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Generate impression based on findings. | Reason: Intraparenchymal hemorrhage with coagulopathy eval for interval change History: Intraparenchymal hemorrhage with coagulopathy eval for interval change There is redemonstration of several subcortical white matter hypodensities along the frontal and parietal lobe convexities. These correspond to cortical and subc... | 1.Redemonstration and no change of multiple cortical/subcortical hemorrhagic foci. Please note differential considerations include metastatic foci as well as other causes including amyloid angiopathy and other.2.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are ... |
Generate impression based on findings. | 17-year-old male presents with left arm "stingers" after football injury, rule out fracture. There is no evidence of acute intracranial hemorrhage, mass, or cerebral edema. The ventricles are within normal limits in size and configuration. There is no midline shift. No fracture is identified. The paranasal sinuses and ... | No evidence for acute intracranial hemorrhage or skull fracture. |
Generate impression based on findings. | 17-year-old male presents with left arm "stingers" after football injury, rule out fracture. The cervical vertebral body heights are preserved. No fracture or spondylolisthesis is identified in the cervical spine. There is straightening of the normal cervical lordosis, may be related to positioning. There is no signifi... | No evidence of fracture or spondylolisthesis. |
Generate impression based on findings. | Mediastinal mass. History of left upper lobectomy for adenocarcinoma. LUNGS AND PLEURA: Postsurgical changes of left upper lobectomy. Left paramediastinal solid nodule at the level of the main pulmonary artery may arise from the mediastinal parietal pleura and measures 2 x 1.8 cm (3/45). Given the benefit of retrospect... | 1. 2-cm solid nodule inseparable from the mediastinal fat may arise from the mediastinal parietal pleura, now consistent with neoplastic process.2. Numerous bilateral nodules and micronodules ranging from groundglass to part solid in density. Some of the largest lesions have increased in size or density and are now sus... |
Generate impression based on findings. | 49-year-old male with abdominal pain ABDOMEN:LUNG BASES: UnremarkableLIVER, BILIARY TRACT: Nonspecific subcentimeter hypodensity near the dome of the liver is unchanged.SPLEEN: No significant abnormality notedPANCREAS: 5-cm fluid attenuation lesion posterior to the head of the pancreas with a punctate calcification is ... | Large, fluid attenuation lesion near the head of the pancreas likely representing a pseudocyst. Clinical correlation and follow-up imaging is recommended to exclude the unlikely possibility of a cystic neoplasm. |
Generate impression based on findings. | 59-year-old female with history of chest wall sarcoma CHEST:LUNGS AND PLEURA: Postoperative changes in the right lower lobe and right chest wall consistent with the stated history of multiple chest wall resection with flap coverage.MEDIASTINUM AND HILA: Retrosternal goiter with enlarged right thyroid lobe, unchanged. I... | Interval decrease in the size of the subhepatic fluid collection, otherwise no significant change from previous study. |
Generate impression based on findings. | Metastatic adenocarcinoma of the level 4 lymph nodes in the suprasternal neck lesions consistent with possible colon metastasis, status post resection and chemoradiation. Head: There is no evidence of enhancing parenchymal lesions, edema, or mass effect to suggest cerebral metastasis. The gray-white matter differentiat... | 1.No evidence of lymphadenopathy by CT criteria or new mass lesions in the neck.2.No evidence of brain metastasis. |
Generate impression based on findings. | 68-year-old male with history of iliac arteries aneurysm ABDOMEN:LUNG BASES: Small right-sided pleural effusion, unchanged from previous study.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormalit... | Interval development of an infrarenal abdominal aortic aneurysm with an ulcerated plaque. Bilateral common iliac artery aneurysms are unchanged.Diffuse atherosclerotic changes involving the abdominal aorta, iliac arteries and their major branches. |
Generate impression based on findings. | Stage IV ovarian cancer CHEST:LUNGS AND PLEURA: Interval resolution of the previously noted large right pleural effusion.Scarring in the lung bases.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Fatty infiltration of the liver. There are... | Interval resolution of the previously noted peritoneal/mesenteric mass in the ventral hernia sac and ascites.Subcentimeter liver lesions which cannot be optimally characterized. Follow-up imaging and/or MRI of the liver may be helpful for there better characterization, if clinically indicated |
Generate impression based on findings. | Reason: h/o HNC, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Interval wedge resection of the previously identified pulmonary nodule within the left upper lobe. No evidence of recurrence at the resection site (series 4 image 28).Postsurgical changes in the left lateral thoracic wall. Ther... | 1. Interval wedge resection of the previously identified pulmonary nodule within the left upper lobe. No evidence of recurrence at the resection site.2. The previous described scattered ground glass and semisolid nodular opacities are unchanged. Right upper lobe ground glass nodule persists.3. Postsurgical changes in t... |
Generate impression based on findings. | 83-year-old male with history of metastatic prostate cancer CHEST:LUNGS AND PLEURA: Bibasilar subsegmental atelectasis, unchanged. Nonspecific subcentimeter nodular focus along the minor fissure, stable. No new nodules.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Diffuse sclerotic bone lesions, sta... | Diffuse bony disease, unchanged. Minimal interval decrease in the size of the left adrenal nodule. |
Generate impression based on findings. | Status post chemoradiation for a T3 N0 supraglottic cancer and a T1 palate cancer that was completed in September of 2009. There is diffuse edema of the aryepiglottic folds and false vocal folds likely related to radiation therapy without evidence of discrete mass. Likewise, the hard and soft palate are unremarkable. T... | No evidence of locoregional tumor recurrence or significant cervical lymphadenopathy. |
Generate impression based on findings. | Reason: h/o hypopharynx cancer History: r/o lung mets LUNGS AND PLEURA: Very slowly growing right lower lobe nodule adjacent to the IVC, now 9 x 10 mm image 247 series 5, previously 8 x 10 mm.Other micronodules in the scarlike opacity in the right upper lobe image 84 series 5 are unchanged.Moderate to severe central lo... | A very slowly growing right lower lobe nodule is present, for which annual CT follow up he continued to suffice. Other nonspecific nodules can be monitored as well. |
