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Generate impression based on findings. | Male 7 months old Reason: Please evaluate for presence of renal calculi; baby with multicystic right kidney with left hydronephrosis History: renal stone detected on renal ultrasound Assessment of scoliosis of the abdomen is somehow difficult due to lack of IV contrast.ABDOMEN:LUNG BASES: No evidence of focal lung opac... | Multiple left kidney stones with no evidence of your nephrosis. |
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. No intracranial mass, fluid collection, hemorrhage or focus of pathologic enhancement including at the meninges. No CT evidence of acute hydrocephalus or ischemia. The midline i... | No abnormality demonstrated. |
Generate impression based on findings. | 61 year old male with history of left thalamic hematoma. There has been no significant interval change in the large acute left thalamic hematoma, which continues to measure 42 x 26 mm AP x TR (series 4, image 23). Mass effect on the posterior portion of the left lateral ventricle and associated mild rightward midline s... | 1.No significant interval change in large left thalamic hematoma and associated mass effect and midline shift. 2.Stable bilateral intraventricular blood as described above.3.No evidence of new intracranial hemorrhage.4.Unchanged dilatation of the ventricular system, likely secondary to atrophy. |
Generate impression based on findings. | 68-year-old female. Unintentional weight loss. Evaluate for mass. History of ulcerative colitis. CHEST:LUNGS AND PLEURA: Calcified lung granulomas. Scattered noncalcified micronodules, unchanged from 2009. MEDIASTINUM AND HILA: Nonspecific nodular enlargement of the left thyroid lobe and subcentimeter calcified cyst in... | Post-surgical changes of protocolectomy. No suspicious mass seen in the chest, abdomen, or pelvis. |
Generate impression based on findings. | Reason: compare to prior, concern for sarcoidosis History: cough, CSF ACE elevated in past LUNGS AND PLEURA: Biapical scarring, unchanged.Multiple micronodules, unchanged, compatible with previous infection.No evidence of diffuse interstitial lung disease.MEDIASTINUM AND HILA: No significant lymphadenopathy.Moderate co... | No evidence of sarcoidosis or other active disease. |
Generate impression based on findings. | Prostate carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Stable small hiatal herniaCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL G... | Stable examination |
Generate impression based on findings. | 58-year-old female with history of retroperitoneal liposarcoma. Status post resection 6/2013 -- evaluate for recurrence. CHEST:LUNGS AND PLEURA: No nodules, masses, infiltrates or effusions seen.MEDIASTINUM AND HILA: Small normal sized subcentimeter anterior and pre-carinal lymph nodes -- no significantly enlarged lymp... | 1. Resection of large retroperitoneal mass with no evidence of residual or recurrent tumor. |
Generate impression based on findings. | Reason: metastatic breast Ca to lung, s/p chemo/RT to the left hilar mass. Evaluate for change. History: none LUNGS AND PLEURA: Partial left upper lobe atelectasis, unchanged from previous.Poorly defined left perihilar opacity, partially obscured by adjacent atelectasis, slightly decreased from previous, and left upper... | Decreased left hilar mass and mediastinal lymphadenopathy. |
Generate impression based on findings. | Reason: 54 yo s/p liver transplant on interferon with inspiratory chest pain, SOB History: SOB, chest pain LUNGS AND PLEURA: Small scarlike opacities bilaterally and small nodular opacities in the right upper and lower lobe, likely post infectious or intrapulmonary lymph nodes.No suspicious nodules or evidence of pneum... | No acute abnormalities. |
Generate impression based on findings. | 69-year-old left optic nerve atrophy and visual field changes. Evaluate for mass. CT brain:VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage.FLUID:No fluid collections. No evidence of hemorrhage.BONE:No fractures. Visualized bo... | 1.No evidence for a mass compressing on the optic nerve. |
Generate impression based on findings. | Abdominal pain and distention; history of retroperitoneal fibrosis ABDOMEN:LUNG BASES: Stable small hiatal herniaLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Resol... | Abnormally dilated small bowel loops with transition point in the region of the proximal ileum. While this may represent a slowly resolving ileus, a partial small bowel obstruction must also be considered. Mild ascites.Interval resolution of bilateral hydronephrosis. Stable retroperitoneal soft tissue consistent with k... |
Generate impression based on findings. | 13 year old with headache and scalp mass. SOFT TISSUES:There is a large heterogeneously attenuating soft tissue density mass within the right frontoparietal scalp. Hyper dense foci along the superficial surface of the mass likely represent small hematomas. There is no evidence of dysplasia or erosion of the underlying ... | Large heterogeneously attenuating soft tissue density mass within the right frontoparietal scalp without evidence of dysplasia or erosion of the underlying bone. Differential considerations for this mass include a chronic/acute hematoma, hemangioma, or dermatofibrosarcoma protuberans. |
Generate impression based on findings. | Colon carcinoma CHEST:LUNGS AND PLEURA: No significant change in numerous bilateral pulmonary metastatic mass lesions. Reference right upper lobe nodule best seen on image 22 of series 5 measures 1.4 x 1.3 cm. Reference right lower lobe mass best seen on image 49 of series 5 measures 3.6 x 2.6 cm. Reference left lower ... | Stable examination |
Generate impression based on findings. | Clinical information LUNGS AND PLEURA: Right lower lobe bronchial wall thickening with intraluminal debris and mild associated bronchiectasis similar in appearance to the prior exam.Interval clearing of the right lower lobe subpleural airspace consolidation with minimal residual scarring.The left lung is clear.No pleur... | 1.Focal bronchial wall thickening with intraluminal debris and mild associated bronchiectasis within the right lower lobe.2.Interval clearing of a subpleural right lower lobe area of consolidation with minimal residual scarring. |
Generate impression based on findings. | Hodgkin's disease CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomySPLEEN: Spleen upper limits of normal in sizePANCREAS: Somewhat effaced contour of the panc... | Mild abnormal soft tissue infiltration within the mesentery; may represent residua from treated lymphoma. No measurable adenopathyAbnormal contour of the pancreas with effacement of normal lobulations associated with abnormal thickening and fluid within left Gerota's fascia. This finding would be unusual for lymphomato... |
