calcification or a small focus of ependymal calcification. No associated soft tissue ma... | No traumatic sequela. Incidental note of a benign focus of calcification which is unlikely of clinical significance. |
Generate impression based on findings. | 28 year-old female. AIDS. Disseminated MAI. Presenting with worsening abdominal pain (bilateral lower quadrant), anemia. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Numerous subcentimeter hypodense lesions in both lobes of the liver consistent with a microabscess pattern. Stable hepatomega... | 1. Interval development of microabscess pattern in the liver and spleen, consistent with stated history of disseminated MAC.2. New lucency in the left ischial tuberosity is nonspecific. |
Generate impression based on findings. | 55 year old female with questionable mediastinal mass and interstitial lung disease on radiograph. LUNGS AND PLEURA: No focal consolidation, pleural effusion, or pneumothorax. Minimal mosaic perfusion may represent small airways versus small vessel disease. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA... | Minimal mosaic perfusion may represent small airways versus small vessel disease. No evidence of interstitial disease. No mediastinal masses as clinically questioned. |
Generate impression based on findings. | Reason: mesothelioma History: mesothelioma LUNGS AND PLEURA: 5 mm smoothly marginated right upper lobe nodule, most likely an intrapulmonary lymph node, but further follow up is recommended to confirm stability.Calcified granuloma in the left upper lobe.Mild thickening of the right major fissure.Moderate right pleural ... | 1.Moderate right pleural effusion.2. Enlarged lymph nodes in the right cardiophrenic angle measuring up to 10 mm in short axis.3. Ascites and probable left upper quadrant abdominal tumor infiltration. |
Generate impression based on findings. | Male 48 years old Reason: 48 yo M s/p renal txp 2/2 polycystic kidney disease admitted with klebsiella bacteremia, eval for source ?infected renal cyst History: renal transplant, klebsiella bacteremia ABDOMEN:LUNG BASES: There is a small amount of dependent basilar atelectasis. There are multiple scattered calcific mic... | 1.Numerous hepatic and renal cysts consistent with polycystic kidney disease. |
Generate impression based on findings. | 62 year old with recurrent laryngeal cancer status post CRT. Right neck pain radiating to right ear. Tumor bed:Surgical changes are identified from a total laryngectomy and flap repair.Soft tissues:The soft tissue nodule seen in the right tracheoesophageal groove on prior exams is not well visualized but measures no mo... | 1.No evidence of locally recurrent disease or new neck lymphadenopathy.2.Stable 4-mm ground glass pulmonary nodule within the right upper lobe. |
Generate impression based on findings. | 69-year-old male with altered mental status, evaluate left parietal lesion for expansion. Also status post fall, evaluate C-spine. Redemonstrated is an area of hyperdensity in the left parietal periventricular region. On the current study this finding measures 10 x 8 mm, unchanged in size from prior exam. As was previo... | 1.Stable 10-mm hyperdensity in the left parietal periventricular region without vasogenic edema or mass effect is again favored to represent developing parenchymal mineralization of uncertain etiology. A component of parenchymal hemorrhage cannot be fully entirely excluded given history of trauma. Recommend correlation... |
Generate impression based on findings. | 60 year-old male. Metastatic pancreatic cancer. Evaluate for interval change. CHEST:LUNGS AND PLEURA: Unchanged scattered micronodules. No suspicious pulmonary nodules are evident.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.CHEST WALL: Right chest wall Port-A-Cath tip at the cavoatrial junction. Media... | Interval increased size of liver metastasis and reference portacaval lymph node. |
Generate impression based on findings. | History of nephrolithiasis ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Fatty infiltration of the liver. Cholelithiasis without acute inflammationSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETER... | Interval increase in size and number of left renal stones. No obstruction.Fatty infiltration of the liver. Stable cholelithiasis without acute inflammation or ductal dilatation. |
Generate impression based on findings. | 41 year old patient. Right temporal pain following unwitnessed seizure. Head: There is no intracranial mass or hemorrhage. There is no CT evidence of hydrocephalus or acute ischemia. There is no mass effect and the midline is intact. No visualized fractures and bony structures, orbits, mastoid air cells and paranasal s... | Unremarkable CT examination of the head. No acute/traumatic sequelae of the cervical spine though there are significant degenerative changes at the C5-6 level. Incidental note of a pattern suggesting significant emphysema at the lung apices. Designated chest CT is recommended to definitively characterize this finding. |
Generate impression based on findings. | 55-year-old female with lung cancer -- now with nausea, vomiting, history small bowel obstruction in the past. Rule out small bowel obstruction. ABDOMEN:LUNG BASES: Postoperative changes and volume loss in the right lower lung are seen with surgical clips. Adjacent surgical clips are several nodules -- the reference no... | 1. CT findings consistent with small bowel obstruction. 2. Ascites -- and right as small bowel obstruction, compromise to bowel wall cannot be excluded. 3. Progressive metastatic disease in the liver and skeletal system. |
Generate impression based on findings. | Reason: Change in consolidation in R lung fields History: SOB, cough LUNGS AND PLEURA: Partial interval clearing of right middle lobe and right lower lobe consolidation and atelectasis with considerable residual air space opacity and volume loss in the right lower lobe.Small residual right pleural effusion with pleural... | Partial clearing of right middle and right lower lobe consolidation and atelectasis, with residual pleural thickening and a very small loculated effusion, compatible with infection. |