Generate impression based on findings. | Reason: h/o HNC, compare to previous, measurements pls, s/p CRT History: none CHEST:LUNGS AND PLEURA: Moderate to severe centrilobular emphysema is present as well as scarring in the middle lobe and lingula.No pleural or pulmonary metastases are visible. MEDIASTINUM AND HILA: Mild aortic root and coronary calcification... | No evidence of metastases or interval change. |
Generate impression based on findings. | Reason: new dx HNC, measurements pls History: none CHEST:LUNGS AND PLEURA: No pulmonary or pleural metastases, or other significant abnormality.MEDIASTINUM AND HILA: Moderate coronary calcifications are present.There is no mediastinal or hilar lymphadenopathy.CHEST WALL: Mild degenerative abnormalities of the thoracic ... | No significant abnormality, and no sign of metastases. |
Generate impression based on findings. | 82-year-old female with history of breast cancer CHEST:LUNGS AND PLEURA: Biapical fibrosis. Scarring in the lungs, bilaterally, not significant changed. Interval resolution of the right-sided pleural effusion. Trace left-sided pleural effusion persists. Bilateral areas of pleural thickening, stable.MEDIASTINUM AND HILA... | Interval resolution of the right pleural effusion and decrease in the left pleural effusion. Bone metastases are unchanged.Interval decrease in the size of the hepatic lesion. |
Generate impression based on findings. | Reason: r/o recurrence. r/o growth of lesions. Please compare with prior CT scan. History: thyroid cancer LUNGS AND PLEURA: Innumerable pulmonary nodules have not significantly changed.Prior right wedge resection.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Surgical clips are in the thyroid bed re... | Stable pulmonary metastases from thyroid cancer. |
Generate impression based on findings. | Status post chemoradiation for an advanced supraglottic cancer completed in December 20, 2012. There are stable post-treatment findings, including absence of a large portion of the epiglottis and regional mucosal edema. However, no discrete mass lesion is identified. There is no significant cervical lymphadenopathy. Th... | Stable posttreatment changes with no evidence for local tumor recurrence or neck lymphadenopathy on the basis of CT size criteria. |
Generate impression based on findings. | Reason: r/o recurrence. Please compare with prior CT scan. History: h/o thyroid cancer There is redemonstration of a 14 x 4 mm axial dimension right paratracheal lesion within the thyroid bed. Compared to the prior exams this has not changed. There are surgical clips present along the thyroid surgical bed. Surgical cli... | 1.Since the prior exam a right thyroid bed lesion remains stable.2.Since the prior exam tiny nodules in the upper lung fields have not changed. Please refer to CT chest of the same date for further comments. |
Generate impression based on findings. | 53-year-old female with T-cell lymphoblastic lymphoma. Evaluate for change in size of mediastinal mass. LUNGS AND PLEURA: Ill-defined, scarlike opacity in the right lower lobe is unchanged in appearance (Image 56, series 5).There is a focal opacity within a right upper lobe causing mild retraction of the mediastinum (i... | Decrease in size of anterior mediastinal mass and of mediastinal lymph nodes. No convincing evidence of pulmonary metastases though a right upper lobe lesion should be followed. Left diaphragmatic pleural thickening and nodularity suspicious for occult metastatic disease. |
Generate impression based on findings. | History of metastatic breast cancer with known pulmonary metastases and new lesions. CHEST:LUNGS AND PLEURA: Scattered nonspecific pulmonary micronodules. No dominant or suspicious pulmonary nodule. Nonspecific pleural nodularity in the left hemithorax.MEDIASTINUM AND HILA: Chronic nonspecific prominent AP window lymph... | Right axillary soft tissue thickening which may be postsurgical in etiology, but underlying tumor cannot be entirely excluded. Bilateral hilar lymphadenopathy. No definite pulmonary metastases. No evidence of metastatic disease in the abdomen and pelvis. |
Generate impression based on findings. | 12 week old male with repeated ALTE, rule out acute bleed or structural 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 edema is identified within the brain parenchyma.Th... | No evidence for acute intracranial abnormality. |
Generate impression based on findings. | Male 73 years old Reason: 73 y.o. male with hx of pancreatic cyst; please evaluate for changes and or abnormalities; do pancreatic protocol scan History: pancreas cyst ABDOMEN:LUNG BASES: There is minimal bibasilar dependent atelectasis.LIVER, BILIARY TRACT: There is evidence of diffusely decreased hepatic parenchymal ... | 1.Pancreatic neck lesion with slight interval increase in size, which likely represents a side branch intraductal papillary mucinous neoplasm 2.Hepatic steatosis. |
Generate impression based on findings. | Reason: Intracranial hemorrhage? History: fell 3 times two days ago, hit head The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a moderate degree are present.A hyperdense focus is present in the right basal ganglia which is s... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT scan sensitive for the early detection of nonhemorrhagic CVA3.a hypodense focus in the right basal ganglia represents an old lacunar infarct4.Periventricular and subcortical white matter changes of a moderate degree are nonspecific. At this age t... |
Generate impression based on findings. | 79-year-old female with a history of thyroid carcinoma with micronodules on prior examination. LUNGS AND PLEURA: Scattered bilateral pulmonary micronodules, appearing similar to the prior study. No new or suspicious pulmonary nodules or masses are identified. No, pleural effusion or pneumothorax. No focal consolidation... | No evidence of metastatic disease. No significant interval change. |
Generate impression based on findings. | Recurrent NSCLC of the right lower lobe treated to the RML with RT in 4/2013. CHEST:LUNGS AND PLEURA: Moderate centrilobular and paraseptal emphysema. Right lower and left upper lobectomies. Right paramedian mediastinal bronchiectasis and fibrosis consistent with stated history of radiation therapy to the right middle ... | Continued decrease in size of the posterior paratracheal nodule in the right upper lobe. Mild to moderate stenosis of the proximal superior mesenteric artery, correlate for symptoms. |
