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Generate impression based on findings. | Reason: is there evidence of structural abnormality; edema History: infant currently being cooled for low pH, metabolic acidosis Examination is markedly compromised because metallic EEG leads along with the associated wiring surrounds the patient's head and creates artifact at the point where the examination is not int... | 1.Examination is compromised significantly by metal artifact which would obscure underlying abnormalities. If clinically possible removal of EEG leads and an associated metallic wires would help obtain a more interpretable exam. |
Generate impression based on findings. | Anterior mediastinal tumor ABDOMEN:LUNG BASES: Partially imaged is patient's large anteromediastinal mass in the left paracardiac space. This lesion is completely evaluated on the previous chest CT.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abn... | Possible paraceliac adenopathy. Incompletely imaged anterior mediastinal mass. |
Generate impression based on findings. | Headache status post craniotomy. There are postoperative findings related to right frontoparietal craniotomy. There is a 6 mm wide extra-axial hypodense fluid collection deep the craniotomy. There is diffuse hypoattenuation and swelling of the right inferior temporal gyrus. There is 4 mm of midline shift to the left. T... | 1. Postoperative findings related to right frontoparietal craniotomy with a 6 mm wide extra-axial fluid collection deep the craniotomy, but no evidence of acute intracranial hemorrhage or hydrocephalus.2. Diffuse hypoattenuation and swelling of the right inferior temporal gyrus may be due to acute infarction or tumoral... |
Generate impression based on findings. | T3N2c SCC L vallecula and CIS BOT, enrolled on clinical trial (IRB 10-069) with cis/paclitaxel/cetux. There is marked interval decrease in size of the infiltrative tumor involving the left vallecula. There is no significant cervical lymphadenopathy. The oral cavity and nasopharynx are unremarkable. There is no airway c... | Marked interval decrease in size of the infiltrative tumor involving the left vallecula and no significant cervical lymphadenopathy, indicating treatment response. |
Generate impression based on findings. | Female 50 years old Reason: eval R pleural effusion - restaging for breast ca History: SOB CHEST:LUNGS AND PLEURA: There is a 1.9 x 3.4 cm (image 30, series 4) peripherally enhancing, well circumscribed, necrotic appearing pleural based pulmonary mass, with evidence of chest wall invasion and without evidence of rib er... | 1.Large, likely malignant right-sided pleural effusion with associated compressive atelectasis and areas of consolidation in the right upper lobe.2.Pleural-based pulmonary mass with necrotic appearing center and numerous associated pleural-based nodules.3.Large right-sided chest wall mass with necrotic-appearing core a... |
Generate impression based on findings. | Female 55 years old Reason: rule out malignancy History: weakness, muscle spasms, stiff person syndrome CHEST:LUNGS AND PLEURA: Pulmonary micronodules identified in the right upper lobe (image 35, series 4).MEDIASTINUM AND HILA: There is a calcific focus in the left lobe of the thyroid gland. Slightly prominent hilar a... | 1.No definitive evidence of malignancy within the abdomen and pelvis.2.Right upper lobe pulmonary micronodules. |
Generate impression based on findings. | Female 71 years old Reason: eval acute intraabd process History: diffuse abd pain/tender, febrile ABDOMEN:LUNG BASES: Two cystic lesions are seen in the right middle lobe. There is bibasilar opacities right greater than left which may represent atelectasis or consolidation. There are calcified hilar lymph nodes consist... | 1.Free, and at least partially loculated fluid collections within the pelvis with associated extraluminal air and diverticulosis, most likely representing complicated diverticulitis; however, a gynecologic etiology cannot be excluded.2.Thickened urinary bladder wall with a focus of gas within the bladder, correlate cli... |
Generate impression based on findings. | Female 33 years old Reason: Obstruction History: Pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is no evidence of focal mass lesion within the hepatic parenchyma or intrahepatic biliary ductal dilatation. There is no evidence of cholecystitis or choledocholithiasis.SPLEEN: No signi... | 1.No definitive etiology found to explain the patient's symptomatology.2.Chronic inflammatory changes seen in the descending colonic wall. |
Generate impression based on findings. | 54-year-old male with hypoxia and tachycardia. Rule out PE. PULMONARY ARTERIES: Technically adequate study without evidence of acute pulmonary embolus.LUNGS AND PLEURA: Innumerable bilateral pulmonary nodules consistent with metastatic disease.Left lower lobe pulmonary nodule measures 2.7 x 2.5 cm (image 104, series 10... | 1. No evidence of acute pulmonary embolus2. Innumerable pulmonary metastases.3. New confluent right lower lobe consolidation suspicious for infection with associated tumor extension. |
Generate impression based on findings. | Female 74 years old Reason: r/o obstruction History: abdominal pain constipation ABDOMEN:LUNG BASES: There is minimal bibasilar dependent atelectasis.LIVER, BILIARY TRACT: The patient is status post cholecystectomy. There is mild prominence of the intra-and extra hepatic biliary collecting system, which appears stable ... | 1.Inflammation of the descending colon associated diverticulosis, which likely represents acute on chronic diverticulitis. There is no evidence of complications such as abscess, perforation or fistula. |
Generate impression based on findings. | 10-year-old female with a Marfan's prevents with two days of diffuse abdominal pain, worsening, evaluate for dissection; also evaluate gallbladder/pancreas etc. CHEST:LUNGS AND PLEURA: No consolidation, pleural effusion, or pneumothorax.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size is normal... | 1.Prominent mesenteric lymph nodes, particularly in the right lower quadrant, which may represent mesenteric adenitis.2.Hepatosplenomegaly.3.No aortic dissection or aneurysm. |
Generate impression based on findings. | 21-year-old female presents after pedestrian versus motor vehicle collision with low cervical spine tenderness. Evaluate for acute injury. Head: There is moderate soft tissue swelling in the right parietal scalp over. There is no depressed calvarial fracture. There is no evidence of intracranial hemorrhage, mass, or ce... | 1.No evidence of acute intracranial hemorrhage, mass, cerebral edema, or calvarial fracture.2.No acute fracture or subluxation in the cervical spine. However, if there is significant concern for cord injury or ligamentous injury, MRI should be considered. |
