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Generate impression based on findings. | 62-year-old male with pain and vomiting. Evaluate for small bowel obstruction. ABDOMEN:The lack of intravenous contrast limits evaluation of the abdominal solid organs.LUNG BASES: No airspace consolidation. No pleural effusion. Note is made of mediastinal lipomatosis.LIVER, BILIARY TRACT: No focal hepatic lesion. No in... | Gallstones in a markedly enlarged gallbladder with questionable wall thickening. In the appropriate clinical setting, this is compatible with acute cholecystitis. |
Generate impression based on findings. | 79-year-old female status post fall, rule out intracranial abnormality No acute intracranial hemorrhage is identified. No abnormal mass lesions are appreciated intracranially. No edema is identified within the brain parenchyma. There is no midline shift. No depressed calvarial fracture is seen.There is prominence of th... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Periventricular and subcortical white matter changes of a mild to moderate degree are nonspecific. At this age they are most likely vascular related. They are relatively stable compared to prior exam3.CT is insensitive for the early detection of non... |
Generate impression based on findings. | 83-year-old male with abdominal pain, rule out renal stone. ABDOMEN: LUNG BASES: Small pleural effusions, right greater than left, with associated compressive atelectasis are almost completely resolved since the prior exam. Mild cardiomegaly.LIVER, BILIARY TRACT: Limited by non-contrast exam. No focal hepatic lesions. ... | 1.No evidence of mesenteric ischemia or other process to explain the patient's symptoms was found on this exam or the prior CTA exam.2.Small bilateral pleural effusions, right greater than left, with associated compressive atelectasis have decreased since the prior exam.3.No renal stone. No hydronephrosis. |
Generate impression based on findings. | Reason: eval for infection History: h/o pneumonia, AML, fungal sinusitis. Please eval for infx LUNGS AND PLEURA: Previously seen groundglass opacities have nearly resolved.Basilar atelectasis and small effusions right larger than left are still present on the right equivocally larger the left smaller than before.There ... | Small effusions and basilar atelectasis the resolution prior groundglass abnormalities. Significant worsening of lymphadenopathy and new ascites. |
Generate impression based on findings. | 56 yo female with pmhx with metastatic melanoma with metastases to brain status post whole brain radiation in July presents with left leg weakness X 1 wk (worse) now unable to walk, no pain currently in leg, also is speaking more slowly, but not confused. There are postoperative findings related to right pterional cran... | 1. Multiple hemorrhagic brain metastases with associated vasogenic edema. Notably, a right cerebellar hemisphere metastases has markedly increased in size since June 2013 secondary to interval hemorrhage with marked surrounding vasogenic edema. Nevertheless, herniation and midline shift are absent. Note that precise co... |
Generate impression based on findings. | Reason: eval- Hx of PE History: SOB PULMONARY ARTERIES: No evidence of pulmonary embolus the main, right and left pulmonary arteries remain normal in size.LUNGS AND PLEURA: Small right pleural effusion and, not significantly changed from prior.Previously described nodular opacities and scattered foci of consolidation h... | No pulmonary embolus. Lower zone predominant ground glass persists along with small right pleural effusion, suggestive of pulmonary edema.Patchy foci of consolidation have slightly increased in the right middle lobe but have decreased elsewhere. This is suspicious for superimposed infection. Consider bronchial lavage. |
Generate impression based on findings. | Male 49 years old Reason: bowel ischemia History: incarcerated ventral hernia 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 notedKIDNEY... | CT UPPER ABD AND PELVIS W 9/9/2013 5:39 PMCLINICAL INFORMATION:Male 49 years old. Reason: Bowel ischemia History: Incarcerated ventral herniaTECHNIQUE: 4-mm CT axial scans of the abdomen and pelvis were obtained following oral and intravenous administration of contrast without immediate complication. Delayed contrast e... |
Generate impression based on findings. | Reason: PT with recurrent HNC please eval for metastatic dz prior to starting treatment History: as above LUNGS AND PLEURA: New focal consolidation fracture the left lower lobe and lingula, possibly related to aspiration. There is no evidence for a pulmonary or pleural metastases. Unchanged pulmonary micronodules are p... | No evidence of metastases. Focal consolidation left lower lung zone may be from aspiration. |
Generate impression based on findings. | 61 year old female. History of nephrolithiasis presenting with flank pain. Evaluate for zone. ABDOMEN:The lack of oral and IV contrast limits evaluation of the abdominal solid organs and the bowel.LUNG BASES: Left lower lobe airspace opacities with tree in bud morphology suggestive of aspiration.LIVER, BILIARY TRACT: N... | 1. No nephrolithiasis or ureterolithiasis as clinically queried.2. Moderate to large volume of stool in the colon compatible with constipation.3. Left lower lobe tree in bud airspace opacities suggestive of aspiration. |
Generate impression based on findings. | 51 year old male. Intermittent abdominal pain and near-syncope. Evaluate for aneurysm. The lack of oral contrast limits evaluation of the bowel. The phase of the intravenous contrast limits evaluation of the abdominal solid organs. Exam was protocoled to evaluate the arterial system.CT angiography:The abdominal aorta a... | 1. Normal CT angiography examination of the abdomen and pelvis. No evidence of aneurysm as clinically queried. No additional findings to suggest an etiology of the patient's abdominal pain. |
Generate impression based on findings. | 19 year old female. Reason: Abscess History: Fever, tachycardia 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: Bi... | Findings compatible with bilateral pyelonephritis. No hydronephrosis. No abscess. |
Generate impression based on findings. | 19 year-old female with history of pancreatitis, abdominal pain, and fever. ABDOMEN:LUNG BASES: Trace dependent basilar subsegmental atelectasis.LIVER, BILIARY TRACT: No focal hepatic lesion. Pneumobilia appearing similar to the prior study may be related to recent procedure. The gallbladder is upper limit of normal in... | 1. Necrotizing pancreatitis involving approximately 20% of the pancreas. Complex cystic fluid collection in the head of the pancreas compatible with necrosis is mildly decreased in size compared to prior.2. Gallbladder wall thickening and pericholecystic fluid appear similar to the prior exam. This is likely related to... |
