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Generate impression based on findings. | Reason: pt with lung ca s/p 2 cycles of chemo h/o bladder ca too History: now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Severe centrilobular emphysema.Paramediastinal fibrotic changes may be related to radiation.Right perihilar mass is not measurable on the current exam.New ... | 1.Previous noted right perihilar mass is not identified on this exam.2.Stable mediastinal lymphadenopathy.3.New right lower lobe subpleural masslike opacity may represent metastatic focus. Although other etiologies including infection, infarction, and atelectasis cannot be excluded. Short-term follow-up is recommended. |
Generate impression based on findings. | Male 54 years old; Reason: PT is a 54 y/o male with met rcc, on observation, re-image to determine progression History: met rcc CHEST:LUNGS AND PLEURA: Numerous pulmonary, parenchymal nodules are again seen diffusely, bilaterally. Theselesions are stable to slightly decreased in size. Index lesion (series 5, image 69) ... | 1. Slight decrease in size of pulmonary metastatic reference nodules and subjectively slight decrease in number and size of other nodules. 2. New ground glass interstitial opacities throughout the lungs diffusely, correlate for chemical pneumonitis.3. Stable hypodense lesion seen in inferior right lobe of liver, worris... |
Generate impression based on findings. | Female 77 years old; Reason: Hx of bladder cancer s/p chemo and cystectomy. Please assess for any recurrent disease. CHEST:LUNGS AND PLEURA: No suspicious pulmonary lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: There is a trace pericardial effusion. Coronary calcifications and probable stent. Ascending ao... | 1.Slight hyperenhancement of the proximal portion of the conduit. Differential considerations include infection / inflammation /neoplasia. Follow up is suggested with urine analysis or further imaging.2.Dilation of the ascending thoracic aorta. |
Generate impression based on findings. | Male 56 years old; Reason: GIST, s/p resection, on adjuvant Gleevec, veal EO, compare to previous History: none CHEST:LUNGS AND PLEURA: Multiple nodular opacities predominantly at the layers of architecture distortion the reference right lower lobe and a nodule measures 0.8 x 0.7 cm (image 75/series 9) previously, 0.9 ... | 1.Stable exam without evident metastatic disease.2.Pulmonary findings with imaging findings suggestive of sarcoidosis. |
Generate impression based on findings. | Reason: left parotid mass, pleomorphic adenoma History: left parotid mass, pleomorphic adenoma There is redemonstration of a 39 x 32 mm axial dimension heterogeneous density mass associated with calcifications located in knee left parotid gland behind the angle of the left mandible there left retromandibular vein appea... | 1.Left parotid mass is consistent with the patient's diagnosis of pleomorphic adenoma is stable compared to the prior exam.2.the degenerative changes present in the cervical spine worse at C3-4 there appears to be spinal canal stenosis. Please correlate with patient's clinical symptoms |
Generate impression based on findings. | Male 51 years old; Reason: any granulomas or lymphadenopathy History: weakness, and muscle biopsy showing granulomatous myositis CHEST:LUNGS AND PLEURA: Numerous micronodules are noted throughout the lungs, which could be compatible with prior history of granulomatous disease.MEDIASTINUM AND HILA: No significant abnorm... | 1.Nonspecific micronodules and subcentimeter too small to characterize lesions in the liver. Numerous subcentimeter non pathologically enlarged retroperitoneal lymph nodes. |
Generate impression based on findings. | Reason: evaluate for septal deviation, high pressures History: nasal obstruction The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated. There is Mild nasal septal deviation towards the leftThe frontal sinuses are clear.Maxillary sinuses demonstrate a tiny m... | No evidence for paranasal sinus obstructive disease |
Generate impression based on findings. | Reason: lymphoma low grade. followup of LLL pulmonary nodule which is biopsy-proven lymphoma History: none LUNGS AND PLEURA: Interval decrease in size of left lower lobe nodule (image 68 series 4) now measuring 13 mm x 9 mm previously measuring 15 mm x 14 mm.Scattered micronodules are unchanged.No new suspicious pulmon... | 1.Interval decrease in left lower lobe nodule which by history is a biopsy proven lymphoma.2.Stable left axillary lymph node. |
Generate impression based on findings. | Active Crohn's disease and positive nuclear medicine GI bleeding test. Currently with bright red blood per rectum ABDOMEN:LUNG BASES: No focal opacity is present.LIVER, BILIARY TRACT: Arterial phase is normal. No biliary ductal dilatation is seen. The gallbladder is distended and normal in appearance.SPLEEN: Normal in ... | No bleeding site identified. |
Generate impression based on findings. | Female 75 years old; Reason: follow up of metastatic urothelial cancer s/p RT which was completed in February History: mild fatigue CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No evidence for an enlarged mediastinal lymph nodes. Heart size isnormal with no evidence of pericardial abno... | 1. Status post right nephrectomy. 2. Stable to slight increase in size of the supraclavicular node with stable right abdominal periaortic retroperitoneal adenopathy. Stable appearance to the left retroperitoneal periaortic adenopathy. |
Generate impression based on findings. | 62-year-old male with lung cancer status post RT to brain and L/S s/p two cycles of chemo too. Needs disease evaluation. CHEST:LUNGS AND PLEURA: Left upper lobe mixed groundglass opacity with solid components measures 24 x 15 mm (image 22, series 5), previously 24 x 17 mm. This morphology is suspicious for an indolent ... | 1. Decrease in size of large necrotic right middle lobe mass. Additional pulmonary nodules in the left and right upper lobes, decreased or unchanged, with morphology suspicious for primary adenocarcinomas. 2. Decrease in size of hepatic metastases. 3. No new sites of disease. |
Generate impression based on findings. | 50 year-old. History of breast cancer and Hodgkin lymphoma. Stage 2B status post 6 cycles of ABVD now in need of posttreatment scans. CHEST:LUNGS AND PLEURA: Right paramediastinal radiation fibrosis and small area of radiation fibrosis in the left upper lobe are unchanged. Scattered micronodules are unchanged.MEDIASTIN... | 1. Residual infiltrative mediastinal mass is not significantly changed. 2. Interval decreased size of a right hepatic lobe subcentimeter lesion.3. No new lesions are identified. |