Generate impression based on findings. | 56-year-old male. Status post autologous stem cell transplant for lymphoma. Follow up scan. CHEST:LUNGS AND PLEURA: Paraseptal emphysema. Calcified pulmonary nodules. No suspicious pulmonary nodules. MEDIASTINUM AND HILA: Stable borderline enlarged mediastinal lymph nodes. Right paratracheal lymph node measures 1 x 1.4... | Stable examination with no interval change in reference chest lymph nodes. |
Generate impression based on findings. | 53 year old female with head and neck cancer with perineural invasion and positive margins s/p surgical tumor resection, left medial maxillectomy, left orbital resection, radical left rhinectomy, and free flap reconstruction. CT neck:Postsurgical changes are consistent with interval reported tumor resection, medial max... | 1.Extensive postsurgical changes involving the left orbit, paranasal sinuses, and maxilla status post tumor and left globe resection, lymph node dissection, and free flap reconstruction as described above.2.Overall increase in size of large heterogeneous left facial mass despite the interval surgery, without immediate ... |
Generate impression based on findings. | 78 year old female. Severe progressive neuropathy, elevated anti-striational antibodies. Assess for underlying malignancy, paraneoplastic syndrome. CHEST:LUNGS AND PLEURA: Calcified lung granulomas. No focal airspace consolidation or pleural effusion.MEDIASTINUM AND HILA: Nodular enlargement of the right thyroid lobe w... | 1. No evidence of a primary malignancy in the chest, abdomen, pelvis. 2. Nonspecific mildly enlarged mediastinal lymph node.3. Small amount of fluid surrounding the urethra may represent a urethral diverticulum or a post-inflammatory periurethral cyst. |
Generate impression based on findings. | 61-year-old male. Rectal cancer. Follow-up. CHEST:LUNGS AND PLEURA: 6 mm left basilar nodule is unchanged (series 5, image 102). Stable scattered micronodules. MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Coronary artery calcification.CHEST WALL: Right chest port tip is within the SVC.ABDOMEN:LIVER, B... | Stable examination with no specific evidence of recurrence or metastatic disease. |
Generate impression based on findings. | Reason: Lung cancer on treatment, please compare to previous. Thanks. History: Lung cancer CHEST:LUNGS AND PLEURA: Dense consolidation and atelectasis in the left upper lobe with a larger peripheral cavity, consistent with radiation reaction and necrosis with a slight interval increase in the extent of the cavity.Inter... | Marked interval progression of right lung metastases. |
Generate impression based on findings. | 66-year-old female with lung cancer on Tarceva. New pleurex catheter placed. Please evaluate disease and compare with previous scans. CHEST:LUNGS AND PLEURA: Interval placement of right pleurex catheter. Large right pleural effusion is decreased from the prior exam however it still obscures the previously measurable ri... | 1. Interval placement of right pleurex catheter with slight decrease in large right pleural effusion.2. Pleural effusion prevents measurement of the right upper lobe mass.3. Right lobe hepatic lesion which likely represents metastatic disease but is poorly visualized without IV contrast. This is unchanged compared to r... |
Generate impression based on findings. | Female 22 years old Reason: evaluate for infection History: abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: There is a small round hypodense lesion in the periphery of the spleen, which may represent a hemangioma, hamartoma or splenic cyst... | 1.Stable abnormal renal morphology on the right.2.No evidence of intra-abdominal infection. |
Generate impression based on findings. | Reason: 45 yr old male with Ph+ ALL, now in remission. S/P pleural effusions in the past. Now pre-autologous SCT evaluation History: Evaluate LUNGS AND PLEURA: Lobulated right pleural thickening and/or loculated pleural fluid slightly compressing the right lung, also seen on the chest radiograph 3/5/2013.Scattered beni... | 1. Right pleural thickening and/or loculated pleural fluid.2. No specific evidence of infection.3. Moderate gynecomastia. |
Generate impression based on findings. | 23-year-old male with a right testicular mass and right aortocaval adenopathy on CT LUNGS AND PLEURA: 11-mm in left upper lobe nodule suspicious for metastatic disease (44; series 4). An additional nodule is identified in the left lower lobe, measuring 7 mm (77, series 4), also suspicious for metastatic disease. Note i... | 1. At least two pulmonary nodules are identified in the left upper and left lower lobes suspicious for metastatic disease. Multiple additional bilateral pulmonary micronodules are indeterminate but may be benign. 2. Questionable retroperitoneal periaortic lymphadenopathy, which is incompletely visualized on this examin... |
Generate impression based on findings. | Male 52 years old Reason: hx of pancreatic pseudocyst and abdominal pain. Previous MRCP 6x5cm in size History: hx of pancreatitis, abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is a small hypodense lesion in the periphery of segment 3, which is too small to characterize.... | 1.Stable pancreatic pseudocyst anterior to the head of the pancreas with cystduodenostomy tubes in place.2.No evidence of new peripancreatic fluid collection.3.Enlarged peripancreatic mesenteric lymph nodes likely related to pancreatic inflammation. |
Generate impression based on findings. | Metastatic prostate carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No change in extensive bony sclerotic lesionsABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No signific... | Stable examination. |