Generate impression based on findings. | 67-year-old female with abdominal pain. Reason: evaluate for abdominal pathology or stone History: back pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter hepatic hypodensities are unchanged. Mild intrahepatic biliary ductal dilatation with prominent common bile duct appears si... | 1.Nonspecific bowel wall thickening and dilatation involving multiple small bowel loops appears similar to the prior exam.2.Moderate thickening of the ascending colon has decreased.3.Moderate abdominopelvic ascites is unchanged.4.Stable cystic lesion in the pancreatic tail.5.No other significant interval change. No acu... |
Generate impression based on findings. | Female 58 years old. Reason: large bowel obstruction History: rectal pain, abdominal pain, s/p colon resection w/ primary anastomosis ABDOMEN:LUNG BASES: No significant abnormality noted LIVER, BILIARY TRACT: There is no evidence of intrahepatic biliary ductal dilatation or focal mass lesion. The hepatic vasculature ap... | 1.Postsurgical changes consistent with sigmoidectomy with a colocolonic anastomosis. There associated narrowing at the anastomotic site with a small amount of free fluid in the dependent pelvis.2.Left adnexal fluid collection which may represent an ovarian cyst, lymphocele, seroma or abscess. This lesion could be bette... |
Generate impression based on findings. | Status post fall. There is no definite evidence of acute intracranial hemorrhage, mass, or skull fracture. There are punctate non-specific calcifications within the bilateral posterior occipital lobes. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There... | 1. No definite evidence of acute intracranial hemorrhage, mass, or skull fracture. 2. Focal hypodensity within the right thalamus may represent an infarct of indeterminate age. Non-contrast CT is not sensitive for acute infarction and MRI is recommended for further evaluation.3. Left sphenoid sinus air-fluid level may ... |
Generate impression based on findings. | Reason: eval SAH History: SAH, headache 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 encephalomalacia. The adjacent temporal horn of the lateral v... | 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. Given the stabilit... |
Generate impression based on findings. | Female 34 years old. Reason: appendicitis? History: periumbilical pain, rebound ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is no evidence of intrahepatic biliary ductal dilatation or focal mass lesion. The hepatic vasculature appears patent and there is no evidence of cholelithiasis... | 1.No clear etiology found to explain the patient's symptomatology.2.Ventriculoperitoneal shunt catheter, IVC and IUD in place. |
Generate impression based on findings. | Reason: assess infiltrates on CXR History: fever , hx MAI, infiltrates on CXR s/p SCT LUNGS AND PLEURA: While small pleural effusions and dependent atelectasis has nearly resolved since the prior study, previously improved interlobular septal thickening, bronchial wall thickening and tree in opacities have returned nea... | Recurrent right base predominant interstitial opacities consisting of interlobular septal thickening, tree in bud opacities and patchy consolidation, findings which are consistent with recurrent infection or aspiration. Bronchial wall thickening and tree in bud opacities to raise the question of chronic graft-versus-ho... |
Generate impression based on findings. | 56-year-old male with history of relapsed DLBCL of the right shoulder, right tongue, and right vocal cord treated with IFRT completed in July 2012, as well as temsirolimus/lenalidomide study. There has been interval decrease in size of the incompletely imaged ill-defined mass within the right posterior triangle of the ... | 1. Interval decrease in size of the right posterior triangle and supraclavicular fossa mass with development of central necrosis, indicating treatment response. 2. Persistent edema of epiglottis, aryepiglottic folds, and preepiglottic space related to radiation therapy. No evidence of locoregional disease in the tongue... |
Generate impression based on findings. | 66 year old female. History of hepatocellular carcinoma, nonhealing wound, and abdominal pain. Evaluate hepatocellular carcinoma, nonhealing wound, fluid collection, or other intra-abdominal process. ABDOMEN:LUNG BASES: Trace dependent basilar subsegmental atelectasis and trace bilateral pleural effusions.LIVER, BILIAR... | 1. Postsurgical changes from partial right hepatectomy. There is increased fluid in the resection bed and upper abdomen compared to prior, however no discrete loculated collection is identified.2. Hypodense focus in the left lobe of the liver compatible with hepatocellular carcinoma as described.3. Portal vein thrombos... |
Generate impression based on findings. | Reason: 63 yo F with h/o DM, HTN, smoking h/o, previous CT in 2008 with 5-mm RUL nodule, f/u nodule and r/o lung CA. History: asymp LUNGS AND PLEURA: Previously seen 6-mm right upper lobe subpleural nodule image 19 series 80253 is essentially unchanged.Other benign appearing micronodules are stable.There is mild centri... | Benign appearing micronodules, none requiring further CT follow-up at this time. No other abnormality noted. |
Generate impression based on findings. | Male 93 years old. Reason: r/o obstruction/mass History: constipation ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is no evidence of intrahepatic biliary ductal dilatation and the hepatic vasculature appears patent. There is a single nonenhancing, hypodense foci in segment 7, likely r... | 1.No clear etiology found to explain the patient's symptomatology.2.Atherosclerotic disease of the abdominal aorta and its branches.3.Degenerative changes seen in the thoracic and lumbar spine as well as pelvis. |
Generate impression based on findings. | 66-year-old male with history of epistaxis, recent facial swelling, history of base of tongue cancer There is mild skin thickening and stranding of the underlying subcutaneous fat of the left cheek. There are no fluid collections to suggest abscess. There are postoperative findings related to right neck dissection, rig... | 1. Mild skin thickening and stranding of the underlying subcutaneous fat of the left cheek may represent cellulitis without evidence of abscess.2. Interval increase in size of a left level 5 lymph node, now measuring up to 12 mm in short axis may be reactive in nature.3. Stable postoperative findings in the right neck ... |
