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Generate impression based on findings. | NSCLC post two cycles. CHEST:LUNGS AND PLEURA: Moderate right pleural fluid collection, minimally larger. Small volume of pleural fluid on the left. Post therapeutic volume loss on the right with paramediastinal consolidation consistent with radiation therapy. Numerous small pulmonary and pleural nodules with surroundi... | 1. Stable to decreased measurements of pulmonary lesions.2. No lymphadenopathy, reference measurements as above.3. Pathologic fracture of T5 is chronic and remain suspicious for an underlying metastatic lesion. Additional skeletal lesions are nonspecific in appearance.4. Subcentimeter hypoattenuating lesions in the liv... |
Generate impression based on findings. | 58-year-old male with metastatic adenoid cystic cancer of submandibular gland, status post resection and adjuvant radiotherapy completed in July 2010, now receiving vorinostat/paclitaxel. The left submandibular gland is surgically absent. There is no evidence of recurrent tumor. No significant cervical lymphadenopathy.... | No evidence for locoregional tumor recurrence or significant cervical lymphadenopathy. |
Generate impression based on findings. | 70 year old female with new onset atrial fibrillation and decreased oxygen saturation in a patient with lower extremity burns. Evaluate for PE. PULMONARY ARTERIES: Technically adequate study without evidence of acute pulmonary embolus. No evidence of right heart strain. The main pulmonary artery is normal in size and a... | 1. No evidence of acute pulmonary embolus. 2. Small bilateral pleural effusions with basilar atelectasis and interlobular septal thickening most consistent with mild pulmonary edema. Suggest short-term plain film follow-up to assess for clearance.3. Anasarca. |
Generate impression based on findings. | 60-year-old female with left upper lobe nodule. Follow-up after treatment with antibiotics. Motion limits sensitivityLUNGS AND PLEURA: Poorly marginated left upper lobe nodule is equivocally larger in size measuring 13 mm (image 26, series 4), previously 11 mm. Mild scarring along the right major fissure involving the ... | 1. Equivocal increase in size of left upper lobe nodule. This remains highly suspicious for lung cancer. A PET/CT is suggested for further evaluation. 2. Severe emphysema. |
Generate impression based on findings. | Male 77 years old Reason: Hx of Bladder Mass and Pelvic Lymphadenopathy. TURBT showed von Brunn's nest and cystitis cystica but no cancer. Evaluate lymphadenopathy History: See above ABDOMEN:LUNG BASES: There is redemonstration of the previously seen right basilar atelectasis without interval change. There has been min... | 1.Cirrhotic appearing liver with two contrast enhancing lesions, which appear stable since the prior examination, but are still concerning for possible HCC. Given the background of fatty infiltration, CT evaluation of hepatic lesions is limited, and dedicated MR of the liver should be considered in the appropriate clin... |
Generate impression based on findings. | 63 year old female. Right groin pain. Evaluate for lymph nodes versus hernia. UTERUS, ADNEXA: Small amount of endometrial fluid, presumably physiologic and not significantly changed.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: Normal caliber of bowel. BONES, SO... | No specific findings to account for the patient's right groin pain. |
Generate impression based on findings. | Chromosome 19 deletion with lissencephaly and Pierre Robin sequence, status post craniofacial reconstruction for sagittal craniosynostosis. Assess progress of distraction. There are postoperative findings related to cranioplasty is for sagittal craniosynostosis repair with bilateral vertical and horizontal single vecto... | 1.Since the craniofacial CT from 7/22/2013, there has been interval posterior cranial vault distraction by approximately 12 mm. The vertex of the cranial vault remains distracted by approximately 20 mm. Multiple other parietal and occipital osteotomies are unchanged.2.Unchanged maxillofacial stigmata of Pierre-Robin se... |
Generate impression based on findings. | 71-year-old male. Left lower quadrant pain on palpation, blood in stool. Assess for inflammatory versus infectious process, colitis versus diverticulitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: 2.1 x 2.8 cm hypodense hepatic lesion with peripheral discontinuous nodular enhancement is ... | 1. No evidence of colitis or specific findings to account for the patient's symptoms.2. Discontinuous nodular peripherally enhancing liver lesion is most likely a hemangioma.3. Nonspecific 1 cm right adrenal nodule, likely an adenoma. |
Generate impression based on findings. | Lung cancer, follow-up CHEST:LUNGS AND PLEURA: Postsurgical changes with excision of what appears to be a complete right upper lobectomy with associated volume loss and partial collapse of the right middle lobe. An elevated hemidiaphragm with a new large paramediastinal mass is observed adjacent to and indistinguishabl... | Extensive postsurgical changes involving the right hemithorax following resection with subsequent suspected tumor recurrence and or new metastatic disease. See detailed provided. |
Generate impression based on findings. | 42-year-old female. History of lymphoma. Pre-stem cell transplant. CHEST:LUNGS AND PLEURA: Much of the left lung is removed with distortion of normal anatomy and marked left mediastinal shift. Calcified right lung granulomas. No focal airspace consolidation or pleural effusion.MEDIASTINUM AND HILA: Marked leftwards med... | Mildly enlarged pretracheal lymph node. No other lymphadenopathy identified in the chest, abdomen, and pelvis. |
Generate impression based on findings. | Reason: ICH History: head 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.The visualized portions of the paranasal sinuses demon... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for early detection of nonhemorrhagic CVA |
Generate impression based on findings. | 78-year-old male with a history of stage I left upper lobe lung cancer. Status post resection in 2005 with new right upper lobe endobronchial lesion and multiple pulmonary nodules. Presents for initial staging exam. CHEST:LUNGS AND PLEURA: Mild upper lobe predominant paraseptal and centrilobular emphysema. Moderate rig... | 1. Right hilar and mediastinal lymphadenopathy with reference measurements provided. Scattered pulmonary micronodules are nonspecific with a 1.0-cm left upper lobe nodule suspicious for metastatic disease.2. Cardiomegaly, right pleural effusion, interstitial thickening and ground glass opacity likely represents pulmona... |
