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Generate impression based on findings. | Colorectal cancer status post chemotherapy. CHEST:LUNGS AND PLEURA: Scattered nonspecific micronodules some of which are calcified and appear similar to the prior exams.MEDIASTINUM AND HILA: Left chest AICD with leads in expected positions. Heart is normal in size. Calcification in the region of the mitral valve. No pe... | Stable examination without evidence of local recurrence or metastatic disease. |
Generate impression based on findings. | Reason: Evidence of ICH History: LUE Paresis The CSF spaces are appropriate for the patient's stated age with no midline shift. Atherosclerotic calcifications are present along the distal internal carotid arteries.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edem... | 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. | Reason: subdural hematoma History: SDH The patient is status post recent right-sided craniotomy for removal of a right-sided subdural hematoma. The prior exam there has been interval decrease in the thickness of the right sided subdural hematoma. It currently measures approximately 5 mm in thickness and previously meas... | 1.Interval evacuation of a right-sided subdural hematoma with interval improvement of mass effect.2.Right temporal lobe, right and left occipital lobe hypodensities are compatible with prior infarctions. |
Generate impression based on findings. | 66-year-old female with lung cancer status post 3 cycles of chemo. Please evaluate for disease and compare with previous scans. CHEST:LUNGS AND PLEURA: Several right lung pulmonary nodules are again seen, some of which have decreased in size. No new pulmonary nodules. Status post right upper lobe wedge resection. Left ... | 1. Multiple right pulmonary nodules, many of which have decreased in size.2. No significant change in adrenal lesions. |
Generate impression based on findings. | Reason: assess for PE History: tachycardia, sob PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolism. The main pulmonary artery is of normal caliber. There is no evidence of right heart strain.LUNGS AND PLEURA: Nonspecific lower lung zone atelectasis is present, right more extensive tha... | 1. No evidence of pulmonary embolism.2. Nonspecific basilar atelectasis, which could be the result of aspirated secretions or mucous plugging. |
Generate impression based on findings. | 58-year-old male preoperative evaluation for epiphrenic diverticulum. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: LAD and right coronary artery stents in place. AVR in place. Sternotomy wires in place. Graft in the ascending aorta consistent with the history of graft repair in 2007. A... | 1. 4.5 cm saccular outpouching of the distal thoracic esophagus, consistent with stated history of epiphrenic diverticulum. Further evaluation with a dedicated esophagram could be considered if clinically indicated.2. Findings consistent with graft repair of the patient's known type A aortic dissection, unchanged. |
Generate impression based on findings. | History of arterial aneurysm now with dropping hemoglobin. Evaluate for hemorrhage. Evaluation of the abdominal solid organs is limited by the phase of intravenous contrast. Exam is protocoled for evaluation of the arterial system.CT angiography:The abdominal aorta is normal in size with moderate atherosclerotic calcif... | 1. Multiple free and loculated intra-abdominal and retroperitoneal fluid collections compatible with residual hematoma. No evidence of active extravasation/hemorrhage.2. Multiple angiographic findings as described above with irregular contour of the inferior pancreaticoduodenal artery which may reflect microaneurysms o... |
Generate impression based on findings. | 56-year-old man with neck neck pain and palpable neck mass. SOFT TISSUES:The soft tissues of the head and neck are normal without evidence for mass or fluid collection.LYMPH NODES:There are several bilateral prominent lymph nodes through out the head and neck that may represent the palpable abnormality on physical exam... | 1. No evidence of neck mass. Mildly prominent lymph nodes that do not demonstrate any suspicious features which may represent palpable abnormality.2. 7 mm right apical lung nodule. A CT of the chest could be obtained as clinically warranted. |
Generate impression based on findings. | History of radical cystectomy with neobladder creation presenting with right-sided pain. Evaluate for fluid collection. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLAN... | 1. Loculated fluid collection adjacent to the small bowel anastomosis as described. While an abscess cannot be entirely excluded, there are no imaging features to suggest this etiology. A seroma or lymphocele is considered more likely.2. Postoperative changes from radical cystectomy with neobladder creation. No evidenc... |
Generate impression based on findings. | Please eval for sinusitis, and anatomic abnormalities s/p ESS in 2008. Patient motion degrades image quality. There are postoperative findings related to bilateral internal ethmoidectomy and uncinectomy. There is mild medial bowing of the bilateral lamina papyracea secondary to low of ethmoid struts. The lamina papyrac... | Postoperative findings related to endoscopic sinus surgery with pan-sinus mucosal thickening of varying degrees, as described in the findings section. |
Generate impression based on findings. | AML male with hemangioendothelioma of the lung. Compared to last CT. LUNGS AND PLEURA: Innumerable bilateral pulmonary nodules without significant change.Index lesion in the left upper lobe measures 21 x 18 mm, previously 22 x 18 mm (31; series 6).Surgical staples and scarring in the right lung compatible with previous... | Stable disease, metastatic hemangioendothelioma. |
Generate impression based on findings. | Reason: h/o lung cancer, sp chemo and rt ,check response History: cough CHEST:LUNGS AND PLEURA: Right upper lobe index nodule is difficult to measure, as there is surrounding consolidation, suspected to represent radiation reaction. However, the upper lobe index lesion does appear to be slightly increased, 21 x 21 mm (... | 1. Right upper lobe index nodule is difficult to measure, as there is surrounding consolidation, suspected to represent radiation reaction. However, the upper lobe index lesion does appear to be slightly increased, 21 x 21 mm (series 5 image 24), compared to 14 x 18 mm. This correlates to the region of hypermetabolic a... |
