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Generate impression based on findings. | Reason: subarachnoid hemorrhage, reassess at 8 hrs post fall History: subarachnoid hemorrhage The CSF spaces are appropriate for the patient's stated age with no midline shift. A small hypodense focus is present in the right middle cranial fossa measuring at 23 x 17 mm axial dimensions suspicious for a focus of encepha... | 1.Stable examination with a hyperdense focus along the right colossal sulcus . There is adjacent hypodensity in the right seal at sulcus white matter suggestive of some encephalomalacia. Differential considerations include subarachnoid blood as well as dystrophic calcifications with encephalomalacia. If clinically appr... |
Generate impression based on findings. | Reason: SDH History: SDH There is redemonstration of a left-sided subdural hematoma which was also present on the prior exam and is unchanged. It measures approximately 12 mm in thickness and previously measured the same. There is a mild mass-effect present with a minimal midline shift. It has a layered appearance with... | 1.Stable examination with redemonstration and no change in left-sided subdural hematoma at multiple temporal stages. |
Generate impression based on findings. | Intracranial hemorrhage. Left lower extremity weakness. Decreasing mass effect involving the recently identified right PCA infarct is again demonstrated as a region of hypodensity occupying portions of the right temporal and occipital lobes extending to involve the posterior lateral aspect of the right thalamus. There ... | 1.Interval evolution and decreased mass effect of the PCA territory infarction now with interval development of multiple punctate foci of intraparenchymal hyperattenuation most likely representing punctate intraparenchymal hemorrhages.2.The current infarct age indeterminate involving the right thalamus. One possibility... |
Generate impression based on findings. | Headache ( 09/2013 ) Nausea and vomiting ( 09/2013 ) Secondary malignant neoplasm of bone and bone marrow ( 08/2013 ) Malignant neoplasm of upper lobe, bronchus or lung ( 05/2013 ) Lung mass ( 04/2013 ) Ckd (chronic kidney disease) ( 04/2013 ) Hypokalemia There is a redemonstration of a left-sided subdural collection w... | 1.Redemonstration and no change in bilateral subdural hematomas.2.No change in left frontal lobe intraparenchymal hematoma.3.Old lacunar infarct in the right basal ganglia and adjacent white matter4.please note that MRI with contrast is more sensitive in detection of brain metastases than CT |
Generate impression based on findings. | Male 30 years old Reason: eval for source of leukocytosis s/p abdominal surgery History: asymptomatic, but with rising leukocytosis POD 9 ABDOMEN:LUNG BASES: There is no evidence of intrahepatic biliary ductal dilatation or focal mass lesion. The hepatic vasculature is patent and there is no evidence of cholelithiasis ... | 1.Fluid collection with wall enhancement, which may represent an abscess.2.Free intraperitoneal air, likely related to the patient's recent surgery.3.Small nonobstructive left-sided renal calculus.4.There is mild diffuse small bowel dilatation likely representing postop ileus. |
Generate impression based on findings. | 79 year old female with chest pain. Rule out PE. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus.LUNGS AND PLEURA: Interval resolution of bilateral pleural effusions. Left upper lobe spiculated nodule as seen on prior exam measuring 17 x 9 mm (image 28, series 10). Additional pulmon... | 1. Technically adequate study without evidence of pulmonary embolism.2. Multiple pulmonary nodules with the largest in the left upper lobe. If there is clinical concern for malignancy, PET/CT is recommended for further evaluation. 3. Interval resolution of pleural effusions. |
Generate impression based on findings. | 73-year-old male. Hematuria. ABDOMEN:LUNG BASES: Small left pleural effusion with adjacent atelectasis. LVAD produces significant streak artifact obscuring adjacent anatomy.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLA... | 1. Intraluminal bladder hematoma, possibly originating from the prostate or an underlying bladder lesion. Follow-up is recommended.2. No definite renal or ureteral lesion. No hydronephrosis/hydroureter.3. Enlarged prostate. |
Generate impression based on findings. | 35-year-old female with shortness of breath. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. No evidence of right heart strain.LUNGS AND PLEURA: Again seen is upper lobe predominance scarlike opacities, appearing similar to the prior study, with associated paracicatricial emphysema... | 1. No evidence of pulmonary embolus.2. No significant interval change in upper lobe dominant pulmonary scarring and associated paracicatricial emphysema. |
Generate impression based on findings. | Female 70 years old Reason: 70 yo F wth anti-synthetase syndrome, please eval for occult malignancy History: as above CHEST:LUNGS AND PLEURA: There diffuse ground glass opacities with upper lobe predominance. There is evidence of mild subpleural fibrosis as well as intralobular septal thickening, again with an upper lo... | 1.Left posterior branch pulmonary embolus with associated atelectasis and small pulmonary infarct.2.No definitive CT evidence of malignancy or adenopathy.3.Findings of interstitial lung disease again noted, please refer to CT chest dated 9/6/2013 for full evaluation.4.Stable right internal jugular vein clot extending t... |
Generate impression based on findings. | 24-year-old female. Diffuse abdominal pain, gastric distention. Evaluate for bowel obstruction. Acute respiratory failure. CHEST:LUNGS AND PLEURA: Moderate right and small left pleural effusions. Diffuse ground glass opacity and dense dependent consolidation with septal thickening and relative subpleural sparing may re... | 1. Bilateral pleural effusions. Diffuse ground glass and dense dependent consolidation with septal thickening could represent edema, pulmonary hemorrhage, or an atypical infection.2. Marked distention of stomach with NG tube terminating in the body is likely secondary to gastroparesis. 3. Poor enhancement of the abdomi... |
Generate impression based on findings. | Reason: Pt with palate ca s/p crt in 2012. please re eval for recurrence History: as above CHEST:LUNGS AND PLEURA: Multiple calcified granulomas up to 1 cm in size, unchanged since 1/20/2012 and benign.No sign of pulmonary or pleural metastases. MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.The left ver... | No evidence of metastases, or interval change. |