Generate impression based on findings. | Stage 4 SCC carcinoma of the tongue and neck and stage 4 papillary thyroid carcinoma, RA, HTN. On 9/9/13, the patient underwent total thyroidectomy, hemiglossectomy, and mandibulectomy and presents with fever. Beam hardening artifact from dental hardware partially obscures the region of interest/oral cavity. Within thi... | 1. Interval extensive post-operative findings related to right glossectomy with flap reconstruction with an ill-defined hypoattenuating (15 to 25 HU) area adjacent to the surgical drain that measures up to 5.1 cm may represent a postoperative fluid collection, phlegmon, or early abscess with associated cellulitis. Howe... |
Generate impression based on findings. | Female 23 years old Reason: eval for appy, colitis/abscess History: diffuse tenderness, septic, hx of diffuse gi ulcers 2/ behcets ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is no evidence of intrahepatic biliary ductal dilatation or focal mass lesion. The hepatic vasculature appear... | 1.Diffuse confluent inflammation of the entire colon from the terminal ileum to the rectum consistent with pan colitis, likely inflammatory or infectious in etiology.2.There is no evidence of free intraperitoneal air, abscess or fistula. |
Generate impression based on findings. | Male 49 years old Reason: eval for obstruction History: vomiting, abdominal pain ABDOMEN:LUNG BASES: A pericardial effusion is present, which appears unchanged in size and extent since the prior examination.LIVER, BILIARY TRACT: The patient is status post cholecystectomy. There is no evidence of focal mass lesion withi... | 1.No definitive etiology found to explain the patient's symptomatology.2.Persistent pericardial effusion. |
Generate impression based on findings. | 55-year-old male presents with AMS in the setting of anticoagulation during recent cath; rule out bleed. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There are scattered hypodensities in the periventricular and subcortical white matter, as well as the deep gray matter structures, likely rel... | 1.No evidence of intracranial hemorrhage.2.Unchanged infarction of the left pons, likely subacute.3.Unchanged mild cerebral white matter hypodensity, likely related to small vessel ischemic disease. |
Generate impression based on findings. | Female 42 years old Reason: eval for Kidney stone, size/obstruction/etc History: flank pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is no evidence of focal mass lesion within hepatic parenchyma and the hepatic vasculature appears patent. There is no evidence of cholelithiasis or ... | 1.No evidence of obstructing renal or ureteral stone.2.Nonspecific, slightly prominent retroperitoneal, pelvic and mesenteric lymph nodes. |
Generate impression based on findings. | 42-year-old male presents with altered mental status; evaluate for ischemia. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is a round hypodense focus adjacent to the right lentiform nucleus, likely representing an enlarged perivascular space. The ventricles and basal cisterns are norma... | No evidence of intracranial hemorrhage, mass, or cerebral edema. . CT is insensitive for the detection of early ischemia. If there is clinical concern for acute ischemia, MRI would be recommended |
Generate impression based on findings. | Left sided neck mass. There is a conglomerate of enlarged left level 2 lymph nodes with surrounding fat stranding. Some of these lymph nodes demonstrate areas of relative hypoenhancement. There are also numerous other enlarged bilateral cervical as well as axillary lymph nodes. Reference lymph nodes include the followi... | Extensive bilateral cervical and axillary lymphadenopathy including a conglomerate of enlarged left level 2 lymph nodes with surrounding fat stranding. Differential considerations include an infectious process, lymphoma/leukemia, and less likely sarcoidosis. |
Generate impression based on findings. | Female 40 years old Reason: mass History: LLQ pain ABDOMEN:LUNG BASES: Bibasilar opacities with air bronchograms, which may represent consolidation or atelectasis.LIVER, BILIARY TRACT: There is no evidence of intrahepatic biliary ductal dilatation or focal mass lesion. There is evidence of biliary sludge but no evidenc... | 1.Evolving perinephric hematoma arising off the inferior pole of the left kidney.2.Left-sided renal angiomyolipoma, which may represent the source of the perinephric hematoma.3.Leiomyomatous uterus. |
Generate impression based on findings. | Altered mental status. There is no evidence of acute intracranial hemorrhage, mass, or cerebral edema. There are unchanged punctate hypodense foci in the left caudate nucleus and the left putamen, which are compatible with chronic lacunar infarcts. The ventricles and basal cisterns are stable in size and configuration ... | 1.No evidence for acute intracranial hemorrhage, mass lesion, or cerebral edema.2.Chronic lacunar infarcts in the left basal ganglia. However, CT is insensitive for early detection of nonhemorrhagic CVA and MRI may be performed for further evaluation. |
Generate impression based on findings. | Assault. Head: There is no evidence of acute intracranial hemorrhage, mass, or cerebral edema. The brain parenchyma appears unremarkable. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The There is no evidence of calvarial fracture.Maxillofacial: There i... | 1. No evidence of intracranial hemorrhage, mass, or cerebral edema.2. Left frontal scalp hematoma, but no evidence of maxillofacial fracture. |
Generate impression based on findings. | GE junction cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Large distal esophageal/GE junction mass as seen on image 86 of series 3 now measuring 6.1 x 5.3 cm; this is in comparison to 5.8 x 5 cm on 8/27/2013. This distal esophageal/GE junction mass is associated with bulky paraeso... | Large distal esophageal/GE junction mass consistent with known primary malignancy. Significant interval increase in size of bulky regional metastatic adenopathy as well as interval increase in size of distant retroperitoneal metastatic adenopathy. |