Generate impression based on findings. | 15-year-old with hemoglobin SS with headache. VENTRICLES/CSF SPACES:No midline shift. There is ex vacuo dilatation of the right frontal horn.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage. There is encephalomalacia and dense calcification centered within the superior and middle gyri of the right fronta... | 1.Stable encephalomalacia and dense calcification centered within the superior middle gyri of the right frontal lobe with ex vacuo dilatation of the right frontal horn.2.No evidence of filling defects within the intracranial or extra cranial vasculature of the head and neck. Findings on MRI likely represent artifact re... |
Generate impression based on findings. | 59 year old female with a history of lung cancer. Status post chemoradiation therapy and resection. CHEST: LUNGS AND PLEURA: Right lower lobe postsurgical changes, calcific pleural thickening and architectural distortion is not significantly changed. Severe centrilobular and paraseptal emphysema with an upper lobe pred... | No evidence of metastatic or recurrent disease. |
Generate impression based on findings. | 62 year-old woman with heterogeneous uterus and ascites on pelvic ultrasound. Please assess. Strong family history of breast and ovarian cancer. Note that for evaluation of solid organs in the abdomen and pelvis are limited secondary to lack of IV and oral contrast. Within these limitations:ABDOMEN:LUNG BASES: No chang... | 1.Unchanged gallbladder sludge or stones.2.Unchanged right pleural effusion with compressive atelectasis of the right lower lobe.3.Increasing abdominal and pelvic ascites.4.Unchanged ventral hernia containing fat |
Generate impression based on findings. | Metastatic breast cancer. There is no significant interval change in the ill-defined right intraconal mass that encases the distal right intraorbital segment of the optic nerve and is indistinct from the surrounding extra-ocular muscles and posterior globe. There is unchanged mild right enophthalmos. The left orbit is ... | 1. No significant interval change in the ill-defined right intraconal metastasis that encases the distal right intraorbital segment of the optic nerve and is indistinct from the surrounding extra-ocular muscles and posterior globe and associated mild enophthalmos. However, the lesion has decreased slightly in size sinc... |
Generate impression based on findings. | Reason: Patient with hx of rupture of AV malformation s/p shunt placement in 2007, now with new headache. Please eval for intracranial hemorrhage. History: Headache, dizziness. The patient is status post ventriculostomy tube placement coursing the right frontal lobe into the right lateral ventricle body across the midl... | 1.The patient is assess ventriculostomy tube placement for shunt. the lateral ventricles are nondilated2.Status post posterior fossa surgery. There is encephalomalacia present in the cerebellar hemispheres.3.No evidence for acute internal hemorrhage, mass-effect or edema |
Generate impression based on findings. | History of MDS status post stem cell transplant with EBV viremia. Evaluate for PTLD. CHEST:LUNGS AND PLEURA: Dependent subsegmental ectasis.MEDIASTINUM AND HILA: Scattered prominent but not pathologically enlarged mediastinal and hilar lymph nodes.Moderate coronary atherosclerotic calcification.CHEST WALL: No significa... | 1. Numerous prominent but not pathologically enlarged lymph nodes as described.2. Indeterminant renal lesions. Interval followup or dedicated renal imaging is recommended. |
Generate impression based on findings. | Reason: evaluate CVA evolution History: h/o CVA, AMS There is a redemonstration of a hypodensity along the medial aspect of the right occipital lobe. This finding was also present on the prior exam as well and was in the subacute stage on an 8/22/13 exam. Compared to the prior exam there is no significant change.There ... | 1.No evidence for acute intracranial hemorrhage. There is continued evolution of a right posterior cerebral artery distribution infarction identified in August . |
Generate impression based on findings. | 7-month-old male with hepatoblastoma chemotherapy. Evaluate abdominal mass. ABDOMEN:LUNG BASES: Right 10 x 6 mm cardiophrenic lymph node is not significantly changed. LIVER, BILIARY TRACT: Heterogeneous mass with calcifications in the right posterior liver measures 5.4 x 5.6 x 7.3 cm (series 3 image 24), previously 5.3... | Hepatic mass is not significantly changed allowing for differences in technique. |
Generate impression based on findings. | Heart replaced by transplant. Fever, unspecified. Evaluate for infection. CHEST:LUNGS AND PLEURA: New multiple peripheral wedge-shaped masses are noted bilaterally. Given the patient's history, fungal or opportunistic infection such as invasive aspergillus should be considered. There is increasing bronchiectasis in bot... | Peripheral cavitary nodules in both lungs superimposed on groundglass and chronic appearing changes, predominating at the lung bases concerning for opportunistic or fungal infection. Abdominal and pelvic ascites. |
Generate impression based on findings. | 59 year old with metastatic renal cell carcinoma. Evaluate on therapy. CHEST:LUNGS AND PLEURA: Scattered unchanged micronodules. No dominant or suspicious nodule.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.CHEST WALL: Expansile lytic lesion of the posterior left ninth rib compatible with a metastasis ... | 1. Continued interval enlargement of right adrenal nodule compatible with a metastasis. Left ninth rib osseous metastasis. No new sites of metastatic disease.2. Postoperative changes from partial left nephrectomy without evidence of local recurrence. |
Generate impression based on findings. | Lung cancer not on therapy currently. Pain across flanks. CHEST:LUNGS AND PLEURA: Right upper lobe nodule 12 x 7 millimeter (7/153), previously 8 x 8 mm. Interval development of spherical nodular and opacity/ inflammatory change around a previously seen adjacent nodule (7/151).Right lower lobe atelectasis/consolidation... | Index right upper lobe nodule is difficult to reproducibly measure but appears minimally increased. New spherical spiculated nodule with epicenter on a prior bronchial nodule just cranial to the index lesion is now suspicious for localized spread. |
Generate impression based on findings. | 55 year old female with resected right middle lobe adenocarcinoma status post chemoradiation therapy. CHEST:LUNGS AND PLEURA: Status post right middle lobectomy. Left basilar scarring/atelectasis.Previously described hypoattenuating soft tissue density along the suture line likely related to the radiation, appearing de... | 1. No specific evidence of recurrent or residual disease. 2. Interval decrease in size of previously described soft tissue density along the suture line and interval resolution of right lower lobe groundglass opacities which likely reflect post radiation therapy changes. |
