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Generate impression based on findings. | Female 59 years old Reason: evaluate for colitis/intraabdominal infection History: diarrhea, abdominal pain additional history from epic indicates metastatic pancreatic cancer. ABDOMEN:LUNG BASES: Bibasilar atelectasis or scarring.LIVER, BILIARY TRACT: Hepatomegaly with redemonstration of hypoattenuating foci consisten... | Questionable thickening a sending colon and cecum may correlate with colitis. Rule out pseudomembranous colitis.Presumed pancreatic mass with pancreatic ductal obstruction. Diffuse hepatic ill-defined lesions consistent with metastatic disease. Other findings as above. |
Generate impression based on findings. | 71-year-old male with dyspnea, hypotension, hypoxia. PULMONARY ARTERIES: Technically adequate examination. No pulmonary embolus.LUNGS AND PLEURA: Mild centrilobular emphysema. Bibasilar atelectasis. No focal consolidations or pleural effusions are present. Calcified granulomata suggestive of prior granulomatous disease... | 1.No pulmonary embolus.2.Minimal dependent atelectasis without acute cardiopulmonary abnormality to account for the patient's symptoms. |
Generate impression based on findings. | Male 71 years old Reason: eval for evidence of infection History: lactate of 5.7. abd fullness ABDOMEN:LUNG BASES: Elevated left hemidiaphragm. Correlate clinically as to etiology. Basilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Few calcific granulomata.PANCREAS: Small lipoma in the pa... | Wall thickening distal colon concerning for colitis. Correlate clinically. The elevated left hemidiaphragm correlate clinically. Small incidental pancreatic lipoma. Other findings as above. |
Generate impression based on findings. | Female 22 years old Reason: R/O GI bleed History: hematochezia. Additional history from radiology resident on call indicates trophoblastic disease.Additional history from epic indicates patient had negative capsule endoscopy and 9/9/13. ABDOMEN:LUNG BASES: Left liver lobe subpleural nodule with surrounding ground glass... | A short segment nonobstructive intussusception in the mid small bowel. No obvious lead mass.Large subcapsular right lower pole hematoma possibly related to bleeding of a small mass that was identified on the outside CT of 9/3/13 as detailed above. Discussion with the clinical service indicated no knowledge of renal sur... |
Generate impression based on findings. | 42-year-old female with history of hypoxia, dyspnea. PULMONARY ARTERIES: There is massive enlargement of the pulmonary arterial tree with the main pulmonary artery measuring up to 5.2 cm in diameter, which can be seen with pulmonary hypertension. No pulmonary embolus is identified.LUNGS AND PLEURA: Patchy mosaic ground... | 1.Massive enlargement of the pulmonary vascular system compatible with pulmonary arterial hypertension without pulmonary embolus.2.Marked cardiomegaly with a moderate to large sized pericardial effusion.3.Apparent enlargement of the aortic root as described, although measurement is limited as this is not a dedicated ca... |
Generate impression based on findings. | Female 46 years old Reason: abdominal pain, possible infection History: abdominal pain, nausea, vomiting Limited sensitivity and bowel due to lack of oral contrast. Given that limitation the following observations are made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No focal liver lesions.... | Bladder wall thickening and possible edema correlate clinically.Dilated common bile duct without intrahepatic biliary dilatation or obvious etiology. Correlate clinically as to need for further evaluation with gallbladder ultrasound or ERCP.Cysts right ovary. Correlate as to need for further evaluation with transvagina... |
Generate impression based on findings. | Female 73 years old Reason: r/o colon CA/ mass History: acute abdominal pain. ABDOMEN:LUNG BASES: Basilar atelectasisLIVER, BILIARY TRACT: This post cholecystectomy. No intrahepatic or extrahepatic biliary dilatation.SPLEEN: Granulomata.PANCREAS: Two fatty masses is seen in the pancreas and one in the body measuring ab... | Pancreatic lipomas of doubtful clinical significance. Postsurgical changes of cholecystectomy and hysterectomy. No specific findings to explain the patient's symptoms. |
Generate impression based on findings. | 79 year-old female with shortness of breath, lower extremity edema. PULMONARY ARTERIES: Filling defect in a left lower lobe subsegmental branch compatible with pulmonary embolism. Enlargement of the main pulmonary artery measuring 3.3 cm suggestive of pulmonary arterial hypertension. LUNGS AND PLEURA: Biapical scarring... | 1.Left lower lobe subsegmental pulmonary embolus.2.Enlargement of the main pulmonary artery suggestive of pulmonary arterial hypertension. |
Generate impression based on findings. | Female 69 years old Reason: history of uterine cancer, new pelvic pain History: pelvic pain CHEST:LUNGS AND PLEURA: Calcific granulomata. No evidence of lung nodules or effusions.MEDIASTINUM AND HILA: Coronary artery calcifications. Calcific granulomata.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIAR... | No findings to explain patient's symptoms. Uterus surgically absent with no evidence of regional adenopathy or metastatic disease. |
Generate impression based on findings. | Male 46 years old Reason: IRB 10-666 Re-evaluate disease status following additional systemic therapy; compare to previous and provide bi-dimenstional measurements History: Stage IV metastatic melanoma CHEST:LUNGS AND PLEURA: A few scattered micronodules unchanged. No no effusions.MEDIASTINUM AND HILA: Small left axill... | Small nonpathologic size nodes unchanged. Small micronodules lungs unchanged. |
Generate impression based on findings. | Female 48 years old Reason: 48yoF with metastatic colon cancer with mets to liver s/p surgical intervention w/ residual hepatic disease. Evaluate for progression. History: Colon cancer. CHEST:LUNGS AND PLEURA: Atelectasis right lower lobe. No suspicious lung nodules or effusions. Few scattered small bullae consistent m... | Postsurgical changes around the liver with decrease in size of perihepatic fluid and ill-defined small nonspecific focus subcapsular anterior liver. |