Generate impression based on findings. | 33-year-old female status post nasal intubation for supraglottitis in the setting laryngeal manifestations of sarcoidosis. History of chronic cough. Evaluation of ILD. LUNGS AND PLEURA: Within the right middle lobe and to a lesser degree the right lower lobe, there are discontinuous areas of ground glass opacities with... | 1. Right middle and lower lobe ground glass opacities/subtle clustered micronodules and bronchial wall thickening. This appearance is more consistent with bronchiolitis and would be atypical for pulmonary sarcoidosis, which is lower on the differential.2. Markedly enlarged, heterogeneous thyroid gland with interval gro... |
Generate impression based on findings. | 64-year-old female with altered mental status, neutropenia, and acute liver failure. Assess for extension of subdural hematoma. There is no significant interval change in the right frontoparietal convexity subdural hematoma, measuring up to 13 mm in width. There is unchanged mild regional mass effect with effacement of... | Unchanged acute right frontoparietal convexity subdural hematoma measuring up to 13 mm in width and no midline shift or herniation.Findings were relayed to Dr. Escue at 10:20 a.m. on September 21, 2013. |
Generate impression based on findings. | 64 year female with AML, and now with AMS and thrombocytopenia. Evaluate for intracranial bleed or acute process. There is a hyperdense right frontoparietal convexity subdural hematoma that measures up to 13 mm in width. The hematoma demonstrates local mass effect with associated underlying flattening of the brain pare... | Acute right frontoparietal convexity subdural hematoma measuring up to 13 mm in width without midline shift or herniation.Findings were relayed to Dr. Escue at 10:20 a.m. on September 21, 2013. |
Generate impression based on findings. | Metastatic bladder carcinoma CHEST:LUNGS AND PLEURA: Interval increase in size of many of the numerous bilateral pulmonary nodules. The reference right apical focus best seen on image 10 of series 3 now measures 1.3 x 1.2 cm; this is in comparison to 0.9 x 0.9 cm on 5/18/2013. The reference left upper lobe nodule best ... | Interval increase in size of many of the numerous bilateral metastatic pulmonary nodules. Metastatic adenopathy stable. |
Generate impression based on findings. | 55-year-old female with recurrent seizures. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There are mild periventricular and subcortical hypodensities, as well as more punctate hyperdensity in the left basal ganglia and body of the corpus callosum. There is an unchanged focal calcification i... | 1.No evidence of intracranial hemorrhage, mass, or cerebral edema. However, MRI is more sensitive for detecting seizure foci and may be considered, if clinically indicated.2.Unchanged mild cerebral white matter hypoattenuation that likely represents small vessel ischemic disease, as well as more focal hypodensities in ... |
Generate impression based on findings. | Metastatic colorectal carcinoma CHEST:LUNGS AND PLEURA: Resolution of previously noted ground glass parenchymal opacities.MEDIASTINUM AND HILA: Stable prevascular soft tissue focus as seen on image 34 series 3 measuring 1.6 x 2.2 cm.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Stable periph... | Interval resolution of ground glass lung parenchymal opacities suggestive for resolution of acute inflammatory/infectious process. Otherwise stable examination with no significant change in metastatic reference lesions. |
Generate impression based on findings. | Abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LY... | Negative for acute, inflammatory, or neoplastic process. Specifically, no evidence for retroperitoneal fibrosis. |
Generate impression based on findings. | Cirrhosis and abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cirrhotic morphology. Subcentimeter cyst segment 5 of the right lobe of the liver. No worrisome hepatic mass. Hepatic vessels patent. No ductal dilatation.SPLEEN: No significant abnormality notedPANCREAS: No significa... | Stable cirrhotic morphology without worrisome mass lesion or ductal dilatation. No evidence for acute, inflammatory, or neoplastic process. |
Generate impression based on findings. | Hematuria with history of bladder cancer ABDOMEN:LUNG BASES: 0.7-cm ground glass nodular focus within the right lower lobe seen on image one of series 6.LIVER, BILIARY TRACT: Fatty infiltration of the liverSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant a... | No evidence for GU related abnormality. Groundglass right lower lobe nodular opacity incompletely characterized. Would suggest special attention to this lesion on future surveillance scans. |
Generate impression based on findings. | 49-year-old male with recent right MCA infarct and intraparenchymal hemorrhage. Assess for midline shift. There are postsurgical findings related to right hemicraniectomy with interval redistribution and mild increase in subgaleal fluid, now extending to the right periorbital tissues and left parietal region. There is ... | Continued interval evolution of postoperative findings and the large right MCA territory infarct with hemorrhagic conversion centered in the right basal ganglia with unchanged 8 mm of midline shift to the left and uncal herniation |
Generate impression based on findings. | 54yoM s/p tracheostomy decannulation with known tracheal stenosis. There is a midline scar at the level of the thyroid isthmus related to closure of prior tracheostomy. There is focal narrowing of the trachea at the level of the thyroid gland with a transverse diameter of 4 mm (approximately 90% stenosis). The remainde... | Postoperative findings related to closure of prior tracheostomy with moderate to severe post intubation tracheal stenosis (4 mm transverse diameter). |
Generate impression based on findings. | Left mucoepidermoid parotid tumor s/p resection 3/13 at Loyola University. New onset left otalgia and jaw pain. Head: There is no evidence of intracranial metastasis. The cavernous sinuses are unremarkable. There is no evidence of abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size a... | 1. Postoperative findings related to left parotidectomy with residual left parotid tissue that appears grossly unremarkable, although the soft tissue density of the gland can obscure an underlying lesion. No definite signs of perineural spread, although CT has a limited sensitivity for detection of this process. MRI wi... |
Generate impression based on findings. | Fall with subsequent left sided blurred vision. Rule out bleed. There is minimal swelling and stranding within subcutaneous fat overlying the left zygoma and periorbital region, which likely represents sequelae of the recent trauma. There is no evidence of intracranial mass, fluid collection, acute hemorrhage, or hydro... | Left facial contusion overlying the zygoma without evidence of acute intracranial hemorrhage. |