Generate impression based on findings. | Male 54 years old Reason: hx of bladder cancer s/p radical cystoprostatectomy, evaluate for mets. CT urogram with delayed imaging History: none ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is no evidence of intrahepatic biliary ductal dilatation or focal mass lesion. The hepatic vascu... | 1.No definite evidence of recurrent or metastatic disease.2.Stable slightly prominent inguinal lymph nodes. |
Generate impression based on findings. | 55-year-old female with history of pseudomyxoma peritonei s/p debulking in Feb 2013. Evaluate for interval change. CHEST:LUNGS AND PLEURA: Stable calcified right upper lobe granuloma.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Right-sided venous access device is in expected position.ABDOMEN:LIVER... | Stable disease with no change in the left upper and lower quadrant fluid/soft tissue density and stable size of the pelvic peritoneal deposit. |
Generate impression based on findings. | Female 65 years old Reason: pancreatic cancer surveillance scan History: none CHEST:LUNGS AND PLEURA: Postsurgical changes are again noted in the right lower lobe consistent with a right lower lobe wedge resection. Soft tissue density is again seen adjacent to the suture line, which appears stable since the prior exami... | 1.Interval development of left sided intrahepatic biliary ductal dilatation, which may be the result of a hilar mass versus biliary stricture.2.Equivocal hypodense mass seen at the level of the biliary hilum concerning for possible metastatic disease. Consider liver MRI/MRCP to further and better characterize this lesi... |
Generate impression based on findings. | 68 year old history of right peri-auricular mass, HIV, hepatitis C. The images are partially degraded by patient motion. There is no interval change in the well-defined bilobed cystic mass with minimal rim enhancement that measures 15 AP x 10 RL x 18 SI mm. There is also no interval change in the hyperattenuated nodula... | 1. No interval change in the well-defined bilobed cystic mass with minimal rim enhancement that measures up to 18 mm within the superficial right parotid gland and the hyperattenuated nodular lesion in the deep lobe of the right parotid gland that measures up to 11 mm. Differential considerations for these lesions incl... |
Generate impression based on findings. | Reason: intracranial abn? History: interval worsening of migraine HA, on multiple immunemodulating drugs for crohn's, JC virus carrier 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 ... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | CVA. Other malaise and fatigue. Carotid artery disease The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a moderate degree are present.Atherosclerotic calcifications are present along the distal internal carotid arteries.No a... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. 3.CT is insensitive for the early detection of nonhemorrhagic CVA4.Examination is stable since the prior exam |
Generate impression based on findings. | 46 year old male with fever and green sputum s/p SCT. There are no obstructive lesions or masses within the nasal cavity. No bony erosive changes are seen. There is mild rightward deviation of the nasal septum. Frontal sinuses: Clear.Maxillary sinuses: There is mild bilateral mucosal thickening and retention cyst forma... | Interval increase in ethmoid air cell opacification and maxillary sinus mucosal thickening. These findings are compatible with acute sinusitis in the appropriate clinical setting. |
Generate impression based on findings. | Male 70 years old; Reason: metastatic prostate cancer, evaluation of disease after 8 cycles of investigational therapy. History: metastatic prostate cancer CHEST:LUNGS AND PLEURA: Upper lobe predominant centrilobular emphysematous changes. No new suspicious lung lesions.The pleural spaces are clear. Central airways are... | Stable reference lesions in the chest, abdomen and pelvis.No new lesions. |
Generate impression based on findings. | History of urothelial cancer. Evaluate for recurrence. CHEST:LUNGS AND PLEURA: Unchanged apical scarring. Scattered nonspecific pulmonary micronodules and calcified granulomas. The previously noted left apical nodular thickening/scarring is unchanged measuring 6 mm in length (series 6 image 17). No additional suspiciou... | 1. Postsurgical changes without evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 65 year old male. Reason: History of high risk localized prostate cancer, rising PSA. Assess for extent of disease ABDOMEN:LUNG BASES: No nodules. Coronary artery calcifications. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADREN... | No measurable metastatic disease. No lymphadenopathy. |
Generate impression based on findings. | Reason: please compare to previous CT scan on 5/4/13. 2 right lesions. SUPEr D PROTOCOL History: none LUNGS AND PLEURA: Continued decrease in right upper lobe opacity consistent with atelectasis and scarring secondary to previous pneumonia.Part solid approximately 10 mm right lower lobe nodule contiguous with the major... | 1. Part solid 10-mm right lower lobe nodule with slightly increased density since 3/15/2013, highly suspicious for primary adenocarcinoma. 2. Additional small solid and nonsolid nodules are unchanged, but further follow-up is recommended to confirm continued stability.3. Resolving right upper lobe pneumonia with residu... |
Generate impression based on findings. | 30 year-old female with arm pain and numbness, evaluate for cervical disk disease, herniation, stenosis. The cervical vertebral bodies are appropriate in overall alignment and height. No fractures or subluxations are identified in the cervical spine. There is no significant compromise to the spinal canal or neural fora... | 1.No CT evidence in the cervical spine to explain right arm pain or numbness.2.Diffusely thickened thyroid gland with area of hypodensity in the left lobe as described above. Recommend correlation with thyroid function tests, and may consider ultrasound for further characterization if clinically warranted. |
Generate impression based on findings. | Reason: Pt with hx of BOT ca s/p CRt 8/2010 please re-eval and compare History: as above CHEST:LUNGS AND PLEURA: Stable scattered nonspecific micronodules.No new suspicious pulmonary nodules or masses.Left basilar scarring, unchanged.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy.Cardiac size is normal w... | Stable exam without evidence of metastatic disease. |
Generate impression based on findings. | Male 63 years old Reason: Hx Stage 4 SCC, r/o metastases History: Abdominal pain, weight loss CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: The patient is status post gastric pull up. There has been interval development of a slightly prominent right hilar lymph node, which measures 1.3 x... | 1.Peripancreatic lymphadenopathy encasing the celiac axis, SMV, splenic vein, head of the pancreas and SMA, which appears to extend superiorly across the diaphragm. This lesion is highly concerning for metastatic disease.2.Slightly prominent right hilar lymph node uncertain significance. |
