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Generate impression based on findings. | Female 64 years old; Reason: r/o SBO History: Right sided abd pain ABDOMEN:LUNGS BASES: No basilar consolidation.LIVER, BILIARY TRACT: Intrahepatic biliary ductal dilatation following cholecystectomy. The hepatic vasculature are patent. No suspicious hepatic lesions.SPLEEN: No significant abnormality noted.PANCREAS: No... | 1.Gastric bypass without evident obstruction. Recommend small bowel follow-through if needed. |
Generate impression based on findings. | Female 28 years old; Reason: acute intraabdominal process, including infection History: abdominal pain, fever, h/o renal transplant in June 2013 ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant ... | 1.Improvement in the transplant pancreatic inflammation.2.Improvement in the minimal perinephric fluid adjacent to the left lower abdominal transplant kidney.3.Mildly dilated left upper abdominal bowel loops suggests partial bowel obstruction or ileus. |
Generate impression based on findings. | 58-year-old female with right buttock and thigh cellulitis. Rule-out abscess. There is thickening of the skin along the posteromedial aspect of proximal thigh with reticulation of the underlying subcutaneous fat, compatible with cellulitis. No discrete rim-enhancing fluid collection to suggest abscess. The musculature ... | Findings compatible with cellulitis without evidence of abscess. |
Generate impression based on findings. | 78-year-old female with pleuritic chest pain and elevated d-dimer. PULMONARY ARTERIES: No evidence of pulmonary embolism. Enlarged main pulmonary trunk diameter is suggestive of pulmonary arterial hypertension. No specific evidence of right heart strain.LUNGS AND PLEURA: Postsurgical changes status post right lower lob... | 1.No evidence of pulmonary embolism.2.Multiple locules of air tracking along the right pleural space may represent empyema or bronchopleural fistula. Loculated pleural fluid is also present inferiorly. 3.Slight interval enlargement in right middle lobe nodule, which should continue to be monitored to exclude metastatic... |
Generate impression based on findings. | Female 24 years old; Reason: r/o intra-abd source of infection History: increasing leukocytosis ABDOMEN:LUNGS BASES: Bilateral effusions and pulmonary airspace disease.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Trace subcapsular splenic fluid.PANCREAS: No significant abnormality noted.ADRENAL GLANDS... | 1.Extensive intra-abdominal free air most likely from a perforated viscus.2.Extensive enhancement of the peritoneum with extensive upper abdominal pelvic ascites most suggestive of peritonitis. The ascites fluid might be infected.3.Extensive colonic wall thickening represents a diffuse colitis (inflammatory, infectious... |
Generate impression based on findings. | Male 66 years old; Reason: s/p hemicolectomy with persistently low Hbg History: same ABDOMEN:LUNGS BASES: Pleural effusions and basilar air space disease.LIVER, BILIARY TRACT: Extensive perihepatic hematoma and fluid.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No ... | 1.Extensive intra-abdominal and pelvic hematoma. Bleeding source cannot better defined without intravenous contrast.2.Intra-abdominal free air.3.Lytic osseous lesions.4.Tiny cyst is clinical service by Dr. Adam Sanchez at 6:30pm |
Generate impression based on findings. | Female 27 years old; Reason: r/o appy History: rebound, n/v/d ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS... | 1.No definite findings of acute appendicitis.2.Thickened endometrium; right adnexal cystic lesion. Pelvic sonography is suggested. |
Generate impression based on findings. | Female 78 years old; Reason: r/o diverticulitis vs RUQ path History: rectal BRBPR and RUQ pain CHEST:LUNGS AND PLEURA: Extensive volume loss in the right lung with postoperative changes. Masslike consolidation in the right lower lung with areas of bronchiectasis. Scattered ground glass opacities in the left lung. Trace... | 1.Mild ductal dilatation following cholecystectomy.2.No bowel obstruction. Mild rectal wall thickening of unclear etiology but suboptimally evaluated due to poor distention. Colonoscopy is recommended.3.Post operative changes in the right hemithorax with areas of ground-glass opacities in the left lung. Follow up is re... |
Generate impression based on findings. | Female 54 years old; Reason: r/o stone History: hematuria, RLQ pain, ?R flank pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality n... | 1.No evident nephrolithiasis or hydronephrosis. If pain or hematuria persists, consider follow-up CT scan with oral and IV contrast. |
Generate impression based on findings. | Male 29 years old; Reason: r/o appendicitis History: n/v abdominal pain ABDOMEN:LUNGS BASES: Basilar atelectatic changes.LIVER, BILIARY TRACT: No suspicious hepatic lesions. Status post cholecystectomy.SPLEEN: Infarcted spleen.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.K... | 1.Fluid filled appendix with mild hyperenhancement of the wall. Early appendicitis is not excluded. |
Generate impression based on findings. | Male 55 years old; Reason: intraabd process? History: s/p chole 1 mo ago, RUQ/epigastric TTP with guarding, elevated WBC ABDOMEN:LUNGS BASES: Patchy and dense parenchymal consolidation in the right lung.LIVER, BILIARY TRACT: Mild intrahepatic biliary ductal dilatation following cholecystectomy. Hypodense segment 5 righ... | 1.Fluid collection in the gallbladder fossa following cholecystectomy suspicious for postoperative collection, possibly infected or biloma.2.Right lower lobe airspace disease suspicious for a pneumonia. |
Generate impression based on findings. | Reason: chronic sinusitis History: frequent sinusitis txed medically without resolution The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated. The patient appears to be status post prior paranasal sinus surgery along the maxillary sinuses and ethmoid air ce... | 1.No paranasal sinus outlet obstruction is appreciated on this exam |
Generate impression based on findings. | Male 69 years old; Reason: eval diverticulosis History: rectal bleeding, abd pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Hyperdense lesion in segment 7 of the liver is unchanged. No biliary ductal dilatation. Hepatic vasculature are patent.SPLEEN: No significant abnormality noted.PA... | 1.Mild bilateral hydroureter due to obstruction at the level of the bladder.2.Prostatic pathology may be the cause of the obstruction.3.Debris within the bladder may represent hematoma4.follow-up is suggested. |