Generate impression based on findings. | Reason: ?basillar embolus History: Stroke, dizziness, hemianopsia Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no si... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease3.redemonstration of a subacute infarction involving the right occipital lobe without evidence for hemorrhagic conversion4.please note that the both posterior cerebral arteries have dominant supply from the anterior circulation left more than... |
Generate impression based on findings. | 42-year-old male with cervicalgia. Evaluate for fracture. Examination shows no evidence of fracture or malalignment. There is normal attenuation seen throughout the cervical vertebral bodies. Vertebral body heights and disk spaces are preserved. The visualized prevertebral and paraspinal soft tissues are unremarkable.O... | No evidence of fracture or malalignment. |
Generate impression based on findings. | Acute mental status change. There is motion artifact limiting the examination. The there are right-sided foci of ill-defined hypoattenuation including within the posterior limb of the right internal capsule (series 4 image 10) and within periventricular white matter adjacent the right posterior ventricular horn (image ... | 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 CVA. There is no evidence for acute intracranial hemorrhage or mass effect or edema . If clinically appropriate MR... |
Generate impression based on findings. | 29 year old female with facial pain s/p assault. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structures is unremarkable. The maxilla, left zygomatic arch, sphenoid bone, hard palates, pterygoid plates, visualized cervical spine, and TMJs are intact, without evidence of fracture... | No acute fractures, but chronic nasal bone, right mandibular, and right zygomatic arch fractures as described above. |
Generate impression based on findings. | 39-year-old female with positive d-dimer, shortness of breath and tachycardia. Evaluate for PE. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus.LUNGS AND PLEURA: Right middle lobe pulmonary micronodule. Very mild bilateral dependent atelectasis. No pleural effusions. No focal airspa... | 1. Technically adequate study without evidence of pulmonary embolus.2. Right middle lobe pulmonary micronodule which does not require follow up. 3. No other significant abnormality. |
Generate impression based on findings. | 26 year-old female. Abdominal pain. Evaluate for appendicitis or biliary disease. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted. No biliary ductal dilatation. Gallbladder is collapsed. No focal hepatic lesion.SPLEEN: No significant abnormality notedPANCREAS: ... | Right adnexa physiologic cyst with trace pelvic fluid. Otherwise unremarkable examination. |
Generate impression based on findings. | Dizziness. Rule out bleed. The global sulcal prominence and mild prominence of the ventricles in keeping with diffuse age related atrophic change. There is no intracranial mass or extra-axial fluid collection. There is no CT evidence of acute hydrocephalus or ischemia. The midline is intact. There is moderate atheroscl... | 1.No acute intracranial abnormality. CT is less sensitive than MRI for the detection and characterization of acute nonhemorrhagic stroke. No CT findings are identified to explain the patient's symptomatology |
Generate impression based on findings. | 7-year-old male with tibia/fibular fracture. Evaluate fracture pattern.EXAMINATION: CT right tibia/fibula without intravenous contrast administration. 9/9/2013 Comminuted fracture through the distal tibial diaphysis with multiple fracture fragments with dorsal and lateral displacement and slightly medial angulation of ... | Comminuted distal tibial and fibular diaphyseal fractures as described above. |
Generate impression based on findings. | Female 59 years old Reason: abscess History: fevers The study is limited by lack of IV contrast and patient motion.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is a surgical drain in place, which courses through a subhepatic gas collection, which may or may not communicate with adjace... | 1.Subhepatic gas collection of unclear etiology, which may represent contained leak from a bowel perforation.2.Fluid collection anterior to the stomach which is nonspecific in characteristic, but may represent localized infection.3.Free intraperitoneal air likely representing postoperative changes; however, clinical co... |
Generate impression based on findings. | 90 year-old male. History of AAA s/p EVAR. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy. 1.6 x 2.1 cm segment 7 lesion shows delayed enhancement (series 10, image 38) and is not well-visualized on the noncontrast and arterial phase images. It is incompletely char... | 1. Type II endoleak with slight interval increased size of infrarenal abdominal aortic aneurysm.2. Segment 7 lesion showing delayed enhancement is incompletely characterized. Recommend MRI liver wwo contrast for further evaluation. |
Generate impression based on findings. | Reason: cough History: cough, chronic LUNGS AND PLEURA: No significant abnormality noted.A soft tissues density within the left main bronchus most likely is adherent mucus although if the patient's symptom of cough persists a follow-up study in the next one to two months could confirm this. MEDIASTINUM AND HILA: No med... | No significant abnormality. Probable adherent mucus in the left main bronchus, but if the patient's symptoms persist a follow-up study could confirm in one to two months could confirm this. |
Generate impression based on findings. | 90 year-old male with altered mental status, assess for bleed. There is no intracranial hemorrhage identified.There is stable prominence of the ventricular system and sulci, consistent with moderate age-related cerebral atrophy. Scattered areas of hypodensity consistent with age indeterminate ischemia, overall stable f... | 1.No evidence for acute intracranial hemorrhage, mass effect, or edema.2.Stable moderate age-related cerebral atrophy. 3.Scattered age indeterminate ischemia, overall stable from prior study, although superimposed acute ischemic event cannot be excluded. |
Generate impression based on findings. | Reason: h/o HNC, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Clustered left upper lobe micronodules large 5 mm unchanged consistent with prior infection rather than metastasis.Other scattered micronodules are stable.No evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: No ... | Post infectious appearing left upper lobe micronodules, but no evidence of metastases or other significant abnormality. |