Generate impression based on findings. | Male 56 years old Reason: abdominal pain History: abdominal pain.Additional history from epic indicates metastatic colon cancer to liver since February 2011 status post right hemicolectomy on chemotherapy now with nausea vomiting diarrhea and abdominal pain. The exam is not sensitive for detecting lesions in the solid ... | No bowel wall thickening distal ileum differential diagnosis as above. Slight increase in size of mesenteric nodes in the right lower quadrant. Cirrhotic liver with liver lesion as measured above. Other findings as above. |
Generate impression based on findings. | Male 52 years old Reason: 52 yo with EtOH cirrhosis please eval for HCC History: none ABDOMEN:LUNG BASES: Extensive paraesophageal varices redemonstrated. Prominent azygos vein.LIVER, BILIARY TRACT: Cirrhotic morphology redemonstrated. Punctate granuloma left lobe. No evidence of fatty liver. No focal masses. Portal an... | Cirrhotic morphology with signs of portal hypertension including splenomegaly and extensive varices. No evidence of focal liver lesions or ascites. |
Generate impression based on findings. | Female 51 years old Reason: r/o dissection History: chest and back pain CHEST:LUNGS AND PLEURA: Right basilar areas of atelectasis or fibrosis. No effusions. No nodules.MEDIASTINUM AND HILA: No evidence of aneurysm or dissection. Normal caliber aorta. Normal variant aortic nipple series 9 image 40. Common origin for ri... | No specific findings to explain the patient's pain. Normal variant aortic arch anatomy.Focal scarring left lower pole kidney. |
Generate impression based on findings. | Male 52 years old Reason: Evaluate for HCC History: ABDOMEN:LUNG BASES: Extensive paraesophageal varices redemonstrated. Prominent azygos vein.LIVER, BILIARY TRACT: Cirrhotic morphology redemonstrated. Punctate granuloma left lobe. No evidence of fatty liver. No focal masses. Portal and hepatic venous vasculature enhan... | Cirrhotic morphology with signs of portal hypertension including splenomegaly and extensive varices. No evidence of focal liver lesions or ascites. |
Generate impression based on findings. | Abdominal pain fever ABDOMEN:LUNG BASES: Minimal atelectasis right lower lobe.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality noted. Splenules noted.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnorma... | Acute appendicitis as described above. |
Generate impression based on findings. | Subdural hemorrhage, on Coumadin with therapeutic INR in setting of known bleed Redemonstrated is a right-sided extra-axial collection which is increased in size and contains a few new components which are hyperdense. There is also layering of previously demonstrated relative hyperdense fluid. On the current exam the m... | 1.CT findings providing evidence for interval rehemorrhage within a right-sided extra-axial collection which has increased in size and contains a few new components which are hyperdense. 2.The maximal depth now measures 15 mm, previously 13 mm.3.Midline shift has increased from 2 mm to 5 mm.4.Results were discussed wit... |
Generate impression based on findings. | Reason: s/p stroke, concern for aspiration pneumonia History: sob LUNGS AND PLEURA: Subpleural reticulation suggestive of mild chronic interstitial lung disease.Patchy lower lobe opacities are mild but suggestive of chronic aspiration, and there is also lower lung zone bronchial wall thickening. Multiple calcified gran... | Chronic interstitial lung disease, and basilar pulmonary opacities suggestive of chronic aspiration with bronchial wall thickening. |
Generate impression based on findings. | Reason: h/o recurrent oral cancers History: eval lungs for mets LUNGS AND PLEURA: Apical radiation fibrosis.No evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy is present.At least moderate aortic and coronary artery calcifications are present.CHEST WALL: Degenera... | No evidence of metastases. |
Generate impression based on findings. | 65-year-old male with shortness of breath and tachycardia. Please evaluate for PE. PULMONARY ARTERIES: Technically adequate study without evidence of acute pulmonary embolus. Enlarged main pulmonary artery measuring 3.8 cm compatible with pulmonary arterial hypertension.LUNGS AND PLEURA: Innumerable pulmonary and pleur... | 1. Technically adequate study without evidence of acute pulmonary embolus.2. No significant change in pulmonary nodules, right lower lobe atelectasis/consolidation, or pleural effusions. 3. Enlarged right pulmonary artery compatible with pulmonary arterial hypertension. |
Generate impression based on findings. | Reason: h/o mandible cancer, now with tongue cancer and weight loss History: r/o lung mets LUNGS AND PLEURA: Centrilobular emphysema is present.Increasing subpleural reticular opacities are consistent with unspecified fibrotic lung disease.No pulmonary or pleural metastases are present. MEDIASTINUM AND HILA: Atheroscle... | 1. Atherosclerosis with thrombus formation in the aortic arch.2. Numerous mediastinal lymph nodes including the cardiophrenic regions, unchanged since 2004.3. Lucent region in the periportal region of the liver is nonspecific, and dedicated abdomen liver protocol CT is recommended for follow-up.4. Cholecystitis. Stable... |
Generate impression based on findings. | 55-year-old. CLL. Evaluate and compare to previous. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Significant interval increase in size of mediastinal lymphadenopathy, including a left paratracheal lymph node measuring 1.4 x 1.9 cm, previously 0.5 x 1.1 cm (series 4, image 14). Referenc... | Interval significant increased size of chest, abdominal, and pelvic lymphadenopathy. |
Generate impression based on findings. | Reason: PE? History: chest pain sob PULMONARY ARTERIES: Technically adequate study with the without evidence of pulmonary embolism.The main pulmonary artery is dilated, 35 mm, consistent with PA hypertension. There is no evidence of right heart strain, however.LUNGS AND PLEURA: Basilar atelectasis or scarring is presen... | 1. Nonspecific basilar atelectasis, which could be from aspirated secretions mucous plugging.2. Enlarged main pulmonary artery consistent with pulmonary arterial hypertension. |
Generate impression based on findings. | 55 year old female presents with dizziness, unstable gait. Rule out acute bleed versus ischemia. There is no evidence of acute intracranial hemorrhage, edema, or mass effect. Encephalomalacia relating to a large previously seen left MCA territorial infarct is redemonstrated. Affected areas include the left inferior and... | 1.No evidence for acute intracranial hemorrhage, mass effect, or edema.2.Large MCA territory encephalomalacia is redemonstrated, as above.3.Small left medial parietal lobe focus of encephalomalacia in the ACA territory.4.CT is insensitive for the early detection of acute ischemic infarction. If clinical concern remains... |
