instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | 69-year-old male with refractory painful burping associated with shortness of breath and weight loss LUNGS AND PLEURA: Right upper lobe pulmonary micronodule. No suspicious pulmonary lesions. MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Mild coronary artery calcifications.Small hiatal hernia.CHEST WALL... | No significant cardiopulmonary abnormalities. |
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: eval of new onset hemoptysis History: HIV, (+) Tb, now with hemoptysis LUNGS AND PLEURA: No significant abnormality noted.No evidence of leak into or active TB, nor significant bronchiectasis that would account for hemoptysis.Minimal basilar scarring and right middle lobe subpleural micronodules are present, un... | No significant abnormality. No change. |
Generate impression based on findings. | 50 year-old male. GI adenocarcinoma. Please provide index lesion measurements for RECIST prior to start of chemotherapy. CHEST:LUNGS AND PLEURA: Scattered micronodules. Mild bibasilar dependent atelectasis.MEDIASTINUM AND HILA: Enlarged mediastinal lymph nodes including a 1.1 x 1.7 cm subcarinal node (series 3, image 4... | 1. Focal irregular soft tissue wall thickening of the gallbladder, highly suspicious for a primary gallbladder neoplasm. 2. Chest, abdominal, and pelvic lymphadenopathy, most pronounced in the upper abdomen. |
Generate impression based on findings. | Pancreatic carcinoma status post chemotherapy in one Whipple procedure CHEST:LUNGS AND PLEURA: Stable right upper lobe 4-mm nodule best seen on image 21 of series 4. Calcified granulomas also stable.MEDIASTINUM AND HILA: Stable thyroid goiter. Stable mildly enlarged knees down lymph nodes. Reference pretracheal lymph n... | Status post Whipple procedure with near complete resolution of postoperative fluid. Small residual retro-SMV focus; favor post operative finding. No evidence for acute or metastatic process. |
Generate impression based on findings. | Reason: hx of ethesioneuroblastoma of nasal cavity, s/p CRT, eval for dz, compare to previous History: as above CHEST:LUNGS AND PLEURA: No significant abnormality noted.No evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. CHEST WALL: No significant abnormality no... | Hepatic cyst like hypodensity more conspicuous than on prior studies, and continued monitoring is recommended as part of the patient's ongoing cancer surveillance. It is not characteristic in appearance for metastasis. Otherwise, the examination is unremarkable. |
Generate impression based on findings. | SOB, hypoxia, known fungal pneumonia. Interval study to assess resolution. LUNGS AND PLEURA: Slightly improved but persistent dense focal areas of consolidation in both upper lobes with associated volume loss and architectural distortion. Stable moderate to large bilateral pleural effusions. Small areas of lobe consoli... | Slightly improved but persistent dense focal areas of consolidation in both upper lobes suggestive of resolving and possibly organizing pneumonia. |
Generate impression based on findings. | Female 42 years old Reason: 42yo with recent diagnosis of endometrial cancer, s/p lap band in 2006 History: spotting ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is a non-specific hypoattenuating focus within segment IVb, which is too small to characterize and may represent focal fatt... | 1.Slight prominence to the endometrial cavity, which contains fluid. 2.No definitive pathologic process found. |
Generate impression based on findings. | Male, 40 years old, history of esthesioneuroblastoma of the nasal cavity, status post CRT, evaluate for disease and compare to previous. No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are intact. Post surgical chan... | Stable postsurgical change with no evidence of recurrent disease. |
Generate impression based on findings. | Osteosarcoma with pulmonary metastasis. Assess for response to therapy. LUNGS AND PLEURA: Since the last examination a new4.7-mm in diameter lung nodule of the left lower lobe (image 71, series 4) is noted. A new pleural-based 4.3 x 3.9 x 2.1 cm in 3 dimensions mass with some calcifications is noted as well (image 58, ... | Interval development of multiple lung nodules and pleural based mass as described. |
Generate impression based on findings. | Reason: status-post clipping of a right aneurysm; also with left cavernous internal carotid aneurysm History: surveillance Brain CTA: There is redemonstration of a 5 by 8mm axial dimension aneurysm along the distal left internal carotid artery at the distal cavernous segment adjacent to the left clinoid process and abu... | 1.Stable distal left internal carotid artery paraclinoid and cavernous sinus aneurysm2.status post right-sided craniotomy for aneurysm clipping along the distal right internal carotid artery.3.No evidence for cerebral vascular occlusive disease |
Generate impression based on findings. | 62 male. Continued right flank pain. Assess for right renal stone or complex cyst. ABDOMEN:LUNG BASES: No significant abnormality noted. Paraesophageal clips are noted.LIVER, BILIARY TRACT: Cholecystectomy clips. Prominent common bile duct, may be within normal limits given cholecystectomy and unchanged.SPLEEN: No sign... | Two complex cystic lesions in the right kidney are overall not significantly changed in size or appearance from 2011 CT. Internal filling of a significant portion of these cystic lesions with excreted contrast on delayed images suggest that they represent clusters of calyceal diverticula and renal cysts. |
Generate impression based on findings. | Male 74 years old Reason: eval for progression History: biochemically recurrent prostate cancer ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hypodense lesions are again demonstrated in segment VI/VII and segment II, which appear unchanged since the prior examination. There is evidence of in... | Stable examination with no evidence of metastatic disease. |
Generate impression based on findings. | Male 21 years old Reason: 21 y.o. who presented with severe abdominal pain and was admitted on 9/5. Imaging at that time suggested a perforated appendix; presents with persistent abdominal pain; CT of abdomen/pelvis w/ oral and IV contrast recommended for further evaluation History: abdominal pain ABDOMEN:LUNG BASES: N... | 1.Several large loculated fluid collections within the pelvis consistent with intraperitoneal abscesses, likely sequelae from prior perforated appendicitis.2.Inflammation of the terminal ileum and cecum with mesenteric fat stranding.3.Small volume ascites.These findings were discussed with Dr. SHOGAN, BENJAMIN at 15:00... |
