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Generate impression based on findings. | 69-year-old male with history of metastatic prostate cancer CHEST:LUNGS AND PLEURA: Scattered micronodules are unchanged. There is a new 9 x 5 mm nodule in the right lower lung on image number 72, series number 5. MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:... | New, subcm right lower lobe nodule, otherwise no significant change from previous study. |
Generate impression based on findings. | 61-year-old male with enlarged pancreatic head and history of abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Mild intrahepatic biliary dilatation and pneumobilia. Metallic stent in the distal common bile duct.SPLEEN: No significant abnormality notedPANCREAS: Atrophic pancreas, ... | CT findings compatible with chronic pancreatitis. Metallic and plastic stent in the common bile duct.Subcentimeter hypodense lesion in the pancreas, new from previous study and most likely represents inflammatory changes. Follow imaging is recommended. Chronic splenic vein thrombosis, unchanged. |
Generate impression based on findings. | Right pleural effusion LUNGS AND PLEURA: Moderate right pleural effusion with underlying minimal compression atelectasis. No significant fluid collection on the left. No superimposed intrapulmonary focal abnormality, specifically no masses or nodules.MEDIASTINUM AND HILA: Calcified right peritracheal lymph nodes compat... | Moderate to large stable appearing right pleural effusion with mild underlying atelectasis. No discrete superimposed additional lesions |
Generate impression based on findings. | Small cell lung cancer. Cough. Follow-up CHEST:LUNGS AND PLEURA: Small clustered new subcentimeter nonspecific nodules involving the inferior aspect of the right upper lobe (image 21 series 4 concerning for recurrent intrapulmonary disease with nodular pleural lesions and thickening in the right lung base. New focal co... | New interval right upper lobe intrapulmonary nodules and pleural disease suggestive of recurrent or residual metastatic disease. Associated extensive hepatic mets. Reference measurements above |
Generate impression based on findings. | Male, 18 years old, with seizure. Assess for change in ventricular size. Redemonstrated is a right parietal approach ventricular shunt catheter, tip in stable position in the body of the left lateral ventricle just above the foramen of Monro.Since the prior examination, the caliber of the supratentorial ventricular sys... | Interval expansion of the supratentorial ventricular system. |
Generate impression based on findings. | Recurrent head and neck CA on therapy. CHEST:LUNGS AND PLEURA: Pulmonary metastases have decreased in size slightly and some have developed internal cavitation suggesting treatment response. Right apical nodule measures 19 x 16 mm (5/13), previously 20 x 23 mm. Left upper lobe nodule with mixed response. Although it ha... | Mixed response; although the majority of the pulmonary nodules have improved in size, the left reference lesion has a component is new or increasing. In addition, lymphadenopathy has increased. Indeterminate lesion in the apex of the left kidney; dedicated renal CT is recommended given the patient's history of urotheli... |
Generate impression based on findings. | 61 year-old male. History of small cell prostate cancer, recently completed treatment with Topotecan. Assess for disease progression. CHEST:LUNGS AND PLEURA: Multiple micronodules, some are new and some have increased in size, concerning for metastasis. A 7 x 5 mm nodule in the left upper lobe previously measured 7 x 3... | 1. Multiple micronodules, some are new and some are increased in size from prior exam, concerning for lung metastasis. 2. Increased mediastinal lymphadenopathy.3. Increased size of segment 3 liver lesion.4. Increased retroperitoneal lymphadenopathy. |
Generate impression based on findings. | Lung cancer status post neoadjuvant chemotherapy, incidental PE on on last CT. PULMONARY ARTERIES: Right lower lobe pulmonary embolus has cleared in the interim. No acute pulmonary emboli are identified.LUNGS AND PLEURA: Left upper lobe nodule measures 15 x 13 mm, previously 14 x 12 mm.Mild emphysema at the lung apices... | 1. No evidence of pulmonary emboli. 2. Left upper lobe index lesion with thickening of the left main bronchus anterior wall not significantly changed, measurements provided above.3. Slight increase in measurement of upper left adrenal gland nodule, please refer to outside PET report which was not provided for compariso... |
Generate impression based on findings. | 54-year-old male with shortness of breath, coughing and wheezing. Question of severe asthma. LUNGS AND PLEURA: Right upper lobe pulmonary nodule. Calcified nodule along the right minor fissure.No focal airspace opacities. No pleural effusions. No evidence of airtrapping. No bronchial wall thickening or bronchiectasis. ... | 1. No significant pulmonary abnormalities. 2. Right upper lobe pulmonary micronodule is likely benign in etiology and does not require follow up in a low risk patient. If the patient is a smoker a follow-up CT can be obtained in one year approximately September 2014. |
Generate impression based on findings. | History of mesothelioma. Interval follow-up. Compared to last CT. CHEST:LUNGS AND PLEURA: Surgical changes in the right lung base with diaphragmatic mesh graft. Nodular right hemithorax pleural thickening appears similar to prior. Reference measurements are as follows:1. At the level of the right pulmonary artery 9 o'c... | 1. New and enlarging mediastinal lymphadenopathy with enlarging upper abdominal and right axillary lymphadenopathy.2. No significant interval change in left lung pulmonary nodules and right hemithorax pleural disease. |
Generate impression based on findings. | Mesothelioma, follow-up CHEST:LUNGS AND PLEURA: Stable appearing left hemithorax thickening and volume loss with associated nodularity. Specifically, the intercostal nodular mass or lymph node with area of pleural thickening towards the costophrenic angle is unchanged most likely related to scarring from prior surgery.... | Stable appearing diffuse findings consistent with known mesothelioma, reference measurements provided |
Generate impression based on findings. | Reason: per protocol 1m History: Bilat lung transplant 1m check PULMONARY ARTERIES: No evidence of a pulmonary embolus. No abnormalities identified involving the anastomotic sites of the pulmonary arteries.LUNGS AND PLEURA: Minimal scarring/discoid atelectasis at the left lung base, lingula, and right middle lobe.No su... | 1.No evidence of pulmonary emboli or anastomotic complications related to the bilateral lung transplant.2.No pulmonary or pleural abnormalities. |
Generate impression based on findings. | Shortness of breath rule out PE. H/O PE. Prior history of lymphoma, carcinoid syndrome and DVT. PULMONARY ARTERIES: Adequate infusion quality. Multiple filling defects extending from the proximal right upper lobe pulmonary artery into segmental branches of the upper lobe. In addition, there are small linear defects wit... | 1. Multiple filling defects extending up from the proximal right upper lobe pulmonary artery into segmental and subsegmental branches. Superior lingular filling defect consistent with PTE is of unclear chronicity. An additional details in the body of the report.2. Signs of pulmonary arterial hypertension and right hear... |