Generate impression based on findings. | Recently diagnosed right glottic papillary squamous cell carcinoma, p16 negative. There is mild asymmetric, ill-defined enlargement of the right vocal cord. There does not appear to be involvement of the anterior commissure, thyroid cartilage, or paraglottic fat. Likewise, there is no appreciable supraglottic or subglo... | Mild asymmetric enlargement of the right vocal cord likely corresponds to the known right glottic papillary squamous cell carcinoma. No evidence of tumor extension beyond the right vocal cord and no significant cervical lymphadenopathy. |
Generate impression based on findings. | 7-year-old male with metastatic neuroblastoma presents with swelling of right and left orbits, assess for infection versus tumor progression. There is now extensive metastatic involvement of the calvarium and orbits. The superior aspects of the bony orbits demonstrate osseous destruction with indistinct cortical margin... | 1.Progression of disease with now significant calvarial and right greater than left orbital metastatic involvement. Extension of enhancing masses into the extraconal space and possible dural involvement along the anterior right middle cranial fossa. Recommend MRI orbits and brain with fat saturation postcontrast images... |
Generate impression based on findings. | 54-year-old male with a history of squamous cell carcinoma of the right tonsil. CHEST:LUNGS AND PLEURA: Punctate benign appearing micronodules are unchanged. Mild right apical radiation reaction diminished.No new pulmonary abnormalities.Mild centrilobular emphysema with an upper lobe predominance.MEDIASTINUM AND HILA: ... | 1. No evidence of pulmonary metastases.2. Slowly enlarging gastrohepatic lymph node, suspicious for occult metastasis or other abdominal pathology.3. Stable right posterior paraesophageal lymph node which may represent nodal metastasis. |
Generate impression based on findings. | Reason: Pt with Tonisl Cancer s/p CRT; Please re-eval and compare to prior scans History: as above there is infiltration of the fat planes in the right neck stable when compared to the prior exam.Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the i... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.please note that lack of intravenous contrast decreases the sensitivity for local recurrence as well as lymphadenopathy. |
Generate impression based on findings. | Status post left nephrectomy for urothelial cancer. Evaluate for recurrence. CHEST:LUNGS AND PLEURA: Scattered nonspecific pulmonary micronodules. No dominant or suspicious pulmonary nodules. The previously noted right upper lobe nodule is no longer evident and was likely inflammatory in etiology.MEDIASTINUM AND HILA: ... | 1. No evidence of local recurrence or metastatic disease in the chest, abdomen and pelvis.2. Stable lipid poor right adrenal adenoma. |
Generate impression based on findings. | 74-year-old male with history of cholangiocarcinoma presents for restaging. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are not typically changed in size or number. No suspicious pulmonary masses or nodules. No pleural effusions.MEDIASTINUM AND HILA: Mediastinal or hilar lymphadenopathy. Severe coronary ar... | Mild interval increase in right hepatic lobe biliary ductal dilatation. Absent right and present left pneumobilia. If there is clinical concern for biliary obstruction this would be suggestive of occlusion of the right-sided biliary stent. Otherwise, stable examination. |
Generate impression based on findings. | Metastatic breast cancer CHEST:LUNGS AND PLEURA: Interval resolution of the tree in bud opacities in the right middle lobe. Linear atelectasis in the right middle lobe and bilateral bases, unchanged.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Sclerotic lesion in the sternum is unchanged. ABDOMEN:... | Interval resolution of the previously described pulmonary nodules.No significant change in the appearance of sclerotic sternum. |
Generate impression based on findings. | Male 54 years old Reason: hx of bladder cancer s/p radical cystoprostatectomy, evaluate for mets. CT urogram with delayed imaging History: none ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is no evidence of intrahepatic biliary ductal dilatation or focal mass lesion. The hepatic vascu... | 1.No definite evidence of recurrent or metastatic disease.2.Stable slightly prominent inguinal lymph nodes. |
Generate impression based on findings. | 55-year-old male with squamous cell carcinoma of the right tonsil. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules. No suspicious pulmonary nodules or masses. No pleural effusion, pneumothorax, or focal consolidation.MEDIASTINUM AND HILA: Note is made of an aberrant origin of the right subclavian artery. Vascu... | No evidence of metastatic disease. |
Generate impression based on findings. | Female 60 years old Reason: 60 yo female s/p distal pancreatectomy for locally advanced panc cancer. Pt c/o bloating and abominably pain History: abdominal pain/bloating ABDOMEN:LUNG BASES: There is been resolution of previously seen left-sided pleural effusion. There is evidence of persistent bibasilar atelectasis lef... | 1.Focal dilatation of small bowel with possible etiologies including partially obstructed internal hernia or postsurgical adhesion.2.Fluid within the pancreatectomy bed with an enhancing wall concerning for loculated fluid collection or possible abscess. |
Generate impression based on findings. | 35-year-old with history of Hodgkin's lymphoma and non-Hodgkin's lymphoma. Restaging exam. CHEST:LUNGS AND PLEURA: Spiculated left upper lobe nodule is not significantly changed measuring 10 x 6 mm (series 7 image 62), previously 10 x 5 mm. No additional suspicious or dominant pulmonary nodules.MEDIASTINUM AND HILA: Ma... | Interval decrease in mediastinal lymphadenopathy. No evidence of metastatic disease in the abdomen or pelvis. |
Generate impression based on findings. | 62 year-old female status post right MRM in 2010 and chemoradiation therapy. Now presents with 5 months of dry cough, and right chest wall pain. CHEST:LUNGS AND PLEURA: No evidence of metastatic disease in the lungs. Right apical scarring/atelectasis. Calcified nodule in the right middle lobe consistent with prior gran... | No evidence of metastatic disease. No significant interval change. |
Generate impression based on findings. | 60 year-old female with smoking history. Lung cancer screening evaluation. LUNGS AND PLEURA: Bilateral scattered pulmonary micronodules measuring up to 4 mm (image 113, series 4). MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Punctate calcification within the right breast (image 59, series 3); calc... | 1. Multiple bilateral pulmonary micronodules measuring up to 4 mm; follow up CT is recommended in 12 months to prove stability although the likelihood of malignancy is very low. 2. Oval soft tissue density in the left breast; per screening mammography, this represented a stable mass. Follow up per prior mammography rec... |