Generate impression based on findings. | Reason: r/o fx History: pain The cervical vertebral bodies are appropriate in overall alignment and height. No fractures are identified in the cervical spine.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal. There are right-... | 1.No evidence for cervical spine fracture or subluxation. 2.There are degenerative changes present in the cervical spine with encroachment of right side exiting nerve roots at C3-4, C4-5 and left sided nerve roots at C6-7. |
Generate impression based on findings. | 25-year-old male with abdominal pain and large liver lesions and weight loss CHEST:LUNGS AND PLEURA: Bilateral multiple parenchymal masses consistent with metastatic disease. An index nodule in the right lung measures 1.3 by 0.7-cm on image number 63, series number 5.MEDIASTINUM AND HILA: No significant abnormality not... | Large hepatic mass causing tumor thrombus in the main portal vein and invading the left portal vein. Given the portal venous invasion, cholangiocarcinoma is favored for adenocarcinoma. Metastatic lung lesions. Metastatic adenopathy. |
Generate impression based on findings. | Neurofibromatosis with cerebrospinal fluid drainage device. Headaches. There are unchanged bilateral transfrontal ventricular shunt catheters, in which the right catheter terminates near the midline and the left catheter terminates in the body of the left lateral ventricle. There is no appreciable discontinuity of the ... | 1.Slight interval increase in size of the lateral ventricles may indicate ventricle shunt failure.2.Grossly unchanged optic chiasmatic-hypothalamic glioma and arachnoid cysts. |
Generate impression based on findings. | Metastatic lung CA status post 6 cycles of chemo/cranial RT CHEST:LUNGS AND PLEURA: Right hilar mass difficult to measure approximately 31 x 31 mm (4/51), previously approximately 31 x 30 mm. Mass surrounding the right middle lobe bronchus appears unchanged. Unchanged atelectasis of the right middle lobe, with consolid... | No significant change in the right hilar mass with extension to and collapse of the right middle lobe. |
Generate impression based on findings. | Reason: Pt with HNC s/p CRT 2/2013. Please re-eval and compare History: as above CHEST:LUNGS AND PLEURA:Small stable bilateral micronodules. No nodules/masses to indicatemetastases. Previously reference left upper lobe nodule is smaller, 8 x 8 mm (series 4 image 42), as compared to 9 x 11 mm. This area was previously a... | 1. Previously reference left upper lobe nodule is smaller, previously associated with clustered micronodules and may represent resolving focus of aspiration.2. No new suspicious pulmonary nodule. |
Generate impression based on findings. | History of squamous cell carcinoma of the penis. Status-post penis sparing surgery. Evaluate for metastatic pelvic adenopathy PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality notedLYMPH NODES: Left alterative adenopathy measuring 2.4 x 1.1 cm image number 51, series numbe... | Left obturator adenopathy and bilateral other small pelvic lymph nodes as described above. |
Generate impression based on findings. | Prostate cancer. Evaluation of disease 6 cycles after investigational therapy. CHEST:LUNGS AND PLEURA: No nodules, infiltrates or effusions. Marked elevation right hemidiaphragm again seen unchanged since prior examinationMEDIASTINUM AND HILA: Atherosclerotic calcifications in the aorta and coronary arteries -- no aden... | L3 metastasis appear stable; correlate with bone scan. |
Generate impression based on findings. | 60 year-old male with history of metastatic prostate cancer CHEST:LUNGS AND PLEURA: Right lower lobe atelectasis, not significantly changed from previous study.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Expansile lesion in the upper right posterior rib suggestive of metastatic disease.ABDOMEN:LIV... | Minimal interval increase in the size of the left pelvic lymph nodes. Pelvic bone metastases are unchanged.Right posterior rib metastatic lesion. |
Generate impression based on findings. | Recurrent ear infections. On the right, the auricle is well formed and the external auditory canal is patent. The ossicular chain is intact. The scutum is sharp. The middle ear and mastoid air cells are well-pneumatized and clear. The facial nerve describes a normal course. The inner ear structures are unremarkable wit... | No evidence of cholesteatoma. |
Generate impression based on findings. | 75-year-old female with history of rectovaginal fistula ABDOMEN:LUNG BASES: Trace pericardial effusion.LIVER, BILIARY TRACT: Multiple metastatic lesions both lobes of the liver. Index lesion in the right lobe measures 2.1-cm on image number 32, series number 3.SPLEEN: A couple hypodense metastatic lesions in the spleen... | Large pelvic mass replacing the uterus and bilateral adnexa containing a large amount of free air secondary to patient's known rectovaginal fistula. Secondary infection of the necrotic pelvic mass cannot be excluded. The mass extends superiorly and likely invades the small bowel loops causing small bowel obstruction.He... |
Generate impression based on findings. | COPD, evaluate for LVRS. LUNGS AND PLEURA: Severe centrilobular and paraseptal emphysema. Suture line at the left apex suggesting prior wedge resection. Minimal soft tissue adjacent to the suture line could represent scarring, please correlate for prior pathology.Intercostal herniation of the anterior left lung beneath... | 1. Severe centrilobular and paraseptal emphysema with anterior intercostal herniation of a small portion of the left upper lobe. The presence of a adjacent fibrosis is consistent with trapped lung.2. Small opacities in the right upper lobe may represent focal scarring. If the referring clinical service can obtain and s... |
Generate impression based on findings. | 49-year-old female with ovarian masses, status post tumor debulking now presenting with sepsis ABDOMEN:LUNG BASES: Bilateral pleural effusions and dependent atelectasis, not significantly changed compared to prior CT.LIVER, BILIARY TRACT: Subcentimeter hypodensity in the left lobe and perihepatic carcinomatosis, not si... | Interval increase in the amount of free air in the pelvis the anastomosis. Otherwise no significant change in the amount of ascites and peritoneal carcinomatosis.Organizing fluid collection in the pelvis containing air likely representing an abscess is. Anastomotic leak from the ileocolonic anastomosis. |