Generate impression based on findings. | Female 55 years old Reason: new onset dyspepsia plus nodules palpated under her skin History: new onset dyspepsia plus nodules palpated under her skin ABDOMEN:LUNG BASES: There is minimal bibasilar atelectasis.LIVER, BILIARY TRACT: There is no evidence of intrahepatic biliary ductal dilatation or focal mass lesion. The... | No etiology found to account for patient's symptomatology. No significant abnormality seen. |
Generate impression based on findings. | 76-year-old female with colon cancer surveillance -- malignant neoplasm of rectum. CHEST:LUNGS AND PLEURA: The two prior noted anterior to left upper lobe nodules, one densely calcified, and one with peripheral calcification are unchanged over the recent series of examinations. The stability and calcifications suggests... | 1. Calcified lung nodules unchanged -- no new nodules or masses seen. 2. Inferior vena cava filter unchanged in appearance. 3. No evidence of recurrent or metastatic neoplastic disease. |
Generate impression based on findings. | 62 year old male. Rectal cancer status post hepatic resection of tumor. Evaluate for interval change. CHEST:LUNGS AND PLEURA: Unchanged scarring in the right posterior costophrenic angle. Punctate micronodules, unchanged.MEDIASTINUM AND HILA: Mild coronary artery calcification. No mediastinal or hilar lymphadenopathy.C... | Right hepatic lobe lesion, highly concerning for a metastasis. In retrospect, there was a subtle much smaller corresponding lesion on 3/2013 CT that was difficult to visualize due to hepatic steatosis. |
Generate impression based on findings. | 56-year-old male with history of metastatic renal cell cancer. Restaging scans status 6 cycles of oral TKi therapy. LUNGS AND PLEURA: Bilateral pulmonary micronodules are unchanged. Reference right basilar micronodular measures 2 mm (image to 224 of series 5), previously 2 mm. Punctate ground glass nodular opacity with... | 1. Stable pulmonary micronodules without evidence of intrathoracic metastatic disease. 2. Incompletely evaluated hepatic, adrenal, and renal masses; please refer to MR of the abdomen and pelvis from 9/19/2013 for details. |
Generate impression based on findings. | Female 53 years old Reason: 53Yrs female with Transformed Follicular Lymphoma now s/p R-CHOP x 4 in need of restaging scans. Please compare to prior. History: 53Yrs female with Transformed Follicular Lymphoma CHEST:LUNGS AND PLEURA: The previously described left lower lobe nodular opacity appears to have nearly complet... | 1.Marked interval decrease in size of the previously seen mesenteric based mass and satellite lymphadenopathy.2.Near complete resolution of previously seen left lower lobe nodular opacity.3.Interval decrease in size of previous described axillary lymph nodes.4.Interval decrease in size of the previously described hypod... |
Generate impression based on findings. | 64-year-old male with endocarditis and recently diagnosed multiple embolic strokes on the MRI. Assess for acute changes. There are multiple small areas of hyperdensity bilaterally most prominent along the high cerebral convexity, likely relating to petechial hemorrhages in areas of previously demonstrated embolic infar... | 1.Multiple bilateral petechial hemorrhages correlate with areas of recently demonstrated embolic infarcts.2.Interval embolic phenomena cannot be entirely excluded. If there is clinical concern for acute ischemia, MRI would be recommended. |
Generate impression based on findings. | 68-year-old male with lung cancer. Status post resection and chemotherapy 6 years ago. CHEST:LUNGS AND PLEURA: Status post left lower lobe resection with on loss and mild scarring without interval change.Scattered bilateral pulmonary micronodules some of which are calcified suggestive of prior granulomatous disease.No ... | No evidence to suggest recurrent or metastatic disease. |
Generate impression based on findings. | Clinical question: Evaluate sinuses and septal anatomy status post remote trauma. Signs and symptoms: Sinus congestion and pressure below eyes. Maxillofacial CT:Nasal cavity.Examination demonstrates significant deformity of the nasal septum which may represent result of prior trauma/fracture. There is a sharp angulatio... | 1.Metallic hardware/fixating screws along the inferior and inferior and lateral orbital ridge as well as along the midline of frontal bone and frontal sinuses as detailed.2.Angulation deformities of nasal septum at different levels could be secondary to prior traumatic injury. Increased soft tissue within the nasal cav... |
Generate impression based on findings. | 38-year-old female. Drainage and superficial separation of the vertical skin incision. Evaluate for abscess or enterocutaneous fistula. History of hysterectomy and bilateral salpingo-oophorectomy for fibroids and menorrhagia. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnor... | 1. Interval resolution of previously seen air-fluid collections in the anterior abdominal wall with residual subcutaneous fat stranding/infiltration consistent with organizing inflammation. No drainable collection/abscess is identified.2. Omental fat infiltration that touches several small bowel loops. It cannot be det... |
Generate impression based on findings. | Mass on rectal exam ABDOMEN:LUNG BASES: Bibasilar honeycombing unchangedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEU... | Negative for acute, inflammatory, or metastatic process. |
Generate impression based on findings. | Recurrent tongue cancer. Evaluation is limited by lack of intravenous contrast.There are post-operative findings related to right segmental mandibulectomy with sideplate and screw and myocutaneous flap reconstruction and right parotidectomy. There are unchanged lucencies surrounding the two superior screws in the right... | 1.Continued interval increase in size of the exophytic recurrent tumor arising from the right parotidectomy bed, but no significant interval change in the recurrent tumor/metastatic lymph nodes along the posterior surgical margin deep to the exophytic tumor. However, assessment is limited particularly in regards to the... |