Generate impression based on findings. | Reason: evaluate for bleed History: fall The CSF spaces are appropriate for the patient's stated age with no midline shift. Biventricular diameter on coronal imaging at the level of the foramen of Monro is 47 mm and unchanged compared to the prior exam.No abnormal mass lesions are appreciated intracranially. No intracr... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Stable exam |
Generate impression based on findings. | 14yo with syncope, headache, and parasthesias. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The brain parenchyma appears unremarkable with preserved grey-white matter differentiation. The ventricles and basal cisterns are normal in size and configuration. There is a partially imaged small r... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Female 61 years old Reason: rule out intraabdominal infection History: abd distention and leukocytosis Exam is not sensitive for detecting lesions in the solid organs vasculature due to lack of intravenous contrast. Given that limitation, the following observations are made:ABDOMEN:LUNG BASES: Moderate size right pleur... | Splenomegaly. Hepatomegaly. Ascites redemonstrated without evidence of loculation to suggest abscess. Bibasilar atelectasis or consolidation right greater than left. |
Generate impression based on findings. | Male 65 years old; Reason: 65 yo male with large Gastric cancer. Pt treated with neo-adjuvant chemotherapy, last cycle 8/23/13. Needs evaluation extent of disease and if any evidence of metastatic disease. History: none CHEST:LUNGS AND PLEURA: Left upper lobe calcified granuloma. A no suspicious bony lesions. The pleur... | 1.Nonspecific 9 mm in segment 5 lesion. Consider MRI for further evaluation. |
Generate impression based on findings. | Fall and headache. The images are degraded by considerable patient motion. Within these limitations, there is subarachnoid hemorrhage within the left superior frontal gyrus and right Sylvian and circular sulci.The ventricles and basal cisterns are normal in size and configuration. There is also a hemorrhagic contusion ... | The images are degraded by considerable patient motion. Scattered acute subarachnoid hemorrhage within the left superior frontal gyrus and right Sylvian and circular sulci and an acute hemorrhagic contusion within the right anterior temporal pole that measures up to approximately 15 mm. Additional acute extra-axial hem... |
Generate impression based on findings. | Female 57 years old Reason: ? SBO History: n/v and ab pain; h/o SBOAdditional history from pathology report indicates history of ulcerative colitis with colectomy. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hypodense lesion segment 8 series 3 image 32 measures 1.5 x 1 cm unchanged. Nonspe... | Diffusely dilated small bowel with sparing of proximal jejunum. Although dilatation is seen up to the J-pouch, there is additionally a focal adhesive band causing at least a partial closed loop obstruction in the pelvis. Small amount of generalized ascites. No intramural air or free air. |
Generate impression based on findings. | Male 73 years old; Reason: prostate cancer, evaluation of disease as baseline for initiation of investigational therapy. History: prostate cancer ABDOMEN:LUNGS BASES: Stable ground glass opacities in the lung bases adjacent to the pleural surface. No suspicious basilar pulmonary lesion.LIVER, BILIARY TRACT: Mild to mod... | 1.Stable exam without evident metastatic disease2.Please see bone scan for imaging of the osseous structures as the patient has few sclerotic foci |
Generate impression based on findings. | Male 64 years old; Reason: metastatic prostate cancer, evaluation of disease after 12 cycles of investigational therapy. History: metastatic prostate cancer. CHEST:LUNGS AND PLEURA: Stable nodular opacities along the pulmonary fissures, and stablenonspecific right upper lobe micronodule (series 4 image 35).MEDIASTINUM ... | 1. Extensive sclerotic osseous lesions similar to prior CT2. Stable indeterminate right gluteal subcutaneous lesion |
Generate impression based on findings. | Male 55 years old Reason: 55-year-old male. Assess for Crohn's, abscess, appendicitis sb thickening History: abd pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is a hypodense lesion in segment IVa and likely represents a simple hepatic cyst. The hepatic vasculature appears patent a... | 1.Interval resolution of the previously seen mesenteric abscesses.2.No evidence of current inflammatory bowel disease. |
Generate impression based on findings. | Evaluate vertigo. On the right, there is an ovoid soft tissue opacity within the right external auditory canal that measures up to 8 mm. The middle ear and mastoid air cells are clear. The ossicular chain is intact. The inner ear structures are unremarkable without evidence of superior semicircular canal dehiscence. Th... | No evidence of superior semicircular canal dehiscence. |
Generate impression based on findings. | Male 61 years old Reason: Hx of Bladder Cancer s/p cystectomy with neobladder. Eval for recurrent/metastatic disease. History: See above CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No evidence of mediastinal or hilar lymphadenopathy. Calcifications are again noted in the coronary arter... | Stable examination without evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 70 year-old female. Cramps, nocturnal intermittent diarrhea. Asthma. Lack of intravenous contrast decreases sensitivity for detection of solid organ and bowel pathology. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No focal airspace consolidation or pleural effusion. MEDIASTINUM AND HILA: Atherosc... | 1. Colon diverticulosis without evidence of diverticulitis. No specific findings to account for the patient's symptoms.2. No acute pulmonary abnormality. |
Generate impression based on findings. | Female, 25 years old, status post fall. Head: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 are patent and... | 1. No acute intracranial abnormality.2. No cervical spine fracture or malalignment. |
Generate impression based on findings. | 69-year-old female. Stage IV metastatic melanoma. CHEST:LUNGS AND PLEURA: Numerous bilateral lung nodules consistent with metastasis. For reference, right lower lobe nodule measures 1.3 x 1.8 cm (series 9, image 67). MEDIASTINUM AND HILA: Mediastinal and hilar lymphadenopathy. Reference subcarinal node measures 2.6 x 3... | 1. Numerous lung metastasis.2. Mediastinal and hilar lymphadenopathy.3. No discrete measurable mass seen in the hepatic flexure to correlate to the hypermetabolic lesion seen on recent PET-CT.4. Right perineal region soft tissue nodule. 5. Subtle lucency in the right inferior acetabulum corresponding to the hypermetabo... |