Generate impression based on findings. | Cervical esophageal cancer status post CRT 3/2013 CHEST:LUNGS AND PLEURA: Slight increase in apical paramediastinal opacities consistent with radiation pneumonitis. Punctate micronodules, many of which are calcified, are stable and are presumably post inflammatory.MEDIASTINUM AND HILA: Calcified mediastinal and hilar n... | Cervical esophageal mass stable. See neck CT report for further details. No evidence of pulmonary or upper abdominal metastases. |
Generate impression based on findings. | Male, 67 years old, history of cervical esophageal cancer status post CRT in March of 2013. Thickening of the esophageal wall has progressed when compared to the prior examination. In some areas, this appears to be circumferential. On axial imaging, this thickened tissue measures 3.7 x 3.2 cm (image 72 series 4), previ... | Interval increase in the degree of esophageal wall thickening which is concerning for progression of disease. No pathologic adenopathy is identified.Progressive ill-defined opacities in the right upper lung are better assessed on the accompanying chest CT. |
Generate impression based on findings. | 63 year-old female with history of metastatic breast cancer on treatment. Evaluate response and extent of disease. CHEST:LUNGS AND PLEURA: Left upper lobe pulmonary nodule with adjacent cyst/pneumatocele (image 123, series 7) as seen on PET. The nodule is not significantly changed in size . New nonspecific left upper l... | 1. Left upper lobe nodule unchanged.2. New nonspecific left upper lobe pulmonary micronodule. 3. No new sites of disease identified. |
Generate impression based on findings. | Reason: h/o HNC, compare to previous, measurements pls, s/p CRT History: none Nodular thickening at the left tongue base remains stable when compared to prior exam the paired reason for only small lymph nodes are present in the submandibular spaces.Within the suprahyoid neck on the basis of size criteria for lymphadeno... | 1.Examination is stable when compared to prior exam. There is a nodule present superficial right sternocleidomastoid muscle which is unchanged there are post treatment changes present in the right upper neck and some mild mucosal thickening at the tongue base which are stable.2.the appearance of thyroid gland is multin... |
Generate impression based on findings. | Malignant neoplasm of kidney, except pelvis, history of metastases renal cancer, assess for progression CHEST:LUNGS AND PLEURA: Multiple new areas of tree in bud opacification, especially in bilateral upper lobes and lingular segment and right lower lobe are suspicious for atypical infection or less likely lymphangitic... | 1. Multiple new areas of tree in bud appearance in bilateral upper lobes, lingular segment and right lower lobe suspicious for atypical infection or less likely lymphangitic spread of tumor. New left upper lobe subpleural nodule.2. Stable mediastinal lymphadenopathy.3. Stable left adrenal lesion.4. Stable bony lesions ... |
Generate impression based on findings. | Reason: Pt with recurrent metastatic HNC s/p 2 cycles induction chemotherapy History: as above CT neck:The patient is status post laryngectomy and tracheostomy tube placement. Myocutaneous flap has been placed along the anterior neck which has been stable since prior exams this year. There is infiltration of the fat pl... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.No evidence for brain metastases. |
Generate impression based on findings. | 47 year-old male. Chronic abdominal pain, elevated liver enzymes. History of pancreatitis and cholecystectomy. Lack of intravenous contrast decreases sensitivity for solid organ pathology. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy. Pneumobilia is present, simi... | 1. Limited examination without IV contrast. Unchanged pneumobilia. No specific findings to account for patient's symptoms. 2. Contrast extravasation description:Supervising radiologist: Dr. Westin. Minor or major extravasation: Major Contrast type: Intravenous Omnipaque 350. Amount extravasated: 100 ccLocation of extra... |
Generate impression based on findings. | Female 65 years old; Reason: mets lung ca, s/p multiple chemo, EGFR + tumor, pt is on 2 cycles of AP26113. Pls c/w previous study and evaluate tx response. History: lung ca CHEST:LUNGS AND PLEURA: Status post left upper lobectomy. Interval slight decrease in the size of theapical mass which now measures 4.2 x 3.4 cm (s... | 1. Interval slight decrease in the size of the bilateral lung masses and intervalincrease of left pleural effusion.2. Findings consistent with early appendicitis.Dr. Salgia notified at 4:40pm on 9/16/13 |
Generate impression based on findings. | Reason: h/o HNC, compare to previous, measurements pls, s/p CRT History: none CHEST:LUNGS AND PLEURA: No pulmonary or pleural metastases identified.MEDIASTINUM AND HILA: Nodular thyroid enlargement right greater than left.No mediastinal or hilar lymphadenopathy.Mild coronary artery calcifications are present.CHEST WALL... | No change, and no evidence of metastases. |
Generate impression based on findings. | Thyroid nodule. Preop CT. LUNGS AND PLEURA: Linear scarring or atelectasis at the left lung base.MEDIASTINUM AND HILA: Heterogeneous thyroid gland with enlarged hypoattenuating right thyroid lobe.The main pulmonary artery is borderline enlarged. Common origin of the brachiocephalic trunk and left common carotid artery,... | Stable anterior mediastinal nodules. |
Generate impression based on findings. | Status post gastric perforation status post multiple operations; history of septic shock CHEST:LUNGS AND PLEURA: Bibasilar atelectasis, left greater than rightMEDIASTINUM AND HILA: Mildly enlarged mediastinal lymph nodes.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Fatty infiltration of th... | Significant interval decrease in amount of subhepatic free air as well as interval decrease in previously noted loculated perigastric fluid collection. No bowel obstruction. No new loculated fluid collection or abscess. |
Generate impression based on findings. | Recurrent metastatic head and neck cancer status post two cycles induction chemotherapy. CHEST:LUNGS AND PLEURA: Reference left lower lobe pulmonary nodule has decreased from 7 to 2 mm (image 59/109). Previously referenced right lower lobe pulmonary nodule has nearly completely resolved (image 58/109). Previously refer... | Nearly all pulmonary nodules have shown a significant decrease in size, however, a nodular opacity in the right middle lobe along a prior suture line has increased. This area showed increased activity on 7/2/2013 PET/CT. Axillary adenopathy is stable to slightly decreased. |