Generate impression based on findings. | Lung cancer status post RT and chemo, and radiation pneumonitis. CHEST:LUNGS AND PLEURA: Mild emphysema. Right hemithorax volume loss with paramediastinal radiation fibrosis. Index lesion in the right lower lobe measures 15 x 26 mm (4/84), previously 16 x 30 mm. Decrease in volume of pleural fluid on the right, now min... | Improved size of the right lower lobe nodule and decreased size of mediastinal lymph nodes. Near complete resolution of right pleural fluid collection. |
Generate impression based on findings. | 46-year-old female with bilious and possible fecal drainage around G-tube site. ABDOMEN:LUNG BASES: Small right greater than left pleural effusion with right greater left lung base consolidation. Cardiomegaly with moderate pericardial effusion/thickening, unchanged.LIVER, BILIARY TRACT: Cholelithiasis and biliary sludg... | Large left sided subcutaneous fluid collection along the tract of the G-tube is relatively stable with size. No oral contrast is seen within the collection. The G-tube is well positioned within the gastric lumen. Bilateral right greater than left lung base consolidation/atelectasis. |
Generate impression based on findings. | Female 46 years old Reason: CT UROGRAM -46yo female with stage IV lung CA with pelvic mass s/p radical hysterectomy with bladder injury, s/p cystogram without extravasation of dye. Now clinical concern for vesicovaginal fistula. History: new onset urinary incontinence ABDOMEN:LUNG BASES: Lower lobe consolidation/atelec... | 1.Stable necrotic appearing retroperitoneal and mesenteric lymph nodes concerning for metastasis2.No evidence of a vesicovaginal fistula.3.New gas within the vagina which is nonspecific, but in the appropriate clinical setting, this could represent a colo-vaginal fistula.4.Mild hydronephrosis with associated narrowing ... |
Generate impression based on findings. | 80 year-old male with basal cell carcinoma status post 3 cycles of chemotherapy. Compare to last CT. CHEST:LUNGS AND PLEURA: Reference left upper lobe pulmonary nodule (series 4 image 31) measures 14 x 10 mm, previously 12 x 10 mm.Reference right lower lobe nodule (series 4 image 66) measures 14 x 15 mm, previously 15 ... | Minimal interval increase in size of numerous pulmonary nodules consistent with the stated history of metastatic disease. New right hilar lymphadenopathy consistent with nodal metastasis. |
Generate impression based on findings. | Clinical question: assess for posterior cerebellar strokeSigns and Symptoms: dizziness/weakness/vertical nystagmus. 63-year-old male Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels f... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral cerebrovascular occlusive disease3.there are several old lacunar infarcts in the brainstem, the right centrum semiovale and left internal capsule4.CT is insensitive for the early detection of nonhemorrhagic CVA |
Generate impression based on findings. | New diagnosis of right T2N2aM0 tonsillar HPV+ squamous cell carcinoma status post tonsillectomy and a selective neck dissection in levels 2-5. There are interval postoperative findings related to right tonsillectomy and bilateral neck dissections, including edema in the right tonsillar fossa diffuse stranding of the fa... | Interval post-treatment findings without definite evidence of residual right tonsillar tumor or cervical lymphadenopathy. |
Generate impression based on findings. | Metastatic head and neck cancer on therapy. Research scan for Merck MK 83475 -- 012 study (IRB 13 -- 0311). CHEST:LUNGS AND PLEURA: Postoperative changes are right middle lobectomy and right lower lobe wedge resection. Left lower lobe nodule measures 22 x 33 mm (7/79), previously 20 x 25 mm.Nonindex nodule in the right... | Slight increase in size of left lower lobe index nodule and non-index right lower lobe metastasis. Left paratracheal nodular soft tissue stranding and lower left paratracheal mildly enlarged lymph node unchanged compared to most recent previous in size however were not present on the earlier studies, consistent with in... |
Generate impression based on findings. | History of ovarian cancer. Follow-up liver lesions. The lack of intravenous contrast limits evaluation of the solid organs.CHEST:LUNGS AND PLEURA: 3-mm left lower lobe nodule that is new compared to prior.This is nonspecific, but continued follow-up is recommended. Scattered unchanged additional pulmonary micronodules.... | 1. Post surgical changes from TAH/BSO. No definite peritoneal carcinomatosis.2. Within thelimitations of a noncontrast exam, no significant change in hepatic metastases.3. Left lower lobe nodule is nonspecific, but further follow-up is recommended. |
Generate impression based on findings. | 77-year-old female with history of lung cancer status post resection and H&N cancer. Growing lingular nodule on CT. Evaluate for growth. CHEST:LUNGS AND PLEURA: Lingular nodule measures 19 x 8 millimeters (image 41, series 4), previously 17 x 6 mm. Enlargement is more dramatic on coronal images, now 10 mm craniocaudall... | 1. Increase in size of left lingular nodule. 2. No significant change in other noted pulmonary nodules. 3. Persistent intrahepatic biliary ductal dilatation and common bile duct dilatation. 4. Marked left kidney cortical atrophy. |
Generate impression based on findings. | 56-year-old female with abdominal 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 abnormality notedKIDNEYS, URETERS: Left lower pole nephrolithi... | Left lower pole nephrolithiasis without evidence of hydronephrosis. Otherwise unremarkable study. |
Generate impression based on findings. | 22-year-old male presents for evaluation to be a possible kidney donor. 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, URE... | There are 3 right renal arteries. One left renal artery with small branch 1.8 cm from the artery origin supplying the superior pole. Additional findings as described. |
Generate impression based on findings. | Reason: h/o larynx cancer History: r/o lung mets LUNGS AND PLEURA: No evidence of pulmonary or pleural metastases.Mosaic attenuation a centrilobular groundglass abnormality is extensive but unchanged.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Moderate coronary calcifications are present.CHEST WALL: D... | 1. No sign of metastases.2. Interstitial lung disease suggestive of hypersensitivity pneumonitis or interstitial lung disease associated with respiratory bronchiolitis. |
