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Generate impression based on findings. | 43-year-old with history of small bowel obstruction status post lysis of adhesions now with persistent constipation, nausea, vomiting. ABDOMEN:LUNG BASES: Basilar dependent subsegmental atelectasis.LIVER, BILIARY TRACT: Multiple low attenuation defects within the gallbladder compatible with cholesterol gallstones. No f... | 1. Residual adhesive disease creating a focal bowel angulation without evidence of current obstruction.2. Complex cystic pelvic mass with suggestion of peripheral nodularity as described. If the patient has intact ovaries this is suspicious for an ovarian neoplasm. Other differential considerations include a hematoma o... |
Generate impression based on findings. | Female 57 years old Reason: pancreatic protocol, evaluate for chronic pancreatitis, pancreatic cysts, etiology of left sided pain History: left sided abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS:... | Small exophytic lesion off the lateral aspect of the left kidney which does enhancement concerning for neoplasm. Other lesions meet criteria for simple cyst. Non-calcified uterine lesion, non-specific (likely fibroid). |
Generate impression based on findings. | Female 44 years old; Reason: METASTATIC COLON CANCER S/P 6 CYCLES OF CHEMOTHERAPY EVALUATE FOR RESPONSE History: COLON CANCER CHEST:LUNGS AND PLEURA: Numerous lung nodules are noted, and larger in size. Reference node in the right upper lobe measures 4 mm (series 4 image 34), previously 1 mm.MEDIASTINUM AND HILA: No si... | Interval marked increase in the size and number of the liver and lung metastases.Interval reversal of the previously seen ileostomy with reaccumulation of the midline abdominal fluid collection. |
Generate impression based on findings. | Male 60 years old Reason: vascular disease History: s/p TEVAR on 12 cm thoracoabdominal aneurysm CHEST:LUNGS AND PLEURA: There are bilateral pleural effusions with associated compressive atelectasis. There is a peripheral lucency in the right lower lobe, which is consistent with a bulla surrounded by atelectasis.MEDIAS... | 1.Slight interval decrease in size of abdominal aortic aneurysm with an organizing hematoma within the false lumen.2.Endovascular abdominal aortic stent graft without evidence of leak.3.Bilateral pleural effusions with associated compressive atelectasis. |
Generate impression based on findings. | 28-year-old female. History of pelvic hematoma. EPIC history: status post C-Section on 9/6 complicated by LLE DVT and PE treated with lovenox, further complicated by pelvic hematoma. ABDOMEN:LUNG BASES: Filling defect in a right lower lobe segmental artery consistent with pulmonary embolism, better seen on prior OSH CT... | 1. Large left hemipelvis hematoma contiguous with the post-gravid uterus.2. Filling defects in the right lower lobe segmental arteries consistent with the patient's known pulmonary embolism, better seen on prior recent CT PE. |
Generate impression based on findings. | 68-year-old male with shortness of breath. Evaluate for PE. PULMONARY ARTERIES: Technically adequate study. Note is made of multiple filling defects involving the right main pulmonary artery extending into the segmental branches of the right upper, middle, and lower lobes, consistent with pulmonary emboli. Additional f... | 1. Extensive bilateral pulmonary emboli as described above. These findings were relayed to Dr. Meredith Williams by the radiology resident on call at 10:15 p.m. on 9/10/13. 2. Findings consistent with pulmonary artery hypertension. Right heart strain cannot be completely excluded. |
Generate impression based on findings. | Male 47 years old Reason: hernia History: scrotal pain ABDOMEN:LUNG BASES: There is minimal of basilar atelectasis.LIVER, BILIARY TRACT: There is a large amount perihepatic ascites. There is a single hypodense lesion in segment IVa, which likely represents a simple hepatic cyst. There is a second hypodensity in segment... | 1.Edematous fluid filled scrotum likely secondary to the patient's ascites.2.Redemonstration of enhancing sheetlike soft tissue in the anterior omentum concerning for possible carcinomatosis, which appears largely stable in size since the prior examination.3.Slight increase in size of a soft tissue nodule within the om... |
Generate impression based on findings. | 92 year-old female with pleural effusion and fever. Evaluate for right lower lobe pneumonia. PULMONARY ARTERIES: Technically adequate study. No evidence of pulmonary embolus. The main pulmonary artery measures 2.9 cm in diameter, in the upper limits of normal. Mild dilation of the right heart, appearing similar to the ... | 1. No evidence of pulmonary embolus.2. Interval increase in bilateral lower lobe consolidation with associated extensive debris within the segmental bronchi of the lower lobes consistent with mucus plugging a chronic aspiration. Persistent bilateral lower lobe bronchiectasis.3. Small right pleural effusion. |
Generate impression based on findings. | 34-year-old male status post fight with head trauma, evaluate for intracranial injury. CT head:The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain par... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.No fracture or subluxation is identified in the cervical spine. |
Generate impression based on findings. | Multiple falls. There is ill-defined patchy hypoattenuation within the periventricular and subcortical white matter consistent with sequela of small vessel ischemic disease in addition to more focal hypoattenuation within the left parietal (axial image 24) and right frontal (image 19) lobes which likely represent foci ... | Foci of hypoattenuation likely representing age indeterminate infarcts in addition to patchy attenuation which most likely represents sequela of small vessel ischemic disease. |
Generate impression based on findings. | Sore throat, swelling left. Evaluate for peritonsillar abscess. There is ill-defined hypoattenuation within the left tonsillar fossa and surrounding soft tissues, including the left lateral aspect of the soft palate, extending to the uvula, left parapharyngeal space, and lateral and posterior walls of the pharyngeal mu... | Ill-defined hypoattenuation within the left tonsillar and peritonsillar tissues that likely represents phlegmon, without evidence of discrete abscess. The regional airway is mildly narrowed and the mildly prominent regional lymph nodes are likely reactive.Discussed with Dr. Hogan at 7:50 AM on 9/11/2013. |
Generate impression based on findings. | Male 53 years old Reason: biopsy proven primary cutaneous lymphoma on arm - looking for systemic disease History: non-healing ulcer on arm c/w with lymphoma on biopsy, no other symptoms CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Several slig... | 1.There is a lytic lesion with a sclerotic margin seen in the right sixth rib of uncertain significance.2.Slightly prominent axillary and porta hepatis nodes, which are of unclear significance.3.Fatty infiltration of the liver. |
