instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | Clinical question: History of head and neck cancer. Evaluate disease and compare/measurements to prior scan. Signs and symptoms: As above. Enhanced neck CT:There is no detectable intracranial abnormality on this portion visualized images.Bilateral cavernous sinuses and skull base remains unremarkable.Images through the... | 1.Enhanced neck CT demonstrates no convincing evidence of interval change a focus of soft tissue thickening at the level of the right mandibular angle and inseparable from the inferior tip of the superficial lobe of right parotid gland. Superficial ulceration of the lesion appears slightly smaller. The density of the l... |
Generate impression based on findings. | Melanoma with cough and night sweats LUNGS AND PLEURA: Mild dependent atelectasis. No suspicious pulmonary nodules or masses and no specific signs of pneumonia. Subtle peribronchial thickening and ground glass opacity surrounding in the right middle lobe medial segmental airway, visible only on the high resolution seri... | No specific signs of pneumonia. Subcarinal and right hilar lymph nodes are slightly larger than on the previous study. The upper esophagus is slightly patulous and contains debris however there is no conclusive evidence of bronchiolitis or aspiration-related pneumonitis on the at the time of exam. Very subtle bronchial... |
Generate impression based on findings. | Reason: Eval for metastatic disease History: 52F hx breast cancer known vertebral bone lesions CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. Basilar scarring/atelectasis.MEDIASTINUM AND HILA: Prominent precarinal lymph node measures 9 x 9 mm (series 4, image 32). Heart size is normal. No pericardia... | Expansile soft tissue mass involving L5 and S1 compatible with metastatic disease. |
Generate impression based on findings. | Male, 81 years old, history of prostate cancer with new back and neck pain. Evaluate for progression of disease. An apex-left scoliosis is noted. In addition, there is a grade 1 anterolisthesis of C4 relative to C5 and C5 relative to C6. No discrete bony lesions are seen to suggest metastatic disease.Congenital anomali... | 1. No evidence of focally destructive bony lesions to suggest the presence of metastatic disease to the spine.2. Congenital anomalies of the craniocervical junction as above.3. Variable scoliotic curvature throughout the spine.4. Advanced degenerative disk disease with relatively mild scattered areas of canal compromis... |
Generate impression based on findings. | Male; 57 years old. Reason: h/o parotid cancer History: r/o lung mets. LUNGS AND PLEURA: Scattered scarlike opacities are unchanged, but no suspicious pulmonary nodules or masses are seen. No focal air space opacity or pleural effusion.MEDIASTINUM AND HILA: Normal heart size without pericardial effusion. No significant... | No evidence of metastatic disease or significant interval change. |
Generate impression based on findings. | Head and neck cancer CHEST:LUNGS AND PLEURA: Mild apical radiation fibrosis. Right middle lobe atelectasis persists despite clearance of the majority of debris seen previously within the airways. Stable left lower lobe intrapulmonary lymph nodes, present since 2011.MEDIASTINUM AND HILA: Tracheostomy tube above the lung... | No suspicious pulmonary nodules or masses. No mediastinal lymphadenopathy. Upper normal sized right axillary/subpectoral lymph nodes have increased in size slightly, of unclear significance |
Generate impression based on findings. | Hodgkin's lymphoma. Pre transplant evaluation. CHEST:LUNGS AND PLEURA: Right upper lobe nodule all it is smaller and less round. No other focal opacity is identified.MEDIASTINUM AND HILA: Few small superior mediastinal lymph nodes are again noted. No hilar lymphadenopathy is identified. Heart size is normal.CHEST WALL:... | Decrease in size of right upper lobe nodule which is most likely infectious/inflammatory. Unchanged small mediastinal lymph nodes. |
Generate impression based on findings. | Reason: Pt is post-treatment CRT for right BOT CA SCCa History: Pt is post-treatment CRT for right BOT CA SCCa LUNGS AND PLEURA: Interval development of upper lobe patchy groundglass opacities and septal thickening compatible with edema and possibly related to radiation therapy.Diffuse bronchial/bronchiolar wall thicke... | 1.Diffuse bronchial/bronchiolar wall thickening compatible with aspiration bronchiolitis.2.Increasing right middle lobe and lower lobe atelectasis/consolidation compatible with aspiration.3.New small bilateral pleural effusions.4.Increasing mediastinal lymphadenopathy which may be reactive in origin.5.New diffuse upper... |
Generate impression based on findings. | Clinical question: Rule out bleed or obstruction in patient with GBM on Avastin. Signs and symptoms: Headache with nausea and emesis Nonenhanced head CT: Unremarkable images through posterior fossa and mid normal size and midline fourth ventricle.Images through the supratentorial space demonstrate no evidence of any ac... | 1.No evidence of any acute new finding since prior exam.2.Stable normal size of the supratentorial ventricular system and subtle mass effect on left lateral ventricle from patient's known left hemispheric tumor.3.Revisualization of a stable focus of low-attenuation/vasogenic edema and tumor in the left occipital/poster... |
Generate impression based on findings. | Right chest pain and lesion site, compared to prior CT scan. History of lung/vertebral lesions and right rib lesion/mass LUNGS AND PLEURA: Nodule is again seen in the left lung base. No consolidation or pleural effusion.MEDIASTINUM AND HILA: The heart is normal in size and there is no pericardial effusion.CHEST WALL: T... | 1. Expansile predominantly lytic lesions in the right sixth rib with pathologic fracture in the more proximal lesion. This may be due to eosinophilic granulomatosis and malignancy is considered less likely.2. Multiple thoracic vertebral body lesions, possibly representing Schmorl's nodes.3. Left lung base nodule is unc... |
Generate impression based on findings. | Reason: h/o HNC, baseline scans - pre CRT, compare to outside History: none CHEST:LUNGS AND PLEURA: Mild upper zone emphysema and scarring.Mild groundglass and small nodular opacities in the posterior segment of the right upper lobe, likely secondary to infection and/or aspiration.No suspicious nodules.MEDIASTINUM AND ... | Mild right upper lobe opacity compatible with infection or aspiration. No specific evidence of metastases. |