Generate impression based on findings. | Male 45 years old; Reason: left parotid cancer, untreated History: eval for mets CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Moderate atherosclerosis of the aorta and coronary vessels noted. No mediastinal adenopathy detected.CHEST WALL: Enlargement of left sided axillary lymph nodes a... | 1.Left Axillary lymphadenopathy and left breast skin thickening. No other evident metastatic disease detected.2.Peritoneal dialysis with sequela of end-stage renal disease.3.Ascites |
Generate impression based on findings. | Reason: stroke History: stroke 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 effacement. H... | 1.Since the prior examination left hemispheric infarction remains stable. No hemorrhagic conversion is appreciated2.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. |
Generate impression based on findings. | Reason: 59yo F h/o DVT here with dyspnea, chest pressure eval for PE History: - PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolism. Pulmonary artery caliber normal.LUNGS AND PLEURA: There are scattered benign appearing pulmonary micronodules.Anomalous anatomy secondary to dextrocardia... | 1. No evidence of pulmonary embolism.2. Dextrocardia with normal abdominal situs and chest wall deformity. |
Generate impression based on findings. | CT ANG HEAD AND NECK WWO.Reason: r/o SAH History: HA 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 ste... | 1.No evidence for aneurysm.2.No evidence for intracranial or extracranial cerebrovascular occlusive disease in the antrum the3.there is no direct evidence for subarachnoid hemorrhage on this scan. Please note that CT is less sensitive for subacute versus acute subarachnoid hemorrhage |
Generate impression based on findings. | Female 79 years old Reason: evaluate for intraabdominal mass/obstruction that coud cause left lower extremity edema History: left>right lower extremity edema This exam is limited due to lack of IV contrast.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is evidence of vicarious excretion... | 1.Soft tissue edema without evidence of drainable fluid collection in the left anterior thigh/femur region.2.Left-sided, asymmetric inguinal lymphadenopathy which is nonspecific and may be related to infection or inflammation. |
Generate impression based on findings. | Seizure with altered mental status. There is a mucosal thickening and/or secretions within the maxillary, ethmoid and sphenoid sinuses. No intracranial abnormality including mass, fluid collection or hemorrhage. The ventricles and sulci are within normal limits. The midline is intact.Orbits are unremarkable. There are ... | Sinus disease without other demonstrated abnormality. |
Generate impression based on findings. | Female, 55 years old, CLL, re-evaluate and compare to previous. Extensive lymphadenopathy has progressed throughout the neck involving levels 1 through 7, the parotid spaces, and the axillae. Please note that it is not possible to confidently identify every reference node in the prior exam's report, so the following ar... | Significant interval progression in bulky adenopathy throughout the neck. |
Generate impression based on findings. | Reason: 27 female with AML, neutropenic fever, r/o infiltrate History: Neutropenic fever LUNGS AND PLEURA: Minimal dependent atelectasis.No specific evidence of infection.MEDIASTINUM AND HILA: A right jugular catheter extends to the SVC/RA junction region.There is no mediastinal or hilar lymphadenopathy.Low attenuation... | Minimal dependent atelectasis. No evidence of infection. |
Generate impression based on findings. | Male 22 years old; Reason: eval- Hx of UC History: Abd pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: The liver morphology is normal. Mild periportal edema. No evident biliary stricture or mass seen. The gallbladder is normal.SPLEEN: No significant abnormality noted.PANCREAS: No signif... | 1.No acute inflammatory process detected. Colonic wall thickening likely due to patient's ulcerative colitis. |
Generate impression based on findings. | Reason: r/o bleed History: HA 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 are clea... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.there is no direct evidence for subarachnoid hemorrhage on this scan. Please note that CT is less sensitive for subacute versus acute subarachnoid hemorrhage |
Generate impression based on findings. | Reason: 33 y/o M w/ ALL and latent TB please reassess for disease progression History: none LUNGS AND PLEURA: Previously seen pleural effusions have resolved, and basilar atelectasis has near completely resolved or there is residual linear scarring.No specific evidence of infection.MEDIASTINUM AND HILA: Large left thyr... | Resolution of prior pleural effusions and basilar consolidation, with only residual linear atelectasis or scarring. |
Generate impression based on findings. | 68 year-old male. Patient with history of penile cancer, currently being treated with Carbo/Taxol chemotherapy. Assess for disease progression. CHEST:LUNGS AND PLEURA: Calcified lung granulomas. No suspicious pulmonary nodules or masses are identified. Right apical bulla.MEDIASTINUM AND HILA: Calcified mediastinal and ... | 1. Slight decreased size of reference right inguinal necrotic lymph node. No new lesions identified.2. Unchanged hypodense pancreatic head lesion, nonspecific, but may represent a primary pancreatic cystic neoplasm. Recommend MRCP for further evaluation. |
Generate impression based on findings. | Closed fist injury to head (right facial area) with fall. Rule out facial injury, bleed. There is mild diffuse sulcal prominence. There is mild patchy hypoattenuation in the periventricular/subcortical white matter most likely representing age indeterminate sequela of small vessel ischemic disease. There are no intracr... | 1.No facial fractures. Soft tissue stranding overlying the right zygoma and persistently along the orbit are consistent with traumatic sequela.2.No traumatic pathology intracranially, though note is made of patchy hypoattenuation which most likely represents age indeterminate sequela of small vessel ischemic disease. 3... |