Generate impression based on findings. | Male 50 years old Reason: Esophageal Cancer: Restaging History: none CHEST:LUNGS AND PLEURA: Apical and fissural blebs are present consistent with centrilobular emphysema. There is a 7 mm ground glass nodule in the right middle lobe.MEDIASTINUM AND HILA: There is thickening of the distal esophagus to the level of gastr... | 1.Thickening of the distal esophagus and GE junction concerning for the patient's reported esophageal carcinoma.2.Soft tissue density in the area of the gastrohepatic ligament likely representing necrotic lymph nodes.3.Numerous large metastatic lesions within the liver. |
Generate impression based on findings. | 80 year-old female with shortness of of breath. Evaluate for PE PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. No evidence of right heart strain. The main pulmonary artery measures 2.9 cm diameter, in the upper limits of normal.LUNGS AND PLEURA: Mild centrilobular emphysema with a... | 1. No evidence of PE. No acute pulmonary abnormalities to account for the patient's symptoms. 2. Persistent ascending aortic aneurysm with aortic graft in place, as described above. 3. Nodular subpleural opacity in the right lower lobe may represent prior infection or prior infarct. |
Generate impression based on findings. | 53-year-old male. Stage IV pancreas cancer. Compare to previous scan and provide index lesion measurements for RECIST. CHEST:LUNGS AND PLEURA: Interval significant decreased size of multiple pulmonary nodules. Some nodules demonstrate cavitation consistent with treatment response. Reference left upper lobe nodule measu... | 1. Interval significantly decreased size of multiple pulmonary nodules, some of which show cavitation consistent with treatment response.2. No significant change in pancreatic tail mass, which invades into the spleen. |
Generate impression based on findings. | Male 45 years old; Reason: eval abd pathology incl free air History: pain ABDOMEN:LUNGS BASES: Bibasilar atelectasis noted.LIVER, BILIARY TRACT: The liver morphology is normal. Free air is seen under the right hemidiaphragm outlining the falciform ligament and extending into Morrison's pouch.SPLEEN: No significant abno... | 1.Peritoneal and retroperitoneal free air with edema and inflammation of the antrum and pyloris with edema along the second and third portions of the duodenum, compatible ruptured peptic ulcer. |
Generate impression based on findings. | Evaluate for resolution of sinusitis, pt w/ hx of left-sided posterior epistaxis s/p embolization now w/ sinusitis. There is a soft tissue attenuation (~50 HU) opacity within the left nasal cavity adjacent to the inferior turbinate that measures 15 AP x 8 RL x 9 SI mm. The nasal septum appears to be intact and is devia... | 1. Opacity within the left nasal cavity adjacent to the inferior turbinate that measures up to 15 mm may represent secretions or hemorrhage, or tumor. MRI with contrast would be useful for further characterization. 2. Scattered paranasal sinus opacification, most pronounced in the left maxillary sinus, where there is m... |
Generate impression based on findings. | Female 79 years old Reason: Hx of Bladder cancer S/P Anterior pelvic exenteration w/ radical cystectomy; Hx of breast cancer S/P mastectomy; Evaluate for metastases History: Weakness CHEST:LUNGS AND PLEURA: There are large bilateral pleural effusions with associated bibasilar compressive atelectasis. The right-sided pl... | 1.Interval development of bilateral pleural effusions and body wall edema. Recommend follow up imaging after resolution of pleural effusions to assess the previously described pulmonary nodules not visualized on this examination.2.No definitive evidence of new metastatic focus.3.Poor assessment of hepatic parenchyma li... |
Generate impression based on findings. | 74 year-old male. Retroperitoneal fibrosis. Lack of intravenous contrast decreases sensitivity for detection of solid organ pathology.CHEST:LUNGS AND PLEURA: Right pleural thickening and calcification. The inferior aspect of this finding is stable when compared to the visualized lung bases on prior CT abdomen/pelvis. S... | 1. Right pleural thickening and calcification. No prior CT chest available for comparison. 2. Chronically occluded infrarenal IVC.3. Stable appearance of soft tissue stranding around the IVC/aorta, possibly representing fibrosis. |
Generate impression based on findings. | Female 39 years old Reason: mets IMT, s/p resection, s/p chemo, ALK+, now on AP26113, pls c/w previous study and evaluate tx response. History: IMT CHEST:LUNGS AND PLEURA: There is a pleural based partially calcified mass in the right lower lobe which now measures 1.4 x 4.2 cm (image 76, series 3) and previously measur... | 1.No evidence of local recurrence new metastatic focus.2.Stable right basilar partially calcified pleural-based mass.3.Reference pulmonary nodule no longer evident.4.Stable thoracic postsurgical changes. |
Generate impression based on findings. | Female 60 years old; Reason: pt with melanoma (ocular) and new RUQ pain History: melanoma CHEST:LUNGS AND PLEURA: 5-mm pulmonary nodule along the right middle fissure is unchanged (image 42/series 5) Subcentimeter right posterior subpleural nodule measuring 5-mm (image 39 series 5) is unchanged.Pleural spaces are clear... | 1.Stable exam without evident metastatic disease.2.No change in the right lung nodules. |
Generate impression based on findings. | Reason: elbow stiffness History: elbow pain Evaluation of the elbow is slightly limited due to inability to properly position the patient due to elbow contracture. Severe osteoarthritis affects the elbow joint with joint narrowing, osteophyte formation, and subchondral cysts. No discrete loose bodies are seen within th... | Severe osteoarthritis of the elbow. |
Generate impression based on findings. | Clinical question: Evaluate for any distal bleeding. Signs and symptoms: 54-year-old male with history of AML with liver involvement. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulc... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Evaluate for hemorrhage. Signs and symptoms: Status post craniotomy, right facial droop and left-sided numbness. Nonenhanced head: Examination demonstrate extensive postoperative changes of suboccipital craniectomy. Bilateral paramedian inferior cerebellar encephalomalacia similar to prior MRI exam i... | 1.No convincing evidence of an acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic strokes.2.Postoperative changes of wide bilateral paramedian suboccipital craniectomy.3.Foci of bilateral paramedian inferior cerebellar encephalomalacia and bilateral inferior frontal encephaloma... |