Generate impression based on findings. | 72 year-old female with a history of head and neck cancer. Status post chemoradiation therapy. Follow-up examination. CHEST:LUNGS AND PLEURA: Right apical scarring/atelectasis, unchanged.Scattered micronodules are unchanged. No new or suspicious pulmonary nodules or masses.Mild linear basilar scarring is present.Calcif... | No evidence of metastatic disease. No interval change. |
Generate impression based on findings. | 83 year old female. Reason: stone History: abd pain ABDOMEN:LUNG BASES: Atelectasis or scar at both lung bases. Mild cardiomegaly. No acute infiltrates or effusions.LIVER, BILIARY TRACT: Multiple circumscribed hepatic hypodensities may be due to cysts. The cannot be adequately characterized on a noncontrast examination... | Partial small bowel obstruction with transition in the mid ileum. No renal stone. No hydronephrosis. |
Generate impression based on findings. | History of melanoma. Interval follow up exam. CHEST:LUNGS AND PLEURA: Ill-defined scarlike opacity in the anterior aspect of the left upper lobe is not significantly changed compared to prior (series 5 image 33). The irregular morphology makes precise repeatable measurement difficult.No additional dominant or suspiciou... | No interval change or evidence of metastatic disease. |
Generate impression based on findings. | Reason: rule out basilar thrombosis History: unresponsive Neck CTA: There is a narrowing of the aorta with associated poststenotic dilation of the aorta to approximately 42 mm with proximal to this the aorta measures approximately 20 mm.The origins of the great vessels from the aortic arch are not includedThere is 50% ... | 1.Findings are compatible with occlusion at the distal left internal carotid artery associated with very poor leptomeningeal collateralization to the left the middle cerebral artery territory.2.There is nonopacification of some of the distal left anterior cerebral artery branches suggesting occlusion of the branches of... |
Generate impression based on findings. | Rhabdomyosarcoma of perineum LUNGS AND PLEURA: No focal lung opacity is identified. No pleural effusion is seen.MEDIASTINUM AND HILA: The blood pool is less dense than the ventricular septum. The heart size is normal.CHEST WALL: Left-sided vascular access device has its tip in right atrium.UPPER ABDOMEN: The superior a... | No evidence of pulmonary metastatic disease. Anemia. |
Generate impression based on findings. | 74-year-old male. Reason: s/p cystectomy with ileal conduit c/b by ureteral injury. now with distended loops of bowel on XR. Evaluate for ileus, bowel obstruction, etc. ABDOMEN:Lack of intravenous contrast limits evaluation of visceral abdominal organs.LUNG BASES: Moderate right pleural effusion with compressive atelec... | 1.Ascites and anasarca without loculated fluid collection.2.Bilateral pleural effusions are smaller.3.Midline abdominopelvic wound and post-op changes from cystectomy and ileal loop creation. 4. Partial large bowel obstruction due to constipation, especially rectal impacted stool. |
Generate impression based on findings. | T4aNX left BOT SCC, s/p cycle 5/5 TFHX, which was completed on 9/28/12. Streak artifact related to dental amalgam obscures surrounding structures. There are stable post-treatment findings related to radiation therapy, including heterogeneous enhancement and edema in the left parapharyngeal space, retropharyngeal space,... | Stable post-treatment findings without evidence of locoregional tumor recurrence or significant cervical lymphadenopathy. |
Generate impression based on findings. | 75-year-old male. Reason: Hx of Bladder Cancer s/p cystectomy with ileal conduit. Eval for recurrent/metastatic disease ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No focal lesions are noted. No biliary ductal dilatation. SPLEEN: No significant abnormality notedPANCREAS: No significant abn... | 1.No evidence of bowel obstruction.2.Omental fat stranding in the lower abdomen is stable, representing either omental infarction or inflammation.3.Loculated fluid collection in the right lower pelvis is stable. 4.Enlarged left paraortic node is stable. |
Generate impression based on findings. | 61 year-old male. Reason: Infection. History: abd pain and back pain. ABDOMEN:LUNG BASES: Stable benign micronodules along the pulmonary fissures. LIVER, BILIARY TRACT: Normal hepatic contour. Area of hypoattenuation in segment 4 of the liver likely regional fatty infiltration. Patent hepatic vasculature.SPLEEN: No sig... | 1. The kidneys enhance symmetrically without CT evidence of pyelonephritis. No evident renal abscess or perinephric fluid collection.2. Bladder wall thickening and suprapubic tube are unchanged, suspicious for chronic cystitis.3. Extensive postsurgical changes of the posterior lumbar spine. Soft tissue thickening poste... |
Generate impression based on findings. | 63-year-old female with history of metastatic bladder cancer. Baseline scan prior to starting systemic therapy. CHEST:LUNGS AND PLEURA: Lung nodules are stable to increased in size. Left lower lobe reference nodule (series 4, image 63) measures 1.7 x 1.5 cm, stable. Left upper lobe apical lung mass measures 2.2 x 2.2 c... | 1. Increasing number and size of pulmonary parenchymal metastatic lesions. 2. Status post right nephrectomy with no evidence of recurrent tumor in surgical bed.3. New left paraaortic enlarged node. |
Generate impression based on findings. | 35 year old male. Rectal carcinoma. Reason: met crc - restaging CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Status post right hepatectomySPLEEN: Splenomegaly. The spleen measures 1... | Stable examination |
Generate impression based on findings. | Reason: r/o CAD History: dyslipidemia Calcium Score: ZeroCoronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and bifurcates into the left anterior descending and left circumflex coronary arteries. There are no significant stenoses present in the left main.LAD: The left a... | 1. Visualization of the distal coronary arteries is limited due to lack of vasodilation. However, no significant stenosis of the visualized segments is noted.2. Total Calcium score is zero.3. Left dominant system. |
Generate impression based on findings. | Reason: r/o nph History: ataxia The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a moderate degree are present. These were also present on the prior exam Atherosclerotic calcifications are present along the distal internal c... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. These are stable when compared to prior exam3.CT is insensitive for early detection of nonhemorrhagic CVA4.the ... |