Generate impression based on findings. | Clinical question: Subdural hematoma, status post trauma, one-month follow-up CT, evaluate for changes. Signs and symptoms: Subdural hematoma status post trauma one month follow-up. Nonenhanced head CT:There is interval complete resolution of small bilateral temporal epidural collections since prior exam. Unremarkable ... | 1.No evidence of acute new findings.2.Complete resolution of bilateral small temporal epidural collections since prior exam.3.Revisualization of stable bilateral temporal bone fractures.4.Well pneumatized bilateral mastoid air cells, middle ear cavities and all visualized paranasal sinuses. |
Generate impression based on findings. | 60 year-old female. History of Hodgkin's lymphoma. Reevaluate. CHEST:LUNGS AND PLEURA: Scattered micronodules are unchanged. No pleural effusions or focal airspace consolidation.MEDIASTINUM AND HILA: Right chest port terminates in the proximal right atrium. No mediastinal or hilar lymphadenopathy. Moderately sized hiat... | Stable examination with no significant interval change in reference lymph nodes. |
Generate impression based on findings. | 31-year-old male with history of posterior Glasgow status post low abdomen colectomy CHEST:LUNGS AND PLEURA: Bilateral pleural effusions, moderate on the left, small on the right common slight increase in size compared to previous study.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant a... | Interval increase in the amount of ascites with interval development of pelvic and left lower quadrant loculated fluid collections.Interval increase in the amount of bilateral pleural effusions.Interval improvement of the thrombus in the portal venous system.Proximal small bowel obstruction with a transition point in t... |
Generate impression based on findings. | 56-year-old female with high-risk breast cancer but never recurrent. Possible lung lesions on an outside study a few months ago, evaluate for metastatic disease. CHEST:LUNGS AND PLEURA: Mild scarring/fibrosis in the right upper lobe secondary to radiation. Scattered pulmonary micronodules on the right are unchanged com... | No evidence of metastatic disease. |
Generate impression based on findings. | 67-year-old male. EC fistula, perineal fluid collections. Evaluate for interval resolution of peritoneal fluid collections status post drainage. ABDOMEN:LUNG BASES: Bilateral pleural effusions, left greater than right. Bibasilar atelectasis. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant a... | Interval decrease in size of superior anterior fluid collection. The mostly air containing inferior collection is unchanged in size. |
Generate impression based on findings. | Relapsed peripheral T-cell lymphoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Mediastinal adenopathy. Representative AP window lymph node best seen on image 26 of series 3 measures 2 x 2.6 cm.CHEST WALL: Mild gynecomastiaABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedS... | Mediastinal, retrocrural, and retroperitoneal adenopathy. Reference lesion measurements obtained. |
Generate impression based on findings. | Male 59 years old Reason: liver lesion seen on non infused CT and US History: liver lesion ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: There are hypodense lesions in segments 2, 6 and 7 which demonstrate incomplete nodular peripheral enhancement in the arterial phase and delayed central c... | 1.Multiple hypodense hepatic lesions with contrast enhancement pattern consistent with benign hepatic hemangiomas.2.Multiple unchanged simple hepatic and renal cysts.3.Unchanged nonobstructive nephrolithiasis. |
Generate impression based on findings. | 52-year-old male with abdominal pain and groin pain. History of bladder cancer and femoral -- femoral bypass. Arterial graft. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENA... | 1. Left femoral -- femoral bypass graft without complication seen or adjacent abnormal fluid collections or masses. 2. Descending and sigmoid colon diverticular changes without complication. 3. No other abnormalities identified. |
Generate impression based on findings. | Reason: pt with lung ca s/p 2 cycles of chemo History: doing better now needs disease evaluation compare to previous scans and comment Motion limits sensitivity.CHEST:LUNGS AND PLEURA: Right apical scar like opacities and right upper lobe mass (image 32, series 4) unchanged, measuring 23 mm x 20 mm..Right lower lobe no... | 1.Stable right upper lobe mass.2.Progression of metastatic disease with increasing mediastinal and periaortic lymphadenopathy, development of bilateral pleural effusions, and new left basilar nodule.3.Vertebral metastases with new lesion in the L2vertebrae. |
Generate impression based on findings. | 68-year-old male. High-risk localized renal cancer. Assess for recurrence. CHEST:LUNGS AND PLEURA: Scattered micronodules are not significantly changed from 1/2013.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.CHEST WALL: No axillary lymphadenopathy. ABDOMEN:LIVER, BILIARY TRACT: Multiple hypodense lesi... | 1. Status left nephrectomy and adrenalectomy.2. Mildly prominent reference retroperitoneal lymph node is provided.3. Remainder of examination is unremarkable. |
Generate impression based on findings. | 27-year-old female with abdominal pain, generalized, and diarrhea. 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:... | Normal examination of the abdomen and pelvis -- no findings seen to account for patient's symptomatology. |
Generate impression based on findings. | 63-year-old female with abdominal pain and history of chronic myeloid leukemia This study is limited due to lack of IV contrast.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hepatomegaly, unchanged.SPLEEN: Splenomegaly, unchanged.PANCREAS: No significant abnormality notedADRENAL GLANDS: No s... | Limited study due to lack of IV contrast. Hepato- splenomegaly, unchanged. |