Generate impression based on findings. | Clinical question: Intraoperative lead placement. Signs and symptoms: DBS leads. Nonenhanced head CT:Examination is performed with halo secured to patient's calvarium. There is streak artifact present.Postprocedural pneumocephalus primarily in the right anterior frontal subarachnoid space is present. No detectable intr... | 1.Expected postoperative changes of bilateral frontal approach DBS lead placement as detailed.2.The appropriateness of positioning of the leads should be decided by the clinical services. |
Generate impression based on findings. | Clinical question: Status post DBS lead placement. Signs and symptoms: Dystonia. Nonenhanced head CT:There is no evidence of any acute intracranial process. CT however is insensitive for dictation of acute ischemic strokes. Examination identified is bilateral DBS lead placements which compared to prior exam it appears ... | 1.No acute intracranial process. Residual pneumocephalus.2.Bilateral DBS lead placements with the tips appear to be symmetrical in position in medial aspect of bilateral temporal lobes. The appropriateness of their location should be decided by referring physician. |
Generate impression based on findings. | Hemoptysis, evaluate for PE/hemorrhage/infiltrate. PULMONARY ARTERIES: Technically diagnostic infusion quality. No pulmonary emboli are identified.LUNGS AND PLEURA: Throughout the left upper lobe, there are numerous peribronchial nodular air space lesions with surrounding groundglass opacity. Minimal associated bronchi... | 1. No evidence of acute pulmonary embolus. Enlargement of the main pulmonary artery is consistent with pulmonary hypertension.2. Extensive nodular air space opacities associated with surrounding groundglass opacity in a peribronchial distribution, most consistent with infection. If the patient is immunocompromised, fun... |
Generate impression based on findings. | History recent surgery presenting with acute chest pain, shortness of breath and tachycardia cardia. Evaluate for pulmonary embolism. PULMONARY ARTERIES: No pulmonary emboli.LUNGS AND PLEURA: Right upper lobe cavitary lesion with surrounding pleural thickening and architectural distortion appears similar to the prior e... | 1. No pulmonary embolus.2. Right lower lobe consolidation and endobronchial debris consistent with aspiration.3. Right upper lobe cavitary lesion with surrounding pleural thickening compatible with prior infection, likely tuberculosis, is unchanged compared to prior. |
Generate impression based on findings. | 59 year old female. Evaluate for nephrolithiasis. Right upper quadrant pain. Lack of oral and intravenous contrast decreases sensitivity for detection of solid organ or bowel pathology.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Dependent hyperdensity in the gallbladder may represent sludg... | 1. No nephrolithiasis or ureteral calculi.2. Incidentally seen heavily calcified left adnexal mass has nonspecific CT features. Gynecologic evaluation is recommended given that its stability cannot be established. |
Generate impression based on findings. | 27 year-old female with leg swelling/chest pain/shortness of breath/tachycardia. Question of PE. PULMONARY ARTERIES: Study adequate to the segmental level without evidence of acute pulmonary embolus.LUNGS AND PLEURA: No focal air space opacity. No pleural effusions. Bibasilar dependent atelectasis. MEDIASTINUM AND HILA... | No evidence of acute pulmonary embolus or other acute abnormality. |
Generate impression based on findings. | Reason: fascitis, soft tissue air, R foot fracture History: severe cellulitis, neutropenia There is diffuse soft tissue reticulation of the visualized ankle and foot suggestive of edema. No focal soft tissue ulcerations are identified. No foci of gas are noted within the visualized soft tissues. The previously seen tib... | Soft tissue swelling and chronic findings as described above without evidence of acute fracture or fasciitis as clinically questioned. |
Generate impression based on findings. | Male 40 years old Reason: r/o dissection History: L sided CP, radiating to L arm, incr weakness to L leg, known type B dissection s/p graft CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: There is a type B aortic dissection with a narrowing of the true lumen just distal to the origin of th... | 1.Stable type B aortic dissection with improved flow to the celiac axis and right common iliac artery.2.Thrombosed proximal left common iliac artery with mural thrombus involving the distal left common iliac artery.3.Interval placement of a right subclavian femoral bypass graft without evidence of in stent thrombosis. |
Generate impression based on findings. | 53 year-old male. Patient status post kidney transplant with dropping hemoglobin despite transfusion. Lack of intravenous contrast decreases sensitivity for detection of solid organ pathology.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant... | 1. Post-surgical changes in the right lower pelvic wall with subcutaneous fat stranding and a 4.3 x 4.6 x 10.6 cm hematoma.2. Small 2.5 x 2.7 cm high density collection along the right external iliac chain.3. Right iliac fossa transplant kidney ureteral stent appears to terminate proximal to the collecting system withi... |
Generate impression based on findings. | Clinical question: 64-year-old female with headache after trauma two months ago. Signs and symptoms: Headache. Nonenhanced head CT:No evidence of acute posttraumatic changes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns, and gray -- white matter differentiation.Calvarium and soft tissue... | Negative nonenhanced head CT. |
Generate impression based on findings. | 63-year-old male with alcohol abuse and hypertension presents with possible seizure. 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. T... | 1.No evidence for acute intracranial hemorrhage, mass effect, or edema.2.Mild age-indeterminate small vessel ischemic disease.3.No intracranial evidence to explain seizure, as clinically questioned. |
