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Generate impression based on findings. | 69-year-old male with history of open AAA repair for ruptured aneurysm. Reason: R flank pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis. No CT evidence of cholecystitis.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No sig... | Abdominal aortic aneurysm status post endograft repair is stable.No renal stones. No hydronephrosis. No definite acute abnormality to explain right flank pain. Diverticulosis, but no definite diverticulitis. This may be difficult to detect early due to lack of enteric and IV contrast. Normal appendix. |
Generate impression based on findings. | Pain status post fall. Suspected fracture on radiograph. There is a comminuted 2.3-cm long avulsion fracture of the humerus greater tuberosity. The fracture fragment has been displaced posteromedially along the surface of the humeral head approximately 2 cm from its origin. The lesser tuberosity and surgical neck are i... | Displaced greater tuberosity fracture and other findings as described. |
Generate impression based on findings. | 52-year-old male. Pre-kidney transplant evaluation. History of left RCC status post partial nephrectomy. Look for recurrence/metastases. Renal cell cancer surveillance. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No focal hepatic lesion. No biliary ductal dilatation.SPLEEN: No significant ... | 1. Subcentimeter hyperdense lesion in right upper pole is too small to characterize and not definitely seen on prior CT although this may be because of differences in slice thickness.2. Partial nephrectomy of left kidney with upper pole surgical defect. No suspicious left renal mass identified. 3. Mildly prominent retr... |
Generate impression based on findings. | Clinical question: Follow up tumor resection. Signs and symptoms: As above. Nonenhanced head CT:There is evidence of interval right posterior temporal left parietal craniotomy.Extensive residual peritumoral vasogenic edema in the right anterior and mid temporal lobe is again identified and without convincing evidence o... | 1.Expected postoperative changes of right posterior temporal/parietal craniotomy.2.Right hemispheric mass effect evident by effacement of cortical sulci and approximately 5 mm midline shift to the left appears fairly similar to preoperative exam. |
Generate impression based on findings. | Female 47 years old Reason: r/o obstruction History: constipation x 2 weeks now obstipated. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There are innumerable irregular hypodense lesions scattered throughout the hepatic parenchyma consistent with metastatic disease. These appear to have pro... | 1.Increased, stool burden with narrowing in the descending colon and associated distal decompression, concerning for possible partial large bowel obstruction.2.Worsening metastatic disease to the liver and axial skeleton.3.Nonspecific thickening of the distal gastric wall. |
Generate impression based on findings. | Clinical question: Hemorrhage. Signs and symptoms: Fall. Unenhanced head CT:No detectable acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic strokes.Slight prominence of cortical sulci and cerebellar vermian folia likely still within normal range for patient's stated age of 77.... | Negative nonenhanced head CT. |
Generate impression based on findings. | Reason: ? of ILD History: sob LUNGS AND PLEURA: No significant change since the prior study subpleural reticulation and minimal honeycombing.No significant groundglass opacity is present.MEDIASTINUM AND HILA: Scattered small mediastinal lymph nodes are present but none enlarged.Moderate to severe coronary arteries calc... | Unchanged mild interstitial lung disease, consistent with UIP. |
Generate impression based on findings. | 62 year old female. History of invasive vulvar cancer. Evaluate for metastases. EPIC history: history of duodenal switch. CHEST:LUNGS AND PLEURA: Minimal centrilobular emphysema. No suspicious pulmonary nodule or mass.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Mild atherosclerotic calcification of t... | 1. Large necrotic vulvar mass with likely invasion of the anus and urethra.2. Pelvic lymphadenopathy. |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: CVA. Nonenhanced head CT:There is no detectable acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation.Unremar... | Negative nonenhanced head CT. |
Generate impression based on findings. | 58 year old male with history of prior abdominal surgery presenting with R flank pain. Evaluate for renal stone. ABDOMEN:The lack of intravenous contrast limits evaluation of the solid organs. With this location, the following observations are made:LUNG BASES: Trace bibasilar subsegmental atelectasis. Stable right lowe... | Partially obstructing 5 mm calculus in the right distal ureter. Otherwise stable exam since 1/2013. |
Generate impression based on findings. | 72 year old female. Evaluate for bowel obstruction. Reason: partial SBO? History: recently admitted for SBO, nausea. ABDOMEN:LUNG BASES: Bibasilar atelectasis. Calcified granulomata at the left lung base. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No signific... | Persistent or recurrent distal partial small bowel obstruction with transition point in the right lower quadrant. |
Generate impression based on findings. | Clinical question: AML, pre-treatment evaluation of occult infection. Signs and symptoms: Asymptomatic Maxillofacial CT:Frontal sinuses.Minute mucosal thickening in the dependent portion of right frontal sinus.Ethmoid sinuses.Very minimal bilateral anterior ethmoid air cell the consultationSphenoid sinus.No evidence of... | 1.Extensive right-sided mucoperiosteal thickening in the right maxillary sinus which are new since prior study. A small bony defect along the medial wall of right maxillary sinus and a large bony defect of the posterolateral wall of right maxillary sinus are new since prior exam and have the appearance of a postoperati... |
Generate impression based on findings. | Reason: h/o HNC, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Decreased lung volume since the prior study with patchy subtle groundglass opacities and new micronodules in a tree in bud pattern.Dependent atelectasis is present.No specific evidence of metastases, however; a calcified nodule... | 1. No evidence of metastases.2. New large anterior abdominal wall fluid collection probably a seroma related to ventral hernia repair since the prior study. This was discussed with the referring attending physician at the time of dictation. |