Generate impression based on findings. | 21-year-old male with history of right lower quadrant pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No sign... | Possibly perforated acute appendicitis. |
Generate impression based on findings. | 76-year-old female with history of colon cancer CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Prominent right hilar lymph node is unchanged measuring 1.7 x 1.6 cm image number 44, series number 3.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Postsurgical cha... | Postsurgical changes involving the liver. No residual focal lesions are seen. Follow-up imaging after resolution of postoperative changes is recommended for further evaluation of the liver. |
Generate impression based on findings. | 76-year-old male with history of piriform sinus cancer status post chemoradiation therapy. CT BRAIN:VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage. Moderate to severe subcortical and periventricular hypodensity is stable fro... | 1.Post therapy changes in the right neck without evidence of disease recurrence or lymphadenopathy.2.No evidence of intracranial metastatic disease.3.Stable thrombosis of right transverse and sigmoid sinus and proximal right internal jugular vein. |
Generate impression based on findings. | Right-sided watershed infarct. For angiographic assessment. CTA neck: There is a normal 3 vessel arch. There is mild atherosclerotic disease of the left subclavian takeoff without any significant stenoses of the proximal great vessels. The vertebral arteries demonstrate normal extracranial course and caliber. There is ... | 1.Significant stenosis of the right MCA at the distal M1 segment (70-80%)2.Hypoplastic A1 segment of the left ACA.3.Atherosclerotic calcification of the supraclinoid carotids.4.Bilateral calcification at the carotid bifurcations without significant stenoses (<10%). |
Generate impression based on findings. | 14-year-old with head injury, rule-out intracranial hematoma. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage. On certain slices, the pituitary gland appears mildly prominent and heterogeneous. By size, however, it is within ... | No acute abnormalities and no definite findings to account for the patient's symptoms. Mild prominence of the pituitary gland is likely normal for a female patient of this age. If an endocrine abnormality is suspected clinically, dedicated pituitary imaging can be considered. |
Generate impression based on findings. | 51-year-old female with history of metastatic squamous cell carcinoma arising from a teratoma CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Heterogeneous, enlarged thyroid gland is unchanged.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnorm... | Fluid collections in the abdominal wall along the incision line |
Generate impression based on findings. | Malignant melanoma CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Multiple perihepatic calcified lesions of uncertain etiology and significance.SPLEEN: No significant abnormality n... | Multiple, peritoneal, predominately calcified but also some of them fat containing soft tissue nodules. Right ovarian vein is distended and diffusely infiltrated with similar lesions. Etiology of these lesions is unknown. Metastatic disease cannot be excluded. Given the presence of fat and calcification in these lesion... |
Generate impression based on findings. | Reason: hx of piriform sinus ca, s/p CRT, eval for dz, compare to previous History: as above CHEST:LUNGS AND PLEURA: No evidence of pulmonary or pleural metastases.Prior aspiration-related groundglass opacities have resolved.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy noted.Coronary artery calcificati... | No evidence of metastases or other significant abnormality. |
Generate impression based on findings. | 48-year-old male with CLL. Restaging. CHEST:LUNGS AND PLEURA: Scattered micronodules again seen, unchanged. No new or suspicious nodules, masses, infiltrates or effusions seen.MEDIASTINUM AND HILA: Diffuse lymphadenopathy again seen not significantly changed. The following reference, lymph nodes, and comparison measure... | 1. Extensive chest, abdomen, and pelvic lymphadenopathy, but stable in distribution and size since most recent examination. 2. right common femoral artery pseudoaneurysm smaller in size and now without visible enhancement. |
Generate impression based on findings. | Clinical question: Rule out chronic sinusitis, sinonasal mass/carcinoma. Signs and symptoms: Right-sided nasal mass/lesion. Medtronic fusion sinus CT:Frontal sinuses are well pneumatized and unremarkable.Ethmoid sinuses demonstrate minimal patchy opacification and unremarkable otherwise.Sphenoid sinus demonstrate minim... | 1.Moderate diffuse mucosal thickening of right maxillary sinus and with resultant occlusion of right ostiomeatal unit.2.Minimal mucosal thickening in the left ostiomeatal unit with resultant compromise of its lumen and unremarkable left maxillary sinus otherwise.3.Minute mucosal thickening in bilateral chambers of the ... |
Generate impression based on findings. | 40 year-old female. Metastatic breast cancer. Evaluate response to treatment. CHEST:LUNGS AND PLEURA: Apical scarring, right greater than left. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Previously seen 6 mm segmental level intrapulmonary lymph node in the left upper lobe measures 1. 1.3 x 1 cm as ... | 1. Interval increase in size of reference left upper segmental intrapulmonary lymph node. Remainder of reference nodes in the chest are not significantly changed.2. Small retroperitoneal lymph nodes though not pathologically enlarged, are systemically increased in size from 7/2013 exam.3. New pelvic lymphadenopathy, mo... |