Generate impression based on findings. | Headache. The facial soft tissues are unremarkable without evidence of mass lesions or abscess. The dentition is unremarkable. There is no evidence of osteomyelitis. The major salivary glands are unremarkable and there is no evidence of sialolithiasis. There is no significant upper cervical lymphadenopathy. The paranas... | 1. Unremarkable maxillofacial soft tissues and bone without evidence of abscess or osteomyelitis.2. Bilateral optic nerve Drusen. |
Generate impression based on findings. | Worsening ventricular assist device drive line exit site drainage, fever, chills, and pain. Please evaluate for VAD position and fluid collections around drive line and VAD pocket or abscess related to drive line. CHEST:LUNGS AND PLEURA: Bibasilar subsegmental atelectasis. Right upper lobe predominant paraseptal emphys... | Soft tissue thickening along the LVAD drive line, without loculated fluid collection to suggest abscess formation. |
Generate impression based on findings. | Object fell on head. Tenderness to palpation. There is straightening of the cervical lordosis, which is likely related to muscle spasm in the context of trauma. The vertebral body and intervertebral disk height is preserved. There is 5 mm diameter well-defined lucent lesion within the right posterior lateral aspect of ... | No evidence of cervical fracture or spondylolisthesis. A 5 mm lucent lesion within the C5 vertebral body likely represents a hemangioma. |
Generate impression based on findings. | Right hand numbness and weakness. Head CT: 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 skull appears unremarkable. There is a 13 mm cystic lesion in the skin of the left tem... | 1. No evidence of intracranial hemorrhage, mass, or cerebral edema to suggest infarction.2. No significant steno-occlusive lesion of the major cerebral arteries.3. Moderate (approximately 60%) stenosis of the origin of the left internal carotid artery. Otherwise, no significant steno-occlusive lesion of the major cervi... |
Generate impression based on findings. | Abdominal pain and diarrhea. ABDOMEN:LUNG BASES: No focal lung opacities, effusions or pneumothorax.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abn... | No CT findings to explain patient's symptoms. |
Generate impression based on findings. | History of malignancy. Sudden onset dyspnea and hypoxia. PULMONARY ARTERIES: Technically adequate study for evaluation of the pulmonary arteries to the lobar level. No pulmonary embolus is identified.LUNGS AND PLEURA: Numerous bilateral pulmonary nodules, likely representing metastases of the patient's known primary ma... | 1. No evidence of pulmonary embolism to the lobar level.2. Numerous bilateral pulmonary nodules, likely representing metastases given the patient's history of known malignancy. |
Generate impression based on findings. | Headache and nausea after an object fell on head. There is no intracranial mass, fluid collection, hemorrhage, hydrocephalus. The grey-matter differentiation is maintained bilaterally and the midline is intact. There is partially imaged moderate right maxillary sinus mucosal thickening. The other paranasal sinuses and ... | No evidence of acute intracranial hemorrhage or skull fracture. |
Generate impression based on findings. | Abdominal pain and bloody diarrhea ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Fatty infiltration of the liverSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality noted... | Diffuse wall thickening of the colon with skip regions consistent with colitis; while inflammatory bowel disease is favored, an infectious etiology cannot be excluded. No perforation abscess or obstruction. Fatty infiltration of liver. |
Generate impression based on findings. | Swelling and tenderness posterior to left ear. Rule out brain bleed. There is no intracranial mass fluid collection, hemorrhage, hydrocephalus. The gray-white matter differentiation is preserved. The mastoid air cells are clear. There are no displaced fractures. There is an incomplete anterior C1 arch. The partially im... | No acute intracranial hemorrhage or evidence of mastoiditis. |
Generate impression based on findings. | Right buttock cellulitis with pain UTERUS, ADNEXA: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: Skin thickening and subcutaneous fat stranding within the right posterior medial... | Skin thickening and subcutaneous fat stranding within the right posterior medial superior thigh suggestive for cellulitis without evidence for loculated fluid collection or abscess. No obvious fistulous communication to the bowel |
Generate impression based on findings. | Flank pain; recent drain placement; metastatic renal cell carcinoma ABDOMEN:LUNG BASES: New small bilateral pleural effusions.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Parasplenic metastatic focus slightly increased in size.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abn... | Interval increase in size of left lower quadrant metastatic mesenteric mass. This mass is inseparable and probably invades multiple bowel loops and is now associated with a partial small bowel obstruction. Gas within the mass may represent either necrosis or fistulous communication to invaded bowel.Percutaneous drainag... |
Generate impression based on findings. | Shortness of breath and tachycardia PULMONARY ARTERIES: Technically adequate study for evaluation of the pulmonary arteries to the subsegmental level. No pulmonary embolus is seen.LUNGS AND PLEURA: The irregular right upper lobe mass compatible with primary lung carcinoma measures 4.8 x 3.1 cm (series 10, image 72), pr... | 1. No evidence of pulmonary embolism2. Right upper lobe mass, compatible with primary lung carcinoma, with minimal change in size.3. Interval increase in size of the osseous metastases and mediastinal and retrocrural lymph nodes4. Increased prominence of the scattered groundglass pulmonary nodules |
Generate impression based on findings. | Headache. Rule out bleed. There is no evidence of intracranial mass, fluid collection, hemorrhage, or hydrocephalus. The gray-white matter differentiation is preserved. There are no displaced fractures. The right sphenoid sinus is completely opacified. The imaged portions of the orbits are unremarkable. | No evidence of acute intracranial hemorrhage. |