Generate impression based on findings. | Fall, ETOH intoxication. There is no evidence of acute intracranial hemorrhage, mass, or territorial infarct. There is likely mild disproportionate volume loss affecting the cerebellar vermis and bilateral frontal lobes. There is no evidence of hydrocephalus. There is no midline shift. There is no evidence of fracture.... | 1. No evidence of acute intracranial hemorrhage, mass, or territorial infarct. 2. Likely mild disproportionate volume loss affecting the cerebellar vermis and and bilateral frontal lobes may be related to alcohol. |
Generate impression based on findings. | Reason: bleed History: repeat The CSF spaces are appropriate for the patient's stated age with no midline shift. There is redemonstration of a scalp soft tissue swelling adjacent to the left frontal bone without underlying fractureAtherosclerotic calcifications of a minor degree are present along the distal internal ca... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Left scalp hematoma adjacent to the left frontal bone in the subgaleal space. |
Generate impression based on findings. | Female 35 years old Reason: r/o obstruction or other etiology History: n/v abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is a 2.1 x 1.9 cm hypodense solid lesion seen in hepatic segment IVb, which was present on the prior exam, but significantly more prominent on this ex... | 1.No evidence of bowel obstruction or other definitive etiology found to explain the patient's symptomatology.2.Evidence of end-stage renal disease.3.Extensive atherosclerotic disease out of proportion to the patient's age. |
Generate impression based on findings. | 47-year-old female. Epigastric abdominal pain. Evaluate for pancreatitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No biliary ductal dilatation. No focal hepatic lesion. Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No evidence of pancreatitis.ADRENAL GLA... | 1. No evidence of pancreatitis or specific findings to account for the patient's symptoms.2. Small hiatal hernia. |
Generate impression based on findings. | Reason: bleed History: bht The CSF spaces are appropriate for the patient's stated age with no midline shift. There is redemonstration of a scalp soft tissue swelling adjacent to the left frontal bone without underlying fracture. There is questionable hyperdensity adjacent to left middle frontal gyrus most like represe... | 1.Left frontal subgaleal hematoma within the left frontal scalp tissues2.a small hyperdense focus adjacent to the left frontal bone is present which could represent artifact though a minor contusion may have a similar appearance. Follow-up exam or MRI may be of benefit to further evaluate. |
Generate impression based on findings. | 71-year-old male. Acute hemoglobin drop. Prior CT abdomen/pelvis demonstrated possible left iliac fossa hematoma. Evaluate hematoma for expansion. Also has history of bladder cancer. Lack of intravenous contrast decreases sensitivity for detection of solid organ pathology.ABDOMEN:LUNG BASES: Bibasilar atelectasis. Righ... | 1. No significant interval change in size of left iliac fossa organizing hematoma.2. Diffuse dilatation of small and large bowel suggests an ileus.3. Nonspecific fluid in the cystectomy surgical bed has decreased in size.4. Moderate to marked bilateral hydronephrosis persists.5. Right T8 destructive rib lesion with a s... |
Generate impression based on findings. | Altered mental status after fall. The right frontal scalp hematoma has decreased slightly in size, now measuring up to 7 mm in thickness. However, there is no evidence of acute intracranial hemorrhage. There are unchanged areas of encephalomalacia within the bilateral cerebellar hemispheres consistent with a chronic in... | 1. Slight interval decrease in size of the right frontal scalp hematoma, but no evidence of acute intracranial hemorrhage.2. Unchanged areas of encephalomalacia within the bilateral cerebellar hemispheres consistent with a chronic infarcts. However, non-contrast CT is relatively insensitive for acute infarction.3. Chro... |
Generate impression based on findings. | 17-year-old male with persistent vomiting. Evaluate for bowel obstruction. ABDOMEN:LUNG BASES: Along the posterior aspect of the left 10th rib there is a left paraspinal soft tissue density measuring 2.2 x 4.7 cm (series 3 image 22). There appears to be underlying bone remodeling of the left 10th rib.LIVER, BILIARY TRA... | 1.Left paraspinal soft tissue density at the level of the left 10th rib with associated bone remodeling. Follow up and dedicated MRI is recommended. 2.No evidence of bowel obstruction. |
Generate impression based on findings. | Female 34 years old Reason: r/o tubo-ovarian abscess, pelvic fluid collection, other cause of LLQ / suprapubic pain History: LLQ abdominal pain, moderate vaginal discharge, CMT, tachycardia ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: There is no evidence of intrahepatic biliary ductal dil... | No definitive etiology found to explain the patient's left lower quadrant pain. |
Generate impression based on findings. | Clinical question: Bleed. Signs and symptoms: Blunt head trauma after fall. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.There is revisualization of a small left anterior middle cranial fossa extra-axial CSF collection with very subtle mass... | 1.Nonenhanced head CT demonstrates no acute posttraumatic findings. Small left anterior middle cranial fossa arachnoid cyst is stable since prior exam. Unremarkable intracranial contents otherwise.2.Nonenhanced CT of cervical spine demonstrates no evidence of posttraumatic findings in particular no evidence of fracture... |
Generate impression based on findings. | 62 year-old female with AML. Evaluate for subclinical infection prior to treatment. LUNGS AND PLEURA: Moderate centrilobular and paraseptal emphysema with an upper lobe predominance. No pleural effusion, pneumothorax, or focal consolidation. No suspicious pulmonary nodules or masses. Chronic peripheral nodular opacitie... | Emphysema but no acute pulmonary abnormality. No evidence to suggest acute infection. |
Generate impression based on findings. | 24-year-old man with obstipation and abdominal tenderness. Rule out colonic perforation. 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 ... | Massive sigmoid dilatation with distal rectosigmoid mucosal edema. No evidence of colonic perforation. Correlation with colonoscopy and/or sigmoidoscopy is advised when the patient's condition tolerates. |
Generate impression based on findings. | Reason: R/O Fracture History: MVA, tender to palp along cervical spine CT head:The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visu... | 1.No evidence for cervical spine fracture2.No evidence for acute intracranial hemorrhage mass effect or edema.3.There are mild degenerative changes present in the cervical spine without significant compromise of spinal canal or neural foramina . |