Generate impression based on findings. | 63-year-old female with malignant neoplasm of lung and esophageal reflux disease. Evaluation compared to previous scans needed. CHEST:LUNGS AND PLEURA: Bilateral lower lobe confluent disease is seen again with a diffuse groundglass appearance in the right lung base and more solid aggregation of nodules with some ground... | 1. Stable appearance to basilar confluent lung nodules and groundglass infiltrates, however, increased since 3/8/13. 2. Increase in size of isolated right upper lobe lung nodule since 7/8/13. 3. Stable appearance to the complex left adnexal cyst. 4. Stable appearance to the mesenteric nodules seen anterior to tail of p... |
Generate impression based on findings. | Reason: rule out progression of SDH (now on heparin gtt) History: on heparin gtt for DVT There is redemonstration of a right-sided extra-axial collection which is a hyperdense relative to CSF the hypodense relative to gray matter and white matter and measures 13 mm in thickness. On the prior exam it measured the same. ... | 1.No change in the right-sided subdural collection which is associated with some mass effect2.Stable small and very thin hyperdense lesions compatible with subdural hematomas are redemonstrated along the tentorium and cerebelli bilaterally 3.Redemonstration and no change in extent in the right occipital lobe subacute t... |
Generate impression based on findings. | 60 year-old male. History of acute lymphoid leukemia. Measure liver and spleen size. Study protocol. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cirrhotic liver morphology with nodular liver contour and widened fissures. The liver is 18 cm in longitudinal dimension, not significantly chang... | 1. Cirrhotic liver morphology.2. Reference liver and spleen length is provided.3. Interval slight decreased size of upper abdominal lymphadenopathy. 4. Small amount of ascites. |
Generate impression based on findings. | 12 month old male with abnormal eye movements. Evaluate for possible neuroblastoma. CHEST:LUNGS AND PLEURA: Bibasilar atelectasis and/or scarring. No suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Right hilar and subcarinal space adenopathy with increased splaying of the mainstem bro... | Soft tissue density within the right hilum and subcarinal region, which may represent metastatic disease. This location is unusual for primary neuroblastoma. These findings could also represent infection, although the patient's clinical history does not correlate with this diagnosis. |
Generate impression based on findings. | 31 year old female with right cheek pain and swelling. Evaluate for abscess. The examination has limited diagnostic sensitivity due to lack of intravenous contrast. Nevertheless, the parotid and submandibular glands appear unremarkable without evidence of sialolithiasis. There are cavities affecting ADA 21 and 30, alon... | 1.Carious ADA 30 with associated periodontitis and cellulitis of the right anterior buccal mucosa, buccal space, and overlying subcutaneous fat. No definite evidence of osteomyelitis or abscess, although the exam is limited by the lack of intravenous contrast. ADA 21 is also carious.2. Unremarkable salivary glands with... |
Generate impression based on findings. | Evaluate for kidney stone. Right flank pain. The following observations are made given the limitations of an unenhanced study.ABDOMEN:LUNG BASES: Calcified granuloma the right lung base. Calcified infrahilar lymph nodes also noted.LIVER, BILIARY TRACT: Status post cholecystectomy. No focal liver lesions are identified.... | No definite findings to explain flank pain. No evidence of hydronephrosis or renal calculi. Numerous calcifications in the pelvis are presumed to represent phleboliths. Small retroperitoneal lymph nodes are of unclear etiology. Equivocal right perinephric inflammation; if symptoms persist, consider enhanced study. |
Generate impression based on findings. | Male 51 years old Reason: new colon mass, baseline evaluation. Hx AML History: new colon mass CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: An internal jugular venous catheter is in place with the tip seen in the distal SVC.ABDOMEN:LIVER, BILIA... | 1.Evidence of mass in the sigmoid colon with surrounding inflammation and prominent mesenteric lymph nodes.2.Retroperitoneal and porta hepatis nodes of unclear significance.3.No evidence of metastatic disease to the liver or osseous structures of the chest abdomen and pelvis. |
Generate impression based on findings. | Evaluate thoracic aortic aneurysm. No symptoms, systolic murmur seen previously on echo. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: The descending aorta measures 4.5 cm in diameter (image 55; series 12). The descending thoracic aorta measures 2.7 cm in diameter (image 56; series 12).... | Ectatic ascending aorta and pulmonary arteries. |
Generate impression based on findings. | 62 year old with history of non-small cell lung cancer with headaches. Please evaluate for brain metastases. There is no evidence of intracranial metastasis. Visualized brain is unremarkable. The ventricles and sulci are appropriate for age. Orbits are normal. Paranasal sinuses and mastoid air cells are clear. The osse... | No evidence of a metastatic lesion to the brain on CT exam. |
Generate impression based on findings. | 72 year old female with persistent hematuria. ABDOMEN:LUNG BASES: Mild dependent atelectasis. No pleural effusions. No pericardial effusion.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Multiple splenic granulomata. Note is made of a nonspecific 1.3-cm splenic hypodense lesion.PANCREAS: No significant a... | Nonobstructive 5-mm right renal collecting system stone. No hydronephrosis or hydroureter. |
Generate impression based on findings. | 36-year-old male with right lower quadrant pain and nausea. Evaluate for appendicitis or kidney stones. ABDOMEN:LUNG BASES: No pleural effusions. No basilar nodules or masses. Normal cardiac size without pericardial effusion.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedP... | 3-mm right ureterovesical junction stone with mild proximal hydroureter and hydronephrosis with a delayed nephrogram and perinephric fluid. |
Generate impression based on findings. | Male 90 years old Reason: Cause of hypoxia and hematemesis History: hypoxia, hematemesis, hx repaired volvulus, aspiration risk CHEST:LUNGS AND PLEURA: There is pronounced centrilobular emphysematous changes in the lungs. There is new dense left lower lobe consolidation with associated volume loss consistent with atele... | 1.New prominent atelectasis/consolidation of the left lower lobe, and persistent right lower lobe atelectasis consistent with mucous plugging, likely secondary to acute on chronic aspiration.2.Narrowing of the left mainstem bronchus likely related to intraluminal mucous material; however, extrinsic mass compression can... |