Generate impression based on findings. | Follow-up T4 N1 SCC right mandible. Completed CRT 8/16/2013 CHEST:LUNGS AND PLEURA: Punctate micronodules are stable and presumably benign. No new pulmonary nodules. Persistent but improved basilar linear atelectasis. A few residual areas of scarring are present.MEDIASTINUM AND HILA: Port tip at RA/SVC junction. Corona... | No evidence of metastatic disease. |
Generate impression based on findings. | 19 year-old male. Vomiting and white count. Evaluate for infection. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No focal hepatic lesion. No biliary ductal dilatation.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality... | 1. Heterogeneous hypoattenuation of the transplant kidney with subtle perinephric fat stranding, raising possibility of pyelonephritis; please correlate with urinalysis. 2. Moderate amount of abdominopelvic ascites without loculation. 3. Nonspecific mildly enlarged abdominal lymph nodes. |
Generate impression based on findings. | Male 36 years old Reason: eval for pancreatitis and cause of fever, abscess etc. please also comment on signs of crohns History: hx of pancreatitis with fever ABDOMEN:LUNG BASES: There is left-sided basilar consolidation concerning for possible developing pneumonia. There is minimal right-sided basilar atelectasis.LIVE... | 1.Focal pancreatitis involving the uncinate process with peripancreatic fluid collection in the region of the uncinate process and tracking inferiorly. 2.No necrosis of the pancreas.No evidence of gall stones on CT scan. 3.Secondarily inflamed duodenum.4.Evidence of fibrofatty proliferation without evidence of terminal... |
Generate impression based on findings. | Right breast cancer with lymphadenopathy CHEST:LUNGS AND PLEURA: Left lingular nodule best seen on image 45 of series 4 measuring 0.7 x 0.9 cmMEDIASTINUM AND HILA: Calcified mediastinal lymph nodes. Aneurysmal dilatation of descending thoracic aorta with maximal AP diameter of 4.1 cm. Associated with Type B aortic diss... | Right breast mass consistent with known breast carcinoma. Associated with metastatic right axillary adenopathy.Indeterminate subcentimeter lingular left lung nodule; special attention to this nodule on future surveillance scans recommended.Aneurysmal dilatation of descending thoracic aorta associated with type B aortic... |
Generate impression based on findings. | 68-year-old male with dizziness, vertebral artery occlusion on CTA. Assess for posterior fossa CVA. There is prominence of the ventricular system and sulci, consistent with mild age-related cerebral atrophy. There are mild periventricular hypodensities, nonspecific but likely represent age-indeterminate small vessel is... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Mild age indeterminate small vessel ischemic disease.3.No CT evidence for acute ischemia as clinically questioned. However CT is insensitive for detection of early ischemia; if clinical concern remains, MRI would be recommended. |
Generate impression based on findings. | History of CVA. Altered mental status. Within the right cerebellar hemisphere there is a wedge-shaped focus of hypoattenuation within the expected territory of the PICA. This does not reach the attenuation of CSF, and there is associated mass effect with slight deviation of the cerebellar midline and effacement of the ... | 1.Focal hypoattenuation within the right cerebellar hemisphere within the expected distribution of the PICA most likely representing sequela of a subacute infarct. 2.There is ventricular prominence which could represent developing obstructive hydrocephalus on the basis of fourth ventricular compression by mass effect a... |
Generate impression based on findings. | Reason: ICH patient History: ICH Since the previous examination the patient has developed a hemorrhage in thalamus measuring 49 x 30 mm axial dimensions. Some blood products have extended into the left and right lateral ventricles.There is redemonstration of a fusiform aneurysm of the basilar artery measuring 17 mm in ... | 1.The patient has a new left thalamic intraparenchymal hemorrhage associated with intraventricular extension.2.Since the prior exam the patient's fusiform aneurysm of the basilar artery has enlarged.3.Encephalomalacia in knee region of the right thalamus and adjacent brain parenchyma related to a hematoma from 20054.Pe... |
Generate impression based on findings. | Abdominal pain. Patient has right groin pain, concern for inguinal hernia PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: Appendix is visualized in the right lower quadrant, normal caliber. Multiple dive... | No evidence of inguinal hernia as clinically questioned. |
Generate impression based on findings. | Male 70 years old; Reason: colonic crohns, worsening diarrhea, weight loss, anemia. Please r/o malignancy. History: increased diarrhea, weight loss, anemia ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: The liver is normal in morphology. No focal lesion detected. Small punctate stone noted ... | 1.Bowel wall thickening compatible with acute on chronic inflammatory bowel disease. No abscess, fistula, or mass detected. |
Generate impression based on findings. | Clinical question: Altered mental status, evidence of intracranial hemorrhage. Signs and symptoms: Altered mental status. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Moderate periventricular and subcortical low attenuatio... | Moderate age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Clinical question: Rule out subdural. Signs and symptoms: Altered mental status. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of an acute nonhemorrhagic ischemic strokes.Mild periventricular and subcortical low attenuation of white matter is concerning for age in... | 1.Nonenhanced head CT demonstrate no acute intracranial process. Mild age indeterminate small vessel ischemic stroke is noted.2.Nonenhanced CT of cervical spine demonstrates advanced degenerative changes of cervical spine, grade 2 anterolisthesis at C3 -- C4 with suspect that resultant central spinal stenosis and multi... |
Generate impression based on findings. | Diabetic foot ulcer, assess for osteomyelitis CT of the right foot demonstrates loss of normal subcutaneous fat with soft tissue fullness abutting the fifth metatarsal head and proximal phalanx with internal areas of low attenuation consistent with abscess. There is no underlying cortical destruction to suggest osteomy... | Soft tissue abscess adjacent to fifth metatarsal and toe without evidence of osteomyelitis. Mild degenerative changes as described above. |
