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Generate impression based on findings. | 56-year-old man status post assault, headache, evaluate for intracranial bleed. CT brain:VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage.FLUID:No fluid collections. No evidence of hemorrhage.BONE:No fractures. Visualized bony... | 1.Preseptal soft tissue swelling surrounding the inferior aspect of the right orbit without evidence for retrobulbar hematoma.2.No acute intracranial process. No acute fractures. |
Generate impression based on findings. | 52-year-old with headaches, nausea, and vomiting. Past medical history of HIV, fungal meningitis, status post VP shunt, and active metastatic lung cancer. Note: There is retention of intravenous contrast from the CT Abdomen and Pelvis.LINES AND TUBES:A VP shunt catheter tracts through a right frontal burr hole through ... | 1.Important note is made of intravenous contrast within the intracranial vessels likely retained contrast from prior CT abdomen and pelvis.2.There are bilateral frontal mixed/high density subdural fluid collections likely representing acute to subacute subdural hematomas. New from the prior exam.3.There is a punctate f... |
Generate impression based on findings. | Male 69 years old Reason: evaluate for acute intraabdominal process: abscess vs colitis vs choly vs appy History: abd pain, abd distension ABDOMEN:LUNG BASES: There is a moderate left-sided pleural effusion with associated compressive atelectasis and a small right-sided pleural effusion. A left ventricular assist devic... | 1.Diffuse right-sided colitis with distribution and clinical setting concerning for ischemia; however, infectious or inflammatory etiologies are also possible.2.Dilated small bowel, likely representing ileus secondary to the patient's colitis.3.Bilateral pleural effusions and ascites. |
Generate impression based on findings. | 16 year old status post cardiac arrest. Please evaluate for acute intracranial process. 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 ... | 1.No acute intracranial process. |
Generate impression based on findings. | Female 59 years old; Reason: kidney stones History: R flank pain ABDOMEN:LUNGS BASES: Mild right subpleural reticulations.LIVER, BILIARY TRACT: Well marginated hypodense lesions in the liver are suboptimally characterized without contrast.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality not... | 1.No evident nephrolithiasis or hydronephrosis. |
Generate impression based on findings. | Female 34 years old; Reason: eval for appendicitis History: abdominal pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is enlarged with a nodular contour suggestive of chronic liver disease. No suspicious hepatic lesions.SPLEEN: No significant abnormality noted.PANCREAS: No signifi... | 1.Acute diverticulitis with contained perforation and small mesenteric pocket of gas. No drainable fluid collections. Follow up is recommended.2.Findings suggestive of chronic liver disease. |
Generate impression based on findings. | Female 40 years old; Reason: concern for SBO on XR, post-op ileus vs obstruction, eval for transition point. Post-partum (delivered 7/29) History: N/V/abd pain, hypertension ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No suspicious hepatic lesions. Hepatic and portal veins are patent. Tr... | 1.Severe bowel obstruction with a transition point in the ileum possibly due to localized adhesions or localized inflammation.2.Pockets of gas/fluid within the uterus with a ventral defect may be postsurgical but endometritis with possible myometrial dehiscence is in the differential.3.Pockets of gas in the anterior ab... |
Generate impression based on findings. | 17-year-old with headache, evaluate for acute intracranial hemorrhage 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 nor... | 1.Prominent adenoids with calcification, clinical correlation is recommended.2.No acute intracranial process. No evidence of sinusitis. |
Generate impression based on findings. | 21 year old with headache. 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 MASTOID AIR CELLS... | 1.No acute intracranial process. No evidence of sinusitis. |
Generate impression based on findings. | 55-year-old female with chest pain. Evaluate for PE. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. No evidence of right heart strain.LUNGS AND PLEURA: No focal consolidation, pleural effusion, or pneumothorax. Note is made of scattered bilateral pulmonary micronodules. No suspici... | 1. No evidence of pulmonary embolus.2. 12-mm nodule in the left breast. Correlation with recent mammography is recommended. |
Generate impression based on findings. | Female 81 years old; Reason: eval infectious process (source) History: leukocytosis, elevated lactate, ?septic ABDOMEN:LUNGS BASES: Trace bilateral pleural effusions.LIVER, BILIARY TRACT: Extensive hepatic metastases. The dominant right hepatic lobe lesion measures 12.3 x 8.0 cm (image 19/series 3) previously, 8.5 x 6.... | 1.Progression of hepatic metastases.2.Progression of omental metastatic disease.3.Deep venous thrombosis of the iliac vessels and possibly the IVC (patient has a known pulmonary artery saddle embolus).4.Findings suspicious for right renal cell carcinoma.5.Findings discussed with Dr. Abbo at the time of dictation. |
Generate impression based on findings. | Female 56 years old Reason: Mesenteric ischemia History: Pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is near complete calcification of the gallbladder wall with innumerable stones filling the gallbladder. There is no evidence of intrahepatic biliary ductal dilatation or focal ma... | 1.Long segments of ileal wall thickening with associated contrast enhancement, mesenteric fat stranding and prominent mesenteric lymph nodes concerning for an inflammatory of infections process. An ischemic etiology is less likely as the mesenteric vasculature appears patent.2.Nearly completely calcified gallbladder wa... |
Generate impression based on findings. | Female 57 years old; Reason: h/o pancreatic pseudocyst and hemoglobin decline, eval for bleeding History: see above ABDOMEN:LUNGS BASES: Bilateral pleural effusions with right basilar atelectasis. Left pleural effusion occupies at least 40% of the left hemithorax while the right pleural effusion occupies at least 30%.L... | 1.New free intraperitoneal air possibly due to recent placement of the G-tube.2.New abdominal ascites.3.Bilateral pleural effusions.4.Air-fluid collection in the lesser sac. A leak or abscess is possible.5.No definite hematoma. |