Generate impression based on findings. | 59-year-old male with history of schizophrenia presents with disseminated blastomycosis infection of the skin. Rule out lung involvement with blastomycosis. LUNGS AND PLEURA: Right apical scarring and right basilar atelectasis.Focal bronchiectasis in the lingular area. Ground glass opacity in the left lower lobe. Scatt... | 1. Scattered left upper lobe pulmonary nodules and left lower lobe ground glass opacity. These are non-specific but most likely does not represent acute infection. 2. Focal bronchiectasis in the lingula. |
Generate impression based on findings. | 73-year-old male with a history of colon cancer. Presents for CT staging. Per prior orders history of dementia, alcoholism and DM. CHEST:LUNGS AND PLEURA: Multifocal bilateral consolidation with associated air bronchograms involving the left upper and lower lobes as well as the right lower lobe. There are adjacent nodu... | 1. Short-interval stability of multifocal consolidation and multiple nodules since 08/27/2013. Given the short onset and fast progression (from 08/07/2013) of these findings an infectious etiology is favored. Atypical (granulomatous, possibly fungal) infection is favored given the nodular appearance especially if the p... |
Generate impression based on findings. | 21-year-old female with known PE, subtherapeutic Coumadin, cough, and vomiting. Assess for PE, pneumonia. PULMONARY ARTERIES: Technically adequate study with resolution of prior pulmonary emboli and without evidence of acute pulmonary embolus.LUNGS AND PLEURA: Opacity at the peripheral right lung base which may represe... | 1. No evidence of acute pulmonary embolus with resolution of prior pulmonary emboli and right pleural effusion. 2. Nonspecific enlargement of axillary and cervical lymph nodes which may be reactive in origin.3. Diffuse mild bronchial and bronchiolar wall thickening compatible with infection. |
Generate impression based on findings. | Male 55 years old Reason: Evaluate for malignancy as cause of cachexia and muscle weakness History: Cachexia and muscle weakness. Additional history from brain MRI request indicates quadriparesis. CHEST:LUNGS AND PLEURA: Small intrapulmonary nodule along the minor fissure. Series 10257 image 54. Basilar atelectasis. No... | Findings chronic pancreatitis. Focal fluid density lesion in pancreatic neck, differential diagnosis as above.Intrahepatic and extrahepatic biliary dilatation could be evaluated further ERCP as detailed above.Endplate erosions and disk space narrowing L2-3 and L5-S1. Correlate for osteomyelitis. Correlate for neuropath... |
Generate impression based on findings. | Female 30 years old Reason: r/o appy History: pain ABDOMEN:LUNG BASES: There is evidence of minimal bibasilar dependent atelectasis.LIVER, BILIARY TRACT: There is no evidence of intrahepatic biliary ductal dilatation or focal mass lesion. The hepatic vasculature appears patent. No evidence of cholelithiasis or choledoc... | There is evidence of a focal hypoattenuation within the left kidney likely sequela from pyelonephritis; however, vascular or neoplastic disorders cannot be excluded and clinical correlation is recommended. |
Generate impression based on findings. | Female 53 years old Reason: r/o stone History: pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is no evidence of intrahepatic biliary ductal dilatation or focal mass lesion. There is no evidence of cholelithiasis or choledocholithiasis. SPLEEN: No significant abnormality notedPANCRE... | 1.No evidence of nephrolithiasis or ureterolithiasis.2.Leiomyomatous uterus |
Generate impression based on findings. | 73 year old female with anemia. Evaluate for retroperitoneal bleed. LUNG BASES: Mild dependent atelectasis. No pleural effusions. No lung base mass or suspicious nodule. Normal cardiac size without pericardial effusion. Moderate coronary artery atherosclerotic calcification. ABDOMEN:LIVER, BILIARY TRACT: Large gallston... | No retroperitoneal hemorrhage as clinically questioned. Cholelithiasis without acute cholecystitis. |
Generate impression based on findings. | 54 year-old female. Sudden onset abdominal pain, vomiting, prior abdominal surgeries including gastric bypass. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Previously seen right lobe posterior dome lesion is not visualized on this exam. No focal lesion is evident. No biliary ductal dilatati... | 1. High grade small bowel obstruction with a markedly dilated afferent limb and common channel. Transition point is difficult to identify, but likely in the pelvis. Efferent limb is collapsed, possibly decompressed if the patient had vomited. 2. Small amount of ascites and interloop flood can be seen in the setting of ... |
Generate impression based on findings. | 33 year old female with gross hematuria. Rule-out Urinary tract stone disease. 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 coronal andABDOMEN:LUNG BASES: No significant abnormality notedLI... | 1. Diffuse fatty infiltration of the liver. 2. No evidence of urinary tract stone disease. 3. No other abnormality seen. |
Generate impression based on findings. | Female 78 years old Reason: assess for rectovaginal fistula History: stool per vagina Exam is not sensitive for detecting lesions in the solid organs of vasculature. Due to the lack of intravenous contrast. Given these limitations, the following observations are madeABDOMEN:LUNG BASES: Basilar atelectasis. Redemonstrat... | Enlarging extraluminal gas collection, which may require better drainage. Probable fistulization to the sigmoid colon, which, I suspect is related to patient's known supravaginal neoplasm. Direct fistula to vagina is inferred but cannot be seen; no oral rectal contrast enters the vagina. Discussed with GYN attending. |
Generate impression based on findings. | Reason: S/P LVAD. eval for fluid collection History: Chronic VAD drive line site infection with worsening drainage CHEST:LUNGS AND PLEURA: Minimal basilar subsegmental atelectasis or scarring is present.Scattered benign appearing micronodules are seen particularly in the left upper lobe.MEDIASTINUM AND HILA: A Heartmat... | Localized LVAD drive line infection, otherwise no significant abnormality. |
Generate impression based on findings. | 39-year-old female with chest pain, dimer. Evaluate for PE. PULMONARY ARTERIES: Technically adequate study without evidence of acute pulmonary embolus.LUNGS AND PLEURA: Left basilar atelectasis and small left pleural effusion. Left upper lobe pulmonary nodule measuring 4 mm (image 119, series 8).Left perifissural nodul... | 1. No evidence of acute pulmonary embolus.2. Left basilar atelectasis, small left pleural effusion, and left lower lobe subpleural nodularity.3. Left upper lobe pulmonary micronodule does not require follow up in a low risk patient. |