Generate impression based on findings. | Reason: Pt with hx of BOT ca s/p CRt 8/2010 please re-eval and compare History: as above CT neck:Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated.... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.No evidence for brain metastases. |
Generate impression based on findings. | Reason: History of metastatic hemangioendothelioma. Evaluate for extent of disease History: History of metastatic hemangioendothelioma. Evaluate for extent of disease CHEST:LUNGS AND PLEURA: Mucous stranding is noted within the central trachea.Multiple pulmonary nodules, many of which are calcified, not significantly c... | 1. Stable size and number of pulmonary metastases, many of which are calcified.2. No mediastinal or hilar lymphadenopathy.3. Ill-defined low density lesion within the inferior aspect of the right hepatic lobe measuring approximately 1.5 x 1.6 cm. This area has not been imaged in the past and may represent a metastasis.... |
Generate impression based on findings. | Male 73 years old; Reason: bladder cancer History: Staging 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: 1 cm left adrenal nodule measuring -20 Hounsfield un... | 1.Patient status post cystoprostatectomy with ileal conduit. No evident metastatic disease detected. |
Generate impression based on findings. | Male 68 years old; Reason: evaluate for renal mass recurrence History: Renal cell CA ABDOMEN:LUNGS BASES: Lung bases are clear without nodule or mass. LIVER, BILIARY TRACT: The liver is normal in morphology. Patient is status post cholecystectomy with intrahepatic and mild extrahepatic biliary ductal dilatation. A few ... | 1.Post-surgical changes and a small, non-specific cystic lesion in the surgery bed. Follow-up imaging is recommended. |
Generate impression based on findings. | 37 year old male. Reason: New episode of diverticulitis; please evaluate for changes and or abnormalities. History: Abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality noted... | Sigmoid diverticulitis without abscess or perforation. Prominent periportal lymph nodes. |
Generate impression based on findings. | Status post chemo + re-irradiation of SCCA of oropharynx after laryngopharyngectomy and tubed radial forearm free flap in 10/2011. He has had esophageal stenosis requiring multiple dilation. There is are extensive postsurgical findings related to laryngopharyngectomy with flap reconstruction and tracheostomy with voice... | Extensive post-treatment findings without definite evidence of locoregional tumor recurrence or significant cervical lymphadenopathy. |
Generate impression based on findings. | 19 year-old female with Hodgkin lymphoma The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure is unremarkable. A previously measured reference level IV node now measures 11 x 6 mm (series 5, image 63), previously 15 x 8 mm. There is no clinically... | A previously measured reference level IV node now measures 11 x 6 mm (series 5, image 63), previously 15 x 8 mm. There is no clinically significant lymphadenopathy or mass is noted in the neck otherwise. |
Generate impression based on findings. | History of bladder cancer. Evaluate for recurrence or metastatic disease. ABDOMEN:LUNG BASES: Unchanged nonspecific right lower lobe nodule. No new suspicious or dominant pulmonary nodule. No air space opacity, pleural effusion, or visualized thorax.LIVER, BILIARY TRACT: Diffusely decreased parenchymal attenuation comp... | Stable examination without specific evidence of local recurrence or metastatic disease. |
Generate impression based on findings. | 69 year-old female with discharge and swelling of the left big toe. Evaluate for osteomyelitis or fracture. Ulceration of the distal soft tissues of the left great toe is again noted with foci of gas extending to the underlying distal tuft of the great toe. There is cortical irregularity along the distal tuft of the gr... | Findings compatible with osteomyelitis of the distal tuft of the great toe as described above. |
Generate impression based on findings. | 19 year-old female with Hodgkin's lymphoma. Evaluate disease. CHEST:LUNGS AND PLEURA: Right anterior paramediastinal adjacent to the right anterior mediastinal soft tissue mass. No new or suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Confluent anterior mediastinal and prevascular ly... | 1.Interval decrease in size of anterior mediastinal, left subpectoral, and right supraclavicular lymph nodes.2.No lymphadenopathy in the abdomen or pelvis. 3.Round hypoattenuating focus in the floor of the right atrium, new compared to outside CT and thus unlikely to be an atrial myxoma. This would be an unusual locati... |
Generate impression based on findings. | 74-year-old male. Reason: met CRC restaging CHEST:LUNGS AND PLEURA: Reference right lower lobe nodule, series 5 image 56, 1.3 x 1.3 cm. Reference left lower lobe nodule in the left costophrenic angle may be accentuated in size to the new atelectasis in the left base. Its measurement is therefore not reliable. Estimated... | No new sites of disease. Index lesions are stable to increased in size, especially in the liver. Stable fat stranding and fluid around the left kidney. Other findings unchanged. |
Generate impression based on findings. | Female 92 years old Reason: pancreatitis History: abd pain ABDOMEN:LUNG BASES: Is referred to CT 6/28/13. Redemonstration of extensive right lower lobe consolidation and less so left lower lobe consolidation, left lower lobe bronchiectasis mucous plugging.LIVER, BILIARY TRACT: Few punctate small hypodensities likely be... | No CT signs of bowel obstruction or acute pancreatitis. Small well demarcated cystic lesion in tail of pancreas. Favor IPMN.Chronic changes in the lung bases as described. Correlate for possibility of pneumonia. Also refer to prior chest CT report from 6/20/13.I personally reviewed the Images and/or procedure with the ... |
Generate impression based on findings. | 75-year-old male which history of bladder cancer. Restaging scan status post surgery and immunotherapy. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Stable nonenlarged mediastinal lymph nodes. Calcified mediastinal and hilar lymph nodes consistent with prior granulomatous disease. Coron... | 1. Stable postsurgical changes of the cystoprostatectomy with right lower quadrant ileal conduit. 2. No evidence of metastatic disease in the chest, abdomen, or pelvis. No upper tract lesion3. No solid renal lesion. Bilateral renal cysts including benign complex cyst right kidney. 4. Stable subcentimeter renal lesions ... |