Generate impression based on findings. | Reason: ? evidence for interstitial disease and or lymphadenopathy History: rash, fever, lymphadenopathy LUNGS AND PLEURA: Linear opacities posteriorly in both lungs have an appearance suggestive of subsegmental atelectasis, possibly related to underinflation although scarring is possible. The appearance is not typical... | 1. No evidence of interstitial lung disease although there are dependent opacity suggestive of atelectasis.2. Moderate symmetric mediastinal, hilar or axillary lymphadenopathy is present, highly suggestive of sarcoidosis. |
Generate impression based on findings. | Female 78 years old; Reason: 1mo s/p EVAR History: above ABDOMEN:LUNGS BASES: Emphysematous changes and lung bases. No nodule or mass detected.LIVER, BILIARY TRACT: The liver is normal in contour. There is pneumobilia from previous Whipple which is stable since previous exam. Patient is status post cholecystectomy. Num... | 1.Status post endovascular repair of the abdominal aortic aneurysm with patent stent graft and without evident endoleak.2.Status post Whipple with stable pneumobilia |
Generate impression based on findings. | 2-year-old female with history of GBS meningitis complicated by hydrocephalus, concern for possible worsened hydrocephalus in setting of new onset vomiting and AMS. Redemonstrated is extensive bilateral hemispheric cystic encephalomalacia. There is severe ex-vacuo dilatation of the lateral ventricles due to the extensi... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Extensive bilateral encephalomalacia with associated severe ex-vacuo dilatation of the ventricular system, not significantly changed from prior study. |
Generate impression based on findings. | Increased oxygen requirement, question signs of expanding and pneumonia. Acute chest syndrome. LUNGS AND PLEURA: Increased consolidation in the right lower lobe. Diffuse groundglass and interstitial opacity elsewhere, including the entire left lung is unchanged. Bilateral pleural effusions slightly smaller. Peripheral ... | Increased consolidation right lower lobe which may be due to pneumonia or aspirate. Slight decrease in bilateral pleural effusions. Other findings grossly stable. |
Generate impression based on findings. | 62-year-old male. PBC cirrhosis. Evaluate for lesions. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No biliary ductal dilatation. Cholelithiasis. Multiple enlarged portocaval lymph nodes, likely related to history of cirrhosis.Liver contour: Nodular contour consistent with cirrhosis.Portal ... | Cirrhotic liver morphology. 1.4 x 1.1 cm mildly hypodense lesion in segment 8 of the liver on delayed images without corresponding arterial enhancement, special attention should be paid to this finding follow-up CT to confirm stability. |
Generate impression based on findings. | Male 26 years old; Reason: testicular cancer- staging prior to RPLND History: as above CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Borderline mediastinal adenopathy measuring up to 9 mm. There is no hilar adenopathy.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRA... | 1.Numerous subcentimeter retroperitoneal lymph nodes without any pathologically enlarged nodes by CT criteria. |
Generate impression based on findings. | Reason: lung cancer screening History: none LUNGS AND PLEURA: Moderate to severe upper lobe predominant centrilobular emphysema, unchanged.Mild linear scarring is present in both lower lobes and in the right middle lobe.No evidence of primary or secondary pulmonary malignancy. MEDIASTINUM AND HILA: Adherent mucus right... | Moderate to severe centrilobular emphysema, otherwise unremarkable. |
Generate impression based on findings. | 14-year-old male with osteosarcoma: Concern for relapse. Pain in right hip and ankle. LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No focal pulmonary opacities or pleural effusions.MEDIASTINUM AND HILA: Left chest port with catheter tip at the cavoatrial junction. Heart size is normal with no pericardia... | Postsurgical changes with no definite evidence of metastatic disease. |
Generate impression based on findings. | 47 year old female with esophagus cancer status post CRT. Please reevaluate. CHEST:LUNGS AND PLEURA: Right middle lobe pleural based micronodule is unchanged compared to the prior exam (image 46, series 5).New left upper and lower lobe pulmonary micronodules. Right upper lobe pulmonary micronodule which is slightly inc... | 1. Interval decrease in distal esophageal thickening.2. Minimally decreased reference gastrohepatic lymph node.3. New bilateral pulmonary micronodules. |
Generate impression based on findings. | Metastatic breast cancer to lung, on chemo. CHEST:LUNGS AND PLEURA: Reference left upper lobe pulmonary nodule measures 10 x 7 mm on image 32/108, unchanged.Reference right lower lobe pulmonary nodule measures 8 x 6 mm on image 69/108, unchanged.Cluster of partially calcified nodules in perifissural left lower lobe (im... | Stable pulmonary nodules. No new sites of disease. |
Generate impression based on findings. | Male 66 years old Reason: restage lymphoma History: s/p transplant 2009 for relapsed DLBCL CHEST:LUNGS AND PLEURA: The previously described calcified and noncalcified pleural nodularity along the lateral aspect of the right upper lobe appears unchanged, and is likely related to prior asbestos exposure. The previously d... | 1.No new or increasing lymphadenopathy.2.Stable calcified and noncalcified pleural plaque, likely related to prior asbestos exposure. |
Generate impression based on findings. | 50 year-old male with non-Hodgkin's lymphoma. As before, there is no clinically significant lymphadenopathy by CT criteria. Redemonstration are scattered subcentimeter lymph nodes. Reference level 2 lymph node measures 8 x 8 mm (series 4, image 45), previously 9 x 9 mm. There are no new cervical lymph nodes identified.... | 1.No cervical lymphadenopathy, with essentially stable nonpathologic reference lymph node.2.Continued slightly decreased right maxillary sinus disease. No air fluid levels. |
Generate impression based on findings. | 55-year-old male with shortness of breath. Evaluate perihilar mass. LUNGS AND PLEURA: Small right pleural effusion with fluid tracking into the minor fissure. Multiple calcified granulomas. Scattered pulmonary micronodules, some of which are calcified, likely postinflammatory. No suspicious pulmonary nodules or masses.... | 1. Extensive nonspecific mediastinal and right hilar lymphadenopathy.2. Small amount of ascites.3. Cardiomegaly with small pericardial effusion. There is reflux of contrast into the hepatic veins with associated right atrial enlargement, suggestive of increased right heart pressures. Small amount of dependent pulmonary... |