Generate impression based on findings. | Question meniscal tear. hyperflexion injury. Knee pain Examination of the images reveals severe osteoarthritis with marked medial joint space narrowing. There are medial and lateral osteophytes. There are osteophytes at the the patellofemoral joint. There may be a small joint effusion. | Severe degenerative changes with near bone on bone apposition in the medial knee. |
Generate impression based on findings. | Female 83 years old Reason: Is there a neoplastic process in her abdomen. History: 83 year old woman with change in bowel habit and 10 pound weight loss. Recent colonoscopy difficult because of restricted mobility of the sigmoid colon. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is e... | 1.Hypodense mass in the head/uncinate process of the pancreas concerning for pancreatic adenocarcinoma.2.No evidence of encasement or abutment of the SMA, celiac axis, GDA, portal vein, SMV or splenic vein with the pancreatic mass.3.Intra and extrahepatic biliary ductal dilatation likely caused by the pancreatic head m... |
Generate impression based on findings. | 75 year old female with lung cancer s/p 2 cycles of chemotherapy, no RT presently. Doing well now needs disease evaluation. CHEST:LUNGS AND PLEURA: Spiculated, lobulated right upper lobe nodule measuring 23 x 15 mm (image 29, series 4). Bilateral scattered pulmonary micronodules, some of which are calcified.No pleural ... | 1. Right upper lobe nodule consistent with known history of adenocarcinoma.2. No observed metastatic disease. |
Generate impression based on findings. | 76-year-old male with dyspnea and history of PE in 2011, now off anticoagulation. Please evaluate for PE. PULMONARY ARTERIES: Technically adequate study without evidence of acute pulmonary embolus. There are vessels in the left lower lobe with decreased caliber and opacification which may be related to previous episode... | 1. Technically adequate study without evidence of acute pulmonary embolus.2. Moderately severe emphysema and bronchiole wall thickening suggestive of bronchitis which is compatible with COPD. |
Generate impression based on findings. | 62-year-old female with a history of COPD presents with shortness of breath. Lung transplant evaluation. LUNGS AND PLEURA: Right focal scarring/atelectasis. Moderate centrilobular emphysema with an upper lobe predominance. No pleural effusion or pneumothorax. Marked bilateral bronchiectasis and bronchial wall thickenin... | 1. Multiple bilateral pulmonary nodular opacities are identified with associated bronchiectasis most pronounced in the lower lobes, as detailed above. Given the multiplicity, multifocal infection is favored, including atypical mycobacterial and fungal etiologies. Follow up examination to establish resolution is recomme... |
Generate impression based on findings. | 82-year-old female. Abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted. No focal hepatic mass is evident. No biliary ductal dilatation. Patent hepatic vasculature.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality noted. N... | No specific findings to explain the patient's symptoms. |
Generate impression based on findings. | Reason: h/o tongue cancer History: r/o chest mets LUNGS AND PLEURA: Small area of focal ground glass opacity in the posterior segment of the right upper lobe, new from previous, most compatible with aspiration and/or infection .No suspicious nodules.MEDIASTINUM AND HILA: Moderate coronary artery calcification.No signif... | Mild aspiration in the posterior right upper lobe. No evidence of metastatic disease. |
Generate impression based on findings. | 13-year-old male with abdominal pain, unable to locate due to patient being nonverbal. Has had minimal p.o. intake for the past 5 days. Questionable mitochondrial disease with significant abdominal pain. Evaluate for obstruction, mass, abnormal pathology. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIA... | No specific findings to account for the patient's pain.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Male 65 years old Reason: recent abd us reveals multiple lesions in the liver, concerning for metastatic dz. Rads rec. CT CAP History: fatigue, RUQ pain (intermittent), had been having NS/fever, have since subsided. Elevated LFT, Alk Phos, GGT CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA... | 1.Thickening of the cecal wall with an exophytic masslike protrusion concerning for possible colon cancer. Other neoplastic, infectious or inflammatory conditions cannot be excluded.2.Innumerable hepatic metastases.3.Massive right-sided inguinal hernia containing large bowel and without evidence of strangulation. |
Generate impression based on findings. | 63 year old female with a history of metastatic thyroid cancer. Follow-up examination CHEST:LUNGS AND PLEURA: Stable biapical scarring/fibrosis compatible with prior radiation.Previously described right lower lobe pleural based nodule measures 6 mm (series 4; image 96), unchanged. The previously described right lower l... | Interval increase in size and number of innumerable hepatic metastases. Stable appearance of osseous metastatic disease, small pulmonary/pleural nodules, and mediastinal/hilar lymphadenopathy. |
Generate impression based on findings. | 95-year-old male with bilateral subdural hematomas. Bilateral holohemispheric subdural hematomas are redemonstrated, with maximal transverse dimensions of 9 mm on the right and 12 mm on the left measured at the level of the mid body of the lateral ventricles, slightly decreased from prior measurements of 11 mm and 13 m... | Bilateral holohemispheric subdural hematomas demonstrate slight interval decrease in size.No evidence of interval hemorrhage.Stable cortical and subcortical hypodensities, likely representing old infarcts. |