Generate impression based on findings. | 63 year-old male presents with right sided facial droop and drooling, rule out CVA. There is a punctate hypodensity in the posterior limb of the right internal capsule. There is no correlate finding on the recent MRI.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No e... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Punctate hypodensity in the posterior limb of the right internal capsule although nonspecific may represent a new lacunar infarct which given its location it is close enough to render a possible explanation of the patient's symptoms. If the patient ... |
Generate impression based on findings. | Recurrent HNC with a lung nodule. Recent RT in 2/2013 CHEST:LUNGS AND PLEURA: Foci of scarring and scattered micronodules are unchanged.Reference left posterior pleural based or subpleural nodule stable to marginally increased, image 43 series 4.Pleural based nodularity on the left may be slightly increased though is d... | 1. Interval decrease in reference right anterolateral pleural based nodule.2. Slight increase in nonspecific subcentimeter pleural based nodules at the left lung base. Continued follow-up is recommended. |
Generate impression based on findings. | Female 60 years old; Reason: hematoma expanding? History: pain hypotension The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made: ABDOMEN:LUNG BASES: Cardiomegaly. ICD. Bilateral bibasilar pleural effusions, ri... | 1. Stable large omental hematoma with no new areas of hemorrhage or active extravasation. No solid organ abnormality on this limited noncontrast examination. |
Generate impression based on findings. | Female 49 years old Reason: eval for anastomotic leak, biliary pathology History: septic shock ABDOMEN:LUNG BASES: Moderate bilateral pleural effusions are present, with associated compressive atelectasis.LIVER, BILIARY TRACT: Numerous punctate calcific foci are seen scattered in the periphery of the liver likely repre... | 1.Hyper-enhancement and bowel thickening of the proximal small bowel, consistent with small bowel necrosis/shock bowel. 2.Dilated small bowel has an ileus like pattern.3.Peritoneal carcinomatosis and retroperitoneal lymphadenopathy.4.No definitive evidence of bile leak; however, this exam is somewhat insensitive to det... |
Generate impression based on findings. | 82-year-old male. GIST status post resection. Evaluate for state of disease. 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: Subcentimeter hypodense focus in the liver... | 1. Status post gastrectomy with resection of previously seen endophytic mass.2. No evidence of metastatic disease. |
Generate impression based on findings. | 69-year-old male with shortness of breath and history of PE. PULMONARY ARTERIES: Technically adequate study without evidence of acute pulmonary embolus. Resolution of prior pulmonary emboli noted on PE study from 9/24/2011. Segmental lingular anomaly could be a small solitary embolus, more likely a partial volume avera... | 1. Technically adequate study without evidence of acute pulmonary embolus. Resolution of pulmonary emboli from 9/24/2011. Segmental lingular anomaly could be a small solitary embolus, more likely a partial volume averaging artifact of an adjacent airway.2. Large right pleural effusion with right lower lobe atelectasis ... |
Generate impression based on findings. | Male, 69 years old, with history of recurrent palate cancer, with palate pain. Extensive treatment related change is identified through the neck. This includes volume loss on both sides, left more than right, effacement of the fat planes, asymmetry and perhaps some mild edema of the left aspect of the soft palate. With... | No definite evidence of active disease in a background of fairly extensive treatment related change. Please note that lack of prior exams for comparison reduces sensitivity for subtle lesions. |
Generate impression based on findings. | 24-year-old female anemia, assess for source of infection and bleed, hemoglobin dropped, leukocytosis CHEST:LUNGS AND PLEURA: The are mild to moderate bilateral pleural effusion. Interval increase in diffuse ground glass opacities and airspace opacities that may represent pulmonary edema, hemorrhage, or atypical infect... | 1. Extensive free intraperitoneal air, most likely arising from the stomach which was previously distended and now appears collapsed and largest pocket of air appears to be in its vicinity.2. Marked abdominal and pelvic ascites.3. Small and large bowel thickening, which could be nonspecific.4. Bilateral lung collapse a... |
Generate impression based on findings. | Asthma and elevated IgE, eval for ABPA. Dyspnea. LUNGS AND PLEURA: Multi-focal bilateral areas of peribronchial or bronchial 1 cm and smaller cystic areas with surrounding mild groundglass opacity. Most areas do not appear to have a wall though others show slight wall thickening. Minimal emphysema at the apices. No evi... | Though there is mild bronchial wall thickening, the predominant abnormality is multifocal peribronchial or bronchial 1 cm and smaller cystic areas with surrounding mild groundglass opacity. Though some areas may represent focal cystic bronchiectasis, others are not attributable to the airways. There are early emphysema... |
Generate impression based on findings. | 36-year-old male presents with paresthesias and 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.The visualized portions of th... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | 20 year-old female presents with right CVA tenderness. Evaluate for nephrolithiasis. Lack of intravenous and oral contrast limits evaluation for lymphadenopathy, solid organ, and bowel pathology.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No signific... | Nonspecific fat stranding in the right lower quadrant with likely reactive lymph nodes with an otherwise normal appearing retrocecal appendix. Very early appendicitis cannot be ruled out.These findings were discussed with Dr. Skjei (ER Physician) at 0835 on 09/16/2013. |
Generate impression based on findings. | 44 year-old patient. Lumbar back pain and left lower extremity weakness after jumping from a second story window. There is transitional anatomy with lumbarization of the S1 vertebral body. A corticated bone fragment associated with the right L1 vertebral body represents a normal variant of the right transverse process.... | 1.No visualized traumatic injury.2.Moderate left L4-5 neural foraminal stenosis on the basis of degenerative change and a small disk bulge.3.Bilateral L5-S1 disease mild -- moderate right, moderate-severe left -- with left L5 nerve root abutment.4.Incidental note of small bilateral nonobstructive nephrolithiasis. |