Generate impression based on findings. | Female 44 years old; Reason: abnormal mesenteric dopplers/ adbominal pain 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 abnormal... | 1.No evidence of ischemia or stenosis in the abdominal vasculature. |
Generate impression based on findings. | Esophageal carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Stable small pericardial effusionCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality noted... | Slight interval increase in size of perigastric metastatic lymph node. |
Generate impression based on findings. | 62-year-old patient with Merkel cell cancer status post radiotherapy and chemotherapy in 2005. SOFT TISSUES:The oral cavity, oropharynx, nasopharynx, hypopharynx, larynx and subglottic airways areunremarkable and patent. The epiglottis, vallecula, piriform sinuses and vocal cords arenormal. LYMPH NODES:No evidence of e... | 1.No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 34-year-old female with cough and shortness of breath. History of cystic fibrosis and pulmonary M. abscessus. LUNGS AND PLEURA: Again seen is diffuse mild bronchiectasis with associated chronic thickening consistent with the stated history of cystic fibrosis. Note is made of multifocal bilateral tree in bud opacities, ... | Persistent diffuse bronchiectasis and bronchial thickening with areas of bronchiolitis. Focal tree in bud and nodular opacities consistent with bronchial mucous plugging and mycobacterial infection in the lower lobes are still present, though some areas have slightly improved in distribution and severity. |
Generate impression based on findings. | Male 50 years old Reason: NHL, re-eval and compare to previous History: NHL CHEST:LUNGS AND PLEURA: Mild bibasilar atelectasis.MEDIASTINUM AND HILA: No evidence of mediastinal or hilar lymphadenopathy.CHEST WALL: No evidence of axillary or supraclavicular lymphadenopathy. There is left-sided subscapular muscle atrophy,... | No evidence of recurrent disease in the chest abdomen or pelvis. |
Generate impression based on findings. | 61-year-old male with metastatic thyroid cancer on treatment. Evaluate for disease progression. CHEST:LUNGS AND PLEURA: Innumerable pulmonary metastases are unchanged in appearance. Index left lower lobe nodule measures 19 x 14 mm (series 57, image 100), previously 21 x 13 mm. Index right lower lobe nodule measures 10 ... | 1. Innumerable pulmonary metastases with minimal change compared to the prior exam. 2. Unchanged reference periportal lymph node. |
Generate impression based on findings. | 41 year-old female. Blood in urine. Needs CT urogram. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No renal mas... | No specific findings to account of the patient's hematuria. |
Generate impression based on findings. | 58 year-old male. Unresectable pancreatic cancer status post chemotherapy followed by RT. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: CBD stent with expected pneumobilia. No focal hepatic lesion is identified. Patent hepatic vasculature. SPLEEN: Unchanged splenomegaly measuring up to 17 cm... | 1. Pancreatic head, neck, and proximal body mass with increased extensive peripancreatic inflammatory changes. No significant interval change in size of the mass from 6/2013 CT.2. Portosplenic confluence is encased and markedly attenuated by tumor. The proximal splenic vein and SMV are occluded with extensive collatera... |
Generate impression based on findings. | 55 year old female. History of Tetralogy of Fallot with repair 1972. Reason: VT. Anatomy mapping for ablation History: Chest pain. Chronic hepatitis C without mention of hepatic coma. Status post Ross procedure. Height: 152 cmWeight: 46.8 kgBSA: 1.4 m^2BMI: 20.15 kg/m^2Cardiac Morphology:Left Ventricle:EDV: 135 ml The ... | 1. Cardiomegaly, with right ventricular enlargement and trabeculation.2. Exam is not well suited to evaluation of coronary artery disease.3. Status post Ross procedure, VSD repair. Post-stenotic dilation of left pulmonary artery.4. Bibasilar atelectasis. Left atrium is normal in size with 4 pulmonary veins. |
Generate impression based on findings. | 63 year old female with a history of Merkel cell carcinoma, diagnosed in 2005 status post chemo therapy and radiation. CHEST:LUNGS AND PLEURA: Biapical scarring/atelectasis, unchanged. Left upper lobe micronodule, unchanged, presumably postinflammatory. Calcified granulomas in the right lung. No new or suspicious pulmo... | No evidence of metastatic disease. No significant interval change. |
Generate impression based on findings. | 65 year-old male. Gross hematuria. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Nonspecific 1.4 cm hypodense lesion in the right hepatic lobe (series 7, image 26). No biliary ductal dilatation. SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS:... | 1. No focal renal or ureteral lesion is identified.2. Enlarged prostate.3. 1.4 cm nonspecific right hepatic lobe lesion. |
Generate impression based on findings. | 49-year-old male with a history of malignant neoplasm of the nasopharynx. Evaluate for recurrence CHEST:LUNGS AND PLEURA: Right upper lobe scarring/atelectasis. Scattered bilateral pulmonary micronodules, appearing similar to the prior study. No new or suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No sig... | No evidence of metastatic disease. |
Generate impression based on findings. | 66 year old female with headaches and scalp tenderness, evaluate for mass, or hemorrhage. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age. Incidental note is made of a cavum vellum interpositum.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage.FLUID:No fluid collections. No ... | 1.No acute intracranial process. |
Generate impression based on findings. | 73-year-old with history of head and neck cancer, follow up exam. SOFT TISSUES:Posttreatment change is evident in the right neck including evidence of neck dissection, infiltration of the fascial planes, and thickening of the platysma. Also noted is heterogeneously enhancing soft tissue thickening which extends along t... | 1.No evidence of recurrent tumor. |