Generate impression based on findings. | Female 46 years old Reason: obstruction, possible gtube dyxfxnb History: acute abdomen ABDOMEN:LUNG BASES: There is right basilar consolidation versus atelectasis.LIVER, BILIARY TRACT: There is no evidence of intrahepatic biliary ductal dilatation or hepatic vasculature appears patent. There is are small calcified gall... | 1.Large left sided subcutaneous fluid collection, which appears to communicate with the periphery of the G-tube tract extending into the gastric lumen. Consider fluoroscopic gastrostomy tube study to further and better characterize the nature of this communication as clinically warranted.2.Loculated pelvic fluid collec... |
Generate impression based on findings. | 58 year old female. Reason: colon cancer T3N1, s/p adjuvant chemotherapy, please evaluate for disease. ABDOMEN:LUNG BASES: Transvenous pacemaker lead in RV apex. No infiltrates, nodules or effusions. LIVER, BILIARY TRACT: No significant abnormality noted. Calcified granulomata. SPLEEN: No significant abnormality noted.... | No measurable metastatic disease. |
Generate impression based on findings. | 69 year old male. Reason: ESRD s/p DDRT 2010, c/b rejection, BK nephropathy, now pre admission for transplant nephrectomy. History: evaluate graft kidney. ABDOMEN:LUNG BASES: Coronary artery calcification. Metallic valve annulus calcification. Mild cardiomegaly. No infiltrates, nodules or effusions.LIVER, BILIARY TRACT... | Atrophic native kidneys. Nonfunctional renal transplant in the right lower quadrant. |
Generate impression based on findings. | History pancreatic cancer status post Whipple and chemotherapy. Normal follow-up exam. CHEST:LUNGS AND PLEURA: No dominant or suspicious pulmonary nodule.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart is normal in size. No pericardial effusion.CHEST WALL: Chest port with tip at the cavoatrial junc... | Postsurgical changes from whipple procedure with slightly more prominent soft tissue density as described. This is likely postsurgical in etiology. Continued interval follow-up is recommended. |
Generate impression based on findings. | Reason: hx recurrent FOM cancer, s/p CRT; please evaluate for evidence of disease History: for comparison to previous exams LUNGS AND PLEURA: No new suspicious pulmonary nodules or pleural effusions.Basilar reticular opacities of subsegmental atelectasis, unchanged.MEDIASTINUM AND HILA: Low density lesions within the l... | No evidence of metastatic disease. |
Generate impression based on findings. | Right gingival/mouth cancer s/p reconstruction & chemo/RT. There are extensive postsurgical findings related to partial right hemimandibulectomy with sideplate and screw fixation and graft augmentation. There is an unchanged fracture of the sideplate. There is unchanged deformity of the left mandibular condyle, which i... | 1. Extensive postsurgical findings in the neck without definite evidence of locoregional tumor recurrence or significant lymphadenopathy.2. Unchanged right mandibular plate fracture with anteromedial dislocation of the left mandibular condyle.Discussed with Dr. Portugal at 3:00 PM on 9/10/13. |
Generate impression based on findings. | 83-year-old male with carotid stenosis by duplex, history of CVA status post CEA in 2002. Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is moderate atherosclerotic disease of the thoracic aorta. The origin of great vessels from... | 1.Stenosis at the left carotid bifurcation of approximately 80%. No significant stenosis of the right carotid bifurcation.2.No evidence for aneurysm.3.No evidence for cervicocerebral occlusive disease4.No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | 60 year-old male with history of piriform sinus carcinoma and esophageal stenosis. Follow up examination. CHEST:LUNGS AND PLEURA: Scattered stable diffuse pulmonary micro-nodules and calcified granulomata. No new or suspicious pulmonary nodules or masses. Marked centrilobular emphysema with an upper lobe predominance. ... | Stable bilateral pulmonary nodules with underlying severe emphysema and no new or suspicious lesions to suggest metastatic disease |
Generate impression based on findings. | History of left parotid cancer with neck pain. Also history of arthritis. Head: There is no intracranial mass, fluid collection or focus of pathologic enhancement. There is no CT evidence of acute ischemia or hydrocephalus. The midline is intact. There is no bony abnormality and with the exception of some mild ethmoid ... | Postoperative changes within the left parotid space and overlying soft tissue representing expected post parotidectomy change without findings suggesting recurrence. Mild degenerative changes of the cervical spine. |
Generate impression based on findings. | Reason: s/p CRT in 2008 for larynx cancer. Then had lung primary and s/p surgery. please re-eval and compare to prior scans History: as above CHEST:LUNGS AND PLEURA: Stable, extensive centrilobular and paraseptal emphysema. Post surgical changes in the right middle lobe and along the left major fissure are unchanged. N... | No evidence of pulmonary metastases.Nonspecific 3 to 4 millimeter micronodule anteromedial basal segment left lower lobe may be post inflammatory. No mediastinal or hilar lymphadenopathy. |
Generate impression based on findings. | Female 33 years old. Reason: Hx of Hodgkin's Lymphoma. History: s/p 5 cycles. CHEST:LUNGS AND PLEURA: Left upper lobe subpleural nodule measures 7 mm on image 40/series 6. Interval resolution of numerous bilateral centrilobular pulmonary nodules seen on the prior exam. No new nodules.MEDIASTINUM AND HILA: Heart size is... | 1.Decreased mediastinal lymphadenopathy and stable left lower lobe pulmonary nodule.2.Interval resolution of multiple bilateral centrilobular pulmonary nodules. 3.Most of the foci with increased activity on today's PET scan have no radiological correlate. One exception is the anterior margin of the left iliac wing. |
Generate impression based on findings. | Reason: Hx of Hodgkin's Lymphoma History: s/p 5 cycles of chemotherapy There is a 21 x 10 mm nodule posterolateral to the left jugular vein at the level of the clavicle which remains stable when compared to the prior exams are previously noted lymphadenopathy elsewhere has regressed. Bilateral level 4 lymph nodes on th... | 1.Previously noted lymphadenopathy has regressed. A left lower jugular chain lymph nodule remain stable through all the exams and is not associated with any uptake on PET scan.2.Stable lytic lesion seen in the cervical spine at C5 and C2 |