Generate impression based on findings. | 38-year-old female with altered mental status -- evaluate for signs of malignancy, tumors or enlarged lymph nodes. Abnormal dural enhancement and enhancing lesions seen on brain MRI CHEST:LUNGS AND PLEURA: Scattered nonspecific punctate micronodules seen best on the MIP images without larger nodules, infiltrates, or ma... | 1. Nonspecific small pulmonary micronodules. 2. Slightly prominent mediastinal lymph nodes as measured above of uncertain significance. 3. Small bilateral pleural effusions. 4. No abnormality seen in the abdomen or pelvis. |
Generate impression based on findings. | History of hypercoagulability noncompliant with anti-coagulation presenting with chest pain and shortness of breath. Evaluate for pulmonary embolism. PULMONARY ARTERIES: No pulmonary emboli.LUNGS AND PLEURA: Patchy areas of tree in bud opacities in the right middle and right lower lobes compatible with aspiration appea... | 1. No pulmonary emboli.2. Bibasilar tree in bud opacities suggestive of bronchiolitis likely related to aspiration.3. Hyperdense liver parenchyma compatible with amiodarone toxicity.4. Mild pulmonary edema. |
Generate impression based on findings. | 56 year old female with shortness of breath and history of superficial blood clot. Concern for PE. PULMONARY ARTERIES: Technically adequate study without evidence of acute pulmonary embolus.LUNGS AND PLEURA: Numerous calcified and non-calcified nodules; the largest of the non-calcified nodules measuring up to 4mm. Fain... | 1. No evidence of acute pulmonary embolus. 2. Numerous calcified/non-calcified pulmonary nodules and hilar/mediastinal lymphadenopathy. These findings are compatible with prior granulomatous disease.3. Mild basilar interlobular septal thickening could represent mild pulmonary edema. 4. Healing right 10th rib fracture. ... |
Generate impression based on findings. | Clinical question: Hemorrhage. Signs and symptoms: Altered mental status/loss of consciousness. Nonenhanced head CT:Dolicoectatic basilar artery, similar to prior study. Unremarkable images through posterior fossa otherwise. The ventricle is within normal size and in the midline as well, stable since prior exam.Large a... | 1.No convincing evidence of an acute new findings.2.Stable left thalamic acute hematoma in size and density as well as its associated mass effect.3.Stable acute blood in the dependent portion of bilateral occipital horns since prior exam.4.Stable size of lateral ventricles since prior exam as detailed.5.Age indetermina... |
Generate impression based on findings. | Male, 33 years old, headache, history of brain tumor, left facial pain, history of resected left facial tumor. CT head:Postsurgical change consistent with occipital craniotomy. Encephalomalacia and mild postsurgical distortion of the right cerebellar hemisphere. Findings are unchanged relative to prior exams. Paragraph... | 1. Postsurgical changes in the posterior fossa. No acute intracranial abnormality.2. No specific abnormalities in the maxillofacial region to account for the patient's symptoms. |
Generate impression based on findings. | 57 year-old male. Fever and abdominal discomfort status post ERCP 5 days ago. Evaluate for pancreatitis/cholangitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: CBD stent with expected mild pneumobilia. No focal hepatic lesion. Patent hepatic veins and portal vein.SPLEEN: No significant ab... | 1. Interval resolution of gas in the right retroperitoneum, suggesting that the communication to the bowel has resolved.2. Evolution of right retroperitoneal collection, now seen as multiloculated confluent collections spanning from posterior to the pancreatic head/uncinate process tracking inferiorly down the right ps... |
Generate impression based on findings. | Sinus infection and neutropenic fever. There is an unchanged 6 mm diameter retention cyst along the medial wall of the right maxillary sinus. The right maxillary sinus and bilateral infundibula are clear. There is minimal scattered ethmoid sinus opacification. The frontal and sphenoid sinuses are clear. The orbital wal... | Unchanged small right maxillary sinus retention cyst and minimal scattered ethmoid sinus opacification. |
Generate impression based on findings. | 31-year-old female with Chiari malformation status-post shunt presents with left neck pain along shunt, headache, fever; concern for shunt infection. A suboccipital midline craniectomy with expected postoperative changes is redemonstrated. There is a left parietal approach ventricular catheter that terminates immediate... | Ventricular catheter is unchanged in position and appears intact.Collapsed supratentorial ventricular system is unchanged. No evidence for acute intracranial hemorrhage, mass effect, or edema. |
Generate impression based on findings. | 29-year-old male with abdominal pain, right lower quadrant. ? Appendicitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS,... | Normal examination of the abdomen and pelvis. |
Generate impression based on findings. | History of decompensated liver failure undergoing transplant workup. Abnormal PFTs. Evaluate for pulmonary and bullous. PULMONARY ARTERIES: Mildly limited exam due to poor timing of the contrast bolus. No proximal pulmonary emboli to the segmental level.LUNGS AND PLEURA: Right apical ground glass and reticular opacity ... | 1. Mildly limited exam with no pulmonary emboli to the segmental level.2. Nonspecific right apical ground glass opacity as described, nonspecific but suspicious for acute atypical infection or pulmonary hemorrhage. Followup CT in 6 weeks is recommended for further evaluation to exclude. Given the patient's age non-beni... |
Generate impression based on findings. | Female 27 years old Reason: abscess History: groin cellulitis on left with firm nodule UTERUS, ADNEXA: There is evidence of intrauterine fluid, which is likely physiologic in nature. There are bilateral adnexal fluid collections which may represent ovarian cysts or follicles; however, CT evaluation of the adnexa is lim... | Cellulitis without evidence of liquefaction of the anterior abdominal wall, which appears to have improved since the prior examination. |
Generate impression based on findings. | Female, 28 years old, subdural hemorrhage. Mixed density right fronto-parieto-temporal subdural collection, with dependent layering hyperdense blood products, is unchanged in size and extent. Maximal thickness remains 10 mm. Mild sulcal effacement of the right cerebral hemisphere is unchanged. So too is a 4 to 5 mm mid... | Stable subdural hemorrhage with stable mild associated mass effect. |