Generate impression based on findings. | 49-year-old female with chest pain, hypoxia, tachypnea. Rule out PE. Motion limits sensitivity.PULMONARY ARTERIES: Technically adequate study without evidence of acute pulmonary embolus.LUNGS AND PLEURA: There is right lower lobe peripheral subpleural reticular opacity with atelectasis. In the anterior aspect of this o... | 1. Technically adequate study without evidence of acute pulmonary embolus.2. Right lower lobe opacity associated with severe bronchial wall thickening may be the result of or an organizing pneumonia. A subacute infarct may have this appearance but is considered less likely.3. Left lower lobe semisolid nodule suspicious... |
Generate impression based on findings. | Female 23 years old Reason: RLQ abd pain R/O appendicitis/ ovarian cysts History: RLQ pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormalit... | 1.Right adnexal fluid collection likely representing a hemorrhagic cyst; however, CT has limited ability to evaluate ovarian cysts and if further imaging characterization is clinically indicated, pelvic ultrasound or pelvic MRI could be considered.2.Small amount of free fluid in the dependent pelvis likely physiologic. |
Generate impression based on findings. | 57 year-old male. Hemoglobin drop status post open hepatic operation. Evaluate liver for hematoma or other fluid collections. Status post open hepatic RFA on 9/6/2013. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cirrhotic liver morphology. Interval ablation of previously known HCC anterior... | 1. Interval ablation of two arterially enhancing lesions in the hepatic dome. No suspicious enhancement in the ablation defects to suggest residual tumor.2. Small amount of ascites. No large hematoma or loculated fluid collection identified.3. Minimal pneumoperitoneum, within normal limits for post-operative date. |
Generate impression based on findings. | 16-week-old male with history of anal atresia, malrotation, status post colostomy with take down 8/16 presenting with vomiting. Evaluate for intestinal obstruction. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver size, morphology, and enhancement are normal. No focal hepatic lesion. No ... | Diffuse small and large bowel dilatation up to the rectosigmoid junction compatible with a distal bowel obstruction. |
Generate impression based on findings. | Stage IV adenocarcinoma of the lung. Needs restaging. CHEST:LUNGS AND PLEURA: New large right pleural effusion which obscures previously described abnormalities. There is a right middle lobe pulmonary nodule has regressed and appears confluent with the right pericardium. Previously described right lower lobe pulmonary ... | Overall no substantial interval change with the exception of new large right pleural effusion. Previously described supraclavicular lymph node not included on today's exam. Reference measurements are given above. |
Generate impression based on findings. | Acute mental status change. Motion artifact significantly limits detail in this examination. Within this limitation, there are new acute or significant changes since the prior examination. This well-defined hypoattenuation within white matter like represents sequela from small vessel ischemic disease. There are no larg... | Significantly limited examination by motion artifact. No gross changes or abnormalities demonstrated. If detailed assessment is necessary, repeat examination could be considered. |
Generate impression based on findings. | 40 male with history of kidney transplant with ongoing hematuria ABDOMEN: Within the limits of a non-IV contrast enhanced examination which limits evaluation of solid parenchymal organs and vascular structures, the following observations can be made:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No s... | 1. Status post bilateral nephrectomy with right iliac fossa transplant kidney. 2. Overall morphology of the right pelvic transplant kidney is unchanged and no evidence of new calcifications or large masses are seen -- lack of IV contrast limits ability to detect small parenchymal or urothelial masses. 3. Slight fullnes... |
Generate impression based on findings. | Female 56 years old Reason: 56yo F no PMH with necrotizing pancreatitis and cholecystitis with small fluid collection at OSH s/p ERCP. Request CT pancreas protocol History: abd pain, pancreatitis ABDOMEN:LUNG BASES: There are persistent, stable pleural effusions, right greater than left with associated bibasilar compre... | 1.Findings consistent with necrotizing pancreatitis, with less than 25% necrosis of the pancreatic parenchyma.2.No evidence of drainable peripancreatic fluid collection.3.Narrowing of the splenic vein as it passes posterior to the pancreatic body, without evidence of complete occlusion. 4.Stable left adnexal fluid coll... |
Generate impression based on findings. | 33-year-old female with left Custer Vicki willing tenderness and hematuria -- rule-out stone. ABDOMEN: Within the limits of a non-IV contrast enhanced examination, the following observations can be made:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No signific... | Normal noncontrast enhanced examination of the abdomen and pelvis without findings seen to account for patient's symptomatology. |
Generate impression based on findings. | Left facial maxillary and mandibular pain after being struck by bottle. There is a medially angulated, slightly displaced fracture of the left frontal process of the maxillary bone. There is soft tissue swelling contaning foci subcutaneous emphysema along the nasal dorsum that extends into the periorbital regions, left... | Medially angulated, slightly displaced fracture of the left frontal process of the maxillary bone with extensive regional soft tissue swelling containing foci of subcutaneous emphysema. Discussed with Dr. Hogan at 8:35 AM on 9/11/2013. |
Generate impression based on findings. | New seizure activity on EEG. There is sulcal and ventricular prominence in keeping with global atrophic change. There is an unchanged focal rounded area of hypoattenuation within the left insula which most likely represents an old lacunar infarct or prominent perivascular space.There are no acute findings including int... | No acute abnormality demonstrated. |
Generate impression based on findings. | Male 90 years old Reason: pre TAVR History: AS VESSELS:There is no evidence of horseshoe or circumferential calcifications within the aorta and iliofemoral system.There are discontinuous foci of calcification involving the sinus of Valsalva, transverse thoracic arch and descending thoracic aorta. There is no calcific p... | 1.Filling defect at the left atrial appendage tip suggestive of left atrial appendage thrombus.2.Dilated and mildly tortuous common bile duct and (left greater than right) intrahepatic biliary ductal dilatation, with nonocclusive, dependent filling defect at mid to central portion of the common duct, suggestive of chol... |