Generate impression based on findings. | Reason: R/O Fracture History: MVA, tender to palp along cervical spine CT head:The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visu... | 1.No evidence for cervical spine fracture2.No evidence for acute intracranial hemorrhage mass effect or edema.3.There are mild degenerative changes present in the cervical spine without significant compromise of spinal canal or neural foramina . |
Generate impression based on findings. | Reason: 39yo male with metastatic papillary thyroid cancer. Please re-eval History: as above The patient is status post thyroid surgery. There is a 30 x 11 mm axial dimension soft tissue lesion in the left thyroid bed previously measuring similar size . There is a 15 x 11 mm soft tissue lesion in the right thyroid bed ... | 1.There is redemonstration of stable nodules in the thyroid bed without significant change when compared to the prior exam in May.2.please refer to chest CT of the same date for further comments regarding pulmonary nodules. |
Generate impression based on findings. | Female, 51 years old. Reason: colitis History: Ulcerative colitis with pain ABDOMEN:LUNG BASES: There is a small amount of dependent bibasilar atelectasis.LIVER, BILIARY TRACT: There is no evidence of intrahepatic biliary ductal dilatation or focal mass lesion. The hepatic vasculature appears patent and there is no evi... | 1.No definitive etiology found to explain the patient's acute symptomatology.2.Findings consistent with clinical history of ulcerative colitis predominantly affecting the rectosigmoid colon. 3.Focal 5 cm long area of colonic wall thickening in the distal descending colon. 4. Diffuse pelvic and pericolonic lymphadenopat... |
Generate impression based on findings. | 60 year-old female. 3 days decreased output from transverse loop colostomy, increased output per rectum, reported stool per vagina. Assess for pelvic fluid collection drainage per vagina versus enterovaginal fistula. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No focal hepatic mass. No bil... | 1. Effacement of normal fat planes between the vagina and rectum presumably representing a rectovaginal fistula. If further characterization of fistula is needed, fluoroscopic study may be performed. 2. No pelvic fluid collection identified.3. Status post cystectomy. Bilateral ureteral diversion into a right lower quad... |
Generate impression based on findings. | 69-year-old male. Pancreatic cancer restaging. CHEST:LUNGS AND PLEURA: Reference right middle lobe nodule (series 4 image 49) measures 0.5 cm, stable. Emphysematous changes.MEDIASTINUM AND HILA: Stable small mediastinal lymph nodes. Enlarged right thyroid is unchanged. Heart size at upper limits of normal. Coronary art... | Interval progression of disease. Enlarging hepatic metastases. Other reference measurements given above. |
Generate impression based on findings. | 61-year-old male with history of esophageal cancer on treatment. Please compare to previous. CHEST:LUNGS AND PLEURA: Reference left lower lobe subpleural nodule measures 3.3 x 1.3 cm (image 68, series 5), previously 3.7 x 1.4 cm.Nodular opacities along the peripheral left lung base appear unchanged in size (image 67, s... | Interval decrease in size of the largest reference left lower lobe metastasis with otherwise unchanged pleural and fissural thickening compared to the prior study. |
Generate impression based on findings. | Reason: pt with HNC S/P CRT 2011 History: as above CHEST:LUNGS AND PLEURA: Apical radiation fibrosis is present.Prior pleural effusions and basilar opacities have resolved.There is no evidence of pulmonary or pleural metastases. MEDIASTINUM AND HILA: Unchanged ectatic ascending aorta.No mediastinal or hilar lymphadenop... | Resolution of prior basilar opacities and pleural effusions. No evidence of metastases. |
Generate impression based on findings. | Reason: 39yo male with metastatic papillary thyroid cancer. Please re-eval History: as above CHEST:LUNGS AND PLEURA: There is respiratory motion artifact on the current examination which obscures fine detail. However, within this limitation, the numerous pulmonary nodules of various sizes do not appear to have changed ... | Stable, multiple pulmonary nodules of various sizes compatible with metastases.Stable size left paraesophageal lymph node. |
Generate impression based on findings. | 84-year-old man with a history of metastatic thyroid carcinoma. CHEST:LUNGS AND PLEURA: There are innumerable bilateral small pulmonary nodules without significant change in size or number.Reference left lower lobe nodule measures 1.6 x 2 .0 cm, previously 1.4 by 1.9 cm (series 4; 65). No, pleural effusion or pneumotho... | Slight interval increase in size of reference pulmonary nodule and mediastinal lymphadenopathy consistent with the stated history of metastatic thyroid cancer. No new pulmonary nodules or masses are identified. |
Generate impression based on findings. | Gastric cancer restaging. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Soft tissue density anterior mediastinum likely represents residual thymic tissue. Central filling defect in the right brachiocephalic vein described previously is no longer visible; study is not sensitive for detec... | No change in reference index measurements given above. |
Generate impression based on findings. | 88 year-old female. Gastric cancer restaging. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Nonspecific heterogenous nodule in the left thyroid lobe, unchanged. Mildly prominent right hilar lymph node is unchanged (series 3, image 44). Mild atherosclerotic calcification of the ... | 1. Interval decreased size of gastric mass.2. Solitary liver metastasis has increased in size.3. Hypodense splenic lesion is slightly larger, suspicious for a metastasis. 4. 1 cm right interpolar kidney lesion is suspicious for a primary renal neoplasm, not significantly changed in size. |
Generate impression based on findings. | 57 year old female with growing nodule consistent with new lung primary. CHEST:LUNGS AND PLEURA: Reference irregular mixed density nodule in the right upper lobe measures 8 mm, previously 7 mm (22; series 4) and is not significantly changed in size, however, the solid component appears increased in size when compared t... | 1. Persistent 8mm right upper nodule suspicious for a primary adenocarcinoma in situ.2. Diffuse sclerotic changes affecting the axial skeleton suggestive of metabolic bone disease. |
Generate impression based on findings. | Reason: lung cancer s/p 3 more months on Tarceva. please evaluate for disease and compare with previous scans using same reference measurements History: lung cancer CHEST:LUNGS AND PLEURA:Postsurgical changes reflect prior left upper lobectomy. Numerous bilateral groundglass and semisolid nodules remain unchanged. Seve... | Stable, multiple pulmonary nodules of various sizes, some of which appear cavitary, compatible with metastases. |