Generate impression based on findings. | 3-year-old female with stage IV neuroblastoma. End of therapy evaluation. CHEST:LUNGS AND PLEURA: Bilateral lower lobe atelectasis, greater on the left. No pleural effusion. No new or suspicious pulmonary nodules.MEDIASTINUM AND HILA: Left subclavian central catheter with tip at the cavoatrial junction. Heart size is n... | New anterior mediastinal/prevascular space soft tissue, nonspecific. This could represent thymic rebound, although metastatic disease cannot be excluded. Interval increase in soft tissue density between the portal vein and celiac axis with associated periportal edema. Additional imaging, such as MIBG, may further evalu... |
Generate impression based on findings. | Follow-up of right lower lobe pulmonary nodule on prior CT. LUNGS AND PLEURA: Right lower lobe peripheral nodule that appears to extend to the pleural surface measures 4 mm and is not significantly changed from prior (series 6 image 188). There is an additional nonspecific right lower lobe micro-nodule (series 6 image ... | Right lower lobe peripheral nodule is unchanged compared to prior. The presence of right hilar calcified lymph nodes increases the probability that this represents a noncalcified intrapulmonary granuloma. Follow-up CT in 12 months can be obtained to document stability. |
Generate impression based on findings. | 72-year-old male with mesothelioma status post pleurectomy/decortication. Evaluate extent of disease and compare to previous. CHEST:LUNGS AND PLEURA: Postsurgical changes and diaphragmatic mesh are again observed in the right hemithorax and unchanged. Postsurgical scarring and areas of loculated multiple pleural fluid ... | Right hemithorax mesothelioma with reference measurements provided in the body of the report. |
Generate impression based on findings. | Reason: mets lung ca, s/p chest RT, hx of right side RT pneumonitis. Now has drug induced pneumonitis on the left side, pls evaluate left side pneumonitis and dxz status. History: RT pneumonitis CHEST:LUNGS AND PLEURA: Large pulmonary embolus involving the right pulmonary artery with extension into the lobar arteries. ... | 1.Significant pulmonary embolus in the right pulmonary artery and extending into the lobar branches. The clinical service was notified at 2:40 p.m.2.interval increase in pleural effusions right greater than left.3.Groundglass and centrilobular opacities with bronchial/bronchiolar wall thickening possibly representing a... |
Generate impression based on findings. | Cough for two months LUNGS AND PLEURA: Endotracheal filling defect containing air, consistent with inspissated mucus (4/27). 2-mm micronodule in the right upper lobe (4/33), too small to accurately characterize but statistically more likely to be benign than malignant unless patient has a significant smoking history. N... | 1. 2-mm micronodule in the right upper lobe. If the patient has no smoking history and is at low risk for malignancy, then no further follow-up is needed. If the patient has a smoking history or otherwise is at high risk for malignancy, 12-month CT follow-up is recommended, though statistically the lesion is more likel... |
Generate impression based on findings. | 43 old male with no history given. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is no evidence of intrahepatic biliary ductal dilatation or focal mass lesion. There is no evidence of cholelithiasis.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADREN... | There is no evidence of hydronephrosis, hydroureter, nephrolithiasis or ureterolithiasis. There is no evidence of obstructing mass lesion in the renal collecting system. |
Generate impression based on findings. | 72 year-old female. Microhematuria. Evaluate for upper tract lesions and stones. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis. No focal hepatic lesion. No biliary ductal dilatation.SPLEEN: Calcified splenic granulomata.PANCREAS: No significant abnormality notedADRENAL GLANDS:... | 1. Eccentric wall thickening of the right lateral bladder wall is highly concerning for neoplasm. 2. Small amount of air within the bladder, correlate clinically for recent instrumentation. |
Generate impression based on findings. | Male 76 years old Reason: assess fluid collection for resolution History: fluid collection ABDOMEN:LUNG BASES: There has been interval resolution of the right pleural effusion and near complete resolution of the left-sided pleural effusion. Calcifications of the aortic valve are again noted.LIVER, BILIARY TRACT: A hypo... | Interval decrease in size of the intra-abdominal and intrapelvic fluid collections, with resolution of the left-sided perihepatic fluid collection. |
Generate impression based on findings. | Mesothelioma status was chemo ended 8/12 and takedown colostomy 2013. CHEST:LUNGS AND PLEURA: Right upper lobe suture line abutting the mediastinum. Reference area at the 3 o'clock position the adjacent the suture measures 9 mm, previously 8 mm, not significantly changed (3/13). Thickening extends cranially along the m... | No significant change in the reference area of mediastinal parietal pleural thickening in the right upper thorax. Slowly enlarging right diaphragmatic soft tissue density lesion is felt to most likely represent focal herniation of the liver through the diaphragm, present since 7/28/12, correlate with surgical history. ... |
Generate impression based on findings. | Sinus pressure and pain. There is moderate (up to 10 mm in thickness) right and mild (up to 3 mm in thickness) left maxillary mucosal thickening. There is also opacification of the bilateral infundibula, right greater than left. There is mild to moderated scattered opacification of the bilateral ethmoid sinuses. The fr... | Moderate (up to 10 mm in thickness) right and mild (up to 3 mm in thickness) left maxillary mucosal thickening, opacification of the bilateral infundibula, right greater than left, and mild to moderated scattered opacification of the bilateral ethmoid sinuses. |
Generate impression based on findings. | 84-year-old male with lung cancer presents with headache, rule out metastatic disease. There is no evidence for metastatic disease as clinically questioned. There is prominence of the ventricular system and sulci, consistent with mild age-related cerebral volume loss. Scattered periventricular and subcortical hypodensi... | 1.No evidence for metastatic disease as clinically questioned.2.Mild age indeterminate small vessel ischemic disease.3.No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | 57-year-old female with pleuritic chest pain. Rule out PE. PULMONARY ARTERIES: Technically adequate study without evidence of acute pulmonary embolus.LUNGS AND PLEURA: Large right apical, fissural and subpulmonic pneumothorax. Right upper lobe paramediastinal consolidation adjacent to a suture line, possible evolving r... | 1. No evidence of acute pulmonary embolus.2. Large right hydropneumothorax and atelectatic/partially collapsed lung.3. Right lateral rib fractures with overlying subpleural hematoma. 4. Unable to assess degree of mediastinal involvement by tumor due to phase of contrast; new mid esophageal dilatation is of unclear etio... |