Generate impression based on findings. | 45 year-old male with right-sided pleuritic chest pain. Evaluate for PE. PULMONARY ARTERIES: Technically adequate study to the level of the segmental branches without evidence of pulmonary embolus. The main pulmonary artery is dilated, measuring 3.9 cm in diameter and there is associated prominence of the pulmonary vas... | 1. No evidence of pulmonary embolus.2. Enlarged main pulmonary artery, and prominent pulmonary vasculature, compatible with pulmonary artery hypertension.3. Persistent nonspecific enlarged cardiophrenic lymph nodes. |
Generate impression based on findings. | Female 69 years old; Reason: r/o bowel obstruction History: abd pain ABDOMEN:LUNGS BASES: Right lower lobe pulmonary nodule measures 7-mm on image 7/series 4. No lung base pleural effusions.LIVER, BILIARY TRACT: Liver is normal in morphology without suspicious hepatic lesions ; hepatic and portal veins are patent. Seve... | 1.Severe bilateral hydronephrosis likely due to obstruction at the level of the urinary bladder possibly due to neoplasia. Thrombus within the urinary bladder.2.Severe biliary ductal dilatation most likely due to a distal common stone.3.Small hypervascular lesion likely within the pancreas with small calcifications; in... |
Generate impression based on findings. | 11 year old female with right lower quadrant pain. Evaluate for appendicitis. ABDOMEN:LUNG BASES: Mild basilar atelectasis.LIVER, BILIARY TRACT: Liver enhancement is normal. The gallbladder is distended. No biliary ductal dilatation is present.SPLEEN: Spleen is normal in size.PANCREAS: The pancreas is normal in appeara... | No evidence of appendicitis. |
Generate impression based on findings. | Male 37 years old Reason: Eval abdominal distension, kidney size, as part of liver transplant History: abdominal distension ABDOMEN:LUNG BASES: Gynecomastia is present.LIVER, BILIARY TRACT: There is a moderate amount of perihepatic ascites. The liver appears shrunken and has a nodular contour and widened fissures consi... | 1.Cirrhotic appearing liver with associated caput medusae, ascites, splenomegaly, and bowel wall edema.2.Evidence of possible chronic portal vein thrombosis.3.Slightly atrophic appearing kidneys. |
Generate impression based on findings. | Female 46 years old; Reason: SBO? History: s/p hysterectomy 3 days ago, now with abd pain +N/V ABDOMEN:LUNGS BASES: Basilar atelectasis.LIVER, BILIARY TRACT: Hypodense hepatic foci too small to characterize. No biliary ductal dilatation. Hepatic and portal veins are patent.SPLEEN: The spleen is normal in size. Multiple... | 1.Findings suspicious for multi-loculated pelvic abscess in the postsurgical bed.2.Bowel obstruction with a transition point in the mid ileum may be caused by an adhesion.3.Bosniak 2F right renal cyst. Follow-up with MRI is suggested |
Generate impression based on findings. | 58 year old female with a history of rheumatoid arthritis presents with right atrial mass seen on echocardiogram. Evaluating for ILD, PE, and right atrial mass. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. No evidence of right heart strain.LUNGS AND PLEURA: Note is made of retic... | 1. No evidence of pulmonary embolus.2. Interval increase in chronic appearing interstitial abnormalities with evidence of fibrosis, consistent with UIP, likely secondary to rheumatoid arthritis.3. Extensive streak and pulsation artifact limits evaluation of the right atrium; within this limitation, no clear mass is ide... |
Generate impression based on findings. | Female 37 years old Reason: eval for appendicitis History: abdominal pain, lower quadrants ABDOMEN:LUNG BASES: Minimal bibasilar atelectasis present.LIVER, BILIARY TRACT: There is a subcentimeter hyperdense lesion in the lateral aspect of segment 8, which is too small to characterize. This no evidence of intrahepatic b... | 1.Large right adnexal cysts, which are suboptimally evaluated by CT. Consider pelvic ultrasound or MRI to further a better characterize these lesions as clinically indicated.2.Leiomyomatous uterus.3.No evidence of appendicitis or diverticulitis. |
Generate impression based on findings. | Clinical question: Follow up tumor resection. Signs and symptoms: Follow-up tumor resection. Nonenhanced head CT:Examination demonstrates no convincing evidence of any acute new finding since prior exam from 9 -- 5 -- 13. A distal right-sided frontal and temporal large craniotomy and cranioplasty changes. Large postope... | 1.No evidence of any acute new finding since prior study.2.Residual cavitating (postop debulking) and hemorrhagic right frontal/basal ganglial tumor and extensive surrounding vasogenic edema and associated mass effect of approximately 13 mm shift to the left remains fairly similar to prior exam.3.Stable extensive posto... |
Generate impression based on findings. | Female 52 years old Reason: pancreatitis History: pain ABDOMEN:LUNG BASES: Decrease in the previously described right basilar consolidation and the abscess appears to have resolved since the prior examination. The previously described left basilar subpleural nodule now measures 5 mm (image 6, series 5) and previously m... | 1.No evidence of acute pancreatitis.2.Persistent dilatation of the common and pancreatic duct with interval improvement since the prior examination. There is no definitive evidence of focal mass lesion or choledocholithiasis; however, CT is somewhat insensitive to choledocholithiasis.3.Lytic lesion in the anterior aspe... |
Generate impression based on findings. | 54 year old female with tachypnea. Rule out PE. PULMONARY ARTERIES: Technically adequate study. Note is made of a large filling defect in the left main pulmonary artery extending into the segmental branch of the left lower lobe consistent with an acute pulmonary embolus. Additional filling defects are identified in the... | 1. Large filling defect in the left main pulmonary artery extending into the segmental branch of the left lower lobe consistent with an acute pulmonary embolus. Additional filling defects are identified in the segmental branches of the right lower lobe also consistent with pulmonary embolus. These findings were discuss... |
Generate impression based on findings. | 76-year-old female with altered mental status and history of prior CVA. VENTRICLES/CSF SPACES:No midline shift. There is stable ex vacuo dilatation of the supratentorial ventricular system are again noted.BRAIN PARENCHYMA:Very extensive periventricular and subcortical attenuation white matter consistent with advanced a... | 1.No acute intracranial process. Extensive periventricular and subcortical hypoattenuation of white matter consistent with moderate to severe age indeterminate small vessel ischemic disease. |