Generate impression based on findings. | Reason: 35yo F with h/o endocarditis now with right lower lobe opacity, please eval to see if septic emboli History: - LUNGS AND PLEURA: 1 cm right middle lobe nodule may have a low density or a necrotic center. Larger left upper lobe lobulated nodule engulfing small bronchi bronchi. Right lower lung zone predominant s... | Two pulmonary nodules, at least one possibly with a necrotic center consistent with the suggested diagnosis of septic emboli. Right pleural effusion and right basilar atelectasis are present as well is cardiomegaly. |
Generate impression based on findings. | Female 41 years old; Reason: diverticulitis or acute change History: abdominal pain LUQ/LLQ ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Subcentimeter hypodense lesion too small to characterize. Hepatic and portal veins are patent. Status-post cholecystectomy.SPLEEN: No significant abnorm... | 1.Etiology for the patient's left lower quadrant pain is not evident. |
Generate impression based on findings. | Female 74 years old; Reason: eval for abscess History: sepsis, enterocutaneous fistula ABDOMEN:LUNGS BASES: Left lower lobe lung cysts/bulla. Ground glass opacities and interstitial changes compatible with fibrosis.LIVER, BILIARY TRACT: Status post cholecystectomy. Hepatic vasculature are patent. No suspicious hepatic ... | 1.Large midline fistula.2.Small abscess adjacent to fistula. |
Generate impression based on findings. | Male 62 years old; Reason: eval fluid collections History: s/p IR drains ABDOMEN:LUNGS BASES: Large bilateral effusions and lower lobe consolidation/atelectasis.LIVER, BILIARY TRACT: Large perihepatic abscess with gas fluid collection measuring at least 5.5 x 16.8-cm. This has increased in size.There are two perihepati... | 1.Large perihepatic, perisplenic and pelvic abscess.2.Bilateral pleural effusions with lung consolidation/atelectasis. |
Generate impression based on findings. | Reason: assess for infectious etiology History: fever, cough, opacity on CXR, HIV positive LUNGS AND PLEURA: Low lung zone predominant patchy groundglass opacity with scattered pulmonary cysts and hyperlucent lobules is present.There may be minimal pleural fluid on the right, but no large pleural effusions are seen. Sc... | 1. Patchy ground glass opacity in this setting could represent pneumocystis pneumonia.2. Nonspecific pulmonary nodules, pulmonary lymphoma the differential diagnosis.3. Pulmonary arterial hypertension. |
Generate impression based on findings. | 68 year old female with sepsis, evaluate for abdominal infection Lack of intravenous contrast decreases sensitivity for detection of solid organ pathology.CHEST:LUNGS AND PLEURA: Diffuse ground-glass opacities and lower lobe consolidation. Increasing bilateral pleural effusions with overlying compressive atelectasis.ME... | 1.Ground-glass opacities and basilar consolidation compatible with pneumonia or edema.2.Right hydronephrosis and nonspecific perinephric stranding. CT urogram is recommended for further characterization.3.Small amount of hyperdense ascites in the pelvis of unclear etiology. |
Generate impression based on findings. | Worsening shortness of breath. Chest x-ray concerning for pneumonia. LUNGS AND PLEURA: New right middle and lower lobe consolidation. New small right pleural effusion. Subsegmental airspace opacity and left medial base. Trace left pleural effusion. Small right pleural effusion.Previously noted subpleural opacity in the... | Right lower and middle lobe consolidation with associated small pleural effusion suggestive of pneumonia. |
Generate impression based on findings. | Acute mental status change. There is extensive patchy hypoattenuation within the periventricular and subcortical white matter most prominent in the frontal and parietal lobes in addition to diffuse prominence of CSF spaces. There is focal hypoattenuation within the previously documented infarcted territory within the r... | Patchy white matter hypoattenuation which has increased significantly since the prior examination performed in 2008. While this most likely represents sequela of chronic small vessel ischemic disease in this patient with history of CVA and findings suggestive of vasculopathy, differential considerations including vascu... |
Generate impression based on findings. | Tracheal stenosis status post dilation. Evaluate tracheobronchial tree, rule out compression. CHEST:LUNGS AND PLEURA: Emphysema. Irregular, 1 cm scarlike opacity in the superior segment of the right lower lobe (image 46/113). Linear scarring and atelectasis at the lung bases.MEDIASTINUM AND HILA: Focal narrowing of the... | 1. Focal tracheal narrowing at the level of the thyroid gland. Aspirated debris seen in central airways.2. Nonspecific subcentimeter irregular opacity in the right lower lobe which most likely represents scarring though given that the patient is high risk a 3 - 6 month follow up CT is recommended to evaluate stability ... |
Generate impression based on findings. | Female 79 years old; Reason: assess for possible cellulitis vs hematoma vs mass History: left thigh increase size There is a large heterogeneous collection within the subcutaneous fat of the anteromedial thigh that measures approximately 15 x 8 cm in transverse dimension and approximately 17 cm in craniocaudal dimensio... | Large medial thigh collection compatible with a hematoma that appear to be associated with a prominent venous varix in the subcutaneous fat. |
Generate impression based on findings. | Reason: ?cva History: onset >8hrs, right face numbness, right-sided weakness The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visual... | 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. | Metastatic lung cancer status post resection and chemo. CHEST:LUNGS AND PLEURA: Postop change involving the left lung with a small amount of thickening involving the suture line (8 mm on image 47/124) not significantly changed. Emphysema. Scattered punctate calcified and noncalcified micronodules are stable and presuma... | Stable lymphadenopathy. Nonspecific left adrenal nodule unchanged. |
