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Generate impression based on findings. | 39-year-old female with history of kidney stones 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 s... | Bilateral nephrolithiasis. No evidence of hydronephrosis. Stone versus phlebolith near the left UVJ/bladder. Clinical correlation is recommended. |
Generate impression based on findings. | 37 year old female with nonunion and pain. There is a small ossicle just distal to the anterior process of the calcaneus, measuring approximately 0.9 x 0.3 x 0.2 cm, compatible with a ununited avulsion fracture, although an accessory ossicle in this location can have a similar appearance. There are also a couple of tin... | Small ossicle just distal the anterior process of the calcaneus may represent an ununited fracture fragment. Other possible tiny (1-2mm) fracture fragments as described above. |
Generate impression based on findings. | Reason: evaluate for pseudoaneurysm, contrast extravasation from carotid History: previous bleeding from laryngectomy stoma Neck CTA: The patient reportedly blood from a site of located just above the stoma. Correlating this with the CT findings there are air bubbles located above the tracheostomy site. There are numbe... | 1.No pseudoaneurysm is appreciated along the common carotid or internal carotid arteries or the proximal external carotid arteries. There are number of superior thyroidal artery branches predominantly from the right side extending at a site where the bleeding came from. It is suspected a one days branches may have been... |
Generate impression based on findings. | Clinical question: Evaluate for acute hemorrhage. Signs and symptoms: Status post fall. Nonenhanced head CT:No detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp. CT is insensitive for detection of acute nonhemorrhagic ischemic strokes. Findings.Patchy periventricular and subcortical lo... | 1.No acute intracranial findings.2.Mild age indeterminate, small vessel ischemic strokes. |
Generate impression based on findings. | Clinical question: Weakness. Signs and symptoms: Weakness. Nonenhanced head CT:No detectable acute intracranial process. CT however, is insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF, cisterns, and gray -- white matter differentia... | No acute intracranial process. |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: CVA. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic stroke.Moderate periventricular and subcortical low attenuation of white matter is concerning for age indeterminate. Small muscle ischem... | No acute intracranial process. |
Generate impression based on findings. | Clinical question: Rule out acute hemorrhage. Signs and symptoms: Syncope. Nonenhanced head CT:No detectable acute intracranial process. CT however, is insensitive for detection of acute nonhemorrhagic ischemic stroke.Ectopia of cerebellar tonsils with resultant flattening deformity of the cerebellar tonsils consistent... | 1.No acute intracranial process. 2.Ectopia of cerebellar tonsils through the foramen magnum with flattening deformity of the tonsils and effacement of subarachnoid space, consistent with Chiari malformation. This finding was present on prior brain MRI from 2012. |
Generate impression based on findings. | Reason: bilateral hygromas post/burr holes History: bilateral hygromas post/burr holes Since the prior exam the patient has undergone bilateral burr hole placement. There is a significant amount of subdural air are now present furthermore bilateral subdural effusions. There is additional subdural collection is still pr... | 1.Since the prior examination the patient developed a significant amount of subdural air. Based on the fact that the adjacent sulci are not dramatically effaced and the ventricles are not significantly changed this does not appear to create tension pneumocephalus. Much of the subdural collections has been evacuated |
Generate impression based on findings. | Reason: Rule out Sub Arachnoid Hemorrhage History: Headache onset 4 days ago with increase in intensity over 6 hours to 9/10, non improved with pain medication Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral... | 1.No evidence for aneurysm.2.No evidence for cerebral vascular occlusive disease3.no subarachnoid blood is identified . Please note if there are convincing symptoms of a subarachnoid hemorrhage conventional angiography would be a more definitive test for determining the presence of an aneurysm than a CTA. |
Generate impression based on findings. | Reason: eval abscess History: erythema, swelling RLQ ABDOMEN:LUNG BASES: Bibasilar atelectasis.LIVER, BILIARY TRACT: Lipid containing gallstone.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormalit... | Nonspecific fluid collection surrounding the intrathecal pump. |
Generate impression based on findings. | Clinical question: Rule out acute hemorrhage, evidence of TIA. Signs and symptoms: Subjective weakness and lightheadedness. Nonenhanced head CT:No detectable acute intracranial process. CT however, is insensitive for detection of acute ischemic stroke.Unremarkable cortical sulci, ventricular system, CSF, cisterns, and ... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Reason: possible locked-in syndrome History: locked-in syndrome Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is 50% ste... | 1.Occlusion of the right vertebral artery at the C2 vertebral body level with a reverse filling of the intracranial right vertebral artery (from the VBJ) with opacification of the right posterior inferior cerebellar artery.2.High-grade stenosis of the left LVA at approximately the C4-C5 disk space level with tandem 50%... |
Generate impression based on findings. | Reason: appy History: pain and vomiting ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormali... | Distended appendix with a mildly thickened wall and surrounding edema consistent with acute appendicitis. |
Generate impression based on findings. | 71-year-old male --? Urinary leak -- assess urinary collecting system. Problem list includes urine leakage from surgical incision. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter hypodensity in inferior right lobe of liver (series 6 come image 55) -- this is too small to characte... | 1. Postsurgical changes as cystectomy with right lower quadrant neobladder formation. 2. No evidence of abnormal fluid collection or leak of excreted contrast material seen to demonstrate urinary tract leak. 3. Bilateral punctate calyceal nonobstructing calculus. |