Generate impression based on findings. | 93 year-old female with abdominal pain, epigastric pain -- evaluate for small bowel obstruction. 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:ABDOMEN:LUNG BASES: No significant abnormality ... | 1. No evidence for small bowel obstruction. 2. No abnormality seen to account for patient's symptomatology. |
Generate impression based on findings. | 44-year-old male with right flank pain -- rule-out stone disease. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Small, subcentimeter hypodensities scattered throughout the liver are unchanged since 2012, and most consistent with benign cysts. No other liver lesions identified. Gallbladder an... | 1. Essentially normal examination of the abdomen and pelvis. No etiology for patient's symptomatology seen. |
Generate impression based on findings. | Reason: post fall and head trauma History: head trauma, headache 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.Calcifications are pre... | 1.No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Female 52 years old Reason: assess for diverticulitis History: LLQ pain and tenderness ABDOMEN:LUNG BASES: There is evidence of minimal bibasilar atelectasis. The previously seen ground glass opacities have resolved in the intervening period.LIVER, BILIARY TRACT: There is evidence of periportal edema, and hepatic vascu... | 1.No evidence of diverticulitis or other etiology to explain the patient's symptomatology.2.Findings consistent with chronic liver disease.3.Evidence of chronic pancreatitis. |
Generate impression based on findings. | Reason: tumor growth into carotid, carotid bleeding History: PMH of oropharyngeal Ca, now w/ hemoptysis Neck CTA: There is a large mass present in the right upper neck measuring 60 x 45 mm coronal dimensions which encases the right internal carotid artery and the numerous external carotid artery branches including a st... | 1.There is a focus in the hypopharynx at the level of the tumor containing some air bubbles which are suspicious for the area of hemorrhage. A number of small branches of the right superior thyroidal and right superior laryngeal artery extend into this area. As a result it is suspected that these branches are the sourc... |
Generate impression based on findings. | Unresponsive. History of fall and known bilateral subdural hemorrhages. There has been interval appearance of hyperattenuating hemorrhage layering within the left subdural collection, indicating acute hemorrhage within the subacute hematoma. Nevertheless, the collection has not significantly increased in size, measurin... | 1. Interval appearance of hyperattenuating hemorrhage layering with in the left cerebral convexity subdural collection, indicating acute hemorrhage within the subacute hematoma. However, the hematoma has not significantly increased in size, measuring up to 10 mm in thickness.2. Unchanged 3 mm thick right cerebral conve... |
Generate impression based on findings. | Reason: evaluate manubrium mass seen on x-ray History: sternal cp x 1 week LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Prominent somewhat rounded thymus, within normal limits.Prominent appearing clavicular heads on the sagittal views may account for the retromanubrial opacity on the chest r... | No significant abnormality. |
Generate impression based on findings. | 55-year-old male. Patient is in ESRD. Patient scheduled to get dialysis today. Evaluate for strangulated hernia. ABDOMEN:LUNG BASES: Paraseptal and centrilobular emphysema. Small bilateral pleural effusions with bibasilar atelectasis. Multiple calcified nodules in the right middle lobe and lingua. LIVER, BILIARY TRACT:... | 1. No inguinal hernia.2. Small bilateral pleural effusions and small amount of abdominopelvic ascites. |
Generate impression based on findings. | Male 67 years old Reason: r/o obstruction vs diverticulitis History: pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is evidence of mild intrahepatic biliary ductal dilatation without evidence of focal mass lesion. There is prominent extrahepatic biliary ductal dilatation, which mea... | 1.The jejunostomy tube balloon hub appears to have retracted, and now resides within the subcutaneous tissues 2.No evidence of diverticulitis or other etiology to explain the patient's left lower quadrant pain.3.Chronically increasing extrahepatic biliary ductal dilatation with associated minimal intrahepatic biliary d... |
Generate impression based on findings. | Reason: recurrent parotid ca, on therapy, compare to previous, eval for progression History: as above CHEST:LUNGS AND PLEURA: The lungs are significantly diminished in inflation compared to the prior study, and previously described nodules presumably metastases are not visible.Dependent opacities consistent with mild f... | Previously seen metastases are not visible. The lungs are much less well inflated than before with increased basilar atelectasis. Esophageal stasis filled with fluid could lead to aspiration. |
Generate impression based on findings. | Reason: r/o pe History: dyspnea PULMONARY ARTERIES: Technically adequate examination with no sign of pulmonary embolism. LUNGS AND PLEURA: Bilateral basilar subsegmental atelectasis with a very small right pleural effusion.MEDIASTINUM AND HILA: No significant lymphadenopathy. Very mild pericardial thickening or effusio... | 1.No sign of pulmonary embolism. 2. Mild basilar atelectasis and very small right effusion. |
Generate impression based on findings. | 69-year-old female. HCC restaging. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. CHEST WALL: No axillary lymphadenopathy.ABDOMEN:LIVER, BILIARY TRACT: Dominant right hepatic lobe mass measures 10.2 x 8.1 cm, previously 12.9 x 9.6 cm (ser... | 1. Decreased size of dominant right hepatic lobe mass. Remainder of lesions in the liver are not significantly changed in size. Overall progressive decrease in tumor vascularity of these lesions suggest treatment response.2. Hypodense lesion in the hepatic dome showing washout is concerning for a satellite lesion. |
Generate impression based on findings. | Male, 83 years old, metastatic/recurrent squamous cell carcinoma of the parotid region. Head: There is no evidence of acute intracranial hemorrhage. There is no evidence of mass lesion or midline shift. There re unchanged patchy periventricular and basal ganglia lucencies are seen consistent with age indeterminate smal... | 1. Continued interval progression of recurrent tumor involving the left parotid bed, masticator space, left auricle and the cutaneous and subcutaneous tissues of the left neck and face, although assessment is limited due to lack of intravenous contrast. In addition, superimposed infection associated with the lesion can... |