Generate impression based on findings. | 74 year-old female with left-sided pleuritic chest pain and hypoxia. Evaluate for PE. PULMONARY ARTERIES: Technically adequate study with saddle pulmonary embolus. There is clot partially occluding the right main pulmonary artery as well as the upper, middle, and lower lobar branches. There is near complete occlusion o... | 1. Saddle pulmonary embolus with complete occlusion of the left lower lobar pulmonary artery and partial occlusion of the right lobar arteries and left upper lobar artery. 2. Left lower lobe subpleural opacity in the distribution of pulmonary emboli compatible with pulmonary infarct. Small left pleural effusion with as... |
Generate impression based on findings. | Female 56 years old Reason: eval interval change of known cholangioCA History: new ascites and abdominal pain ABDOMEN:LUNG BASES: There is bibasilar opacities, left greater than right with air bronchograms concerning for possible new consolidation or atelectasis.LIVER, BILIARY TRACT: There has been interval increase in... | 1.Interval progression of the patient's cholangiocarcinoma with new foci of disease within the liver, omentum, mesentery and subcutaneous tissues.2.Interval development of right sided biliary ductal dilatation.3.Focal jejunal dilatation which may represent a focal ileus or less likely partial small bowel traction.4.Int... |
Generate impression based on findings. | 49 year-old male. Peri-anal swelling, pain. Evaluate for peri-rectal abscess. PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality noted. No evidence of colitis.BONES, SOFT TISSUES:... | Small perianal abscess. |
Generate impression based on findings. | Female, 58 years old, here for follow T3N1 cervical esophageal squamous cell carcinoma who is receiving CRT with TFHX, daily RT, completed 8/16. At most, there is mild prominence of the upper esophageal wall which is a nonspecific finding and not significantly changed. Please note that this region is partially obscured... | Treatment related effects with no evidence of progressive disease. |
Generate impression based on findings. | Spine pilocytic astrocytoma s/p Ommaya catheter insertion status post RT and several rounds of chemotherapy. There has been interval insertion of a right transfrontal Ommaya catheter that terminates in the right lateral ventricle. There is a small amount of pneumoventricle. However, the ventricles are stable in size an... | 1. Interval insertion of a right transfrontal Ommaya catheter that terminates in the right lateral ventricle without acute intracranial hemorrhage. 2. Persistent mild ventricular system dilatation may be related to communicating hydrocephalus related to leptomeningeal metastases, which are better depicted on the recent... |
Generate impression based on findings. | 47 year-old male. Recurrent ascites. ABDOMEN:LUNG BASES: Severe coronary artery calcifications.LIVER, BILIARY TRACT: Single hypodense lesion in segment IVa is unchanged, likely a simple cyst. Second hypodensity in segment 7 of the liver (series 3, image 63) is stable since 5/2013, and when correlated with ultrasound is... | 1. Large amount of abdominopelvic ascites, decreased from prior exam. 2. New band-like hypoattenuation in the spleen, likely an infarct. 3. Redemonstration of enhancing sheetlike soft tissue in the anterior omentum, concerning for possibly carcinomatosis. |
Generate impression based on findings. | 83-year-old female status post mechanical fall, hit head, presents with headache. CT head:There is prominence of the ventricular system and sulci, consistent with moderate age-related volume loss. Scattered periventricular and subcortical white matter hypodensities are nonspecific but consistent with age related small ... | No evidence for acute intracranial hemorrhage, mass effect or edema.No fracture or subluxation identified in the cervical spine.Mild degenerative changes of the cervical spine. |
Generate impression based on findings. | Reason: 57 y/o female c/o dyspnea on exertion, patient with DLBCL getting chemo need to r/o PE History: dyspnea, lymphoma PULMONARY ARTERIES: Technically adequate study. There is a solitary subsegmental left lower lobe embolus, image 169 series 8, of unknown clinical significance as there are no other emboli noted. The... | Solitary left lower lobe subsegmental embolus of uncertain significance. Mild basilar subsegmental atelectasis is present, also seen seen on the 8/22/2013 PET/CT. No other significant abnormality. |
Generate impression based on findings. | 71 year-old female with unexplained tachycardia. Evaluate for PE. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. No evidence of right heart strain.LUNGS AND PLEURA: Scattered pulmonary micronodules some of which are calcified suggestive of prior granulomatous disease. Bibasilar co... | 1. No evidence of PE.2. Debris within the trachea and bibasilar consolidation, most consistent with aspiration and/or infection. Patchy groundglass opacity in the right upper lobe, suggestive of bronchiolitis or aspiration.3. Foci of hypoattenuation in the superior pole of the incompletely visualized left kidney are no... |
Generate impression based on findings. | Reason: r/o pe History: cp with elevated d dimer PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolism.No evidence of right heart strain.LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Possible goiter versus artifact from indistinct soft tissue planes.Residual th... | No evidence of pulmonary embolism or other significant abnormality. |
Generate impression based on findings. | Reason: eval for pe History: sob, cp PULMONARY ARTERIES: There is limited opacification of the pulmonary arterial tree. No large central pulmonary emboli can be identified. The main pulmonary arteries is minimally dilated measuring 3.2 cm and may represent pulmonary arterial hypertension.LUNGS AND PLEURA: There are dec... | Limited examination demonstrates no evidence of central pulmonary emboli. There is cardiomegaly with mild dilatation of the pulmonary artery suggestive of pulmonary arterial hypertension. No significant pulmonary abnormalities. |