Generate impression based on findings. | Reason: eval acute intraabd process, obstruction History: rectal cancer, diffuse abd tender ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Hypodense focus in the left hepatic lobe, increasing in size from the prior exam measuring 10 x 8 mm (series 3, image 31), previously 4 mm. Stable common... | 1. Increasing left hepatic lobe hypodense lesion is consistent with metastatic disease.2. No evidence of bowel obstruction or drainable fluid collections.3. Necrotic rectal mass without significant interval change.4. Reference pelvic lymph nodes, slightly decreased in size. |
Generate impression based on findings. | Clinical question: Evaluate for intracranial hemorrhage. Signs and symptoms: On Coumadin. Nonenhanced head CT:There is no detectable acute intracranial process. In particular, hemorrhage, as is questioned clinically. CT however, is insensitive for detection of acute nonhemorrhagic ischemic strokes.Mild periventricular ... | 1.No acute intracranial process.2.Mild age indeterminate, small vessel ischemic strokes. |
Generate impression based on findings. | Female; 28 years old. Reason: r/o PE History: atypical chest pain PULMONARY ARTERIES: Slightly limited study due to motion artifact but no evidence of pulmonary embolism. Main pulmonary trunk diameter is within normal limits.LUNGS AND PLEURA: No focal air space opacity, pleural effusion, or pneumothorax.MEDIASTINUM AND... | 1.No evidence of pulmonary embolism.2.No significant pulmonary or pleural abnormalities. |
Generate impression based on findings. | 20 male with abdominal pain common generalized. Persistent nausea and vomiting. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Liver parenchyma appears normal. No masses are seen. Hepatic venous, and portal venous structures all normal. Patient is status post cholecystectomy. No evidence of i... | No Abnormality seen in the abdomen or pelvis to account for patient's symptomatology. |
Generate impression based on findings. | Male, 36 years old, with recurrent headaches, evaluate for aneurysm. Non-angiographic findings:The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift... | 1. No intracranial aneurysms or other specific vascular abnormalities to account for the patient's symptoms2. Stable postsurgical change involving the right sphenoid sinus. |
Generate impression based on findings. | Reason: eval lung nodule History: hiccups come additional history states patient has HIV LUNGS AND PLEURA: 13 mm x 10 mm cavitating nodules noted in the superior segment of the right lower lobe (image 57 series 4).Additional multiple small pleural nodules identified in the right upper lobe with the largest in parenthes... | Right lower lobe cavitary nodule and multiple right upper lobe pleural nodules. The differential diagnosis primarily includes atypical infections (fungal) versus a primary or metastatic neoplastic process. |
Generate impression based on findings. | Male; 51 years old. Reason: PE? History: shortness of breath and CP PULMONARY ARTERIES: Technically adequate exam to the segmental level. No evidence of pulmonary embolism to the first segmental level. Enlarged main pulmonary trunk diameter is suggestive of pulmonary arterial hypertension.LUNGS AND PLEURA: Mosaic atten... | 1.No evidence of pulmonary embolism to the first segmental level.2.Findings suggestive of pulmonary arterial hypertension.3.Patchy ground glass opacities in the upper lobes and bilateral pleural effusions, compatible with CHF. |
Generate impression based on findings. | Fever lymphadenopathy; possible lymphoma CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Bulky bilateral axillary adenopathy again noted and relatively unchanged. A representative left axillary lymph node best seen on image 18 of series 3 measu... | Bulky bilateral axillary adenopathy associated with mildly enlarged retroperitoneal and pelvic adenopathy. Axillary lymph nodes are amenable to ultrasound guided percutaneous biopsy. |
Generate impression based on findings. | Female, 40 years old, back pain, headaches, elevated white blood cell count. Evaluate fusion and pump placement. There is anterior and posterior lumbar spinal fusion with screws, rods, and bone graft material L4-S1. No evidence of hardware loosening. Bony fusion of the vertebral bodies and posterior elements L4-5 and L... | 1. Postsurgical changes of anterior and posterior fusion lower lumbar spine without evidence of hardware loosening. No acute fracture is evident.2. Intrathecal pump is noted with its tip terminating at the level of T12-L1. 3. Nonspecific mild subcutaneous fatty stranding in the posterior midline soft tissues is most li... |
Generate impression based on findings. | Female, 47 years old, presenting with left-sided weakness and slurred speech. Non-angiographic findings:The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midl... | 1. No evidence of high-grade focal stenosis or vascular occlusion intracranially.2. Limited evaluation of the neck vessels as above, but no definite evidence of high-grade stenosis or occlusion is seen. |
Generate impression based on findings. | Clinical question: R/O he andmatoma. Acute lymphoid leukemia, without mention of having achieved remission. Signs and symptoms: Hit head Ommaya port site. Unenhanced head CT:New since prior exam are bilateral mixed density (primarily CSF density and to a lesser degree high density blood) subdurals along the inferior su... | 1.Small bilateral subdural on the inferior surface of tentorial leaf with minimal acute blood product measuring 4.2 on the right and 3.6-mm on the left. Subtle mass effect on the cerebellum.2.Bilateral posterior temporal -- parietal entirely CSF density subdurals and extending into the interhemispheric fissure. They me... |
Generate impression based on findings. | Reason: pancreatic pseudoabscess/cyst History: pancreatitis with continued pain and transaminitis ABDOMEN:LUNG BASES: New moderate left pleural effusion.LIVER, BILIARY TRACT: Diffuse fatty infiltration of the liver. Interval resolution of perihepatic fluid.SPLEEN: No significant abnormality noted.PANCREAS: Mildly edema... | 1. Improving peripancreatic fluid and stranding. No evidence of pancreatic necrosis or vascular complications.2. New left pleural effusion. |
Generate impression based on findings. | Reason: newly diagnosed larynx cancer History: eval extent of tumor, eval for lymphadenopathy There is a soft tissue mass present centered along the right thyroid cord of the larynx measuring 37 x 44 mm axial dimensions and previously measuring the same. There is associated partial erosion of the right thyroid cartilag... | 1.There is redemonstration of a right-sided T3 laryngeal mass associated with right-sided lymphadenopathy in the base of size criteria for lymphadenopathy2.marked multilevel degenerative changes of the cervical spine associated with the findings are suspicious for spinal stenosis at the C4-5 and C5-6 as well as multile... |