Generate impression based on findings. | History of metastatic breast cancer on treatment. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Left supraclavicular reference lymph node is stable at 6 mm (image 13/146).Previously referenced AP window lymph node is marginally increased at 9 mm in its short axis (image 38/146), 8 mm on... | Metastatic breast cancer with stable to marginally increased (most notably the right axillary nodes) reference measurements as above. |
Generate impression based on findings. | Female 73 years old Reason: assess for recurrence of ovarian cancer History: nausea, slightly elevated CA 125 CHEST:LUNGS AND PLEURA: Multiple masses are again demonstrated in both lungs, which contain areas of internal hypoattenuation consistent with chronic lipoid pneumonia.The right perihilar lung mass has decreased... | 1.No evidence of lymphadenopathy or recurrent disease.2.Shrinking pulmonary masses likely representing lipoid pneumonia.3.Stable pulmonary nodules. |
Generate impression based on findings. | Reason: h/o HNC, compare to previous, measuremens pls, s/p CRT History: none CHEST:LUNGS AND PLEURA: Severe upper lobe predominant centrilobular and paraseptal emphysema.No new suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Cardiac size is norma... | Stable exam without evidence of metastatic disease. |
Generate impression based on findings. | Reason: evaluate ILD History: sob cough fibrosis on outside CT LUNGS AND PLEURA: Severe interstitial lung disease is present, characterized by inter- and intralobular septal thickening, mild honeycombing and traction bronchiectasis. The distribution has a mild basilar predominance. No significant groundglass opacity is... | Extensive interstitial lung disease, in a pattern suggestive of a slightly atypical for UIP. Consideration should be given to connective tissue disease including scleroderma. Ankylosis of the thoracic spine is present as well and should be taken into consideration. |
Generate impression based on findings. | 69 year old female. History of ovarian cancer, currently receiving chemotherapy. Evaluate for disease response/progression using measurements if applicable and compare with previous. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No mediastinal lymphadenopathy. The reference rig... | Stable examination with no significant interval change in reference nodes. |
Generate impression based on findings. | Sarcoma, evaluate for metastatic disease. LUNGS AND PLEURA: Scattered punctate bilateral micronodules are unchanged and presumably postinflammatory. No new pulmonary nodules are seen.MEDIASTINUM AND HILA: Atherosclerotic calcification of the aorta and its branches. Stable prevascular lymph node versus residual thymic t... | Stable CT with no evidence of metastatic disease. |
Generate impression based on findings. | Reason: lung ca, s/p resection and adjuvant chemo, pls c/w previous study and evaluate dz status. History: lung ca LUNGS AND PLEURA: Reference mixed solid groundglass opacity in the right upper lobe adjacent to the suture line (image 38 series 4) is slightly decreased in size now measuring 3.7 cm by 3 cm previously mea... | 1.Stable mixed solid and groundglass mass in the right upper lobe.2.Multiple satellite ground glass and solid nodules with interval increase in the number of groundglass nodules suggesting metastatic disease.3.Stable reference right paratracheal lymph node. |
Generate impression based on findings. | T2N0M0 HPV + base of tongue squamous cell carcinoma treated with CRT and completed therapy October 2010. There is no enhancing mass at the site of the treated base of tongue to suggest tumor recurrence. There is no significant lymphadenopathy by CT size criteria. The upper aerodigestive track, including the larynx, app... | No evidence for locoregional tumor recurrence or significant cervical lymphadenopathy on the basis of CT size criteria |
Generate impression based on findings. | Reason: s/p cardiac arrest, evaluate for intracranial process History: s/p cardiac arrest, evaluate for intracranial process 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 i... | 1.No evidence for acute intracranial hemorrhage .2.There is some hypodensity is present in the basal ganglia thalami right more than left. This is unchanged relative to the prior exam3.please note that portable CT technique is less sensitive for imaging abnormalities than traditional CT exams or MRI is more sensitive f... |
Generate impression based on findings. | Reason: T2N0 BOT SCC HPV +, s/p FHX 10/15/10; please re-eval and compare History: as above CHEST:LUNGS AND PLEURA: Scattered areas of scarring proudly in the upper lobes.No new suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy.Cardiac size is norma... | Stable exam without evidence of metastatic disease. |
Generate impression based on findings. | Male 44 years old; Reason: lung cancer s/p 2 cycles of chemo. please evaluate for disease and compare with scans from 1/30 using same reference measurements. "TRIPLE PHASE LIVER SCAN to be performed" History: lung cancer CHEST:LUNGS AND PLEURA: Moderate-sized left pleural effusion is smaller. Fibrosis and bronchiectasi... | 1. Decrease in size of the retroperitoneal adenopathy, fluid collections and hepatic metastases.2. Stable pulmonary and bone metastases and stable splenic vein thrombosis. |
Generate impression based on findings. | 68-year-old female. Reason: Fallopian tube cancer s/p 6 cycles of Taxol/Carboplatin. Evaluate disease process. Compare to 5-5-13 scan CHEST:LUNGS AND PLEURA: Resolved bilateral pleural effusions. Pleural nodularity. Dependent opacities compatible with atelectasis.MEDIASTINUM AND HILA: Mediastinal lymphadenopathy (super... | 1. Decreased ascites and peritoneal nodularity consistent. Extensive omental soft tissue consistent with metastatic disease persists.2. Gastrohepatic/porta hepatis soft tissue with associated vascular encasement has significantly decreased or resolved3. Mediastinal, cardiophrenic, and retrocrural lymphadenopathy has de... |
Generate impression based on findings. | Reason: Pt with tonsil cancer s/p CRT on 8/9/13. please re-eval History: as above CHEST:LUNGS AND PLEURA: Scattered benign-appearing pulmonary micronodules are unchanged, and there are no pulmonary or pleural metastases. MEDIASTINUM AND HILA: Mild to moderate coronary calcifications.No mediastinal or hilar lymphadenopa... | No change, and no evidence of metastases. |
Generate impression based on findings. | Neck pain and possible parotid gland mass. Head: There is mildly prominent subarachnoid CSF space measuring up to 5 mm in thickness over the left frontal convexity. There is no evidence of midline shift, acute intracranial hemorrhage, mass lesions, or territorial infarct. There is mild cerebral white matter hypoattenua... | 1. Mild symmetrically prominent bilateral parotid glands with mild fatty replacement, which may represent sialosis, but no evidence of discrete mass lesions. 2. Bilateral retropharyngeal course of the internal carotid arteries.3. Subcentimeter left thyroid nodule. Thyroid ultrasound may be performed for further evaluat... |
