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Generate impression based on findings. | Reason: assess for Merkel's, metastatic disease History: concern for disease progression CHEST:LUNGS AND PLEURA: Calcified granuloma in the left lower lobe.No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: Stable small mediastinal lymph nodes without evidence of hilar or mediastinal l... | No evidence metastatic disease. |
Generate impression based on findings. | History of prostate cancer, follow-up LUNGS AND PLEURA: Stable scattered punctate calcified and noncalcified pulmonary nodules. No new suspicious nodules or masses or effusions. Residual scarring is observed in the left lung base with minimal bronchiectasis (image 65 series 4).MEDIASTINUM AND HILA: No lymphadenopathy, ... | No evidence of metastatic disease |
Generate impression based on findings. | Head and neck cancer LUNGS AND PLEURA: Biapical fibrotic changes consistent with history of radiation therapy. Interval resolution of the left pneumothorax and underlying atelectasis. Diffuse moderate to severe centrilobular emphysema.The reference right lower lobe nodule is currently not observed and must have resolve... | Interval resolution of previously described left pneumothorax and the right lower lobe nodular opacity. This latter finding may have represented an infection, currently without residual abnormalityNo findings currently to suggest metastatic disease |
Generate impression based on findings. | Reason: pt with neuroendocrine tumor s/p 4 cycles of chemo History: now ready for re-evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Suspicious anastomosis.No pleural effusions.MEDIASTINUM AND HILA: Postsurgical changes are identified in the left upper mediastinum with soft tissue in the medias... | No significant interval change with postsurgical changes in the anterior mediastinum secondary to prior thymectomy. No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Male, 32 years old, left leg paresthesias. 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. The ventricles and basal cisterns are patent and n... | No acute intracranial abnormality. |
Generate impression based on findings. | Esophageal cancer, compare to prior CHEST:LUNGS AND PLEURA: This bilateral micronodules and some centimeters small nodules are all unchanged. The appearance again suggests prior infection. The right middle lobe reference lesion continues to measure 5 mm (image 41 series 5). Stable appearing mild paramediastinal changes... | Stable appearance without evidence of interval change or definite active metastatic foci |
Generate impression based on findings. | Reason: eval AAA and r/o SBO History: abdominal pain, hypotension, decreased ostomy output ABDOMEN:LUNG BASES: Basilar atelectasis.LIVER, BILIARY TRACT: No focal hepatic lesions. The gallbladder is distended with mild wall thickening and gallstones.SPLEEN: Accessory splenule.PANCREAS: No significant abnormality noted.A... | 1.Enlarging infrarenal abdominal aortic aneurysm.2.Aneurysmal dilatation of the right common iliac artery, unchanged. Small saccular aneurysm of the proximal right renal artery is also probably unchanged.3.Cholelithiasis and distended gallbladder. If acute cholecystitis is of clinical concern, a right upper quadrant ul... |
Generate impression based on findings. | 4-year-old female with neuroblastoma, relapsed and duodenal stenosis CHEST:LUNGS AND PLEURA: Dependent and nondependent subsegmental atelectasis is again noted. Nonspecific, micronodules have not changed from the prior study.MEDIASTINUM AND HILA: Right paratracheal adenopathy is again noted measuring approximately 9 mm... | 1.Retroperitoneal conglomerate of lymph nodes is unchanged. 2.Multiple osseous metastases are unchanged. 3.Right hydronephrosis unchanged.4.Diffuse bowel wall edema and increase in ascites may be related to a hypoproteinemic state. |
Generate impression based on findings. | Female; 36 years old. Reason: Any thymic or other mediastinal abnormalities History: fatigable weakness due to myasthenia. LUNGS AND PLEURA: Minimal basilar scarring without focal air space opacity or pleural effusion. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No evidence of enlarged thymus or oth... | No mediastinal mass or other specific findings to account for the patient's symptoms. Hypodense lesion in the right thyroid lobe is nonspecific by CT standards, but may be further evaluated with ultrasound or nuclear scintigraphy. |