Generate impression based on findings. | 91 year-old female with abdominal distention. Evaluate for obstruction. ABDOMEN:LUNG BASES: Moderate right greater than left dependent atelectasis. Normal cardiac size without pericardial effusion. Aortic annular and coronary artery calcification. Patulous esophagus with a nasogastric tube terminating in the gastric bo... | Marked diffuse colonic dilatation with no discrete transition point and increased fecal load may represent obstruction due to fecal impaction. Moderate bilateral hydroureter to the level of the rectosigmoid. |
Generate impression based on findings. | 27-year-old female. Right flank pain. Evaluate for stone. 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: Subtle r... | Subtle right perinephric fat stranding without presence of an obstructing renal or ureteral stone. This may reflect pyelonephritis or congestion from a recently passed stone, please correlate with a urinalysis. |
Generate impression based on findings. | 57-year-old female. Left lower quadrant pain. Evaluate for obstruction. 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... | 1. High grade small bowel obstruction. No evidence of bowel ischemia.2. Small amount of free pelvic fluid. |
Generate impression based on findings. | Female, 91 years old, with history of mandible cancer, now with tongue cancer. Evaluate extent of tumor. Limited intracranial views demonstrate evidence of volume loss and age indeterminate small vessel ischemic disease.Prior resection of the right aspect of the mandibular body and part of the ramus is redemonstrated. ... | 1. New tumor involving the anterior aspect of the tongue and floor of mouth. No evidence of pathologic adenopathy.2. Demonstration of prior right mandibular resection compatible with history of mandibular cancer.3. Poor opacification at one point of the right internal carotid artery is new from the prior exam and may r... |
Generate impression based on findings. | Reason: HRCT ILD protocol History: Cough and SOB LUNGS AND PLEURA: Subpleural reticular opacities with a mildly basilar predominance unchanged since 1/16/2013.There is mild traction bronchiectasis. Groundglass disease is not a prominent feature. Expiration series show no significant air trapping.Mild microcystic honeyc... | Moderate interstitial lung disease, consistent with UIP. |
Generate impression based on findings. | Left hip deformity.EXAMINATION: CT pelvis without contrast 09/15/13 Multiple exostoses are again seen. An exostosis arises from the left ischium and extends into the left acetabulum superficial to the triradiate cartilages. The left femoral head is displaced anteriorly and laterally from the acetabulum. Large exostoses... | Displacement of left femoral head due to exostoses. |
Generate impression based on findings. | 29-year-old female. Left flank pain with hematuria. Evaluate for kidney stone. 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 notedKIDNE... | 1. 3 mm nonobstructive left renal stone. No left hydronephrosis/hydroureter or ureteral stone.2. Small amount of free pelvic fluid, likely physiologic in a patient of this age. |
Generate impression based on findings. | Question PE. Shortness of breath, lung cancer, atrial fibrillation. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. The main pulmonary artery is dilated, suggestive of pulmonary artery hypertension.LUNGS AND PLEURA: Large right upper lobe mass consistent with known lung carcinoma. ... | 1. No PE.2. Slight increase in right pleural effusion.3. New small left pleural effusion.4. Large lung and mediastinal mass unchanged in short interval.5. Multifocal ground glass and air space opacities are unchanged. Findings communicated to the ED at the time of exam via StatConsult tool. |
Generate impression based on findings. | 49-year-old female with hypotension, tachycardia, increasing O2 requirement. Evaluate for PE. PULMONARY ARTERIES: Technically adequate study without evidence of acute pulmonary embolus.LUNGS AND PLEURA: Large bilateral pleural effusions with bilateral lower lobe compressive atelectasis.MEDIASTINUM AND HILA: No evidence... | 1. Technically adequate study without evidence of acute pulmonary embolus.2. Large bilateral pleural effusions with bilateral lower lobe compressive atelectasis.3. Free intraperitoneal air, refer to abdominal CT report for further details. |
Generate impression based on findings. | Reason: pt with Parotid ca; s/p CRT IN 4/2009. please re eval and compare to prior scans History: as above CHEST:LUNGS AND PLEURA: No evidence of pulmonary or pleural metastases.There is minimal paraseptal emphysema.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.CHEST WALL: Mild degenerative abnormalitie... | No evidence of metastases. |
Generate impression based on findings. | 74-year-old male with known thoracic aneurysm. Evaluate for dissection. CHEST:LUNGS AND PLEURA: Scattered, nonspecific pulmonary micronodules some of which are calcified compatible with prior granulomatous disease. No suspicious pulmonary masses or nodules. No pleural effusions. MEDIASTINUM AND HILA: Normal cardiac siz... | 1. Ectatic ascending thoracic aorta measuring up to 4.2 cm without dissection. 2. Stable hepatic and renal hypodensities previously characterized as simple and minimally complex benign cysts. |
Generate impression based on findings. | Prior PE, right-sided pleuritic chest pain. Syncope today. PULMONARY ARTERIES: Right middle and lower lobe segmental filling defects consistent with PE.LUNGS AND PLEURA: Emphysema. Basilar edema and atelectasis.MEDIASTINUM AND HILA: Coronary calcification.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Abse... | Right middle and lower lobe segmental PE.Findings communicated to ED via StatConsult tool at the time of exam. |
Generate impression based on findings. | Head and neck cancer status post CRT. CHEST:LUNGS AND PLEURA: Emphysema. No evidence of metastatic disease.MEDIASTINUM AND HILA: Coronary calcification. Scattered small subcentimeter lymph nodes. Atherosclerotic calcification of the aorta and its branches.CHEST WALL: Degenerative change involving the spine.ABDOMEN: Abs... | No evidence of metastatic disease |
Generate impression based on findings. | Reason: Tx H\T\N ca. post induction, evaluate dx and compare measurements to previous scans History: See above. CHEST:LUNGS AND PLEURA: Scattered benign-appearing micronodules are present.There is no evidence of pulmonary or pleural metastases. MEDIASTINUM AND HILA: Neck mass upper margin of the study, at and above the... | No neck mass incompletely imaged, please refer to neck CT report. No reliable evidence of intrathoracic metastases. |