Generate impression based on findings. | Reason: Patient with recent history of cholecystitis presenting with RUQ pain, Nausea and vomiting. evaluate for cholecystitis History: RUQ pain, N/V ABDOMEN:LUNG BASES: No significant abnormality noted. Severe coronary calcifications are noted.LIVER, BILIARY TRACT: Calcified gallstones within the gallbladder. No evide... | 1.Gallstones within the gallbladder with no other complications of acute cholecystitis visualized.2.Dilated pancreatic duct. A distal pancreatic stricture cannot be excluded.3.Moderate hydronephrosis of the left kidney with hydroureter down to the level of left pelvic clips at site of prior surgery. A ureteral strictur... |
Generate impression based on findings. | 71-year-old male with sepsis and systemic inflammatory response syndrome -- rule-out fluid collection. CHEST:LUNGS AND PLEURA: Bilateral small pleural effusions and bibasilar atelectasis. No other parenchymal lung abnormalities.MEDIASTINUM AND HILA: No abnormal fluid collections seen. Scattered small lymph nodes are se... | 1. Bibasilar pleural effusions and atelectasis. 2. Postoperative changes with repair of right abdominal wall hernia, and subtotal colectomy with residual Hartmann's pouch. 3. Left lower quadrant ileostomy with dilated proximal small bowel, suggesting small bowel obstruction. 4. Multiple loculated collections, which may... |
Generate impression based on findings. | Metastatic melanoma CHEST:LUNGS AND PLEURA: Stable micronodulesMEDIASTINUM AND HILA: Stable pericardial cystCHEST WALL: Stable reference left anterior subcutaneous nodular focus best seen on image 16 of series 3 measuring 0.5 x 0.4 cm. Stable postoperative and lateral axillary findings.ABDOMEN:LIVER, BILIARY TRACT: No ... | Stable examination |
Generate impression based on findings. | Reason: staging of prostate CA History: prostate CA, DVT The lack of intravenous contrast limits evaluation of lymph nodes, mediastinum, and solid organ pathology. CHEST:LUNGS AND PLEURA: Motion artifact limits evaluation of the lung bases. Multiple nonspecific calcified and noncalcified pulmonary nodules. For referenc... | 1.Multiple enlarged mediastinal, upper abdominal, and retroperitoneal lymph nodes compatible with metastatic disease.2.Moderate hydronephrosis, right greater than left, with right ureteral dilation at the level of the aortic bifurcation, likely secondary to extrinsic compression by lymphadenopathy. However, the lack of... |
Generate impression based on findings. | Female; 58 years old. Reason: Evaluate for hemothorax vs. infection vs. malignancy History: 58 yo F with h/o Pulm HTN p/w acute SOB/hypoxia, and decreasing Hg. Evaluation of fine parenchymal detail is limited by motion artifact.LUNGS AND PLEURA: There is a large left pleural effusion with overlying compressive atelecta... | 1.Large left pleural effusion is predominantly comprised of water density fluid, but a small area of higher density within the inferior left pleural space is suggestive of blood products.2.Findings compatible with pulmonary arterial hypertension.3.Moderately enlarged mediastinal lymph nodes as described above, but no s... |
Generate impression based on findings. | Mantle cell non-Hodgkin's lymphoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abno... | Slight interval increase in size of mesenteric lymph nodes. |
Generate impression based on findings. | Clinical question: History of Parkinson's; patient will come from OR for cream had. Signs and symptoms: DBS planning; 1 mm slices. Nonenhanced head CT:Surgical planning study. Examination demonstrates no evidence of acute intracranial process.There is a midline lipoma along the superior aspect of corpus callosum and ex... | Unremarkable unenhanced head CT with the exception of a midline lipoma along the superior and dorsal aspect of corpus callosum. |
Generate impression based on findings. | Reason: rectal cancer with rising transaminases compare to last CT and measure 1) pleural soft tissue nodule, 2) subcarinal node, 3) left hepatic lobe mass, 4) aortocaval node, 5) left common iliac node History: rising transaminases assess for progression CHEST:LUNGS AND PLEURA: Extensive right pleural soft tissue nodu... | 1.Increasing hepatic metastases.2.Stable pleural nodularity and bilateral pulmonary nodules. Differential considerations include metastatic disease and mesothelioma.3.Stable lymphadenopathy and expansile T9 sclerotic lesion.4.Indeterminate left adrenal nodule. |
Generate impression based on findings. | Reason: Metastatic RCC, surveillance of mets History: none CHEST:LUNGS AND PLEURA: Left upper lobe nodule, previously measuring 1.1 x 0.9 cm currently measures 1.2 x 0.9 cm, not significantly changed compared to prior exam. Numerous bilateral metastatic lung nodules are again visualized with minimal interval increase i... | 1.No evidence of new metastatic lesions.2.Very slow but gradual increase in size of multiple metastatic pulmonary nodules is demonstrated in comparison to CT study in September 2012. |
Generate impression based on findings. | Neonate with history of complicated delivery including CPR. Evaluate for hemorrhage or ischemia. There is a subgaleal hematoma overlying the posterior aspect of the sagittal suture which is primarily hypoattenuating punctuated by serpiginous areas of more acute blood. Right lateral parietal soft tissue swelling and inc... | 1.Subgaleal hematoma, scalp soft tissue swelling, and overlapping skull bones most likely related to the attempted vacuum-assisted delivery.2.No other intracranial normality demonstrated. If there is clinical concern for an acute ischemic event, MRI of the brain is recommended. |
Generate impression based on findings. | Reason: colon cancer restaging. History: colon cancer PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Eccentric, enhancing wall thickening of the cecum compatible with patient's known malignancy. The a... | Cecal mass compatible with patient's history of colon cancer. |
Generate impression based on findings. | Male; 64 years old. Reason: newly diagnosed larynx cancer History: eval for lung mets LUNGS AND PLEURA: No suspicious pulmonary nodules or masses to indicate metastatic disease. No focal air space opacity, pleural effusion, or pneumothorax. Peripheral subpleural calcifications are noted and most likely represent healed... | 1.No evidence of metastatic disease to the lungs.2.Multiple mildly enlarged nonspecific mediastinal lymph nodes as described above. 3.Bilateral adrenal masses most likely represent benign adenomas, which can be confirmed with MRI or PET. |