Generate impression based on findings. | Male 29 years old; Reason: History of osteosarcoma with lung lesion History: History of osteosarcoma with lung lesion CHEST:LUNGS AND PLEURA: Spiculated right upper lobe pulmonary nodule measures 1.2 x 1.1 cm (image 30/series 4). Previously, 9 mm on CT dated 7/15/2013Right upper lobe pleural-based nodules.pleural effus... | 1.Increase in the size of the right upper lobe spiculated nodule.2.Large right sub-diaphragmatic mass. |
Generate impression based on findings. | Lung mass LUNGS AND PLEURA: Emphysema, moderate to severe. Spiculated nodule in superior segment of the right lower lobe extending posteriorly to the pleural surface and medially to the major fissure measures 22 x 12 mm (5/44).Spiculated subpleural mass in the left lower lobe inseparable from the adjacent posterior ple... | 1. Spiculated left lower lobe mass measuring 49-mm in maximal dimension is inseparable from the adjacent pleural surface, highly compatible primary pulmonary neoplasm. 2. Spiculated nodule in the superior segment of the right lower lobe measures 22-mm and extends to the posterior pleural surface and medially to the rig... |
Generate impression based on findings. | 67-year-old male with a history of multiple myeloma. Follow-up on lung nodule. LUNGS AND PLEURA: There is interval development of numerous bilateral nodular opacities which are most pronounced in the left lower lobe. Given the multiplicity, these findings are suspicious for acute infection including atypical mycobacter... | 1. Innumerable lytic lesions affecting the axial skeleton, consistent with the stated history of multiple myeloma.2. Interval development of numerous bilateral nodular opacities which are most pronounced in the left lower lobe. Given the multiplicity and lack of reported FDG uptake on PET scan, these findings are suspi... |
Generate impression based on findings. | Tachycardia, febrile episodes, malignancy. PULMONARY ARTERIES: Significant motion artifact limits assessment for pulmonary emboli beyond the proximal lobar level; unable to exclude PE in these regions or more distally. The main pulmonary artery appears normal in caliber. No filling defects are identified within the the... | 1. Exam is limited due to significant patient respiratory motion. Within this limitation, no pulmonary emboli are identified from the level of the main pulmonary artery to the proximal lobar levels. Pulmonary emboli in the distal lobe are the subsegmental branches cannot be ruled out.2. Diffuse metastatic disease as de... |
Generate impression based on findings. | History of pancreas cancer This study is limited due to lack of IV contrast.CHEST:LUNGS AND PLEURA: Emphysema. Scattered micronodules. An index nodule measures 6-mm in diameter image number 40, series number 4. Large calcified granuloma in the right middle lobe.MEDIASTINUM AND HILA: Calcified right hilar adenopathy.CHE... | Scattered subcentimeter micronodules in the lungs. Follow-up imaging is recommended. Extremely limited study for evaluation of the abdominal organs due to lack of IV and oral contrast. Recurrent/metastatic/residual disease cannot be excluded. |
Generate impression based on findings. | Four year female with persistent pneumonia. Rule out abscess or foreign body. LUNGS AND PLEURA: Patchy heterogenous opacification with air bronchograms of the right upper lobe with multiple lucencies scattered throughout. This portion of the lung is non-enhancing. Ground glass opacity of the left upper lobe likely repr... | 1.Necrotizing pneumonia of the right upper lobe with multiple lucencies likely representing necrosis.2.Left upper lobe developing pneumonia.3.No pleural effusion.4.Right hilar and subcarinal lymphadenopathy. |
Generate impression based on findings. | 21-year-old female with tachycardia and shortness of breath. Assess for PE PULMONARY ARTERIES: Technically adequate study without evidence of acute pulmonary embolus.LUNGS AND PLEURA: No focal airspace opacity. No pleural effusions. Minimal left basilar atelectasis. MEDIASTINUM AND HILA: No evidence of right heart stra... | 1. No evidence of acute pulmonary embolus or other acute pulmonary abnormality.2. Minimal left basilar atelectasis.3. Extensive levo-rotoscoliosis and rib deformities. 4. Large hiatal hernia with intrathoracic position of the stomach. |
Generate impression based on findings. | Reason: history possible radiation pneumonitis; persistent DOE History: history possible radiation pneumonitis; persistent DOE LUNGS AND PLEURA: No evidence of pulmonary or pleural metastases.Diffuse mosaic attenuation is present on both inspiration and expiration series, unchanged.Basilar linear scarring is stable. ME... | 1. No evidence of metastases.2. Unchanged diffuse mosaic attenuation, consistent with small vessel or small airways disease. |
Generate impression based on findings. | Male 64 years old; Reason: EGJ cancer with mets to liver: Restaging History: none CHEST:LUNGS AND PLEURA: No dominant pulmonary lesions. Calcified granulomata in the left lower lobe. No pleural effusions.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediastinal lymphadenopathy. The right chest... | 1.Decrease in the size of the left paraesophageal lymph node.2.Increase in the size of the hepatic metastases with new biliary ductal dilatation. |
Generate impression based on findings. | Pneumonia, organism unspecified. Secondary malignant neoplasm of the lung. Secondary malignant neoplasm of liver. Question atelectasis or bronchial obstruction. Dyspnea and hypoxia. LUNGS AND PLEURA: Innumerable pulmonary and pleural nodules similar to previous. Several masslike areas of consolidation in the right lung... | Diffuse metastatic disease with interval development of occlusion of the distal left main bronchus by mediastinal and left hilar tumor with collapse of the left lung. The lateral segment of the right middle lobe is also collapsed due to tumor. Increased volume of pleural fluid bilaterally. Masslike areas of subpleural ... |
Generate impression based on findings. | 44-year-old female with history of left lower quadrant 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 abnormality notedKIDNEYS, URETERS: Small ... | No CT findings to explain patient's abdominal pain. |
Generate impression based on findings. | Clinical information LUNGS AND PLEURA: Bilateral scattered pulmonary micronodules measuring up to 4 mm (image 113, series 4). MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Punctate calcification within the right breast (image 59, series 3); calcifications seen on screening mammogram from 6/17/2011.... | 1. Multiple bilateral pulmonary micronodules measuring up to 4 mm; follow up CT is recommended in 12 months to prove stability although the likelihood of malignancy is very low. 2. Oval soft tissue density in the left breast; per screening mammography, this represented a stable mass. Follow up per prior mammography rec... |