Generate impression based on findings. | 67-year-old female with shortness of breath. Rule out PE. PULMONARY ARTERIES: Technically adequate study without evidence of acute pulmonary embolus.LUNGS AND PLEURA: Interval development of bibasilar atelectasis. Mild emphysema.Scattered new nodular ground glass opacities in the left and right upper lobes, some of whi... | 1. Technically adequate study without evidence of acute pulmonary embolus.2. Interval developement of bibasilar atelectasis with scattered small ground glass opacities suspicious for hematogenous spread of infection. |
Generate impression based on findings. | 49-year-old female with abdominal pain and diarrhea -- evaluate for diverticulitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted in liver. Contracted gallbladder which may reflect nonfasting state -- no other abnormalities seen in biliary tract.SPLEEN: No si... | No diagnostic abnormality seen in the abdomen or pelvis to account for patient's symptomatology. No significant abnormality seen. |
Generate impression based on findings. | 60-year-old male. Rectal cancer. Restaging. CHEST:LUNGS AND PLEURA: Right upper lobe nodule measures 2.2 x 1.8 cm, previously 2.1 x 1.8 cm (series 5, image 24). Multiple micronodules are seen in the right lung (for example series 5, image 58), many are new and some are larger. MEDIASTINUM AND HILA: Precarinal lymph nod... | 1. Multiple micronodules in the right lung, many are new and some are larger. These are suspicious for metastases.2. Right upper lobe nodule is not significantly changed since 5/29/2013 but larger than 1/2013. 3. No new lesions identified in the abdomen or pelvis. |
Generate impression based on findings. | 40 year-old male with abdominal/flank pain. Large blood on urine dip. Evaluate for kidney stone. ABDOMEN: Within the limits of a non-IV contrast enhanced examination limiting evaluation of solid parenchymal organs and vascular structures, the following observations can be made:LUNG BASES: No significant abnormality not... | No diagnostic abnormality seen in the abdomen or pelvis to account for patient's symptomatology. No significant abnormalities are seen on this non-IV contrast enhanced examination. |
Generate impression based on findings. | Frontal headache x 4 days after hitting head. A rounded soft tissue density most likely represents secretions, or retention cyst within the right anterior ethmoid and frontal sinuses. No intracranial or not including mass, fluid collection, hydrocephalus or CT evidence of acute ischemia. The midline is intact.Imaged bo... | No acute intracranial abnormality. |
Generate impression based on findings. | 62-year-old male with shortness of breath, nausea, vomiting, fatigue, and productive cough. Evaluate for PE. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus.LUNGS AND PLEURA: Centrilobular and paraseptal emphysema with upper lobe dominance. No focal consolidation, pleural effusion, ... | 1. No evidence of pulmonary embolus.2. The esophagus appears to be fluid filled, however, esophageal wall thickening cannot be completely excluded. Further evaluation with an esophagram could be considered if clinically indicated. |
Generate impression based on findings. | Reason: f/u IVH, ventricles History: f/u IVH, ventricles The patient is status post left posterior craniotomy for removal of a left cerebellopontine angle cistern mass. The collection of hyperdense material now present which occupies the space where this mass was previously located and is associated with air fluid leve... | 1.The patient is status post left-sided craniotomy for tumor removal. There is hematoma present which occupies the site of the previous tumor.2.There is a small amount of intraventricular blood and extra-axial blood redemonstrated.3.The lateral ventricles remain dilated but unchanged when compared to prior exam4.mass e... |
Generate impression based on findings. | 64 yo M with history of AMS, seizure disorder, recurrent hyponatremia, of intracerebral hemorrhage, please evaluate for hemorrhage. There is no definite evidence of acute intracranial hemorrhage. There are unchanged postoperative findings related to right temporal-parietal craniotomy for evacuation of a remote intracra... | 1.No definite evidence of acute intracranial hemorrhage. However, non-contrast CT is not sensitive for detection of acute infarction or osmotic demyelination. MRI is recommended for further evaluation if clinically indicated.2.Unchanged stigmata of remote intracranial hemorrhage with extensive areas of right temporal e... |
Generate impression based on findings. | Metastatic cervical cancer. Restaging evaluation. The following observations are made given the limitations of an unenhanced study.CHEST:LUNGS AND PLEURA: Previously described ground glass opacities have nearly completely resolved. Multiple bilateral cavitary lesions predominating the lower lobes persist.Reference meas... | Lung lesions have progressed overall compared to prior with reference measurements given above. Multiple areas of fluid in the abdomen have resolved. Surgical and percutaneous drains have been removed. |
Generate impression based on findings. | Reason: f/u resection History: f/u resection The patient is status post left posterior craniotomy for removal of a left cerebellopontine angle cistern mass. A collection of hyperdense material now occupies the space where this mass was previously located and is associated with air fluid level. There is some extra-axial... | 1.The patient is status post left-sided craniotomy for tumor removal. There is hematoma present which occupies the site of the previous tumor.2.There is a small amount of intraventricular blood and extra-axial blood which have appeared to be postoperative in nature.3.The lateral and third ventricles remain dilated but ... |
Generate impression based on findings. | 49-year-old male. Trauma. ABDOMEN:LUNG BASES: Mild bibasilar atelectasis. LIVER, BILIARY TRACT: No liver laceration is identified. Patent hepatic vasculature. Mild central intrahepatic and extrahepatic bilateral ductal dilatation, this is a nontraumatic finding. SPLEEN: No significant abnormality noted. No laceration i... | 1. No evidence of solid organ injury or intra-abdominal hematoma. 2. Mild diffuse biliary and pancreatic ductal dilatation, an obstructing ampullary lesion cannot be excluded. This is a nontraumatic incidental finding. Recommend MRCP wwo contrast for further evaluation.3. No fracture is identified. |
Generate impression based on findings. | Female 57 years old Reason: pancreatic protocol, evaluate for chronic pancreatitis, pancreatic cysts, etiology of left sided pain History: left sided abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS:... | Small exophytic lesion off the lateral aspect of the left kidney which does enhancement concerning for neoplasm. Other lesions meet criteria for simple cyst. Non-calcified uterine lesion, non-specific (likely fibroid). |