Generate impression based on findings. | Reason: sp/ removal of inverted papilloma History: none The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated. The patient is status-post left maxillary sinus and ethmoid sinus surgery with left uncinectomy and ethmoidectomy. . The frontal sinuses are clear... | 1.Status post left ethmoid sinus and maxillary sinus surgery. There is no convincing evidence for a recurrence of the patient's known inverting papilloma.2.Findings are compatible with chronic sinusitis involving the left maxillary sinus3.a small osteoma is present in the left frontal sinus |
Generate impression based on findings. | 79 year old female, with left thigh hematoma, rule out retroperitoneal bleed ABDOMEN:LUNG BASES: Small pericardial effusion. Calcification of the mitral valve.LIVER, BILIARY TRACT: High density material in the gallbladder compatible with biliary sludge. No CT evidence of cholelithiasis. No intra-/extrahepatic biliary d... | 1.No evidence of retroperitoneal hematoma.2.Large incompletely evaluated left thigh hematoma. Active bleeding cannot be excluded. Please refer to CT left thigh for further characterization. |
Generate impression based on findings. | 33 year old female with hip pain and fever. Rule-out osteomyelitis. The bones are demineralized. There is subchondral bone resorption along left sacroiliac joint, and probably the pubic symphysis. There is also subtendinous resorption along the ischium and the trochanters. These findings suggest hyperparathyroidism. A ... | 1.Findings suggestive of hyperparathyroidism. 2.Mild prominence of the soft tissues immediately surrounding the hip may reflect capsular hypertrophy, synovitis or perhaps a small joint effusion, but no specific features of osteomyelitis. MRI could be obtained to evaluate for potential joint fluid if aspiration is being... |
Generate impression based on findings. | 50 year-old male with abdominal pain and distention, evaluate for obstruction ABDOMEN:LUNG BASES: Bibasilar atelectasis/scarring.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: Small peripancreatic lymph nodes.ADRENAL GLANDS: No significant abnormality noted.KID... | Small bowel obstruction without pneumatosis, free intraperitoneal air, or portal venous gas. Small amount of surrounding mesenteric free fluid. Ischemia cannot be entirely excluded. Small bowel follow-through is recommended to evaluate the terminal ileum for a stricture. |
Generate impression based on findings. | Female 80 years old; Reason: extensive stage small cell lung cancer after 2 cycles of chemotherapy to re-evaluate disease History: shortness of breath CHEST:LUNGS AND PLEURA: Marked interval decrease in size, heterogeneous, necrotic mass in the right upper lobewhich measures 9.1 x 6 .5 cm, previously 13.4 x 8.3 cm (ser... | Marked improvement in the necrotic right upper lobe lung neoplasm, necrotic mediastinal lymphadenopathy, osseus and liver metastases. |
Generate impression based on findings. | 54-year-old male with nausea, vomiting, and early satiety, evaluate for small bowel obstruction ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant a... | 1.No evidence of bowel obstruction.2.Paget's disease of the right femur. |
Generate impression based on findings. | 63-year-old male with cirrhosis, screen for HCC. ABDOMEN:LUNG BASES: Basilar atelectasis.LIVER, BILIARY TRACT: Cirrhotic liver morphology without focal lesion, abnormal enhancement or washout. Moderate paraesophageal and perigastric varices are again noted. The hepatic vasculature is patent. Distended gallbladder with ... | 1. Hepatic cirrhosis and findings of portal venous hypertension without focal lesion.2. Moderate splenomegaly.3. Prominent upper abdominal lymph nodes, likely reactive in the setting of chronic liver disease.4. Unchanged pericholecystic fluid and distended gallbladder that is nonspecific in the setting of cirrhosis, bu... |
Generate impression based on findings. | Reason: recurrent lip cancer History: r/o lung mets LUNGS AND PLEURA: Calcified granuloma superiorly in left lower lobe. New scattered groundglass nodular opacities in the left upper and lower lobes suggestive of aspiration/infection. No suspicious pulmonary nodules or masses.Minimal stable left basilar pleural thicken... | No evidence of metastatic disease. Scattered new ground glass nodular opacities in the left lung suggestive of aspiration and/or infection. |
Generate impression based on findings. | Reason: eval for pancreatitis History: RUQ pain ABDOMEN:LUNG BASES: There is a small calcified focus likely representing a granuloma in the right lower lobe.LIVER, BILIARY TRACT: There is intraductal biliary dilatation. There is a large stone within the common bile duct at the wall of the ampulla causing both biliary a... | 1.Large stone in the common bile duct at the level of the ampulla causing dilation of the common bile duct and pancreatic duct. Further evaluation with ERCP should be considered.2.Distended gallbladder with pericholecystic fluid consistent with acute cholecystitis.3.Calcification of the pancreatic head with mild peripa... |
Generate impression based on findings. | Female 19 years old; Reason: r/o tubo ovarian abscess on the r History: adnexal tenderness ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnor... | 1.Pelvic ascites centered around the uterus and adnexa. Possible right corpus luteal cyst.2.Pelvic sonography is recommended. |
Generate impression based on findings. | Female 67 years old Reason: metastatic breast CA to lungs, not currently on therapy. Followup of lungs' History: none LUNGS AND PLEURA: A calcified right lower lobe nodule is again seen and appears unchanged in size and morphology since the prior examination.Several noncalcified micronodules are evident.Scarring of the... | 1. No definitive evidence of local recurrence or metastatic disease.2. Scattered pulmonary micronodules, likely postinfectious or postinflammatory in nature. 3. Cholelithiasis.4. Stable mediastinal and hilar lymphadenopathy, which could be benign, even the result of sarcoidosis. |
Generate impression based on findings. | 35 year-old female with shortness of breath, wheezing, and coughing due to severe uncontrolled asthma. LUNGS AND PLEURA: Mild bronchial wall thickening but no focal airspace or interstitial opacities. No pleural effusion. No significant air trapping on expiratory phase imaging.MEDIASTINUM AND HILA: Normal heart size wi... | Mild bronchial wall thickening compatible with patient's history of asthma, without acute superimposed abnormality. |