Generate impression based on findings. | 68 year old with head and neck cancer status post CRT in 2011. CT brain:VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage. Stable encephalomalacia within the right cerebellar hemisphere.FLUID:No fluid collections. No evidence o... | 1.There is no evidence of intracranial metastasis.2.No evidence of recurrent tumor.3.Irregular appearance to thyroid is stable since the prior exam. |
Generate impression based on findings. | Reason: hx aneurysm clipping, 6 month f/u History: none- f/u imaging Brain CTA: There is an 8mm by 6-mm sagittal dimension wide neck aneurysm present along the distal right internal carotid artery, which extends from the distal clinoidal/proximal opthalmic segment posteriorly, medially and superiorly, abutting the righ... | 1.The patient's right internal carotid artery aneurysm looks very similar to the prior exam with no change in overall dimensions.2.There is a 50% stenosis present at the right internal carotid artery immediately proximal to the right internal carotid artery aneurysm. |
Generate impression based on findings. | T4bN3M0 R tonsil SCCA, completed CRT May 2013. Radical right tonsillectomy and modified right neck dissection 2-5 performed on 6/12/13 after chemoradiation. There are post-treatment findings related to right tonsillectomy, neck dissection, and radiation therapy. There are no discrete masses in the right palatine fossa.... | A new centrally hypoattenuating mass with surrounding irregular enhancement likely represents a necrotic right level 3 lymph node that measures up to 35 mm. Otherwise, stable post-treatment findings for right tonsillar squamous cell carcinoma. |
Generate impression based on findings. | History of HNC (tonsil) chemotherapy follow-up. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Nonindex (3/24) 8mm high right paratracheal lymph node, stable since 2/8/13 but slightly decreased compared to the patient's initial study of 11/30/12 where it was approximately 10 mm. Left jug... | 1. No suspicious pulmonary nodules or masses.2. Unchanged size of mediastinal lymph nodes.3. Subtle hypoattenuating lesion at the hepatic dome is incompletely characterized given phase of infusion. Further characterization may be made by dedicated hepatic CT if clinically warranted. |
Generate impression based on findings. | Reason: r/o brain mets History: altered mental status, confusion. 49 yo F with ovarian masses s/p tumor debulking The CSF spaces are appropriate for the patient's stated age with no midline shift. Some of the images were degraded by motion artifact.No abnormal enhancing mass lesions are appreciated intracranially. No i... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.No evidence for intracranial mass lesions. Please note that MRI is more sensitive in detection of metastases compared to CT |
Generate impression based on findings. | Nodular lymphoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Posterior mediastinal extension of patient's known intra-abdominal adenopathy, unchanged.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnorma... | No significant change from previous study. |
Generate impression based on findings. | Metastatic breast cancer receiving systemic therapy. Restaging. CHEST:LUNGS AND PLEURA: Pulmonary nodules stable in size and number.MEDIASTINUM AND HILA: Small, stable subaortic region lymph node. Normal heart size.CHEST WALL: Cortical thickening and sclerosis of the anterior right eighth rib unchanged. Focal lesions a... | 1. Pulmonary nodules stable in size and number.2. Sclerotic skeletal metastases unchanged compared to recent bone scan. 3. Increased in size and number of enhancing masses and nodules in the right breast. Metastases in the left breast are difficult to compare to prior due to the small size.4. Axillary and subpectoral l... |
Generate impression based on findings. | Male, 56 years old, base of tongue cancer, here for follow up status post panendoscopy with biopsy is and neck dissection in March of 2012, status post completion of chemo/RT. No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of the calvarium and sk... | 1. Stable treatment related change in the neck. No evidence of recurrent disease.2. No intracranial metastatic disease. |
Generate impression based on findings. | T4aN2c SCC of R lateral tongue s/p induction chemotherapy. There has been interval decrease in size of the ill-defined right tongue squamous cell carcinoma. There is no residual significant lymphadenopathy. The upper aerodigestive track is patent. The larynx is unremarkable. The major salivary glands are unchanged. The... | Interval decrease in size of the right tongue squamous cell carcinoma and cervical lymphadenopathy, indicated treatment response. |
Generate impression based on findings. | Retinal artery occlusion. Small vessel disease. Rule out acute process. There are focal areas of hypoattenuation within the basal ganglia bilaterally, including the posterior limb of left internal capsule (axial image 14) and the right lentiform nucleus (image 11). The ventricles are prominent, only slightly more so th... | Unchanged mild cerebral white matter hypoattenuation likely related to microangiopathy and possible basal ganglia chronic lacunar infarcts. However, CT is insensitive for the detection of acute ischemia and if there is persistent concern MRI may be considered. |
Generate impression based on findings. | Reason: Pt with HNC s/p 2 cycles of induction chemotherapy. Please re-eval and compare to prior scans History: as above CHEST:LUNGS AND PLEURA: No pulmonary or pleural metastases.Mild bronchial wall thickening is present, nonspecific.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Calcified lymph nodes ar... | No evidence of metastases, or interval change. |
Generate impression based on findings. | Chronic cough. LUNGS AND PLEURA: Small 1 to 2-mm well circumscribed nodules in the left upper lobe, most likely granulomas but too small to characterize. Scattered small endobronchial filling defects are noted in the right upper lobe consistent with debris in the airwaysMild focal bronchiectasis and scarring in the rig... | 1. No suspicious pulmonary nodules masses.2. Subtle areas of endobronchial debris in the right lung suggestive of chronic aspiration. No signs of aspiration pneumonitis or pneumonia.3. Patulous esophagus containing a large volume of debris which extends to the proximal thoracic esophagus. Debris extends both above and ... |