Generate impression based on findings. | Male 32 years old. Reason: Re-evaluate disease status following additional systemic therapy. Compare to previous scan and provide bi-dimensional measurements. History: Ocular melanoma CHEST:LUNGS AND PLEURA: No dominant pulmonary lesions. The pleural spaces are clear. MEDIASTINUM AND HILA: No significant abnormality no... | Extensive hepatic, peritoneal, mesenteric and possible small bowel involvement of tumor.Masses have increased in size since the prior exam. |
Generate impression based on findings. | 62-year-old male with history of lymphoma and most recently bladder cancer, status post radical cystectomy with ileal conduit and status post chemotherapy. Reason: bladder cancer, locally advanced, status post chemo and resection. NED presently, surveillance. CHEST:LUNGS AND PLEURA: No significant abnormality noted. No... | 1. Stable examination. Status post cystectomy with expected appearance of ileal conduit neobladder. 2. No evidence of recurrent or residual tumor. 3. Normal chest examination without evidence of lymphadenopathy, nodules or infiltrates. |
Generate impression based on findings. | Male 77 years old Reason: please evaluate for upper urinary tract pathology History: patient with hematuria. has had negative cystoscopy ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: A few scattered nonspecific hypoattenuating lesions too small to characterize likely cysts.SPLEEN: No signifi... | Mild bilaterally symmetric perinephric fat stranding of uncertain significance. Correlate for bilateral pyelonephritis. Two small nonspecific hypoattenuating foci in the right lower pole. Mildly enlarged prostate. |
Generate impression based on findings. | 56 year old female. Reason: Pancreas Cancer - Restaging, status post Whipple procedure. CHEST:LUNGS AND PLEURA: Scattered, micronodules are unchanged, some of which are calcified. Bibasilar atelectasis/scarring has increased from the prior study.MEDIASTINUM AND HILA: Left port catheter tip lies in the SVC. No mediastin... | 1.The hypodense lesion in segment 6 of the liver was not found.2.Status post Whipple procedure with residual soft tissue density in the porta hepatis. 3.Multiple liver hypodensities are presumed to represent biliary hamartomas.4.New small amount of pelvic ascites. Otherwise, stable examination. |
Generate impression based on findings. | 49 year old with history of aortic and mitral valve replacements on Coumadin presenting with brisk lower GI bleed. Evaluate for bleed and localized. ABDOMEN:LUNG BASES: There is evidence of bibasilar dependent atelectasis.LIVER, BILIARY TRACT: There is no evidence of intrahepatic biliary ductal dilatation or focal mass... | No angiographic evidence of a gastrointestinal bleed. |
Generate impression based on findings. | Thyroid cancer s/p thyroidectomy in Dec 2012 c/b right VC paralysis, s/p radiation therapy completed in Jan 2013. There are postoperative findings related to total thyroidectomy. There is no mass lesion in the region of the surgical bed to suggest tumor recurrence. There are stigmata of right recurrent laryngeal nerve ... | 1. Postoperative findings related to thyroidectomy without evidence of locoregional tumor recurrence or significant cervical lymphadenopathy.2. Diffuse enlargement and hyperattenuation of the bilateral submandibular glands without focal mass lesions or sialolithiasis can be a manifestation of radiation-induced xerostom... |
Generate impression based on findings. | 64 year old with back pain and history of kidney stones. Evaluate for kidney stone. The lack of oral and IV contrast limits evaluation of the abdominal solid organs and bowel. Streak artifact from left hip arthroplasty obscures fine detail in the pelvis.ABDOMEN:LUNG BASES: Scattered pulmonary micronodules. No dominant ... | 1. Nephrolithiasis without evidence of complication or obstruction. No ureteral calculi are evident.2. Left total hip arthroplasty with evidence of advanced liner wear and particle disease.3. Severe degenerative changes affecting the lumbar spine, sacroiliac joints, and right hip. |
Generate impression based on findings. | Reason: Metastatic breast cancer currently receiving chemotherapy, interval restaging. History: Left chest wall and axilla disease. CHEST:LUNGS AND PLEURA: Subpleural radiation reaction in the left lateral lung, and anteriorly on the right, unchanged.Slightly increased left basilar scarring /atelectasis.No suspicious n... | Slight increase in supraclavicular nodal mass and left chest wall nodule.Otherwise stable disease. |
Generate impression based on findings. | Male 77 years old Reason: stage ii colon cancer now 4. 5 years from completion of therapy. surveillance for recurrence History: colon cancer CHEST:LUNGS AND PLEURA: Few micronodules unchanged. No suspicious lesions. No pleural effusions.MEDIASTINUM AND HILA: Reference right paratracheal lymph node measures 0.8 x 0.5 cm... | Stable small mediastinal nodes. No definite evidence of metastatic disease. |
Generate impression based on findings. | Male 64 years old Reason: 64 y.o. male with hx of squamous cell carcinoma in the perianal and gluetal region; please evaluate for extent of disease and metastases History: squamous cell carcinoma CHEST:LUNGS AND PLEURA: Nonspecific micronodules. These are seen in the right middle lobe series 6 image 52, right lower lob... | Pelvic nodes and portacaval node of uncertain significance. Baseline measurements as above Several renal lesions in the left kidney most assess however it least one does not the criteria for simple cyst. This could be evaluated further dedicated renal CT with include pre-IV contrast and delayed images. Lung micronodule... |
Generate impression based on findings. | Male 60 years old Reason: Pre-Kidney Transplant Evaluation, please evaluate aorta and iliac vessels for kidney transplant History: Pre-Kidney Transplant Evaluation, patient has hx of right hernia please evaluate for kidney transplant Exam is not sensitive for detecting lesions in the bowel, solid organs of vasculature ... | Minimal atherosclerotic calcification. Postsurgical changes as detailed above. Large upper pole cyst the renal allograft. Hypodense lesions in the atrophic native kidneys cannot be characterized without IV contrast likely cysts.Partial intrathoracic stomach Other findings as above. |
Generate impression based on findings. | Male 44 years old Reason: Rectal Cancer - restaging History: none CHEST:LUNGS AND PLEURA: Irregular cluster of lung nodules in the superior segment of the right lower lobe the solid component slightly more prominent measuring 1.2 x 1 cm series 5 image 48. Previously 1.1 x 1 cm.Cluster of irregular nodules in the poster... | Minimal change in the lung lesions of questionable significance. No new sites of disease. |