Generate impression based on findings. | 45-year-old male. Evaluate ? right inguinal lymph node drain patency/anatomy and right ureteral drain patency. PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality notedLYMPH NODES: Pelvic lymphadenopathy is again seen, including the right obturator reference node measuring 6... | 1. Right pelvic kidney with hydroureteronephrosis and perinephric fat stranding. Herniation of the right ureter into a fat-containing right inguinal hernia.2. Right ureteral stent with proximal end in the inguinal portion of the mid-ureter and terminating in the bladder. No kinking or discontinuity of the stent is evid... |
Generate impression based on findings. | Reason: 78 yo female with large distal esophageal cancer, treated with chemoradiation therapy prior to surgery. Pt finished treatment 8/2/13. Evaluate for any evidence of metastatic disease. History: dysphagia CHEST:LUNGS AND PLEURA: Several micronodules and mild chronic interstitial abnormalities at the lung bases, un... | 1.Distal esophageal mass, extending into the gastric fundus, without appreciable change.2. Mildly enlarged gastrohepatic lymph node, decreased compared to previous.3. No specific evidence of metastatic disease. |
Generate impression based on findings. | Relapsed Hodgkin's lymphoma CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant change in mediastinal adenopathy. Reference subcarinal lymph node mass best seen on image 43 of series 401 it measures 5.1 x 2 cm.Stable reference periaortic lymph node best seen on image 64 series ... | Stable examination. No new adenopathy. |
Generate impression based on findings. | Female, 32 years old, with relapsed Hodgkin's lymphoma. Scattered mildly prominent lymph nodes are evident on both sides of the neck. There has been no significant interval change in size or number. Furthermore, none of these lesions meets imaging criteria for pathologic enlargement. Mediastinal adenopathy is partially... | 1. Stable scattered lymph nodes through the neck, none of which meets imaging criteria for pathologic enlargement. 2. Mediastinal adenopathy is only partially visualized and is better assessed on dedicated chest imaging.3. Prominence of the nasopharyngeal and palatine tonsillar tissues, increased from the prior exam. T... |
Generate impression based on findings. | 88 year-old female status post fall, rule out fracture. CT head:There is no depressed calvarial fracture. There are scattered areas of hypodensity in the periventricular and subcortical white matter, stable from prior study, which is nonspecific but likely represents small vessel ischemic disease. There is prominence o... | 1.No calvarial or cervical spine fracture is identified.2.No evidence for acute intracranial hemorrhage mass effect or edema.3.Degenerative changes of the cervical spine with multilevel moderate to severe neural foramen compromise, as above. |
Generate impression based on findings. | History renal cell carcinoma status post right partial nephrectomy 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:... | Stable negative exam without evidence for acute, inflammatory, or metastatic process. |
Generate impression based on findings. | 75-year-old female. History of NHL/EBV positive lymphoproliferative disorder with progression in patient status-post 4 weeks of Rituxan therapy. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodule or masses. Calcified lung nodules.MEDIASTINUM AND HILA: Unchanged calcified mediastinal lymph nodes. No mediastinal or h... | Treatment response with interval decrease in size of left upper quadrant mesenteric mass and reference celiac lymph node. |
Generate impression based on findings. | Male 82 years old Reason: does patient have progression of carcinoid or other etiology for abdominal pain and distention? History: abdominal distention and pain ABDOMEN:LUNG BASES: The previously seen left paravertebral posterior mediastinal lymph node now measures 4.5 x 3.1 cm (image 17, series 3) and previously measu... | 1.Interval enlargement of previously described posterior mediastinal, and retroperitoneal lymph nodes.2.Stable size of the known mesenteric mass.3.Incompletely characterize right-sided adrenal nodule. |
Generate impression based on findings. | Clinical question: Postop tumor biopsy. Signs and symptoms: Post tumor biopsy. Nonenhanced head CT:Examination demonstrates interval right posterior frontal -- parietal craniotomy. Minimal residual intracranial hemorrhage immediately under the craniotomy flap and at the level of brain biopsy is within expected postop c... | Expected postoperative changes of a right frontal -- parietal craniotomy for brain biopsy as detailed above. |
Generate impression based on findings. | 72-year-old male. Newly diagnosed rectal cancer. Patient has lung nodule. CHEST:LUNGS AND PLEURA: Unchanged 11 mm left upper lobe nodule (series 6, image 22).MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Mild atherosclerotic calcification of the thoracic aorta. Fluid attenuation lobular lesion with imp... | 1. Irregular circumferential rectal wall thickening consistent with stated history of rectal cancer. 2. Unchanged 1 cm left upper lobe lung nodule.3. Indeterminate 1 cm left adrenal nodule. |
Generate impression based on findings. | 69 year old female with descending aortic aneurysm. Follow-up on size stability. LUNGS AND PLEURA: Biapical scarring, right greater than left. Mild centrilobular emphysema with an upper lobe predominance. Scattered bilateral pulmonary micronodules are noted, appearing similar to the prior study. No suspicious pulmonary... | 1. No significant interval change in mild emphysema involving the upper lobes and scattered pulmonary micronodules. No suspicious pulmonary nodule or mass.2. Slight interval increase in size of eccentric outpouching of the lateral wall of the descending aorta compatible with aneurysm, measuring up to 2.8 cm. |
Generate impression based on findings. | 15-year-old male with shortness of breath. Evaluate for thoracic mass size and character. LUNGS AND PLEURA: Left lower lobe linear atelectasis or scarring. No suspicious nodule or mass.MEDIASTINUM AND HILA: Soft tissue in the anterior mediastinum likely represents residual thymus. Posterior to the inferior thymus, ther... | Prevascular space low attenuation mass, which has decreased in size compared to the prior MRI, although the exact etiology is uncertain, differential diagnosis includes lymphangioma. |