Generate impression based on findings. | HX of superior right upper lobe nodule; new right upper lobe lung nodule. CHEST:LUNGS AND PLEURA: Postsurgical changes of left lower lobectomy. 10 x 7 mm nodule at the right apex unchanged compared to 7/8/11 where it measured 10 x 7 mm. Second nodule slightly lower in the apical segment was not present in 2011, measuri... | 1. Enlarging right upper lobe nodule (the lower of the two in the apical segment) highly suspicious for neoplastic process.2. Although the part solid nodule in the anterior left lung measures slightly smaller compared to 2011, differences could be secondary to subtle volume loss associated with fibrosis. The appearance... |
Generate impression based on findings. | Reason: 55Yrs male here for follow-up s/p panendo with biopsies and neck dissection in March 2012 after completing chemo XRT. Re-eval for recurrence History: as above CHEST:LUNGS AND PLEURA: Benign appearing micronodules are unchanged.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Degenerative abnor... | No sign of metastases, and no change. |
Generate impression based on findings. | History of Crohn's disease, diarrhea, and urinary urgency. Assess for inflammatory mass from Crohn's and the urinary bladder. ABDOMEN:LUNG BASES: Moderate centrilobular and paraseptal emphysema. Partially visualized nodule in the right middle lobe measuring 8 mm in diameter.LIVER, BILIARY TRACT: Cholelithiasis without ... | 1. Thickening of the terminal ileum without adjacent inflammatory changes suggestive of chronic Crohn's involvement.2. Enlarged heterogeneous prostate with mild prominence of the bladder and ureters. Correlate for lower urinary tract symptoms.3. Right middle lobe ulnar nodule in a background of emphysematous lung paren... |
Generate impression based on findings. | 71 year old female with metastatic small cell lung cancer, status post chemo and RT. Please evaluate disease status. CHEST:LUNGS AND PLEURA: The main portion of the large, infiltrating right hilar mass has not significantly changed in size. However, there does seem to be further involvement of the right major and minor... | 1. No significant change in size of main right hilar mass with interval thickening/nodularity of the right fissures. 2. Enlarging non-specific right renal lesion which may be neoplastic or inflammatory . |
Generate impression based on findings. | 43 year old female with a history of carcinoid tumor status post lung resection in 2010. LUNGS AND PLEURA: Left upper lobe scarring/atelectasis, unchanged. No pleural effusion, focal consolidation, or pneumothorax. Scattered pulmonary micronodules some of which are calcified, unchanged. No new or suspicious pulmonary n... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Male 65 years old Reason: eval for abscess History: ileus ABDOMEN:LUNG BASES: There are bilateral moderate pleural effusions with associated compressive atelectasis.LIVER, BILIARY TRACT: There is no evidence of intrahepatic biliary ductal dilatation or focal mass lesion. The hepatic vasculature appears patent and there... | 1.Moderately distended distal small bowel with nondilated proximal small bowel, which is nonspecific but may represent persistent inflammation, low grade obstruction or ileus.2.Moderate free mesenteric fluid and free fluid within the pelvis with no evidence of abscess.3.Small amount of free intraperitoneal air, which i... |
Generate impression based on findings. | Lung cancer metastatic to liver. Evaluate for interval change. CHEST:LUNGS AND PLEURA: Postsurgical changes in the left lung with associated pleural thickening and volume loss.Markedly increased airspace consolidation involving the majority of the left lung but worse in the base. While worsening tumor burden cannot be ... | 1. Progression of osseous, hepatic, mediastinal metastatic disease as described.2. Worsening consolidation in the left lung is likely post obstructive in etiology, worsening tumor burden cannot be excluded. |
Generate impression based on findings. | 81 year old female with non-small cell lung carcinoma. Status post radiation therapy. CHEST:LUNGS AND PLEURA: Right upper lobe nodule is difficult to identify possibly the lesion measuring 9 x 7 mm, previously 17 x 12 mm (18; series 5). Surrounding radiation pneumonitis and fibrosis slightly worse. Severe centrilobular... | 1. Progressive architectural distortion and pneumonitis in the right upper lobe. What is believed to be the nodule appears decreased in size.2. Persistent nodular thickening in the left adrenal gland is incompletely characterized on this examination and does not meet the CT criteria for a benign adenoma. Further evalua... |
Generate impression based on findings. | Reason: SAH History: blurred vision, worst HA of life The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized portions of the pa... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Metastatic SCC on treatment CHEST:LUNGS AND PLEURA: Scattered calcified micronodules. Noncalcified 5-mm nodule the right middle lobe unchanged and may reflect an intrapulmonary lymph node. Subpleural groundglass opacity in the posterior lung fields bilaterally, left greater than right, new from previous. Moderate emphy... | 1. No suspicious pulmonary nodules or masses.2. Nodule which appears to arise from the posterior wall of the mid esophagus may be correlated with endoscopy. 3. Development of groundglass opacity in the dependent lung fields which could be artifact of underinflation however early fibrosis such as NSIP cannot be excluded... |
Generate impression based on findings. | Male 66 years old Reason: Metastatic sarcoma on treatment. Evaluate for response and extent of disease. History: Metastatic sarcoma on treatment. Evaluate for response and extent of disease. CHEST:LUNGS AND PLEURA: The right middle lobe lesion is no longer evident secondary interval development of a moderate right-side... | 1.Enlarging pulmonary mass and nodule.2.Bilateral pleural effusions with associated atelectasis.3.Enlarging abdominal and pelvic masses.4.Worsening ascites and body wall edema.5.Stable inguinal and external iliac reference nodes. |
Generate impression based on findings. | Reason: h/o RV dilatation on TTE, would like to evaluate for PE History: see above PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolism, allowing for some degradation of the image by respiratory motion in the lung bases. Main pulmonary artery 35 mm. Streaming of the intraventricular sep... | 1. No evidence of pulmonary embolism.2. Large main pulmonary artery and evidence of right heart strain.3. Ascites and possible cirrhotic liver morphology. |