Generate impression based on findings. | Female 54 years old Reason: eval for obstruction History: hx of end ileostomy now with low output and abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is no evidence of intrahepatic biliary ductal dilatation or focal mass lesion. The hepatic vasculature appears patent and t... | 1.Ileitis involving the ileum proximal and distal to the patient's loop ileostomy, most likely inflammatory in nature; however, infection and ischemia cannot be excluded.2.No evidence of obstruction, fistula or fluid collection.3.Mild fibrofatty proliferation, which can be seen as sequelae of inflammatory bowel disease... |
Generate impression based on findings. | 42-year-old female presents with syncope, assess for bleed. The ventricular system and sulci are normal in size and configuration. There is no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualiz... | No evidence for intracranial hemorrhage as clinically questioned. |
Generate impression based on findings. | 39 year old female with inflammatory myofibroblastic tumor There are partially imaged postsurgical findings related to resection of the left anterior chest wall tumor, including removal of the anterior left first, second and third ribs, as well as the medial left clavicle and the left pectoralis major muscle with mesh ... | Stable partially imaged postoperative findings in the left anterior chest wall without definite evidence of recurrent tumor or significant cervical lymphadenopathy. Also refer to the separately dictated chest CT report for additional details. |
Generate impression based on findings. | 95-year-old male with bilateral subdural hematomas. Bilateral holohemispheric subdural hematomas are again demonstrated, with maximal transverse dimensions of 10 mm on the right and 13 mm on the left, not significantly changed since the prior head CT (series 80348, images 41 and 42). The collection on the right contain... | 1.No significant interval change in size or appearance of chronic left and subacute upon chronic right cerebral convexity subdural hematomas. 2.No evidence of new intracranial hemorrhage or midline shift. |
Generate impression based on findings. | 30-year-old female with sickle cell disease presents with syncope and vision changes. Rule out stroke. 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 ba... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease.3.The left posterior communicating artery is not visualized. |
Generate impression based on findings. | Clinical question: Acute ALL, will start chemotherapy. Rule out sinusitis. Signs and symptoms: ALL Maxillofacial CT:Examination demonstrates a small retention cyst of approximately 12 x 12-mm and minute adjacent mucosal thickening in the dependent portion of left maxillary sinus.The paranasal sinuses are otherwise well... | 1.Small retention cyst and minimal mucosal thickening in the dependent portion of left maxillary sinus and unremarkable paranasal sinuses otherwise.2.Mild nasal septum deviation and tiny bony spur.3.Mastoid air cells and bilateral middle cavities are well pneumatized. |
Generate impression based on findings. | Female, 59 years old, headaches, status post surgery for right frontal lobe lesion. Right frontal craniotomy change. Scalp swelling and mild subcutaneous air. Mild pneumocephalus and extra-axial fluid subjacent to the craniotomy, within expected limits.Heterogeneous density region within the right frontal lobe likely r... | Expected postoperative change as above. |
Generate impression based on findings. | Chest pain and shortness of breath. Evaluate for pulmonary embolism. PULMONARY ARTERIES: No pulmonary emboli.LUNGS AND PLEURA: Multifocal ground glass opacities and minimally thickened interlobular septa compatible with mild pulmonary edema.No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: Marked cardiomegaly. ... | 1. No pulmonary embolus.2. Mild pulmonary edema without pleural effusions.3. Left renal hypodensity is incompletely evaluated on this single phase exam, but may represent a hemorrhagic or proteinaceous cyst. This can be further evaluated with dedicated CT imaging. |
Generate impression based on findings. | Male 63 years old; Reason: 62 year old male with Hodgkin lymphoma. Compare to prior scan. History: None CHEST:LUNGS AND PLEURA: Lower lobe predominant pulmonary fibrosis with honeycombing, bronchiectasis and fibrosis. There is volume loss in the lower lobes.Postoperative changes with surgical clips. Pleural spaces rema... | 1.Pulmonary fibrosis with suspected pulmonary artery hypertension.2.No change in the size of the reference of nodes. |
Generate impression based on findings. | 73 old female with enlarged abdominal lymph node on recent chest CT -- please of area traditional lymphadenopathy concerning for lymphoma ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cirrhotic morphology to liver again seen without underlying mass. Lack of arterial phase imaging limits abil... | 1. Marked lymph node enlargement clustered in the upper abdomen, which has been progressively enlarging since 2011. While chronic liver disease patients can have enlarged upper abdominal lymph nodes, the rapid progression of enlargement now seen is not associated with benign lymph nodes and favors malignant process suc... |
Generate impression based on findings. | Male, 68 years old, pica infarct. Evaluate for hydrocephalus. Redemonstration of subacute cerebellar infarct, predominantly involving the right hemisphere with minimal involvement on the left. No change in extent or morphology. No hemorrhagic transformation. Persistence of mass effect with mild leftward shift of the ce... | 1. Stable appearance of subacute ischemia predominantly involving the right cerebellum. Stable associated local mass effect.2. Stable prominence of the supratentorial ventricular system.3. Stable additional areas of age indeterminant ischemia as above. |
Generate impression based on findings. | 68 year-old female. Diarrhea. Evaluate for typhilitis, abscess, or pancreatitis. Lack of intravenous contrast decreases sensitivity for detection of solid organ pathology.CHEST:LUNGS AND PLEURA: Right apical scarring/atelectasis. Bibasilar atelectasis and nonspecific consolidation, representing aspiration and/or infect... | 1. Bibasilar consolidation, representing aspiration and/or infection. Small bilateral pleural effusions.2. Mild thickening of the descending and sigmoid colon, this may be due to lack of distention although a mild colitis cannot be excluded. 3. Mesenteric haziness/stranding, increased from prior exam.4. Small amount of... |