Generate impression based on findings. | 84-year-old female presents with confusion on warfarin, rule out bleed. No intracranial hemorrhage is identified as clinically questioned. There is mild prominence of the ventricular system and sulci, consistent with mild age-related cerebral atrophy. Hypodensities in the periventricular and subcortical white matter ar... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Incompletely visualized left parotid mass. Recommend CT soft tissue neck with contrast for further evaluation.Findings were relayed to Dr. Abbott via telephone at 10:10 a.m. on September 11, 2013. |
Generate impression based on findings. | 49-year-old male with history of bacteremia, leukocytosis. Evaluate for abscess. Evaluation is limited as the patient was not able to raise his arm above his head for the examination. Furthermore, the evaluation is limited secondary to streak artifact related to a plate and screw device affixing a comminuted fracture o... | 1.Postoperative changes of orthopedic humeral fixation. 2.Small collection of low density along the anterior margin of the deltoid is nonspecific and may represent a postoperative seroma, however phlegmon and early abscess formation are not excluded in this location. This can be further evaluated with serial ultrasound... |
Generate impression based on findings. | Metastatic head and neck cancer, pretreatment scans. Check for disease. CHEST:LUNGS AND PLEURA: Minimal diffuse centrilobular emphysema. New superimposed focal acute abnormality, specifically no nodules or masses. No effusions.MEDIASTINUM AND HILA: Small discrete bilateral scattered thyroid nodules.No lymphadenopathyMo... | Mild age consistent degenerative and emphysematous changes without suspicious new acute findings to suggest metastatic disease. |
Generate impression based on findings. | 81-year-old male. Metastatic prostate cancer. Evaluation of disease after 9 cycles of investigational therapy. CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules in both lungs are not significantly changed. This includes the reference right lower lobe nodule which measures 7 mm, previously 6 mm (series 4, image 66). Bi... | 1. Mild interval increase in a reference pretracheal lymph node. Remainder of examination is stable.2. Chronic occlusion of the proximal left subclavian artery. There is reconstitution of blood flow distal to the occlusion likely from retrograde flow through the left vertebral artery. This left subclavian steal phenome... |
Generate impression based on findings. | Reason: r/o bleed History: fall onto el tracks with sycnope CT head:Examination of the head is compromised by wires are running through the gantry of the scanner which create artifactThe CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracraniall... | 1.No evidence for cervical spine fracture2.No evidence for acute intracranial hemorrhage mass effect or edema.3.There is mild degenerative changes present in the cervical, thoracic and lumbar spines with the neural foramina encroachment and encroachment of exiting nerve roots at C5-6 and a disk protrusion at L1-2 level... |
Generate impression based on findings. | 17-year-old male with ARDS now with concern for loculations on CXR. Please evaluate for loculations/empyema and pneumothorax. LUNGS AND PLEURA: Endotracheal tube tip between thoracic inlet and carina. Moderate to large right hydropneumothorax. Loculated right pleural effusion with split pleura sign compatible with empy... | 1.Right hydropneumothorax and empyema. 2.Left pulmonary ground glass opacities and consolidation. Small left pleural effusion. |
Generate impression based on findings. | 35-year-old female. Rectal cancer restaging. Recent cholecystitis. Evaluate change after oral antibiotics. CHEST:LUNGS AND PLEURA: Multiple pulmonary metastasis, some of which are cavitary, not significantly changed. Reference left lower lobe nodule measures 1.8 x 1 cm, previously 1.7 x 0.9 cm on 5/2013 CT MEDIASTINUM ... | 1. No significant interval change in pulmonary metastasis.2. Slight interval increased size of spiculated pelvic mass.3. Wall thickening of the distal rectosigmoid colon, not significantly changed.4. Cholelithiasis. Right upper quadrant ultrasound may be obtained if clinically warranted. |
Generate impression based on findings. | Reason: 37 yo M hx of aneurysms s/p clipping. Due for 3 year followup surveillance scan - eval for aneurysm, abnormality History: asymptomatic Brain CTA: The patient is status post a bilateral craniotomies and aneurysm clips are present at the carotid terminus bilaterally. There is opacification of the distal internal ... | 1.Status post bilateral carotid terminus aneurysm clipping. Artifact from the clips could obscure a minor residual or recurrent aneurysm, however none is seen.2.No evidence for cerebral vascular occlusive disease.3.Right frontal lobe focus of encephalomalacia is stable since the prior exam.4.A small hypodense focus in ... |
Generate impression based on findings. | Lymphoma. Stem cell transplant. Relapsed large B cell non-Hodgkin's lymphoma. Please note that non-enhanced CT is not sensitive for the detection of solid organ lesions. With this limitation, the following observations are made.CHEST: Study limited by patient motion.LUNGS AND PLEURA: No focal consolidation or pleural e... | 1.Left axillary mass is essentially resolved.2.Ill-defined mesenteric lesion abutting loops of bowel in the left upper quadrant is unchanged |
Generate impression based on findings. | 76 year old female with lung cancer (RML adenocarcinoma) on Tarceva therapy for greater than one year. History of elevated creatinine in the past. Now needs disease evaluation. CHEST:LUNGS AND PLEURA: Post surgical changes of right middle lobectomy. No evidence of localized recurrence along the resection site. Numerous... | 1. Irregular lesion in the posterior right upper lobe is unchanged and remains suspicious for primary malignancy. 2. Right lower lobe nodule is unchanged. Indolent primary lung malignancy cannot be excluded. 3. Index lymph node is unchanged in size. Non-index precarinal lymph node is decreased in size. 4. No significan... |
Generate impression based on findings. | 49-year-old male. Bacteremic. Evaluate for abscess. CHEST:LUNGS AND PLEURA: Small pleural effusions, left greater than right. Ground glass opacities and septal thickening consistent with pulmonary edema.MEDIASTINUM AND HILA: Multiple small and prominent mediastinal lymph nodes, not significantly changed from 2012 CT. C... | 1. Dislodged cholecystostomy tube is outside the gallbladder lumen and in the right perihepatic space.2. No loculated fluid collection or abscess is identified.3. Diffuse ground glass opacities and septal thickening consistent with pulmonary edema. Small pleural effusions. |
Generate impression based on findings. | 43-year-old male status post assault, evaluate for intracranial injury. 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.There is a mode... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.There is a moderate-sized subgaleal hematoma with soft tissue swelling over the left frontoparietal region. |