Generate impression based on findings. | 61 year old female. Reason: eval for obstruction, colitis, bowel wall thickening, History: distention, dilated colonic loops on AXR in pt with decompensated liver function, leukocytosis, ?cdiff ABDOMEN:LUNG BASES: Cardiomegaly with left ventricular enlargement. Right hemidiaphragm elevation with overlying atelectasis a... | Ascites. Hepatosplenomegaly. Cardiomegaly. Small right pleural effusion.No colitis. No abscess. No obstruction. Bibasilar atelectasis. |
Generate impression based on findings. | Female 60 years old Reason: eval for disease progression, please do carcinoid protocol History: carcinoid tumor CHEST:LUNGS AND PLEURA: Trace dependent basilar atelectasis.MEDIASTINUM AND HILA: There is no evidence of mediastinal or hilar lymphadenopathy. CHEST WALL: There is a small right-sided supraclavicular node wh... | 1.Slight interval enlargement of the previously seen hepatic metastases.2.Stable mesenteric reference lymph node.3.No new focus of metastatic disease found. |
Generate impression based on findings. | Reason: r.o intracranial abnormality History: worst headache of her life x 10 days 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 ... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Please note that sensitivity for subarachnoid blood decreases with time. After 10 days CT detection for SAH may be as low as 50%. |
Generate impression based on findings. | Female 53 years old Reason: s/p TEVAR History: s/p TEVAR, placement of endograft, assess for leak CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Heterogeneously nodular and enlarged thyroid unchanged.Type B aortic dissection redemonstrated. Patent stent graft. Extensively thrombosed fals... | Increase in size of thoracoabdominal aortic aneurysm. Slight increase in size of of thoracic aneurysm with contrast entering false lumen by retrograde filling from the dissection below. |
Generate impression based on findings. | 66 year old with newly diagnosed ampullary cancer. Please do pancreatic protocol CT scan. Chest and pelvis for staging. CHEST:LUNGS AND PLEURA: Scattered pulmonary granulomas and nonspecific micronodules. No suspicious or dominant pulmonary nodule.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Calcified... | Pancreatic mass as described is not significantly changed from prior. Findings suspicious vascular invasion of the common hepatic artery as described. There is encasement of the gastroduodenal artery. |
Generate impression based on findings. | Reason: mets lung ca, s/p R adrenalectomy for mets @ July 2013, R hip met , s/p hip replacement 2 yrs ago. s/p chemo. RUL primary mass, with new thoracic spine and R flank/subq lesions identified on PET imaging pls c/w previous study and evaluate dz status. History: lung ca CHEST:LUNGS AND PLEURA: Interval increase in ... | 1.Interval increase in size of right apical mass.2.Enlarging posterior right flank subcutaneous metastatic nodule.3.Subtle osteolytic focus within the right posterior lateral aspect of the T5 vertebrae. This does correspond to the abnormality noted on recent PET/CT. Would recommend MRI of the thoracic spine .4.Interval... |
Generate impression based on findings. | 28 year old man with ecstasy induced hypertensive emergency resulting in myocardial necrosis and wall motion abnormality. Coronary angiography reveals sluggish coronary flow but no obstruction. Anomalous origin of the right coronary artery is noted. Patient referred to evaluate course of the RCA.CPT Code: 75574 Coronar... | 1.There are no significant coronary artery stenoses present. There is no coronary calcification noted. 2.The right coronary artery is large and arises anomalously from the left sinus of Valsalva and courses in between the aorta and main pulmonary artery. The great vessels are mildly compressing the proximal segment of ... |
Generate impression based on findings. | Metastatic carcinoid tumor CHEST:LUNGS AND PLEURA: Stable right lung base nodule best seen on image 96 of series 9 measuring 0.9 cm in diameterMEDIASTINUM AND HILA: Stable left thyroid noduleCHEST WALL: Stable mildly enlarged bilateral axillary lymph nodesABDOMEN:LIVER, BILIARY TRACT: Interval increase in size of sever... | Interval increase in size of several of the previously noted bilobar hepatic metastatic lesions. Associated with slight interval increase in size of multifocal omental/peritoneal metastatic deposits as well as interval increase in size of spiculated central pelvic metastatic mesenteric mass. |
Generate impression based on findings. | Female 80 years old Reason: Hx of Bladder Cancer s/p cystectomy with ileal conduit. Eval for recurrent/metastatic disease History: See above ABDOMEN:LUNG BASES: There is a calcified nodule in the right lower lobe, which appears stable since prior examination. There are calcified mediastinal and hilar lymph nodes consis... | 1.No evidence of recurrent disease or lymphadenopathy.2.Severe atherosclerotic disease of the abdominal aorta and its branches.3.Evidence of prior granulomatous disease. |
Generate impression based on findings. | Female 23 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... | No evidence of renal stone as clinically questioned. |
Generate impression based on findings. | 62 year old female with a history of metastatic medullary thyroid carcinoma. CHEST:LUNGS AND PLEURA: Stable apical pleural parenchymal scar.Numerous bilateral pulmonary metastases of various sizes. No new lesions are identified. Reference left lower lobe nodule is slightly increased in size, measuring 16 mm, previously... | 1. Slight interval increase in size of reference pulmonary metastases and mediastinal lymphadenopathy. Interval development of innumerable subcutaneous nodules in the soft tissues of the thorax and abdomen as well as sclerotic lesions throughout the axial skeleton also consistent with new metastatic disease. 2. Interva... |
Generate impression based on findings. | Male 60 years old; Reason: assess for progression of disease History: elevated lft's, bili, abdominal pain CHEST:LUNGS AND PLEURA: Interval increase in size of left lower lobe nodule best seen on image 64 of series 4, now measuring 6 mm in diameter; previously 5mm. Interval growth of a non referenced right lower lobe n... | Slight interval increase in size and number of bilobar hepatic metastatic lesions. Interval increase in size of lung nodules consistent with progression of metastatic focus. |
Generate impression based on findings. | Colorectal carcinoma CHEST:LUNGS AND PLEURA: Stable 0.4-cm left lower lobe nodule best seen on image 62 of series 4. Other micronodules also stableMEDIASTINUM AND HILA: Stable subcarinal reference lymph node best seen on image 51 of series 3 measuring 1.2 x 1.1 cmCHEST WALL: No significant abnormality notedABDOMEN:LIVE... | Stable examination. |
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