Generate impression based on findings. | History of head and neck cancer. Status post chemoradiation therapy. CHEST:LUNGS AND PLEURA: Stable left upper lobe groundglass/scarlike opacity (image 17/110) and 6-mm nodule in left lower lobe (image 69/110). Other scattered punctate micronodules are stable. Emphysema. No new pulmonary nodules.MEDIASTINUM AND HILA: S... | Stable CT with no definitive evidence of metastases. |
Generate impression based on findings. | Status post right middle lobectomy, also with right upper lobe nodule. Evaluate lung nodule. LUNGS AND PLEURA: New right upper lobe consolidation which completely obscures the known right upper lobe nodule. There is also a new small loculated pleural air collection/pneumothorax just posterior to the suture line (image ... | New right upper lobe consolidation obscures the known right upper lobe nodule. The consolidation is nonspecific but suggestive of pneumonia or aspiration. There is a very small associated loculated pleural air collection/pneumothorax just posterior to the suture line which may be due to a ruptured bleb or bulla.Finding... |
Generate impression based on findings. | Follow-up of previously described cerebral aneurysms. CT head: There is been interval stability in the pattern of bilateral patchy white matter hypoattenuation which is nonspecific, though may represent the sequelae of small vessel ischemic disease of indeterminate age. No intra-cranial mass or fluid collection. There ... | 1. Unchanged wide necked aneurysm measuring 3.0 x 2.3 mm at the anterior wall of the supraclinoid right ICA.2.Bulge of the right A2 segment just distal to the anterior communicating arterial takeoff is stable in size and configuration, which on this exam suggests fenestration of the anterior communicating system or an ... |
Generate impression based on findings. | Metastatic breast cancer to lungs, bone. Follow-up on chemo. Shortness of breath. CHEST:LUNGS AND PLEURA: Interval placement of bilateral pleural catheters with near complete resolution of pleural effusions. Scattered punctate micronodules, some of which are calcified, are stable.MEDIASTINUM AND HILA: No significant ab... | 1. Increase in right breast masses, now confluent.2. Stable pulmonary nodules and osseous metastases.3. Near complete resolution of pleural effusions s/p bilateral pleural catheter placement.4. Other findings stable. |
Generate impression based on findings. | 69 year-old female with abdominal pain after CABG. Rule out processes in the upper abdomen. CHEST:LUNGS AND PLEURA: Right middle lobe pleural based micronodule, presumably post inflammatory (image 59/114).Minimal bilateral dependent lower lung atelectasis.MEDIASTINUM AND HILA: Post-surgical changes of coronary artery b... | Incidental findings as above but a definitive source of the patient's epigastric pain is not identified. |
Generate impression based on findings. | 33 year old male. History of diffuse large B-cell non-Hodgkin's lymphoma. Recently diagnosed 5/30/2013 status post 4 cycles of EPOCH R in need of restaging. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Confluent lymphadenopathy mostly in the anterior mediastinum has decreased ... | Interval significant decrease in lymphadenopathy within the chest consistent with treatment response. |
Generate impression based on findings. | Female 68 years old Reason: lung cancer, follow up. History: right hip pain, s/p palliatlive RT to soft tissue mass. CHEST:LUNGS AND PLEURA: The reference left perihilar mass now measures 5.2 x 4.5 cm (image 41, series 3) and previously measured 4.5 x 4.2 cm. The mass appears to encase the left pulmonary artery and enc... | 1.Enlarging left hilar mass with stable distal atelectasis and consolidation likely post obstructive in etiology.2.Slight interval increase in size of the left adrenal mass.3.Enlarging lobular soft tissue mass.4.Interval increase in size of the left bladder wall soft tissue mass.5.New right upper lobe nodule. |
Generate impression based on findings. | 65 year old male. 20-pound weight loss, GERD, early satiety, one episode of gross hematuria in a smoker. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Two subcentimeter hypodense foci within the liver are unchanged, most likely cysts. Cholelithiasis.SPLEEN: No significant abnormality notedPA... | Cholelithiasis and enlarged prostate. Otherwise unremarkable examination. |
Generate impression based on findings. | 67-year-old male. Metastatic prostate cancer. Evaluate disease after two cycles of investigational therapy. CHEST:LUNGS AND PLEURA: Scattered calcified and noncalcified micronodules are unchanged. MEDIASTINUM AND HILA: Calcified mediastinal and hilar lymph nodes are unchanged.CHEST WALL: No axillary lymphadenopathy.ABD... | No significant interval change with no new lesions identified. Unchanged solitary liver lesion. |
Generate impression based on findings. | 43-year-old male with a history of HIV and squamous cell carcinoma of the right tonsil. CHEST:LUNGS AND PLEURA: Left apical pulmonary micronodule, appearing similar to the prior study (5/18). Interval development of a left upper lobe 5 mm nodule (26:series 5) suspicious for metastatic disease in the setting of a known ... | 1. Near complete interval resolution of the previously described groundglass opacities and interval decrease in tree in bud opacities suspicious for an atypical infection versus chronic aspiration. 2. Interval development of a left upper lobe nodule suspicious for metastatic disease in the setting of a known primary ma... |
Generate impression based on findings. | 80-year-old man who has a history of a right piriformis squamous cell carcinoma who is status post CRT. SOFT TISSUES:Stable post treatment changes, including atrophy of the submandibular glands and atrophy of the right sternocleidomastoid muscle. No enhancing mass to suggest recurrent disease. The oral cavity, oro/naso... | 1.No evidence of recurrent tumor. |