Generate impression based on findings. | Unspecified fall. There is no evidence of intracranial hemorrhage, mass, or edema. The ventricles and basal cisterns are normal in size and configuration. There is no evidence of fracture. The paranasal sinuses and mastoid air cells are clear. The extracranial structures are unremarkable. | No evidence of intracranial hemorrhage, mass, cerebal edema, or skull fracture. |
Generate impression based on findings. | TxN2c squamous cell cancer status post chemoradiotherapy with a left lateral tongue lesion that was excised, but found to be benign on pathology. There is no evidence of focal enhancement to suggest a recurrent mass. There is no significant change in diffuse mucosal swelling in the mucosal pharyngeal space and asymmetr... | 1. No evidence of recurrent tongue mass or other masses elsewhere in the neck.2. Stable cervical lymph nodes without evidence of lymphadenopathy. |
Generate impression based on findings. | Male, 42 years old. Reason: hx of testicular cancer, rising AFP, please evaluate CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: The previously described pretracheal lymph node now measures 0.4 x 1.1 cm (image 32, series 3) and previously measured 0.7 x 1.2 cm. The previously described sub... | 1.No appreciable change in size in the mediastinal lymph nodes.2.No evidence of recurrent disease. |
Generate impression based on findings. | 67 year-old male. Crohn's colitis with new left colon cancer. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No focal hepatic lesion. No biliary ductal dilatation.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality noted... | No evidence of metastatic disease. Chronic changes of Crohn's disease in the colon with no evidence of active inflammation. |
Generate impression based on findings. | 53 year-old female with esophageal cancer s/p chemotherapy and radiation. CHEST:LUNGS AND PLEURA: Bilateral scattered pulmonary micronodules measuring no larger than 3 mm nonspecific but based on the distribution, more likely to be benign than malignant. Para-mediastinal fibrosis consistent with radiation therapy.No su... | 1. Circumferential thickening of the distal thoracic esophagus esophagus compatible with known tumor. Measurements provided in the body of the report.2. Enlarged or abnormally enhancing paraesophageal and posterior mediastinal lymph nodes suspicious for nodal metastases. 3. No evidence of pulmonary or pleural metastati... |
Generate impression based on findings. | Left nasal inverted papilloma status post removal on 11/26/2012. There are postoperative findings related to endoscopic sinus surgery for inverted papilloma, including left medial antrostomy and uncinectomy, inferior turbinectomy, and partial ethmoidectomy. There has been interval resection of a bulky left nasal antral... | 1. Extensive postoperative findings related to left sinonasal surgery with a residual hyperattenuating mass centered in the left nasal vestibule measuring up to 20 mm with surrouding areas of bony erosions, some of which have increased and some of which have remineralized. This lesion is compatible with recurrent inver... |
Generate impression based on findings. | 52-year-old with head and neck squamous cell carcinoma. CT Head:VENTRICLES/CSF SPACES:There is no midline shift. The CSF spaces are stable in size and configuration..BRAIN PARENCHYMA:There is no evidence of mass lesions, cerebral edema, or acute hemorrhage. There is no evidence of abnormal brain parenchymal enhancement... | No definite evidence of locoregional tumor recurrence or lymphadenopathy by size criteria. |
Generate impression based on findings. | Prostate cancer. Evaluate for metastases. CHEST:LUNGS AND PLEURA: Dependent atelectasis. Interstitial abnormality the left lung base is unchanged.MEDIASTINUM AND HILA: Subcentimeter mediastinal lymph nodes are stable. Bilateral calcified hilar lymph nodes, compatible with prior granulomatous disease. Ascending aorta me... | Stable examination. Multiple bony metastases; correlate with bone scan. |
Generate impression based on findings. | Reason: Pt with HNC s/p CRT 5/1/2013. Please re-eval and compare to prior scans History: as above CHEST:LUNGS AND PLEURA: Small scattered pulmonary micronodules without change. No new pulmonary nodule or pleural effusion.MEDIASTINUM AND HILA: A portion of a mildly enlarged left supraclavicular lymph node (series 3 imag... | No evidence of metastatic disease. |
Generate impression based on findings. | 72-year-old male. Metastatic prostate cancer. Evaluation of disease after 6 cycles of investigational therapy. CHEST:LUNGS AND PLEURA: Calcified lung nodules. Stable micronodules. No suspicious pulmonary nodules or masses. Bibasilar atelectasis/scarring.MEDIASTINUM AND HILA: Calcified mediastinal and hilar lymph nodes.... | 1. No significant interval change in extensive osseous metastatic disease.2. Status post right inguinal hernia repair. |
Generate impression based on findings. | 8-year-old male with cough with liquids, fixed obstruction on spirometry. Evaluate for interstitial lung disease. LUNGS AND PLEURA: Left basilar atelectasis. No consolidation, pleural effusion, or pneumothorax. No interstitial thickening. MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size is norm... | Normal examination. |
Generate impression based on findings. | Reason: f/u pulm nodule and MS l'adenopathy History: none LUNGS AND PLEURA: Pulmonary micronodules, peri-fissural, are unchanged and benign in appearance.MEDIASTINUM AND HILA: Stable heterogeneous thyroid enlargement causing some narrowing of the trachea at the level of the thoracic inlet.Numerous slightly large medias... | Stable small benign-appearing pulmonary micronodules. Minimally enlarged mediastinal lymph nodes are unchanged. The differential diagnosis might include sarcoidosis. |
Generate impression based on findings. | Reason: lung cancer on blood thinner and known history of brain mets. patient had fall on 8/31 after MRI and continued mental decline over the last week. please evalute for bleed History: lung cancer The CSF spaces are appropriate for the patient's stated age with no midline shift. A hypodense focus suggestive of vasog... | 1.Multiple hypodense foci compatible with vasogenic edema identified in the right frontal lobe, left parietal lobe and the right cerebellar hemisphere. A lesion previously identified in the right parietal lobe is not as readily identified on this exam. Please refer to MRI of the brain from 8/30/13 for further comments.... |