Generate impression based on findings. | Thoracic aneurysm without mention of rupture. Evaluate iliac access. CHEST:LUNGS AND PLEURA: Minimal scarring predominating at the bases.MEDIASTINUM AND HILA: There is a partially thrombosed saccular aneurysm extending from the left lateral wall of the apex of the aortic arch (image 28; series 9) which measures approxi... | 5-cm saccular aneurysm extending from the left lateral wall of the apex of the aortic arch as described. Coarse calcification in the right lower quadrant of unclear etiology. |
Generate impression based on findings. | 83-year-old male. Metastatic thyroid cancer and squamous cell carcinoma of larynx. There are extensive post-treatment findings related to thyroidectomy, pharyngolaryngectomy with tracheostomy and voice prosthesis insertion, neck dissection, and radiation therapy. No residual nasopharyngeal mass is identified. There is ... | Interval evolution of extensive post-treatment findings without definite evidence of locoregional tumor recurrence of significant cervical lymphadenopathy. |
Generate impression based on findings. | 55-year-old female status post minimally invasive esophagectomy on 10/12. CHEST:LUNGS AND PLEURA: There is a small right layering pleural effusion with underlying atelectasis and diaphragmatic pleural thickening, slightly decreased when compared to prior study. Previous referenced a right upper lobe ground glass nodule... | 1. Postoperative changes consistent with the stated history of esophagectomy with gastric interposition without evidence of complication. Persistent mediastinal lymphadenopathy.2. Persistent ground glass nodules in the right upper and left lower lobes consistent with atypical adenomatous hyperplasia or indolent adenoca... |
Generate impression based on findings. | Known aortic and iliac artery aneurysms. Interval follow-up. CT angiography: The infrarenal abdominal aorta has a mildly irregular contour and is ectatic measuring 2.9 cm in maximum dimension (series 10 image 80). A comparative wall to wall measurement at this level on the prior exam measured 2.7 cm. Mild atherosclerot... | Infrarenal aortic and left common iliac ectasia is minimally increased compared to prior. Continued follow-up is recommended. |
Generate impression based on findings. | 11-year-old female with hip subluxation. UTERUS, ADNEXA: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No pelvic lymphadenopathy.BONES, SOFT TISSUES: Right hip dislocation with the femoral head superior and posterior to the acetab... | Right hip dislocation and pseudoacetabulum formation. |
Generate impression based on findings. | Male 64 years old Reason: small bowel lesion History: GI bleed ABDOMEN:LUNG BASES: Marked emphysematous changes are seen in the lung bases with bibasilar opacities, which may represent consolidation or atelectasis. Scattered pulmonary micronodules are present.LIVER, BILIARY TRACT: There are hypodense lesions in hepatic... | 1.No evidence of mass lesion within the small bowel.2.Marked emphysematous changes in the lung bases. |
Generate impression based on findings. | Reason: sarcoidosis. increasing SOB History: sob LUNGS AND PLEURA: No evidence of pulmonary sarcoidosis.Scattered calcified granulomata are present, most likely from prior infection.Expiration series show no significant air trapping.MEDIASTINUM AND HILA: Symmetric mediastinal/hilar lymphadenopathy if slightly diminishe... | 1. Mediastinal and hilar lymphadenopathy without parenchymal involvement consistent with stage I sarcoidosis.2. Prior granulomatous disease.3. Regression of adenopathy, if changed at all. |
Generate impression based on findings. | Male; 12 years old. Reason: Rib lesion vs fracture. Cortical irregularity involving the anterior lateral aspect of the right seventh rib. Was kicked in area of lesion in past. History: Pain at lesion site on palpation. LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality no... | Right 6th rib lesions and fracture as described above. While these lesions could potentially represent a malignancy, their radiographic appearance favors a benign process. Differential diagnosis includes fibrous dysplasia, aneurysmal bone cyst, metastatic disease, eosinophilic granuloma, infection, and trauma. |
Generate impression based on findings. | 90 year-old male status post right upper lobectomy for adenocarcinoma. Rule out recurrence. LUNGS AND PLEURA: Post-surgical changes of right upper lobectomy. Unchanged scarring at the right base. Small nodular opacity at the anterior left cardiophrenic angle is unchanged. New poorly marginated pulmonary nodule measurin... | New 4mm left lower lobe perivascular poorly marginated nodule incompletely characterized without IV contrast. Neoplastic process cannot be excluded and 3 month follow-up is recommended. If the patient is able to receive IV contrast PE protocol should be requested to exclude the possibility of a small AVM. |
Generate impression based on findings. | AML pre-stem cell transplant evaluation. LUNGS AND PLEURA: Linear scarring in left upper lobe and lingula. Bronchial wall thickening present previously has resolved. Trace pleural fluid on the left, unchanged. Granuloma right lower lobe.MEDIASTINUM AND HILA: No significantly enlarged lymph nodes. Moderate cardiomegaly.... | No signs of pneumonia or other acute pulmonary abnormality. Trace amount of pleural fluid on the left is chronic. |
Generate impression based on findings. | 83 year old female with trauma and continued pelvic pain with concern for fracture. UTERUS, ADNEXA: The uterus is not confidently identified, possibly surgically absent.BLADDER: A left ureteral stent is noted with tip in the bladder.LYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormali... | No fracture identified. Other findings as above. |
Generate impression based on findings. | 8-year-old patient. Vomiting and headache following head trauma. Rule out bleed. No intracranial abnormality including mass, fluid collection or hemorrhage. There is no CT evidence of acute hydrocephalus or ischemia. The midline is preserved.Imaged portions of the orbits, paranasal sinuses and mastoid air cells are unr... | No abnormality demonstrated. |
Generate impression based on findings. | Male, 66 years old, metastatic sarcoma, on treatment. The aerodigestive mucosal spaces are within normal limits. There may be some layering debris/secretion along the left aspect of the hypopharynx.A few prominent lymph nodes are evident in the right supraclavicular fossa. These are mildly enlarged by size criteria mea... | 1. Mildly prominent right supraclavicular lymph nodes.2. Bilateral pleural effusions. |