Generate impression based on findings. | 78 year-old male with sinonasal primary melanoma, s/p resection and observation. MAXILLOFACIAL: There are postsurgical findings related to the left medial maxillary sinus wall resection, left turbinate resection, left ethmoidectomy, left sphenoidotomy, and posterior septectomy. There is a persistent hyperattenuating op... | 1. Persistent hyperattenuating opacity at the level of the upper left nasal valve measuring up to 18 mm and persistent hyperattenuating opacity in the left frontoethmoid recess measuring up to 20 mm may represent secretions and/or post-treatment change, although tumor cannot be entirely excluded at these sites. MRI may... |
Generate impression based on findings. | Chronic sinusitis. There is a small air-fluid level within the let sphenoid sinus. There is a 3 mm wide retention cyst in the right maxillary sinus. There is minimal mucosal thickening within the left maxillary sinus. The frontal and ethmoid sinuses are clear. The ethmoid roofs are intact and symmetric. The carotid gro... | A small air-fluid level within the let sphenoid sinus may indicate acute sinusitis in the appropriate clinical setting,. |
Generate impression based on findings. | Left base of tongue squamous cell carcinoma. There is an enlarged left level 2 A lymph node that measures 19 x 33 mm, previously 20 x 32 mm. Other cervical lymph nodes are not significantly enlarged by CT criteria and appear to be unchanged as well. Evaluation of the oral cavity is limited by streak artifact from denta... | Asymmetric diffusely prominent enhancement of the left tongue base, which appear to be more conspicuous than on the prior exam, which is compatible with left base of tongue squamous cell carcinoma. The enlarged left level 2A lymph node that measures up to 33 mm is not significantly changed. |
Generate impression based on findings. | Reason: new dx HNC, r/o mets, measurements pls History: none CHEST:LUNGS AND PLEURA: No suspicious nodules or other significant findings.MEDIASTINUM AND HILA: No significant lymphadenopathy.Small tracheal diverticulum at the thoracic inlet.Mild coronary artery calcification.ICD device with leads terminating in the area... | No sign of metastatic disease. |
Generate impression based on findings. | 62-year-old male with right tonsil T1N1 SCC status post FHX 10/16/2009. Please monitor for recurrence. Has lesion to the spine. CHEST:LUNGS AND PLEURA: Stable calcified and noncalcified pulmonary micronodules. No new suspicious pulmonary nodules.Nonspecific nodular ground glass opacity within the right middle lobe has ... | No evidence of metastatic disease. |
Generate impression based on findings. | 60-year-old male with OSA, likely Sjogren's. LUNGS AND PLEURA: Note is made of architectural distortion and reticulation with associated traction bronchiectasis and honeycombing, most pronounced in the posterobasilar segments of the lower lobes. There are foci of calcification in the lower lobes, which may represent pr... | 1. Extensive bilateral pulmonary fibrosis most consistent with UIP/IPF. 2. 2-cm pleural-based nodular opacity may be post inflammatory in etiology, however, follow up examination in 3 to 6 months is recommended to exclude the possibility of a primary malignancy. 3. Gallstones within an incompletely visualized gallbladd... |
Generate impression based on findings. | Hodgkin's lymphoma CHEST:LUNGS AND PLEURA: Interval decrease in size of bilateral pleural effusions. Decreasing size of multiple pulmonary nodules. A representative left upper lobe nodule best seen on image 28 of series 6 now measures 0.8 x 0.5 cm; this is in comparison to 0.8 x 0.7 cm on 5/10/2013.New multifocal patch... | Significant interval decrease in size of confluent mediastinal adenopathy. Interval decrease in size of previously noted pulmonary nodules. No new adenopathy.Interval appearance of patchy multifocal air space opacity within the left upper lung; favor infectious/inflammatory etiology. |
Generate impression based on findings. | Clinical question: Assess for hemispheric lesions. Signs and symptoms: Gait impairment, hyperreflexia. Unenhanced head CT:Examination demonstrates no evidence of acute intracranial process. CT is insensitive however, for detection of acute nonhemorrhagic ischemic stroke.The cerebral cortex, cortical sulci, ventricular ... | 1.Negative nonenhanced head CT.2.CT of the cervical spine demonstrate generalized uniform narrowing of the spinal canal representing a congenital anatomical variation. Mild to moderate degenerative disk disease and hypertrophic changes of posterior elements in combination with congenitally small canal results in multil... |
Generate impression based on findings. | Reason: head and neck History: head and neck CHEST:LUNGS AND PLEURA: A severe basilar predominant interstitial fibrosis, traction bronchiectasis comment honeycombing.Upper lobe predominant paraseptal emphysema.Bilateral apical post radiation fibrotic changes .No suspicious pulmonary nodules or masses.MEDIASTINUM AND HI... | 1.No evidence of metastatic disease.2.Interstitial fibrosis in a UIP pattern and paraseptal emphysema suggestive of combined pulmonary fibrosis and emphysema (CPFE) without significant interval change. |
Generate impression based on findings. | Clinical question: Hemorrhage. Signs and symptoms: Headache. Nonenhanced head CT:No detectable acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces, and gray -- white matter differentiation. No e... | 1.No acute intracranial findings. Unremarkable exam and stable since prior study.2.Chronic blowout fracture of left orbital floor with 6-mm inferior depression of the fracture. This region was not included on prior exam. Correlate with history. |
Generate impression based on findings. | 72-year-old male with stage IV pancreatic cancer. Currently on chemotherapy. Please compare to prior scans and provide index RECIST measurements. CHEST:LUNGS AND PLEURA: No parenchymal nodules or mass is seen. No pleural effusions.MEDIASTINUM AND HILA: No, mediastinal or hilar lymphadenopathy.CHEST WALL: No change in t... | 1. No significant change in size in pancreatic head mass with obstruction of the pancreatic duct and encasement of adjacent arterial and venous structures as reported.. 2. No change in appearance of the enlarged peripancreatic and mesenteric root lymph nodes. 3. Obstruction of the superior mesenteric vein -- splenic ve... |
Generate impression based on findings. | Gram-negative bacteremia ABDOMEN:LUNG BASES: Resolution of right pleural effusion. No change in small pericardial effusionLIVER, BILIARY TRACT: No change in perihepatic fluidSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS... | Other than slight interval increase in size of retroperitoneal adenopathy, relatively stable examination. No obvious source for bacteremia. |