Generate impression based on findings. | Reason: assess right maxillary sinus for operative planning for dental bone graft/implant History: h/o right upper molar #3 extraction s/p bridge placement; maxillary sinus pressure/tenderness, nasal congestion (R>L) The floors of the maxillary sinuses are relatively short and relative to the alveolar ridge at the spec... | 1.The floors of the maxillary sinuses are relatively short and relative to the alveolar ridge. At the specific site of a prior right sided maxillary molar extraction the bone is as thin as 2 mm between the alveolar ridge and maxillary sinus. There is some adjacent mucosal thickening at the maxillary sinus2.No evidence ... |
Generate impression based on findings. | Reason: eval for metastatic disease; eval ant abdominal mass CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules measuring up to 3 mm at the right lung base (series 5, image 79). No new suspicious lesions.MEDIASTINUM AND HILA: No mediastinal lymphadenopathy. Heart size is normal. No pericardial effusion. Large hia... | 1.No interval change in enlarged portacaval lymph node (Nodes of this size are commonly encountered in normal patients so the significance remains uncertain) or soft tissue focus along the anterior abdominal peritoneum. |
Generate impression based on findings. | Reason: Restrictive disease on PFTs, obtain ILD protocol CT chest. History: ILD protocol LUNGS AND PLEURA: No significant abnormality noted. Specifically no sign of diffuse interstitial lung disease.MEDIASTINUM AND HILA: Increased soft tissue in the anterior mediastinum in the area of the thymic gland has increased com... | 1.Increased soft tissue in the anterior mediastinum, of uncertain etiology, but most likely thymic hyperplasia based on location and morphology. Further follow-up is recommended to confirm stability or resolution.2. No sign of diffuse interstitial lung disease. |
Generate impression based on findings. | 56 year old man with hypertension and hyperlipidemia referred to evaluate coronary disease as part of GLOBAL trial.CPT Code: 75574 Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of valsalva and bifurcates into the left anterior descending and left circumflex coronary arteries. ... | 1.There are no significant coronary artery stenoses present. 2.There are several atherosclerotic plaques throughout the coronary tree. Importantly, there is a large non-obstructive low attenuation plaque in the proximal LAD which suggests that it has a large lipid core. 3. Aortic valve is severely calcified.4. Mild lef... |
Generate impression based on findings. | Reason: immunosuppressed, r/o mass lesion prior to LP History: headaches, fevers? 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 v... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Colon carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Stable reference cardiophrenic lymph node is seen on image 67 of series 3 measuring 1.6 x 0.9 cm.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Stable peripheral right lobe postoperative defect bes... | Interval increase in size of right adnexal cyst. Otherwise stable examination. |
Generate impression based on findings. | Male, 47 years old, history of parotid cancer, status post CRT. Post treatment change is redemonstrated including resection of the right parotid and submandibular glands with generalized right neck volume loss. Infiltration of the fat planes is also noted. Soft tissue thickening along the sternocleidomastoid and caroti... | Stable treatment-related changes with no evidence of recurrent disease. |
Generate impression based on findings. | Female 37 years old Reason: Evaluate for cause of SOB and cough in immunocompromised pt History: cough and SOB LUNGS AND PLEURA: Multifocal multifocal subpleural areas of consolidation in both lungs, with associated bronchiectasis of the inferior lingular bronchi. Bronchial and bronchiolar wall thickening with centrilo... | 1.Multifocal areas of subpleural consolidation. The differential diagnosis includes atypical infection, multifocal infarction or cryptogenic organizing pneumonia. Less likely consideration would be Kaposi sarcoma.2.Bronchial and bronchiolar wall thickening and evidence of small airway disease.3.Large mediastinal lymph ... |
Generate impression based on findings. | Reason: cervical lymphadenopathy History: cervical lymphadenopathy 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. There is a 9x17 mm lymph node... | 1.No neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy. There is a number of small lymph nodes are scattered throughout the soft tissues of the neck. There is a lymph node borderline for lymphadenopathy at the right submandibular space there2.degenerative changes are present in the cervical spin... |
Generate impression based on findings. | Reason: eval for progression of lung cancer History: n/a LUNGS AND PLEURA: Unchanged moderate sized right pleural effusion and right basilar atelectasis obscuring right lower lobe nodule .Volume loss in the right middle lobe with right middle lobe nodule contiguous with the right pericardium similar in appearance to th... | 1.Stable moderate-sized right pleural effusion and right middle lobe nodules.2.Interval decrease in size of reference mediastinal lymphadenopathy.3.Stable appearance to other lymphadenopathy as well as rib metastases. |
Generate impression based on findings. | Reason: hydrocephalous? History: shunt here with HA/diplopia The patient is status post right hemispherectomy by history redemonstrated with resultant right midline shift which has not significantly changed. The patient is status post right craniotomies. There are stable bilateral parietal approach ventricular catheter... | 1.Right hemispherectomy with resultant midline shift appears unchanged.2.Ventricular size/configuration and ventricular drainage catheter positions are stable. Ventricles are stable without any interval development of ventriculomegaly. |
Generate impression based on findings. | Reason: Pt with hx of HNC 3 years post CRT; Please re-eval and compare to prior History: as above CT neck: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 app... | 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 67 years old Reason: metastatic lung CA to liver, s/p chemo and RT to liver and lung lesions. History: none Motion limits sensitivity.CHEST:LUNGS AND PLEURA: A stable small right apical spiculated nodule is again demonstrated, now measuring 3 x 7 mm (image 22, series 4), previously measuring 3 x 6 mm.There is a ne... | Stable right apical spiculated nodule and hilar/mediastinal lymph nodes.Slight interval decrease in size of the hepatic segment 7 metastasis.No new focus of metastatic disease identified. |