Generate impression based on findings. | 37-year-old male with history of metastatic renal cell carcinoma on gem/cape/bev, image to determine response to therapy. The previously described left level 4 supraclavicular conglomerate nodal mass is again visualized. This demonstrates both cystic and soft tissue components and measures 2.8 x 1.8 cm in maximal axial... | 1.Slight interval decrease in size of the lobulated left level IV conglomerate nodal mass.2.Interval stability of the probable node located inferior to this.3.Future follow-up should utilize a right-sided injection of contrast, to decrease streak adjacent to the referenced pathology. |
Generate impression based on findings. | Clinical question: Hodgkin's lymphoma, on therapy. Signs and symptoms: Baseline pre-transplant to rule-out infection. Maxillofacial CT:Frontal sinuses are well pneumatized and unremarkable.Ethmoid sinuses are well pneumatized and unremarkable.Significantly larger left chamber of the sphenoid sinus is well pneumatized a... | 1.A very small right chamber of the sphenoid sinus (an anatomical variation) is opacified however, with patent right sphenoethmoidal recess.2.All other paranasal sinuses and including larger left chamber of the sphenoid sinus remains well pneumatized and unremarkable.3.There is rightward nasal septum deviation with muc... |
Generate impression based on findings. | Retromolar trigone cancer evaluate for lung metastases LUNGS AND PLEURA: Multiple pulmonary nodules not significantly changed compared to previous. Largest nodule at the right apex measures 5 x 7 mm (4/14), previously 6 x 8mm on 2/2011 and 6 x 8mm on 2/19/13. Centrally, this lesion appears slightly more solid compared ... | 1. Enlarging subcentimeter lymph nodes adjacent to the esophagus could be reactive if the patient has a recent history of esophagitis. CT is insensitive for the detection of esophageal pathology. Consider correlation with endoscopy if clinically warranted. Distribution is somewhat atypical for occult nodal metastases f... |
Generate impression based on findings. | Reason: h/o HNC, s/p induction, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Scattered calcified and noncalcified micronodules.No suspicious pulmonary nodules or masses.Mild bronchial/bronchiolar wall thickening and subtle groundglass opacities suggestive of aspiration/bronchiolitis.No pl... | 1.Mild bronchial/bronchiolar wall thickening in scattered groundglass opacities suggestive of aspiration/bronchiolitis.2.No evidence of metastatic disease. |
Generate impression based on findings. | Clinical question: History of head and neck cancer. Status post chemo/radiation. Evaluate for response. Signs and symptoms: None. Enhanced CT of soft tissues of neck:Limited view of intracranial space is unremarkable.Unremarkable bilateral cavernous sinuses and skull base.Unremarkable images through the nasopharynx and... | Stable post operative/therapy changes of neck and without convincing evidence of residual tumor or lymphadenopathy by CT size criteria. |
Generate impression based on findings. | Male, 66 years old, history of retromolar trigone cancer status post surgery and RT. Evaluate for recurrence. Extensive postoperative change is demonstrated including asymmetric volume loss of the left aspect of the tongue and tongue base as well as resection and flap reconstruction of the left soft palate and orophary... | Extensive postsurgical and posttreatment change in the left neck. No evidence of residual or recurrent primary tumor. No pathologic adenopathy. |
Generate impression based on findings. | Female 22 years old; Reason: 22 year old with GSW paraplegia now with likely urosepsis, eval for renal stone and signs of pyelonephritis History: abd pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No si... | 1.Minimal right collecting system dilatation following stent removal.2.Right renal inflammation extends to the retroperitoneum. The findings are suggestive of pyelonephritis without definite abscess. |
Generate impression based on findings. | Reason: h/o HNC, CRT, compare to previous, measurements pls History: none LUNGS AND PLEURA: Interval improvement in the nodular opacities in the right middle lobe.Bronchial wall thickening and bronchiectasis similar in appearance to the prior exam.Scattered areas of scarring/discoid atelectasis redemonstrated.No new su... | Interval improvement in the nodular opacities presumably secondary to aspiration. No evidence of metastatic disease. |
Generate impression based on findings. | Female 71 years old Reason: eval pulm process such as copd, pls use hi res History: rh failure The sensitivity of this exam is limited by patient motion.LUNGS AND PLEURA: Numerous cystic appearing lesions are seen throughout the pulmonary parenchyma, predominantly in the right perihilar region, which appear to communic... | 1.Dilated right atrium and ventricle with associated cardiomegaly and anasarca, which may represent right heart failure.2.Cystic lesions seen in the pulmonary parenchyma, likely representing emphysematous changes.3.No specific evidence of pulmonary edema or infection.4.Lucency in the anterior/superior mediastinum, whic... |
Generate impression based on findings. | Male, 58 years old, history of esophageal cancer, baseline scan pre-CRT. Soft tissue thickening along the tracheoesophageal groove within the upper thorax is demonstrated compatible with the stated history of esophageal cancer. For reference, this tissue measures 2.3 x 1.5 cm (image 82 series 4). This seems to have inc... | Redemonstration of soft tissue thickening involving the upper thoracic esophagus compatible with the patient's history. This seems to have progressed mildly along the right tracheoesophageal groove. However, the previously referenced left paraesophageal soft tissue thickening is not as well demonstrated on the current ... |
Generate impression based on findings. | 83 M w/ possible IPF on CXR, nodules, r/o malignancy. LUNGS AND PLEURA: Subpleural reticular interstitial opacities and honeycombing predominantly at the lung bases. Bilateral subpleural calcifications are also basilar predominant and may represent asbestos exposure. Associated traction bronchiectasis and architectural... | 1.Pulmonary findings are compatible with a UIP pattern as described above. This may be idiopathic or secondary to specific etiologies such as mixed connective tissue disease or asbestos exposure. 2.No suspicious pulmonary nodules/masses, ground glass opacities, or significant air trapping. |
Generate impression based on findings. | 56-year-old female, with peripheral T-cell lymphoma -- status post auto stem cell transplant. CHEST:LUNGS AND PLEURA: Postop changes are again seen in the right lung with the prior noted spiculated lesion in the right middle lobe decreasing in size and appearance now appearing mostly as groundglass density (series 6, i... | 1. Stable postoperative appearance in the chest with resolving nonspecific two focal right middle lobe lesions being followed. 2. No evidence of lymphadenopathy in the chest, abdomen or pelvis. 3. Resolution of prior abnormal gallbladder wall thickening with a normal appearing gallbladder. Now. |