Generate impression based on findings. | Male 37 years old Reason: hx of T cell lymphoblastic lymphoma s/p consolidation chemotherapy please re-stage History: hx of lymphoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: The previously seen thrombus associated with the Port-A-Cath in the distal SVC is no longer evident.There has... | 1.Continued interval decrease in size of the mediastinal lymphadenopathy.2.Stable left adrenal nodule.3.Previously seen catheter associated thrombus in SVC no longer evident.4.No evidence of new lymphadenopathy.5.Stable presacral thickening, which is nonspecific but likely related to surgical changes. |
Generate impression based on findings. | 65-year-old male. Left lower lobe consolidation. Increased lethargy, diarrhea. EPIC history: history of MDS status post stem cell transplant. Lack of intravenous and oral contrast decreases sensitivity for detection of solid organ and bowel pathology. CHEST:LUNGS AND PLEURA: Moderate left pleural effusion and left depe... | 1. Moderate left pleural effusion with left basilar atelectasis. 2. Mild patchy ground glass opacities in both lungs suggest an infectious/inflammatory process.3. Cirrhotic liver morphology.4. Moderate abdominopelvic ascites. Anasarca. 5. No definite bowel wall thickening within limitation of noncontrast exam. |
Generate impression based on findings. | 65-year-old male with history of subdural drainage status-post craniotomy, presents with increased lethargy; assess for bleed, mass. There is diffuse granular artifact noted in this exam and additionally some motion artifact.Left frontoparietal craniotomy is identified. There is an ill-defined hypodensity in the subcor... | 1. No evidence for acute intracranial hemorrhage.2. Abnormal hypodensity in the left frontal lobe white matter is nonspecific, and may represent small vessel ischemic changes of indeterminate age. However, given the associated apparent decreased sulcal prominence in this location, this is not favored represent postoper... |
Generate impression based on findings. | 43-year-old male with history of squamous cell carcinoma of the right tonsil, completed 6/6 cycles. Evaluate for disease. Streak artifact from bullet fragments limits evaluation. Additionally, evaluation is limited secondary to patient's severe cachexia and anasarca.There is an irregular soft tissue enhancing mass cent... | 1. Slight interval decrease in size of the right palatine tonsil mass. 2. Stable to mildly decreased size of the reference cervical lymph nodes.3. Please refer to concurrent dedicated CT chest report for further details. |
Generate impression based on findings. | Female 81 years old; Reason: new left arm melanoma History: none CHEST:LUNGS AND PLEURA: There is a small to moderate right pleural effusion. Breathing motion degrades images, limiting evaluation of nodules. No definite nodule or mass detected.MEDIASTINUM AND HILA: The heart is enlarged. No definite mediastinal or hila... | 1.Two left axillary nodes, worrisome for metastatic disease.2.No intra-abdominal, or intrathoracic metastatic disease detected on this limited examination.3.Non specific colonic wall thickening. |
Generate impression based on findings. | 63-year-old female. NHL. Reevaluate and compare to previous. CHEST:LUNGS AND PLEURA: Mild right paramediastinal ground-glass opacity may represent atypical infection or drug reaction. No suspicious pulmonary nodule is evident.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.CHEST WALL: No axillary lymphade... | 1. No lymphadenopathy in the chest, abdomen, or pelvis.2. Right paramediastinal ground-glass opacity may represent atypical infection or a drug reaction.3. Unchanged appearance of mixed sclerotic/lytic lesion in the right iliac bone. |
Generate impression based on findings. | 66 year-old female. History of left renal cyst seen on US from outside hospital. Left flank pain. Evaluate for stone and characterize cyst. ABDOMEN:LUNG BASES: Calcified hilar lymph nodes. LIVER, BILIARY TRACT: Status post cholecystectomy. Unchanged dilatation of the CBD, likely related to prior cholecystectomy. No foc... | 1. No definite renal or ureteral mass. No nephrolithiasis or ureteral calculi.2. No left kidney cystic lesion on this CT to correlate to the cyst seen on OSH US. |
Generate impression based on findings. | Female 29 years old Reason: 29 yr old patient with leiomyosarcoma of the uterus s/p 16 cycles of Gemzar/Carboplatin. eval disease process compare to prior scan History: none CHEST:LUNGS AND PLEURA: The previously described pulmonary nodules appear grossly unchanged in size and morphology since the prior examination.MED... | 1.No evidence of recurrent disease or lymphadenopathy.2.Stable left adnexal fluid collection likely representing a lymphocele.3.Stable pulmonary nodules. |
Generate impression based on findings. | Reason: pt with lung ca s/p 1 cycle of chemo -> pneumonia-> hospitalization History: needs evaluation of disease status compare to outside films and comment CHEST:LUNGS AND PLEURA: Geographic area of mixed groundglass and solid opacity in the right upper lobe (image 31 series 5 measuring 3.6 cm x 1.9 cm .Interlobular s... | 1.Large mixed solid and groundglass lesion in the right upper lobe compatible with primary neoplasm. 2.Interlobular septal thickening ,multiple nodular opacities in her right lung , and mediastinal lymphadenopathy are compatible with metastatic disease.3.Bilateral pleural effusions increased in size compared to prior o... |
Generate impression based on findings. | 67-year-old male with right-sided chest pain, cough. Question of PE, pneumonia. PULMONARY ARTERIES: Technically adequate study. Interval resolution of previously visualized right lobar pulmonary emboli with one small right lower subsegmental artery demonstrating a filling defect which likely represents residual/chronic... | 1. Interval resolution right lobar pulmonary emboli with one right lower subsegmental artery demonstrating small residual/chronic embolus. 2. Enlarging pulmonary nodules and enlarging mediastinal lymph nodes compatible with progression of metastatic disease 3. Increasing size of hepatic metastases. |
Generate impression based on findings. | 40 year-old female. Abdominal pain and distention. Nausea, vomiting. Evaluate for SBO or kidney abnormality. Lack of intravenous contrast decreases sensitivity for detection of solid organ pathology. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hepatic dome lesion measures 2.1 x 3.1 cm (ser... | 1. Two hepatic lesions, highly suspicious for metastasis.2. Omental nodularity consistent with peritoneal carcinomatosis.3. Prominent pancreatic duct and biliary ductal dilatation, MRCP wwo contrast is recommended for further evaluation.4. Extensive thoracolumbar spine, pelvic, and proximal femoral bone metastasis. 5. ... |