Generate impression based on findings. | Reason: evaluate abnormal cardiac anatomy History: truncus arteriosus Findings reflect truncus arteriosus with atretic main, right and left pulmonary arteries. There is coarctation of the distal transverse arch. The arterial pulmonary supply also arises from multiple persistent aortopulmonary collaterals. The central b... | 1. Findings reflect truncus arteriosus with atretic main, left and right pulmonary arteries. There appears to be a nonrestrictive, membranous VSD in close proximity to the subpulmonic outflow tract. Possible apical muscular VSD. Multiple aortopulmonary collaterals provide arterial flow to the lungs, detailed above. 2. ... |
Generate impression based on findings. | T2N0 laryngeal squamous cell carcinoma. The patient received 70 Gy to the larynx and 56 Gy to the cervical nodes through January 2009. The cancer recurred and hemilaryngectomy was performed in September 2009, followed by a total laryngectomy in February 2010 for another recurrence. Subsequently, a right parapharyngeal ... | 1.Stable post-treatment findings without evidence of recurrent tumor or significant lymphadenopathy.2.No evidence of intracranial metastatic disease. |
Generate impression based on findings. | Reason: assess ischemia History: right sided weakness Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no significant st... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.No evidence for cerebrovascular occlusive disease.3.No intracranial venous occlusive disease4.No perfusion defect identified in the brain parenchyma.5.Findings were discussed with Dr Ardelt at the time of the exam6.A moderate right pleural effusion ... |
Generate impression based on findings. | 50 year-old female with chest pain. Rule out PE. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. No evidence of right heart strain. LUNGS AND PLEURA: No focal consolidation, pleural effusion, or pneumothorax.MEDIASTINUM AND HILA: No evidence of lymphadenopathy.CHEST WALL:Multilevel... | No evidence of PE. No other acute intrathoracic findings to account for the patient's symptoms. |
Generate impression based on findings. | Left foot pain and worsening erythema following a cat bite, assess for abscess. CT of the left lower extremity demonstrates confluent subcutaneous edema along the dorsal and lateral aspects of the forefoot and midfoot extending up the lateral aspect of the ankle and lower leg. There is also mild subcutaneous edema of t... | Subcutaneous edema particularly along the lateral aspect of the foot, ankle, and lower leg with equivocal small developing abscess within the subcutaneous fat adjacent to the base of the fifth metatarsal. |
Generate impression based on findings. | 61 year old female with chest pain with breathing. PULMONARY ARTERIES: Limited examination secondary to poor opacification of the pulmonary arteries. No large embolus is identified. The main pulmonary artery measures 3.1 cm in diameter suggestive of pulmonary artery hypertension.LUNGS AND PLEURA: Small left pleural eff... | 1. Limited examination without evidence of large central pulmonary embolus. The main pulmonary artery is dilated suggestive of pulmonary artery hypertension.2. Small left pleural effusion with basilar atelectasis may be due to recent prior infection which could conceivably represent the patient's source of pain.3. Cyst... |
Generate impression based on findings. | 32-year-old female. Abdominal pain, vomiting. Evaluate for pancreatitis or appendicitis. 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 ... | No evidence of appendicitis or pancreatitis as clinically questioned. No specific findings to account for symptoms. |
Generate impression based on findings. | 42-year-old female. Abdominal pain. Evaluate for bowel obstruction. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: A few scattered subcentimeter hypodense foci in the liver are too small to characterize, but likely cysts. Status post cholecystectomy.SPLEEN: No significant abnormality notedPAN... | 1. Findings concerning for partial small bowel obstruction involving the alimentary limb. A distinct transition point cannot be ascertained due to tortuous course of the bowel. Given swirling pattern of left upper quadrant mesenteric vessels, an internal hernia cannot be excluded.2. Small amount of free pelvic fluid, m... |
Generate impression based on findings. | 69 year-old female. Pelvic pressure/pain. Evaluate for possible rectal abscess. History of uterine cancer. ABDOMEN:LUNG BASES: Bibasilar dependent atelectasis. 1.9 x 2.2 cm nodule, previously measured 1.4 x 1.7 cm on 6/2013 CT. LIVER, BILIARY TRACT: No focal hepatic lesion. No biliary ductal dilatation.SPLEEN: No signi... | 1. Proctitis with an immediately anterior 8.3 x 8 cm air-fluid collection concerning for an abscess.2. Interval increased size of right lower lobe nodule concerning for a metastasis.3. Post-surgical changes of ileal conduit with ureteral diversion and expected mild hydroureteronephrosis. |
Generate impression based on findings. | 65-year-old male with dyspnea on exertion and new onset hypoxia. LUNGS AND PLEURA: Innumerable pulmonary and pleural based nodules which have slightly increased in size when compared to the prior study, consistent with worsening disease. There is irregular interlobular septal thickening consistent with lymphangitic spr... | 1. Interval increase in size of multiple pulmonary nodules and tumor burden with associated increase in right lower lobe atelectasis/consolidation, consistent with tumor progression. No specific evidence to suggest acute infection or drug reaction.2. Bilateral pleural effusions, right greater than left.3. Stable metast... |
Generate impression based on findings. | 58-year-old male with hepatic encephalopathy. Evaluate for cerebral edema. The exam quality is limited due to portable technique.Within these limitations, there is no definite evidence of cerebral edema or acute intracranial hemorrhage. There is no mass, mass effect, or midline shift. The ventricles are stable in size ... | 1. Limited portable CT without significant interval change or definite evidence of cerebral edema.2. Pansinus opacification. |
Generate impression based on findings. | 46-year-old male. History of epigastric pain. Evaluate for pancreatitis. ABDOMEN:LUNG BASES: Multiple calcified nodules in the lung bases, not significantly changed from 2010 CT and most likely benign. Calcified right paraesophageal lymph node. LIVER, BILIARY TRACT: No focal hepatic lesion. Status post cholecystectomy.... | No evidence of pancreatitis or specific findings account for the patient's symptoms. |