Generate impression based on findings. | Clinical question: 58 year old female with history of parotid acinic cell cancer. Status post surgery and RT. Enhanced neck CT:Limited view of intracranial content is unremarkable.Bilateral cavernous sinuses and skull base is unremarkable. Examination demonstrates interval improvement in presumed postoperative changes ... | 1.Interval improvement of changes within the right parotid gland presumed post operative. Please see detailed report above. Recommend follow-up with enhanced CT or MRI exam.2.Interval decreased size of a small right intraparotid node measuring at 6.4 x 4.2-mm compared to prior measurement of 8.2 x 6.2-mm. |
Generate impression based on findings. | 71-year-old male with metastatic prostate cancer, rising PSA -- assess for metastases ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Benign appearing posterior lateral hypodensity, unchanged and most likely old infarct. No other abnormalities.PANCREAS: ... | No diagnostic abnormality seen in the abdomen or pelvis to account for patient's symptomatology. No significant abnormality seen. |
Generate impression based on findings. | 6-year-old female. Polycystic kidney disease with recurrent UTIs and flank pain. Evaluate for renal stone or obstruction. ABDOMEN:LUNG BASES: Lung bases are clear. LIVER, BILIARY TRACT: Normal appearance of the liver. SPLEEN: Normal appearance of the spleen. PANCREAS: Normal appearance of the pancreas.ADRENAL GLANDS: N... | 1. Enlarged bilateral kidneys consistent with stated history of polycystic kidney disease.2. No renal, ureteral, or bladder stones. No hydronephrosis. |
Generate impression based on findings. | Female, 37 years old, with fever and lymphadenopathy, possible lymphoma. Compare to prior scans. Extensive bulky adenopathy seen on the prior examination, involving levels I through V as well as the parotid spaces, subcutaneous tissues, and axillae, has significantly improved.For reference, a right level 2 lymph node m... | Interval improvement in diffuse neck lymphadenopathy. |
Generate impression based on findings. | Reason: Pt with hx of HNC 3 years post CRT; Please re-eval and compare to prior History: as above CHEST:LUNGS AND PLEURA: Stable scattered nonspecific micronodules.No new suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Cardiac size is normal with... | No interval change. No evidence of metastatic disease. |
Generate impression based on findings. | Male, 68 years old, chronic polypoid sinusitis. The frontal sinuses are clear. There is mild mucosal thickening at the level of the frontoethmoidal recesses, left more than right. Patchy opacification of the ethmoid air cells, anterior more than posterior, is demonstrated. Minimal mucosal thickening is evident within t... | 1. Relatively mild opacification/mucosal thickening affecting the paranasal sinuses as above. There has been some progression of this abnormality at the level of the right maxillary ostium.2. Polypoid mucosal thickening is demonstrated within the bilateral middle meatuses. This has progressed moderately on the right an... |
Generate impression based on findings. | h/o lung ca s/p chemo last year History: recent CT showing necrotic mesenteric mass. ABDOMEN:LUNG BASES: Moderate right pleural effusion is unchanged. Right middle and lower lobe consolidation and traction bronchiectasis compatible with radiation fibrosis. No discretely measurable lesions. Peripheral left lower lobe gr... | Enlarging rim enhancing lesion in the anterior abdominal mesentery most consistent with metastatic disease. |
Generate impression based on findings. | Reason: eval palate area; h/o mucoepidermoid ca of palate History: none There is asymmetry in appearance of the junction of the hard and soft solids thicker on the right and the left. This appearance is stable compared with priorWithin the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenop... | 1.In the appearance of the soft palate is a stable comparing right and left side . Stability suggests that this is post treatment related.2.No evidence for neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy |
Generate impression based on findings. | 65 year old patient with a history of nasal squamous cell carcinoma s/p resection and XRT with recurrence in neck lymph nodes. There has been interval postsurgical changes with resection of previously seen 2.5-cm enhancing cystic lesion in the left submandibular space and the left submandibular gland. Irregular soft ti... | 1. Interval resection of cystic nodal metastasis in left level Ib nodal station. No convincing evidence of residual or recurrent disease.2. No new cervical or supraclavicular lymphadenopathy. |
Generate impression based on findings. | Reason: Hx of lymphoblastic lymphoma now s/p 2 cycles of chemotherapy please re-evaluate and compare to previous History: hx of lymphoblastic lymphom s/p chemotherapy; one 1.7cm lymph node present to chest following induction, please evaluate. LUNGS AND PLEURA: Stable small scattered micronodules.No suspicious pulmonar... | Interval decrease in reference prevascular mediastinal lymph node. No evidence of recurrence of mediastinal mass.No new sites of disease. |
Generate impression based on findings. | 64-year-old male with prostate cancer, and a history of biochemical recurrence. Following prostatectomy -- assess for cancer recurrence. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality ... | No abnormality seen to suggest metastatic disease in the abdomen or pelvis. |
Generate impression based on findings. | 87-year-old male on xarelto, status post fall onto right hip, now with edema and large ecchymosis from top of iliac crest to mid thigh. Please evaluate for fracture and hematoma. No acute fracture is evident. Mild to moderate osteoarthritis affects the right hip. Mild degenerative arthritis affects the pubic symphysis ... | Gluteal hematoma and other findings as described above without fracture. Results were discussed with Dr. Eleanor Valenzi (pager 2626) of the primary clinical service by Dr. Michael Veronesi at the time of this dictation on 9/24/2013 at 1145 hours. |
Generate impression based on findings. | A static breast cancer receiving chemotherapy. Restaging. CHEST:LUNGS AND PLEURA: Unchanged micronodules,one which is calcified suggesting a granuloma. No new lesions.MEDIASTINUM AND HILA: Unchanged mildly prominent right hilar lymph node but otherwise no significant lymphadenopathy. Normal heart size. Mild atheroscler... | Metastases to the large bowel and mesentery, difficult to assess extent due to technique, measurements as above. Identification of newly visible areas of abnormality are could be related to differences in phase of contrast enhancement and degree of bowel distention. Recommend subsequent examinations performed with dedi... |