Generate impression based on findings. | Reason: eval for acute intrabd process History: pain and redness near j-tube entry site ABDOMEN:LUNG BASES: Postoperative changes of gastric pull up are noted with portion of a stent. Patchy consolidation of the right lower lobe parenchyma surrounding gastric pull up. LIVER, BILIARY TRACT: Hypodense lesions in the live... | 1.J-tube with tip in the lumen of the bowel. No surrounding fluid collections or abscesses.2.Interval increase in size of hepatic lesions with new hepatic lesions. |
Generate impression based on findings. | Reason: pseudocyst? History: h/o pancreatitis, etoh, now with hyperbili and aki ABDOMEN:LUNG BASES: Basilar scarring/atelectasis. Hiatal hernia.LIVER, BILIARY TRACT: Mildly lobular contour of the liver. Hepatic steatosis. No intra-or extra hepatic ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: No ... | No evidence of biliary dilatation or pancreatitis.Fatty liver. Follow up is suggested |
Generate impression based on findings. | Female 59 years old; Reason: Eval for hematoma, pt with abd pain, AKI, abd hematoma. Eval for renal compression as well History: abd pain, PH pt on remodulin, now with AKI ABDOMEN:LUNGS BASES: Reticular nodular changes in the lung bases. Heart size is enlarged.LIVER, BILIARY TRACT: Liver has a nodular contour and is hy... | 1.Near stable size measurement of the left rectus muscle hematoma. |
Generate impression based on findings. | Prostate carcinoma CHEST:LUNGS AND PLEURA: Stable micronodulesMEDIASTINUM AND HILA: CardiomegalyCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Stable prominent adr... | Stable examination |
Generate impression based on findings. | 37-year-old male with metastatic renal cell carcinoma, right supraclavicular lymph node. Evaluate for progression of disease on therapy. CHEST:LUNGS AND PLEURA: Micronodules seen some with high density indicative of prior granulomatous disease, which are unchanged. There is a new nodular ground glass density focus in t... | 1. Stable pulmonary, parenchymal micronodules most likely from prior granulomatous disease. 2. New nonspecific 5-mm groundglass density in right lower lobe, which may be inflammatory, but merits follow up on further examinations to exclude metastasis. 3. Stable supraclavicular, mediastinal and hilar lymph nodes. 4. Dec... |
Generate impression based on findings. | Metastatic uterine carcinoma CHEST:LUNGS AND PLEURA: Stable right upper lobe spiculated nodule best seen on image 27 of series 5 measuring 1.1 x 1.3 cm. Relatively stable right lower lobe referenced nodule best seen on image 58 of series 5 measuring 0.6 cm in diameter.No significant change in extensive left lung pleura... | Stable examination |
Generate impression based on findings. | Reason: eval acute intraabd process, ?appy History: 3 weeks RLQ abd pain, low grade fever, hx fibroids ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Cholelithiasis without evidence of cholecystitis.SPLEEN: No significant abnormality noted,PANCREAS: No significant abnormality noted,ADRENAL G... | 1.No evidence of appendicitis.2.Interval decrease in size of leiomyomatous uterus. 3.Cholelithiasis without CT evidence of cholecystitis. |
Generate impression based on findings. | Metastatic melanoma CHEST:LUNGS AND PLEURA: Scattered micronodulesMEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Cholelithiasis without acute inflammation. No hepatic lesion. Hepatic vessels patent.SPLEEN: No significant abnormality note... | Mildly enlarged retroperitoneal and pelvic lymph nodes; nonspecific finding.Large pelvic cystic mass; favor left adnexal cyst with possible associated left hydrosalpinx. Fibroid uterus. |
Generate impression based on findings. | 71-year-old male with persistent leaking of urine from prior SPT tract (inferior to Indiana pouch.). Prior cystectomy. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLAND... | 1. No evidence of extravasation of contrast administered into Indiana pouch. No source for leak identified. |
Generate impression based on findings. | Neutropenia with history of appendicitis with cough CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Central line has been removed. Nonocclusive thrombus within the right brachiocephalic vein is noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Status post ch... | CVP line has been removed. A small nonocclusive thrombus within the right brachiocephalic vein is present. No acute lung process.No significant change in periappendiceal acute inflammatory soft tissue stranding and regional adenopathy. No abscess. |
Generate impression based on findings. | Female 53 years old; Reason: patient with history of bladder cancer, s/p 4 cycles of chemotherapy. please assess for disease progression History: bladder cancer CHEST:LUNGS AND PLEURA: No dominant lung lesion. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion no mediastina... | 1.Significant decrease in the size of the retroperitoneal lymph adenopathy with target lesions measuring less than 1 cm.2.Persistent moderate right hydronephrosis due to obstruction at the level of the distal ureter which may be due to focal mass or stenosis |
Generate impression based on findings. | 62 year-old female with metastatic melanoma, known palpable disease and leg. A marker was placed along the anterolateral aspect of the knee at the level of the tibial plateau. Deep to this marker is a nodular mass of soft tissue density measuring approximately 3 x 1 cm in transverse dimension and 2 cm in craniocaudal d... | Findings compatible with metastatic melanoma as described above. |
Generate impression based on findings. | Male 65 years old; Reason: Recurrent pancreas cancer please assess and provide index lesion measurements for RECIST History: As above CHEST:LUNGS AND PLEURA: No dominant lung lesion. The pleural spaces are clear. Left lower lobe pulmonary nodule (image 59/ ser 5) and right lower lobe granuloma unchanged. Right subcenti... | 1.Increase in the size of the liver lesions.2.Increase in the size of the portacaval lymphadenopathy. |
Generate impression based on findings. | 50 year-old male with generalized abdominal pain and signs of small bowel obstruction -- rule-out small bowel, malignancy or stricture. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality n... | Resolution of the findings seen on 9/22/13 without signs today of small bowel obstruction. Terminal ilial and right colon submucosal fat deposition indicates prior history of inflammatory bowel disease, but without active inflammation at current time. |