Generate impression based on findings. | Mental status change, hyperthyroid, dementia. Evaluate for CVA. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is mild diffuse cerebral white matter hypoattenuation that may be related to microangiopathy. There is mild diffuse brain parenchymal volume loss, but no evidence of hydrocepha... | 1. Mild diffuse cerebral white matter hypoattenuation that may be related to microangiopathy, but no evidence of intracranial hemorrhage, mass, or cerebral edema. However, CT is not sensitive for the detection of acute infarction and MRI is recommended for further evaluation, assuming the patient is amenable to this.2.... |
Generate impression based on findings. | HNC status post laryngectomy. History of RT. History of left upper lobectomy. LUNGS AND PLEURA: Irregularly marginated solid nodule in the right upper lobe measuring 13 x 10 mm (4/23). 8mm nodule in the lateral segment right middle lobe (4/56). Scattered granulomas. Branching linear opacity in the dependent aspect of t... | 1. Mild mediastinal lymphadenopathy in the left lower paratracheal, subaortic and prevascular spaces; nodal metastases cannot be excluded.2. Several solid nodules without visible calcification or internal fat, indeterminate for metastases. Differential diagnosis includes noncalcified granulomas. Please refer to outside... |
Generate impression based on findings. | 63 year-old female. Rectal cancer restaging after chemotherapy and radiation. CHEST:LUNGS AND PLEURA: No definite pulmonary nodules seen.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Mitral valve calcification.CHEST WALL: Right chest wall Port-A-Cath tip terminates in the SVC.ABDOMEN:LIVER, BILIARY TRA... | 1. Substantial decreased size of rectal mass.2. Decreased size of portocaval, retroperitoneal, and pelvic lymph nodes. |
Generate impression based on findings. | Mild right SNHL and moderately severe left conductive hearing loss, status post left tympanostomy tube insertion. On the left, there are small soft tissue opacities within the lumen of the external auditory canal, which likely represents non-occlusive cerumen. There is a tympanostomy tube in position. The middle ear an... | Left tympanostomy tube in position, without evidence of tympanomastoid effusions, cholesteatoma, or otospongiosis. |
Generate impression based on findings. | Clinical question: Evaluate paranasal sinuses. Signs and symptoms: Chronic sinusitis. Medtronic fusion sinus CT:Frontal sinuses are well pneumatized and unremarkable.Ethmoid sinuses demonstrate minimal left anterior ethmoid mucosal thickening. Unremarkable otherwise.Sphenoid sinus demonstrate minute mucosal thickening ... | 1.Moderate right-sided and minimal left-sided maxillary sinus mucosal thickening with resultant occluded right ostiomeatal unit and patent left.2.Minor mucosal thickening in the sphenoid sinus with resultant occluded sphenoethmoidal recesses.3.Unremarkable other paranasal sinuses.4.Metallic density consistent with vasc... |
Generate impression based on findings. | Female 76 years old Reason: Evaluate for diverticulitis or pelvic pathology accounting for new LLQ/left pelvic pain. Evaluate for progression of metastatic disease History: New left lower quadrant/left pelvic pain associated with N/V and severe constipation in patient with metastatic non-small cell lung cancer. CHEST:L... | 1.Slight increase in the number and size of the innumerable pulmonary nodules, consistent with metastatic disease.2.Interval decrease in size of the reference precarinal lymph node.3.No evidence of new metastatic focus.4.No etiology found to explain the patient's left lower quadrant pain. |
Generate impression based on findings. | 54 year-old female. Tachypnea despite aggressive sedation. Septic fungemia. CHEST:LUNGS AND PLEURA: Small bilateral pleural effusions, decreased from prior exam. Nodular ground-glass opacities bilaterally, most pronounced in the right upper lobe, are decreased. Bibasilar atelectasis.MEDIASTINUM AND HILA: ETT tip 1 cm a... | 1. Decreased bilateral ground glass opacities.2. Small bilateral pleural effusions, decreased from prior exam.3. Cirrhotic liver morphology. 4. Large amount of ascites. |
Generate impression based on findings. | Clinical question: Evaluate for interval change. Signs and symptoms: AMS, malnourished. Nonenhanced head CT:Expected postoperative changes of a right anterior frontal craniotomy with interval improvement of post op changes since prior study. Residual low attenuation of right frontal lobe under the craniotomy flap is no... | 1.Improvement in postoperative changes of a right frontal craniotomy for removal of tumor. Residual low attenuation of parenchyma at this site remains.2.Minimally larger left superior parietal lobule metastatic lesion and with interval increased surrounding edema.3.Slight interval increase in vasogenic edema in left oc... |
Generate impression based on findings. | Buccal cancer now rule out pulmonary metastatic disease LUNGS AND PLEURA: Multiple scattered micronodules with a single solid well-defined nodule larger in size. This latter finding is ovoid in dimension measuring 6 mm and along the posterior wall of the right lower lobe (image 70 series 6). Remaining micronodules othe... | Multiple scattered nodules and multiple sizes of which some are calcified. The appearance in non-specific and in light of the patient's presentation, concern for metastatic disease cannot entirely be excluded although scattered granulomatous changes are more likely. Continued follow up per protocol is recommended. |
Generate impression based on findings. | Female 54 years old Reason: assess for hernia History: abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is diffusely decreased hepatic parenchymal attenuation consistent with hepatic steatosis. Two hypodense lesions are present within the hepatic parenchyma, the largest in ... | 1.Small fat-containing ventral hernia, which does not contain bowel in the supine position; however, with increased abdominal pressure bowel herniation cannot be assessed in supine position.2.Hepatic steatosis.3.Bilateral nonobstructive nephrolithiasis.4.Intrathecal catheter is seen arising from the bilateral subcutane... |
Generate impression based on findings. | 62 year-old female with metastatic lung cancer, status post RT to chest. Please compare to previous study to evaluate disease status. CHEST:LUNGS AND PLEURA: There is a large, centrally necrotic left upper lobe mass with extension into the left hilar involvement and airway involvement leading to near collapse of the le... | 1. Large left upper lobe necrotic mass with extensive mediastinal lymphadenopathy and multiple bilateral enlarging pulmonary metastases. 2. Moderate left pleural effusion with pleural nodularity suspicious for metastatic lesions. |