Generate impression based on findings. | Reason: Hx of bladder cancer \T\ prostate cancer; s/p radical cystectomy, prostatectomy, ileal conduit urinary diversion; Restaging; Evaluate for metastases History: Hx of bladder cancer \T\ prostate cancer CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules seen without change in pattern. No new lesions or masses... | 1. Stable appearance to scattered pulmonary micronodules without new nodules, masses or infiltrates. 2. Stable appearance to enlarged right hilar lymph node, unchanged over the last several examinations. 3. Stable appearance to retroperitoneal adenopathy first identified on 7/30/13 examination. 4. Expected appearance p... |
Generate impression based on findings. | Reason: Left lower / lingula opacity not responsive to antibiotics (noted on CXR 8/15) history of smoking, please evaluate for evidence of cancer History: nonresolving pneumonia LUNGS AND PLEURA: Diffuse bronchiectasis and bronchiolectasis affecting all lobes but most severe in the right middle lobe and lingula.Focal a... | Diffuse bronchiectasis and focal areas of nonobstructive atelectasis in the right middle lobe and lingula, without significant change. No evidence of lung cancer. |
Generate impression based on findings. | 71-year-old female with history of metastatic breast cancer, receiving treatment -- scanning for restaging. CHEST:LUNGS AND PLEURA: Right apical Reference lung nodule (series 5, image 11) measures 5-mm compared with 7 mm previously. Scattered small, nodular thickening along left major fissure is seen, and while not in ... | 1. Decrease in size of right apical reference lung nodule. 2. Increasing retroperitoneal lymphadenopathy as measured above. 3. Stable appearance to the scattered skeletal changes, most consistent with metastatic disease. 4. Slightly increased prominence to multiple nodular foci in the left major fissure -- while these ... |
Generate impression based on findings. | Left upper lobe nodule Motion artifact degrades image quality, especially from lung bases.LUNGS AND PLEURA: 6-mm ground glass density nodule left upper lobe (5/90).Although no additional nodules are appreciated, sensitivity for detection is limited due to significant motion. No pleural fluid or pneumothorax.MEDIASTINUM... | 1. 6-mm ground glass density nodule in the left upper lobe, more likely to be benign than malignant. 3month CT follow-up recommended. If this persists on subsequent exam, annual exams for total of 3 years would then be recommended to exclude low grade malignancy such as adenocarcinoma in situ or minimally invasive aden... |
Generate impression based on findings. | Reason: evaluate for progression. History: metastatic giant cell tumor. LUNGS AND PLEURA: Redemonstration of extensive bilaterally partially calcified or ossified pleural and pulmonary nodules including a large mass in the right lower lobe. This mass (image 43 series 5) using comparable measurements is now is 2.7 cm by... | No significant interval change in the multiple calcified/ossified pulmonary and pleural metastases. No new sites of disease identified. |
Generate impression based on findings. | 60 year-old female with history of transitional cell carcinoma with prior cystectomy -- baseline scan prior to starting systemic therapy. CHEST:LUNGS AND PLEURA: Multiple micronodules most of which are calcified are again seen, unchanged. No suspicious nodules for metastatic disease are seen.MEDIASTINUM AND HILA: Calci... | 1. Enlarged lymph node seen in the chest on March, 2013 CT examination of substantially decreased in size as measured above. No pathologically enlarged lymph nodes seen in the chest at this time. 2. Status post cystectomy with ileal loop conduit. Bladder, unchanged in appearance. 3. No evidence for abdominal/pelvic met... |
Generate impression based on findings. | Clinical information CHEST:LUNGS AND PLEURA: Multiple small solid nodules have slightly increased in size compared to previous scans, especially since 1/29/2013.A groundglass nodule in the left apex measures 18 mm in maximum diameter, slightly increased from previous, but markedly increased from earlier examinations fr... | 1. Interval slight increase in size of reference and non-reference solid nodules compatible with primary and metastatic disease.2. Slow progression of left upper lobe ground glass nodule compatible with primary adenocarcinoma. |
Generate impression based on findings. | History of mandibular cancer rule out lung mets LUNGS AND PLEURA: Mild emphysema. Numerous foci of endobronchial debris and tree-in-bud opacities are consistent with aspirated secretions, seen in the dependent lung fields. Eccentrically calcified nodule left lower lobe (6/72 measuring 7-mm, not conclusively changed but... | No conclusive evidence of pulmonary metastases. Numerous pulmonary nodules, the majority of which are likely post infectious or post inflammatory, appearing unchanged compared to PET scan dated 3/28/13. Eccentrically calcified nodule left lower lobe without visible change, indeterminate in appearance but could reflect ... |
Generate impression based on findings. | Female, 95 years old, history of left gingival cancer, status post surgery. Evaluate for recurrence. Postsurgical change is seen consistent with a partial left mandibulectomy. The left mandibular condyle and coronoid process are preserved. The surgical defect is bridged with a plate and screw device. Surgical change is... | Interval resection of the previously seen left gingival/buccal space tumor. No evidence of residual or recurrent tumor, or of pathologic adenopathy, is seen. |
Generate impression based on findings. | Male 76 years old; Reason: metastatic colon cancer on cetuximab chemotherapy. evaluate for interval change history: colon cancer CHEST:LUNGS AND PLEURA: Multiple metastatic pulmonary lesions. Left upper lobe lung mass measures 5.8 x 4.7 cm (image 35/series 5) previously, 5.4 x 4.8 cm.The more inferiorly located to mass... | 1.Near stable size measurements of the reference lesions. |
Generate impression based on findings. | 77-year-old female with gastric GIST and probably renal cell cancer. Failure to thrive, weight loss. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are unchanged. There is a new 0.6 x 0.7 millimeters lesion in the anterior left upper lobe in a subpleural location (series 10, image 28). This may represent infl... | 1. Stable size of the right renal mass with characteristics suggestive of renal cell carcinoma. 2. Stable appearance to the partially calcified exophytic gastric mass. 3. New left upper lobe anterior pulmonary, parenchymal subpleural density seen -- this may represent inflammatory or vascular change, however, should be... |