Generate impression based on findings. | Reason: COPD, shortness of breath. eval for Lung volume reduction surgery History: as above LUNGS AND PLEURA: Severe centrilobular emphysema with marked decreased lung volumes.Focal areas of consolidation/atelectasis and associated bronchiectasis in the right middle and lower lobes.Bilateral basilar scarring/discoid at... | 1.Severe emphysema with markedly increased lung volumes.2.Areas of atelectasis/consolidation and associated bronchiectasis within the right middle and lower lobes.3.No suspicious pulmonary nodules or masses. |
Generate impression based on findings. | 8-year-old female. Refractory desmoid tumor. LUNGS AND PLEURA: Nodular opacity in the posterior basal segment of the right lower lobe measures 1.4 x 1.9 cm (series 3, image 53), not significantly changed. MEDIASTINUM AND HILA: No significant abnormality. The heart size is normal.CHEST WALL: Lobulated soft tissue mass i... | Increased size of right inferolateral chest wall mass and multiple left paraspinal soft tissue masses. |
Generate impression based on findings. | 67-year-old male with prostate cancer and rising PSA. CHEST:LUNGS AND PLEURA: Scattered, predominantly subpleural nonspecific micronodules are seen. Some are calcified and these most likely relate to prior granulomatous disease. No sizable nodules are seen and no infiltrates or masses are seen. No pleural abnormalities... | 1. Chest CT pertinent only for small micronodules some of which are calcified and most likely relate to prior granulomatous disease. No sizable lung nodules identified. 2. No abdominal/pelvic evidence for metastatic disease. 3. Scattered subcentimeter homogeneous sclerotic foci in the vertebral bodies, which may repres... |
Generate impression based on findings. | Hemoptysis. Question elevated left hemidiaphragm, necrotizing lesions, effusion. LUNGS AND PLEURA: Innumerable calcified micronodules, unchanged. Scarring in the left lower lobe. Interval progression of the consolidation and compressive atelectasis in the right lower lobe and dependent aspect of the right upper lobe. A... | 1. Interval development of moderate thickening of the wall of the trachea and visualized bronchi with endobronchial debris and attenuation of the airways as well as mild lymphadenopathy. This may be a potential source of hemoptysis and could be infectious or inflammatory.2. Stable appearance of the LVAD.3. Significant ... |
Generate impression based on findings. | Male; 55 years old. Reason: Pt with HNC now with increased lung nodules. Please re-evaluate. CHEST:LUNGS AND PLEURA: The previously described right lower lobe nodule is not significantly changed in size and measures 9 mm (series 5, image 63). The subpleural right lower lobe nodule has increased in size and now measures... | Mixed response in pulmonary nodules, which are most likely metastatic in nature. No conclusive evidence of mediastinal nodal metastases. |
Generate impression based on findings. | Reason: restaging scans sp 4 infusions of PDL1 investigational agent History: hx of metastatic bladder cancer CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules and masses increasing in size and number. Reference right basilar pulmonary mass measures 3.5 x 3.0 cm, previously 3.4 x 2.6 cm (series 5, image 71). Reference... | 1.Increasing pulmonary nodules compatible with metastatic disease.2.New suspicious lesions in the liver compatible with metastatic disease.3.Increasing lymphadenopathy in the chest, abdomen and pelvis. |
Generate impression based on findings. | Reason: pt with lung cancer dx >5 yrs ago History: doing well now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Stable paramediastinal post radiation fibrotic changes and upper lobe paraseptal emphysema.Posterior superior segment left lower lobe subpleural nodule (image 44 serie... | 1.Left lobe subpleural nodule unchanged .2.No new suspicious pulmonary nodules or masses. |
Generate impression based on findings. | Clinical question: Patient with history of head and neck cancer now with increasing lung nodules. Reevaluate. Signs and symptoms: As above. Enhanced neck CT:Unremarkable images through intracranial space. Unremarkable images through the cavernous sinuses and skull base.Unremarkable images through nasopharynx and nasal ... | 1.No evidence of new lymphadenopathy by CT size criteria or a mass.2.Stable few small reference nodes as detailed/measured above. |