Generate impression based on findings. | Female 31 years old Reason: Crohn s/p ileocecectomy. Peritoneal abscess w JP drain, please assess whethere it's resolved. Drainage down to 7 to 10 ml. History: As above ABDOMEN:LUNG BASES: There is minimal dependent bibasilar atelectasis.LIVER, BILIARY TRACT: There is no evidence of intrahepatic biliary ductal dilatati... | 1.Interval resolution of the previously seen intrapelvic abscesses.2.Decrease in size of the right adnexal fluid collection, which is felt to represent a collection within the right ovary - see above.3.Cholelithiasis without evidence of cholecystitis. |
Generate impression based on findings. | Reason: pt with met lung ca s/p 4 cycles of chemo History: now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Left lower lobe mass measures 25 x 16 mm, previously 32 x 24 mm.Moderate upper zone centrilobular emphysema.Several micronodules are present bilaterally, some of which ar... | 1. Indeterminate micronodules, some of which are new or slightly increased. Further follow-up is recommended.2. Interval decrease in left lower lobe nodule.3. Resolution of left lower lobe pulmonary emboli. |
Generate impression based on findings. | 65-year-old male status post laparoscopic distal pancreatectomy for pancreatic mass 9/16 -- please evaluate for pancreatic fistula. Patient has elevated white blood cell count and fever. ABDOMEN:LUNG BASES: Small left pleural effusion and bibasilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEE... | 1. Status post resection of the tail of pancreas with small amount of contained fluid in the surgical bed and small amount of air -- this degree of changes are typically seen to 3 days post partial pancreatectomy. CT cannot further characterize fluid, but there are no specific signs to suggest infection. 2. No dilated ... |
Generate impression based on findings. | Male 66 years old Reason: Please eval for small bowel obstruction History: nausea, diarrhea, xr concerning for dilated loops of small bowel; known history of follicular lymphoma with heavy tumor burden in abdomen This exam is limited by the lack of IV contrast administrationABDOMEN:LUNG BASES: There is a large right-si... | 1.There is mild disproportionate dilatation of the proximal small bowel compared to the more distal small bowel. This may be related to the before contrast administration. However, a low grade obstruction cannot be ruled out.2.Worsening abdominal ascites.3.Stable infiltrating soft tissue masses of the retroperitoneum, ... |
Generate impression based on findings. | 56-year-old with a history of prostate cancer. Please assess for disease progression. 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.FLUID:No fluid collections. No evidence of... | No evidence of intracranial metastases. |
Generate impression based on findings. | Male; 11 years old. Reason: bowel injury, urine leak History: vomiting, dehydration ABDOMEN:LUNG BASES: Normal.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: A cathe... | The left nephrostomy tip is located outside the left renal pelvis anterior to the inferior pole with a moderate amount of free abdominal fluid and pneumoperitoneum. |
Generate impression based on findings. | Follicular non-Hodgkin's lymphoma s/p R-CHOP. There are no significantly enlarged lymph nodes by CT size criteria. The Waldeyer ring structures are unremarkable. The major salivary glands are unremarkable. There is unchanged enlargement and heterogeneity of the thyroid gland suggestive of multinodular goiter. There is ... | 1.No definite pathologically enlarged lymph nodes are seen by CT size criteria.2.Unchanged enlargement and heterogeneity of the thyroid gland suggestive of multinodular goiter. 3. Carious ADA 27. |
Generate impression based on findings. | Male; 16 years old. Reason: please evaluate lung fields for fungal infection and fluid History: distress LUNGS AND PLEURA: Diffuse ground glass opacities involving all lobes of the lung, right greater than left. No pleural effusion or pneumothorax. The major airways are patent.MEDIASTINUM AND HILA: Left chest port cath... | Diffuse ground glass opacities involving all lobes of the lung. Differential diagnosis includes non-cardiogenic pulmonary edema, pneumocystis pneumonia, drug reaction, and pulmonary hemorrhage. Fungal infection is considered less likely. |
Generate impression based on findings. | Choanal atresia. There is mixed osseous and membraneous left choanal atresia with a 2 mm gap between the osseous components. A small amount of secretions are layering in the left nasal cavity anterior to the atretic plate. The piriform aperture is patent. The pneumatized portions of the paranasal sinuses are clear. The... | Mixed osseous and membraneous left choanal atresia. |
Generate impression based on findings. | Nasal congestion, DNS, concha bullosa, recurrent sinus infections. There is a large left concha bullosa that measure up to 13 RL x 22 SI mm. There is associated with approximately 10 mm or rightwards nasal septal deviation. There is also a 4 mm rightward nasal spur. There is a small right concha bullosa. There is mild ... | 1. Large left concha bullosa associated with approximately 10 mm rightward nasal septal deviation. 2. No significant paranasal sinus opacification. |
Generate impression based on findings. | Head and neck cancer. For follow-up. There are sequela related to extensive neck dissection, glossectomy, free flap reconstruction, and partial resection of the right mandible with plate reconstruction. The mandibular plate is in unchanged position and there is no evidence of hardware complications. Mucosal thickening ... | Extensive postoperative findings related to the radical neck dissection, flap reconstruction and radiation without definite evidence of tumor recurrence or significant lymphadenopathy. A new focus of enhancement associated with the soft palate/uvula most likely represents focal mucositis. |
Generate impression based on findings. | 52-year-old with head and neck squamous cell carcinoma. CT brain:VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage.FLUID:No fluid collections. No evidence of hemorrhage.BONE:No fractures. Visualized bony structures are normal.C... | 1. No intracranial metastases.2. No recurrent or metastatic disease in the neck. |
Generate impression based on findings. | VP shunt insertion. A stereotactic head frame is in position without apparent complications. Streak artifact from the device obscures large portions of the intracranial contents. Otherwise, the visible portions of the intracranial structures are grossly unremarkable and unchanged. | STEALTH CT for intraoperative guidance shows a stereotactic head frame in position without apparent complications. |