Generate impression based on findings. | Male, 67 years old, newly diagnosed left buccal cancer. 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. A centrally necrotic, enhancing mass is situated within the left buccal space/cheek consistent with... | 1. Large left buccal space/cheek mass extending from the mandibular cortex to the skin surface.2. No pathologic adenopathy in the neck.3. No intracranial metastatic disease. |
Generate impression based on findings. | 21-year-old male status post VP/LP shunt, presents with increasing headaches. Evaluate ventricles for change in size. A left sided extra ventricular drainage catheter terminates in the expected location of the third ventricle, unchanged. The atrium and occipital horn of the left lateral ventricle demonstrates slight in... | 1.Unchanged extra ventricular drainage catheter.2.Left posterior lateral ventricle slightly decreased in size.3.Very slight increase in prominence of presumed third ventricle. 4.Stable large right cerebellar fluid collection of CSF density, confluent with the fourth ventricle. |
Generate impression based on findings. | Neck swelling and mass right side -- thyroid versus other. There are multiple nodules within an enlarged thyroid gland. Within the right lobe there is a fluid attenuation nodule that measures up to 43 mm. Within the left lobe there is a heterogenous nodule containing coarse calcifications that also measures up to 43 mm... | 1. Enlarged thyroid gland with multiple nodules, the largest of which measure up to 43 mm. This may represent a multinodular goiter although underlying neoplasm cannot be excluded. Further evaluation via ultrasound is recommended.2. Prominent right supraclavicular and right axillary lymph nodes. These may be reactive, ... |
Generate impression based on findings. | 93 year old with fall and headache rule-out bleed. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage. Moderate periventricular and subcortical white matter hypodensity likely represents small vessel ischemic disease of unknown ... | 1.No acute intracranial hemorrhage.2.Moderate periventricular and subcortical white matter hypodensity likely represents small vessel ischemic disease of unknown chronicity. |
Generate impression based on findings. | Clinical question: Evaluate for CVA. Signs and symptoms: Left-sided numbness. Nonenhanced head CT:There is no detectable acute intracranial process. CT however, it is insensitive for detection of acute nonhemorrhagic ischemic strokes.The study however, demonstrate fairly extensive periventricular and subcortical low at... | Moderate degree of small vessel ischemic strokes of indeterminate age.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 38 year old man with hypertrophic cardiomyopathy and diabetes. He is referred to rule out coronary artery disease as a mechanism of his shortness of breath.CPT Code: 75574 Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and bifurcates into the left anterior descendin... | 1.There are no obvious significant coronary artery stenoses present. 2. There is mild coronary atherosclerosis, most notable in the proximal portion of the first diagonal artery where it results in a stenosis of approximately 25%.3. Evidence of asymmetric septal hypertrophic cardiomyopathy noted.This portion of the rep... |
Generate impression based on findings. | Female 37 years old Reason: recurrent postpartum fever History: fever ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: The hepatic vasculature appears patent and there is no evidence of focal mass lesion within the hepatic parenchyma. There is no evidence of cholelithiasis or choledocholithiasi... | 1.Enlarged heterogeneous uterus with fluid and gas foci within the endometrial cavity, concerning for possible endometritis, but may also represent post cesarean section debris.2.No evidence of extrauterine abscess. |
Generate impression based on findings. | Clinical question: Evaluate for bleed or ischemia. Signs and symptoms: Alteration in mental status and headache. Nonenhanced head CT:Large area of vasogenic edema in the right temporal lobe and extending into the occipital and superiorly into the parietal remains fairly similar in extend to prior exam from 9 -- 3 -- 13... | 1.No convincing evidence of any interval change in extensive peritumoral vasogenic edema of patient's known left hemispheric tumor/GBM and its associated mass effect.2.No detectable new foci of edema or hemorrhage. |
Generate impression based on findings. | Clinical question: Stroke. Signs and symptoms: Left-sided weakness. Nonenhanced head CT:No acute intracranial process. CT however, is insensitive for detection of acute nonhemorrhagic ischemic strokes.Examination demonstrates a focus of low attenuation involving the cortex and subcortical white matter of right temporal... | 1.No acute intracranial process.2.Chronic right temporal lobe ischemic stroke and unremarkable. Exam otherwise.3.Complete opacification of left maxillary sinus with associated bony thickening consistent with chronic long-standing sinus disease. Unremarkable paranasal sinuses and mastoid air cells otherwise. |
Generate impression based on findings. | Clinical question: Rule out infarct. Signs and symptoms: Acute alteration of mental status. Unenhanced head CT:There is no detectable acute intracranial process. CT however, is insensitive for detection of acute nonhemorrhagic ischemic strokes. Consider MRI exam if clinically concern for stroke persists.Dilated suprate... | No acute intracranial process. |
Generate impression based on findings. | Reason: fracture History: s/p fall, unable to ambulate CT of the right hip demonstrates severe osteoarthritis of the hip joint including superior joint space narrowing, osteophytes, and subchondral cysts. No fractures are evident in the hip or visualized lower sacrum. A hip joint effusion is present. A penile prosthesi... | No hip fracture. Severe osteoarthritis. Hip joint effusion. |
Generate impression based on findings. | 78-year-old male with weight loss, fibrotic, tachycardia --? Cancer or other abdominal pathology source for infection. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLAND... | 1. No abnormality seen to account for patient's symptomatology. 2. Degenerative bony changes of moderately severe degree seen about both hips. 3. No other significant abnormality seen. |
Generate impression based on findings. | Clinical question: Evaluate for intracranial process. Signs and symptoms: Loss of consciousness. Nonenhanced head CT:No detectable acute intracranial process. CT however, is insensitive for detection of acute nonhemorrhagic ischemic strokes.There is a slight prominence of cortical sulci and cerebellar -- vermian folia ... | 1.No acute intracranial process.2.Prominence of cerebral cortical sulci, and cerebellar -- vermian folia for patient stated age. Correlate with history and risk factors.3.Small metallic density partially embedded in the left paramedian occipital bone with subtle underlying left occipital lobe low attenuation/encephalom... |