Generate impression based on findings. | Acute headache in patient post op for hydatiform mole. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and ex... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Male, 34 years old, brain lesion status post biopsy. Left frontal burr hole, subcutaneous air and scalp swelling, mild pneumocephalus, all within expected post procedure limits.Redemonstration of a heterogeneous, predominantly low-density lesion within the white matter of the left corona radiata. Minimal blood product ... | Expected post biopsy changes as above. |
Generate impression based on findings. | Male 44 years old; Reason: Assess for diverticulitis History: LLQ pain; had diverticulitis 2 years ago ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No signi... | 1.Mild inflammation surrounding the proximal sigmoid colon indicative of mild diverticulitis. |
Generate impression based on findings. | Acute leukemia initiating cytotoxic chemotherapy. Evaluate for pneumonia or abscess. LUNGS AND PLEURA: No focal air space opacity or other evidence of acute infection. Calcified pulmonary nodule compatible with granulomatous infection.No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: The heart is normal in size... | 1. No evidence of acute infection as clinically queried.2. Splenomegaly.3. Benign left adrenal adenoma. |
Generate impression based on findings. | 62-year-old male. Stage IV colon cancer. Compare to previous scan and provide index lesion measurements for RECIST. CHEST:LUNGS AND PLEURA: Numerous bilateral pulmonary nodules, not significantly changed. Reference left lower lobe peripheral nodule measures 1.6 x 1.4 cm (series 5, image 78), unchanged. Left pleural thi... | Stable examination with no significant interval change in lung metastasis or reference mesenteric lymph node. |
Generate impression based on findings. | 71-year-old male with mesothelioma, please evaluate disease and compare to scan on 7/17 using same reference lesions. Patient is status post two cycles of chemo. CHEST:LUNGS AND PLEURA: Interval development of a small right pleural effusion, multiple right lung pulmonary micronodules, and fine nodularity of the right m... | Significant worsening of thoracic disease with interval increase in abdominal disease. |
Generate impression based on findings. | Uterine malignancy with abdominal ascites, check for metastatic disease LUNGS AND PLEURA: Mild atelectasis with scattered micronodules, nonspecific. No suspicious additional focal interpulmonary changes. No effusions other than mild bilateral basilar atelectasis.MEDIASTINUM AND HILA: No lymphadenopathy.The cardiac and ... | Scattered nonspecific micronodules and ascites. See detail provided |
Generate impression based on findings. | Sternal wound drainage. Evaluate sternum and hardware. Rule out infection. Additional history per patient chart: Patient has history of presumed sarcoidosis LUNGS AND PLEURA: Near complete resolution of previously noted peribronchial vascular nodularity. Residual bronchiectasis is similar to prior.Moderate to large bil... | 1. Soft tissue defect in the inferior aspect of the sternotomy with intermediate soft tissue density that is likely postsurgical as described. No drainable fluid collection to indicate an abscess.2. Large bilateral pleural effusions3. Multiple new vertebral compression deformities/fractures, most severely T10.4. Modera... |
Generate impression based on findings. | Compared to prior chest CTs, history of lung cancer with recurrent nodules LUNGS AND PLEURA: Moderate diffuse central lobular emphysematous changes with scattered stable micronodules largely observed more apically. The clustered nodules in the right middle lobe appear unchanged (image 67 series 4) and again demonstrate... | Stable focal nodular subcentimeter findings the lungs with a new suspected focal area aspiration and/or less likely infection the right upper lobe. |
Generate impression based on findings. | Non-small cell lung cancer, compared to prior LUNGS AND PLEURA: Postsurgical changes with scarlike opacities and atelectasis unchanged. Scattered multiple pulmonary nodules are similar in appearance and mild changes are likely due to slight differences in breathing in patient positioning. The reference and larger right... | Stable multiple scattered pulmonary nodules and reference lymph nodes. Measurements provided |
Generate impression based on findings. | Female 64 years old Reason: h/o GIST, pelvic tumor, increasing pelvic pain, reassess tumor burden History: h/o GIST, pelvic tumor, increasing pelvic pain, reassess tumor burden CHEST:LUNGS AND PLEURA: The previously described pleural-based pulmonary nodule in the superior segment of the left lower lobe is unchanged in ... | 1.Interval increase in the size of the infiltrating heterogeneous pelvic mass.2.Stable left lower quadrant fluid collection which may represent a cystic component of pelvic mass, loops of bowel or a dilated fallopian tube.3.Persistent small bowel dilatation. 4.Stable retroperitoneal lymphadenopathy.5.Stable left lower ... |
Generate impression based on findings. | 34 year-old male. Abdominal pain. Evaluate for diverticulosis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Mild splenomegaly measuring 14.8 cm in length. No focal splenic lesion.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant... | 1. Colon diverticulosis without evidence of diverticulitis.2. Mild splenomegaly. |
Generate impression based on findings. | 76 year old female. History of bladder cancer status post cystectomy with ileal conduit. Evaluate for recurrent/metastatic disease. Compare to previous the retroperitoneal soft tissue mass and assess for growth/change. ABDOMEN:LUNG BASES: Mild lower lobe peripheral fibrotic changes and traction bronchiectasis, similar ... | 1. No evidence of metastatic disease.2. Previously seen retroperitoneal soft tissue mass is shown on today's exam to be a collapsed ileal conduit. |
Generate impression based on findings. | Reason: eval for SVC status History: LUE clot LUNGS AND PLEURA: Mild mosaic attenuation abnormality and bronchial/ bronchiolar wall thickening similar in appearance to the prior exam.Scattered nonspecific micronodules.No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: No hilar or media... | 1.Mild mosaic attenuation abnormality with bronchial/bronchiolar wall wall thickening similar in appearance to the prior exam and compatible with small airway disease.2.No evidence of venous obstruction involving the SVC, innominate veins, or subclavian veins. |