Generate impression based on findings. | Reason: Patient with persistent cough. History: LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. No signif... | No pulmonary or pleural abnormalities identified. |
Generate impression based on findings. | Reason: HNSCC screening evaluation. History: as above CHEST:LUNGS AND PLEURA: Demonstration of postsurgical changes and volume loss in the right upper lobe.Scarring/discoid atelectasis in the left lower lobe.Scattered small nonspecific micronodulesNo suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Enlarged... | 1.Previous partial right upper lobectomy. No suspicious pulmonary nodules or masses.2.Bilateral hilar and mediastinal lymphadenopathy. |
Generate impression based on findings. | 4-month-old female status post fall in shopping cart presents with emesis, evaluate for intracranial hemorrhage. No intracranial hemorrhage is identified as clinically questioned.The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. N... | No evidence for acute intracranial hemorrhage, mass effect, or edema. |
Generate impression based on findings. | 18 year-old male struck in the head while playing football, questionable loss of consciousness, rule out intracranial abnormality. 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 edem... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Oral cancer LUNGS AND PLEURA: Mild left basilar atelectasis and scattered calcified granulomata in the left lower lobe. No superimposed acute intrapulmonary abnormality. No effusion and mildly decreased lung volumes, unchanged.MEDIASTINUM AND HILA: Postsurgical changes, staples and thickening is observed in the uppermo... | Old healed granulomatous disease exposure without evidence of superimposed acute findings, specifically no metastatic disease |
Generate impression based on findings. | 52 year old female with history of conversion disorder present with left-sided weakness, rule out stroke. 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 th... | No evidence for acute intracranial hemorrhage, mass effect, or edema. |
Generate impression based on findings. | 52-year-old female with history of conversion disorder presents with left-sided weakness and left foot drop, rule out bleed, stroke. 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 ed... | No evidence for acute intracranial hemorrhage, mass effect, or edema. |
Generate impression based on findings. | 51 year-old male. Newly diagnosed esophageal cancer. Evaluate for disease and compare with previous scans. Increased dysphagia and nausea/vomiting. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Periesophageal mass contiguous with right aspect of the thoracic aorta measures 1.8 ... | 1. GE junction mass consistent with stated history of esophageal carcinoma.2. Posterior periesophageal mass.3. Bilobar numerous liver metastasis.4. Gastrohepatic and retroperitoneal lymphadenopathy.5. Sclerotic focus in the right aspect of sacrum consistent with a bone metastasis. |
Generate impression based on findings. | Mesothelioma status post 4 months of observation; please compare CHEST:LUNGS AND PLEURA: Nodular thickening throughout the left hemithorax is again observed, without new interval intrapulmonary lesions. The questionably separate left lower lobe peripheral mass, adjacent to the midline is unchanged measuring 3.9 x 2.2 c... | Stable disease throughout the left hemithorax with measurements provided |
Generate impression based on findings. | Metastatic prostate carcinoma CHEST:LUNGS AND PLEURA: Increasing right upper lobe pleural based nodularity associated with enlarging rib metastases.MEDIASTINUM AND HILA: Interval regression of metastatic mediastinal adenopathy. Reference precarinal lymph node mass (image 34; series 3) measures 1.9 x 1.3 cm. Coronary ar... | Mediastinal adenopathy has regressed. However there are new liver metastases and other metastatic lesions (e.g., rib) appear to have progressed since the prior examination. |
Generate impression based on findings. | Reason: lung cancer, please evaluate for disease and compare with previous scan from 7/1 for any new sites of disease. History: lung cancer CHEST:LUNGS AND PLEURA: Minimal residual right pleural thickening and pleural nodularity improved from the prior exam with resolution of the small right pleural effusion.. Right ap... | Interval resolution right pleural effusion with minimal residual pleural thickening and nodularity. No suspicious pulmonary nodules or masses. No new sites of disease. |
Generate impression based on findings. | 54-year-old female with altered mental status and rising leukocytosis. Evaluate for worsening pneumonia. LUNGS AND PLEURA: Small moderate sized bilateral pleural effusions with underlying atelectasis/consolidation. Fluid is noted to be tracking along the right major fissure. Note is made of nodular ground glass opaciti... | 1. Bilateral nodular ground glass opacities, most pronounced in the upper lobes. Differential considerations include multifocal infection, including atypical etiologies, as well as atypical pulmonary edema and less likely, pulmonary hemorrhage.2. Small to moderate sized bilateral pleural effusions and ascites.3. T8 ver... |
Generate impression based on findings. | Check for intra-abdominal abscess resolution. .ABDOMEN:LUNG BASES: Dependent atelectasis at the lung bases has largely resolved. Although examination was not optimized for the detection of pulmonary emboli, there are new bilateral lower lobe pulmonary emboli (image 1 -- 11; series 4) in the visualized portion of the lu... | New bilateral pulmonary emboli and nonocclusive transplant renal vein thrombus. No evidence of abscess. Findings discussed with the clinical service (Dr. Witkowski) at the time of dictation. |
Generate impression based on findings. | Medullary thyroid carcinoma s/p total thyroidectomy and central neck dissection. The patient was on cabozantinib, but off therapy now. Neck: There are postoperative findings related to total thyroidectomy and central neck dissection. There is no significant interval change in size of the heterogeneously enhancing mass ... | 1.Interval appearance of numerous subcutaneous nodules in the neck and scalp, which likely represent metastases.2.No significant interval change in the recurrent tumors within the thyroidectomy bed.3.Slight interval increase in size of a heterogenously enhancing level 1A lymph node that now measures 4 mm in short axis,... |
Generate impression based on findings. | 68-year-old male with a history of lung adenocarcinoma status post 4 cycles of chemotherapy. LUNGS AND PLEURA: Reference left upper lobe pleural based nodule measures 17 x 14, previously 15 x 14 mm on image 20; series 5. There is associated medial extension into the mediastinum. Additionally, the coronal measurements h... | 1. Interval increase in size of reference pulmonary nodule.2. Interval increase in size of mediastinal adenopathy.3. Interval development of a lucent lesion in the T11 vertebral body with associated superior endplate depression suspicious for a pathologic vertebral body compression fracture. Further evaluation with MRI... |