Generate impression based on findings. | Clinical question: Lung transplant evaluation. Signs and symptoms: Chronic sinusitis. Nonenhanced maxillofacial CT:Frontal sinuses are well pneumatized and unremarkable.Ethmoid sinuses demonstrate small single right posterior ethmoid air cell opacification and unremarkable otherwise.Sphenoid sinus demonstrate near comp... | 1.No evidence of acute sinusitis.2.Chronic sinus disease of the left chamber of the sphenoid sinus and right posterior ethmoid and unremarkable otherwise. |
Generate impression based on findings. | Female 30 years old Reason: eval for stent placement, stone, hydronephrosis History: recent stent placement for urolithiasis, urinary incontinence ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: The gallbladder wall is filled with hypodense stones with peripheral calcification. Evaluation of h... | 1.Interval placement of a right ureteral stent with moderate improvement of the patient's hydronephrosis and hydroureter.2.Previously seen right-sided ureteral stone is no longer evident.3.Right-sided nonobstructive nephrolithiasis.4.Cholelithiasis. |
Generate impression based on findings. | 45-year-old male with new atrial fibrillation. Evaluate for PE. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus.LUNGS AND PLEURA: Bibasilar scarring/atelectasis. No focal consolidation, pleural effusion, or pneumothorax. Calcified granulomas in the lungs.MEDIASTINUM AND HILA: Numero... | 1. No evidence of pulmonary embolus.2. Numerous mediastinal lymph nodes, suggest follow-up CT examination in 4 to 6 months to exclude the possibility of lymphoma. |
Generate impression based on findings. | 71-year-old male with neutropenic fevers. Patient with history of sinusitis. Assess for sinusitis. Unchanged complete opacification of the right maxillary sinus. No suspicious bony erosions or thickening. The frontal sinuses, frontal ethmoid recess, anterior/posterior ethmoid, sphenoid sinuses, and the left maxillary s... | Findings consistent with chronic mucosal inflammation involving the right maxillary sinus, unchanged. |
Generate impression based on findings. | 65-year-old male with syncope. PULMONARY ARTERIES: Filling defect in the right main pulmonary artery in right upper lobe segmental branches consistent with pulmonary embolus. The main pulmonary artery is dilated to 3.3 cm, suggestive of pulmonary artery hypertension.LUNGS AND PLEURA: No focal consolidation, pleural eff... | 1. Filling defect in the right main pulmonary artery extending into the right upper lobe segmental branch consistent with acute pulmonary embolus. The main pulmonary artery is dilated, suggestive of pulmonary artery hypertension.2. Left jugular catheter tip terminates in the azygos arch. |
Generate impression based on findings. | 46-year-old female with a history of colon cancer with lung and liver metastases presents with hemoptysis. Rule out PE or metastases. PULMONARY ARTERIES: Technically adequate study small filling defect in a distal segmental branch of the left lower lobe. No evidence of right heart strain.LUNGS AND PLEURA: Again seen ar... | 1. Small filling defect in a distal segmental branch of the left lower lobe consistent with pulmonary embolus.2. Left lower lobe bronchopleural fistula.3. Interval increase in size of numerous bilateral pulmonary nodules consistent with known history of metastatic disease. Persistent endobronchial lesion in the left lo... |
Generate impression based on findings. | 20 year-old female with tachycardia and desaturation and history of cardiac surgery. Evaluate for PE. Hx DiGeorge syndrome. Status post repair of truncus arteriosus in 1992 with prosthetic AV and PV valves. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. No evidence of right heart ... | No evidence of pulmonary embolus. Mild mediastinal and chest wall lymphadenopathy stable to slightly improved. |
Generate impression based on findings. | Female 20 years old; Reason: Bleeding into liver capsule? History: RUQ abdominal pain, acute ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Cirrhotic liver with a nodular contour. No evident hepatic lesion. The portal veins are patent. Minimal intrahepatic biliary ductal dilatation.Trace su... | 1.No measurable hematoma; trace subdiaphragmatic fluid adjacent to the left hepatic lobe. 2.Cirrhosis |
Generate impression based on findings. | Female 67 years old; Reason: 67yo female with metastatic CA likely advanced stage ovarian CA s/p 3 cycles of chemotherapy. Assess response to chemotherapy for consideration of possible debulking surgery History: as above CHEST:LUNGS AND PLEURA: Upper lobe predominant emphysematous changes. Few scattered pulmonary micro... | 1.Resolution of the ascites and most of the peritoneal nodularity.2.Cholelithiasis.3.Nonspecific subcentimeter pulmonary nodules in the setting of emphysema, follow up is suggested |
Generate impression based on findings. | 37-year-old with parotid swelling fatty infiltration versus tumor. SOFT TISSUES:Postsurgical changes secondary to bilateral selective neck dissection and tonsillectomy are present. Mild postradiation changes are present. LYMPH NODES:No evidence of enlarged lymph nodes by CT criteria or enlarged lymph nodes.GLANDS:There... | Bilateral symmetric fatty infiltration of the parotid glands. |
Generate impression based on findings. | 56-year-old with soft palate cancer status post CRT. CT brain:VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage.FLUID:No fluid collections. No evidence of hemorrhage.BONE:No fractures. Visualized bony structures are normal.CT N... | 1. Stable interval exam without evidence for local recurrence or lymphadenopathy on the basis of CT size criteria.2. No evidence of intracranial metastases. |
Generate impression based on findings. | 70 year-old female with newly diagnosed ILD, concern for antisynthetase syndrome. LUNGS AND PLEURA: Note is made of subpleural reticulation and mild honeycombing in the anterior upper lung fields. Associated interlobular septal thickening and diffuse groundglass opacities also most pronounced in the upper lobes bilater... | Extensive interstitial lung disease, pattern is atypical for UIP and constellation of findings though not specific is suspicious for patterns seen in ILD related to anti-synthetase syndrome:1. The distribution of the anterior subpleural honeycombing compatible with fibrosis is often seen in inflammatory arthritides.2. ... |