Generate impression based on findings. | Reason: PE History: SOB PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolism.Normal caliber pulmonary artery without evidence of right heart strain.LUNGS AND PLEURA: Pleural effusions are small, new compared to the prior CT, but present on the 8/5/2013 chest radiograph. Basilar predomin... | 1. Progression of chronic appearing interstitial lung disease consistent with the patient's known diagnosis of cryptogenic organizing pneumonia and/or nonspecific interstitial pneumonia. The presence of new small effusions raises a question of superimposed hypervolemia.2. No evidence of pulmonary embolism. |
Generate impression based on findings. | 28 year old female with subdural hemorrhage. Redemonstrated is the hemispheric mixed-density right subdural hematoma, which tracks along the periphery of the frontal, parietal, temporal, and occipital lobes and then along the right tentorium before reaching the posterior aspect of the falx cerebri. No significant inter... | 1.No significant interval change in density and size of right hemispheric subdural hematoma or resultant mild leftward midline shift as described above. 2.No new hemorrhage is noted. |
Generate impression based on findings. | 25 year-old female. 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: No significant abnormality not... | Unremarkable examination. No specific findings to account for patient's symptoms. |
Generate impression based on findings. | Reason: 58Yrs female here for follow-up of T3N1 cervical esophageal SCC who is receiving CRT with TFHX (daily RT). completed 8/16. please re-eval History: as above CHEST:LUNGS AND PLEURA: Micronodules and subpleural apical scarring, unchanged.No suspicious nodules.MEDIASTINUM AND HILA: Small left supraclavicular node (... | Stable disease. |
Generate impression based on findings. | 41 year-old female. Status post RYGB, vomiting, abdominal pain. Evaluate abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: 8 mm hypodense lesion in the hepatic dome (series 4, image 27) is too small to characterize. Small band-like hypoattenuation in the left hepatic lobe extendi... | High grade small bowel obstruction with transition point at a loop contained within a narrow-necked umbilical hernia. No evidence of bowel ischemia. |
Generate impression based on findings. | 54-year-old male status post prostatectomy. Evaluate for hernia and/or lymphocele. Lack of intravenous contrast limits evaluation for lymphadenopathy, solid organ and bowel pathology.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: 2.0 cm segment VII hypodense lesion (series 3/42) is incomplete... | 1. Pelvic fluid without loculation evident on this limited non-contrast examination. 2. Hepatic 2.0 cm segment VII hypodense lesion (series 3/42) is incompletely characterized without contrast. 3. Fluid attenuating collection within the left renal pelvis may represent peripelvic cysts or mild pelviectasis. No hydrouret... |
Generate impression based on findings. | Reason: restage lung cancer History: none CHEST:LUNGS AND PLEURA: Status post left upper lobectomy.Multiple bilateral nodular opacities consistent with metastases.Reference left lower lobe nodule 32 x 32 mm (series 5 image 58) increased from 30 x 29 mm previously.Left lower lobe retrocardiac nodule, 15 x 12 mm (series ... | Interval increase in size of pulmonary metastases and mediastinal nodes. |
Generate impression based on findings. | 63 year-old male. Abdominal pain. Evaluate for diverticulitis. ABDOMEN:LUNG BASES: Two sclerotic foci are seen in the posterolateral aspect of right lower ribs (series 3, images 15 and 17). A mildly expansile lytic lesion is visualized in a right lower rib (series 3, image 6). LIVER, BILIARY TRACT: No significant abnor... | 1. Multiple predominately sclerotic lesions seen in the pelvis and right lower ribs, bony metastasis cannot be excluded. 2. Enlarged prostate, correlation with PSA is suggested. 3. No evidence of diverticulitis or colitis. |
Generate impression based on findings. | 81 year-old female with hypertension, rule out bleed. There is no intracranial hemorrhage identified as clinically questioned. There are are scattered hypodensities in the periventricular and subcortical white matter, likely representing age indeterminate small vessel ischemic disease.No abnormal mass lesions are appre... | No evidence for acute intracranial hemorrhage mass effect or edema.Small vessel ischemic disease, not significantly changed. |
Generate impression based on findings. | Reason: evaluate for septic emboli History: Hx of endocarditis and OSH records concerning for PNA LUNGS AND PLEURA: Right upper lobe loculated thick-walled cavity consistent with septic embolus.8mm right upper lobe subpleural ground glass nodule image 25 series 5, for which a 3 month follow up is recommended then yearl... | 1. Right upper lobe cavitary lesion consistent with a septic embolus.2. Aspiration or other form of bronchiolitis.3. 8mm ground glass right upper lobe nodule, follow up in 3 months and then yearly thereafter recommended to exclude an adenocarcinoma. |
Generate impression based on findings. | 61-year-old male with non-Hodgkin's lymphoma status post chemoradiation therapy in 9/2009. CHEST:LUNGS AND PLEURA: Right upper lobe sub-solid nodule measures 6 mm in diameter (series 5 image 33), previously 6 mm. Interval development of two new pulmonary nodules, with the largest measuring 9 mm in the left upper lobe (... | Interval development of new bilateral pulmonary nodules and increase in retroperitoneal lymphadenopathy consistent with progression of disease, as described above. The previously described reference external iliac lymphadenopathy is not included in the field of view on this examination. |
Generate impression based on findings. | Female 60 years old Reason: aneurysm? History: history of aneurysm ABDOMEN:LUNG BASES: There has been interval development of bibasilar opacities, which may represent atelectasis or consolidation, and a small left-sided pleural effusion. LIVER, BILIARY TRACT: Multiple hypodense hepatic lesions are again demonstrated an... | 1.Interval increase in size of the patient's known type B aortic dissection.2.Stable hyperattenuating lesions within the hepatic parenchyma, which are incompletely characterized.3.Atrophic renal parenchyma consistent with medical renal disease. |
Generate impression based on findings. | Male 62 years old; Reason: Evaluate for urolithiases History: + LLQ pain; stones passed per urethra; h/p ESWL in past for nephrolithiases ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnorma... | 1.Findings of a bladder outlet obstruction most likely due to poor drainage of the urinary bladder due to the urinary incontinence device causing urinary stasis, stone formation within the bladder and urethra and bilateral moderate hydronephrosis.2.Recommend consultation with a urology to ensure proper functioning of t... |