Generate impression based on findings. | Reason: is the recent stroke area expanded or the same? History: right sided weakness, dysarthria There is redemonstration of a hypodense focus centered in the left subfrontal lobule but also involving left inferior parietal lobule , lateral aspect of the left post central gyrus measuring 33 x 38 mm axial dimensions it... | 1.Small subacute (22mmx35mm) infarction involving a small portion of the left parietal lobe extending so a portion of the subcentral lobule and insular cortex is now associated with the small amount of a hemorrhagic conversion.2.Multiple lesions in the right basal ganglia and right centrum semiovale and pons most likel... |
Generate impression based on findings. | 17yo with AOM and increasing ear pain/head pain despite antibiotic therapy. There is mild opacification of the right mastoid and air cells. There is a focal soft tissue density in the right external auditory canal as well as diffuse circumferential mural thickening of the right external auditory canal. There are partia... | Mild opacification of the right mastoid air cells and diffuse circumferential mural thickening of the right external auditory canal, which may represent otitis externa and perhaps mild mastoiditis. Partially imaged prominent right parotid lymph nodes may be reactive. This can be further evaluated via a dedicated neck C... |
Generate impression based on findings. | 17-year-old female with respiratory distress. Evaluate for pleural effusion. LUNGS AND PLEURA: Endotracheal tube tip is above the carina. Bilateral small pleural effusions with overlying atelectasis. Right lower lobe consolidation increased compared to prior radiograph. Left lower lobe consolidation. MEDIASTINUM AND HI... | 1.Complete left lower lobe consolidation. Right lower lobe consolidation increased compared to prior radiograph. 2.Small bilateral pleural effusions. |
Generate impression based on findings. | Reason: mesothelioma, newly dx. please evaluate for disease and provide target lesions to follow History: mesothelioma CHEST:LUNGS AND PLEURA: The patient appears to have undergone a right pleurectomy. There is right hemithorax volume loss and loculated pleural fluid.Measurable pleural thickening as follows:Adjacent to... | Findings consistent with mesothelioma with loculated pleural fluid collections and prior surgery. Measurements are given above. |
Generate impression based on findings. | Reason: rule out hemorrhage, edema, shift History: worsening R sided weakness and aphasia There is a 40 x 56 mm axial dimension mass present involving the left parietal lobe which is enlarged when compared to the prior exam air in measured 42 x 54 mm on the 9/4/13 MRI. There is associated vasogenic pattern of edema. Th... | 1.The left parietal and posterior frontal lobe the mass enlarged compared to June exam but has not changed appreciably since September 4. There appears to be slightly more mass effect and midline shift on the current exam. There is redemonstration of some mild uncal herniation associated with this. Comparison with an M... |
Generate impression based on findings. | Reason: NSCLC with RUL cavitary lesion History: RUL cavitary lesion LUNGS AND PLEURA: Large right upper lobe cavitary lesion measuring approximately 85 mm in maximum transverse dimension, slightly decreased in overall size, though wall thickening has not significantly changed.Extensive consolidation in the right lower ... | Increased diffuse ground glass opacity, and focal consolidation in the superior segment of the left lower lobe, likely due to aspirated material from the large right upper lobe cavity, and infection.Otherwise stable disease. |
Generate impression based on findings. | Female 63 years old; Reason: rectal cancer History: rectal cancer on chemo restaging CHEST:LUNGS AND PLEURA: No suspicious pulmonary lesions have developed.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediastinal lymphadenopathy.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILI... | 1.Stable exam without evident metastatic disease.2.Hepatomegaly with fatty infiltration. |
Generate impression based on findings. | Male 53 years old; Reason: RECTAL CANCER COMPLETED THERPAY 2011. EVALUATE FOR INTERVAL PROGRESSION OF DISEASE History: RECTAL CANCER CHEST:LUNGS AND PLEURA: No suspicious bony lesions. The pleural spaces are clear. The central airways are patent.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No me... | 1.Stable exam without evident metastatic disease.2.Cholelithiasis. |
Generate impression based on findings. | Reason: Evaluate for cause of fever and evaluate abnormalities seen on CXR History: Fevers, Productive Cough LUNGS AND PLEURA: Mild focal subpleural opacity in the right upper lobe with some adjacent new micronodules, likely secondary to infection. Other micronodules and intrapulmonary lymph nodes are unchanged.Increas... | 1. Very mild focal subpleural opacity in the right upper lobe, nonspecific, but compatible with infection.2. Increased basilar subsegmental atelectasis.3. Increased mediastinal lymphadenopathy with multiple small nodes throughout the mediastinum. |
Generate impression based on findings. | Status post fall, subarachnoid hemorrhage. Overlying the convexity of the left frontal and parietal lobes there is a curvilinear heterogeneous extra-axial fluid collection measuring up to 6 mm in greatest thickness and demonstrating a contour suggestive of subdural hematoma. There is an interval slight increase mixed d... | 1.Minimal interval evolution of the stable sized thin left parasagittal extra-axial fluid collection most likely representing subdural hematoma.2.A previous apparent small area of hyperdensity over the right convexity on the prior outside exam is not demonstrated currently and may have represented subarachnoid blood. |
Generate impression based on findings. | Reason: stroke History: worsening LOC There is loss of gray white differentiation in the left temporal lobe, left parietal lobe, left insular cortex, left frontal lobe in the middle cerebral artery distribution as well as the lateral aspect of the anterior cerebral artery distribution associated with more sulcal efface... | 1.Since the prior examination left hemispheric infarction continues to evolve with more mass effect on the current exam. No hemorrhagic conversion is appreciated |
Generate impression based on findings. | Unspecified fall. There is no evidence of acute intracranial hemorrhage, mass, or cerebral edema. There is no midline shift. The ventricles are stable in size and configuration, including cavum septum pellucidum, vergae, and cavum velum interpositum, which are normal variants. There is mild non-specific cerebral white ... | No evidence of acute intracranial hemorrhage or fracture. |