Generate impression based on findings. | 66 year-old woman with cirrhosis and splenic artery aneurysm. Need for follow-up for evaluation. ABDOMEN:LUNG BASES: Unchanged atelectasis in the right lower lobe. LIVER, BILIARY TRACT: Postsurgical changes secondary to prior liver transplant.SPLEEN: The splenic aneurysm currently measures 3.4 x 2.0 cm, stable to sligh... | Slow-growing splenic artery aneurysm which meets numerous criteria as noted above for a prophylactic embolization. Consultation with Interventional Radiology is advised as clinical indicated.These findings were discussed with the clinical service (pager 6111) at the time of dictation. |
Generate impression based on findings. | Reason: lymph or venous impingement/obstruction causing bilateral LE edema. Has history of penile cancer, thought to be cured. History: bilateral LE edema, history of penile cancer. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Multiple scattered calcifications throughout the liver consisten... | 1.No abnormalities to account for patient's symptomatology.2.Redemonstration of left adrenal myelolipoma, unchanged compared prior exam. |
Generate impression based on findings. | Clinical question: Evaluate for acute process. Signs and symptoms: altered mental status. Nonenhanced head CT:There is no evidence of an acute intracranial process. CT however, is insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF, ci... | No acute intracranial process. |
Generate impression based on findings. | Clinical question: Evaluate fluid collection. Signs and symptoms: Fever, headache, history of Chiari decompression. Nonenhanced head CT:Examination demonstrates extensive postoperative changes of suboccipital craniectomy and removal of posterior arch of C1 for Chiari decompression.There is a large epidural fluid collec... | 1.Large pseudomeningocele at the level suboccipital craniectomy with resultant mass-effect and slight forward displacement of cerebellum and effacement of subarachnoid space at the level of foramen magnum.2.Normal size of ventricular system and maintained midline.3.Unremarkable intracranial contents otherwise. |
Generate impression based on findings. | Reason: stone History: severe sudden left abd pain with radiation to left leg ABDOMEN: Within the limitations of a non-IV contrast enhanced examination which limits evaluation of solid organ parenchyma and vascular structures, the following observations can be made:LUNG BASES: No significant abnormality notedLIVER, BIL... | 1.Renal calculi within the lower pole of the left kidney are again visualized. No obstructing stones or hydroureter is noted.2.Slightly enlarged left kidney with perinephric stranding. In the absence of IV contrast, these findings may represent pyelonephritis or sequelae after passing of an obstructed renal calculus. |
Generate impression based on findings. | Clinical question: Rule-out intracranial hemorrhage, versus lesion. Signs and symptoms: HIV, CD4 160. Nonenhanced head CT:There is no detectable acute intracranial process. Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF, cisterns, and gray -- white matter differentiation. In comparison with prior... | Negative nonenhanced head CT. |
Generate impression based on findings. | Reason: Rule out pancreatitis History: epigastric pain, n/v ABDOMEN:LUNG BASES: Basilar atelectasis. No pleural effusions.LIVER, BILIARY TRACT: Hypoattenuating focus on the major interlobar fissure consistent with a focal perfusion defect. Status post cholecystectomy. Common bile duct is dilated, increased from prior e... | 1.Status post distal pancreatectomy/splenectomy without CT evidence of pancreatitis -- the pancreas commonly appears normal in mild pancreatitis. 2.Slight enlargement of the pancreatic head and increased biliary ductal dilatation compared to the prior exam without acute findings, likely reflect events that occurred bet... |
Generate impression based on findings. | Acute mental status change. Rule out intracranial hemorrhage. There is no intracranial mass, fluid collection, hemorrhage, hydrocephalus or evidence of acute ischemia. Gray-white matter differentiation is maintained bilaterally and the midline is intact.Orbits, paranasal air sinuses and mastoid air cells are unremarkab... | No intracranial animality demonstrated. Hyperostosis and multiple lucent lesions of the calvarium were not demonstrated one year prior which most like they represent sequelae of myeloma. |
Generate impression based on findings. | Male, 53 years old, history cancer, status post CRT. Surgical change consistent with supraglottic laryngectomy is redemonstrated. Asymmetric soft tissue thickening along the region of the left aryepiglottic fold including the lateral and posterior aspects of the supraglottic mucosa remains unchanged, likely related to ... | Stable post surgical and treatment related change in the neck. No evidence of recurrent primary tumor or pathologic adenopathy. |
Generate impression based on findings. | 5-year-old female. Hematuria. Status post fall. Evaluate for renal hematoma/laceration. 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: Normal appearance of the adrenal gland... | No evidence of solid organ injury. Normal appearance of both kidneys. |
Generate impression based on findings. | 82-year-old female with e. coli bacteremia --? Source of infection. ABDOMEN: Within the limits of a non-IV contrast enhanced examination which limits evaluation of solid parenchymal organs and vascular structures, the following observations can be made:LUNG BASES: Atelectasis at both lung bases no abnormality seen in t... | 1. No definite source of infection seen in the abdomen or pelvis. 2. Moderate fullness to the right renal collecting system without dilated ureter -- this may represent a long-standing U-P disproportion and not be of consequence -- clinical correlation and comparison with any prior available imaging studies could be he... |
Generate impression based on findings. | Pneumonia scan CXR please eval. Chronic airway obstruction. LUNGS AND PLEURA: Severe emphysema with interval development of dependent fluid and wall thickening within pre-existing cystic air spaces, septal thickening and ground glass opacity throughout the right lung but predominantly within the right lower lobe. Inter... | Diffuse and groundglass opacity associated with interstitial thickening and fluid within pre-existing bullae in the right lung most compatible with pneumonia. Six-week follow-up plain films recommended to assess for resolution. Pulmonary nodules in the left lung are unchanged and likely post infectious/post inflammator... |
Generate impression based on findings. | Clinical question: Evaluate for stenosis/narrowing. Signs and symptoms: Upper extremity weakness. CT of cervical spine:The alignment. The vertebral column is anatomical.There is mild degenerative disk disease present.There is no evidence of fracture.There is no convincing evidence of central spinal stenosis. However, C... | With the exception of minimal degenerative changes nonenhanced CT of cervical spine remains within normal limits. |