Generate impression based on findings. | Metastatic urothelial cancer. Evaluate for progression. CHEST:LUNGS AND PLEURA: Scattered micronodules. Some apical scarring. No new lesions are suspicious for metastases. No effusions.MEDIASTINUM AND HILA: Scattered small thyroid nodules. No pathologic sized mediastinal nodes.CHEST WALL: Enlarged left axillary lymph n... | Interval progression of disease with enlarging liver metastases and lymphadenopathy. Small amount of thrombus at the apex of the indwelling IVC filter. Findings discussed with the clinical service (pager 4827) at the time of dictation. |
Generate impression based on findings. | Lung cancer status post RT ended 8/2013 CHEST:LUNGS AND PLEURA: Left upper lobe mass contiguous with the aortic arch measures 3-cm in thickness (coronal image 32) compared to 2.6-cm previously and 9.5-cm in length (coronal image 32) compared to 8.9-cm previously.Peripheral nodular air space opacities in the left lung i... | Left upper lobe mass with reference measurements provided above, not significantly changed. Given the benefit of retrospect, bilateral mediastinal and left internal mammary chain lymphadenopathy is unchanged compared to the most recent previous study. Left axillary, and bilateral low cervical lymphadenopathy unchanged.... |
Generate impression based on findings. | Male 33 years old. Reason: Rectal cancer restaging on chemo CHEST:LUNGS AND PLEURA: The previously described right lower lobe nodule now measures 1.1 x 0.9 cm (image 246, series 2) and previously measured 1.3 x 1.2 cm. Several other subcentimeter nodules are seen, and appear largely unchanged in size.MEDIASTINUM AND HI... | 1.Stable right lower lobe pulmonary nodule.2.Interval decrease in size of the mediastinal and hilar lymph nodes.3.No new evidence of metastatic disease or local recurrence. |
Generate impression based on findings. | Reason: new headache History: as above The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a moderate degree are present.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edem... | 1.Periventricular and subcortical white matter changes of a moderate degree are nonspecific. At this age they are most likely vascular related. 2.CT is insensitive for the early detection of nonhemorrhagic CVA3. |
Generate impression based on findings. | Clinical question: Is there progression of right subdural hematoma. Signs and symptoms: Left-sided weakness. Nonenhanced head CT:New since prior examination is a large area of left frontal epiduralExamination demonstrate interval increased size of low-attenuation in the right posterior temporal -- occipital subdural co... | 1.Interval increased size of low-attenuation right posterior temporal -- occipital subdural from prior exam increasing from maximum of 17-mm on prior exam to current measurements of 22.8-mm.2.Minimal interval increased size CSF density subdural in the left posterior temporal -- parietal from prior measurement of 5-mm t... |
Generate impression based on findings. | Resected lung cancer. CHEST:LUNGS AND PLEURA: Left pneumonectomy with small amount of fluid in the pneumonectomy cavity.Paraseptal and centrilobular emphysema in the right lung.Eccentric, irregular wall thickening associated with a cyst in the right upper lobe immediately cranial to the minor fissure. The solid compone... | Interval development of irregular, asymmetric wall thickening associated with a cyst in the right upper lobe. The radiographic appearance is now consistent with an indolent adenocarcinoma, possibly invasive based on the density. Pulmonary hypertension. No signs of metastatic disease. |
Generate impression based on findings. | Pleurisy without mention of effusion or current tuberculosis. Question pleural thickening. LUNGS AND PLEURA: Scattered one to 2-mm micronodule densities, too small to characterize. No suspicious appearing nodules or masses. No pleural fluid or pneumothorax. Linear scarring in the left lower lobe. No pleural thickening,... | 1. No acute pulmonary or pleural abnormality. Specifically, there is no evidence of pleural thickening.2. Multiple breast lesions for which mammography and breast ultrasound are suggested unless the patient has had dedicated breast imaging at an outside institution within the last year.3. Diverticulosis of the colon wi... |
Generate impression based on findings. | Malignant neoplasm of intrahepatic bile ducts. Chemotherapy. Follow-up examination. Measure hepatic dome lesion and portacaval node. Evaluate pulmonary nodules and adenopathy. Osseous metastatic disease. CHEST:LUNGS AND PLEURA: Stable scattered micronodules bilaterally. Reference is left lower lobe nodule again measure... | Overall no substantial interval change compared to prior with reference measurements given above |
Generate impression based on findings. | 54-year-old male with history of adrenal cancer. Please assess for disease progression. CHEST:LUNGS AND PLEURA: Innumerable bilateral pulmonary nodules consistent with metastatic disease. Mixed response; while some of these nodules are the same size while others have increased or decreased in size. Left lower lobe pulm... | 1. Increase in size of some pulmonary metastases including one reference lesion.2. Slight increase in size of prominent mediastinal lymph nodes with unchanged reference lymph nodes. 3. Stomach is markedly dilated and filled with fluid and debris suspicious for gastric outlet obstruction or neuropathy. |
Generate impression based on findings. | Reason: Recurrent HNC s/p CRT that completed 2/2013. Please re-eval and compare to prior scans History: as above CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Residual thymic tissue, slightly enlarged compared to the prior study.No mediastinal or hilar lymphadenopathy, however.A right j... | 1. No sign of metastases.2. Rebound thymic hyperplasia.3. Hepatic lesion described above consistent with benign entities such as focal nodular hyperplasia or hemangioma. This could be confirmed on the next surveillance study by also requesting a dedicated hepatic protocol. |
Generate impression based on findings. | 55 year old female with metastatic RCC. Evaluate for disease in chest. LUNGS AND PLEURA: Biapical scarring/atelectasis, unchanged. Centrilobular and paraseptal emphysema with an upper lobe predominance, appearing similar to the prior study. Multiple scattered pulmonary nodules, appearing similar to the prior study. No ... | 1. No evidence of intrathoracic metastatic disease.2. Persistent hypodense lesions in the liver, suspicious for metastatic disease.3. Incompletely visualized large right renal mass. |