Generate impression based on findings. | Reason: Assess ACOm aneurysm History: headache Brain CTA: There is a 7x5mm lobulated left A1 segment aneurysm with a 2.5-mm neck. The parent vessel measures 2-mm. The left A1 segment angulates anteriorly at the point of origin of this aneurysm. There is a anterior cerebral artery branch which are courses along the infe... | 1.Stable left A1 aneurysm since May. Please note that this CTA provides additional information regarding this aneurysm. No branches originate form the aneurysm and the aneurysm originates from from the left A1 segment and not the anterior communicating artery. An ACA branch partly encircles the aneurysm.2.Stable left c... |
Generate impression based on findings. | Male 50 years old Reason: metastatic SCC on treatment. Evaluate for disease progression with measurements History: as above CHEST: LUNGS AND PLEURA: The reference left anterior upper lobe mass now measures 4.6 cm (image 44, series 5), previously measuring 2.0 cm. This mass now abuts the pericardium, as well persistent ... | 1. Interval increase in size of the reference pulmonary nodules.2. Interval development of numerous new pulmonary nodules as well as increase in size of a non-reference pulmonary nodules.3. Interval increase in size of the mediastinal and hilar lymphadenopathy.4. Interval increase in size of a segment 7/6 hepatic lesio... |
Generate impression based on findings. | Reason: Pt with hx of FOM cancer s/p CRT and mets to lung s/p RT 3/2013. Please reeval and compare to prior scans History: as above CHEST:LUNGS AND PLEURA: Interval decrease in the right lower lobe referenced nodule (image 82 series 5) now measuring 6 mm previously measuring 9 mm. Cavitation is no longer noted in this ... | 1.Interval improvement and/or resolution of multiple right lower lobe nodules.2.New right lower lobe nodule with early cavitation may represent a new metastatic focus. |
Generate impression based on findings. | Female 73 years old; Reason: 73 y.o female with large tiple negative LUOQ breast cancer, CT chest abd and pelvis to assess for distant mets History: Large LEFT breast cancer NECK BASE: Hypoattenuating nodules noted in the thyroid, incompletely characterized.CHEST: LUNGS AND PLEURA: A few scattered 3 mm nodules are note... | 1.Left breast mass with associated left axillary lymphadenopathy. No distant metastatic disease detected.2.Few micro nodules in the lungs. |
Generate impression based on findings. | Female 27 years old; Reason: hx of Nonspecific hyperechoic lesion in the left upper pole , CT with IV contrast to further eval History: left CVA tenderness ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No s... | 1.No fatty lesion to correspond to the abnormality on ultrasound. Differential considerations include focal pyelonephritis as no clear contour deforming lesion is identified (portal venous phase is limited due to artifact.)2.Follow-up sonography in 4 to 6 weeks is recommended to evaluate for resolution. |
Generate impression based on findings. | Male 54 years old; Reason: Pt is a 54 y/o male with met prostate cancer, evaluate for progression History: met prostate cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No signif... | Stable to slightly enlarged retroperitoneal adenopathy. Stable metastatic focus rightilium. |
Generate impression based on findings. | Female 69 years old; Reason: GIST History: GIST on Gleevec CHEST:LUNGS AND PLEURA: Small left pleural effusion and left basal atelectasis. There are multiple pulmonary nodules which appear to be new. For example, reference right middle lobe pulmonary nodule measures 5-mm on image 45/series 5.Left lung lower lobe subseg... | 1.New pulmonary nodules and hepatic lesions suspicious for metastatic disease. |
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. | Female 60 years old; Reason: Met breast ca History: MBC CHEST:LUNGS AND PLEURA: Moderate centrilobular emphysema.Right lung pleural thickening and effusions have improved. No dominant pulmonary lesions.MEDIASTINUM AND HILA: Heart size is normal. Left lower lobe pulmonary emboli are new.Right chest wall port terminates ... | 1.Extensive osseous metastatic disease.2.New left lower lobe pulmonary emboli.3.Findings of the pulmonary emboli discussed with Rita Nanda at 11.23am via telephone |
Generate impression based on findings. | Male 67 years old; Reason: status of IVC filter-?clots on superior surface. History: see 1 ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnor... | 1.No evident filling defect or clot detected in the IVC. |
Generate impression based on findings. | Reason: follow up rectal cancer History: none 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: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: Red... | 1.No evidence of recurrence or metastases.2.Minimal, interval increase in size of a cystic mass in the pancreatic head without evidence of pancreatic duct dilatation compatible with serous cystadenoma. |
Generate impression based on findings. | Head and neck cancer status post two cycles of induction chemotherapy CHEST:LUNGS AND PLEURA: Stable punctate calcified and noncalcified micronodules bilaterally. No new pulmonary nodules. Emphysema.MEDIASTINUM AND HILA: NegativeCHEST WALL: No significant abnormality noted.ABDOMEN: Absence of enteric contrast material ... | Stable CT with multiple calcified and noncalcified pulmonary micronodules which are presumably benign. |
Generate impression based on findings. | 64-year-old male with history of recurrent larynx cancer experiencing aphona and dysphasia. Reduced are postoperative changes including total laryngectomy, tracheostomy, isthmus and left lobe thyroid resection, multiple clips along both sides of neck, and skin thickening/subcutaneous fat infiltration over the right nec... | 1.Extensive post surgical changes without evidence of tumor recurrence.2.No evidence of new clinically significant lymphadenopathy. |
Generate impression based on findings. | Female 50 years old; Reason: evaluate for renal recurrence History: Renal cell ca, left partial nephrectomy March 2013 ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL ... | 1.Status post resection of the left renal mass. No evident residual lesion. |
Generate impression based on findings. | Reason: recurrent larynx cancer' History: r/o chest mets LUNGS AND PLEURA: Stable scattered calcified and noncalcified micronodules.No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy.Calcified mediastinal nodes are compatible with a prior granulomatous disease.Cardia... | No evidence of metastatic disease. No significant interval change. |