Generate impression based on findings. | Malignant pleural mesothelioma CHEST:LUNGS AND PLEURA: Postsurgical right pleurectomy with associated minimal stable appearing scarring and diaphragmatic mesh. No interval change or findings to suggest recurrence. Specifically the gas observed adjacent to the diaphragm has resolved. Scattered bilateral micronodules unc... | Right pleurectomy with postsurgical changes and no findings to suggest recurrence |
Generate impression based on findings. | Female 46 years old Reason: abdominal pain, possible infection History: abdominal pain, nausea, vomiting Limited sensitivity and bowel due to lack of oral contrast. Given that limitation the following observations are made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No focal liver lesions.... | Bladder wall thickening and possible edema correlate clinically.Dilated common bile duct without intrahepatic biliary dilatation or obvious etiology. Correlate clinically as to need for further evaluation with gallbladder ultrasound or ERCP.Cysts right ovary. Correlate as to need for further evaluation with transvagina... |
Generate impression based on findings. | 57-year-old male with a complex peripancreatic/retroperitoneal fluid collections drained on 9/20/13. Question whether interval change. ABDOMEN:LUNG BASES: Small bilateral pleural effusions.LIVER, BILIARY TRACT: Liver parenchyma remains homogeneous and normal with normal hepatic and portal venous structures seen. Intrah... | 1. Interval placement of percutaneous drain into right retroperitoneal portion of collection without change in size of any of the components of the large retroperitoneal loculated collections. 2. Overall appearance of the abdomen appears similar to CT examination of 9/18/13. |
Generate impression based on findings. | Reason: AIDS with CD4 of 13, concern for PCP pneumonia History: shortness of breath, fatigue, AIDS LUNGS AND PLEURA: Diffuse small nodular opacities are identified throughout both lungs. Upper lobe groundglass opacities. Cavitating left upper lobe(image 46 series 4) and 11-mm right lower lobe (image 42 series 4) nodule... | Diffuse pulmonary nodules some with cavitation compatible with an atypical infection including fungal etiologies. |
Generate impression based on findings. | Stage IV uterine cancer status post chemo and surgery. Evaluate for disease. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Bilateral large thyroid nodules are unchanged. CHEST WALL: Right chest port unchanged.ABDOMEN:LIVER, BILIARY TRACT: Bilobar small hepatic hypodensities are too smal... | Slight interval enlargement of reference right pelvic lymph node. Marked regression of multiple fluid collections which occurred after surgery. Mild bilateral hydronephrosis despite indwelling ureteral stents which appear appropriately positioned. Unchanged thyroid nodules. |
Generate impression based on findings. | Reason: eval appy History: R flank, RUQ, RLQ pain, US neg but fairly tender on exam ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Delayed enhancement of the liver with dilated hepatic veins and IVC. No mass lesions seen. Biliary tract and gallbladder appear normal.SPLEEN: No significant abno... | 1.No abnormalities are seen within the abdominal organs to help explain the patient's symptoms.2.There is delayed enhancement of the liver more than typically expected with dilation of the hepatic veins and IVC. This may be due to a technical imaging issue such as increased IV hydration, timing of image acquisition, or... |
Generate impression based on findings. | Rule out bleed. Anemia after recent fall. The following observations are made given the limitations of an unenhanced study. CHEST:LUNGS AND PLEURA: Large left pleural effusion with overlying compressive atelectasis. Minimal subsegmental atelectasis also noted the right lung base.Mild bronchiectasis.MEDIASTINUM AND HILA... | Multiple left-sided rib fractures and new left pleural effusion or hemothorax. Findings were discussed with the clinical service (pager 1323) at the time of dictation. |
Generate impression based on findings. | Reason: mesothelioma, please evaluate for disease and compare wiht outside scan from 1 year ago. History: mesothelioma ABDOMEN:LUNG BASES: Basilar scarring/atelectasis. No pleural nodularity or effusions.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No signifi... | Enlarging soft tissue density in the anterior abdominal mesentery and enlarging loculated fluid collection in the pelvis. Findings are compatible with worsening disease. |