Generate impression based on findings. | Male 26 years old Reason: pancreatitis complications History: abd pain with elevated lipase ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is diffuse hypoattenuation of the hepatic parenchyma consistent with hepatic steatosis. There is no evidence of focal mass lesion or intrahepatic bi... | 1.Moderate sized peripancreatic fluid collection without evidence of a loculated fluid collection, likely representing sequela of acute pancreatitis.2.Normal appearing pancreas; however, normal CT appearance of the pancreas does not exclude pancreatitis.3.Hepatic steatosis. |
Generate impression based on findings. | 77 year-old male. Crohn's disease. Evaluate bowel and assess for left hip abscess. Check for any fistulous communication to the bowel. ABDOMEN:LUNG BASES: Small bilateral pleural effusions.LIVER, BILIARY TRACT: Simple cyst in the left hepatic lobe. Patent hepatic vasculature. No biliary ductal dilatation. SPLEEN: No si... | 1. No evidence of active inflammation of the small or large bowel.2. While it is difficult to assess for a fistulous tract given lack of intra-abdominal fat and mesenteric haziness/fluid, no inflammatory stranding is seen to extend from pelvic bowel loops to the left hip drainage catheter to suggest a fistula.3. No sig... |
Generate impression based on findings. | Clinical question: Intracranial abnormality. Signs and symptoms: Syncope, fall, on Coumadin. Nonenhanced head CT:No detectable acute intracranial process. CT however, is insensitive for detection of acute nonhemorrhagic ischemic stroke.There is a large focus of encephalomalacia involving the left occipital lobe and a s... | 1.No acute intracranial process.2.Foci of a simple malacia in bilateral occipital lobes (left greater than right), likely representing chronic bilateral occipital stroke, as well as a small similar finding in the left cerebellum.3.Unremarkable exam otherwise. |
Generate impression based on findings. | 31 year-old female with shortness of breath and chest pain. Evaluate for PE. Motion limits sensitivityPULMONARY ARTERIES: Technically adequate study without evidence of acute pulmonary embolus.LUNGS AND PLEURA: Hypoinflated lungs with bibasilar dependent atelectasis.MEDIASTINUM AND HILA: No evidence of right heart stra... | 1. No evidence of acute pulmonary embolus.2. Bibasilar dependent atelectasis. Findings communicated by on call resident to Christina Sicker, covering pager 9416, over the phone at approximately 2320 hrs 9/18/2013. |
Generate impression based on findings. | Clinical question: Rule out hemorrhage. Signs and symptoms: MVC, dizzy, and N/V. Unenhanced head CT: No detectable acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic stroke.With a cerebral cortex, cortical sulci, ventricular system, CSF cisterns, and gray -- white matter differ... | Negative nonenhanced head CT. |
Generate impression based on findings. | 84-year-old male with dyspnea and hypoxia. Evaluate PE as well as right lower lobe effusion/consolidation. Known history of left upper lobe adenocarcinoma. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. The main pulmonary artery measures 3.5 cm in diameter, consistent with pulmona... | 1. No evidence of PE. Findings consistent with pulmonary artery hypertension. 2. No significant interval change in previously seen in left upper lobe masslike chronic consolidation. 3. Left lower lobe nodules are stable in size.4. Interval increase in volume of bilateral pleural effusions.5. Nonunion of a sternotomy wi... |
Generate impression based on findings. | Female 31 years old Reason: abscess? incisional hernia? History: s/p c/s complicated by abscess, new induration of L mid abd 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 pate... | 1.Soft tissue stranding and edema in the periumbilical region with a focus of gas, consistent with a phlegmonous liquefactive process, likely infectious in etiology.2.Heterogeneous partially cystic, partially solid, partially calcified right adnexal lesion, which may represent a teratoma. |
Generate impression based on findings. | 74 year-old female. Evaluate for right-sided pseudoaneurysm. Hemoglobin dropped status post right femoral vein access for catheter directed PE lytics. ABDOMEN:LUNG BASES: Small left pleural effusion with basilar atelectasis.LIVER, BILIARY TRACT: No focal hepatic lesion. Cholecystectomy clips. Mild central intrahepatic ... | 1. No retroperitoneal hematoma or fluid collection is identified.2. Fat stranding around the right femoral vein, most likely related to recent catheterization. No right groin hematoma is evident. |
Generate impression based on findings. | 60 year-old female presents with lower extremity weakness. 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. A stable focal hypodensity ... | Stable mild chronic small vessel ischemic changes. No acute findings to explain lower extremity weakness. However, CT is insensitive for the detection of early ischemia. If clinical concern for acute ischemia remains, MRI would be recommended. |
Generate impression based on findings. | Clinical question: 77-year-old with prostate cancer, bone metastases presents with stumbling and difficulty getting up from a chair. Rule-out mass. Signs and symptoms: As above. Unenhanced head CT:There is no acute intracranial process. CT however, is insensitive for detection of acute nonhemorrhagic ischemic stroke.VC... | 1.No acute intracranial process.2.Sclerotic calvarial metastatic lesions and unremarkable head CT otherwise. |
Generate impression based on findings. | 67-year-old male with abdominal pain, right upper quadrant. Diffuse epigastric pain with elevated lactate, poor appetite -- assess for worsening of perihepatic fluid or any other source of infection. ABDOMEN:LUNG BASES: Decrease in the prior noted smaqllpleural effusions.LIVER, BILIARY TRACT: Innumerable space occupyin... | 1. No change in diffuse liver metastases. 2. Decrease in the bilateral small pleural effusions and potentially cleared. 3. Ascites seen about the liver and in the right flank and dependent pelvis -- no loculations or signs to suggest abscess. 4. No other significant abnormality seen. |
Generate impression based on findings. | 76-year-old female. GI bleed and a large tumor found in the ascending colon. Evaluate for distant metastatic disease. CHEST:LUNGS AND PLEURA: Moderate paraseptal emphysema in the upper lobes. Mild biapical scarring. Small bilateral pleural effusions. No suspicious pulmonary nodules or masses identified.MEDIASTINUM AND ... | 1. Ascending colon mass.2. Hypodensity along the pancreatic duct in the tail, difficult to determine on CT if this is a side-branch IPMN or focal dilatation of the pancreatic duct. Should this represent focal dilatation of the pancreatic duct, it would raise concern for a small obstructing lesion. MRCP wwo contrast is ... |