Generate impression based on findings. | Male 39 years old; Reason: RE-Staging - Metastatic Melanoma History: RE-Staging - Metastatic Melanoma CHEST:LUNGS AND PLEURA: Small bilateral pleural effusions occupying approximately 15% of the left hemithorax and 10% of the right hemithorax. There is associated atelectatic and consolidative changes. Left hemidiaphrag... | 1.Decrease in the size of the reference nodes.2.New abdominal and pelvic ascites with omental nodularity highly suspicious for omental carcinomatosis.3.Lytic osseous metastatic disease process.4.Suboptimal evaluation of the pulmonary emboli.5.Poorly defined liver lesions, suboptimally evaluated. |
Generate impression based on findings. | 49-year-old reevaluate disease following adjuvant therapy for stage III melanoma. CT NECK:SOFT TISSUES:Postsurgical changes from left neck dissection, including sacrifice of the left jugular vein identified a stable from prior exam. Scattered surgical clips, as well as disrupted fat planes in the deep soft tissues of t... | No evidence of recurrent tumor within the head or neck. Stable 12 -mm left submandibular lymph node. |
Generate impression based on findings. | 65-year-old male with history of tobacco abuse, COPD, and lung nodule presents with syncope. LUNGS AND PLEURA: Left apical irregular sub solid nodule measures 14 x 8 mm, previously 13 x 10 mm (6; series 5). Small left pleural effusion, appearing decreasing compared with the prior study. Trace right pleural effusion. In... | 1. 14-mm left apical semisolid nodule has not resolved, now suspicious for adenocarcinoma in situ. Further evaluation with PET CT is suggested. Lesion is unlikely to be accessible by percutaneous needle biopsy.2. Small left pleural effusion. Trace right pleural effusion. |
Generate impression based on findings. | 54 year old follow-up tumor resection and fall. VENTRICLES/CSF SPACES:There is mass effect on the right lateral ventricle and of approximately 5 mm at the level of septum pellucidum. The lateral ventricles however remain within normal size and without evidence of hydrocephalus. The CSF cisterns remain patent.BRAIN PARE... | 1.Effacement of cortical sulci within the right temporal and a 5-mm right to left midline shift, stable.2.Redistribution of post-operative pneumocephalus and other postsurgical changes are identified. |
Generate impression based on findings. | 58 year-old female with breast cancer. LUNGS AND PLEURA: Near complete resolution of the previously described right apical ground glass opacities. Again seen are multiple nodular opacities noted in the right upper lobe with the two largest nodular components measuring 12 x 6 mm, previously 10 x 7 mm (series 4; image 40... | Subpleural groundglass and linear opacities in the right lung as described are suspicious for radiation pneumonitis in the appropriate clinical context. Resolving infection is an additional possibility; 3 month CT examination. Follow up is recommended. T7, and sclerotic lesion, suspicious for metastasis. Further evalua... |
Generate impression based on findings. | Male 61 years old; Reason: 61 yo M s/p liver/kidney transplant 6/23/13 with worsening pain near RLQ incision. ultrasound shows fluid collection near renal transplant.. Requesting non-contrast study. History: abdominal pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is unremarkable... | 1.Probable complex collection adjacent to the tail the pancreas, suboptimally evaluated without IV contrast.2.Simple fluid collection adjacent to the right external iliac artery. Differential considerations given the surgery include lymphocele or seroma suboptimally evaluated without contrast. |
Generate impression based on findings. | Male 28 years old; Reason: HL, re-eval and compare to previous History: HL CHEST:LUNGS AND PLEURA: No suspicious pulmonary lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. Residual soft tissue in the anterior mediastinum is unchanged. No new mediastinal or axill... | 1.No new lymphadenopathy in the chest, abdomen or pelvis. Stable anterior mediastinal soft tissue which like represents treated disease. |
Generate impression based on findings. | 64 year old female with a history of CHF. Workup for transplant. History of smoking. Evaluate for lesions. LUNGS AND PLEURA: Bibasilar scarring/atelectasis. Calcified granulomas in the right lung base. Mild centrilobular emphysema with an upper lobe predominance. Right apical mixed groundglass nodule measures 8 mm in d... | 8-mm mixed solid and groundglass nodule in the right apex suspicious for atypical adenomatous hyperplasia or noninvasive AIS. Follow-up examination in 3 months is recommended to establish stability. Additional micronodules are nonspecific, but in combination with diffuse groundglass opacities these findings are suspici... |
Generate impression based on findings. | Male 58 years old; Reason: GIST surveillance scan History: none CHEST:LUNGS AND PLEURA: Left upper calcified nodule (likely granuloma), unchanged. No new pulmonary lesions.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedOTHER: ABDOMEN:LIVER, BILIARY TRACT: Liver is norm... | 1.Stable exam without evident recurrent or metastatic disease.2.Possible fatty infiltration of the liver. |
Generate impression based on findings. | Male 69 years old; Reason: patient with history of hematuria, please evaluate for stones, renal mass. History: hematuria ABDOMEN:LUNGS BASES: Chronic lung changes with subsegmental atelectasis of the right middle lobe.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCRE... | 1.No renal calculi2.No evident renal or collecting system mass.3.Enlarged prostate with enhancing nodule at the bladder base possibly the cause of hematuria. |
Generate impression based on findings. | Male 49 years old; Reason: Re-evaluate disease status following adjuvant therapy; compare to previous History: stage III melanoma CHEST:LUNGS AND PLEURA: Left upper lobe micronodule measures 5-mm on image 77/series 4. No new pulmonary lesions. Pleural spaces are clear.MEDIASTINUM AND HILA: No significant abnormality no... | 1.Stable exam with no significant change in the size of the left upper lobe pulmonary nodule. |