Generate impression based on findings. | Female 79 years old; Reason: Pt with h/o CLL on treatment regimen History: Evaluation of disease status CHEST:LUNGS AND PLEURA: Minimal ground-glass opacity in the right lung base. Calcified granuloma right lung base. No suspicious primary lesions. The left lung ground-glass opacities have improved.MEDIASTINUM AND HILA... | 1.Lymphadenopathy in the chest, abdomen and pelvis. Some of the lesions show slight decrease in size. Reference measurements provided above. |
Generate impression based on findings. | Male 59 years old; Reason: prostate cancer History: prostate cancer and pleural based pulmonary nodule CHEST:LUNGS AND PLEURA: Severe emphysema with pulmonary hyperinflation.Right lower lobe posteriorly located lesion with central calcification measures 2.9 x 2.3 cm (image 88/series 3) previously, 2.9 x 2.1 cm. (Please... | 1.Right lower lobe primary lesion, unchanged. 2.Sclerotic right rib lesions. |
Generate impression based on findings. | Head and neck cancer status post CR 8/18/13 CHEST:LUNGS AND PLEURA: New centrilobular nodular abnormality with scattered irregular groundglass opacity bilaterally but especially in the dependent portions of the lower lobes and right middle lobe. New dense irregular opacity in the posterior right upper lobe (image 121/2... | Multiple new pulmonary opacities which are suggestive of aspiration though continued follow up is recommended to exclude metastatic disease. |
Generate impression based on findings. | Reason: look for aneurysm History: SAH Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No aneurysms or intracranial stenosis is appreciated. The left vertebral artery is larger than the right verte... | 1.A right temporal lobe hematoma and adjacent subarachnoid hemorrhage are stable. Other smaller foci of subarachnoid blood are less conspicuous.2.No evidence for intracranial aneurysm. |
Generate impression based on findings. | Evaluate for PE. History of prior PE, acute onset SOB, sweats, med noncompliance. PULMONARY ARTERIES: Bilateral PE involving the lobar arteries. LUNGS AND PLEURA: Minimal bronchial wall thickening. No evidence of significant hemorrhage or infarct. Minimal subsegmental atelectasis at the left lung base. Scattered puncta... | Bilateral PE involving the lobar arteries. Findings discussed with the ED (Dr. Yashar) at 12:45 pm. |
Generate impression based on findings. | 6-year-old patient with history of sickle cell anemia who sustained recent ischemic stroke with new diagnosis of moyamoya. Brain: A large area of hypoattenuation within the left temporal and parietal lobes represents evolving sequelae of the recently documented ischemic stroke. There is mass-effect including sulcal eff... | 1.Short segment stenosis within the C3 portion of the cavernous ICA.2.Stenosis of the bilateral A1 segments of anterior cerebral arteries.3.Severe stenotic lesion of the left MCA artery at the M1 segment.4.Evolving sequelae of the previously documented left MCA territory infarct involving the left temporal parietal lob... |
Generate impression based on findings. | ILD eval. LUNGS AND PLEURA: Emphysema. Bronchial wall thickening. Bilateral lower lobe predominant ground glass (with more severe areas appearing more airspace) and interstitial abnormality with areas of architectural distortion. Scattered cystic areas but it is unclear if these are due to underlying emphysema or honey... | 1. Pulmonary fibrosis superimposed on emphysema. Findings have slightly progressed versus 5/2013 and significantly progressed versus 4/2010. The appearance is not typical of UIP. An alternative consideration is DIP. Areas of consolidation may represent organizing pneumonia.2. Significant interval progression of intrath... |
Generate impression based on findings. | Male 54 years old; Reason: ro renal recurrence, sp left partial nephrectomy History: renal cell carcinoma ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No si... | 1.Status post left nephrectomy. No evident recurrent or metastatic disease in the abdomen or pelvis.2.Small nonspecific retroperitoneal lymph nodes. Follow up is suggested |
Generate impression based on findings. | Male 61 years old; Reason: duct dilation, driveline infection? History: RUQ pain, unable to U/S due to new tissue graft ABDOMEN:LUNGS BASES: Loculated left pleural effusion along its anterolateral aspect and layering right pleural effusion. Patchy airspace disease in the right lung base suggests pneumonia. Post operati... | 1.Pulmonary consolidations and effusions.2.Gallbladder wall thickening without gallbladder distention. The findings are most likely due to heart failure.3.No drainable loculated fluid collections in the abdomen or pelvis.4.Anterior abdominal wall skin defect. Fistulous connection is not excluded |
Generate impression based on findings. | Female 46 years old; Reason: Intra peritoneal bleeding History: Acute Hb drop, abdominal distention ABDOMEN:LUNGS BASES: Bilateral lower lobe consolidation and right pleural effusion.Heart size is enlarged. Trace pericardial effusion. Sternotomy wires.LIVER, BILIARY TRACT: Liver has a nodular contour suggesting cirrhos... | 1.New abdominal / pelvic ascites with hyperdense regions highly suspicious for hematoma.2.Two hyperdense areas extending from the upper abdomen incision adjacent to segment 3 of the liver and the left upper abdomen wound . Suspicious for the site of bleeding.3.Findings discussed with the service at the time of dictatio... |
Generate impression based on findings. | Reason: r/o mass, adenopathy History: h/o thyroid cancer. Fullness in neck on the right for past few months Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is a... | 1.No evidence for neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.a couple tiny nodules at the thyroid bed are of unknown significance there is a quite reasonable to suspect that these are related to postoperative change. Follow up exam would help further assess these3.a cystic lesion in the ... |
Generate impression based on findings. | Reason: Any thymic mass or other abnormalities? History: intermittent diplopia (suggestive of myasthenia) LUNGS AND PLEURA: Numerous punctate benign appearing micronodules are present.Apical predominant centrilobular emphysema is seen.Left anterolateral subpleural radiation reaction.MEDIASTINUM AND HILA: Slightly ectat... | No evidence of thymoma. Emphysema is present. No other significant abnormality. |