Generate impression based on findings. | Right apical lung mass and pleural effusion. Significant motion artifact degrades image quality.LUNGS AND PLEURA: Right apical mass inseparable from the adjacent mediastinal pleural surface measures 3 x 3.1 cm in greatest transaxial dimensions (5/18) and 5.1-cm in craniocaudal length. Architectural distortion and tract... | 1. Above-described suprarenal abdominal aortic abnormality consistent with aortic dissection and suspicious for acute or subacute intramural hematoma. Degree of thrombosis of the lumen cannot be assessed. Renal perfusion cannot be assessed on an unenhanced study though it appears that the right kidney is atrophic which... |
Generate impression based on findings. | Injury, not specified. Nonenhanced head CT: There is minimal soft tissue thickening of the left suboccipital subgaleal region with slight overlapping subcutaneous fat stranding (axial images 4 through 8 and sagittal reformatted images 35 through 37) which could represent a post traumatic finding. Otherwise, examination... | 1.No evidence of calvarial or intracranial abnormality.2.Minimal subgaleal soft tissue thickening in the left suboccipital region as detailed above. |
Generate impression based on findings. | Reason: source of intraventricular hemorrhage History: headache, neck stiffness Brain CTA: There is occlusion of the right M1 segment at its origin. A there is some findings suggesting leptomeningeal collateral reconstitution of some of the right middle cerebral artery branchesThe left A1 segment is smallThere is opaci... | 1.No evidence for aneurysm.2.Intraventricular hemorrhage with some SAH in the posterior fossa.3.Occlusion of the right middle cerebral artery at its origin |
Generate impression based on findings. | 71-year-old female with history metastatic renal cancer -- assess for progression. CHEST:LUNGS AND PLEURA: Numerous parenchymal bilateral nodules are again seen, unchanged in size and distribution. The index nodule in the left lung base (series 5, image 69) is unchanged and measures 0.5 x 0.3 cm.MEDIASTINUM AND HILA: N... | 1. Parenchymal lung nodules, unchanged. 2. Apparent surgical changes about the gallbladder with prior changes suggestive of adenomyomatosis. No longer seen. 3. Status post left nephrectomy -- lytic lesions and compression deformities of the T11, T12, and L1 vertebral body seen with slight progression. 4. Soft tissue ma... |
Generate impression based on findings. | Medical question: Evaluate for edema, stroke, hemorrhage. Signs and symptoms: Encephalopathy, liver failure. Nonenhanced head CT:There is no detectable acute intracranial hemorrhage, edema, mass, mass effect, or midline shift, or hydrocephalus.Mild prominence of cerebral cortical sulci and supratentorial ventricular sy... | No evidence of acute intracranial process. CT however, is insensitive for the attention of acute nonhemorrhagic ischemic strokes. |
Generate impression based on findings. | History of aortic coarctation. Status post repair. Question of pulmonary artery malformations. Cardiac Morphology: Pacemaker device is noted.Left Ventricle: Normal ventricular size.Right Ventricle: Normal ventricular size.Left Atrium: There are four distinct pulmonary veins which drain normally into the left atrium.Rig... | 1.No evidence of pulmonary anomalous venous return.2.Status post aortic coarctation repair. No evidence of aortic coarctation.Dr. Peter Varga was present during the elaboration of this report and agrees with the findings. |
Generate impression based on findings. | Male 81 years old; Reason: questionable progression of prostate disease History: new back pain CHEST:LUNGS AND PLEURA: Right upper lobe right middle lobe and right nodules are unchanged.Pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. Extensive coronary artery calcifications... | 1.Mild dilatation of the left ureter with suspicion for a small lesion the level of the left distal ureter. This may be due to extension of the prostate cancer into the left ureter orifice. Consider dedicated imaging (CT Urography) or urologic consultation .2.No evident distant metastatic disease. |
Generate impression based on findings. | Reason: SOB, Wheezing History: SOB, Wheezing LUNGS AND PLEURA: Diffuse bronchial thickening compatible with asthma.Mild interstitial opacity medially in the upper lobes with ground glass and reticular components as well as mild traction bronchiectasis, suggestive of fibrosis. This may be secondary to previous infection... | 1. Mild bilateral upper lobe ground glass and reticular nonspecific interstitial opacity with bronchiectasis, most likely chronic, but with possibly active infection.2. Diffuse bronchial thickening compatible with asthma. |
Generate impression based on findings. | Reason: h/o NF1 and brain tumor; preop planning patiet will come from OR with frame on; stealth sequences History: preop planning; stealth sequences A stereotactic device is in place which creates artifact and partially obscures visualization of intracranial structuresA ventriculostomy tube courses through the right fr... | 1.Examination is performed for stereotactic guidance.2.There is a lesion present in the mid right associated mass effect.3.Ventriculostomy tube for shunt in stable position without evidence for ventriculomegaly. |
Generate impression based on findings. | Female, 52 years old, history of breast cancer, known bone lesions, with headache. Evaluate for metastatic disease. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No suspicious enhancing lesions are seen.No intracranial hemorrhage or abnormal extra-axial fluid collection... | No evidence of intracranial metastases or other specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Male 56 years old; Reason: F/U on RCC History: none CHEST:LUNGS AND PLEURA: Left lung major fissure subcentimeter nodule measures 2 x 2 mm (image 51/series 4), unchanged. No new lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. Reference pretracheal lymph node me... | 1.Stable exam without evident change in the reference lesions. |
Generate impression based on findings. | Lung nodules identified on abdomen CT. Crohn's disease. LUNGS AND PLEURA: Three nodules are present in the posterior right base. The nodules have unsharp margins. The smallest one is less than 0.3 cm in diameter. The other two measure 0.5 cm and 0.8 cm. No other nodule is seen. No focal opacity is present. A pleural ef... | Three right lower lobe nodules most likely inflammatory in nature. |