Generate impression based on findings. | 48 year old male s/p CEA with altered mental status and occluded right common carotid artery. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal, but it should be noted that CT is insensitive in detecting early nonhemorrhagic stroke. There is no mass effe... | No acute intracranial abnormality. |
Generate impression based on findings. | 53 year-old female with chest pain and history of upper extremity clots. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. No findings to suggest right heart strain.LUNGS AND PLEURA: 9-mm nodule in the left lower lobe (85; series 14). Multiple additional scattered subpleural nodular ... | 1. No evidence of pulmonary embolus.2. 3.2-cm groundglass opacity in the right middle lobe somewhat suspicious for an indolent adenocarcinoma although pulmonary infection is a possibility. Follow-up examination in 3 to 6 months is recommended.3. Multiple subpleural nodular opacities in the left lower lobe, with the lar... |
Generate impression based on findings. | 71 year-old female. Abdominal distention. Evaluate for SBO. ABDOMEN:LUNG BASES: Large right and small left increasing pleural effusions. Bibasilar atelectasis. LIVER, BILIARY TRACT: Cholecystectomy clips. Hypodense segment VI liver lesion is not significantly changed (series 3, image 37). The previously seen adjacent l... | 1. Diffuse small and large bowel dilatation suggests an ileus.2. Extensive peritoneal calcified disease, not significantly changed. Calcified mesenteric mass in the right upper quadrant is no longer seen, presumably resected. Interval decrease in pelvic calcified mass. 3. Segment VI liver lesion, unchanged. Adjacent le... |
Generate impression based on findings. | 76-year-old male with recurrent solitary fibrous tumor. Previous history of lung resection. LUNGS AND PLEURA: Note is made of a 15.0 x 12.6 cm heterogeneous circumscribed mass with areas of central necrosis in the left lower lobe, previously 14.7 x 12.5 cm (58; series 3). There is also associated nodular extension into... | Slight interval increase in 15-cm mass in the left lower lobe consistent with the stated history of recurrent solitary fibrous tumor. However, some of the features, including the heterogeneity, mediastinal lymphadenopathy, and extension into the mediastinum by the tumor, raise the question of a malignant solitary fibro... |
Generate impression based on findings. | Recurrent squamous cell carcinoma of the skin of the ear and the external auditory canal Motion artifact somewhat limits examination.LUNGS AND PLEURA: No suspicious pulmonary nodules or opacities are identified. Scarring/atelectasis in the lingula and left lung base. Small bilateral pleural effusions with underlying at... | 1. No evidence of metastatic disease.2. New small bilateral effusions with basilar atelectasis as well as septal lines most pronounced in the right lung base most consistent with mild CHF. |
Generate impression based on findings. | 48 year old male s/p CEA with altered mental status. NONCONTRAST CT HEAD:The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal, but it should be noted that CT is insensitive in detecting early nonhemorrhagic stroke. There is no mass effect, edema, midline sh... | 1.No acute intracranial abnormality on head CT.2.Post surgical changes from recent right CEA, with interval complete occlusion of the right common carotid artery just distal to its origin. Opacification of the right internal carotid artery at the level of the mid cavernous segment via flow from the posterior circulatio... |
Generate impression based on findings. | 71-year-old male. OHT presenting with chills and GNR bacteremia. Evaluate for intraabdominal source. Has erythema and swelling of sternal wound. Evaluate for infection or abscess. CHEST:LUNGS AND PLEURA: Small left pleural effusion. MEDIASTINUM AND HILA: 3 x 10.3 cm loculated fluid collection posterior to the median st... | 1. Nonspecific 10.3 x 3 cm loculated collection in the anterior mediastinum posterior to the median sternotomy.2. 2.1 x 1.7 cm chest wall hypodense collection immediately anterior to the sternum.3. Tract of oral contrast from lesser curvature of stomach extending outwards towards a hypodense collection in the pancreas.... |
Generate impression based on findings. | 76-year-old male with chest pain and progressive weakness and acute DVT. VQ scan negative, but chest x-ray with nodules. Request evaluation for infection versus infarct. LUNGS AND PLEURA: Lingular and left lower lobe scarring/atelectasis. Scattered pulmonary micronodules. No suspicious pulmonary nodules or masses. No f... | Lingular and left lower lobe scarring/atelectasis without evidence to suggest acute infection. |
Generate impression based on findings. | 67 year-old female with AML, neutropenia, now with altered mental status. Rule out occult pulmonary infection. LUNGS AND PLEURA: No focal consolidation, pleural effusion, or pneumothorax. Scattered pulmonary micronodules.MEDIASTINUM AND HILA: Vascular calcifications of the aorta and its branches. Mild coronary artery c... | No evidence to suggest acute infection. |
Generate impression based on findings. | 60-year-old female. Paracentesis two days ago. Evaluate for hematoma or bleed. ABDOMEN:LUNG BASES: Cardiomegaly. ICD. Small right pleural effusion.LIVER, BILIARY TRACT: Status post cholecystectomy. Fissural widening and caudate hypertrophy suggests a cirrhotic liver morphology.SPLEEN: No significant abnormality notedPA... | Interval development of internal hyperattenuation and more focal high density in the loculated ascites along the omentum, consistent with acute hemorrhage. |
Generate impression based on findings. | 71-year-old female. Left flank pain, hematuria. Assess for renal stone. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hepatomegaly. Cholecystectomy clips.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS,... | 1. Left 2 mm UPJ stone causes moderate hydronephrosis.2. Large 9.7 x 8.7 cm left adnexal dermoid.3. Large ventral hernia containing a loop of colon without evidence of obstruction. |
Generate impression based on findings. | 59-year-old male. Guarding. Evaluate for intra-abdominal bleed. Had hernia repair in 2003. Lack of oral and intravenous contrast decreases sensitivity for detection of solid organ and bowel pathology.ABDOMEN:LUNG BASES: Bibasilar atelectasis. Hypoattenuating blood pool consistent with anemia.LIVER, BILIARY TRACT: Statu... | 1. Wall thickening of afferent limb at the small bowel anastomosis with adjacent mesenteric fluid and foci of air, highly concerning for perforation.2. Linear streaks of air in the sigmoid colon, questionable pneumatosis versus air trapped between the wall and intraluminal debris.3. Small amount of free pelvic fluid.Fi... |