Generate impression based on findings. | Acute mental status change. The current ossification of vertebral and cavernous carotid arteries bilaterally. The study focus of hypoattenuation posterior aspect the right cerebellar hemisphere representing sequelae of a chronic right pica stroke (axial se 4 im 6) No intracranial mass, fluid collection, hemorrhage, hyd... | Unchanged examination. No acute intracranial pathology demonstrated. |
Generate impression based on findings. | Reason: eval adrenal mass, liver masses, diagnosed with primary adrenal mass with likely liver mets at osh History: abd pain, htn, hypercortisolism ABDOMEN:LUNG BASES: Small right pleural effusion with overlying compressive atelectasis. No suspicious pulmonary nodules or masses.LIVER, BILIARY TRACT: Multiple bilobar he... | 1.Probable primary adrenal malignancy with hepatic metastases, although large masses such as this can be difficult to differentiate liver primary tumor invading adrenal gland. 2.Enlarged periportal lymph node.3.Small amount of free fluid in the pelvis is nonspecific. |
Generate impression based on findings. | Male, 79 years old, paralysis agitans, status post placement of deep brain stimulator. Early postoperative change is demonstrated including right scalp swelling and subcutaneous air and creation of a right coronal burr hole through which traverses a stimulator lead. This lead courses inferiorly and posteriorly through ... | Expected postsurgical findings following placement of a right-sided deep brain stimulator lead. |
Generate impression based on findings. | Reason: eval for sbo History: abd pain. no flatus or bm. hx of sbo ABDOMEN:LUNG BASES: Minimal bibasilar atelectasis.LIVER, BILIARY TRACT: Calcified gallstone within the gallbladder neck. Few scattered calcifications in the right lobe of the liver, segment 5.SPLEEN: No significant abnormality notedPANCREAS: No signific... | 1.Findings most consistent with small bowel obstruction with distal collapsed bowel.2.Left adrenal mass with soft tissue density is nonspecific. |
Generate impression based on findings. | Lethargy. Rule out intracranial hemorrhage or traumatic injury. No intracranial mass, fluid collection, hemorrhage, hydrocephalus or evidence of acute ischemia. Gray-white matter differentiation is appropriate for the patient's age and the midline is intact. The orbits, sinuses and mastoid air cells are unremarkable. T... | No abnormality demonstrated. |
Generate impression based on findings. | Reason: 55 male with AML, neutropenia, r/o pulmonary infiltrate. Recent probable fungal pneumonia found on CT History: recent fungal pneumonia seen on CT last week LUNGS AND PLEURA: Increasing groundglass opacities in the right lower Landman with accompanying bronchial wall thickening and mild bronchiectasis represent ... | 1.Increasing groundglass opacities in the right lower lobe with bronchial/bronchiolar wall thickening and bronchiectasis compatible with recurrent infection/aspiration.2.New small pericardial effusion . |
Generate impression based on findings. | Male, 79 years old, history of oral cavity cancer, recurrent. Extensive chronic postsurgical change is redemonstrated. This includes partial right hemimandibulectomy, right hemiglossectomy, and resection of the right submandibular gland. Interval new surgical change is also demonstrated including revision of the myocut... | Interval surgical change consisting of revision of the right neck myocutaneous flap which now completely covers the mandibular osteotomy bed.A band of low density soft tissue thickening is seen along the right buccal space which is smaller than on the prior preoperative study. It is not clear if this represents the sit... |
Generate impression based on findings. | Vertigo following a fall. Rule out mass/bleed. A there is a degree of sulcal and ventricular prominence most like representing age related change. There is patchy ill-defined periventricular/subcortical white matter hypoattenuation which most often represent sequelae of chronic small vessel ischemic disease. There is c... | Atherosclerotic disease with an old right MCA stroke without evidence of acute ischemia or acute intracranial pathology. |
Generate impression based on findings. | Loss of consciousness, potentially seizure. Assess for intracranial pathology. Ventricles and sulci are slightly prominent, though have not significantly increased since prior exams. There is no acute intracranial pathology including mass, fluid collection, hemorrhage, hydrocephalus or evidence of acute ischemia. Gray-... | No acute intracranial pathology. Incidental note of maxillary sinus disease and a chronic left orbital blowout fracture of the medial wall. |
Generate impression based on findings. | Reason: t ALL with relapse in CSF/ baseline evaluation prior to PSCT History: none LUNGS AND PLEURA: No is a subcentimeter nodule is identified throughout the lungs are a bronchovascular distribution.Patchy ground glass opacities identified in the upper lung zones.There is elevation of the right hemidiaphragm with basi... | Numerous subcentimeter pulmonary nodules in a bronchovascular distribution suggesting this may be secondary to this patient's lymphoproliferative disorder. Atypical infection cannot be excluded. |
Generate impression based on findings. | CVA. There is sulcal and ventricular prominence which is prominent for the patient's age, though which has been stable in configuration since an examination in 2011. There is no acute intracranial pathology including mass, fluid collection, hemorrhage, hydrocephalus or evidence of acute ischemia. Gray-white matter diff... | Stable prominence of sulci and ventricles relative to patient age. No acute intracranial pathology. |
Generate impression based on findings. | Signs of myasthenia gravis evaluate for thymoma. Generalized weakness. LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No masses or nodules in the thymic bed.CHEST WALL: Nonspecific subcentimeter hypoattenuating lesion in the left thyroid lobe which may contain a small calcification (3/1), nons... | 1. Indeterminate lytic-appearing lesion in the T3 vertebral body of unclear etiology. Recommend thoracic spine MRI for further characterization. Differential considerations include metastasis or possibly atypical hemangioma. Infection may be considered in the appropriate clinical context as a diagnosis of exclusion.2. ... |