Generate impression based on findings. | Reason: history metastatic renal cancer, assess for progression CHEST:LUNGS AND PLEURA: Multiple subcentimeter parenchymal nodules bilaterally, grossly unchanged compared to prior exam.Index left lung base lesion previously measuring 1.4 cm currently measures 1.5 cm. Interval worsening of previously noted areas of lobu... | 1.Mild interval increase in size of the right pleural based mass with increase in associated pleural effusion and atelectasis.2.New lytic lesion involving the left one third of the L4 vertebral body.Findings were discussed with Dr. Zhang over the phone at 1506 on 9/24/2013. |
Generate impression based on findings. | Female 48 years old; Reason: colon cancer restaging History: colon cancer CHEST:LUNGS AND PLEURA: Subcentimeter pulmonary nodule along the minor fissure (image 49/series 4), unchanged.The pleural spaces are clear.MEDIASTINUM AND HILA: Right chest wall port terminates at the caval atrial junction.CHEST WALL: No signific... | 1.Post operative changes in the ascending colon. No evident metastatic disease.2.Right adrenal adenoma.3.Hepatomegaly |
Generate impression based on findings. | Hemoptysis question any change in lung disease. History of Mycobacterium avium infection. LUNGS AND PLEURA: Pulmonary fibrosis in a UIP pattern with peripheral honeycombing, bronchiectasis and volume loss not significantly changed compared to the most recent previous examination. Left upper lobe mass invading the left ... | 1. Interval increase in size in the left upper lobe lung mass which now invades the mediastinum and encases a segmental airway. Localized mediastinal invasion is atypical for MAC and remains suspicious for primary pulmonary neoplasm.2. Stable to decreased size of mediastinal lymph nodes which were not suspicious per pr... |
Generate impression based on findings. | Male; 69 years old. Reason: stage IV lung cancer and HCV with elevated LFTs and bilirubin. CHEST:LUNGS AND PLEURA: Large solid left upper lobe nodule now measures 25 x 25 mm and has decreased in size, previously measuring 35 x 32 mm (series 5, image 30). Small poorly defined non-solid nodule in the right upper is sligh... | 1.Interval decrease in size of solid left upper lobe nodule and reference mediastinal lymph node. However, nonindex lymph node has slightly enlarged.2.While slightly less prominent, right upper lobe nodule remains suspicious for independent primary adenocarcinoma and should continued to be followed.3.Interval developme... |
Generate impression based on findings. | 68-year-old male with abdominal aortic aneurysm, evaluate for interval change ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Stable small focus of enhancement on arterial phase in the right lobe of the liver likely represents a focal perfusion abnormality, unchanged.SPLEEN: No significant ab... | 1.Slightly increased abdominal aortic aneurysm measures 5.2 cm in maximal dimension. 2.Patent femoral-femoral bypass graft.3.Stable aneurysmal dilatation of the left common iliac artery. |
Generate impression based on findings. | Female 72 years old; Reason: 72 yo female with dx proven right side schwannoma; please evaluate for changes and or abnormalities History: schwannoma ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Hypodense well-circumscribed right hepatic lesion most like represents a cyst . Hepatic and por... | 1.No evident change in the right retroperitoneal mass (biopsy proven as schwannoma) |
Generate impression based on findings. | Reason: head and neck cancer, r/o distant metastasis History: cough CHEST:LUNGS AND PLEURA: Stable scattered small calcified noncalcified micronodules.No new suspicious pulmonary nodules or masses.Scattered areas of scarring.Mild bronchiectasis in left lower lobe.No pleural effusions.MEDIASTINUM AND HILA: No hilar or m... | No interval change. No evidence of metastatic disease. |
Generate impression based on findings. | Male 73 years old; Reason: met crc restaging History: met crc CHEST:LUNGS AND PLEURA: There are multiple pulmonary metastases.Reference upper lobe pulmonary lesion measures 3.9 x 2.6 cm (image 45/series 6) previously, 3.8 x 2.6 cm.Right upper lobe pulmonary mass extends to the mediastinum measures 4.0 x 3.7 cm (image 4... | 1.Near stable size measurements of the reference lung lesions. Some of the smaller lesions are subjectively increased in size. |
Generate impression based on findings. | 16 year old patient with headache, vomiting. VPS in place. Evaluate for changes in ventricles. A ventriculostomy catheter extends from a right parietal approach to rest in unchanged position at the left caudothalamic groove. There has been interval improvement in the appearance of soft tissue swelling associated with t... | 1. Interval improvement of mild postprocedural soft tissue stranding within the scalp related to ventriculostomy tube placement. Otherwise stable examination with no CT evidence of hydrocephalus or other acute pathology.2. Note is again made of the previously described Dandy-Walker variant configuration of the posterio... |
Generate impression based on findings. | 60 year-old female with melanoma of the skin -- rule-out metastatic disease CHEST:LUNGS AND PLEURA: Numerous lung nodules are seen throughout both lungs ranging from several millimeters in size to the largest in the right lower lobe (series 9, image 71) measuring 3.5 x 3.3 cm. A second reference lung nodule in the left... | 1. Numerous bilateral pulmonary, parenchymal masses, most consistent with metastatic disease. 2. Large right adrenal mass most likely represents metastatic disease. |
Generate impression based on findings. | Reason: melanoma History: melanoma Lack of intravenous contrast limits evaluation of vascular structures and solid parenchymal organs. Within these limitations, the following observations can be made:CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules, some calcified and clustered as seen in the left lower lobe un... | 1.No evidence of metastatic disease on this limited non iV contrast enhanced exam. 2.Stable calcified nodules at the left lung base and additional scattered ground-glass opacities are likely post-infectious. |
Generate impression based on findings. | Reason: history metastatic renal cancer, assess for growth on treatment History: none CHEST:LUNGS AND PLEURA: Stable micronodules along the minor fissure on the right lung. No new suspicious nodules or masses.MEDIASTINUM AND HILA: Reference precarinal node previously measuring 1.4 x 0.6 cm currently measures 1.6 x 0.8 ... | Stable examination with no significant change in reference lesions. |
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