Generate impression based on findings. | Right ear microtia with canal atresia. On the right, there is atresia of the auricle. The membraneous external auditory canal is absent. There is 3 mm wide gap in the bone leading towards the mesotympanum without a well-formed osseous external auditory canal. There is no appreciable discrete tympanic membrane. Otherwis... | Right congenital aural atresia, as described in the findings section. |
Generate impression based on findings. | Reason: s/p VP shunt placement History: same Since the prior exam a ventriculostomy tube has been placed which courses through the right frontal lobe into the right lateral ventricle with tip in the region of the foramen of Monro. The size of the lateral ventricles is similar to the prior exam. The temporal horns are n... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Status post ventriculostomy tube placement. The ventricles are nondilated. |
Generate impression based on findings. | Reason: rule out stroke, edema, shift History: AMS The patient is status post recent left sided suboccipital craniotomy. Since the prior exam a fluid collection at the craniectomy site has decreased in size from 20 x 45 millimeters sagittal dimensions on the prior exam to 6 x 25 mm sagittal dimensions.the temporal hor... | 1.Status post suboccipital craniotomy. There is continued evolution of postoperative change.Since the examination an extra-axial fluid collection adjacent to the craniectomy site has decreased in size and the mass effect in the posterior fossa has regressed2.No evidence for acute intracranial hemorrhage.3.CT is insensi... |
Generate impression based on findings. | Abdominal pain and vomiting status post endoscopy. Evaluate for perforation or obstruction. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Small accessory splenule.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality note... | 1. Bilateral renal hypodense lesions which are incompletely evaluated on this single phase CT, but may represent hemorrhagic or proteinaceous cysts. This can be further evaluated with dedicated kidney CT if clinically warranted.2. No evidence of bowel perforation or obstruction as clinically queried. |
Generate impression based on findings. | Reason: Stroke History: stroke There is redemonstration of a large right middle cerebral artery distribution infarction associated with hemorrhagic conversion. There is redemonstration of a hematoma centered in the right basal ganglia measuring 26 x 41 mm in axial dimensions there is redemonstration of mass effect with... | 1.Right middle cerebral artery distribution hemorrhagic infarct associated with hemorrhagic conversion. Mass effect based on midline shift and uncal herniation is stable compared to the prior exam.2.Status post right-sided craniectomy with attendant postoperative changes |
Generate impression based on findings. | Reason: s/p Crani History: s/p crani There is redemonstration of a large right middle cerebral artery distribution infarction associated with hemorrhagic conversion. There is redemonstration of a hematoma centered in the right basal ganglia measuring 24 x 41 mm in axial dimensions. There is redemonstration of mass effe... | 1.Right middle cerebral artery distribution hemorrhagic infarct associated with hemorrhagic conversion. Midline shift has decreased since the prior exam status post craniectomy. Significant Mass-effect remains present2.Status post right-sided craniectomy with attendant postoperative changes |
Generate impression based on findings. | Reason: evaluate for hematoma, patient fell and hit head while anticoagulated History: head pain The CSF spaces are appropriate for the patient's stated age with no midline shift. Since the previous examination a right frontal scalp hematoma has resolved.No abnormal mass lesions are appreciated intracranially. No intra... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA |
Generate impression based on findings. | Female 18 years old Reason: 18 yo F with no PMH presents with fever, HA, diarrhea, vomiting, abd pain, r/o appendicitis vs pyelonephritis. History: as above ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is no evidence of intrahepatic biliary ductal dilatation or focal mass lesion. Ther... | 1.Possible thickening of the ascending colonic wall although this is poorly distended with contrast, with mesenteric haziness surrounding a short portion of the transverse colon which may represent a colitis.2.Complex fluid collection in the expected location of the right ovary which may represent a ruptured cyst.3.Lef... |
Generate impression based on findings. | Reason: rule out expansion of bleed, shift, edema History: non-verbal, change in neuro exam The CSF spaces are appropriate for the patient's stated age with no midline shift.There is an 8mm subdural hematoma present adjacent to the falx on the right side which abuts the right paracentral lobule centered at the level of... | 1. Stable subdural hematoma |
Generate impression based on findings. | 74 year-old female with DVT on anticoagulation with left pleuritic chest pain and flank pain. PULMONARY ARTERIES: Technically adequate study with acute pulmonary emboli in the right middle segmental arteries and the left lower segmental/subsegmental arteries.LUNGS AND PLEURA: Left lower lobe consolidation in the vascul... | 1. Bilateral acute pulmonary emboli in multiple segmental arteries.2. Left lower lobe consolidation/ground glass opacities; this could represent pulmonary infarct and hemorrhage. |
Generate impression based on findings. | Reason: eval for extention of hematoma History: headache The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a left cerebellar hematoma measuring 26 x 16 mm axial dimensions which measured 23 x 15 mm axial dimensions on the prior exam. There is associated vasogenic edema adjacent... | 1.Mild interval enlargement of left cerebellar hematoma2.stable left occipital lobe hematoma |
Generate impression based on findings. | Gastric cancer restaging. CHEST:LUNGS AND PLEURA: No suspicious lung nodules. No consolidation or pleural effusions. MEDIASTINUM AND HILA: New and enlarging mediastinal lymph nodes are noted. For reference purposes, a subcarinal node (image 53; series 3) currently measures 1.9 x 1.0 cm. This lymph node previously measu... | 1.Stable liver metastases. 2.Enlarging mediastinal lymph nodes. |