Generate impression based on findings. | Clinical question: Head trauma. Signs: Fall. Nonenhanced head CT:There is no evidence of acute posttraumatic intracranial or calvarial findings.Small focus of high density in the midline in posterior parietal scalp with minimal associated subcutaneous fat stranding likely result of recent injury however without underly... | 1.No detectable acute intracranial or calvarial findings.2.Midline posterior parietal subgaleal edema/hemorrhage as detailed.3.Moderate age indeterminant small vessel ischemic strokes as detailed. |
Generate impression based on findings. | 62-year-old male. Status with OLT for HCC, now with ascites. Evaluate for HCC recurrence, IVC, or hepatic stenosis. CT chest showed a cystic opacity in the pleural fluid, follow-up. CHEST:LUNGS AND PLEURA: Moderately sized right pleural effusion extending into the fissures. Previously seen cystic opacity in the right p... | 1. No suspicious hepatic lesions to suggest HCC.2. Patent hepatic vasculature.3. Loculated collection along posterior aspect of transplant liver is mildly decreased in size.4. Moderate right pleural effusion with basilar atelectasis. Previously seen cystic opacity in the right pleural fluid is no longer visualized.5. L... |
Generate impression based on findings. | Lung status post multiple chemo treatment history of Tarceva induced pneumonitis, DVT and COPD. CHEST:LUNGS AND PLEURA: Numerous foci of peripheral and peribronchial nodular consolidation again seen. Index nodules as follows:Right middle lobe nodule (4/55) 14 x 10 mm, previously 13 x 13 mm.Right upper lobe nodule 12 x ... | Pulmonary nodules and nodular foci of consolidation with measurements as above. A non-index para-aortic level lymph node has slowly increased in size compared to earlier exams and is consistent with an indolent nodal metastasis. Skeletal metastases. |
Generate impression based on findings. | History of wide local excision of an early tongue cancer in November 2011. There has been some compliance and followup issues. The patient presented again in September of 2012 with a new lateral tongue lesion in the area of the prior surgery and underwent wide local excision with clear margins in October 2012. The pati... | Stable post-treatment findings without evidence of locoregional tumor recurrence in the oral cavity and no significant lymphadenopathy by CT size criteria. |
Generate impression based on findings. | 5-year-old with painless neck mass that is draining. SOFT TISSUES:There is an approximately 17 x 15 x 12 mm area of soft tissue density in the anterior mildine subcutaneous tissues of the neck at the level of the thyroid with surrounding fat stranding that likely represents a focus of cellulitis. There are no rim enhan... | An area of soft tissue density in the anterior midline subcutaneous tissues of the neck measuring up to 17 mm with surrounding fat stranding likely represents a focus of cellulitis given the patient's clinical history. No evidence of rim enhancing fluid collections to suggest abscess. |
Generate impression based on findings. | Male 68 years old Reason: History of bladder cancer; S/P robotic cystectomy, robotic radical prostatectomy, pelvic lymph node dissection, ileal conduit urinary diversion. Evaluate for metastases. History: History of bladder cancer CHEST:LUNGS AND PLEURA: There is evidence of significant emphysematous changes in the bil... | 1.Stable mediastinal and hilar lymph nodes.2.Stable retroperitoneal and mesenteric lymph nodes.3.Stable pulmonary nodules.4.No evidence of local recurrence or metastatic disease.5.Continued resolution of the pelvic fluid collection. |
Generate impression based on findings. | Male 61 years old. Reason: PANCREATIC PROTOCOL CT. POORLY DIFFERENITATED PANCREATIC/DUODENAL TUMOR S/P 6 MONTHS OF CHEMO. COMPARE TO PREVIOUS. History: POORLY DIFF ADENOCARICNOMA CHEST:LUNGS AND PLEURA: Moderate emphysematous changes without evidence of discrete mass lesion.MEDIASTINUM AND HILA: There is a slightly pro... | 1.Interval decrease in size of the previously seen confluent abdominal mass.2.Interval decrease in size of the retroperitoneal and mesenteric lymphadenopathy.3.Interval placement of a common bile duct stent.4.New hypodense lesion in hepatic segment VIII/IVa of uncertain etiology. |
Generate impression based on findings. | Reason: left apical opacity on CXR History: none currently LUNGS AND PLEURA: 16 x 25 mm irregular shaped left apical solid nodule consistent with lung cancer.7 x 12 mm irregular shaped right upper lobe solid nodule adjacent to a bulla and a nearby 9 x 7 mm irregular-shaped solid nodule.Moderate to severe centrilobular ... | 1. Left apical nodule consistent with primary lung cancer.2. Two right upper lobe nodules either of which could represent a synchronous primary lung cancer.3. Cirrhotic appearing liver. |
Generate impression based on findings. | Reason: left neck wound History: h/o sarcoma, s/p surgery RT and chemo at OSH now with open wound CT neck:Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is app... | 1.The patient is status post right neck surgery. There is infiltration of the fat planes along the right neck, right supraclavicular region and adjacent to the right scapula. This could represent postoperative or post treatment change, infection or infiltrating tumor. Comparison to a prior exam may be helpful.2.Infiltr... |
Generate impression based on findings. | 63-year-old male with non-small cell lung cancer status post XRT; assess for response. CHEST:LUNGS AND PLEURA: Dense consolidation and interstitial opacity with centrally positioned fiducial markers in the left hilar region is slightly larger compared to the prior exam with increase in consolidation and loss of previou... | 1. Slight increase in size/density of left lower lobe/hilar consolidation which could reflect evolving radiation reaction however should be followed to exclude viable tumor. 2. New right upper lobe ground glass nodular opacity which should be followed on subsequent imaging, too small to characterize but possibly inflam... |
Generate impression based on findings. | Metastatic head and neck cancer on treatment CHEST:LUNGS AND PLEURA: Emphysema. Left apical fibrosis unchanged. Debris in airways with foci of bronchiolitis/endobronchial debris and atelectasis likely secondary to aspiration. Volume loss and scarring extending from the right hilum to the apex with associated soft tissu... | 1. Enlarging intraluminal soft tissue at the right upper lobe bronchial stump may reflect encroaching recurrent tumor or granulomatous tissue, the former is favored.2. Bilateral mediastinal and chest wall lymphadenopathy with slight increase in measurement of nonindex right paratracheal lymph node but no significant ch... |