Generate impression based on findings. | Pancreatic carcinoma status post ERCP now with abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post placement of biliary wall stent with expected pneumobilia. No ductal dilatation. Mild distention of gallbladder and cystic duct with contrast opacification post ERCP.SPLEEN... | No evidence for acute complication status post ERCP; specifically, no evidence for perforation or loculated fluid collection/abscess/hematoma. Distended gallbladder and cystic duct without acute inflammation; favor postprocedural finding. |
Generate impression based on findings. | Clinical question: Hemorrhage. Signs and symptoms: Fall. Unenhanced head CT:There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.There are moderate periventricular and subcortical low attenuation of white matter concerning for age. Indeterminate small vessel ischemic ... | 1.No acute intracranial process.2.No meniscal acute posttraumatic calvarial or soft tissues of the scalp. Findings.3.Age indeterminate small vessel ischemic strokes, very small chronic right parietal cortical stroke and very small right cerebellar ischemic stroke. |
Generate impression based on findings. | Left neck pain and swelling X 4 days. There is a peripherally enhancing fluid collection within the right submandibular space situated anterior to the submandibular gland and inferomedial to the mandibular body, but deep to the platysma, that measures 15 AP x 16 RL x 12 SI mm, which is compatible with abscess. While sl... | A peripherally enhancing fluid collection within the right submandibular space that measures up to 15 mm is compatible with abscess with associated cellulitis, reactive lymphadenopathy with possible foci of suppurative adenitis, as well as probable myositis of the right sternocleidomastoid. |
Generate impression based on findings. | Clinical question gone evaluate for hemorrhage. Signs and symptoms: Fall. Nonenhanced head CT:No acute post traumatic intra-cranial, calvarial or soft tissues of scalp findings.Mild to moderate indeterminate small vessel ischemic strokes are noted.Prominence of cortical sulci and ventricular system as well as cerebella... | 1.No acute intracranial, calvarial or soft tissues of the scalp findings.2.Mild to moderate age indeterminate small vessel ischemic strokes and heavy bilateral cavernous and vertebral artery calcification.3.Unremarkable orbits, paranasal sinuses and mastoid air cells. |
Generate impression based on findings. | 58-year-old female with progressive abdominal pain and diffuse abdominal tenderness -- rule-out pancreatitis, cholecystitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted in liver. Gallbladder is well visualized and normal with no evidence of gallstones or ga... | 1. Normal appearing pancreas -- this does not exclude pancreatitis, but does not demonstrate any complications of pancreatitis. 2. Normal-appearing biliary tract. 3. Nonobstructing 5-mm calculus in right upper pole kidney. 4. No other significant abnormality seen. |
Generate impression based on findings. | 69 year-old female with nausea and subdural hematoma. History of squamous cell carcinoma arising in an inverting papilloma. A right parafalcine subdural hematoma is is again seen with expected evolution and slight redistribution without interval worsening. There is minimal underlying regional mass effect. There is slig... | Expected evolution and redistribution of previously seen right falcine subdural hematoma without significant interval worsening. |
Generate impression based on findings. | Male 71 years old Reason: eval infectious process History: shaking chills, diaphoresis, abd tenderness, s/p heart txp CHEST:LUNGS AND PLEURA: There is a small left-sided pleural effusion, which appears slightly improved since prior examination with associated bibasilar atelectasis.MEDIASTINUM AND HILA: The previously d... | 1.Interval drain placement within the intrapancreatic fluid collection, with interval resolution of the collection.2.Slight interval decrease in the mediastinal fluid collection.3.Interval decrease of the fluid collection superficial to the superior sternum.4.No new evidence of intra-peritoneal fluid collection.5.Worse... |
Generate impression based on findings. | Reason: eval for pe History: cp, sob PULMONARY ARTERIES: Technically adequate examination with no sign of pulmonary embolism.LUNGS AND PLEURA: Moderate left pleural effusion with associated compressive atelectasis in the left lower lobe.Multiple pulmonary micronodules, some of which are calcified, compatible with previ... | 1. No pulmonary embolism.2. Small left pleural effusion and associated basilar atelectasis. |
Generate impression based on findings. | Clinical question: Subdural hematoma. Signs and symptoms: Subdural hematoma. Nonenhanced head CT:Examination demonstrates patent without convincing evidence of interval change left-sided temporal, frontal and parietal subdural collection. The subdural measures a maximum of 13.7-mm in the left temporal region without an... | 1.Stable left holohemispheric subdural in density, size and extent since prior exam as measured above. Stable subtle associated mass effect and trace midline shift to the right since prior exam.2.Stable subdural drain in position since prior exam and minimal residual procedural intracranial/subdural air.3.No evidence o... |
Generate impression based on findings. | Male 19 years old; Reason: F/U for NSGCT about 1 year out. History: none CHEST:LUNGS AND PLEURA: No suspicious bone lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: Soft tissue in the anterior mediastinum is unchanged and may represent thymic tissue.CHEST WALL: No significant abnormality notedOTHER: ABDOMEN:... | 1.Stable exam without evident metastatic disease |
Generate impression based on findings. | Left upper quadrant pain and vomiting ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Left renal cystRETROPERITONE... | Negative for acute, inflammatory, or neoplastic process |
Generate impression based on findings. | 80 year-old female status post fall down stairs. Evaluate for intracranial injury. CT head:There is no depressed calvarial fracture. The CSF spaces are appropriate for the patient's stated age with no midline shift. There is mild progression of scattered periventricular and subcortical hypodensities as well as increase... | 1.No evidence for acute intracranial hemorrhage. Slight interval progression of patchy small vessel ischemic changes.2.No acute cervical spine fracture. Mild retrolisthesis of C3 on C4 is likely degenerative in etiology.3.Left orbital, maxillary, and zygomatic facial bone fractures as detailed above. Left facial soft t... |
Generate impression based on findings. | Female 56 years old; Reason: mCRC restaging on chemo History: mCRC CHEST:LUNGS AND PLEURA: Right upper lobe posterior subsegment architecture distortion and partially calcified soft tissue mass, without evident change. Scattered granulomata in both lungs. Micronodule along the right upper lobe (image 54 series 6) uncha... | 1.Decrease in the size of the pancreatic mass. 2.Near stable size measurements of the retroperitoneal lymphadenopathy. |