Generate impression based on findings. | Hypotension with history of thoracic aneurysm and gastric carcinoma LUNGS AND PLEURA: Small left pleural effusionMEDIASTINUM AND HILA: Thoracic aortic aneurysmal dilatation with AP diameter of the ascending aorta 5.1 cm.Focal outpouching of descending thoracic aorta with disruption of intimal calcifications and intrins... | Thoracic aortic aneurysm with a focal outpouching of descending thoracic aorta with disruption of intimal calcifications and intrinsic intramural high attenuation. Findings worrisome for intramural hemorrhage; this focus is at risk for rupture. Gastric malignancy associated with extensive right lobe hepatic metastases ... |
Generate impression based on findings. | CVA. There is extensive cerebral white matter hypoattenuation that is similar to the recent MRI, accounting for differences in technique. There is no evidence of intracranial mass, fluid collection, hemorrhage, or hydrocephalus. The gray-white interface is intact bilaterally. There is a mucus retention cyst within left... | Extensive cerebral white matter hypoattenuation similar to the recent MRI, which raises the possibility of a demyelinating process. No evidence of acute intracranial hemorrhage. |
Generate impression based on findings. | Fever and cough with abdominal pain; history of appendicitis; history of AML CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnor... | Slightly improved appendiceal wall thickening and periappendiceal infiltration again consistent with uncomplicated appendicitis. No evidence for cecal abnormality to suggest typhlitis. No abscess or bowel obstruction. No acute intrathoracic process. |
Generate impression based on findings. | Right lower quadrant pain and nausea ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Left renal cystRETROPERITONEU... | Negative for acute, inflammatory, or neoplastic process |
Generate impression based on findings. | Poorly differentiated adenocarcinoma with dysphasia and weight loss CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Mediastinal adenopathy. Representative precarinal lymph node best seen on image 35 series 3 measures 2.3 x 1.5 cm.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, B... | New diffuse wall thickening of the colon; raises the possibility of a pancolitis of either inflammatory or infectious etiology. No evidence for bowel obstruction or abscess.New subtle omental/peritoneal nodularity suggestive for new metastatic implants. Large liver mass, right adrenal metastasis, and retroperitoneal me... |
Generate impression based on findings. | Chest pain PULMONARY ARTERIES: Technically adequate study for evaluation of the pulmonary arteries to the subsegmental level. No pulmonary embolus is identified.LUNGS AND PLEURA: Right basilar and pleural scarring, similar to the prior exam. Bibasilar subsegmental atelectasis. No focal air space opacity suggestive of i... | No evidence of pulmonary embolism. |
Generate impression based on findings. | Altered mental status. There is no evidence of intracranial hemorrhage. There is bilateral mineralization of the dentate nuclei and tails of the hippocampi. There is mild diffuse cerebral white matter hypoattenuation that is likely related to microangiopathy. There are more focal areas of white matter hypoattenuation i... | 1. No evidence of acute intracranial hemorrhage. 2. Focal areas of white matter hypoattenuation in the bilateral anterior middle frontal gyri with effacement of the grey-white matter junction and no appreciable disproportionate volume loss may represent late subacute infarcts. Further interrogation via MRI/MRA may be u... |
Generate impression based on findings. | Status post with hemoglobin drop. By history stage IV lung cancer ABDOMEN:LUNG BASES: Multiple bilateral pulmonary nodules many with central cavitation.LIVER, BILIARY TRACT: Calcified left lobe lesion incompletely characterized on this noncontrast study.SPLEEN: No significant abnormality notedPANCREAS: No significant a... | Extensive destructive lytic lesions involving the left pelvic ileum, sacrum as well as left ischium. Associated with asymmetrical thickening of the left pelvic surrounding musculature. While this may be secondary to metastatic involvement, hemorrhage into the surrounding left pelvic musculature should also be considere... |
Generate impression based on findings. | Headache, nausea and vomiting. History of hydrocephalus with VP shunt. There is an unchanged right transparietal ventriculostomy catheter that extends across the midline, terminating in the periventricular white matter immediately adjacent the left ventricular body. There has been interval increase in ventricular size,... | 1.Interval increase in size of the ventricular system, which likely represents hydrocephalus related to shunt malfunction.2.Interval decrease of the extra-axial fluid collections. |
Generate impression based on findings. | Left flank plain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, ... | Negative for acute, inflammatory, or neoplastic process. |
Generate impression based on findings. | Right sided facial trauma and left eye swollen and ecchymosis after assault. There is a mildly angulated and medially displaced fracture through the left nasomaxillary suture. The nasal cavity is clear and the nasal septum appears to be intact. There is subcutaneous fat stranding and swelling of the nasal dorsum and le... | Mildly angulated and medially displaced fracture through the left nasomaxillary suture with associated contusion of the overlying nasal dorsum and left preseptal tissues. |
Generate impression based on findings. | Right lower quadrant pain; history of renal transplant ABDOMEN:LUNG BASES: Trace bilateral pleural effusionsLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Right rena... | Moderately severe sigmoid diverticulosis associated with mild pericolonic soft tissue infiltration suggestive for diverticulitis without evidence for abscess or bowel obstruction. |
Generate impression based on findings. | Left lower quadrant pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERI... | Interval enlargement of the uterus associated with centrally located low-attenuation focus. No obvious distal obstructing lesion. Favor an abnormally dilated fluid-filled endometrial cavity; fibroids also in the differential. A neoplastic etiology cannot be excluded. GYN consultation and evaluation with GYN ultrasound ... |