Generate impression based on findings. | Reason: Tx H\T\N ca. post induction, evaluate dx and compare measurements to previous scans History: See above. CT neck:The patient is status post tracheostomy tube placement. There is soft tissue mass surrounding the tracheostomy site predominantly superior to it measuring approximately 80 to by 34 mm sagittal dimensi... | 1.Since the prior examination there has been significant progression of the left sided neck mass which extends across the midline and encases both common carotid arteries as well as the left internal and left external carotid arteries.2.No evidence for brain metastases.3.Degenerative is are present in the cervical spin... |
Generate impression based on findings. | History of tongue cancer status post surgery. CHEST:LUNGS AND PLEURA: Scattered punctate micronodules are stable and presumably benign. No evidence of pulmonary metastases.MEDIASTINUM AND HILA: Coronary calcification. Scattered small subcentimeter nodes are unchanged.CHEST WALL: Degenerative involving the spine.ABDOMEN... | Stable CT with no evidence of metastatic disease. |
Generate impression based on findings. | Smoker with COPD, weight loss, pulmonary nodule seen on outside hospital imaging evaluate for lesions concerning for malignancy. Weight loss and cough. LUNGS AND PLEURA: Subcentimeter subpleural right middle lobe pulmonary nodule (image 66/103) is stable and more likely benign than malignant. 4-mm nodule in subpleural ... | New bilateral pleural effusions with basilar atelectasis. Scattered nonspecific subcentimeter pulmonary nodules are more likely benign than malignant. A subpleural nodular opacity at the right lateral lung base is likely an area of consolidation or atelectasis. Continued CT follow up is recommended to exclude malignanc... |
Generate impression based on findings. | Reason: NHL, lung cancer History: NHL CHEST:LUNGS AND PLEURA: Pleural thickening unchanged.Paraseptal and centrilobular emphysema is stable.Scattered benign appearing micronodules are stable including a perifissural nodule in the right upper lung zone.Status post left upper lobectomy without evidence of tumor recurrenc... | No evidence of metastases or interval change. |
Generate impression based on findings. | Ovarian carcinoma CHEST:LUNGS AND PLEURA: Stable right apical scarring.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Stable cholelithiasis without acute inflammation. No hepatic mass.SPLEEN: Absent. Stable left upper quadrant soft tissu... | Stable examination without acute, inflammatory, or metastatic process. |
Generate impression based on findings. | 34 year-old male. Single enhancing brain lesion. Evaluate for systemic malignancy. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSP... | No evidence of metastatic disease or a primary malignancy in the chest, abdomen, or pelvis. |
Generate impression based on findings. | Male 46 years old; Reason: melanoma History: melanoma metastatic CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodule or mass. No consolidation or pleuraleffusion.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy is seen. The heart isnormal in size and there is no pericardial effusion.CHEST WALL: Left axi... | 1.Ill-defined liver metastases are have increased in size and conspicuity.2.Stable left axillary mass possibly representing post surgical changes versus stablelymph node. |
Generate impression based on findings. | Male 74 years old Reason: Please eval for recurrence of urothelial cancer. Recurrence/mets History: hx of ureteral cancer. hx of bladder cancer ABDOMEN:LUNG BASES: There is minimal bibasilar dependent atelectasis.LIVER, BILIARY TRACT: There is no evidence of intrahepatic biliary ductal dilatation and the hepatic vascul... | 1.No evidence of recurrence within the right nephrectomy or ureterectomy bed.2.No evidence metastatic disease. 3.Slight prominence of the proximal left ureter without evidence of mass lesion. |
Generate impression based on findings. | Reason: h/o tongue ca s/p surg ck response History: none CT neck:The patient is status post right submandibular space surgery since the prior exam. There are surgical clips along the right submandibular space. There is infiltration of some of the fat planes in the right neck which are likely post treatment relatedSince... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.No evidence for brain metastases.3.Periventricular and subcortical white matter changes of a mild to moderate degree are nonspecific. At this age they are most likely vascular related. |
Generate impression based on findings. | 73 year-old female. Stage IIIc endometrial cancer status post chemotherapy. Assess for recurrent disease. CHEST:LUNGS AND PLEURA: Mild bibasilar scarring. Scattered pulmonary micronodules, not significantly changed. MEDIASTINUM AND HILA: No, mediastinal or hilar lymphadenopathy. Interval removal of chest port.CHEST WAL... | Stable examination. No new lesions identified. |
Generate impression based on findings. | Female 77 years old Reason: 77F w/ active primary breast ca and h/o lung and pancreatic s/p resection w/ restaging imaging, concern for liver mets given elevated LFTs History: active breast ca; elevated LFTs CHEST:LUNGS AND PLEURA: There is a trace left-sided pleural effusion with associated left basilar atelectasis. T... | 1.Interval progression of numerous osseous lesions in the thoracic and lumbar spine as well as sacrum, ischium and bilateral femoral heads, highly concerning for metastatic disease.2.Tortuous, ectatic abdominal aorta with significant atherosclerosis and an associated mural thrombus in the infrarenal aorta.3.Nonobstruct... |
Generate impression based on findings. | 18 year-old male with history of TEF, developmental delay, seizures, congenital hydrocephalus and slit ventricle syndrome status post VP shunt and multiple revisions, presents with fatigue and decreased appetite, assess for change in ventricular size/shunt malformation. A right parietal approach extra ventricular drain... | 1.Interval enlargement of supratentorial ventricular system, left greater than right.2.Extra ventricular drainage catheter in place, unchanged in position, and with visualized portions intact.3.No evidence for acute intracranial hemorrhage mass effect or edema.Findings were relayed to the treating physician at 11:50 a.... |