Generate impression based on findings. | Clinical question: Evaluate for acute change. Signs and symptoms: Altered mental status. Nonenhanced head CT:No detectable acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic strokes.Eight indeterminate small was ischemic strokes of moderate degree is identified. Unremarkable ex... | Moderate age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Clinical question: Syncope. Signs and symptoms: Syncope. 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 and CSF spaces for patient of stated age of 80. Moderate vascul... | No acute intracranial process. |
Generate impression based on findings. | Medical question: Evaluate for hemorrhagic conversion of extent of CVA. Signs and symptoms: Status post CVA. Nonenhanced head CT: No evidence of intracranial hemorrhage.Stable right cerebellar chronic ischemic stroke.Grossly stable age indeterminate small vessel ischemic strokes. Stable right MCA territory ischemic str... | No acute intracranial process. Grossly stable indeterminate small muscle ischemic strokes and right MCA territory ischemic stroke. |
Generate impression based on findings. | 25-year-old with trismus evaluate for abscess. SOFT TISSUES:There are no drainable fluid collections. No abscesses.LYMPH NODES:Scattered lymph nodes in a not pathologic by CT size criteria. For example bilateral level 2 nodes measuring up to 1 cm.GLANDS:The parotid, submandibular, and thyroid glands are unremarkable. B... | 1.No evidence of abscess. Unremarkable neck CT. |
Generate impression based on findings. | 83-year-old with headache and left subdural hemorrhage. VENTRICLES/CSF SPACES:There is minimal midline shift from left to right. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:There is mass effect of sulci within the temporal, parietal and frontal lobes adjacent to the subdural hematoma. There is mild to moder... | 1.Left hemispheric subdural hematoma measuring up to 1.1 cm in depth with minimal subsequent midline shift from left to right.2.Mild to moderate subcortical and periventricular white matter hypodensity which is of indeterminate age and likely represents chronic small vessel disease. |
Generate impression based on findings. | Clinical question: Bleed. Signs and symptoms: Blurry vision, double vision. Nonenhanced head CT:Examination demonstrates a small focus of cortical and subcortical low attenuation in the right occipital lobe best appreciated on axial images 15 through 17. Finding is consistent with a small acute nonhemorrhagic ischemic ... | 1.Small acute right occipital nonhemorrhagic cortical stroke.2.Moderate age indeterminate small vessel ischemic stroke. |
Generate impression based on findings. | 70-Year-old male presents with shortness of breath. Assess for new pulmonary embolism. History of lung cancer. PULMONARY ARTERIES: Technically adequate study with no evidence of pulmonary embolism. No right-sided heart strain or pulmonary artery enlargement. LUNGS AND PLEURA: Severe emphysema. Volume loss and architect... | Technically adequate study without evidence of pulmonary embolism.Interval increase of the right pleural effusion which is now moderate in size.Stable reference metastatic lesions as described. |
Generate impression based on findings. | Clinical question: Fracture, bleed? Signs and symptoms: Status post fall onto tile. Nonenhanced head CT:There is a small depressed skull fracture of left anterior parietal bone. Depression measures approximately 3 mm. There is overlapping edema I. laceration of the scalp.The depressed bone abutting the cerebral cortex ... | 1.Very small depressed bony fracture of left anterior parietal as detailed.2.Minimal superficial scalp laceration and hemorrhage and a punctate size high density foreign body immediately anteriorly in the scalp.3.Unremarkable study otherwise. |
Generate impression based on findings. | Female 62 years old; Reason: 62yo F febrile, leukocytosis, bandemia, ESRD, COPD - cough and abdominal pain - eval for infection History: - CHEST:LUNGS AND PLEURA: Mild interstitial changes. Few scattered pulmonary micronodules some of which are calcified.Trace right pleural effusion.MEDIASTINUM AND HILA: Heart size is ... | 1.No evident localizing inflammatory or infectious process.2.Cholelithiasis.3.2.4-cm left renal lesion suspicious for a small solid renal neoplasm (renal cell carcinoma). Dedicated renal imaging is recommended for further characterization. |
Generate impression based on findings. | 51 year old with fall and headache. Evaluate for acute intracranial hemorrhage. 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 structur... | 1.No acute intracranial process. |
Generate impression based on findings. | 82 year old with upper extremity pain and numbness. CT BRAIN WITHOUT CONTRAST:VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage. As the dictation is inFLUID:No fluid collections. No evidence of hemorrhage.BONE:No fractures. Vis... | 1.No acute intracranial process.2.Moderate atherosclerosis of the right cavernous internal carotid artery. |
Generate impression based on findings. | Female 24 years old; Reason: kidney stones History: flank pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETER... | 1.No evident nephrolithiasis or hydronephrosis. |
Generate impression based on findings. | Male 90 years old; Reason: Hernia - needs PO contrast History: inguinal mass with possible extension into scrotum ABDOMEN:LUNGS BASES: A emphysema affects the lung bases.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: Pancreatic atrophy with mild prominence of t... | 1.Bowel obstruction due to a right inguinal hernia with proximal dilatation of small bowel loops. Hyperenhancement of the segment trapped in the hernia with localized ascites. Ischemia of the involved segment is a possibility.2.Bilateral moderate to severe hydronephrosis due to lesions obstructing the ureters adjacent ... |
Generate impression based on findings. | 62-year-old female presents with a distal left radius fracture. Comminuted fracture of the distal radial metaphysis with two fracture planes extending to the articular surface. The radioscaphoid articular surface is relatively smooth, although there is 2-mm displacement of the distal fracture fragment volarly. The frac... | Comminuted distal radius fracture extending from the metaphysis to the articular surface with displacement as described. |
Generate impression based on findings. | Clinical question: Evaluation of shunt. Signs and symptoms: Emesis. Nonenhanced head CT:There is interval decreased size of shunted left lateral ventricle since prior study and on current exam appears nearly completely collapsed.Mildly dilated right lateral ventricle demonstrate no convincing evidence of interval chang... | 1.Near complete collapse of left shunted lateral ventricle since prior exam. 2.Dilated right lateral ventricle demonstrate no convincing evidence of interval change.3.Stable exam otherwise. |