Generate impression based on findings. | 63-year-old with right base of tongue and vallecular mass status post CRT. Follow-up exam. SOFT TISSUES:Essentially unchanged is a 15 x 6 mm ill-defined focus of enhancement in the right base of tongue. The remainder of the soft tissues are normal.LYMPH NODES:No evidence of enlarged lymph nodes by CT criteria or enlarg... | 1.Essentially unchanged 15 x 6 ill-defined focus of enhancement in the right base of tongue. 2.The lymph nodes are not significant changed. |
Generate impression based on findings. | Reason: Eval brain for abnormalities, shifts, infarct History: Blurry vision, elevated WBC \R\90K. Acute myeloid leukemia, without mention of having achieved remission The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracran... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA3.in please note MRI is more sensitive in detecting brain abnormalities associated with leukemia |
Generate impression based on findings. | Reason: Evaluate for mass or evidence of pneumonia History: Remote history of LLL lung cancer, now with altered mental status and hypercarbic respiratory failure LUNGS AND PLEURA: Mild emphysema and diffuse bronchial thickening consistent with bronchitis.Moderately large right pleural effusion with underlying atelectas... | 1. Pleural effusions with underlying atelectasis.2. Pleural or extrapleural nodules, increased since 2006, of uncertain etiology.3. Ascites |
Generate impression based on findings. | Reason: metastatic lung Ca to pleura, on Tarceva. followup of tumor findings. History: occ chest pain CHEST:LUNGS AND PLEURA: The previously seen left upper lobe nodule is 17 x 15 mm series 5 image 26, previously 17 x 27 mm.Although the original nodule is decreased in size, there are two new satellite lesions adjacent ... | One mixed tumor response. The left upper lobe nodule is smaller although there are new satellite nodules and now apparent nodular opacities in the left lung base. |
Generate impression based on findings. | Reason: 62 y/o severe MSSA sepsis persistent bacteremia eval for abscess History: 62 y/o severe MSSA sepsis persistent bacteremia eval for abscess 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 hemorrhag... | 1.No evidence for acute intracranial hemorrhage mass effect or edema. No intracranial masses appreciated.2.No orbital mass is appreciated3.There are bilateral pleural effusions present right more than left which has progressed since the prior CT of the abdomen. There is associated atelectatic change. A superimposed pne... |
Generate impression based on findings. | 61-year-old male. Melanoma. Status post lymph node dissection. Evaluate for recurrence. CHEST:LUNGS AND PLEURA: Unchanged right middle lobe micronodule. Calcified granulomas.MEDIASTINUM AND HILA: Calcified mediastinal and hilar lymph nodes. No pathologic lymphadenopathy. CHEST WALL: Bilateral axillary surgical clips.AB... | No significant interval change with no new lesions identified. |
Generate impression based on findings. | Reason: metastatic breast CA to liver. On chemo. Followup History: none CHEST:LUNGS AND PLEURA: Small scarlike opacities and small nodules compatible with lymph nodes and granulomas, unchanged.No suspicious nodules.MEDIASTINUM AND HILA: No significant lymphadenopathy.Moderately severe coronary artery calcification.CHES... | Generally stable disease with slight decrease in reference hepatic lesion. |
Generate impression based on findings. | 5 year old female status post liver transplant in 2009, currently EBV PCR positive with early PTLD in tonsillar tissue following adenotonsillectomy on 8/30/2013. CT of chest, including bilateral axillary areas, abdomen and pelvis with contrast to evaluate for lymphadenopathy. CHEST:LUNGS AND PLEURA: Punctate pulmonary ... | 1.No lymphadenopathy in the chest, abdomen, or pelvis.2.Punctate right middle and lower lobe pulmonary micronodules, nonspecific.3.Postsurgical changes of a liver transplant. |
Generate impression based on findings. | Reason: HISTORY OF STAGE III COLON CANCER WITH PULMONARY NODULES ON MARCH CT. EVALUATE FOR INTERVAL CHANGE History: COLON CANCER LUNGS AND PLEURA: Benign-appearing micronodules in the right upper and left lower lobes are unchanged.Additional benign-appearing micronodules are unchanged.There is no significant pulmonary ... | Benign-appearing micronodules unchanged notable at 6 months. Given the history of colon cancer, it might be prudent to repeat the study in the next 12 to 18 months. |
Generate impression based on findings. | 51-year-old female. History of recent right stones. Assess for nephrolithiasis. ABDOMEN:LUNG BASES: 6 mm nodule in the right lung base (series 6, image 3). A few additional loosely clustered nodules are seen immediately inferiorly.LIVER, BILIARY TRACT: Status post cholecystectomy. Hepatic steatosis.SPLEEN: No significa... | 1. Two obstructing right distal ureteral stones with upstream moderate hydroureteronephrosis. 2. Three wide-mouthed ventral hernias containing mesenteric fat and nonobstructed bowel.3. 6 mm nodule in the right lung base, follow-up recommended. 4. Hepatic steatosis. |
Generate impression based on findings. | 10-month-old with emesis after closed head injury. STRUCTURAL ASSESSMENT:There is partial agenesis of the corpus callosum. Cerebellar tonsils terminate below foramen magnum with crowding of the posterior fossa.VENTRICLES/CSF SPACES:The right temporoparietal ventricular shunt catheter terminates in the foramen of Monroe... | 1. There are small scattered foci of hyperintensity within the cerebral hemispheres bilaterally without surrounding edema as described above. Findings likely represent small intraparenchymal calcifications although small foci of hemorrhage cannot be excluded. An MRI of brain can be performed if clinically indicated.2. ... |
Generate impression based on findings. | 84-year-old female presents with confusion on warfarin, presents with a left parotid mass. There is a soft tissue attenuation (approximately 35 HU) mass centered within the left superficial parotid space that measures 35 AP x 25 RL x 30 SI mm. There is thickening of the overlying platysma and stranding of the surroundi... | 1.Left superficial parotid mass measuring up to 35 mm with infiltration of the surrounding tissues. Differential considerations include hematoma, particularly given the history of coumadin use, versus a salivary gland neoplasm. However, assessment is limited by lack of contrast administration and Doppler ultrasound and... |