Generate impression based on findings. | Reason: h/o sarcoma History: r/o chest mets LUNGS AND PLEURA: Right apical radiation fibrosis and volume loss is present.Linear bands of fibrosis with bronchiectasis extending towards the lung bases right greater than left. No suspicious nodules identified.MEDIASTINUM AND HILA: There is no mediastinal or hilar lymphade... | Right sub-and supraclavicular soft tissue infiltrative mass without definite margins, so not reproducibly measurable.No sign of distant metastases. Radiation fibrosis is seen throughout the right lung. |
Generate impression based on findings. | 35-year-old female. Evaluate for interstitial lung disease and assess for infiltrate. Chronic dyspnea and restriction noted on PFTs. New cough and question of aspiration. LUNGS AND PLEURA: Note is made of centrilobular groundglass opacities and scattered tree in bud opacities most pronounced in the right lower lobe as ... | Scattered groundglass opacities most pronounced in the right lower lobe. Differential considerations include pulmonary artery hypertension with associated pulmonary hemorrhage, infection (including atypical etiologies), as well as chronic aspiration. |
Generate impression based on findings. | Reason: non-resolving pneumonia, possible blastomycosis History: shortness of breath LUNGS AND PLEURA: Left upper lobe lateral segment consolidation in a pattern suggestive of atelectasis and scarring, containing moderately dilated bronchi. This region is not very dense, and the concave margins suggest a resolving infe... | Focal opacity in lateral segment left upper lobe containing bronchiectasis, in a configuration suggestive of scarring from prior or resolving infection. There is no reliable evidence of this infection being active. |
Generate impression based on findings. | Reason: left neck wound History: h/o sarcoma, s/p surgery RT and chemo at OSH now with open wound CT neck:Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is app... | 1.The patient is status post right neck surgery. There is infiltration of the fat planes along the right neck, right supraclavicular region and adjacent to the right scapula. This could represent postoperative or post treatment change, infection or infiltrating tumor. Comparison to a prior exam may be helpful.2.Infiltr... |
Generate impression based on findings. | Reason: h/o tracheal stenosis History: preop eval, sob Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated.Within the visceral space the thyroid glan... | 1.Findings are compatible with a tracheal stricture just below the level of the cricoid which is stable since the prior exam.2.Irregular appearance of the thyroid cartilage suggestive of prior injury which has been stable since prior exams. Please correlate clinical history.3.Atherosclerotic calcifications are present ... |
Generate impression based on findings. | 52-year-old male. CNS lesion. Evaluate for malignancy. CHEST:LUNGS AND PLEURA: Scar-like opacity in the left lower lobe with associated traction bronchiectasis is not significantly changed.MEDIASTINUM AND HILA: Prominent main pulmonary artery measuring 3.5 cm in diameter suggests pulmonary artery hypertension. Multiple... | No primary malignancy is identified. Interval cholecystectomy, otherwise no significant interval change. |
Generate impression based on findings. | Lung nodules. Malignant tumor of the palate. LUNGS AND PLEURA: Numerous pulmonary and pleural nodules increased in number, consistent with metastases. Left lower lobe nodule measures 23 x 29 mm (6/81), previously 20 x 22 mm, larger. No pleural fluid or pneumothorax.MEDIASTINUM AND HILA: Right hilar region calcified lym... | Pulmonary and pleural metastases with increase in the number and size of some of the lesions. |
Generate impression based on findings. | 37-year-old male. Peripheral T-cell NHL. On pralatrexate, in presumed remission. Compare to prior scan. CHEST:LUNGS AND PLEURA: Unchanged right apical subcentimeter pulmonary nodule since 2012. No new nodule is identified. MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Left para-aortic node measures 7 x... | Left thigh musculature lesion and right anterior abdominal wall lesion, hypermetabolic on prior 8/2013 PET-CT and roughly stable compared to that exam. No definite new lesions are seen. |
Generate impression based on findings. | Unspecified cerebral artery occlusion with cerebral infarction. There is no evidence of acute intracranial hemorrhage, mass, or cerebral edema. There is no midline shift or herniation. The ventricles and basal cisterns are normal in size and configuration. There are vertebral artery and carotid siphon calcifications. T... | No evidence of acute intracranial hemorrhage, mass, or cerebral edema. However, non-contrast CT is no sensitive for detection of acute infarction. |
Generate impression based on findings. | 64 year old male. Hematuria. Evaluate for source. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: A few smaller than 5 mm foci in the liver are too small to characterize. No biliary ductal dilatation. Patent hepatic vasculature. SPLEEN: No significant abnormality notedPANCREAS: No significant ... | 1. Large lobulated prostate mass invading into the bladder and possibly into the anterior rectum. 2. Mildly complex right inferior pole cystic renal lesion with multiple thin septations and punctate calcifications, follow-up is recommended to confirm stability.3. Indeterminate 1.2 cm right adrenal nodule. |
Generate impression based on findings. | 69-year-old male with high powers and low output. Evaluate LVAD inflow and outflow. LUNGS AND PLEURA: Small to moderate sized bilateral pleural effusions, left partially loculated and greater than right. Patchy areas of groundglass opacities in both lungs, greater in the lung bases. Given the pleural effusions, this is... | 1.No kinking of inflow or outflow cannulae of LVAD. The aortic anastomosis remains nonstenotic. No ostial obstruction of inflow cannula. Sessile thrombosis lines outflow cannula.2.Of note, there is beam hardening artifact at the central outflow cannula which appears as sharply demarcated, eccentric low density ( S 6, I... |
Generate impression based on findings. | 65-year-old male with a 7-mm left lower lobe nodule. LUNGS AND PLEURA: There is interval resolution of the previously described pulmonary nodules. No focal consolidation, pleural effusion, or pneumothorax. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Moderate ... | Interval resolution of the previously described pulmonary nodules, likely inflammatory in etiology. |
Generate impression based on findings. | Male 45 years old Reason: Hepatitis, Pancreatitis History: N/V, abdominal pain ABDOMEN:LUNG BASES: There is minimal bibasilar dependent atelectasis.LIVER, BILIARY TRACT: There is evidence of intrahepatic and extra hepatic biliary ductal dilatation. The common duct measures 11 mm in diameter just superior to the pancrea... | 1.Obstructing choledocholithiasis in the distal common bile duct.2.No CT evidence of acute pancreatitis. Note that early or mild pancreatitis may be occult on CT. |