Generate impression based on findings. | Male, 45 years old, with untreated left parotid cancer, evaluate for vascular/dermal invasion. Presenting with left arm swelling and masses on the left shoulder. Ill-defined soft tissue thickening involving the left parotid gland, extending to the overlying dermis, is redemonstrated compatible with the patient's known ... | 1. Infiltrating tumor involving the left parotid gland with extension to the skin surface is not significantly changed accounting for differences in technique.2. Mixed changes among numerous pathologic left-sided lymph nodes, some of which are stable, while others have decreased in size.3. A few scattered small lymph n... |
Generate impression based on findings. | 61-year-old female with cough and sputum production. History bronchiectasis, compare to previous. LUNGS AND PLEURA: There is a 4-mm nodule with surrounding ground glass opacity within the left upper lobe (image 161, series 4). This is in the region of consolidation on the previous scan which has since mostly resolved. ... | 1. Bilateral bronchiectasis similar in distribution compared to prior exam with increased tree-in-bud opacities. Findings are suggestive of atypical mycobacterial infection.2. Semi-solid left lower lobe pulmonary nodule; this could be inflammatory however is suspicious for a primary lung malignancy and should be follow... |
Generate impression based on findings. | 37 year-old male. Has been febrile, previously with pelvic fluid collection. Assess for infectious source. EPIC history: hx of imperforate anus requiring multiple operations, 8/20/2013 had proctectomy and repair of parastomal hernia, admitted for pelvic fluid collection. CHEST:LUNGS AND PLEURA: Bibasilar atelectasis. N... | 1. Pelvic fluid collections are stable to mildly increased in size.2. Secondary inflammatory wall thickening of small bowel loops in the region of the aforementioned collections. |
Generate impression based on findings. | Reason: pt with Parotid Ca. s/p CRT IN 2009. please reval and compare to prior scNs History: as above The patient is status post parotidectomy on the right side and a right myocutaneous flap placement. Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy |
Generate impression based on findings. | 85-year-old female with stage IIIc fallopian tube cancer, weight loss ABDOMEN:LUNG BASES: Left lower lobe atelectasis/scarringcoronary artery calcifications. Mild cardiomegalyLIVER, BILIARY TRACT: Cholelithiasis. Hepatic vessels are patent.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality not... | 1. Stable right adrenal indeterminate nodule.2. Stable left renal cyst.3. Cholelithiasis.4. No evidence of metastatic disease. |
Generate impression based on findings. | Female 55 years old Reason: 55 yr old female with stage lllC fallopian tube cancer, s/p cycle #28 maintenance bevacizumab GOG 262. please assess peritoneal carcinomatosis and compare with previous scans. History: occ low back pain CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No signifi... | 1.No evidence of peritoneal carcinomatosis or metastatic disease.2.Hepatic steatosis. |
Generate impression based on findings. | Female 54 years old; Reason: 54 yr old female with Stage ll Carcinosarcoma of the Uterus, S/P 3 cycles Taxol/Carbo on GOG 261. Please assess current disease status and compare with previous scan. History: none CHEST:LUNGS AND PLEURA: No focal consolidation or pleural effusion. No suspicious nodules ormasses.MEDIASTINUM... | 1.Stable without evidence of residual or metastatic disease.2.Interval resolution of the air embolus in the left brachiocephalic vein. |
Generate impression based on findings. | Pelvic sarcoma. On therapy evaluation. CHEST:LUNGS AND PLEURA: No focal opacity is identified.MEDIASTINUM AND HILA: Heart size is normal. Left vertebral artery arises independently from aortic arch, a normal variant.CHEST WALL: Central line tip is in superior vena cava.ABDOMEN:LIVER, BILIARY TRACT: Enhancement is norma... | Change in appearance of mass with development of large areas of decreased attenuation most likely due to necrosis. Slight decrease in size of mass. Resolved right hydrouretronephrosis. Continued displacement of bladder and bowel loops.No evidence of pulmonary metastases. |
Generate impression based on findings. | Female 69 years old; Reason: Metastatic breast cancer. Restaging. History: Fatigue, chronic bony pain CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Hemangiomas in the right lobe o... | Stable exam. Sclerotic lesions of the thoracic spine are stable. |
Generate impression based on findings. | Headache following MVA. There is a left intraorbital prosthesis. There is an unchanged pattern of patchy hypoattenuation within periventricular white matter bilaterally. This most likely represents sequela of chronic small vessel ischemic disease. There is focal hypoattenuation consistent with encephalomalacia in the l... | Unchanged CT examination of the head without demonstration of any pathology related to trauma. Stable findings most likely representing chronic small vessel ischemic disease and stable left occipital encephalomalacia. |
Generate impression based on findings. | Returned head and neck cancer status post induction and CRT in 2011. 2/12 CT shows lung nodule. CHEST:LUNGS AND PLEURA: New left upper lobe subcentimeter subpleural groundglass nodule is now more solid though roughly similar in size (image 30/127).New 10 x 7 mm perifissural right middle lobe nodular opacity (image 76/1... | 1. Right middle lobe roughly 1 cm nodular opacity is now more solid/larger and correlates with the nodule noted on recent PET/CT. The appearance is nonspecific though concerning for malignancy. It may also be secondary to infection/inflammation as there are other signs of aspirated noted elsewhere. Continued follow up ... |
Generate impression based on findings. | Female 74 years old; Reason: appy History: rlq abd pain ABDOMEN:LUNGS BASES: Bibasilar atelectasis noted.LIVER, BILIARY TRACT: The liver is normal in morphology. Gallstone noted in the gallbladder without cholecystitis.SPLEEN: No significant abnormality noted.PANCREAS: Mild prominence of the pancreatic duct, nonspecifi... | 1.Appendicitis in the right lower quadrant with appendicolith. No free air or abscess collection identified.2.Complex cystic lesion midpole right kidney incompletely characterized.3.Cholelithiasis without cholecystitis |