Generate impression based on findings. | Right upper quadrant abdominal pain. Evaluate for small bowel obstruction versus perforated ulcer. ABDOMEN:LUNG BASES: Dependent bibasilar subsegmental atelectasis.LIVER, BILIARY TRACT: Multiple well-defined hypodense lesions within the liver the largest of which is in segment 4 and measures 1.9 x 1.5 cm (series 3 imag... | 1. No small bowel obstruction or evidence of perforation as clinically queried.2. Hypodense liver lesions as described. While recent ultrasound had appearance of hemangiomas, the CT appearance is indeterminant and further evaluation with contrast enhance MRI is recommended. 3. Hypodense lesion in the left kidney is inc... |
Generate impression based on findings. | Male, 66 years old, history of localized superficial swelling, mass or lump. Images are slightly degraded by motion artifact. Within this limitation, the following observations are made.The normal lumbar lordosis is straightened. There is a grade 1 retrolisthesis of L5 relative to S1, likely secondary to facet hypertro... | 1. Dorsal epidural soft tissue lesion at the T12 level. Differential considerations would include a metastatic deposit, fluid collection, or less likely ligamentous/degenerative change. This finding should be further evaluated with contrast-enhanced MRI.2. Nonspecific scattered lucencies through the sacral ala and ilia... |
Generate impression based on findings. | Reason: eval and compare SDH to previous scans History: headache; dysarthria There is redemonstration of a left-sided subdural collection with hyperdense component measuring 10 mm in thickness measured 10 mm thickness in the prior exam.Since the previous examination a left-sided subdural drainage tube has been removed.... | 1.Stable 10mm 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.Set is removal of subdural drainage tube3.No evidence of acute new finding since prior study. |
Generate impression based on findings. | 55-year-old man with headache question subarachnoid hemorrhage. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage.FLUID:No fluid collections. No evidence of hemorrhage.BONE:No fractures. Visualized bony structures are normal. | No evidence of subarachnoid hemorrhage as clinically queried. |
Generate impression based on findings. | 71-year-old female presents with unsteady gait, assess for bleed. There is no evidence of acute intracranial hemorrhage, mass, or cerebral edema. There is mild prominence of the ventricular system and sulci, consistent with age-related cerebral volume loss. There are stable scattered periventricular and subcortical hyp... | No evidence of acute intracranial hemorrhage, mass, or cerebral edema.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | BHT with confusion, confabulation. Evaluate for hemorrhage. There is no evidence of intracranial mass, fluid collection or acute hemorrhage. The brain parenchyma appears unremarkable. The ventricles are within normal limits in size and configuration. There are no fractures or soft tissue swelling. The orbits are unrema... | No evidence of acute intracranial hemorrhage or skull fracture. |
Generate impression based on findings. | Reason: eval for pe History: cp, sob PULMONARY ARTERIES: The quality of this examination is mildly limited secondary to body habitus. No pulmonary embolus is noted to the first segmental level.LUNGS AND PLEURA: Subsegmental atelectasis in both the posterior basal segment left lower lobe.No pleural effusion. MEDIASTINUM... | No pulmonary embolus identified to the segmental level. |
Generate impression based on findings. | 17-year-old with LOC after taking unknown drug. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage.FLUID:No fluid collections. No evidence of hemorrhage.BONE:No fractures. Visualized bony structures are normal. | No acute intracranial abnormality. |
Generate impression based on findings. | Reason: SDH stability History: ha There is a redemonstration of a right-sided subdural collection measuring 9 mm in thickness and previously measuring the same. There is associated midline shift with shift of the pellucidum 5 mm to the left of midline on coronal imaging at the level of the foramen of Monro which is sta... | 1.Stable right-sided subdural hematoma without interval enlargement. Associated midline shift is stable |
Generate impression based on findings. | 5-month-old female with vomiting, question bleed or structural abnormality. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage.FLUID:No fluid collections. No evidence of hemorrhage.BONE:No fractures. Visualized bony structures a... | 1.No gross structural abnormality identified. MRI is more sensitive for detection of subtle structural abnormalities.2.No acute intracranial process. |
Generate impression based on findings. | Male 50 years old Reason: new diagnosis of rectal History: rectal bleeding CHEST:LUNGS AND PLEURA: There is minimal basilar atelectasis.MEDIASTINUM AND HILA: There is no evidence of mediastinal or hilar lymphadenopathy.CHEST WALL: There is no evidence of axillary lymphadenopathy.ABDOMEN:LIVER, BILIARY TRACT: There is a... | 1.Right inguinal mesenteric implant concerning for metastatic disease.2.Pelvic lymphadenopathy.3.Subcentimeter mesenteric lymph nodes, attention should be paid to these nodes on follow-up CT examination. 4.Non-circumferential thickening of the rectal wall, which may represent the patient's reported rectal cancer. |
Generate impression based on findings. | Right adhesive otitis media, 2 perilymphatic fistula repairs in 1989, 1997, and 2002, as well as s/p TMJ surgery. Please evaluate for cholesteatoma. On the right, there is mild narrowing of the membraneous portions of the external auditory canal, which measures 5 mm in minimal diameter. There is a defect in the anterio... | 1. Irregularity and fragmentation of the right temporomandibular joint with fusion of the incus to the anterior wall of the osseous external auditory canal and incudomalleal joint dislocation.2. A soft tissue opacity in the mesotympanum lateral to the pyramidal eminence, that measures 2 mm in diameter may represent cho... |
Generate impression based on findings. | 49-year-old female with a history of breast carcinoma with increasing O2 requirement. PULMONARY ARTERIES: Technically adequate study with evidence of pulmonary embolus. There is narrowing of the left main pulmonary artery and its segmental branches which appear patent. No evidence of right heart strain.LUNGS AND PLEURA... | 1. No evidence of pulmonary embolus.2. Extensive metastatic disease involving the thorax and abdomen as described above, consistent with the known history of metastatic breast carcinoma. Persistent occlusion of the left main bronchus with associated complete atelectasis of the left lung.3. Interval development of scatt... |