Generate impression based on findings. | Crackles in left lung, evaluate for interstitial lung disease LUNGS AND PLEURA: Mild centrilobular emphysema without superimposed acute focal air space abnormality. Mild bronchial wall thickening involving the most dependent and basilar zones and with minimal interstitial dependent changes. No effusions or air trapping... | Minimal basilar and dependent bronchial changes suggesting mild aspiration and less likely an infectious process. No definite distinct superimposed findings to suggest a more chronic lung standing abnormality |
Generate impression based on findings. | Right pleural nodule monitor for growth, last in 2/13 LUNGS AND PLEURA: Severe emphysema. Right lower lobe partially well circumscribed nodule abutting the lateral pleural surface measures 7 x 7 mm, increased from previous size of 6 x 7 mm on 2/2/13 and 5 x 5 mm on 1/12/10. No visible internal calcification however int... | 1. Continued increase in size of the fat containing right lower lobe nodule, now 7 by 8mm. Smoothly marginated border, presence of internal fat and doubling time favor hamartoma. However, as this does not contain internal calcification, a hamartoma cannot be confirmed and pulmonary neoplasm cannot be entirely excluded.... |
Generate impression based on findings. | 50 year-old male with right-sided facial pain. Previously demonstrated dilatation of the right superior ophthalmic vein is longer evident. The mastoids are clear. Limited view of the intracranial structure is unremarkable. The patient is again noted to be status post bilateral uncinectomies. The antrostomies and other ... | 1.Moderate right maxillary sinus and small left maxillary sinus mucus retention cyst/polyp which are unchanged in appearance. There is also a small retention cyst/polyp in the right sphenoid sinus, also unchanged in appearance.2.There are no air-fluid levels3.Adenoids and tonsils remain slightly prominent for age, unch... |
Generate impression based on findings. | 65-year-old male with history of subdural hematoma status post craniotomy and evacuation in 2012, previous scan shows hemorrhage. There is no evidence for acute intracranial hemorrhage. There is an unchanged ill-defined area of hypoattenuation with associated regional sulcal effacement in the left middle frontal gyrus,... | 1.No evidence of acute intracranial hemorrhage.2.Unchanged hypodensity in the left middle frontal gyrus of uncertain significance. Follow up with a brain MRI with contrast in 1 to 2 months is recommended. |
Generate impression based on findings. | Male 51 years old; Reason: Please perform CT urography to further characterize renal and adrenal lesion History: renal lesion and adrenal lesion on prior CT scan CHEST:LUNGS AND PLEURA: Reference cluster of small nodules in the left upper lobe are stable. No other suspicious pulmonary nodules or masses. Unchanged scatt... | 1.Enhancing lesion on the mid pole of the left kidney worrisome for renal cell carcinoma.2.2 cm lesion in the right adrenal gland most compatible with an adrenal adenoma. |
Generate impression based on findings. | Malignant neoplasm of the prostate; staging exam ABDOMEN:LUNG BASES: Coronary artery calcifications. Plaque noted in the distal thoracic aorta.LIVER, BILIARY TRACT: Probable mild fatty infiltration of the liver. No focal liver lesions.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADR... | 1. Small right renal hyperdense nodule. Complex proteinaceous cyst versus renal neoplasm; suggest pre-and post enhanced imaging for further evaluation.2. Left bladder mass.Findings conveyed to service covering Dr. Zagaja's pager at time of dictation. |
Generate impression based on findings. | Evaluate progression of metastatic disease. Malignant neoplasm of bronchus and lung (NSCLC) CHEST:LUNGS AND PLEURA: Postoperative volume loss from left lower lobectomy and right lower lobe wedge resections. Post therapeutic change in the left lung with small chronic bronchopleural fistula. Interval increase in the numb... | Enlarging nodules in the right lower lobe are now consistent with indolent pulmonary metastases. New and enlarging nodules on the left may be post therapeutic at the patient has a history of RT or metastatic. |
Generate impression based on findings. | Fall. The examination was unchanged from previous -- the hypoattenuating lesions within the medulla and brainstem to represent ependymomas in this patient with NF2 have not significantly changed. The previous described bilateral vascular schwannomas are not well-visualized on this exam. There are no acute abnormalities... | No acute abnormalities. Unchanged examination from previous including visualization of hypoattenuating lesions within the medulla and brainstem. |
Generate impression based on findings. | Poorly differentiated squamous cell carcinoma of the central skull base treated with chemoradiotherapy using carboplatin and cetuximab and radiation in 2008. Head: There are postoperative findings related to transsphenoidal surgery. There is a heterogenously enhancing mass centered within the clivus, extending into the... | Central skull base mass measuring up to 4.7 cm with encasement of the bilateral internal carotid arteries and extension into the left orbital apex, but no evidence of intraparenchymal metastases or significant cervical lymphadenopathy. |
Generate impression based on findings. | New onset atrial fibrillation rule out PE Examination is limited by severe motion artifact due to cardiac motion.PULMONARY ARTERIES: Adequate infusion quality however given limitations imposed by motion artifact, distal segmental and subsegmental emboli in the lingula and right middle lobe cannot be ruled out. No filli... | 1. Unable to rule out pulmonary emboli in the lingula and right middle lobe due to cardiac motion artifact. No filling defects elsewhere to suggest the presence of acute PE.2. Right adrenal gland nodules atypical for an adenoma. Recommend dedicated adrenal protocol CT when feasible to exclude non-benign etiology.3.. Ex... |
Generate impression based on findings. | Necrotic pancreatic pseudocyst with new GI bleeding. Concern for pseudoaneurysm. LUNGS BASES: Bilateral effusions with overlying compressive-type atelectasis described previously have not changed substantially since the prior examination.LIVER, BILIARY TRACT: Fatty infiltration of the liver. Status post cholecystectomy... | 1.New hyperdense material, presumably representing a blood clot in the stomach given history of bleeding. Advise correlation with conventional angiography with therapeutic embolization if bleeding source is identified. Findings discussed with the clinical service at the time of dictation.2.Bilateral pleural effusions w... |