Generate impression based on findings. | Reason: ICH History: fall, left sided neglect There is redemonstration of hypodensity and volume loss along the right inferior parietal lobule and right superior parietal lobular as well as part of the right postcentral gyrusA focus of encephalomalacia is present in the left cerebellar hemispherePeriventricular and sub... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Findings are suggestive of basilar tip aneurysm. Please refer to prior CT angiogram of the brain for further comments.3.Right parietal lobe encephalomalacia is stable4.left cerebellar small focus of encephalomalacia is stable5.Periventricular and su... |
Generate impression based on findings. | 63-year-old male with history of tonsillar cancer. Please evaluate for recurrence. CHEST:LUNGS AND PLEURA: Right lower lobe tree in bud opacities appear similar to the prior exam. There are scattered new ground glass opacities/nodules throughout both lung fields as well as resolution of a some of the previously noted g... | 1. No evidence of metastatic disease. 2. Pulmonary findings suggestive of chronic aspiration.3. Right lower lobe pulmonary nodular opacity which is likely related to chronic aspiration but should be followed for stability/resolution. |
Generate impression based on findings. | 87-year-old female. History of colon cancer, drenching night sweats for past 6 months. CHEST:LUNGS AND PLEURA: Basal predominant groundglass opacities with traction bronchiectasis and bronchiolectasis, not significantly changed. Subpleural foci of honeycombing in lateral basal segments of the lower lobes and peripheral... | No significant interval change with no specific findings to account for the patient's symptoms. |
Generate impression based on findings. | History of Tonsillar CA, s/p resection with flap reconstruction in 11/2011, significant XRT in early 2012, and chemotherapy in early 2012. There are stable post-treatment findings related to right tonsillectomy with flap reconstruction, extensive bilateral neck dissection, and radiation therapy. There is no evidence of... | Stable post-treatment findings without evidence of locoregional tumor recurrence or significant cervical lymphadenopathy. |
Generate impression based on findings. | Female 31 years old Reason: mets lung ca, extensive liver mets, pls evaluate mets work up. History: mets work up. UTERUS, ADNEXA: There are bilateral hypodense masses in the ovaries, which may represent follicles or cysts. Correlate with gynecologic ultrasound as clinically indicated. BLADDER: No significant abnormalit... | 1.Subcentimeter retroperitoneal and pelvic lymph nodes.2.No definitive evidence of metastatic disease to the pelvis.3.Bilateral hypodense ovarian masses likely representing developing follicles or cysts. Correlate with gynecological ultrasound as clinically indicated. |
Generate impression based on findings. | 63-year-old male Reason: please check for extravasation around ascending aortic aneurysm graft History: fluid collection around ascending aortic aneurysm graft. S/P CABG x3, Ascending aortic aneurysm repair in 4/2012 CHEST:LUNGS AND PLEURA: Upper lobe predominant centrilobular emphysema. No pleural effusions. No suspic... | Post operative changes from ascending aortic repair without evidence of pseudoaneurysm or extravasation. |
Generate impression based on findings. | Male 71 years old Reason: Please evaluate iliac fossa hematoma for abscess formation History: Hypotension, ? sepsis ABDOMEN:LUNG BASES: There are small bilateral pleural effusions with associated compressive atelectasis. The previously demonstrated right T8 destructive posterior rib lesion with associated large soft ti... | 1.Small Bowel obstruction likely related to multiple mesenteric masses.2.Multiple mesenteric masses likely causing ureteral and bowel obstruction as well as narrowing of the left iliac artery. These masses are concerning for metastatic disease.3.No evidence of abscess formation or intraperitoneal gas.4.Slight interval ... |
Generate impression based on findings. | Male 62 years old Reason: cancer History: sob, rectal bleed (occult) CHEST:LUNGS AND PLEURA: There are 3 large solid heterogeneous masses in the right upper lobe. There is a lateral pleural based mass which appears to have internal lobulations consistent with conglomeration of multiple smaller masses measuring 4.0 x 5.... | 1.Large right-sided lung masses with numerous satellite lesions concerning for malignancy.2.Predominantly right-sided bulky necrotic hilar and mediastinal lymph adenopathy.3.Large necrotic appearing right supraclavicular node.4.Large necrotic-appearing mesenteric and retroperitoneal lymph nodes.5.Multiple loops of jeju... |
Generate impression based on findings. | Clinical question: Headache, intermittent left-sided paralysis, evaluate for stroke. Signs and symptoms: Headache, resolved paralysis. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for detection of acute non-hemorrhagic ischemic strokes.Unremarkable cerebral cortex, co... | Unremarkable head CT. Consider MRI exam. |
Generate impression based on findings. | Clinical question: Rule-out CVA. Signs and symptoms: Rule out CVA. Nonenhanced head CT: No detectable acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiati... | No acute intracranial process. Unremarkable exam. |
Generate impression based on findings. | Clinical question: Evaluate. Signs and symptoms: Headache. Nonenhanced head CT:No detectable acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic strokes.There are subtle periventricular foci of low-attenuation which are nonspecific however considering patient's age possibly T. i... | Subtle nonspecific periventricular and subcortical low attenuation of white matter. Considering patient's age differentials of demyelinating disease and age indeterminate to small vessel ischemic stroke should be considered. |
Generate impression based on findings. | Clinical question: Seizure. Signs and symptoms: Seizure. Nonenhanced head CT conal there is no detectable acute intracranial process. Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation.Unremarkable calvarium and soft tissues of the scalp.Unremarkable ... | 1.No acute intracranial process.2.Chronic pansinusitis. |
Generate impression based on findings. | 9-year-old with possible focal seizure. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage.FLUID:No fluid collections. No evidence of hemorrhage.BONE:No fractures. Visualized bony structures are normal.PARANASAL SINUSES AND MAST... | No acute intracranial process. |
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