Generate impression based on findings. | Reason: eval for pe History: cp, sob PULMONARY ARTERIES: Massive pulmonary embolism, with a large emboli in both main pulmonary arteries extending from the main pulmonary trunk, involving lobar and segmental branches in all lobes, and subsegmental emboli as well. Normal main pulmonary artery caliber, without reliable e... | Massive pulmonary embolism, with all findings relayed to the ER physician at the time of preliminary report creation by the radiology resident on call. |
Generate impression based on findings. | Left chest and right flank pain. Evaluate for pneumonia or retroperitoneal hematoma. Additional history per patient chart: Patient has HIV. CHEST:LUNGS AND PLEURA: In the left upper lobe there is a masslike consolidation that is not clearly separable from the mediastinum (series 3 image 34). It is heterogeneous with ar... | 1. Left upper lung masslike consolidation with extension to the mediastinum as described suspicious for indolent infection such as tuberculosis. Dr. Turner (#3322) was notified of this finding by telephone at the time of dicatation.2. No intra-abdominal abnormality to suggest an etiology of the patient's abdominal pain... |
Generate impression based on findings. | 59-year-old female with left lower quadrant abdominal pain. Prior history of partial small bowel obstruction ABDOMEN:LUNG BASES: Stable basilar pleural thickening and scarring.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: Any pancreatic neck there is an approxim... | Small cystic pancreatic mass which is stable and highly likely benign. No other abnormality identified. |
Generate impression based on findings. | Reason: r/o PE, SOB and tachy History: SOB and Tachy PULMONARY ARTERIES: Technically adequate study with no evidence of pulmonary embolism. Normal pulmonary artery caliber without evidence of right heart strain although there is reflux into the hepatic vein probably from a strong contrast injection.LUNGS AND PLEURA: De... | No evidence of pulmonary embolism. Significant atherosclerosis affects the proximal brachiocephalic vessels. |
Generate impression based on findings. | Reason: oral cancer; eval for metastatic disease History: weight loss LUNGS AND PLEURA: Several scattered pulmonary micronodules, some of which are calcified. The largest noncalcified opacity in the right upper lobe is flat on the coronal view and may represent an intrapulmonary lymph node (series 5 image 43). There is... | 1. Multiple scattered micronodules, some of which are calcified. Several are clustered within the right lower lobe and may be postinflammatory. Continued follow-up is recommended.2. Nodular enlargement of the right adrenal gland. This can be further characterized with an opposed phase MR imaging.3. Masslike lesion at t... |
Generate impression based on findings. | 66 year-old woman with cirrhosis and splenic artery aneurysm. Need for follow-up for evaluation. ABDOMEN:LUNG BASES: Unchanged atelectasis in the right lower lobe. LIVER, BILIARY TRACT: Postsurgical changes secondary to prior liver transplant.SPLEEN: The splenic aneurysm currently measures 3.4 x 2.0 cm, stable to sligh... | Slow-growing splenic artery aneurysm which meets numerous criteria as noted above for a prophylactic embolization. Consultation with Interventional Radiology is advised as clinical indicated.These findings were discussed with the clinical service (pager 6111) at the time of dictation. |
Generate impression based on findings. | 49-year-old male status post fall, assess for bleed. 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 extr... | No evidence of intracranial hemorrhage, mass, or cerebral edema.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 40 year-old with left upper eyelid mass, rule out abscess. Soft tissues:Within the superior temporal left soft tissues and extending just anterior to the superior zygomatic archis an approximately 20 x 25 x 26 mm ill-defined enhancing process that demonstrates foci of internal enhancement and a more central area of low... | 20 x 25 x 26 mm ill defined enhancing mass with heterogenous attenuation. Given the fact that there was some skin thickening at this location previously in 2010, the findings are concerning for a slowly growing skin neoplasm, but more benign processes remain in the differential. Dermatology work up as clinically approp... |
Generate impression based on findings. | 87 year-old female, assess for CVA. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. There is prominence of the ventricular system and sulci, consistent with a moderate age-related cerebral volume loss more prominent in the frontal and temporal lobes. There are scattered per... | 1.No evidence of acute intracranial hemorrhage, mass effect, or cerebral edema. However, CT is insensitive for the detection of early ischemia. If there is clinical concern for acute ischemia, MRI would be recommended.2.Mild cerebral white matter small vessel ischemic disease and moderate brain parenchymal volume loss.... |
Generate impression based on findings. | 62 year-old female with epigastric pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Pneumobilia identified. Please correlate with surgical/procedural history. Clips from prior cholecystectomy. Several small low-attenuation masses consistent with cysts or hamartomas.SPLEEN: No significant ... | 1. Pneumobilia, presumably post surgical/procedural2. Hepatic cystic lesions which appear benign.3. See discussion below concerning uterus and left adnexa. |
Generate impression based on findings. | 64-year-old male with squamous cell carcinoma of the head and neck, status post laryngectomy and trach, currently undergoing CRT presents with bleeding from stoma, mouth and nose. Neck CTA: There is an air and fluid collection within the left carotid sheath surrounding the common carotid artery extending from the lumen... | 1.Pseudoaneurysm of left common carotid artery proximal to the bifurcation with extravasation of contrast into the surrounding fluid collection with fistulous connection to the neopharynx. 2.Soft tissue density within the left neck inferior to the fluid collection appears to have increased slightly, which may be due to... |
Generate impression based on findings. | Female 61 years old Reason: pt with metastatic breast cancer please eval disease status and compare to previous imaging History: MBC CHEST:LUNGS AND PLEURA: The basilar predominant honeycombing appear stable as prior examination and is compatible with fibrosis.MEDIASTINUM AND HILA: Reference right hilar lymph node now ... | 1.Diffuse osseous metastatic disease which appears largely stable since the prior examination with no evidence of pathologic fractures.2.Stable fibrotic changes in the lung bases bilaterally.3.Worsening body wall edema.4.No new metastatic disease foci found. |