Generate impression based on findings. | Metastatic renal cell carcinoma CHEST:LUNGS AND PLEURA: Significant interval decrease in size and number of previously noted numerous bilateral pulmonary metastatic lesions. The reference right middle lobe nodule best seen on image 49 of series 5 now measures 0.7 x 0.8 cm; this is in comparison to 1.9 x 1 .8 cm on 6/16... | Significant interval decrease in size and number of numerous bilateral pulmonary metastatic nodules as well as interval decrease in size of mediastinal metastatic adenopathy. Associated with interval decrease in size and enhancement of right renal mass. |
Generate impression based on findings. | Headache x 1 week. Evaluate for aneurysm. Head CT: There is no evidence of acute intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are stable in size and configuration. There is no midline shift or herniation. There are small bilateral maxillary sinus retention cysts. The mastoid air c... | 1. No evidence of acute intracranial hemorrhage, mass, or cerebral edema. 2. No evidence of cerebral aneurysm.3. No significant steno-occlusive lesion of the cervical vessels. |
Generate impression based on findings. | Vomiting and bulging of the fontanelles for 4 days. There is marked dilatation of the lateral and third ventricles, as well as the aqueduct of Sylvius and superior portion of the fourth ventricle with effacement of the cerebral sulci and slight bulging of the fontanelles. There is a small posterior fossa, crowding of t... | Marked dilatation of the lateral and third ventricles, as well as the aqueduct of Sylvius and superior portion of the fourth ventricle with effacement of the cerebral sulci and slight bulging of the fontanelles and low lying and pointed cerebellar tonsils, consistent with obstructive hydrocephalus related to Chiari I m... |
Generate impression based on findings. | 22 year-old female with history of Crouzon's syndrome status post craniofacial reconstruction presents with seizure and slow return to baseline, rule out bleed. No evidence of intracranial hemorrhage as clinically questioned. No abnormal mass lesions are appreciated intracranially. No edema is identified within the bra... | No evidence for intracranial hemorrhage as clinically questioned. |
Generate impression based on findings. | Metastatic colon carcinoma CHEST:LUNGS AND PLEURA: Stable micronodulesMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL ... | Interval increase in size of mesenteric lymph nodes adjacent to proximal colon near the anastomosis. While these may represent reactive adenopathy, special attention to these lymph nodes is recommended on future surveillance scans.Moderately severe distal colonic diverticulosis now associated with subtle pericolonic so... |
Generate impression based on findings. | 62-year-old male. Rising WBC. Status post laparoscopic cholecystectomy complicated by a bile leak. ABDOMEN:LUNG BASES: Bilateral moderate pleural effusions with bibasilar atelectasis.LIVER, BILIARY TRACT: Pigtail drainage catheter terminates in an 1.9 x 3.5 cm air-fluid collection in the gallbladder fossa (series 3, im... | 1. Pigtail drainage catheter terminates in the gallbladder fossa air-fluid collection, not significantly changed in size.2. Subphrenic, perihepatic collection is slightly larger with new foci of air suspected to be introduced by the aforementioned gallbladder fossa drain. The subhepatic and gallbladder fossa drains, ho... |
Generate impression based on findings. | Female, 69 years old.Reason: Assess for fractures History: Fall with bleeding from nose and lip. Head: Mixed density material tracking along the right falx is compatible with a right parafalcine subdural hematoma, measuring approximately 9 mm in transverse dimension (series 80224, image 35). No intraparenchymal hemorrh... | 1.Right parafalcine mixed density subdural hematoma as described above.2.No acute fractures of the skull or facial bones.3.No significant interval change in extent of paranasal sinus tumor, associated sinus opacification, and cervical lymphadenopathy as detailed above. Please see dedicated head and neck CT report from ... |
Generate impression based on findings. | Reason: Evaluate for presence of metastatic disease. History: none CHEST:LUNGS AND PLEURA: Multiple large bilateral pulmonary nodules compatible with metastases, larger and more numerous on the right. For reference, a right middle lobe nodule measures 32 x 18 mm (series 4 image 67).Dense right upper lobe subpleural con... | Extensive metastatic disease in the lungs, mediastinum and abdomen. |
Generate impression based on findings. | 63 year-old female. Pancreatic cancer. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Hypodense clot at the tip of the port tip (series 3, image 33). Contrast is seen to flow around the clot indicating it is not completely occluding the S... | 1. Pancreatic head mass has increased in size. Gastroduodenal encasement is unchanged. Interval increased involvement of the portosplenic confluence and proximal SMV. 2. Clot at the chest port tip. |
Generate impression based on findings. | Clinical question: Metastatic lung cancer, supraclavicular LAD, status-post or T2 chest, please evaluate and compare with prior study. Signs and symptoms: Lung cancer. Enhanced CT of soft tissues of neck:There are no prior exams for comparison as is requested by clinical service. If such studies are available and provi... | 1.Examination demonstrate two left supraclavicular lymph nodes measuring at 14.5 x 14.5 and 12 x 13-mm in size. There is also a suspected right supraclavicular node measuring at 14.6 x 10.3-mm. There are no prior exams for comparison.2.Partially visualized intracranial space demonstrate an enhancing mass in the right p... |
Generate impression based on findings. | History of metastatic DTC, compare to previous. LUNGS AND PLEURA: Right upper lobe and left peri-fissural pulmonary micronodules are unchanged. Previously described 6-mm left upper lobe nodule is no longer visualized. Poorly marginated left lower lobe opacity is unchanged and probably due to scarring.Elevation of the r... | No evidence of metastatic disease. |
Generate impression based on findings. | 56-year-old male with history of metastatic bladder cancer. Status post 9 cycles of chemotherapy. Restaging. CHEST:LUNGS AND PLEURA: The prior noted to lung nodules have substantially increased in size. The prior measured reference nodule in the left lower lobe (series 4, image 149) now measures 1.3 x 1.1 cm compared w... | 1. Substantial increase in size of the two prior noted lung nodules presumed metastatic disease measured above. 2. Increase in size of liver metastasis. 3. Moderate right hydronephrosis with two mid ureteral calculi. |
Generate impression based on findings. | 60 year-old female with history of subarachnoid hemorrhage. There has been interval stability or slight improvement in the previously described foci of intracranial hemorrhage. The small gyriform focus of subarachnoid hemorrhage over the left frontal convexity has improved slightly. The intraparenchymal hemorrhage asso... | Interval stability or improvement of the previously described intraparenchymal (right frontal and temporal poles) and subarachnoid (left frontal convexity, right anterior temporal pole/sylvian fissure) blood products. No new hemorrhage or significant mass effect. |