Generate impression based on findings. | AMS. Rule out intracranial abnormality. There is mild cerebral white matter hypoattenuation, which is perhaps slightly progressed since the MRI from 2003. There is no intracranial mass, fluid collection, hemorrhage, or hydrocephalus. The gray-white matter differentiation is intact. There is hyperostosis frontalis. The ... | No evidence of acute intracranial hemorrhage. Mild cerebral white matter hypoattenuation is non-specific and perhaps slightly progressed since the MRI from 2003, accounting differences technique. This can be further characterized via a repeat MRI. |
Generate impression based on findings. | Back pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality noted. Left ectopic pelvic ki... | Negative for acute, inflammatory, or neoplastic process |
Generate impression based on findings. | Status post fall with facial trauma. The previously described localized region of hypoattenuation within white matter of the left centrum semiovale, corona radiata, and left basal ganglia is more conspicuous. There is otherwise an unchanged focus of encephalomalacia in the adjacent coronal radiata. There is no intracra... | Increased conspicuity of hypoattenuation involving the left centrum semiovale, corona radiata, and left basal ganglia may represent an evolving subacute infarct adjacent to to a more chronic lacunar infarct. MRI may useful for further characterization. Otherwise, no evidence of acute intracranial hemorrhage and unchang... |
Generate impression based on findings. | Right upper quadrant abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Segment 3 hepatic cyst.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Bilateral renal cystsRETROPERITONEUM, L... | Negative for acute, inflammatory, or neoplastic process. |
Generate impression based on findings. | Confusion. There is no evidence of acute intracranial hemorrhage. There is unchanged moderate diffuse cerebral white matter hypoattenuation that likely represents small vessel ischemic disease. There is also an unchanged punctate hypodense focus in the left basal ganglia that likely represents a chronic lacunar infarct... | 1. No evidence of acute intracranial hemorrhage.2. Unchanged moderate cerebral white matter hypoattenuation that likely represents small vessel ischemic disease.3. Unchanged punctate hypodense focus in the left basal ganglia that likely represents a chronic lacunar infarct. |
Generate impression based on findings. | Left flank 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: Bilateral renal cysts.RETROPERITONEUM, LYMPH NODES... | Negative for acute, inflammatory, or neoplastic process |
Generate impression based on findings. | Increasing lipase and abdominal pain with fever; breast cancer ABDOMEN:LUNG BASES: Moderate right pleural effusionLIVER, BILIARY TRACT: Slight interval increase in in size and number of right hepatic lobe metastatic lesions. Left lobe intrahepatic ductal dilatation relatively stable. Thrombosis/occlusion of anterior an... | Interval increase in severity of proximal colonic wall enhancement and wall thickening associated with new involvement of gastric antrum and proximal duodenum as well as worsening omental/peritoneal metastatic nodularity. Favor metastatic involvement with secondary inflammation. Worsening ascites. Progression of right ... |
Generate impression based on findings. | Left sided weakness of face arm and leg. Head CT: There is a punctate hypodensity within the right cerebellar hemisphere. There is also mild diffuse cerebral white matter hypoattenuation that likely represents microangiopathy. There is no evidence of acute intracranial hemorrhage, mass, or cerebral edema. The ventricle... | 1. Punctate hypodensity within the right cerebellar hemisphere, which may represent an infarct of indeterminate age. No evidence of intracranial hemorrhage, mass, or cerebral edema. MRI may be useful for further interrogation.2. Mild focal stenosis in the mid basilar artery. Otherwise, there is no significant steno-occ... |
Generate impression based on findings. | Assess for ischemia, edema. Head CT: The images are degraded by patient motion. There are postsurgical findings related to right hemicraniectomy with interval redistribution and mild increase in subgaleal fluid, now extending to the right periorbital tissues and left parietal region. There is continued evolution of the... | 1. Continued interval evolution of postoperative findings and the large right MCA territory infarct with hemorrhagic conversion centered in the right basal ganglia with unchanged 8 mm of midline shift to the left and uncal herniation.2. Interval recanalization of the right internal carotid artery, right middle cerebral... |
Generate impression based on findings. | Abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LY... | Distal end of VP shunt again noted without evidence for associated loculation/pseudocyst. Trace pelvic ascites |
Generate impression based on findings. | Status post fall, facial trauma. Head: There is hypoattenuation within the left centrum semiovale, corona radiata, and left basal ganglia. There is also encephalomalacia in the adjacent coronal radiata. There is no intracranial mass, fluid collection or intracranial hemorrhage or hydrocephalus. Maxillofacial: There is ... | 1.Left medial and inferior orbital wall blowout fractures with associated orbital fat herniation without extraocular muscle herniation, preseptal and retrobulbar hemorrhage, and a medial subperiosteal hemorrhage measuring up to 4 mm in thickness. Possible mild flattening of the left anterior chamber, which can occur wi... |
Generate impression based on findings. | Vomiting and pain ABDOMEN:LUNG BASES: Stable cardiomegaly and pericardial effusionLIVER, BILIARY TRACT: Stable cholelithiasisSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: New moderately severe bilateral hydronephrosis ... | New moderately severe bilateral hydronephrosis and hydroureter due to obstruction and distention of urinary reservoir probably due to parastomal hernia. No evidence for small bowel obstruction at this time. |
Generate impression based on findings. | Status post fall. Rule out fracture. Extensive patient motion degrades anatomic detail. There is mild straightening of the normal cervical lordosis likely due to the presence of a C-spine collar or muscle spasm. There are no cervical spine fractures. There is no prevertebral soft tissue swelling. There are degenerative... | No evidence of cervical spine fracture or spondylolisthesis. Refer to the separate maxillofacial CT report for additional findings. |