Generate impression based on findings. | Female 18 years old; Reason: r/o colitis History: pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No si... | 1.No CT evidence of diverticulitis as clinically questioned. inflammation of the mesentery and omentum involving the lower abdomen. Differential considerations include early manifestation of a abdominal or pelvic inflammatory or infectious condition. Follow up is recommended.2.Appendix is normal in caliber and contains... |
Generate impression based on findings. | Female 51 years old; Reason: r/o strangulated femoral hernia History: pain ABDOMEN:LUNGS BASES: Calcified left lower lobe granulomata.LIVER, BILIARY TRACT: Stable hemangioma in segment 6 of the liver. Probable adjacent cysts. No suspicious hepatic lesions. No biliary ductal dilatation.SPLEEN: No significant abnormality... | 1.Bladder drapes over the pubic ramus without evident strangulation. This is due to lower abdominal wall laxity.2.No bowel hernia. |
Generate impression based on findings. | Female 41 years old; Reason: abd pain History: abd pain ABDOMEN:LUNGS BASES: Trace left pleural effusion and basal atelectasis. Heart size is enlarged. No pericardial effusion. Tricuspid valve.LIVER, BILIARY TRACT: Heterogeneous perfusion of the liver most likely due to outflow obstruction due to poor heart function.SP... | 1.Bilaterally enlarged adnexa. Differential considerations include adnexal masses, torsion or infection. Pelvic sonography is recommended. |
Generate impression based on findings. | Female 70 years old; Reason: eval for abscess / infection History: abdominal pain, fever, gtube ABDOMEN:LUNGS BASES: Low lobe bronchiectatic changes with left basilar atelectasis and mucus plugging.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant a... | 1.Status gastrostomy catheter with the retention balloon within the soft tissues. This may be due to tightly opposed stomach wall to the body wall or possibly due to buried PEG tube balloon. |
Generate impression based on findings. | Clinical question: Evaluate for acute changes. Signs and symptoms: Altered mental status. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray... | 1.No acute intracranial process.2.Extensive right maxillary chronic sinus disease and to a lesser degree of the other sinuses. |
Generate impression based on findings. | Female 32 years old; Reason: evaluate varices, GI pathology History: abdominal pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver has a smooth contour. No suspicious hepatic lesions. Within the hepatic parenchyma, the portal veins are patent. Outside the liver, there are extensive va... | 1.Extensive upper abdominal perigastric and gastric varices.2.No bowel obstruction. |
Generate impression based on findings. | Female 72 years old; Reason: patient with gross hematuria, evaluate for retroperitoneal bleed or possible AV malformation History: gross hematuria ABDOMEN:LUNGS BASES: Subpleural reticulations in the right lung.LIVER, BILIARY TRACT: Status-post cholecystectomy with mild intrahepatic ductal dilatation.SPLEEN: No signifi... | 1.Left nephrostomy catheter located within a calix of possibly partially parenchymal. Decrease in the hydronephrosis.2.Infrarenal abdominal aortic aneurysm without retroperitoneal hematoma.3.Inflammation in the pelvis with poorly defined fat planes limiting evaluation. |
Generate impression based on findings. | 29-year-old female presents with chest pain. Evaluate for pulmonary embolism. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. No right-sided heart strain or main pulmonary artery enlargement.LUNGS AND PLEURA: Moderate right pleural effusion with adjacent compressive atelectasis. No... | Technically adequate study with no evidence of pulmonary embolism. Moderate right-sided pleural effusion. |
Generate impression based on findings. | Male 64 years old; Reason: Evaluation of anastomosis, bloating and obstructive symptoms, eval for inflammation and stricture, please perform CTE History: Bloating, abdominal pain CHEST:LUNGS AND PLEURA: Right lower lobe nodule along the fissure measures 7-mm. No pleural effusions.MEDIASTINUM AND HILA: No significant ab... | 1.Ongoing partial small bowel obstruction similar to the study performed on February 2008 this is most likely due to ongoing inflammation and areas of stricturing. Small bowel follow-through would be useful if further delineate the areas of strictures.2.Possible inflammation of the neoterminal ileum.3.Possible enterocu... |
Generate impression based on findings. | 52-year-old with headaches, nausea, and vomiting. Past medical history of HIV, fungal meningitis, status post VP shunt, and active metastatic lung cancer. LINES AND TUBES:A VP shunt catheter tracts through a right frontal burr hole through the body of the left lateral ventricle and terminates in the genu of the left in... | 1.There are bilateral frontal mixed/high density subdural fluid collections likely representing acute to subacute subdural hematomas. Comparison to the right 9/6/2013 exam is limited, because of the retention of IV contrast. However when compared between the 9/8 and 9/7 exams, there is no change. 2.There is a punctate ... |
Generate impression based on findings. | Female 39 years old; Reason: eval History: abd pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Status post cholecystectomy. Liver contour is smooth.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEY... | 1.Status post gastric bypass with mild distention of the jejunal loops which may represent an ongoing ileus. If a hernia is suspected, small bowel follow through is recommended. |
Generate impression based on findings. | Clinical question:? Nasal fracture. Signs and symptoms: Trauma, difficulty breathing through nose. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Unremarkable cerebral cortex, cortical sulci, ventricular system, cisterns cisterns and gray -- ... | 1.Negative nonenhanced head CT.2.Negative T2 maxillofacial for fracture. There is congenital variation of bilateral middle turbinate concha bullosa and mild mucosal thickening of nasal passage with resultant effacement of airspace through the nasal passage at the level of middle turbinates. There is also mild chronic p... |