Generate impression based on findings. | Chest pain with coughing. Evaluate right lung nodules. Motion artifact degrades image quality, limiting sensitivity for the detection of small lesions.LUNGS AND PLEURA: Centrilobular emphysema. Thick walled cavitary mass in the anterior right lung apex measuring 3.6 x 2.9 cm (4/27). Apex of the lesion is directed towar... | Thick walled cavitary mass in the right apex may be the result of remote prior trauma/hematoma or infection however neoplasm cannot be excluded. An infected preexisting cavity may also be considered. Recommend correlation with the outside prior studies if the referring clinical service can obtain and submit prior CTs t... |
Generate impression based on findings. | Reason: Metastatic breast cancer receiving chemotherapy. Restaging. History: N/A CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. Nonspecific ground glass opacity at the right apex, unchanged. Calcified granulomas in the right middle and lower lobes. No pleural effusions.MEDIASTINUM AND HILA: Left che... | 1.Postsurgical changes without evidence of recurrent metastatic disease. 2.Nonspecific right renal lesion. Continued surveillance is recommended. |
Generate impression based on findings. | 63-year-old male with history of cirrhosis and pancreas lesion ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Unchanged cirrhotic morphology. There is an ill-defined, 3 x 2.6 cm lesion enhancing at the arterial phase on image number 36, series number 9. This lesion demonstrates subtle washout... | Cirrhosis and portal hypertension. Focal lesion in the left lobe of the liver, suspicious for hepatocellular carcinoma. MRI of the liver may be helpful for further evaluation of this lesion.Nephrolithiasis.Cholelithiasis. |
Generate impression based on findings. | 38-year-old female with recurrent colon cancer. Restaging. CHEST:LUNGS AND PLEURA: No parenchymal lung nodules or infiltrates are seen. No pleural abnormalities are seen.MEDIASTINUM AND HILA: No adenopathy or masses.CHEST WALL: Right chest infusion port with tip of catheter in the proximal right atrium. No other abnorm... | Stable examination with no evidence of recurrent or metastatic disease or change since prior examination. Stable right iliac lymph node subcentimeter reference lesion. |
Generate impression based on findings. | 13-year-old female with bilious emesis, evaluate for volvulus, small bowel obstruction, or appendicitis Motion artifact slightly limits the study; the patient vomited during the scan.ABDOMEN:LUNG BASES: No consolidation or pleural effusion is seen in lung bases.LIVER, BILIARY TRACT: No mass lesion or intrahepatic bilia... | 1.No bowel obstruction or evidence of appendicitis.2.Moderate hiatal hernia. |
Generate impression based on findings. | Cystic peritoneal mesothelioma . LUNGS AND PLEURA: Mild basilar scarring.No suspicious nodules or effusions.MEDIASTINUM AND HILA: No significant lymphadenopathy.Normal-sized lymph nodes in the cardiophrenic angles.Mild coronary artery calcification.CHEST WALL: Moderately enlarged right internal mammary lymph node (seri... | Single enlarged right internal mammary lymph node, of uncertain significance.No other evidence of metastatic disease in the thorax. |
Generate impression based on findings. | 42 year old female. Reason: CT pe rliving kidney donor protocol History: kidney donor 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 not... | 1.Solitary renal arteries with bifurcation of segmental arteries at the renal hilum bilaterally.2.Segmentary confluence of the right renal vein occurs less than 1cm from the IVC. |
Generate impression based on findings. | Post transplant patient with fever, evaluate for presence of infection CHEST:LUNGS AND PLEURA: New bibasilar air patchy areas of consolidations may be related to aspiration/infection.Scattered pulmonary micronodules are unchanged from the prior study. The previously referenced left upper lobe nodule again measures 6 mm... | 1.New bibasilar consolidation may be related to aspiration/infection.2.No change in pulmonary nodules/micronodules.3.No loculated fluid collection is seen to suggest abscess formation. |