Generate impression based on findings. | 71 year-old male. Hematuria. Evaluate for obstructing bladder mass. EPIC history: history of BPH s/p TURP 2006. Passing clots for the past 2 days, and presented to ER where he had a Foley catheter placed which quickly clotted off. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Less than 5 mm ... | 1. Hyperdensity in the bladder containing foci of air consistent with intraluminal hematoma. An underlying mass cannot be excluded on CT. Soft tissue infiltration of adjacent fat surrounding the bladder.2. Mild bilateral hydroureteronephrosis, suspected to be from bladder outlet obstruction. No ureteral stone or defini... |
Generate impression based on findings. | Male 50 years old; Reason: 49 yo with newly dx rectal Cancer. Staging CT Scan, evaluate extent of disease and or metastatic disease History: Rectal pain CHEST:LUNGS AND PLEURA: Right upper lobe pulmonary nodule (image 18/series 5) is likely partially calcified and may represent a granuloma.The pleural spaces are clear.... | 1.No evident metastatic disease in the chest, abdomen or pelvis. |
Generate impression based on findings. | 55 year old female with a history of metastatic neuroendocrine tumor status post chemoradiation therapy. CHEST:LUNGS AND PLEURA: Moderate upper lobe predominant centrilobular emphysema, unchanged. No suspicious pulmonary mass or nodule. Scattered mild atelectasis with no consolidation or pleural effusion.MEDIASTINUM AN... | Diffuse chest, abdominal and pelvic metastatic disease with reference measurements provided. No evidence of new metastatic sites of disease. |
Generate impression based on findings. | 73-year-old male with a history of invasive squamous cell carcinoma of the vocal cord. CHEST:LUNGS AND PLEURA: Reference right lower lobe nodule measures 8 mm (84/4), unchanged, previously 8 mm, unchanged since 4/5/11. Scattered bilateral pulmonary micronodules, appearing similar to the prior study. Bibasilar scarring/... | 1. No significant interval change in reference right lower lobe pulmonary nodule. No new or suspicious nodules are identified.2. No significant interval change in bibasilar reticulation and interlobular septal thickening, consistent with mild interstitial fibrosis.3. No evidence of metastatic disease. |
Generate impression based on findings. | 73 year-old female. GIST on observation post resection. Evaluate extent of disease. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cystic hepatic lesions are not significantly changed. Largest hepatic cystic lesion measures 11.2 x 15.4 cm, previously 11.4 x 14.6 cm (series 6, image 44). Other... | Stable examination. |
Generate impression based on findings. | Female 59 years old Reason: evaluate pulmonary nodule and abdomen History: new pulmonary nodule, nausea, vomiting and abdominal pain CHEST:LUNGS AND PLEURA: There has been interval development of a heterogeneous hyperattenuating pleural-based nodule near the superior segment of the left lower lobe, which measures 1.6 x... | 1.Interval development of left lower lobe nodule concerning for malignancy.2.No evidence of mediastinal or hilar lymphadenopathy, or metastatic disease.3.Adrenal hyperplasia4.Hepatomegaly with associated hepatic steatosis.5.Right internal jugular venous catheter with the tip terminating in the proximal SVC, advancement... |
Generate impression based on findings. | Female 75 years old; Reason: r/o partial or complete SBO History: vomiting, no stools ABDOMEN:LUNGS BASES: Pericardial effusion.LIVER, BILIARY TRACT: Liver contour is smooth. There are multiple well marginated hypodense hepatic lesions which are unchanged. The larger lesions most likely represent cysts. The smaller les... | 1.No bowel obstruction as clinically questioned.2.Gallbladder sludge with probable stones. The patient has right upper quadrant pain, consider ultrasound.3.Nonobstructive renal calculi. |
Generate impression based on findings. | Reason: Pt with HNC; s/p chemo. please re-eval and compare to prior scans History: as above CHEST:LUNGS AND PLEURA: Severe upper lobe predominantly centrilobular emphysema and biapical scarring, unchanged.Smoothly marginated left lower lobe nodules measuring 5 mm, unchanged and presumably benign.No suspicious nodules.M... | No evidence of metastatic disease, and no change. |
Generate impression based on findings. | Clinical question: Hemorrhage. Signs and symptoms: MVC. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation.Calvarium and soft ... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Patient with head swelling workup for SVC stenosis and or thoracic outlet syndrome. Questionable hydrocephalus. Signs and symptoms: Swelling in head and face with intermittent severe headaches x 2 months. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive... | 1.No acute intracranial process. Unremarkable intracranial content and is stable since prior studies.2.Fairly extensive uniform thickening of calvarium with diffuse patchy foci of lytic and sclerotic changes as was noted on multiple prior exam and as early as 2004 study. There is interval worsening of the lytic changes... |
Generate impression based on findings. | NK T cell lymphoma. Evaluate disease status. CHEST:LUNGS AND PLEURA: No pleural effusion is identified. No focal opacity isMEDIASTINUM AND HILA: No lymphadenopathy is present. A pericardial effusion is not identified. The heart size is normal.CHEST WALL: Left-sided central line has its tip in superior vena cava. Blood ... | Thrombosis of superior vena cava likely related to central line. No other abnormality seen. |
Generate impression based on findings. | 49 year-old female with CHF and concern for sarcoidosis. Evaluate lung nodules. LUNGS AND PLEURA: Note is made of centrilobular nodules most pronounced in the right lower lobe. Differential considerations include bronchiolitis, including atypical infectious etiologies as well as vasculitis and bronchopneumonia. Again s... | 1. Centrilobular nodules most pronounced in the right lower lobe. Differential considerations include bronchiolitis, including atypical infectious etiologies as well as, aspiration. 2. Persistent scattered pulmonary nodules most pronounced in the right upper lobe which are nonspecific and may be postinflammatory in ori... |