Generate impression based on findings. | Elevated normetanephrine, NF1 ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Stable transiently enhancing segment 4a left lobe liver focus as seen on image 22 of series 9 measuring 1.9 x 1.3 cm. Stable left lobe hepatic cysts.SPLEEN: No significant abnormality notedPANCREAS: No significant ab... | Stable examination. No evidence for abnormal adrenal or extraadrenal pheochromocytoma. |
Generate impression based on findings. | Moderate redness, warmth, and flocculent swelling above the right ear. Evaluate for abscess, mastoiditis. There is a preauricular air and fluid-filled rim-enhancing collection that measures up to 20 mm with surrounding subcutaneous fat stranding and thickening of the external auditory canal wall. The mastoid air cells ... | A preauricular fluid and air collection with rim enhancement that measures up to 20 mm is compatible with abscess associated with otitis externa. No evidence of intracranial extension or dural sinus thrombosis. |
Generate impression based on findings. | Vomiting following head injury. Rule out intracranial injury. There is no evidence of intracranial mass, fluid collection, hemorrhage, hydrocephalus. The gray-white matter differentiation is preserved. There are no depressed calvarial fractures and the orbits are unremarkable. The mastoid air cells are clear. | No evidence of acute intracranial hemorrhage or displaced calvarial fracture. |
Generate impression based on findings. | 64 yo M with AMS and septic emboli to brain. The images are markedly degraded by patient motion and portable technique. The previously demonstrated multiple hyperdense foci that likely represent hemorrhagic septic emboli within the bilateral and right cerebellum are poorly depicted, but grossly unchanged. There are als... | The images are markedly degraded by patient motion and portable technique. The previously demonstrated multiple hyperdense foci that likely represent hemorrhagic septic emboli within the bilateral and right cerebellum are poorly depicted, but grossly unchanged. |
Generate impression based on findings. | Elevated gastrin and insulin levels possible MEN type I ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomySPLEEN: No significant abnormality notedPANCREAS: Fatty atrophy of the pancreas without mass lesion or ductal dilatation.ADRENAL GLANDS: No significant abnormality... | Fatty atrophy of the pancreas without mass or ductal dilatation. |
Generate impression based on findings. | Acute dysarthria. Rule out CVA. There is unchanged nonspecific cerebral white matter hypoattenuation. There is unchanged focal calcification within the left insula which is of uncertain clinical significance. There is no evidence of intracranial mass, fluid collection, hemorrhage, hydrocephalus. The bones and extracran... | No evidence of acute intracranial hemorrhage and unchanged mild cerebral white matter hypoattenuation that is likely related to microangiopathy. |
Generate impression based on findings. | Recurrent oral cancer, status post composite resection, radial forearm flap reconstruction. The are postoperative findings related to right mandibulectomy and right maxillectomy with disarticulation at the right temporomandibular joint with myocutaneous flap reconstruction and right eyelid weight placement. There is no... | 1. Stable extensive right oral cavity region post-treatment findings without evidence for locoregional tumor recurrence or significant cervical lymphadenopathy on the basis of CT size criteria.2. Unchanged 10 mm nodule in the deep left parotid gland, which may represent a pleomorphic adenoma. |
Generate impression based on findings. | 76 year old patient with possible pedal osteomyelitis. Acute mental status change with episodic hypertension. AMS. There is mild nonspecific cerebral white matter hypoattenuation that likely represent small vessel ischemic disease. There is no evidence of intracranial mass, fluid collection, hemorrhage, or hydrocephalu... | No acute intracranial hemorrhage. |
Generate impression based on findings. | Right subdural hematoma. There is no significant interval change in the right frontoparietal convexity subdural hematoma, measuring up to 13 mm in width. There is unchanged mild regional mass effect with effacement of sulci and flattening of underlying brain parenchyma, without midline shift or herniation. There is unc... | Unchanged acute right frontoparietal convexity subdural hematoma that measures up to 13 mm in width and no midline shift or herniation. |
Generate impression based on findings. | Convulsions. The images are degraded by patient motion. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are stable in size and configuration. There is unchanged mild cerebral white matter hypoattenuation that is nonspecific. There is no midline shift or hernia... | Small right parietal scalp hematoma and probable chronic bilateral medial orbital wall fractures. No evidence of intracranial hemorrhage, mass, or cerebral edema. However, non-contrast CT is not sensitive for the detection of seizure foci and MRI is recommended for further evaluation if clinically indicated. |
Generate impression based on findings. | Headache. Rule out ICH. There is no intracranial mass, fluid collection, or intracranial hemorrhage. The brain parenchyma appears unchanged. The ventricles are stable in size and configuration. The gray-white matter differentiation is maintained. The skull and extracranial structures are unremarkable. | No evidence of acute intracranial hemorrhage. |
Generate impression based on findings. | Pain swelling and deformity of the left knee Comminuted predominantly-transverse fractures through the proximal tibial and fibular diaphyses, with medial and posterior displacement of the tibial and fibular distal fracture fragments. The tibial fracture line extends superiorly to a comminuted intra-articular fracture a... | Comminuted displaced fractures through the proximal tibia and fibula, with extension to the tibial plateau, as described above. |
Generate impression based on findings. | Left hip pain. Concern for septic hip No fracture or malalignment at the left hip.No joint space widening or intra-articular fluid collection.No abnormal enhancement is seen about the hip joint.Unremarkable appearance of the left SI joint.No soft tissue fluid collections to suggest abscess or hematoma formation.Promine... | No specific evidence of septic arthritis. No fracture or malalignment of the left hip. |