Generate impression based on findings. | Reason: r/o PE - 24 yo female p/w pleuritic CP, dyspnea, tachycardia and inc O2 requirement, had CT PE yesterday which was equivocal based on timing of dye load given tachycardia. Currently on heparin gtt and need definitive study History: pleuritic CP, dyspnea, tachycardia, hypoxemia PULMONARY ARTERIES: Technically ad... | 1.Increasing ground glass opacity and basilar patchy consolidation with moderately large pleural effusions.2. 7-mm cavitary nodule in the right lower lobe.Findings suggest acute noncardiogenic pulmonary edema/ARDS, possibly secondary to infection and/or hypersensitivity reaction as previously discussed. A single small ... |
Generate impression based on findings. | Severe left 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 notedKIDNEYS, URETERS: Right nephrolithiasis. No right-sided hydro... | Left ureteral stone causing left-sided hydronephrosis. Right nephrolithiasis |
Generate impression based on findings. | 84-year-old male with lung cancer on treatment. Please compare to previous. CHEST:LUNGS AND PLEURA: Left lower lobe mass measures 30 x 17 mm (image 74, series 4), previously 26 x 17 mm. The morphology of the mass raises the question of round atelectasis, but given FDG avidity on PET increased in size, it is compatible ... | 1. Slightly increased size of left lower lobe mass.2. Unchanged mediastinal and abdominal reference lymph nodes. |
Generate impression based on findings. | Reason: lung ca s/p resx/chemotx, lung collapse, pneumonia vs lung ca recurrence? History: lung ca s/p resx/chemotx, lung collapse, pneumonia vs lung ca recurrence? LUNGS AND PLEURA: Interval development of complete atelectasis and consolidation throughout the right lung with extensive underlying bronchiectasis, emphys... | Increased consolidation and atelectasis in the right lower lung, but no specific evidence of tumor recurrence. |
Generate impression based on findings. | 67-year-old male with shortness of breath and hypoxia. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. The main pulmonary artery is dilated, measuring 3.2 cm in diameter, suggestive of pulmonary artery hypertension.LUNGS AND PLEURA: Reference necrotic right upper lobe mass abutting... | 1. No evidence of PE.2. Interval increase in right upper, middle, and lower lobe groundglass opacities suggestive of aspiration and/or infection. 3. Persistent large necrotic right upper lobe mass with associated mediastinal invasion. There are persistent right upper and middle lobe nodules, suspicious for metastatic d... |
Generate impression based on findings. | Clinical impression: CVA. Signs and symptoms: CVA. Unenhanced head CT:No evidence of acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Very extensive periventricular and subcortical attenuation white matter consistent with advanced age indeterminate to small ve... | 1.No acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.2.Extensive age indeterminate small muscle ischemic strokes and with resultant ex vacuo dilatation of the supratentorial ventricular system grossly similar to prior exam. |
Generate impression based on findings. | 61-year-old female with abdominal pain ABDOMEN:LUNG BASES: Bilateral pleural effusions and dependent atelectasis. Cardiomegaly. Left ventricular assisting device is in place.LIVER, BILIARY TRACT: Hepatomegaly, unchanged.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No... | Findings secondary to congestive heart failure, no significant change from previous study. |
Generate impression based on findings. | 10-year-old male with right lower quadrant pain. Evaluate for RLQ abscess status post perforated viscus. ABDOMEN:LUNG BASES: No significant abnormality.LIVER, BILIARY TRACT: Normal in morphology, size, and enhancement. No intrahepatic or extrahepatic biliary ductal dilatation. No radiodense gallstones.SPLEEN: Normal in... | Marked improvement in the right lower quadrant inflammatory changes with a small rim enhancing fluid collection as detailed above.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 70 year-old male with history of rectal cancer and sharp abdominal pain and right lower quadrant -- assess for recurrence. CHEST:LUNGS AND PLEURA: Biapical scarring and emphysematous changes appear similar. No new infiltrates, nodules, masses, or effusions.MEDIASTINUM AND HILA: Small, normal-sized lymph nodes again see... | 1. Status post proctosigmoid colectomy with left descending colostomy unchanged in appearance. 2. Numerous hepatic cysts unchanged without evidence for metastatic disease to liver. 3. No evidence for lymphadenopathy or metastatic disease to the chest. 4. No change anterior ventral abdominal wall hernia containing mesen... |
Generate impression based on findings. | Male 65 years old Reason: pt with lung ca s/p resection h/o stomach distress History: some stomach distress any abnormalities?? CHEST:LUNGS AND PLEURA: Resection of the prior noted right upper lobe lung mass with associated right lung volume loss. Remaining right lung and left lung show changes of emphysema. The diffus... | 1. Resection of prior noted right upper lobe lung mass. 2. No change in diffuse predominately basilar micronodules. 3. Right pleural effusion. 4. Small hiatal hernia without other gastric abnormality seen. 5.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female, 22 months old, neck swelling refractory to clindamycin, now worsening. Extensive enhancing adenopathy is identified in the neck, left side worse than right. The nodes have a coalescent appearance in the left neck, and centrally there is an irregularly marginated area of low density non-enhancement compatible wi... | Extensive suppurative adenopathy through the left neck with areas of coalescence and central abscess formation as above. |