Generate impression based on findings. | 55-year-old male with AML, neutropenia, rule out pulmonary infiltrate. Recent probable fungal pneumonia at outside hospital. LUNGS AND PLEURA: Foci of groundglass opacity in the right and left lower lobes likely represents scarring/atelectasis likely related to the patients stated history of recent infection. Left basi... | Lower lobe ground glass opacities likely postinfectious or postinflammatory, related to the patients stated history of recent fungal infection. |
Generate impression based on findings. | 62 year old female, preop evaluation for a valve surgery with prior sternotomies. LUNGS AND PLEURA: Severe centrilobular emphysema with an upper lobe predominance. Bibasilar scarring/atelectasis. No focal consolidation, pleural effusion, or pneumothorax.MEDIASTINUM AND HILA: Multiple subcentimeter calcified nodules in ... | Severe emphysema without acute intrathoracic abnormality. |
Generate impression based on findings. | Male, 61 years old.Reason: Pt with recurrent HNC with lung nodule and pleural mass. Recent RT in 2/2013. Please re-evaluate and compare to prior scans. Post-therapy changes in the left neck and mild asymmetry of the left oral cavity are compatible with prior resection of tongue neoplasm and radiation treatment. There i... | Stable interval exam status post resection of left tongue neoplasm, without evidence of local recurrence or metastatic disease. |
Generate impression based on findings. | 28-year-old female with abdominal pain. Please note, patient developed a single hive on the right cheek after the examination without other symptoms. She was evaluated by Dr. Lo and appropriate precautions given.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Liver is homogeneous. Multiple gal... | Gallstones without obvious complication.Significant fecal material within nondistended colon.Please note, patient developed a single hive on the right cheek after the examination without other symptoms. She was evaluated by Dr. Lo and appropriate precautions given. She should be premedicated if iodinated contrast is re... |
Generate impression based on findings. | 66-year-old male with a history of cholangiocarcinoma post resection and chemotherapy. Evaluate for disease. Patient also complains of right lower quadrant pain. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDO... | Stable examination without evidence for recurrent disease.Stable portacaval node.Inguinal hernias. |
Generate impression based on findings. | 38-year-old female post Whipple for IPMN of the pancreas. Evaluate for tumor. CHEST:LUNGS AND PLEURA: Scattered micronodules.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Surface calcification at the hepatic dome unchanged from multiple... | No evidence of recurrent disease. |
Generate impression based on findings. | Chronic sinusitis and sarcoidosis. Patient has septal perforation. Dental hardware is causing streak artifact limiting evaluation in its plane. Maxillary teeth are absent with flattening of the maxillary dental ridges and overlying dental prosthesis.There is minimal mucosal thickening in the left maxillary sinus which ... | 1.Minimal new left maxillary mucosal thickening with obstructed left ostiomeatal complex.2.Stable nasal septum perforation. |
Generate impression based on findings. | Male 70 years old Reason: sbo, abscess, hap vs aspiration pna History: sirs, ileus, inflammatory process, recent sepsis Somewhat limited due to patient motion. Not sensitive for detecting lesions in the bowel or solid organs of vasculature due to lack of oral intravenous contrast. Given that limitation, the following o... | No evidence of abscess. Bilateral lung consolidation concerning for pneumonia or aspiration. No evidence of abdominal or pelvic abscess. Multiple other findings as above. |
Generate impression based on findings. | Male 62 years old Reason: eval biloma, fluid collection History: sob, abd pain, tachycardia ABDOMEN:LUNG BASES: Bibasilar moderate pleural effusions and associated atelectasis or consolidation.LIVER, BILIARY TRACT: Loculated mottled gas and fluid collection in the gallbladder fossa measures 3.6 x 1.9 concerning for abs... | Loculated air fluid collection gallbladder fossa concerning for abscess. No measurable fluid around pigtail catheter which is dorsal to the liver. Ascites. Bilateral pleural effusions and bibasilar atelectasis or consolidation. Small amount of free or probably from the catheter placement procedure. Pancreatic stent in ... |
Generate impression based on findings. | Female 86 years old Reason: eval for abscess History: sepsis, no clear source, resp failure ABDOMEN:LUNG BASES: Redemonstration of large bilateral pleural effusions with suggestion of loculation. Bibasilar atelectasis or consolidation. Healing right rib fracture redemonstrated Series IV image 37.LIVER, BILIARY TRACT: C... | Anasarca. Ascites without evidence of loculation to suggest abdominal abscess. Bilateral pleural effusions and basilar atelectasis or consolidation. Colonic ileus. Atherosclerotic disease. Mild splenomegaly. |
Generate impression based on findings. | Male 70 years old Reason: pain History: possible dehisence.Additional history postop day number one partial left nephrectomy ABDOMEN:LUNG BASES: Bibasilar atelectasis. Calcific granuloma left lower lobe.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significan... | Surgical changes left kidney. Small pneumoperitoneum and air in the abdominal wall consistent with recent surgery. No evidence of abdominal wound dehiscence. |
Generate impression based on findings. | Female 65 years old Reason: pelvic mass and ascites History: pelvic mass and ascites ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffuse fatty infiltration. No focal masses.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abno... | Pelvic masses concerning for ovarian neoplasm with ascites and diffuse peritoneal carcinomatosis. Retroperitoneal lymphadenopathy. Other findings as above. |
Generate impression based on findings. | History shortness of breath, tachycardia. Evaluate for PE, effusions, infectious process. PULMONARY ARTERIES: Technically adequate examination. No pulmonary embolus identified.LUNGS AND PLEURA: Moderate bilateral pleural effusions, right greater than left with overlying compressive atelectasis. Calcified right lower lo... | 1.No pulmonary embolus.2.Moderate bilateral pleural effusions with overlying compressive atelectasis.3.Please see abdominal CT report for abnormal findings. |
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