Generate impression based on findings. | Male 37 years old; Reason: r/o retroperitoneal hematoma History: Hypotension drop in Hgb ABDOMEN:LUNGS BASES: Bilateral lower lobe pneumonia. Right pleural effusion occupying at least 20% of the right basilar hemithorax.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANC... | 1.No retroperitoneal hematoma as clinically questioned. A read above for discussion of the right thigh.2.Jejunal jejunal intussusception at two sites without bowel obstruction.3.Lower lobe pneumonia |
Generate impression based on findings. | Male 58 years old; Reason: pancreatic pseudocyst History: abd pain ABDOMEN:LUNGS BASES: Trace pericardial effusion.LIVER, BILIARY TRACT: Hepatic contour is smooth. Parenchyma is of unenhanced technique. Probable right hepatic lobe cyst.SPLEEN: Multiple hypodense splenic lesions are incompletely characterized without co... | 1.Study limited without intravenous contrast. No discrete fluid collection adjacent to the pancreas.2.Nonspecific splenic lesions. |
Generate impression based on findings. | Malignant thyroid, check for metastatic disease. CHEST:LUNGS AND PLEURA: Bilateral and largely basilar and dependent scattered nodules demonstrating mild interval increase in size since 2010. For reference the or left lower lobe nodule (image 79 series 5) curly measures 11 mm for a prior measurement of 9 mm. A referenc... | Interval mildly enlarging scattered bilateral pulmonary nodules and suspected metastatic thyroid disease, reference measurements provided |
Generate impression based on findings. | HNSCC status post CRT from Feb-April 2011 and Cisplatin. There are post-treatment findings related to radiation therapy and probable left neck dissection with effacement of the fat planes. There is mild asymmetry of the glossotonsillar sulci. There is also a curvilinear calcific density structure that measures 20 mm in... | 1. Post-treatment findings without definite evidence of locoregional tumor recurrence or significant cervical lymphadenopathy. 2. An air-fluid level in the right lateral pre-epiglottic space that measures up to 7 mm likely represent an internal laryngocele. This may be amenable to direct inspection. |
Generate impression based on findings. | History of squamous cell carcinoma of the tongue status post rim mandibulectomy resection and neck dissection with platysmal flap reconstruction in April 2005. The patient also developed a small secondary buccal cancer in March of 2008. Artifact related to dental amalgam obscured portions of the surrounding anatomy, in... | Extensive findings related to treatment of left oral cavity cancer without definite evidence of locoregional tumor recurrence or |
Generate impression based on findings. | Right jaw pain and history of sialoadenitis secondary to RAI. Artifact related to dental amalgam obscures surrounding anatomy. Within this limitation, the right submandibular gland appears to be slightly enlarged and diffusely hyperenhancing. No discrete mass lesions or radio-opaque calculi are identified. There is fat... | 1. Mild diffuse enlargement and enhancement of the right submandibular gland without evidence of discrete mass lesions or sialolithiasis, which suggests sialadenitis. 2. A 3 mm lucency in the left mandibular condyle likely represents a subchondral cyst without significant associated degenerative changes of the temporom... |
Generate impression based on findings. | Paraganglioma off therapy. CHEST:LUNGS AND PLEURA: Innumerable pulmonary nodules and micronodules compatible with metastases, not significantly changed. Index right upper lobe lesion measures 14 x 11 mm (5/20), previously 13 x 11 mm.Index left upper lobe lesion measures 2.3 x 2 cm (5/33), previously 2.4 x 2.1 cm.MEDIAS... | No significant change in pulmonary metastases or mediastinal lymph nodes. |
Generate impression based on findings. | Reason: h/o HNC, s/p CRT, compare to previous, measurements pls History: none Mild asymmetry at the level of the tongue base is suspected the treatment related and is stable since the priorWithin the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyo... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy |
Generate impression based on findings. | 4-year-old female with possible nasal fracture Fractures are noted involving the right nasal bone with some mild deformity. There are no other fractures.The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. The maxilla, mandible, sphenoid boned, zygoma, hard pa... | Fractures are noted involving the right nasal bone with some mild deformity. |
Generate impression based on findings. | Reason: compression History: LUE and LLE weakness CT cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. No fractures are identified in the cervical spine.A hypodense focus is present in the right thyroid lobe measuring approximately 8 mm in sizeAt C2-3 there is no significant ... | 1.There is no compromise of cervical or thoracic canal . There is no evidence for spinal cord compression2.a small lesion in the right thyroid lobe is present which is nonspecific. Please correlate with clinical symptoms. Please note that CT is not accurate in evaluation of the thyroid gland. Ultrasound may be of furth... |
Generate impression based on findings. | Pre-kidney transplant evaluation. Incidental finding of left lower lobe 9-mm lung nodule on cardiac MRI 2/2012. LUNGS AND PLEURA: No nodules are identified in the left lower lobe as clinically questioned. 2-mm nodular density in the posterior left lower lobe (4/51), too small to accurately characterize. No pleural flui... | 1. No pulmonary nodules corresponding to site of abnormality on prior MRI report.2. 2-mm nodular density in the left lower lobe is too small to accurately characterize but much more likely to be benign than malignant. If the patient has a history of smoking or high risk of malignancy, one year follow-up may be obtained... |
Generate impression based on findings. | Adenoid cystic cancer submandibular gland, post 3 cycles of therapy. CHEST:LUNGS AND PLEURA: Stable anterior wall thickening of the distal bronchus intermedius extending into the right middle lobe bronchus (4/59-60). There is a small amount of debris in the right middle lobe bronchus.Numerous pulmonary nodules consiste... | 1. Stable pulmonary metastases. 2. Stable thickening of the anterior wall of the bronchus intermedius and right right middle lobe bronchus since 3/6/13; a synchronous primary adenoid cystic tumor of the airway cannot be excluded, correlation with bronchoscopy may be of use. |
Generate impression based on findings. | Female 84 years old; Reason: Re-evaluate liver lesions in patient with upper abdominal pain and weight loss. History: Upper abdominal pain ABDOMEN:LUNGS BASES: Right paraspinal soft tissue measures fat attenuation and may represent a lipoma.LIVER, BILIARY TRACT: Lesions in segment 8 and 7 shows peripheral nodular enhan... | 1.Hepatic hemangiomata , unchanged.2.Right adrenal adenoma |
Generate impression based on findings. | Reason: history of aspergillus and LLL infiltrate; history of heart tranplant History: none LUNGS AND PLEURA: Right upper lobe thickwalled cavitary lesion with internal nodule (image 24 series 5) slightly decreased in size now measuring 2.4 cm x 2 cm previously measuring 2.8 cm x 2.4 cm.Right lower lobe cavitary lesion... | 1.Interval improvement in the cavitary lesions in the right lung.2.No interval change in the left basilar opacities.3.Interval increase in the bilateral pleural effusions. |