Generate impression based on findings. | Status post left upper lobectomy for management of lung cancer. Follow-up. LUNGS AND PLEURA: Interval left upper lobectomy with expected postop change. Scattered punctate micronodules are stable and presumably postinflammatory. No new pulmonary nodules. Linear scar or atelectasis at the left anterior base.MEDIASTINUM A... | No evidence of measurable disease. |
Generate impression based on findings. | Five year old patient with history of neuroblastoma. Recent changes on the neurological examination. Rule out intracranial mass. No intracranial mass, fluid collection, hemorrhage or focus of pathologic enhancement. This is CT evidence of acute ischemia or hydrocephalus. The midline is intact. Visualized bony structure... | No intracranial abnormality demonstrated. A verbal report was issued to Ajanta Patel at the time of dictation (1:24 p.m. 9/16/2013) |
Generate impression based on findings. | Metastatic breast cancer. CHEST:LUNGS AND PLEURA: Redemonstration of multiple lung metastases with reference measurements as below. No new nodules identified.Reference left apical/paramediastinal lesion measures 1.8 x 1.6 cm (series 3 image 26), previously measured 1.8 x 1.6 cm.Reference right lower lobe subpleural nod... | Metastatic disease with stable reference measurements and no new sites of disease. |
Generate impression based on findings. | Male, 70 years old, history of tonsil/base of tongue cancer, status post induction and CRT in 2011. In 2/12, CT showed a lung nodule. No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. Focal hypodensity in the right basal ganglia is stable. The bones of the ca... | 1. Progression of tumor at the left tongue base/tonsil.2. Progression of pathologic adenopathy in the right neck.3. No intracranial metastatic disease. |
Generate impression based on findings. | History of Wegener's gliomatosis with increasing dyspnea in need of restaging CT CHEST:LUNGS AND PLEURA: Interval development of two new large upper lobe adjacent nodules with cavitations, largest measuring 2.7 x 2.9 cm (image 14, 5). Both these nodules are surrounded by groundglass opacities suggestive of edema/hemorr... | 1. Interval development of at least 3 new cavitatory lesions within the left upper lobe and lower lobe. New groundglass opacity in the left upper lobe adjacent to the two large nodules could represent hemorrhage, edema, or atypical infection.2. Interval resolution of mediastinal and abdominal lymphadenopathy. |
Generate impression based on findings. | Reason: unruptured cerebral aneurysm with clip and one unruptured aneurysm untreated (l ICA), yearly follow up History: yearly follow up, evaluate for growth or changes Brain CTA: Atherosclerotic calcifications are present along the distal internal carotid arteries.There is a partially calcified aneurysm present at the... | 1.Stable large aneurysm of the distal left cavernous internal carotid which bulges into the left middle cranial fossa2.occlusion of the left vertebral artery3.status post right sided aneurysm clipping adjacent to the distal right internal carotid artery4.small focus of encephalomalacia in the right orbital gyrus5.Periv... |
Generate impression based on findings. | Chronic cough for one year. Evaluate for basal abnormalities noted on chest x-ray. LUNGS AND PLEURA: Linear scarring and atelectasis at the lung bases. Subsegmental atelectasis of the right middle lobe and patchy subsegmental atelectasis in the lingula. This is associated with a very mild linear nodular abnormalityMEDI... | 1. Subsegmental atelectasis of the right middle lobe and patchy subsegmental atelectasis in the lingula. This is nonspecific but can be seen in the female geriatric population due to chronic MAI infection/Lady Windermere syndrome. There is evidence of healed granulomatous infection (calcified granulomas in liver and sp... |
Generate impression based on findings. | Right lower quadrant pain and nausea and vomiting 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: Stable new renal... | Stable negative examination. No evidence for acute, inflammatory, or neoplastic process. Unremarkable appendix. |
Generate impression based on findings. | AML with right lower quadrant pain and neutropenia ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abno... | Findings consistent with acute appendicitis. No evidence for perforation, abscess, or bowel obstruction.Findings communicated to Dr. Levy 9/16/2013; 13:30. |
Generate impression based on findings. | History of esophageal cancer status post chemo/RT, ended greater than 3 years ago. CHEST:LUNGS AND PLEURA: Moderate left pleural effusion with basal atelectasis or consolidation is unchanged.A subcentimeter left upper lobe pulmonary nodule has slightly increased (image 58/114). A right lower lobe pulmonary nodule is ne... | New/increased pulmonary nodules suggestive of metastases, however, they are amidst areas of chronic aspiration and recurrent aspiration is also a consideration. Continued follow up is recommended. Esophageal thickening and intrathoracic adenopathy are unchanged. |
Generate impression based on findings. | Reason: compare to last CT June 2013 nodules History: nodules on Ct s/p bronch biopsy not conclusive LUNGS AND PLEURA: Centrilobular emphysema is present.Previously seen pulmonary opacities including a left upper lobe nodule have completely resolved.Mild linear atelectasis or scarring is present in the left lower lung ... | Resolution of prior pulmonary opacities with no significant findings at this time. |
Generate impression based on findings. | 50 year-old with malignant neoplasm of the stomach CHEST:LUNGS AND PLEURA: Left lower lobe septal thickening is unchangedMEDIASTINUM AND HILA: Referenced subcarinal lymph node is not enlargedCHEST WALL: Left chest port with tip in the right atrium.ABDOMEN:LIVER, BILIARY TRACT: Status post partial hepatectomy. Segment 4... | No evidence of mediastinal lymphadenopathy. Stable right adrenal mass.Pelvic kidney. |
Generate impression based on findings. | MVA. There is reversal of the physiologic lordosis which is likely partially on the basis of the neck brace and/or muscle spasm. There are no fractures. There is loss of intervertebral disk height at the C6-7 level with degenerative endplate sclerosis in addition to anterolisthesis of C4 on C5 (2 mm) and C5 on C6 (1 mm... | Unchanged degenerative findings most prominent at C6-7 without findings suggesting acute traumatic injury. |
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