Generate impression based on findings. | 6-year-old male with multiple recurrent TEF. Evaluate extensiveness of a recurrent TEF of right chest. LUNGS AND PLEURA: Extensive post surgical changes including right upper lobectomy and gastric pull up. Extensive right hemithorax volume loss. Dilated pre-anastomotic esophagus with air-fluid levels and debris. Again ... | Extensive postsurgical changes. Right lower lobe consolidation, bronchiectasis, and retained contrast compatible with fistulous communication and infection as seen on prior esophagram. There also appears to be a fistulous connection between a right middle lobe bronchus and the dilated esophagus. |
Generate impression based on findings. | 65 year old female. Reason: Stage IV endometrial Ca History: Baseline CT scan. Patient will start chemotherapy. CHEST:LUNGS AND PLEURA: Anteriorly loculated left pleural effusion. Percutaneous drainage catheter in the left anterior chest wall is located within the loculated effusion. Compressive left lung atelectasis. ... | Moderate ascites and loculated left pleural effusion. Percutaneous drain in left thorax fluid collection. No measurable solid metastases. |
Generate impression based on findings. | T2N2 SCC R tonsil p16+ s/p 2C IC with carbo/taxol and completed 5C TFHX on 8/9/13. There are findings related to radiation therapy to the right neck with stranding of the subcutaneous fat and thickening of the platysma. The oral cavity structures are partially obscured by streak artifact from dental amalgam. There is m... | Expected post-treatment findings without evidence of locoregional tumor recurrence and interval decrease in size of right level 2 and 3 lymph nodes, indicating treatment response. |
Generate impression based on findings. | 56 year old male. Relapsed diffuse large B-cell lymphoma. Reason: Hx of Refractory DLBCL History: s/p 2 cycles of chemotherapy. CHEST:LUNGS AND PLEURA: Right apical pleural masses have resolved or are much smaller since the prior exam. For reference purposes, the largest non-pleural-based lesion measures 0.4 x 0.6 cm (... | Bilateral adrenal metastases are smaller. Right apical pulmonary metastases are smaller.No new lesions. |
Generate impression based on findings. | Evaluate ILD. Shortness of breath and cough LUNGS AND PLEURA: Note is made of subpleural reticulation, traction bronchiectasis, architectural distortion and honeycombing, most pronounced in the posterobasilar segments of the lower lobes, appearing slightly increased when compared to the prior study, allowing for differ... | Interstitial fibrosis in a UIP pattern. Paraseptal emphysema raises the question of (CPFE) combined pulmonary fibrosis and emphysema. |
Generate impression based on findings. | 37-year-old male with no medical history presents with head heaviness. The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized p... | No evidence for acute intracranial abnormality. |
Generate impression based on findings. | 50 year old female. Reason: Recurrent peritoneal cancer currently receiving chemotherapy. Restaging evaluation. History: Rising tumor markers CHEST:LUNGS AND PLEURA: Mild left lower lobe volume loss. No effusions. MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Right sided venous access device is in ... | Moderate ascites. Hepatomegaly. Diffuse peritoneal and mesenteric nodularity. Soft tissue mass in the left upper quadrant displaces the sigmoid flexure. Partial small bowel obstruction persists since 7/5/2013, presumed due to peritoneal disease. Atrophy and scarring of the right kidney. Compensatory hypertrophy of the ... |
Generate impression based on findings. | Female 73 years old; Reason: hx of ascending aorta aneurysm and fusiform aneurysm of the descending thoracic aorta. History: 6 month surveillance CHEST:NECK BASE: Numerous thyroid nodules noted.LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: The ascending thoracic aorta is aneurysmally dilated ... | 1.Ascending and descending thoracic aorta aneurysm without dissection or rupture or hematoma2.Small liver lesion incompletely characterized on this examination. |
Generate impression based on findings. | 82-year-old female presents after a fall with altered mental status. There is no acute intracranial hemorrhage or depressed calvarial fracture. There is mild prominence of the ventricular system and sulci, consistent with age related cerebral volume loss. There is mild to moderate areas of patchy hypodensity in the per... | No evidence for acute intracranial hemorrhage. Mild to moderate small vessel ischemic disease of indeterminate age. |
Generate impression based on findings. | Reason: ischemic, hypoxic changes History: s/p cardiac arrest with 25mins downtime There is a diffuse loss of gray-white differentiation, and diffuse sulcal ef through the foramen magnum facement and at the lateral ventricles are compressed there there is foramen magnum herniation presentThe visualized portions of the ... | 1.Diffuse cerebral edema compatible with a diffuse cerebral anoxic injury . There is associated tonsillar herniation. |
Generate impression based on findings. | Reason: IPH History: enlarging IPH There is redemonstration of a 10-mm sized hyperdense focus in the right superior frontal gyrus which is unchanged when compared to the prior exam. There is a halo of surrounding hypodensity compatible with edema.Atherosclerotic calcifications are present along the distal internal caro... | 1.Redemonstration and no change in the right frontal lobe hemorrhage. |
Generate impression based on findings. | 68-year-old female with history of malignancy and shortness of breath. Evaluate for PE. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus.LUNGS AND PLEURA: Small nodular opacity in the right upper lobe is unchanged since CT from 7/16/2013 (image 110, series 8). Interval increase in le... | 1. No evidence of pulmonary embolus. 2. Right middle lobe and left lower lobe consolidation/fibrosis. 3. New fluid collection/mass near the distal pancreas and abutting the stomach which may be of pancreatic origin. |
Generate impression based on findings. | Evaluate for fracture or bleed; 2 month old that fell off bed from height of approximately 4 feet; No LOC There is a non-depressed left parietal calvarial fracture that is oriented nearly parallel to the coronal plane, extending form the left lambdoid suture to the sagittal suture. There is a hyperattenuating left fron... | Non-depressed left parietal bone fracture with a left frontoparietal convexity acute subdural hematoma measuring up to 3 mm in thickness. No midline shift or intraparenchymal hematoma. |
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