Generate impression based on findings. | Renal cancer and pelvic adenopathy. 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: Post-surgical changes of parti... | 1. Status post left partial nephrectomy. 2. Unchanged reference lymph nodes |
Generate impression based on findings. | 76 year-old male. Esophageal cancer in follow-up. Large cystic lesion noted on EUS. Need dedicated renal imaging. EPIC history: 4/2013 EUS report states that there was a large multiseptated cystic lesion in the abdomen measuring 9.7 cm, unclear etiology but was adjacent to the liver and possibly arising from area of le... | 1. No CT correlate to the 10 cm cystic lesion seen on 4/2013 EUS.2. No suspicious solid renal lesion. Left lower pole simple cyst is unchanged.3. Small cystic pancreatic uncinate lesion, not significantly changed.4. Mildly enlarged porta hepatis lymph node and lung nodules, similar to prior exam. |
Generate impression based on findings. | 29-year-old male with a history of recurring Ewing's sarcoma. Evaluate for pulmonary metastases. LUNGS AND PLEURA: Scattered pulmonary micronodules, stable dating back to 2/2011. No new or suspicious pulmonary nodules or masses. No pleural effusion, pneumothorax, or focal consolidation.MEDIASTINUM AND HILA: No evidence... | 1. Slight interval increase in size of T10 vertebral body metastasis. 2. No change in nonenlarged reference right hilar lymph node, unchanged since the patient's initial study, and should probably be dropped as a reference lesion. 3. Pulmonary nodules are stable dating back to 2/2011 favoring benign or treated lesions.... |
Generate impression based on findings. | Worsening pneumonia. Cough, fever resolving. LUNGS AND PLEURA: Improving opacities in the upper lobes which are now more linear and ground glass in appearance, decreased in density. Linear scarlike abnormality in the right lower lobe is unchanged. Prominent subpleural/intrapulmonary lymph nodes on the right. Scattered ... | Mixed response with resolving pneumonia in the upper lobes but new site of infection in the right lower lobe which may be early or resolving, unlikely to be visible on conventional radiographs due to the location and density. Right PICC at the axillary/subclavian venous junction. |
Generate impression based on findings. | 39-year-old female with history of esophageal cancer status post CRT. Please reevaluate. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are unchanged. No new suspicious pulmonary nodules. MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Postsurgical changes compatible with gastric interposition. ... | 1. No new suspicious pulmonary findings. No evidence of metastatic disease.2. Stable to slight increase in paratracheal soft tissue thickening near the anastomotic site of undetermined clinical significance. |
Generate impression based on findings. | 12-year-old male with history of stage IV neuroblastoma. Evaluate for response to therapy. CHEST:LUNGS AND PLEURA: Four calcified and noncalcified pulmonary micronodules are unchanged. No pleural effusions. MEDIASTINUM AND HILA: Right central venous catheter tip in the SVC. No hilar or mediastinal lymphadenopathy. Hear... | Unchanged pulmonary micronodules and diffuse osseous lesions. |
Generate impression based on findings. | Male 71 years old Reason: assess for abn History: polyps abd pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There are two hypodense lesions in segment II of the liver, which demonstrate incomplete nodular peripheral contrast enhancement, consistent with benign hemangiomas. These lesions ... | 1.There is no evidence of local recurrence or metastatic disease.2.Two hemangiomas are again seen in segment II of the liver.3.Right sided adrenal adenoma with washout characteristics consistent with a benign adrenal adenoma. |
Generate impression based on findings. | Reason: metastatic thyroid cancer on treatment. evaluate for disease progression with measurements History: as above CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules unchanged from the prior exam.No new pulmonary nodules identified.No pleural effusion.MEDIASTINUM AND HILA: Mildly prominent AP window lymph node (image... | Stable multiple pulmonary nodules, mildly prominent mediastinal and hilar lymph nodes, and radiolucent T8 lesion. No new sites of disease identified. |
Generate impression based on findings. | Male 69 years old Reason: 69 yo with hemochromatosis and cirrhosis please screen for HCC History: none ABDOMEN:LUNG BASES: There is a 3-mm pleural-based nodule in the left lower lobe which is unchanged in size to prior exam in (image 8, series 3). There is a second, smaller micronodule seen in the right lower lobe whic... | 1.No evidence of focal mass lesion seen within the hepatic parenchyma and any of the contrast enhancement phases.2.Fatty infiltration of the liver with associated nodular contour consistent with the patient's known liver disease. |
Generate impression based on findings. | 17 year old female with Caroli Syndrome and ESRD who was found to have SMV thrombus on 4/7/2011. ABDOMEN:LUNG BASES: New moderate-sized bilateral pleural effusions with overlying compressive atelectasis.LIVER, BILIARY TRACT: Intrahepatic and extrahepatic biliary ductal dilatation compatible with history of Caroli's dis... | 1.New bilateral pleural effusions with overlying compressive atelectasis.2.Large amount of ascites, not significantly changed.3.Splenomegaly and extensive splenorenal shunting.4.Findings compatible with Caroli's disease and polycystic kidney disease, not significantly changed. 5.Narrowed main portal vein and SMV with m... |
Generate impression based on findings. | 46 year-old female. SBO, jejunal thickening. Reassess. ABDOMEN:LUNG BASES: Cardiomegaly. LIVER, BILIARY TRACT: A few hypoattenuating foci scattered in the liver are too small to characterize but likely cysts. No biliary ductal dilatation. SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality note... | 1. Proximal jejunal loop wall thickening is significantly decreased.2. Previously seen air-fluid collection adjacent to this aforementioned loop may be an atypical diverticulum. |
Generate impression based on findings. | 52-year-old female with recurrent stage IIIc ovarian cancer. CHEST:LUNGS AND PLEURA: Thickening along the fissure in the lingula with associated confluent density most consistent with rounded atelectasis, unchanged. No new masses, infiltrates, nodules or effusions seen. MEDIASTINUM AND HILA: No adenopathy. Slight peric... | 1. No evidence of metastatic disease in the chest. 2. Stable smile left periaortic retroperitoneal lymph nodes. 3. No evidence of enlarged lymph nodes in the right pelvis with marked reduction in right external iliac lymph nodes compared with 04/28/13 examination. |
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