Generate impression based on findings. | Male; 68 years old. Reason: mesothelioma, s/p pleurectomy decortication 1 month ago. please evaluate for residual disease and provide target lesions if any are available. CHEST:LUNGS AND PLEURA: Postsurgical changes compatible with interval pleurectomy, decortication, and removal of right pleural tumor. There is result... | 1.Postsurgical changes compatible with pleurectomy, decortication, and removal of right pleural tumor.2.No definite evidence of residual or metastatic disease. 3.Residual right pleural gas with minimally thickened and nodular border, most compatible with adjacent scarring/atelectasis as detailed above. |
Generate impression based on findings. | Male; 66 years old. Reason: Please eval for brain mets History: AMS, h/o cancer Mild global parenchymal volume loss with ex vacuo dilatation of the ventricular and sulcal CSF spaces, commensurate for the patient's age. The ventricles are symmetric in configuration. No abnormal mass lesions or abnormal intracranial enha... | 1. No abnormal mass lesions or abnormal intracranial enhancement.2. Extensive white matter hypoattenuation is similar to prior exam and most likely due to age-indeterminate small vessel ischemic change. |
Generate impression based on findings. | 55 year old male, Reason: with hyperaldosteronism, evaluate for adenoma vs hyperplasia History: as above ABDOMEN:LUNG BASES: 4 mm subpleural nodule in the right middle lobe (series 7, image 1). Basilar atelectasis. Cardiac enlargement.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Nonspecific peripheral... | Normal adrenal contours without enlargement or mass. |
Generate impression based on findings. | Reason: 73 year old female with low-grade B cell NHL of the small bowel. Compare to prior scan. History: None Lack of intravenous contrast was evaluation of lymph nodes, mediastinum, and solid organ pathology.CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules. No suspicious pulmonary nodules or masses.MEDIASTINUM... | New short segment circumferential wall thickening of a left lower quadrant small bowel loop with enlarged regional mesenteric lymph nodes. Findings are consistent with recurrent lymphoma of the small bowel. |
Generate impression based on findings. | Tonsil cancer . Baseline exam. CHEST:LUNGS AND PLEURA: A solitary large benign appearing calcific density with associated deformity suggesting scarring is observed in the right upper lobe peripherally. Old prior granulomatous disease exposure. Other than scattered mild central lobular emphysema, greater in both apices,... | Old granulomatous disease exposure observed in the right upper lobe and spleen. No superimposed acute abnormality or findings to suggest metastatic disease |
Generate impression based on findings. | Reason: pt with recurrent cancer of HNC please reeval History: as above CHEST:LUNGS AND PLEURA: Upper lobe predominant centrilobular emphysema.New small focal subpleural area of groundglass opacity in the right upper lobe most likely related to aspiration.No suspicious pulmonary nodules or masses.No pleural effusions.M... | No interval change without evidence of metastatic disease. |
Generate impression based on findings. | Non-small cell lung cancer, follow-up CHEST:LUNGS AND PLEURA: Grossly similar right middle lobe mass with large central areas of decreased attenuation suggesting necrosis. When measured in similar fashion, and oblique measurement remains 6.2 cm (image 48 series 3). Increased peripheral right particular and traction bro... | Stable right middle lobe mass with peripheral changes suggesting associated adjacent radiation fibrotic change |
Generate impression based on findings. | Lung cancer, status post 10 cycles of chemotherapy. Please compare CHEST:LUNGS AND PLEURA: Unchanged left lower lobe nodule adjacent to the descending thoracic aorta remains 1.2 x 1.7 cm (image 55 series 5). Immediately adjacent mild minimal subsegmental atelectasis within the superior segment left lower lobe is also s... | Stable and unchanged left lower lobe nodule without new superimposed changes or abnormalities. Reference measurements provided |
Generate impression based on findings. | Reason: severe asthma History: SOB, Wheezing, cough, excessive mucous production LUNGS AND PLEURA: Severe motion limits sensitivity.There does appear to be bronchial wall thickening diffusely.No air space opacities are suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: No hilar or mediast... | Motion severely limits the exam. There is mild bronchial wall thickening which may be related to reactive airway disease. No significant pulmonary abnormalities noted. |
Generate impression based on findings. | Clinical question: Follow-up on hemorrhage. Signs and symptoms: Altered, loss of consciousness. Nonenhanced head CT:There is no evidence of new hemorrhage since prior exam.Large acute hematoma in the left thalamus is again identified. It measures approximately 40 times 20 mm in size compared to prior measurement of 26 ... | 1.No evidence of new hemorrhage since prior exam. CT however, is insensitive for detection of acute ischemic strokes.2.Slightly smaller left thalamic acute hemorrhage, as detailed above.3.Stable overall, mass effect by hematoma since prior exam, with approximately 8mm midline shift.4.Stable size of ventricular system a... |
Generate impression based on findings. | Reason: Evaluate for evidence of diverticulitis. History: Left lower quadrant pain greater than right lower quadrant pain for 3 weeks. ABDOMEN:LUNG BASES: Sternotomy wires. No significant abnormality noted.LIVER, BILIARY TRACT: Linear hyperdensity along the dependent portion of the gallbladder is most likely layering o... | Extensive confluent diverticular changes without any evidence of complication to suggest diverticulitis. |
Generate impression based on findings. | Lung cancer and status post chemotherapy and radiation treatment. CHEST:LUNGS AND PLEURA: Interval resolution of the previously described minimal effusion. Associated mild questionable enlargement of the posterior right upper lobe nodule (image 36 series 5) currently measuring 8 x 7 mm prior measurement of 3 x 4 mm. Wh... | Concern for increased size of the right upper lobe posterior nodule with reference measurements provided. Although possibly artifact, appearance is suggestive of recurrence or possibly a new lung primary. Consider close follow-up even PET imaging |
Generate impression based on findings. | 41-year-old female with sarcoidosis and large B-cell non-Hodgkin lymphoma in remission after chemotherapy. Compare to prior scans. CHEST:LUNGS AND PLEURA: No nodules, masses or infiltrates. No pleural abnormalities are identified.MEDIASTINUM AND HILA: No significant lymph node enlargement is seen in the mediastinum. Th... | 1. Continued decrease in size of mediastinal/hilar lymph nodes with now only normal-sized small lymph nodes seen as measured above. 2. No abdominal/pelvic lymphadenopathy or other significant abnormality seen. |