Generate impression based on findings. | 28-year-old blunt head trauma rule out subdural hemorrhage. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:There is an approximately 15 x 4 x 3 mm hyperdensity along the posterior aspect of the cingulate gyrus that is concerning for subarachnoid hemorrhage.FLUID:No fluid... | 1.Subarachnoid hemorrhage along posterior aspect of the cingulate gyrus 2.Soft tissue swelling over the left occiput.Discussed with Abbo MD at 12:47 pm. |
Generate impression based on findings. | Clinical question: Fall on the floor, hit head, complaining of headache. Signs and symptoms: As above. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Stable nearly collapsed supratentorial ventricular system remains stable since prior study.S... | No evidence of acute findings. Stable very small shunted supratentorial ventricular system and unremarkable head CT otherwise |
Generate impression based on findings. | Clinical question: Evaluate Signs and symptoms: Seizure. Nonenhanced head CT:No detectable acute intracranial process.Paucity of cortical sulci and a small or normal size of supratentorial ventricular system is within normal for patient stated age of 29. The gray -- white matter differentiation is preserved. No evidenc... | Unremarkable exam and stable since prior study from 2010 |
Generate impression based on findings. | 66 year old female with mediastinal fibrosis from histiocytosis, SVC syndrome and thyrotoxicosis with effusion. Status post Pleur-X catheter. Evaluate air fluid level seen on radiograph. LUNGS AND PLEURA: Right apical opacity (series 5/20) appears slightly enlarged as evidenced by the extension to the right posterolate... | 1. Increase in right pleural effusion. Small left pleural effusion.2. Increasing right apical opacity, likely infectious in etiology given the short interval change.3. Mediastinal fibrosis from chronic granulomatous disease with SVC occlusion. |
Generate impression based on findings. | Clinical question: Rule out intracranial mass, bleed. Signs and symptoms: Headache. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic stroke.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Mass. Signs and symptoms: Weakness. Nonenhanced head CT:Nonenhanced head CT is insensitive for detection of small mass or leptomeningeal process.Within this limitation however no convincing evidence of a mass is identified.There are diffuse periventricular and subcortical low attenuation white matter... | 1.Moderate to advanced age indeterminate to small vessel ischemic strokes with interval worsening since prior study from 2010.2.Prominence of supratentorial ventricular system and cortical sulci for patient's stated age.3.Unremarkable calvarium, paranasal sinuses and partially visualized orbits. |
Generate impression based on findings. | 60 year old with nausea vomiting and syncope. Evaluate for intracranial mass or hemorrhage. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage. Mild periventricular and subcortical white matter hypodensity likely reflects small ... | 1.No evidence of intracranial hemorrhage or mass is quickly queried. Mild small vessel disease of indeterminate age. |
Generate impression based on findings. | 59 year old with headache, question rebleed. VENTRICLES/CSF SPACES:No midline shift. Stable mass effect on the anterior horn of the right lateral ventricle.BRAIN PARENCHYMA:There is redemonstration of an evolving focus of hypodensity involving the medial aspect of the right occipital lobe compatible with recent infarct... | 1.No evidence of recurrent hemorrhage.2.Evolving focus of infarction within the right occipital lobe, and right-sided stable subdural hematoma.3.Stable suboccipital hemorrhage along right tentorium. |
Generate impression based on findings. | 61-year-old female with history of PE, tachycardia, and tachypnea, presenting with altered mild to status and reduced ejection fraction. PULMONARY ARTERIES: Technically adequate study with no evidence of acute embolism. Small linear defects within the branches of the right main pulmonary artery are compatible with resi... | 1. Small linear defects in the branches of the right main pulmonary artery are compatible with residual resolving clot burden from the prior PE. No evidence of new acute pulmonary embolism. 2. Evolving basilar airspace and interstitial consolidation is improved from the prior study. |
Generate impression based on findings. | 56-year-old leukemia patient with a fall. Evaluate for bleed. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage. Stable basal ganglia calcifications. Moderate periventricular and subcortical white matter hypodensity likely rela... | 1.No evidence of acute intracranial hemorrhage as clinically queried. |
Generate impression based on findings. | 57 year old with diplopia evaluate for aneurysm. The aortic arch, brachiocephalic artery, left common carotid artery, and left subclavian artery are normal. The right common carotid artery is normal. The left common carotid artery is congenitally smaller than the right.There is minimal atherosclerotic calcification of ... | 1.Previously 2 mm focus of increased basilar vessel lumen at the origin of the right superior cerebellar artery likely represents an infundibulum. |
Generate impression based on findings. | 86-year-old male presents with tachycardia, weakness and hypoxia. Evaluate for pulmonary embolism. PULMONARY ARTERIES: Technically adequate study with no evidence of acute pulmonary embolism. No evidence of right-sided heart strain or pulmonary arterial enlargement.LUNGS AND PLEURA: Multiple calcified bilateral pulmona... | 1. Technically adequate study without evidence of pulmonary embolism.2. Multiple calcified pulmonary nodules and mediastinal/hilar lymph nodes compatible with prior granulomatous disease.3. No acute pulmonary parenchymal or pleural abnormality.4. Nonspecific mild intrahepatic and extra hepatic biliary ductal dilatation... |
Generate impression based on findings. | 65-year-old male presents with history of DVT, hypoxia, and tachycardia. Evaluate for pulmonary embolism. History of pulmonary fibrosis in the left lung transplant 5/2/2013. PULMONARY ARTERIES: Postsurgical changes from a left lung transplant. Technically limited study on the right to the level of the right main pulmon... | 1. Technically limited study as described, with no evidence of acute pulmonary embolism.2. Severe fibrosis of the native right lung. Patchy ground glass and air space consolidation of the left lung is increased from the previous outside hospital study. Moderate left pleural effusion, unchanged. The left mainstem bronch... |