Generate impression based on findings. | Metastatic thyroid cancer on treatment. CHEST:LUNGS AND PLEURA: Right upper lobe scarring and atelectasis with bronchiectasis. Clustered reticulonodular opacities in the right middle lobe are stable. Clustered ground glass and small nodular opacities at the left lung base are slightly decreased. Scattered calcified nod... | 1. Stable to decreased nonspecific reticulonodular opacities suggestive of aspiration. 2. Nonspecific wall thickening involving the colon has resolved. |
Generate impression based on findings. | Reason: SOB, hx pulm embolism, pleural effusion. S/p VATS decortication for empyema History: SOB CHEST:LUNGS AND PLEURA: Resolution of prior segmental pulmonary embolus.Left pleural thickening, but no pleural fluid at this time.MEDIASTINUM AND HILA: No evidence of pulmonary arterial hypertension as previously reported.... | Left pleural thickening but resolution of prior left effusion. Resolution of prior pulmonary embolus. |
Generate impression based on findings. | Female 77 years old Reason: pt with facial and UE edema, concern for SVC syndrome or obstruction, please evaluate History: facial edema LUNGS AND PLEURA: There are bilateral moderate pleural effusions left greater than right with associated bibasilar compressive atelectasis/consolidation. Emphysema.MEDIASTINUM AND HILA... | 1. RIJV dialysis catheter extending to the RA/SVC junction with surrounding low density consistent with thrombus/fibrin sheath. High grade focal SVC narrowing just above the RA.2. Moderate bilateral pleural effusions.3. Incompletely characterized hepatic lesion. Ultrasound or CT would provide better evaluation. |
Generate impression based on findings. | Pneumonia status post antibiotics continued on antifungal. Evaluate progression. LUNGS AND PLEURA: Upper lobe opacities continue to improve with near complete resolution in the right upper lobe (image 34/90). Left upper lobe opacities (image 27/98 and 38/98) are stable to improved. Both lung bases are now better aerate... | 1. Stable to improved multifocal pulmonary opacities. Some areas have nearly completely resolved.2. Exophytic left renal mass is incompletely imaged and cannot be evaluated on this study. Ultrasound would provide more detailed evaluation. This area was not within the scan plane on prior CTs. |
Generate impression based on findings. | Evaluate for pulmonary embolus PULMONARY ARTERIES: Bilateral lower lobe segmental chronic pulmonary emboli are again noted, however these emboli have decreased since the prior study and several emboli that were previously seen in the upper lobes are no longer present. Main pulmonary artery diameter is 2.1 cm, previousl... | 1.Multiple lower lobe segmental pulmonary emboli, decreased since the prior study. Upper lobe pulmonary emboli are no longer seen.2.Stable bibasilar subpleural opacities, likely sequelae of pulmonary infarction. |
Generate impression based on findings. | Reason: h/o larynx cancer History: r/o lung mets LUNGS AND PLEURA: No evidence of pulmonary or pleural metastases.Basilar bronchial wall thickening and scattered tree in bud opacities are consistent with chronic aspiration.MEDIASTINUM AND HILA: Tracheostomy a spit fistula or phonation device present.Scattered mediastin... | 1. No evidence of metastases.2. Chronic aspiration. |
Generate impression based on findings. | Female; 87 years old. Reason: PE? History: acute SOB, hypoxia, tachycardia Mild motion artifact limits diagnostic sensitivity.PULMONARY ARTERIES: No evidence of pulmonary embolism to the segmental level. Pulmonary trunk diameter is within normal limits.LUNGS AND PLEURA: Moderate bronchial wall thickening is present, as... | 1.No evidence of pulmonary embolism.2.Moderate bronchial wall thickening, inspissated mucus, and basilar scarring without focal air space opacity.3.Multiple well-defined fluid attenuating lesions in the liver most likely represent cysts. |
Generate impression based on findings. | Reason: Pt with BOT Ca s/p 2 cycles of induction. Please re-eval for dz History: as above Since the prior exam a left submandibular mass has decreased since size from 28 x 21 mm to 17 x 8 mm.Left tongue base lesion has regressed further since the prior exam. Previously measured approximately 28 by 16 mm and now measure... | 1.since the prior exam a left submandibular mass has a decreased in size2.since the prior exam a left tongue base lesion has further decreased in size.3.No evidence for neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy4.degenerative changes are present in the cervical spine. |
Generate impression based on findings. | Reason: 71 yof with history of retroperitoneal and INGUINAL lymphadenopathy. Please asses for evidence of progression of adnenopathy as compare to ct about 6 months ago. History: wt loss, pain night, night sweats, palpable and increasing inguinal lymphadenopathy CHEST:LUNGS AND PLEURA: Right lower lobe calcified granul... | Redemonstration of retroperitoneal and bilateral inguinal lymph nodes, relatively unchanged compared to prior exam. |
Generate impression based on findings. | Reason: chronic sinusitis History: chronic sinusitis The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated. Some roots of molar is extensive the inferior aspects of the maxillary sinuses. There is mild nasal septal deviation towards the leftThe frontal sinu... | No evidence for paranasal sinus outlet obstruction. |
Generate impression based on findings. | Reason: Pt with BOT Ca s/p 2 cycles of induction. Please re-eval for dz History: as abpve LUNGS AND PLEURA: Continued interval decrease in size of left lower lobe scarlike opacity most likely post inflammatory.Pleural thickening within the fissures bilaterally is slightly decreased on the left.Groundglass opacities rig... | 1.Continued interval decrease in postinflammatory left lower lobe scarlike opacities and pleural thickening.2.Persistent groundglass opacities in right lower lobe most likely related to aspiration.3.No evidence of metastatic disease. |
Generate impression based on findings. | Reason: metastatic thyroid cancer on treatment. evaluate for disease progression with measurements History: as above CT neck:The patient is status post tracheostomy tube placement. There is redemonstration of soft tissue thickening adjacent and to the left of the trachea which is also present on the previous exam and i... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.No evidence for brain metastases. |