Generate impression based on findings. | History of breast cancer. Presenting with pelvic fullness and urinary difficulty. CHEST:LUNGS AND PLEURA: Peripheral right upper lobe pulmonary nodule measures 7 mm (series 5 image 36). While there are no diagnostic quality comparative images, this was present on the previous PET scan and does not appear significantly ... | 1. No specific evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 66-year-old male with a history of tongue and tonsil cancer. Rule out lung METs. LUNGS AND PLEURA: 3-mm right middle lobe nodule, unchanged (image 68; series 7). No new or suspicious pulmonary nodules or masses. No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: Atherosclerotic calcification in the aorta. Enhanc... | 1. Persistent right paratracheal and retrocrural lymphadenopathy. No evidence of pulmonary metastases.2. Mild concentric wall thickening affects the mid and distal esophagus, which is nonspecific, but can be seen in esophagitis. CT cannot differentiate between neoplastic and inflammatory etiologies. |
Generate impression based on findings. | Slurred speech, confusion since yesterday. Evaluate for acute intracranial process. There is patchy hypoattenuation within periventricular/subcortical white matter. This correlates with patchy high T2 signal in the previous MR and most likely represent sequela of small vessel ischemic disease of indeterminate acuity. T... | CT findings suggestive of small vessel ischemic disease of indeterminate acuity without definitive CT evidence of acute ischemia. CT is suboptimal in sensitivity for assessment of acute ischemic pathology and if there is persistent concern, MR could be considered. Mottled appearance of the clivus correlates with the ap... |
Generate impression based on findings. | 94 year old with fall and confusion. Rule out intracranial hemorrhage. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage. There is severe periventricular and subcortical flair hypodensity likely represent chronic small vessel d... | No acute intracranial process. Moderate to severe chronic small vessel disease. |
Generate impression based on findings. | Mental cell lymphoma. Restaging. CHEST:LUNGS AND PLEURA: Subpleural micronodules can be followed.MEDIASTINUM AND HILA: Extensive mediastinal lymphadenopathy. For reference purposes, a pretracheal conglomeration of lymph nodes (image 30; series 3) measures 2.6 x 2.0 cm.CHEST WALL: Numerous axillary lymph nodes. Small no... | Extensive adenopathy in the chest, abdomen, and pelvis. Massive hepato- splenomegaly. |
Generate impression based on findings. | Male, 66 years old, history of acute myeloid leukemia, pre-stem cell transplant evaluation. The frontal sinuses and frontoethmoidal recesses are clear. The sphenoid sinuses and sphenoethmoidal recesses are clear. Minimal scattered thickening is evident through the ethmoid air cells.The maxillary sinuses are clear. The ... | 1. No evidence of active sinus disease.2. Redemonstration of a solid homogeneous mass within the left parotid gland. |
Generate impression based on findings. | History of sinonasal melanoma undergoing staging workup. CHEST:LUNGS AND PLEURA: Poorly defined 3-mm left lower lobe nodule (series 5 image 193). This is nonspecific and may be inflammatory in etiology, but given the patient's history continued follow up is recommended.MEDIASTINUM AND HILA: No mediastinal or hilar lymp... | 1. Poorly defined left lower lobe nodule as described. This is nonspecific and may be inflammatory in etiology, but given the patient's history continued follow up is recommended. 2. No specific evidence of metastatic disease in the abdomen and pelvis |
Generate impression based on findings. | 63 old female with early stage lung cancer of RUL s/p definitive RT in 4/2013. She has also been admitted in June for possible COPD exacerbation. Please evaluate for interval change. CHEST:LUNGS AND PLEURA: Spiculated right upper lobe nodule measures 21 x 24 mm (image 18, series 7), previously 26 x 25 mm. No new pulmon... | 1. Decrease in size of right upper lobe spiculated mass without significant change in lymphadenopathy. No new pulmonary nodules or masses. 2. Abdominal aortic aneurysm. |
Generate impression based on findings. | Head and neck cancer status post CRT. CHEST:LUNGS AND PLEURA: Motion artifact degrades image quality. Scattered calcified and noncalcified pulmonary nodules measuring up to 3-mm suggestive of prior granulomatous infection. Scattered cysts. Mosaic attenuation of the parenchyma at the lung bases suggestive of small airwa... | 1. Decrease in size of index prevascular region lymph node. 2. Upper abdominal lymph node has slightly increased in size, of unclear clinical significance3. No specific evidence of pulmonary metastatic disease.4. Right jugular vein thrombosis. |
Generate impression based on findings. | Female 79 years old Reason: elevated lft, colon ca, r/o met History: elevated lft, colon ca, r/o met ABDOMEN:LUNG BASES: Persistent ground glass opacities are again seen in the left lower lobe. There is no evidence of pulmonary nodules in the lung bases.LIVER, BILIARY TRACT: There is a new low attenuation lesion in the... | 1.New hypodense lesion in hepatic segment II, which may represent metastatic disease.2.Small cystic foci seen in the gallbladder wall, which may represent adenomyomatosis and could better characterized on a dedicated right upper quadrant ultrasound as clinically indicated.3.Soft tissue density in the rectal bed presuma... |
Generate impression based on findings. | Female, 83 years old, recent fall with continued pain. For consistency, the vertebral body numbering scheme has been maintained from prior examinations. Please note that the vertebral body labeled L1 bears rudimentary ribs. The S1 vertebral body demonstrates a transitional morphology.The bones are diffusely demineraliz... | Loss of vertebral body height at multiple levels is redemnostrated. This has progressed mildly at L2 when compared to the prior examination from 2001. Also new from that exam is loss of height and vertebroplasty change of L4. Aside from this, no additional acute fractures are seen.Degenerative disk disease and osteophy... |
Generate impression based on findings. | Abdominal pain and distention. Questionable extravasation noted on abdominal radiograph. Assess for bowel perforation. The lack of intravenous contrast limits evaluation of the abdominal solid organs.ABDOMEN:LUNG BASES: Nonspecific right pleural calcification. No pulmonary air space opacity.LIVER, BILIARY TRACT: No sig... | 1. Partial small bowel obstruction involving the ileum in the right lower quadrant appears similar to prior. No evidence of perforation. 2. Stable moderate ascites.3. Evaluation of retroperitoneal fibrosis is limited by the lack of intravenous contrast. |