Generate impression based on findings. | Reason: eval for interstitial lung disease; rheumatoid arthritis with chronic methotrexate use History: new crackles on exam and new cough LUNGS AND PLEURA: There is a nodule (image 17 series 4) now measures 4 mm x 4 mm previously measuring 5 mm.No predominant centrilobular emphysema.Several micronodules along the fiss... | No interval change. No new suspicious pulmonary nodules or masses. No evidence of interstitial lung disease. |
Generate impression based on findings. | Reason: possible pseudocyst History: same Lack of intravenous contrast limits evaluation of lymph nodes, mediastinum, and solid organ pathology.ABDOMEN:LUNG BASES: Moderate pericardial effusion. Basilar consolidation/scarring. Right base granuloma. No pleural effusions.LIVER, BILIARY TRACT: Mild intra-and extrahepatic ... | 1.Increasing loculated simple fluid collection around VP shunt catheter tip compatible with a CSF pseudocyst. 2.Mild intra-and extrahepatic biliary ductal dilatation, unchanged. 3.Moderate pericardial effusion. |
Generate impression based on findings. | Reason: evaluate for uteteral stone History: severe right flank pain ABDOMEN: Within the limitations of a non-IV contrast enhanced examination which limits evaluation of solid organ parenchyma and vascular structures, the following observations can be made:LUNG BASES: Mild bibasilar atelectasis.LIVER, BILIARY TRACT: Sm... | Punctate calculus either at the right ureterovesical junction or already passed and within the bladder. |
Generate impression based on findings. | Metastatic lung cancer status post 6 cycles of chemotherapy. CHEST:LUNGS AND PLEURA: Continued volume loss in the right lung with progression of radiation fibrosis and architectural distortion. Cavitary mass in the right upper lobe difficult to reproducibly measure in the AP dimension due to now adjacent post therapeut... | 1. Right upper lobe cavitary mass and pulmonary metastases with reference measurements as above. Please note that the mass is difficult to measure in the AP dimension (long axis) due to evolving adjacent radiation fibrosis. Otherwise measurements are not significantly changed.2. Chronic filling defect in the SVC adjace... |
Generate impression based on findings. | 62 year old female status post saphenous loop to AT w/ scapular based flap. Evaluate for bony fixation. The patient has undergone surgery since the prior study with what appears to be debridement and resection of the medial cortex and much of the medullary cavity of the distal tibial metadiaphysis. A 6 x 4 x 1 cm fragm... | 1.Postoperative changes of scapular based flap along the distal tibia as described above.2.The medullary cavity of the distal tibia is replaced with soft tissue density that is new compared with the prior study and appears to be associated with endosteal erosion. Therefore, we cannot exclude the possibility of osteomye... |
Generate impression based on findings. | Reason: 50 y/o female with h/o DLBCL s/p chemo. Compare to prior scan. History: none CHEST:LUNGS AND PLEURA: Pulmonary micronodules. No pleural effusions.MEDIASTINUM AND HILA: No lymphadenopathy. Heart size is normal. No pericardial effusion.CHEST WALL: No axillary lymphadenopathy.ABDOMEN:LIVER, BILIARY TRACT: Scattere... | Stable exam without recurrent lymphadenopathy in the chest, abdomen, or pelvis. |
Generate impression based on findings. | Male 67 years old Reason: 67 yo male with hx of carcinoid tumor that extends to pancreas; please do pancreatic protocol cT scan and evaluate for abnormalities History: abdominal pain ABDOMEN:LUNG BASES: There is a nonspecific focus of ground glass opacity along the posterior medial right lower lobe.LIVER, BILIARY TRACT... | 1.No evidence of pancreatic involvement from the patient's reported carcinoid tumor.2.Arterial enhancing mesenteric based mass containing biopsy clips concerning for mesenteric metastasis of the patient's reported carcinoid tumor.3.Benign adrenal adenoma. |
Generate impression based on findings. | Reason: Lung cancer - please re-eval. Thansk. History: Lung cancer CHEST:LUNGS AND PLEURA: Interval decrease in the spiculated right upper lobe nodule with new (image 42 series 6) now measuring 12 mm x 9 mm previously measuring 13 mm x 13 mm.Left apical scar like opacity and right lower lobe subpleural scarring/atelect... | 1.Interval decrease in size of the right upper lobe spiculated mass and mediastinal lymphadenopathy.2.No new sites of disease.3.Stable infrarenal abdominal aortic aneurysm. |
Generate impression based on findings. | Clinical question: 41 year-old female with sarcoidosis and large B-cell non-Hodgkin's lymphoma in remission after chemotherapy. Compared with prior exam. Signs and symptoms: None. Enhanced neck CT:Limited view of intracranial space is unremarkable.Cavernous sinuses and the skull base remains unremarkable.Images through... | 1.There is a new right jugulodigastric node measuring at 11 x 13 x 14-mm in size as detailed above. No evidence of any additional cervical lymph nodes by CT size criteria and unremarkable neck exam otherwise.2.Previously known right paratracheal node is only partially visualized on this study and appears a smaller. Ple... |
Generate impression based on findings. | Lung cancer, please follow-up CHEST:LUNGS AND PLEURA: Interval reversal and increased size of the paramediastinal left upper lobe mass (image 32 series 5). Currently measuring 5.8 x 4.8 cm (image 37 series 3), previously 5.0 x 4.8 cm when measured at similar fashion. The mass appears fuller with more convex margins. Ce... | Marked interval progression and advancement of metastatic foci now involving the opposite contralateral lung as well as the liver and suspected right kidney. Reference measurements provided |
Generate impression based on findings. | Male, 46 years old, history of tonsil cancer. Treatment related change is demonstrated in the right neck including thickening of the platysma and infiltration of the fascial planes. These findings are not substantially changed.No pathologic adenopathy is detected by size criteria. A reference calcifying right level 2 l... | Stable treatment related change in the right neck. No evidence of recurrent primary tumor or pathologic adenopathy. |
Generate impression based on findings. | Mesothelioma on observation. CHEST:LUNGS AND PLEURA: Right hemithorax volume loss and postsurgical changes consistent with history of mesothelioma and pleurectomy. Small amount of anteriorly loculated pleural fluid has decreased in volume compared to the prior examination pleural thickening at the right lung base poste... | Although there is no significant change in index level measurement, several small lymph nodes in the chest wall (right internal mammary and right intercostal) and abdomen have enlarged in the interim. |