Generate impression based on findings. | Convulsions. Presence of cerebrospinal fluid drainage device. There is an unchanged right transparietal ventricular drain that terminates in the anterior body of the left lateral ventricle at the level of the foramen of Monroe. There has been marked interval decrease in size of the supratentorial ventricular system. Th... | Marked interval decrease in size of the supratentorial ventricular system secondary to right transparietal ventricular shunt revision, close to baseline size. No evidence of acute intracranial hemorrhage. |
Generate impression based on findings. | Migraine and subdural hematoma. There are postoperative findings related to right microcraniotomy for decompression of a right subdural hematoma. There is a small amount of unchanged residual right cerebral convexity subdural hemorrhage that measures up to 4 mm in thickness. There is also unchanged residual subdural he... | 1. Stable postoperative findings with a small amount of unchanged residual right cerebral convexity subdural hemorrhage left tentorial leaflet and adjacent posterior falx cerebri subdural hematoma that measure up to approximately 5 mm in thickness. No evidence of new acute intracranial hemorrhage.2. Unchanged right tem... |
Generate impression based on findings. | 47 year old female with left sided weakness started 3 hrs ago. R/O stroke. Head CT: 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 cell... | 1. No evidence of intracranial hemorrhage, mass, or cerebral edema.2. No regional deficits on CT perfusion.3. The head CTA was not performed du to contrast extravasation into the right arm treated with cold compress. |
Generate impression based on findings. | Head trauma including significant laceration to forehead. Rule out intracranial hemorrhage. There is an apparent punctate focus of hyperattenuation in a sulcus of the left posterior frontal lobe (series 3, image 14). Otherwise, there is no evidence of mass lesions and the gray-white matter differentiation is maintained... | 1.Left frontal scalp laceration.2.An apparent punctate focus of sulcal hyperattenuation in the left posterior frontal lobe which may be artifactual or represent subarachnoid hemorrhage. |
Generate impression based on findings. | Facial trauma with right orbital edema and chemosis. Pain with EOM. There is mild preseptal soft tissue stranding and swelling. There is no retrobulbar hemorrhage or orbital fracture. The globes are unremarkable. The extra ocular muscles and optic nerve sheaths are also unremarkable. There is mild mucosal thickening an... | Mild preseptal soft tissue stranding and swelling without evidence of intraorbital lesions or orbital fracture. |
Generate impression based on findings. | Trauma and headache. Head: There is a minimally displaced right frontal calvarial fracture that extends into the right superior orbital roof, oriented in nearly the sagittal plane towards the orbital apex. There is an associated superior orbital subperiosteal hematoma that measures up to 3 mm in thickness with mild pro... | 1. Minimally displaced right frontal calvarial fracture that extends into the right superior orbital roof with an associated superior orbital subperiosteal hematoma that measures up to 3 mm in thickness with mild proptosis, but no definite evidence of intracranial hemorrhage. 2. No evidence of fracture, spondylolisthes... |
Generate impression based on findings. | Increased erythema, tenderness of right leg. Extension of edema/inflammation into fashion? Evaluation of the bones and soft tissues of the knee is limited by metallic streak artifact arising from the patient's total knee arthroplasty device. Subcutaneous edema along the medial aspect of the knee has increased when comp... | Predominantly superficial (subcutaneous) edema appearing similar to that seen on the prior study, although there is slight increase in swelling along the medial aspect of the knee, and a small amount of edema/fluid between the soleus and medial head of the gastrocnemius muscles. |
Generate impression based on findings. | 59-year-old male, evaluate for SBO with a history of vomiting and diffuse abdominal pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Nonspecific left hepatic lobe hypodensity measures 9 mm and likely represents a simple cyst. Right hepatic lobe calcification.SPLEEN: No significant abnorma... | 1. Findings compatible with small bowel obstruction. No pneumatosis, free intraperitoneal air, or free fluid.2. Incompletely evaluated right lower pole hypodense renal lesion. Dedicated renal CT should be considered for further characterization. |
Generate impression based on findings. | Reason: stability of subdural hematoma History: altered mental status, acute liver failure, coagulopathic, R subdural hematoma seen previously The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a redemonstration of a right-sided extra-axial collection measuring 60 x 12 mm and ax... | There is no change in the patient's right parietal subdural hematoma when compared to the prior exam. |
Generate impression based on findings. | Reason: f/u sdh History: f/u sdh There is redemonstration of a left-sided subdural collection with a hyperdense component which appears unchanged when compared to the prior exam. It measures approximately 11 mm in greatest thickness. It extends adjacent to the left frontal parietal and temporal lobes. The patient is st... | 1.Stable 10mm left holohemispheric subdural in density, size and extent since prior exam as measured above. Stable subtle associated mass effect and minimal midline shift to the right since prior exam.2.No evidence of an acute new finding since the prior study. |
Generate impression based on findings. | 70 year-old female with history of Crohn's with left lower quadrant intermittent severe colicky abdominal pain, currently on menses with negative pelvic ultrasound, evaluate for nephrocalcinosis versus abdominal process ABDOMEN:LUNG BASES: Several nodules are seen in the right lung base measuring up to 1 cm (image two,... | 1.No evidence of nephrocalcinosis or renal/ureteral stone.2.Nonspecific right lower lobe pulmonary nodules are of unclear etiology, however, infection should be considered. |
Generate impression based on findings. | Reason: Rule out intra-abdominal malignancy. History: PE, no DVT, weight loss. ABDOMEN:LUNG BASES: Pulmonary emboli in the right lower lobe is again visualized.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signi... | 1.Redemonstration of right lobe pulmonary embolus which is better visualized on dedicated CT PE chest examination on 9/20/2013.2.Severe thickening of the bladder wall with associated mild, bilateral hydroureter with mild hydronephrosis. Differential considerations include primary malignancy, infection, and hematoma for... |
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