Generate impression based on findings. | 51-year-old male. History of Hodgkin's lymphoma status post auto transplant. Please restage. CHEST:LUNGS AND PLEURA: Calcified micronodules. No suspicious pulmonary nodules.MEDIASTINUM AND HILA: Stable mediastinal lymphadenopathy. Thoracic inlet lymph node measures 3.2 x 2.1 cm (series 3, image 19), unchanged. Right pa... | Unchanged mediastinal lymphadenopathy. No new lesions identified. |
Generate impression based on findings. | 61-year-old male with a history of renal cancer. Evaluate for progression. Lack of intravenous contrast limits evaluation for lymphadenopathy, solid organ, and bowel pathology.CHEST: LUNGS AND PLEURA: Multiple bilateral pulmonary metastatic nodules are similar in size accounting for differences in measuring technique/s... | Multiple pulmonary nodules and mediastinal lymphadenopathy are minimally changed in size since the prior with reference measurements provided. No evidence of new metastatic disease. |
Generate impression based on findings. | Evaluated ventricle size, EVD removed. There has been interval removal of the right transfrontal ventricular catheter. The ventricular not significantly changed in size or configuration, but remains dilated. There is also underlying ex vacuo dilatation of the left lateral ventricles related to left cerebral hemisphere ... | 1. No significant interval change in size of the ventricular system, which remains dilated, status post ventricular catheter removal.2. Interval evolution of the subarachnoid and intraventricular hemorrhage, which are now less conspicuous and there is no evidence of new intracranial hemorrhage.3. Unchanged left cerebra... |
Generate impression based on findings. | 69-year-old female with metastatic breast cancer. CHEST:LUNGS AND PLEURA: Reference right lower lobe pulmonary nodule adjacent to the major fissure measures 4 x 4 mm (image 46, series 5), previously 7 x 5 mm. Additional scattered pulmonary micronodules have decreased in size or are unchanged. No new suspicious pulmonar... | 1. No significant change in size of left breast mass.2. Interval decrease in size of pulmonary metastases and lymphadenopathy. |
Generate impression based on findings. | 71-year-old male with a history of metastatic prostate cancer. Status post 7 cycles of investigational therapy. CHEST:LUNGS AND PLEURA: Scattered micronodules some of which are calcified are unchanged in size and number. No additional significant pulmonary parenchymal or pleural abnormality.MEDIASTINUM AND HILA: Refere... | Sclerotic osseous lesions are similar in appearance to the prior study with no new focal sclerotic lesions. Stable reference measurements as provided. Please refer to the report from the same day nuclear bone scan for further detail. |
Generate impression based on findings. | Reason: hx H\T\N ca, sp CRT, evaluate dx and compare measurements to previous scans History: as above CHEST:LUNGS AND PLEURA: No significant abnormality noted. Small calcified nodules in the right lung compatible with previous infection. 6-mm right lower lobe nodule unchanged and likely benign.No suspicious nodules.MED... | New large hypodensity in the midpole of the left kidney, most likely secondary to infarct or infection, but follow-up is recommended. |
Generate impression based on findings. | Reason: Hx of Ehlers Danlo syndrome and patient has multiple Rib fractures and dislocations. PReop planning for surgical correction and evaluate hardware needed for fusion of Rib to Thoracic spine. Thin cuts from T1 thru T12 History: Chest pain, neck pain, respiratory compromise The thoracic vertebral bodies are approp... | 1.No compression fractures are appreciated in the thoracic spine. 2.No acute rib fractures are detected, though the ribs are not entirely included on this exam.3.Findings raise a question of osteopenia or osteoporosis . Please correlate with clinical history and clinical exam evaluation. |
Generate impression based on findings. | 77-year-old male. Anal cancer restaging after chemo/RT. Lack of intravenous contrast decreases sensitivity for detection of solid organ pathology. CHEST:LUNGS AND PLEURA: Post-operative change of right upper lobectomy. No suspicious pulmonary nodules or masses. Right lower lobe mild bronchiectasis, unchanged.MEDIASTINU... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: Hurthle cell thyroid cancer, please assess for mets or changes in pulmonary nodules History: Hurthle cell thyroid cancer LUNGS AND PLEURA: Multiple pulmonary nodules, the largest 9 mm in the right lower lobe, all changed and benign appearing.Severe upper lobe predominant centrilobular and paraseptal emphysema. ... | Scattered pulmonary nodules 9 mm in large dimension or less, unchanged and benign appearing. In the lung thyroid cancer can have this appearance, however, and continuing surveillance is recommended. |
Generate impression based on findings. | Reason: h/o HNC, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Right lower lobe calcified granuloma, the lungs are otherwise unremarkable without evidence of metastases.Mild centrilobular emphysema is present.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy is present.Severe c... | No evidence of metastases, and no change. |
Generate impression based on findings. | Reason: F/U pulmonary nodules of unclear etiology. Hx of prostate cancer but PSA = 0 History: as above LUNGS AND PLEURA: Numerous pleural lobe predominant pulmonary nodules and micro-nodules ranging from 3 mm to 9 mm in size are unchanged. Several of these are subpleural location.Very mild bronchiectasis.No pleural eff... | Stable nonspecific bilateral pulmonary micronodules and nodules most likely are benign. Continued follow-up is recommended in 3 to 6 months. |
Generate impression based on findings. | 24-year-old male with history of testes cancer, status post chemotherapy. Assess for recurrence. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN:... | 1. Normal CT examination of the chest. 2. Stable small subcentimeter reference aortocaval lymph node in the abdomen without enlarged lymph nodes in the chest, abdomen or pelvis. |
Generate impression based on findings. | 78-year-old male with history of metastatic prostate cancer ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Nonspecific small hypodensity in the inferior right lobe is unchanged.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abn... | Interval development of sclerotic metastases involving the left iliac bone, multiple lower thoracic and lumber vertebral bodies.Interval development of new left-sided hydronephrosis and hydroureter. Left ureter is dilated throughout its course up to the level of anastomosis with the pouch. Etiology is unknown.Interval ... |
Generate impression based on findings. | Reason: mass lesion, NPH History: dementia 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.Atherosclerotic calcifications are present a... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.There are no mass lesions identified.3.The lateral ventricles are not enlarged out of proportion to the rest of the CSF spaces |