Generate impression based on findings. | Male; 73 years old. Reason: s/p 7th and 8th left rib reconstruction History: new onset of pain and "popping" sensation. LUNGS AND PLEURA: There is no focal air space opacity or pleural effusion. Mild bronchial wall thickening is noted. Scattered calcified granulomata are present but there are no suspicious nodules or m... | 1. Healing left sided rib fractures as described above, without acute fracture identified.2. Ossific density in anterolateral left chest wall anterior to the 7th rib (image 73/111) is presumably secondary to history of neo rib creation with extracellular matrix and allogenic bone. It is unchanged versus multiple CTs da... |
Generate impression based on findings. | Reason: h/o larynx cancer History: r/o recurrence Surgical clips are present along the floor of the mouth thereThe patient is status post laryngectomy and tracheostomy. There is a status post right mild cutaneous flap placement overall the general appearance of the soft tissues of the neck has not changed. A pacemaker ... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy. Please note that lack of intravenous contrast decreases sensitivity for neck lymphadenopathy |
Generate impression based on findings. | 56-year-old male with right flank pain, evaluate for renal stone ABDOMEN: The intravenous contrast limits evaluation of solid organ pathology.LUNG BASES: No significant abnormality noted. LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality... | No hydronephrosis or nephrolithiasis. |
Generate impression based on findings. | Reason: 37 y/o female with recurrent ovarian cancer and rising tumor marker and s/p 3 cycles of chemo. Restaging. History: 37 y/o female with recurrent ovarian cancer and rising tumor marker and s/p 3 cycles of chemo. Restaging. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules. No pleural effusions.MEDIASTINUM A... | 1.No significant interval change in size of mesenteric soft tissue densities compatible with peritoneal carcinomatosis. 2.Increasing retroperitoneal lymphadenopathy. 3.No significant interval change in size of supraclavicular/superior mediastinal prominent lymph nodes. |
Generate impression based on findings. | Reason: submental swelling and firmness for 5-6 monts History: f/o mass Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated.Within the visceral space... | 1.No evidence for neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy.2.No mass is identified in the submental region3.The patient's vasculature in the neck is highly tortuous. Specifically, the right sternal jugular vein is tortuous and may be creating an impression of a lump in the neck. This ap... |
Generate impression based on findings. | Reason: right inverting papilloma, s/p partial excision History: right inverting papilloma, s/p partial excision There is opacification of the right maxillary sinus is associated with wall thickening and opacification of the right nasal cavity at the level of the middle and superior meatus associated with opacification... | 1.Obstructive mass at the right nasal cavity with opacification of the right maxillary ethmoid and frontal sinuses is compatible the patient's diagnosis of inverting papilloma. There are associated findings compatible with chronic sinusitis. Opacification along the inferior aspect of the nasal cavity appears to have re... |
Generate impression based on findings. | Reason: bladder cancer- s/p cystectomy- ileal conduit- 6/6/13 nonresolving abdominal wounds - History: as above CHEST: LUNGS AND PLEURA: Small peripheral nodule in the right lower lobe. Bilateral calcified pleural plaques are again seen.MEDIASTINUM AND HILA: A mildly dilated esophagus without distal obstructing lesion ... | 1.Collection of fluid and gas in the anterior mid abdominal wall is compatible with abscess without fistulous connection to the peritoneum.2.Collection of fluid and gas in the operative bed/expected location of the bladder suspicious for abscess.3.Soft tissue density mass in the native right kidney in the pelvis and ex... |
Generate impression based on findings. | Reason: Pt s/p Whipple 9/16 now w/ elevated WBC and high NGT output - please eval for obstruction or leak History: Elevated WBC, high NGT output ABDOMEN:LUNG BASES: Motion artifacts limits evaluation of the lung bases. No significant abnormality noted.LIVER, BILIARY TRACT: Nonspecific hypodense lesion in segment 7 meas... | 1.Diffuse intraabdominal inflammatory changes and non-loculated fluid compatible with post-surgical changes s/p Whipple procedure.2.No evidence of obstruction or drainable fluid collections. |
Generate impression based on findings. | Reason: eval for progression of fungal disease History: AML, fungal sinusitis on Ampho LUNGS AND PLEURA: Resolution of the right pleural effusion in right basilar atelectasis.Stable right upper lobe nodule (image 28 series 5) measuring 7 mm.Calcified granulomata right lung base.No new pulmonary nodules identified.Motio... | 1.Interval resolution of pleural effusions and basilar atelectasis.2.Interval decrease in mediastinal lymphadenopathy.3.Stable axillary and abdominal lymphadenopathy.4.Splenomegaly. |
Generate impression based on findings. | Right sided CSF ottorhea. There is extensive pneumatization of temporal bones with pneumatized mastoid air cells extending to the most medial aspect of the petrous apices bilaterally. There is opacification of the majority of right-sided mastoid air cells without associated destruction. There are multifocal areas of no... | Opacification without destruction of mastoid air cells within the extensively pneumatized right temporal bone communicating with the middle ear and external auditory canal. Nonvisualization of the very thin cortical bone separating mastoid cells and intracranial compartment resulting in CSF leak at multiple areas. The ... |
Generate impression based on findings. | 65-year-old male with history of lymphoma CHEST:LUNGS AND PLEURA: Right apical fibrosis, unchanged. Right-sided pleural effusion has resolved with in the interval. Bilateral dependent atelectasis.MEDIASTINUM AND HILA: Index pretracheal adenopathy measures 6-mm in diameter image number 29, series number 4, slightly smal... | Wall metastases, unchanged. Interval decrease in the size of the mediastinal and retroperitoneal lymph nodes. Interval resolution of the right-sided pleural effusion. Compression fracture involving the mid lumbovertebral body, unchanged. |