Generate impression based on findings. | 22 year old female presents with chest pain and shortness of breath. PULMONARY ARTERIES: Suboptimal opacification of the pulmonary vasculature. Within these limitations there is no evidence of acute pulmonary embolism. No evidence of right-sided heart strain. The main pulmonary artery is normal in caliber.LUNGS AND PLE... | No pulmonary embolism or acute pulmonary abnormality. |
Generate impression based on findings. | Female 72 years old; Reason: 72yo F with HTN urgency and chest pain, rule out dissection. CHEST:LUNGS AND PLEURA: No dominant lung lesion. The pleural spaces are clear. MEDIASTINUM AND HILA: Severe calcific arteriosclerotic disease of the aorta. Arteriosclerotic disease of the coronary vessels.Left chest wall pacer and... | 1.No aortic dissection as clinically questioned.2.Calcific arteriosclerotic disease of the aorta and coronary vessels.3.Enlarged pulmonary artery suggestive of elevated pulmonary artery pressures.4.Incompletely characterized right lower pole renal lesion.5.Ventral hernia containing loop of transverse colon. |
Generate impression based on findings. | 47-year-old with history of breast cancer and nausea and vomiting. Evaluate for intracranial metastases. Note: The images are mislabeled. Contrast was administered. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage.FLUID:No flu... | 1. No evidence of intracranial metastases.2. Diffuse osseous metastases. |
Generate impression based on findings. | Female 81 years old; Reason: eval History: chest pain, back pain CHEST:LUNGS AND PLEURA: Left upper lobe apical lung mass measures 6.3 x 6.0 cm (image 11/series 9). The lesion extends into the mediastinum medially and to the lateral body wall and lung apex.Multi-lobulated mass in the right middle lobe that contacts the... | 1.Bilateral lung masses in the left upper lobe and right middle lobe. Imaging findings are suspicious for carcinoma of the lung.2.Severe calcific or sclerotic disease of the aorta and branch vessels with narrowing of the coronary vessels.3.No evidence for aortic dissection or aneurysm. |
Generate impression based on findings. | 26 year old immunocompromised man with headache. Evaluate for mass or hemorrhage. 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 struct... | No acute intracranial process. |
Generate impression based on findings. | 83 year-old with altered mental status. Evaluate for stroke. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage. Mild to moderate periventricular and subcortical hypodensity likely represents chronic small muscle disease of inde... | 1.No evidence of acute infarct. |
Generate impression based on findings. | 57-year-old left neck mass, FNA suspicious for lymphoma. SOFT TISSUES:There is soft tissue swelling and stranding anterior and posterior to the left parotid gland. Likely representing recent intervention. Aerodigestive tract and surrounding soft tissues are normal.LYMPH NODES:No evidence of enlarged lymph nodes by CT c... | 1.Focal low attenuation within the left parotid gland. Given the patient's history of a recent biopsy, soft tissue edema and stranding anterior and posterior to left parotid gland. |
Generate impression based on findings. | 56-year-old with head and neck cancer status post CRT. Follow up exam. SOFT TISSUES:Posttreatment changes are redemonstrated including thickening of the platysma, infiltration of the fat planes, and scarring along both sides of the neck. No mucosal based soft tissue mass or suspicious enhancement is seenLYMPH NODES:No ... | No evidence of recurrent tumor or lymphadenopathy by CT size criteria. |
Generate impression based on findings. | Male 66 years old; Reason: History of metastatic renal cancer, baseline examination prior to systemic therapy History: neck pain, in collar for vertebral fracture CHEST:LUNGS AND PLEURA: Innumerable pulmonary metastatic deposits. An index left upper lobe lesion measures 2.2 x 1.9 cm (image 19/series 5). Pleural spaces ... | 1.Large right renal cell carcinoma with invasion of the IVC and tumor thrombus extending to the right atrium.2.Metastatic disease to the lungs, mediastinum, liver, pancreas, soft tissues of the left buttock, left femoral head.3.1.9-cm lesion in the left kidney also suspicious for renal cell carcinoma. |
Generate impression based on findings. | Male 52 years old; Reason: 52 yo with HCV cirrhosis please eval for lesions History: RUQ pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is enlarged with widened fissures and a slightly nodular contour. 1 cm hypervascular segment 5 lesion (image 39 sinus series 8) does not show wa... | 1.Cirrhotic liver without suspicious hepatic lesion.2.Nonspecific small hypervascular foci without washout. Follow-up is suggested. |
Generate impression based on findings. | Clinical question: Is there a depression fracture and subdural bleed. Signs and symptoms: History of subdural hemorrhage, seizures and suspected depressed skull fracture. Nonenhanced head CT:There is a minimally depressed fracture of right parietal bone which is best appreciated on axial series 10324 images 170 through... | 1.Mildly depressed right parietal bone fracture.2.Bilateral posterior parietal subdural collections as detailed.3.Bilateral subtemporal and suboccipital subdural collections (right greater than left) as detailed/measured above.4.Minimal subdural along the posterior falx as detailed.5.Minimal hemorrhage in the right lat... |
Generate impression based on findings. | Female 35 years old; Reason: eval for appendicitis History: RLQ abd pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNE... | 1.Right adnexal cystic mass. Given its location, ovarian torsion is a possibility and pelvic sonography is recommended.2.No evidence for acute appendicitis. |
Generate impression based on findings. | Male 85 years old; Reason: endoleak History: abdominal pain ABDOMEN:LUNGS BASES: Pulmonary fibrosis involving the lower lobes with honeycombing, traction bronchiectasis, and architectural distortion.Heart size is enlarged. Ascending aorta is aneurysmal at 4.8-cm. Cardiac pacer leads.LIVER, BILIARY TRACT: Perihepatic fl... | 1.Findings of a type IA endoleak coming from the aortic right iliac stent graft causing extensive flow within the aneurysm sac. There is focal irregularity of the graft cage in the right iliac limb which may produce a type III endoleak. 2.Findings of intraperitoneal hemorrhage originating from the anterior aspect of th... |
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