Generate impression based on findings. | Reason: 63M with newly diagnosed supraglottic tumor s/p debulking, evaluate for tumor in head, neck and chest History: dyspnea LUNGS AND PLEURA: Mild upper lobe emphysema.Moderate bilateral lower lobe subsegmental atelectasis or scarring.No suspicious nodules.MEDIASTINUM AND HILA: No significant lymphadenopathy.Severe ... | Mild basilar atelectasis or scarring, which may be related to aspirated secretions.No other acute abnormalities. |
Generate impression based on findings. | Hoskins lymphoma CHEST:LUNGS AND PLEURA: Interval increase in size and number of subcentimeter nodular opacities most prominent within the right lung. No change in bilateral pleural thickening and upper lung emphysematous changes.MEDIASTINUM AND HILA: Stable mediastinal confluent soft tissue infiltration/adenopathy. Re... | Interval appearance of multiple nodular opacities most prominently seen within the right lung; favor infectious etiology.Stable adenopathy. No new adenopathy.Results communicated to Dr. Smith 9/19/2013: 11:45am |
Generate impression based on findings. | Reason: evaluate for esophageal stent migration History: esophageal ca s/p esophagectomy, stent on 8/2013. now with dysphagia LUNGS AND PLEURA: Large bilateral pleural effusions, partially loculated on the right.Underlying compressive atelectasis in the lower lobes.MEDIASTINUM AND HILA: Esophageal stent extending from ... | Occlusion of the upper end of the esophageal stent by soft tissue suspicious for tumor. |
Generate impression based on findings. | Male 78 years old Reason: Patient with sinonasal melanoma, staging./ Please eval. History: sinonasal mel CHEST:LUNGS AND PLEURA: Stable biapical scarring is again noted. Scattered calcified and noncalcified pulmonary nodules are again evidence without significant interval change.MEDIASTINUM AND HILA: Stable subcentimet... | 1.No evidence of metastatic disease.2.Subjective slight interval increase in the right bladder wall thickening concerning for possible local recurrence of the patient's bladder cancer. |
Generate impression based on findings. | 76-year-old female with lung nodules. Follow-up examination. LUNGS AND PLEURA: Basilar predominant mild bronchiectasis, unchanged. Right basilar, lingular, and right apical scarring/atelectasis.Mild centrilobular and paraseptal emphysema with an upper lobe predominance. Pleural plaques are noted, some which are calcifi... | 1. No significant interval change in calcified and noncalcified pulmonary micronodules, probably secondary to prior granulomatous disease. No suspicious pulmonary nodules or masses.2. Persistent mild basilar bronchiectasis. |
Generate impression based on findings. | Clinical question: Hemorrhage. Signs and symptoms: MVC. Nonenhanced head CT:There is no detectable acute intracranial process. CT however, is insensitive for detection of acute nonhemorrhagic ischemic strokes.Cerebral cortex, cortical sulci, ventricular system, CSF, cisterns, and in gradient white matter differentiatio... | Negative nonenhanced head CT. |
Generate impression based on findings. | 63-year-old patient with newly diagnosed supraglottic tumor status post debulking. Evaluate for tumor in head and neck. Dyspnea and dysphagia. Sequelae of the debulking procedure is demonstrated. The previously demonstrated soft tissue mass effacing the anterior aspect of the hypopharyngeal air column which is exhibite... | 1.Interval decrease in the size of the subglottic soft tissue mass exophytic from the epiglottis epiglottis related to the surgical debulking procedure. 2.Unchanged degenerative changes of the cervical spine.3.No other visualized abnormality, including lymphadenopathy. |
Generate impression based on findings. | 61-year-old male with progressive headache evaluate for subdural hematoma. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage. Mild small vessel disease of unknown chronicity. Mild sulcal effacement on the right persists.FLUID:N... | 1.Interval resolution of the right subdural hemorrhage. |
Generate impression based on findings. | immune suppression for Crohn's- recurrent vertigo. please assess sinuses 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... | No evidence of intracranial hemorrhage, mass, or cerebral edema.CT MAX/FACIAL W, 9/18/2013 5:20 PMCLINICAL INFORMATION:Immune suppression for Crohn's- recurrent vertigo.TECHNIQUE: CT MAX/FACIAL W CONTRAST. IV Contrast: 69 ml used, 6 ml wasted, Omnipaque 350.COMPARISON: NoneFINDINGS:There is minimal mucosal thickening w... |
Generate impression based on findings. | 68 year old with left palate invasive characterizing squamous cell carcinoma and recurrent right tonsil cancer. SOFT TISSUES:Extensive postoperative changes are again seen. There is fatty atrophy of the right side of the tongue. There is stable nodularity in the left paramedian base of tongue, just cranial to the anter... | 1.Mild progression of bulkiness of metastatic disease with interval increase in size of a right parapharyngeal space necrotic lymph node as detailed above. |
Generate impression based on findings. | Female 37 years old Reason: stone History: pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is no evidence of intrahepatic biliary ductal dilatation or focal mass lesion. The hepatic vasculature appears patent. There is no evidence of cholelithiasis.SPLEEN: No significant abnormality... | 1.No evidence of obstructing renal or ureteral stone.2.Small nonobstructive renal stone.3.Right adnexal fluid density lesion likely representing an ovarian cyst; however, CT is limited in its evaluation of adnexal structures and pelvic ultrasound could be considered in the appropriate clinical setting.4.Leiomyomatous u... |
Generate impression based on findings. | 68-year-old male with a history of metastatic squamous cell carcinoma of the right tonsil and left palate CHEST:LUNGS AND PLEURA: Centrilobular nodules and tree in bud opacities, most pronounced in the right lower lobe. There is associated bronchiectasis and debris within the subsegmental bronchi of the right lower lob... | 1. Findings consistent with chronic aspiration.2. Soft tissue mass incompletely visualized in the lateral right neck. Please refer to the CT soft tissue neck report for further details.3. No evidence of metastatic disease involving the chest or upper abdomen. |
Generate impression based on findings. | 73 year-old male. History of RCC. Needs pan-CT for staging. Lack of intravenous contrast decreases sensitivity for detection of solid organ pathology. CHEST:LUNGS AND PLEURA: Scattered micronodules, not significantly changed. MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Thoracic aorta and coronary art... | 1. New L2 bone metastasis with soft tissue invading into the spinal canal. Compromise of the spinal cord cannot be assessed with CT; if the patient has acute neurologic symptoms, MRI lumbar spine wwo contrast is suggested for further evaluation. 2. Pulmonary micronodules, not significantly changed. Findings communicate... |
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