Generate impression based on findings. | 74-year-old male with lung cancer. Status post resection and colon cancer -- follow up examination. CHEST:LUNGS AND PLEURA: Status post left pneumonectomy with expected finding stable in appearance. A prior described micronodule along the major fissure laterally is again seen, associated with some benign-appearing pleu... | 1. Status post left pneumonectomy without evidence of definite tumor recurrence in the right lung. 2. Small, but new lymph nodes seen in the anterior/superior mediastinum in the right cardiophrenic angle space worrisome for possible metastases. 3. Nonspecific subcentimeter hypodensity new in the superior right lobe of ... |
Generate impression based on findings. | Clinical question: stroke. Signs and symptoms: Comatose. Unenhanced head CT:Large focus of edema, consistent with ischemic stroke involving the left superior aspect of cerebellar is again identified and interval increase in its extent and associated mass effect, evident by flattening and mild deviation of the forefoot ... | 1.Interval significant increased mass-effect and increased extent of left hemispheric nonhemorrhagic subacute ischemic stroke with resultant 28-mm midline shift to the right, transtentorial downward herniation and right-sided hydrocephalus. No hemorrhagic conversion.2.Interval increased mass-effect and to a lesser degr... |
Generate impression based on findings. | Non-small cell lung cancer, compare to prior. CHEST:LUNGS AND PLEURA: Stable pulmonary appearance with the small to moderate right pleural effusion and underlying focal consolidation posteriorly. The more nodular reference right lower lobe metastatic site continues to measure 1.7 x 1.4 cm (image 66 series 4). No new su... | Stable right lower lobe pulmonary appearance again most suggestive of post radiation scarring with persistently decreasing lymphadenopathy |
Generate impression based on findings. | 79-year-old male with history of metastatic prostate cancer CHEST:LUNGS AND PLEURA: 5-mm nodule in the left upper lobe on image number 35, series number 5, unchanged. Other micronodules are also unchanged.MEDIASTINUM AND HILA: Indexed posterior mediastinal lymph node measures two by 1.8-cm image number 50, series numbe... | Interval increase in the size of the posterior mediastinal and some of the retroperitoneal likely metastatic lymph nodes. Some of the retroperitoneal lymph nodes and pelvic indexed lymph node are stable. left upper lobe pulmonary nodule is unchanged. |
Generate impression based on findings. | 45-year-old male with history of metastatic urothelial cancer CHEST:LUNGS AND PLEURA: right upper lobe pulmonary nodule is unchanged measuring 3 mm on image number 23, series number 5. No newnodules.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY ... | Interval decrease in the size of the index retroperitoneal and pelvic adenopathy and pelvic lymphocele. Inguinal adenopathy, stable in size. |
Generate impression based on findings. | 81-year-old female with history of urothelial cancer 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 ren... | No significant change from previous study. |
Generate impression based on findings. | Male, 71 years old, history of follicular non-Hodgkin's lymphoma, on observation. Lymphadenopathy involving levels 1 through 5 and the bilateral axillae is redemonstrated, not significantly changed from the prior examination. For reference, a right level 2 lymph node measures 1.6 x 1.6 cm (image 60 series 4), previousl... | Stable lymphadenopathy. |
Generate impression based on findings. | Mesothelioma, follow-up. CHEST:LUNGS AND PLEURA: Moderate interval progression of the diffuse nodular pleural thickening and known mesothelioma involving the left hemithorax. Particular attention is placed on nodular thickening throughout the left major fissure and the left upper lobe stable nodule (image 36 series 5).... | Interval progression of known left sided mesothelioma with reference measurements provided. Intrapulmonary nodules are otherwise unchanged it remains suspicious for metastatic disease |
Generate impression based on findings. | Female, 58 years old, eye pain. Concern for sinus disease. The frontal sinuses and frontoethmoidal recesses are clear. There is a small nonobstructive osteoma at the level of the left frontoethmoidal recess.One of the posterior right ethmoid air cells is opacified, similar to prior. The remaining ethmoid air cells are ... | Mild sinus mucosal thickening as above. No evidence of active sinusitis. |
Generate impression based on findings. | History of hypoxemia and suspected pulmonary embolus. Check for pneumonia PULMONARY ARTERIES: Pulmonary arterial system is well visualized and unremarkable. Specifically no findings to suggest pulmonary embolusLUNGS AND PLEURA: Persistent moderate right pleural effusion with underlying compression atelectasis and parti... | No findings to suggest pulmonary embolus with interval essentially stable appearing right lower lobe findings. Interval resolution and or drainage of the left pleural effusion. |
Generate impression based on findings. | Male, 7 months old, status post head injury with clear rhinorrhea, epistaxis, crying more. Evaluate for intracranial bleed versus fracture. Scalp soft tissues are unremarkable. The bones of the calvarium and skull base are intact. The mastoid air cells and middle ear cavities are well pneumatized. The paranasal sinuses... | No acute intracranial abnormalities. |
Generate impression based on findings. | 71-year-old male with follicular lymphoma on observation. Currently. Also has lingular mass -- compare to prior scans. CHEST:LUNGS AND PLEURA: Minimal change change in the two nodular masses seen in the lung parenchyma. Largest of these is in the lingula and measures 2.5 x 1.8-cm (series 4, image 82) previously 2.7 x 1... | 1. No change in appearance to the left chest. Lingular subpleural nodule, where the small right upper lobe ground glass nodule. No new thoracic lesions are identified. 2. Slight decrease in size of the diffuse retroperitoneal and pelvic adenopathy as measured above. |
Generate impression based on findings. | Metastatic lung CA on Tarceva therapy over one month CHEST:LUNGS AND PLEURA: Dominant mass in the right lower lobe measures 4.8 x 3.1 cm (4/76), previously 3.9 x 2.7 cm, larger.Multiple pulmonary nodules have increased in size in the interim. New beaded and serpiginous opacities in the lingula (4/61), suspicious for en... | Interval progression of metastatic disease with numerous enlarging or new lesions in the chest and abdomen. L1 metastasis extends into the spinal canal and causes effacement of the thecal sac, this may be further assessed with MRI if clinically warranted.. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.