Generate impression based on findings. | 79-year-old patient with history including excision, reconstruction and radiation therapy for tongue cancer. There are postoperative changes related to the reported total glossectomy with flap reconstruction, neck dissection and radiation therapy (>10 years prior). There is an irregular pattern of soft tissue/fat compr... | 1.Sequelae of the reported total glossectomy and left ALT free flap reconstruction and radiation (1992). The resulting pattern of soft tissue comprising the neo-tongue and pharynx is consistent with this history, and this examination may serve as a baseline for subsequent exams.2.Cortical irregularity of the left mandi... |
Generate impression based on findings. | Reason: h/o tongue cancer s/p excision, reconstruction and radiation therapy; please evaluate for metastasis History: h/o tongue cancer s/p excision, reconstruction and radiation therapy LUNGS AND PLEURA: Apical scarring and mild emphysema.No evidence of pulmonary or pleural metastases.Scattered calcified granulomata a... | No evidence of metastases. |
Generate impression based on findings. | 50 year-old female with left lower quadrant abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No sign... | Unremarkable study. |
Generate impression based on findings. | Reason: HNSCC. Post induction evaluation. History: as above CHEST:LUNGS AND PLEURA: Right pleural calcifications.Left lower lobe calcified granuloma.No evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: Median sternotomy for CABG with densely calcified native coronary arteries.Heart size is normal.No med... | 1. No sign of metastases.2. Multiple calcified appendicoliths. |
Generate impression based on findings. | T3N0 laryngeal SCC treated via chemoradiation completed 8/23/13. There is a new hypodense filling defect within the right internal jugular vein. The tracheostomy tube is in unchanged position. There is persistent diffuse mucosal thickening of the bilateral true vocal cords and false vocal cords with thickening of the a... | 1. New right internal jugular venous thrombosis.2. Grossly unchanged mucosal soft tissue thickening within the larynx that represents treated tumor. 3. No significant cervical lymphadenopathy. Discussed with Dr. Desouza at 4:15 PM on 9/20/13. |
Generate impression based on findings. | Reason: r/o bleed History: altered mental status The CSF spaces are appropriate for the patient's stated age with no midline shift. A periapical lucencies are present along the maxillary sinusesPunctate hypodense foci are present in the left caudate nucleus and the left detained in which were also present on the prior ... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Old lacunar infarcts identified in the left basal ganglia3.CT is insensitive for early detection of nonhemorrhagic CVA |
Generate impression based on findings. | Evaluate for fluid collection. Increasing leukocytosis and persistent abdominal pain. Clostridium difficile colitis. ABDOMEN:LUNGS BASES: Bibasilar atelectasis noted. Coronary artery calcifications.LIVER, BILIARY TRACT: The liver is normal in morphology. Gallstone noted in the gallbladder without inflammatory change.SP... | New right lower quadrant interloop abscess(es). Clinical service was notified of this finding at the time of dictation. |
Generate impression based on findings. | Mantle cell lymphoma. There are numerous enlarged cervical and upper mediastinal lymph nodes. Reference lymph nodes include the following:* A right parotid lymph node measures 11 x 13 mm (image 39, series 4).* A left level 1B lymph node measures 15 x 15 mm (image 44, series 4).* A left level 4 lymph node measures 8 x 1... | Enlarged Waldeyer ring structures and numerous enlarged cervical and upper mediastinal lymph nodes compatible with the diagnosis of mantle cell lymphoma with moderate narrowing of the oropharyngeal airway. |
Generate impression based on findings. | Male 59 years old Reason: assess for disease progression, h/o metastatic colon cancer History: h/o colon cancer CHEST:LUNGS AND PLEURA: There has been interval increase in size of a solid left upper lobe nodule, which previously measured approximately 1 mm and now measures 5 mm (image 53, series 5).MEDIASTINUM AND HILA... | 1.New hepatic/perihepatic metastatic lesions, and increase in size of the reference lesion.2.Interval increase in size of a left upper lobe pulmonary nodule.3.Stable hilar lymphadenopathy. |
Generate impression based on findings. | There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no significant stenosis at the carotid bifurcations. There is no significant sten... | 1.No mass is identified in the parotid or submandibular glands. Please note that noncontrast enhanced exams are less sensitive to neck pathology thin contrast enhanced exams 2.there is a calcified nodule present along the left tongue base which is nonspecific. It is possible that this represents dystrophic calcificatio... |
Generate impression based on findings. | Proctitis. History of ulcerative colitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormali... | 1. Postsurgical change the rectum.2. No definite fluid collection identified.3. Unchanged right flank nodule |
Generate impression based on findings. | History of prostate cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Index mediastinal node measures 1.2 x 0 .6 cm on image number 37, series number 3.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abno... | No significant change from previous study. |
Generate impression based on findings. | 65-year-old female with recurrent urinary tract infections 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: Subcent... | No CT findings to explain patient's recurrent urinary tract infections. |
Generate impression based on findings. | Reason: Patient with chronic right frontal headache. Please evaluate for signs of stroke and other causes of headache. History: Headache The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. N... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA3.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. |
Generate impression based on findings. | 46-year-old female with no bowel movements in 1.5 weeks This study is limited due to lack of IV contrast.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signific... | No evidence of bowel obstruction. 3-cm left ovarian cyst. Follow-up with ultrasound in 3 months is recommended. |
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