Generate impression based on findings. | 58 year-old male with recurrent oral tongue SCC s/p CRT 8/18/13. CT head:The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage, or abnormal contrast... | 1. Stable postsurgical changes without evidence of residual tumor or clinically significant lymphadenopathy. 2. No intracranial metastasis. |
Generate impression based on findings. | Reason: pt with + salmonella bacteremia, neg ct on third admission but now worsening abdominal pain. please eval for abscess, obstruction, or perf History: abdominal pain ABDOMEN:LUNG BASES: Nonspecific peripheral ground glass abnormality at the left lung base has not significantly changed from the prior exam and is li... | 1.Hepatic findings compatible with chronic liver disease.2.Significant upper abdominal lymphadenopathy is nonspecific in the setting of chronic liver disease.3.No evidence of obstruction or drainable fluid collection. |
Generate impression based on findings. | 42-year-old female with history of abdominal pain and nausea vomiting and ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hypodense lesion in the right lobe of the liver, incompletely characterized but likely benign measuring 1.7 cm which number 17, series number 4. There are a few other subce... | Unremarkable small bowel. Hypodense lesions in the liver which cannot be optimally characterized by this single phase CT with are more likely to be benign in etiology. |
Generate impression based on findings. | 32-year-old male with pain with eating 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 ... | Normal study. |
Generate impression based on findings. | Female 72 years old Reason: h/o HNC, new c/o throat pain, eval disease History: none LUNGS AND PLEURA: Numerous calcified granulomas are seen scattered throughout the pulmonary parenchyma. Emphysema. There is no definitive evidence of metastatic disease to the lungs. Minimal left basilar atelectasis.MEDIASTINUM AND HIL... | 1. No definitive evidence of metastatic disease to the chest.2. Emphysema |
Generate impression based on findings. | Cough. LUNGS AND PLEURA: Dense focal opacity in the apical and anterior segments of the left upper lobe, likely a combination of consolidation and atelectasis, is not significantly changed except for development of cavitation posteriorly (image 22/103). Moderate volume loss in the left upper lobe. Previously noted 5 mm... | Dense focal opacity in the apical and anterior segments of the left upper lobe, likely a combination of consolidation and atelectasis, is not significantly changed except for development of cavitation posteriorly. This most likely is related to prior pneumonia and may represent organizing pneumonia. However, given the ... |
Generate impression based on findings. | Reason: evaluate for hemorrhagic conversion of CVA History: CVA The CSF spaces are appropriate for the patient's stated age with no midline shift. Some patchy hypodensity is present in the right temporal lobe are better identified on a recent MRI.Atherosclerotic calcifications are present along the distal internal caro... | 1.No evidence for acute intracranial hemorrhage or mass effect2.The patient's right temporal lobe ischemic lesion is very subtle on this exam3.The patient's right parietal lobe and posterior frontal lobe punctate acute infarctions are not readily seen on this exam |
Generate impression based on findings. | Male 66 years old Reason: evaluate for ILD reports questionable sarcoid, fungal infection, and asbestosis History: cough sob doe fibrosis LUNGS AND PLEURA: Basilar predominant subpleural linear interstitial abnormality with honeycombing and associated traction bronchiectasis. Fissural thickening is seen in both the maj... | Interstitial lung disease in a pattern suggestive of UIP.Nonspecific lymphadenopathy. |
Generate impression based on findings. | Female 75 years old; Reason: anal cancer restaging History: anal cancer restaging after chemo CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are unchanged. No dominant lung lesion. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is enlarged.Subcentimeter mediastinal lymph nodes, unchanged.Right ... | 1.Stable exam without evident metastatic disease. |
Generate impression based on findings. | Female 44 years old; Reason: kidney stones History: kidney stones ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URE... | 1.Nonobstructive right renal calculus. |
Generate impression based on findings. | Hemoptysis, shortness of breath. Question PE. PULMONARY ARTERIES: No evidence of PE.LUNGS AND PLEURA: Emphysema. Diffuse moderate bronchial wall thickening which is nonspecific but most commonly seen with asthma or bronchitis. No evidence of pneumonia or pleural effusion.MEDIASTINUM AND HILA: Scattered small subcentime... | 1. No evidence of PE.2. Emphysema. 3. Diffuse moderate bronchial wall thickening which is nonspecific but most commonly seen with asthma or bronchitis. Mild amount of debris in central airways consistent with aspiration.4. Other findings as above. |
Generate impression based on findings. | Male; 46 years old. Reason: evaluate for pulmonary embolism History: tachycardia, hypoxia PULMONARY ARTERIES: Limited study due to suboptimal contrast opacification of the pulmonary artery, but no evidence of PE to the lobar level. Markedly increased pulmonary trunk diameter is suggestive of pulmonary arterial hyperten... | 1.Limited study but no evidence of PE to the lobar level.2.Findings suggestive of pulmonary arterial hypertension as described above.3.Mild bronchial wall thickening, which is nonspecific but may be secondary to bronchitis or asthma. |
Generate impression based on findings. | 73 year old female with history of metastatic urothelial cancer CHEST:LUNGS AND PLEURA: Stable emphysema. New 7 by 4-mm nodule image number 16, series number 6.MEDIASTINUM AND HILA: Heterogeneous thyroid, unchanged.CHEST WALL: Metastatic lesions, stable.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPL... | Interval increase in the size of the sacral mass. Other bone metastases are grossly stable.New subcentimeter nodule in the left upper lobe. |
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