Generate impression based on findings. | Altered mental status, r/o stroke. There is no evidence of intracranial hemorrhage, cerebral edema, mass effect, midline shift, or hydrocephalus. There is unchanged extensive cerebral white matter hypoattenuation that is likely related to chronic microangiopahty. There is diffuse prominence of cortical sulci and ventri... | 1.No evidence of intracranial hemorrhage.2.Unchanged extensive cerebral white matter hypoattenuation that is likely related to chronic microangiopathy. However, non-contrast CT is insensitive for detection of acute infarct and MRI is recommended for further evaluation.3.Diffuse brain parenchymal volume loss.4. Unchange... |
Generate impression based on findings. | Male 37 years old Reason: ureteral stone History: R flank pain radiating into R testicle Lack of IV contrast limits the evaluation of the parenchyma of the solid organs of the abdomen and pelvis.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is no evidence of intrahepatic biliary ductal... | 1.Right-sided obstructing ureteral stone just inferior to the lower pole of the right kidney with associated hydronephrosis. 2.Calcific foci near the vesicoureteral junction which may represent a second ureteral stone, or phlebolith. |
Generate impression based on findings. | 88-year-old female with myasthenia gravis. Follow-up thymoma. LUNGS AND PLEURA: Mild bibasilar bronchiectasis and scarring, unchanged.Scattered pulmonary micronodules and granulomata, unchangedMEDIASTINUM AND HILA: The anterior mediastinal soft tissue mass measures 4.4 x 1.4 cm (image 43, series 3), previously 4.2 x 1.... | Slight increase in size of anterior mediastinal mass. This may represent a thymoma, thymic carcinoma or thymic cyst. |
Generate impression based on findings. | 82 year-old male. Metastatic prostate cancer. Evaluate disease after receiving investigational therapy. CHEST:LUNGS AND PLEURA: Biapical scarring. No significant interval change in scattered micronodules. MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Extensive osseous metastasis. ABDOMEN:LIVER, BILI... | Extensive osseous metastatic disease. No new sites of disease identified. |
Generate impression based on findings. | Reason: Patient with a h/o scca FOM s/p surgery. Please eval interval change. History: scca FOM LUNGS AND PLEURA: Scattered pulmonary micronodules appear benign.Basilar atelectasis or scarring is unchanged.Left pleural effusion nearly resolved. MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Severe corona... | Improving left effusion and persistent basilar atelectasis or scarring. No evidence of metastases. |
Generate impression based on findings. | Female 77 years old Reason: colon cancer restaging History: colon cancer restaging CHEST:LUNGS AND PLEURA: Minimal biapical scarring is again evident. Several calcific nodules are again demonstrated, likely sequela from prior granulomatous disease and appear largely unchanged in size and distribution.MEDIASTINUM AND HI... | 1.No evidence of local recurrence or metastatic disease.2.Multiple stable calcific pulmonary nodules.3.Hepatic steatosis |
Generate impression based on findings. | 62 year-old males. GIST. Evaluate for recurrence. 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: Fatty infiltration of the liver. Unchanged hypodense focus in the le... | No evidence of metastatic disease. |
Generate impression based on findings. | Male 54 years old Reason: Patient with known right common iliac artery aneurysm questionable new dissection when compared to CT in 2009. History: Persistent diarrhea and abdominal pain. Had CT at OSH, questionable dissection of artery noted. ABDOMEN:LUNG BASES: There is minimal left-sided basilar atelectasis.LIVER, BIL... | 1.Stable aneurysmal dilatation of the proximal right common iliac artery without evidence of dissection.2.Multifocal hypoattenuating renal lesions and cortical thinning, consistent with multiple renal infarcts versus reflux nephropathy.3.No evidence of local recurrence or metastatic disease. |
Generate impression based on findings. | 82 year-old female status post fall presents with back pain. There are mild degenerative changes throughout the thoracic and lumbar spine. The osseous structures are noted to be somewhat demineralized throughout. There are anterior bridging osteophytes of the vertebral bodies of T7 through T10. Severe degenerative chan... | No evidence for acute fracture or subluxation of the thoracic or lumbar spine.Severe degenerative changes at L5-S1, with posterior osteophyte partially effacing the thecal sac. |
Generate impression based on findings. | HPI 56yo male with relapsed AML presents with neck erythema and induration. There is extensive upper right chest and supraclavicular skin thickening extending up to the level of the angle of the mandible, subcutaneous fat stranding, thickening of the platysma, heterogeneous enhancement and swelling of the right sternoc... | Extensive inflammatory changes in the right upper chest and right neck likely represents cellulitis with associated myositis, but no evidence of abscess.Discussed with Dr. Hurter at 11:20 AM on 9/17/13. |
Generate impression based on findings. | 66 year-old male. Metastatic prostate cancer. Evaluate disease after 9 cycles of investigational therapy. CHEST:LUNGS AND PLEURA: Scattered micronodules are not significantly changed. Bibasilar scarring and mild fibrotic changes, unchanged.MEDIASTINUM AND HILA: Index right hilar node measures 2.5 x 1.7 cm, previously 2... | 1. Slight interval decreased size of subcarinal lymph node.2. Increased size of peri-aortic lymph nodes and reference left common iliac artery node. |
Generate impression based on findings. | Reason: mass History: Lower back pain with hx of lung ca. Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall height. There is mild posterior subluxation of L5 on S1 Osteophytes are present at the sacroiliac joints. Atherosclerotic calcifications are present in the aorta and it... | 1.There are degenerative changes present in the lower lumbar spine with some encroachment of the nerve root the right lateral recess at L4-5 (probably right L5 nerve roots), the exiting nerve roots within the left neural foramen at L4-5 (probably left L4 nerve roots) and at the exiting nerve roots within the neural for... |
Generate impression based on findings. | Female 38 years old Reason: evaluate for stone History: Back pain, RLQ pain and fever Evaluation of the parenchyma of the solid organs of the abdomen and pelvis is limited by the lack of intravenous contrast.ABDOMEN:LUNG BASES: There is minimal bibasilar dependent atelectasis.LIVER, BILIARY TRACT: There is a hypodense ... | Enlarged right kidney with associated perinephric fat stranding, most likely represent pyelonephritis; however, a passed ureteral stone cannot be excluded. |