Generate impression based on findings. | Reason: r/o stroke History: right sided weakness The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a mild degree are present.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. N... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for early detection of nonhemorrhagic CVA. MRI is more sensitive to detection of intracranial ischemic events than CT.3.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are mos... |
Generate impression based on findings. | Biliary obstruction; newly diagnosed pancreatic cancer. CHEST:LUNGS AND PLEURA: Minimal subsegmental atelectasis without evidence of mass lesions. Scattered subpleural micronodules.MEDIASTINUM AND HILA: Left thyroid nodule. Subcentimeter mediastinal lymph nodes.CHEST WALL: No significant abnormality notedABDOMEN:LIVER,... | Status post common bile duct metal stent insertion for pancreatic carcinoma. No definite evidence of metastatic disease. |
Generate impression based on findings. | History of kidney stones presenting with fever, flank pain, and hematuria. Evaluate for stone. Evaluation of the abdominal solid organs and bowel is limited by the lack of intravenous and oral contrast.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffusely decreased hepatic parenchymal atte... | 1. New inflammatory changes surrounding the left kidney suggestive of pyelonephritis. Stable moderate to severe left hydronephrosis status post internal ureteral stent placement.2. Unchanged right renal calculus. No ureteral calculus is evident.3. Hepatomegaly and hepatic steatosis.Findings discussed with Kevin Concord... |
Generate impression based on findings. | Female 52 years old Reason: lung cancer, s/p 8 cycles of chemotherapy. please evaluate for disease and compare with previous scans using same target lesions (except uterine lesion which was removed surgically) History: lung cancer CHEST:LUNGS AND PLEURA: The patient's left upper lobe pulmonary mass appears slightly lar... | 1.Slight interval increase in size of the patient's left upper lobe pulmonary mass.2.Stable reference hilar lymph node.3.Worsening consolidation versus atelectasis in the left lower lobe.4.Diffuse sclerotic osseous metastases seen within the thoracic, lumbar and cervical spine as well as the sacrum, pelvic bones and ri... |
Generate impression based on findings. | Stage IV gastric cancer. Provide measurements. CHEST:LUNGS AND PLEURA: There are multiple stable pulmonary lesions. Reference right middle lobe lesion again measures 5-mm (image 52; series 5), unchanged. Bilateral pleural effusions have resolved.MEDIASTINUM AND HILA: Heart size is normal. No mediastinal lymphadenopathy... | Pulmonary lesions are stable. Several liver lesions have remained stable while one continues to enlarge. Adenopathy is stable. Small amount of clot at the tip of the indwelling chest port. Measurements are given above. |
Generate impression based on findings. | History of renal cell carcinoma. Evaluate for recurrence. The lack of intravenous contrast limits evaluation of the abdominal solid organs.CHEST:LUNGS AND PLEURA: No dominant or suspicious pulmonary nodules. No focal air space opacity.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. The heart is normal in... | Stable postoperative changes without evidence of local recurrence or metastatic disease. |
Generate impression based on findings. | Reason: sah History: headache The CSF spaces are appropriate for the patient's stated age with no midline shift. There is redemonstration of subarachnoid hyperdensity within the right sylvian fissure which is stable since the prior exam. There is an intraparenchymal hematoma present measuring 19 x 14 mm axial dimension... | 1.A right temporal lobe hematoma and adjacent subarachnoid hemorrhage are stable. Other smaller foci of subarachnoid blood are also stable. |
Generate impression based on findings. | Right flank pain and suprapubic fullness. Evaluate for right renal or bladder mass. ABDOMEN:LUNG BASES: Pericardial thickening/trace effusion.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Left adrenal hypodense nod... | 1. No pelvic mass or genitourinary pathology as clinically queried.2. Benign left adrenal adenoma. |
Generate impression based on findings. | Female 43 years old Reason: 43 y.o. female with a large pelvic sarcoma; locally advanced RLQ pelvic mass and fibroid uterus. Please do CT angio of abd pelvis with arterial venous and delayed phases History: pelvic sarcoma CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abno... | 1.Right pelvic mass with arterial, venous and ureteral involvement as described above. It is difficult to determine abdominal wall invasion based on this study although there appeared to be a preserved fat plane on the prior MR exam.2.Marked right-sided hydronephrosis, which appears little changed when compared to the ... |
Generate impression based on findings. | Reason: f/u ventricle size History: f/u ventricle size The fourth ventricle remains large measuring 27 mm AP dimension on the current exam on sagittal imaging and 30 mm width on axial imaging. On the prior exam it had the same dimensionsThe corpus callosum is atrophic. The occipital horns of the lateral ventricles are ... | 1.The examination is stable compared with prior exam performed 4 days ago. The fourth ventricle is enlarged but stable in dimensions when compared to the prior exam. The lateral ventricles and third ventricles remain small and a small focus of encephalomalacia is present |
Generate impression based on findings. | Gallbladder cancer. Status post resection with recurrence at port site. Resection at port site. Recurrence in the ovaries. Resection of the ovaries. Chemotherapy. Three-month break and repeat CT. CHEST:LUNGS AND PLEURA: Scattered micronodules are unchanged. Right apical scarring/atelectasis.MEDIASTINUM AND HILA: No enl... | Interval development of peritoneal carcinomatosis. Other findings are stable with reference measurements given above. |
Generate impression based on findings. | Reason: cough, known metastatic ovarian ca. R/o infiltrate, mass History: cough LUNGS AND PLEURA: Large bilateral pleural effusions compress both lower lung zones.No specific evidence of metastases or pulmonary infection, however.MEDIASTINUM AND HILA: A right jugular catheter terminates in the SVC.Minimal pericardial f... | 1. Large pleural effusions compressing the lung bases, but no other intrathoracic abnormality.2. A large volume of ascites is present. |
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