Generate impression based on findings. | Female, 80 years old, persistent nasal congestion and mucous drainage, history of asthma. The frontal sinuses and frontoethmoidal recesses are clear. The sphenoid sinuses and sphenoethmoidal recesses are clear. The ethmoid air cells, anterior and posterior, are clear.The maxillary sinuses are clear. The maxillary ostia... | No evidence of active or chronic sinus disease. |
Generate impression based on findings. | 54 year-old patient. Altered mental status. There is prominence of sulci and ventricles, though this is similar in degree to prior examinations. There is patchy subcortical/periventricular hypoattenuation representing chronic small vessel ischemic disease. A more focal area of hypoattenuation within the left insula mos... | Chronic findings as described without demonstration of acute pathology. |
Generate impression based on findings. | 69 year old status post LVAD, evaluate for stroke. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage. There is a stable 6 x 5 mm hyperdense lesion at the foramen of Monro, most likely a colloid cyst . Stable mild hypodensity wi... | 1.No acute intracranial process. 2.Stable probable colloid cyst at the foramen of Monro.3.Mild chronic small vessel disease, essentially stable from the prior exam. |
Generate impression based on findings. | Reason: s/p tumor biopsy interval change POD1 History: s/p tumor biopsy interval change POD1 There is demonstration of status post right-sided craniotomy for biopsy of a right inferior parietal and frontal lobe mass associated involvement of the corpus callosum. In general the mass is isodense relative to gray matter. ... | 1.Continued evolution of post operative changes for a right parietal lobe and frontal lobe mass with associated corpus callosum involvement. |
Generate impression based on findings. | Pain after punch to left cheek. There is perhaps minimal stranding of the subcutaneous fat overlying the left orbicularis oris that is likely related to trauma. However, no maxillofacial fractures are identified. The globes appear to be intact. There is no stranding of the intraorbital fat to suggest hemorrhage. The te... | 1. No evidence of maxillofacial fractures.2. Carious ADA 3. |
Generate impression based on findings. | Female 90 years old Reason: evaluate for diverticulitis History: LLQ abdominal pain and leukocytosis ABDOMEN:LUNG BASES: Thoracic aortic aneurysm, partially visualized, which appears unchanged compared to the prior examination. There is significant calcification of the thoracic aortic wall consistent atherosclerotic di... | 1.Diverticulosis with possible early uncomplicated diverticulitis.2.Developing mild gastric distention.3.Partially visualized thoracic aortic aneurysm, which appears unchanged. |
Generate impression based on findings. | 54-year-old male with history of bronchiectasis, Pseudomonas pneumonia, now with worsening hypoxia and tachycardia. Rule out PE. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus.LUNGS AND PLEURA: Severe bronchiectasis and bronchial wall thickening most predominant in the mid to lower... | 1. Technically adequate study without evidence of pulmonary embolus.2. Severe bronchiectasis and bronchial wall thickening in the mid to lower lungs fields with interval increase in multifocal consolidation. |
Generate impression based on findings. | Right check swelling. There is marked swelling and diffuse enhancement of the right parotid gland and accessory parotid gland collectively measuring up to 3.9 AP x 3.5 RL x 3.0 SI mm. There is minimal, if any, stranding of the subcutaneous tissues surrounding the parotid gland. The right inferior retromandibular vein i... | Diffuse enlargement and hyperenhancement of the right parotid gland and accessory tissue collectively measuring up to 3.9 cm. This likely represents parotitis without evidence of abscess or significant lymphadenopathy. Vascular malformation and neoplasm are less likely considerations. |
Generate impression based on findings. | 61-year-old male status post allogenic stem cell transplant on 7/19/12 with history of fungal pneumonia. Histo. LUNGS AND PLEURA: There is interval development of multiple groundglass and nodular opacities in the upper and lower lobes bilaterally. No evidence of pleural effusion or pneumothorax. The previously describe... | 1. Interval development of multiple groundglass and nodular opacities in the upper and lower lobes bilaterally. Differential considerations include infection including atypical mycobacterial and fungal etiologies. Given the history of prior allogenic stem cell transplant, cryptogenic organizing pneumonia could also be ... |
Generate impression based on findings. | 49 year-old female. Patient with kidney stone on ultrasound. Assess for location. Lack of intravenous and oral contrast decreases sensitivity for the detection of solid organ and bowel pathology.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No signific... | No left renal calculus to correlate to the hyperechoic focus seen on recent ultrasound, which was most likely artifactual. |
Generate impression based on findings. | Clinical question: Follow-up tumor resection. Signs and symptoms: Follow up tumor resection. Nonenhanced head CT:Examination demonstrate postoperative changes of a right posterior temporal -- parietal craniotomy.There is a large focus of vasogenic edema in the right temporal lobe surrounding resected tumor cavity in th... | 1.Expected postoperative changes of right posterior temporal -- parietal craniotomy.2.Residual peritumoral vasogenic edema and postoperative mass effect remain similar to prior exam and with evidence of midline shift of approximate 5 mm through the left.3.Stable normal size of supratentorial ventricular system. |
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