Generate impression based on findings. | Multiple pulmonary nodules noted on prior CT. Interval follow exam. LUNGS AND PLEURA: Numeral bilateral ground glass pulmonary nodules appear similar to prior. Reference right upper lobe nodule measures 5 mm (series 4 image 22), previously 6 mm. The left upper lobe reference nodule measures 5 mm (series 4 image 38), pr... | 1. Numerous nonspecific but stable pulmonary nodules as described. Continued follow-up is recommended.2. Nonspecific intraluminal tracheal nodule with questionable interval growth, with density characteristics favoring a benign process such as apparent debris.Findings discussed with Tina Shah M.D. of the ordering servi... |
Generate impression based on findings. | Male 47 years old; Reason: Cholangiocarcinoma: restaging History: none CHEST:LUNGS AND PLEURA: Right basilar scarring/atelectasis.MEDIASTINUM AND HILA: No evidence of mediastinal or hilar lymphadenopathy.CHEST WALL: Prominent axillary lymph nodes not enlarged by CT criteria. Incidentally noted is a fused right fifth an... | 1. Postoperative changes consistent with prior Roux-en-Y with hepaticojejunostomywithout definite evidence of disease recurrence. |
Generate impression based on findings. | Male 68 years old Reason: 68 yo, newly dx distal CBD cancer. Needs pancreas proctocol CT Scan for staging History: weight loss ABDOMEN:LUNG BASES: There is no evidence of mediastinal or hilar lymphadenopathy. There is evidence of atherosclerotic disease of the coronary arteries.LIVER, BILIARY TRACT: There is no definit... | 1.Patient's known cholangiocarcinoma is not visualized on today's study. Portacaval and peripancreatic adenopathy is present..2.No evidence of tumoral involvement of the celiac axis, SMA, SMV, splenic vein and portal vein.3.Biliary stent in place in the distal common bile duct.4.Numerous hypodense hepatic lesions which... |
Generate impression based on findings. | 51-year-old female. Sarcoid related cirrhosis. Evaluate for lesions. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cirrhotic liver morphology. No suspicious focal hepatic lesion demonstrating arterial enhancement or washout. Cholecystectomy clips. Patent hepatic vasculature.SPLEEN: Splenomeg... | 1. Cirrhosis with signs of portal hypertension, including portosystemic collaterals and splenomegaly.2. No suspicious focal hepatic lesion. |
Generate impression based on findings. | Lung nodule. Sarcoma. LUNGS AND PLEURA: Postoperative volume loss bilaterally from prior wedge resections. Subpleural fibrosis in the lateral aspect of the right lung suggestive of prior chest wall radiation therapy.Left lower lobe bilobed nodule measures 18-mm in length (5/78), unchanged compared to the most recent pr... | 1. Left lower lobe nodule unchanged compared to most recent study but measures slightly larger compared to 1/16/13.2. Slow growing left pleural nodule suspicious for metastasis, unchanged compared to earlier studies this year but larger when comparing back to studies of 2012 and prior. |
Generate impression based on findings. | Esophageal cancer, compared to prior CHEST:LUNGS AND PLEURA: Stable apical scarring and atelectasis. Mild central lobular emphysema upper lobe predominance with mild right basilar scarring and/or atelectasis. No new superimposed nodules, masses or effusions.MEDIASTINUM AND HILA: Prominent mediastinal lymph nodes, howev... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 72-year-old male with mass on chest x-ray. Evaluate chest mass. LUNGS AND PLEURA: There is a mildy spiculated left upper lobe mass with mild to moderate heterogeneity measuring 6.2 x 6.0 cm (image 34, series 4). The mass extends to the pleural surface with associated pleural thickening and abuts/compresses the left maj... | Large left upper lobe mass most concerning for primary lung carcinoma with lymphadenopathy. This is amenable to biopsy peripherally. |
Generate impression based on findings. | 26 year old female with history of severe migraines. NONCONTRAST CT HEAD: The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection, or acute hemorrhage. The osseous structure... | 1.No acute intracranial abnormality.2.Unremarkable CTA of the head, without evidence of aneurysm or flow-limiting stenosis. |
Generate impression based on findings. | Head and neck cancer, follow-up CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No lymphadenopathy.Coronary calcifications without additional cardiac or pericardial abnormality.Small hiatal hernia and an additional small right Bochdalek herniaCHEST WALL: No significant abnormality noted.A... | 1. No acute abnormalities or findings to suggest metastatic disease2. Small right Bochdalek hernia |
Generate impression based on findings. | Reason: hx of RML nodule History: please evauate for growth of RML nodule LUNGS AND PLEURA: Redemonstration of a fluid/mucous filled obstructed right middle lobe bronchus unchanged in appearance since the prior exams dating back to 2010. Associated endobronchial mass with punctate calcification is again identified.Stab... | Persistent dilated and impacted right middle lobe bronchus without interval change. Endobronchial mass with associated calcification is compatible with either a granuloma or endobronchial hamartoma. |
Generate impression based on findings. | NSCLC status post chemo radiation and consolidation, compare to previous. CHEST:LUNGS AND PLEURA: Left upper lobe mass measures 5.9 x 5.3 cm, previously 6.3 x 6.6 cm (4/43). Cranial caudal length is about the same. The new loculated fluid near the apex laterally measures higher density than simple fluid pleural thicken... | Decrease in size in left upper lobe mass with a small adjacent loculated fluid collection. Otherwise, the remainder of the findings are unchanged. |
Generate impression based on findings. | 44-year-old with hypogonadism. Please evaluate pituitary. The patient cannot receive an MRI examination because of a pacemaker. PITUITARY:The pituitary gland enhance normally. There is no deviation of the infundibulum. The optic chiasm appears normal. There is no evidence of a pituitary macroadenoma. A small microadeno... | No evidence for pituitary mass, CT examination cannot identify a small microadenoma.Diffuse thickening and sclerosis of the calvarium. |
Generate impression based on findings. | Reason: lung ca, s/p chemo and RT and resection. Pls c/w previous study and evaluate dz status. History: lung ca CHEST:LUNGS AND PLEURA: Right paramediastinal and anterior right upper lobe postradiation changes stable.No new suspicious pulmonary nodules or masses.No pleural effusions.Volume loss in the left lung relate... | 1.No evidence of recurrent or metastatic disease.2.Stable post radiation changes.3.Stable multifocal and nodular thyroid.4.Small pericardial effusion unchanged. |
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