Generate impression based on findings. | 48-year-old male with Ewing sarcoma. Evaluate for metastases. LUNGS AND PLEURA: Nonspecific scattered pulmonary nodules are unchanged.No new suspicious pulmonary nodules.Bilateral postoperative scarring unchanged.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. CHEST WALL: No axillary lymphadenopathy. UPP... | No evidence of metastatic disease. No interval change. |
Generate impression based on findings. | TxN2aM0 HNSCC s/p resection 5/2009 s/p chemo-XRT TFHX (8/24/2009) without evidence of recurrent disease presents for follow up of recent diagnosis of follicular lymphoma. There are stable post-treatment findings in the right neck with volume loss in the right tonsillar region and diffuse skin thickening, subcutaneous f... | 1. Stable post-treatment findings without evidence of discrete mass in the treatment bed or significant cervical lymphadenopathy by CT criteria.2. A mildly exophytic focus of skin thickening in the right temporoparietal scalp that measures approximately 4 x 10 mm that is similar to the prior exam is of uncertain signif... |
Generate impression based on findings. | Male, 81 years old, history of squamous cell carcinoma of the floor of the mouth status post surgery. Hypoattenuation in the right parietal lobe is new when compared to the prior examination and likely reflects interval ischemic disease. Although new from the prior study, it has a chronic appearance. Redemonstrated is ... | 1. Postsurgical change involving the anterior tongue and floor of mouth. Mild soft tissue thickening within the anterior tongue is nonspecific and may simply be postsurgical in nature. As this is the first postoperative examination, it will serve as a new baseline.2. No pathologic adenopathy in the neck.3. A chronic ap... |
Generate impression based on findings. | 76-year-old male. Metastatic prostate cancer. Evaluate disease after 3 cycles of investigational therapy. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Hypodense nodule in the right thyroid lobe is unchanged. Calcified right paratracheal node. No mediastinal or hilar lymphadeno... | Stable examination. |
Generate impression based on findings. | Male 81 years old Reason: Pt is an 81 y/o male with urothelial cancer evaluate for recurrence History: bladder cancer CHEST:LUNGS AND PLEURA: Mild emphysematous changes are present. There are no new suspicious pulmonary nodules.MEDIASTINUM AND HILA: The heart size appears within normal limits and coronary artery calcif... | 1.No evidence of metastatic disease or local recurrence.2.Stable soft tissue density in the right nephrectomy bed.3.Stable cystic lesion of uncertain etiology near the right external iliac artery. |
Generate impression based on findings. | 73-year-old with history of laryngeal carcinoma status post laryngectomy, chemo and radiation therapy. Head: There is no evidence of intracranial mass, hemorrhage, or infarction. There is no abnormal intracranial enhancement. There is unchanged non-specific moderate degree cerebral white matter hypoattenuation. The ven... | 1. Interval evolution of post-treatment findings without evidence of locoregional tumor recurrence or significant cervical lymphadenopathy.2. No evidence of intracranial metastasis. |
Generate impression based on findings. | Reason: h/o recurrent nasopharynx cancer History: r/o lung mets LUNGS AND PLEURA: Scattered benign appearing micronodules are unchanged.There is no evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: 14-mm right hilar lymph node image 45 series 4 unchanged since the prior study.A left jugular catheter ter... | Status post neck surgery, tracheostomy and gastrostomy tube placement. No evidence of metastases. |
Generate impression based on findings. | Clinical question: Rule out CNS lesion. Signs and symptoms: Bradycardia. Nonenhanced head CT:No detectable acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic stroke.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gradient white matter differen... | 1.No acute intracranial process.2.Right mastoid air cells opacification and partial opacification of the right epitympanum concerning for otitis. |
Generate impression based on findings. | Reason: Pt with NPX s/p CRT; please re-eval and compare to prior scans History: as above CHEST:LUNGS AND PLEURA: Benign-appearing micronodules are unchanged.No evidence of pulmonary or pleural metastases.Mild scarring left lung base. MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy seen.A very small amount... | No change, and no evidence of metastases. |
Generate impression based on findings. | Female, 30 years old, sickle cell disease and visual loss. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift. The ventricles and basal cisterns ... | No acute intracranial abnormality. |
Generate impression based on findings. | History of Osteosarcoma, evaluate for Mtts LUNGS AND PLEURA: Interval resolution of micronodules of the minor fissure. Reidentification of micronodules of the right upper lobe (image 15 series 5)MEDIASTINUM AND HILA: Assessment of mediastinal masses is somehow difficult due to lack of IV contrast material.CHEST WALL: I... | Stable appearance of small right upper lobe micronodule with interval improvement in both micronodules of the minor fissure. |
Generate impression based on findings. | Female, 43 years old, history of nasopharyngeal cancer status post CRT. Reevaluate and compare to prior scan. Low density, nonenhancing soft tissue persists within the right sphenoid sinus, unchanged. Associated bony lysis is also stable involving the lateral wall of the right sphenoid sinus, right orbital apex, forame... | Stable exam with no evidence of progressive disease. |
Generate impression based on findings. | Invasive undifferentiated non-keratinizing nasopharyngeal carcinoma s/p CRT, tracheostomy, and recurrence s/p proton beam therapy (2011). There has been interval resection of ill-defined soft tissue in the right parapharyngeal and nasopharyngeal regions, resulting in a substantial defect that extends just medial to the... | 1. Interval resection of ill-defined soft tissue in the right parapharyngeal and nasopharyngeal regions, resulting in a substantial defect that extends just medial to the right styloid process with residual ill-defined predominantly hypoattenuating soft tissue within the right infratemporal fossa that is indistinct fro... |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.