Generate impression based on findings. | 72-year-old female. Appendiceal cancer. Restaging. CHEST:LUNGS AND PLEURA: Previously measured 5 mm nodule in the left upper lobe though not changed in greatest dimension is thinner in the AP dimension (series 5, image 29). Micronodule associated with linear atelectasis/scarring in the left upper lobe is not significan... | 1. Stable left upper lobe lung nodules.2. Antral wall thickening causing a mild gastric outlet obstruction, not significantly changed.3. Scattered focally dilated small bowel loops are increased in prominence, likely related to history of carcinomatosis. No measurable peritoneal disease is seen. |
Generate impression based on findings. | 71-year-old male with a history of renal cell carcinoma. Status post nephrectomy. Lack of intravenous contrast limits evaluation for lymphadenopathy, solid organ, and bowel pathology.CHEST:LUNGS AND PLEURA: Mild upper lobe predominant centrilobular emphysema. Right middle lobe subsegmental atelectasis. Scattered pulmon... | No specific evidence of recurrent or metastatic renal cell carcinoma. Left medial thigh, external iliac and obturator lymphadenopathy; this is an atypical site for RCC metastases and these findings are likely reactive. Attention to these areas on subsequent imaging is recommended. |
Generate impression based on findings. | 52-year-old with head and neck squamous cell carcinoma. SOFT TISSUES:There is heterogeneous thickening of the soft tissues of the right neck with homogenous enhancement and effacement of the fat planes is likely related to treatment. Prominence of the superior left tonsillar pillar near the soft palate with asymmetric ... | Stable post-surgical change no evidence of recurrent or metastatic tumor. |
Generate impression based on findings. | Reason: restage lung cancer with attention to mediastinal lymph nodes History: stable cough CHEST:LUNGS AND PLEURA: Postsurgical changes and volume loss in the right lung secondary to a previous right middle lobectomy. Stable right-sided pleural thickening/nodularity in loculated right pleural effusion.Reference right ... | 1.Stable right pleural thickening, nodularity, and loculated right pleural effusion.2.Interval increase in size of right paratracheal lymphadenopathy.3.No new sites of disease identified. |
Generate impression based on findings. | Reason: pt with lung ca s/p chemo and 6 weeks Rt ended 6/2013 History: doing well wt up, appetite good, some sob while walking needs disease evaluation compare to previous CHEST:LUNGS AND PLEURA: Severe upper zone emphysema and focal subpleural scarring, unchanged.Central left upper lobe cavitary mass measuring 35 x 19... | Stable disease. |
Generate impression based on findings. | 75-year-old increasing frontal headaches for the past 6 months. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage. There is marked severe periventricular and subcortical hypointensity likely representing chronic small vessel di... | 1.Moderate to severe chronic small vessel disease of indeterminate age. Dolichoectatic changes of basilar and internal carotid arteries, no definite aneurysm.2.No finding to suggest source of headache. |
Generate impression based on findings. | Reason: h/o rectal ca, eval for metastatic disease History: rectal ca CHEST:LUNGS AND PLEURA: 6 mm solitary right upper lobe nodule, smoothly marginated, image 25 series 5; this does not appear calcified. The lungs are otherwise unremarkable. MEDIASTINUM AND HILA: The left lobe of the thyroid is cystic and enlarged.Vas... | 1. Solitary 6-mm right upper lobe pulmonary nodule, or conceivably a solitary metastasis but more likely benign such as a granuloma.2. Enlarged main pulmonary artery, suggestive of pulmonary arterial hypertension.3. Cholelithiasis without cholecystitis. |
Generate impression based on findings. | 5-year-old with subdural drain placed two weeks ago for subdural hemorrhage. VENTRICLES/CSF SPACES:There is stable mass effect on the left lateral ventricle with dilatation of the right lateral ventricle, third ventricle and fourth ventricle mildly improved since the prior exam. Left right midline shift is stable measu... | Large left hemispheric chronic subdural hematoma not significantly changed in size and extent with stable mass effect on the left lateral ventricle with dilation of the right lateral ventricle, third ventricle, and fourth ventricle. Ventricular size has minimally improved since the prior exam. Stable left to right midl... |
Generate impression based on findings. | Reason: metastatic thyroid cancer on treatment evaluate for disease progression with measurements History: as above CHEST:LUNGS AND PLEURA: Smoothly marginated right lower lobe nodule, now 24 x 18 mm, not significantly changed.Multiple smaller nodules, also unchanged.Diffuse emphysema and basilar scarring.MEDIASTINUM A... | Stable disease. |
Generate impression based on findings. | History of perforated Nixa hemicolectomy ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormalit... | Unremarkable CT. |
Generate impression based on findings. | 35-year-old female with abdominal pain and early satiety ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No signif... | Normal CT. |
Generate impression based on findings. | Large tonsils with suspected post-transplant lymphoproliferative disease. The patient underwent adenotonsillectomy on 8/30/13. The Waldeyer ring structures are not particularly enlarged, likely secondary to tonsillectomy. There are diffusely mildly prominent cervical lymph nodes. No abnormal fluid collection is identif... | Patent upper aerodigestive track without significant residual tonsillar or adenoidal hypertrophy. Although there are diffusely prominent cervical lymph nodes which can be a manifestation of early PTLD, this can also be within normal limits for a pediatric patient. |
Generate impression based on findings. | 50 year-old man with history of transformed lymphoma (follicular systemic, large cell left gluteal) status post resection/infection of gluteal area. Please evaluate all areas, emphasizing, left hip area CHEST:LUNGS AND PLEURA: No change in the right middle lobe lateral subpleural nodule, measuring 8 mm. Scattered granu... | 1. No change in smile anterior and pretracheal mediastinal lymph nodes. 2. Increase in size of left hip/thigh soft tissue mass. Additionally a new sizable soft tissue mass seen anterior to this. 3. Increase in size of left external iliac lymph node mass. 4. Persisting abnormal collection in subcutaneous tissues of pelv... |
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