Generate impression based on findings. | Clinical question: 51 year old with new right-sided weakness. Signs and symptoms: Right-sided weakness. Nonenhanced head CT:There is no detectable acute intracranial process. CT however, is insensitive for detection of acute ischemic strokes.Cerebral cortex and cortical sulci are unremarkable.Ventricular system and CSF... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical information Reason: lung cancer s/p radiation (chemotherapy in the past). Please evaluate for disease and provide reference lesions prior to starting new pt. Compare with outside scan from April 2013 History: lung cancerCHEST:LUNGS AND PLEURA: Status-post right upper lobectomy.Mild postsurgical scarring and no... | 1. Enlarged right supraclavicular node, increased from previous.2. Lytic metastases in T10, L2 and the right ilium, new from previous. |
Generate impression based on findings. | 63 year old female. Reason: intermittent L chest pain, mildly positive dimer, PE v ACS v musculoskeletal History: CP, SOB Height: 63 inWeight: 140 lbsBSA: 1.7 m^2BMI: 25.7 kg/m^2Cardiac Morphology:Left Ventricle:EDV: 139 ml The left ventricle is at the upper limit of normal in size, shape, wall thickness, and volume. F... | 1. Left ventricular hypertrophy.2. Minimal stenosis at left circumflex origin. No other evidence of significant coronary artery disease. |
Generate impression based on findings. | Female; 80 years old. Reason: h/o oral cancer History: r/o chest mets LUNGS AND PLEURA: Stable scattered benign-appearing pulmonary micronodules and old granulomas, some of which are calcified. However, there are no suspicious pulmonary or pleural lesions to suggest metastatic disease. No pulmonary opacities or pleural... | 1.No evidence of metastatic disease.2.Interval decrease in size of multiple conglomerate lymph nodes, but no distinct lymphadenopathy. |
Generate impression based on findings. | 56-year-old female with history of malignant neoplasm of uterus corpus. Evaluate for lymphocele/fluid collections ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: ill-defined hypodense lesion near the dome of the liver measuring 1.2-cm in diameter image number 11, series number 4, not significa... | Interval hysterectomy. Slight interval increase in the size of the right inguinal lymph nodes. |
Generate impression based on findings. | Reason: evaluation of mesothelioma History: evaluation of mesothelioma CHEST:LUNGS AND PLEURA: Diffuse pleural thickening and volume loss in the left hemithorax consistent with the clinical history of mesothelioma.Reference measurements as follows:1. At the level of the main pulmonary artery (series 3 image 3) 11 mm at... | Pleural thickening in the left hemithorax consistent with mesothelioma, without significant change. No sign of distant metastases. |
Generate impression based on findings. | 42-year-old female with inguinal adenopathy, rash, lymphedema ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter hypodense lesions in the liver which are too small taker to characterize but are most likely benign.SPLEEN: No significant abnormality notedPANCREAS: No significant abnor... | Endometrial stripe is dilated. Correlation with menstrual history and if necessary histologic sampling is recommended. |
Generate impression based on findings. | Reason: rule out obstruction History: abdominal pain ABDOMEN:LUNG BASES: Small pericardial effusion.LIVER, BILIARY TRACT: Fatty infiltration of the liver.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Left upper pole... | 1.No evidence of bowel obstruction. 2.Left upper pole angiomyolipoma. |
Generate impression based on findings. | 20 year-old female with rotational deformity of the bilateral lower extremities. Evaluate bilateral femoral anteversion and femur rotation. There is approximately 47 degrees of right femoral anteversion and approximately 49 degrees of anteversion of the left femur. The femurs otherwise appear normal. There is slight la... | Bilateral femoral anteversion as described above. |
Generate impression based on findings. | Evaluate for right lower lobe mass seen on CXR. LUNGS AND PLEURA: Dense thickening of the visceral and parietal pleural surfaces of the right hemithorax along with numerous discontinuous calcifications suggest chronicity. Small amount of pleural fluid on the right. Adjacent to the pleural abnormality, there is a soft t... | 1. Moderate mediastinal lymphadenopathy of unclear etiology.2. Large circumferential pericardial fluid collection.3. Chronic appearing loculated pleural fluid and pleural thickening may be the result of prior empyema or hemothorax. The adjacent masslike opacity in the right lower lobe is most consistent with rounded at... |
Generate impression based on findings. | Male; 62 years old. Reason: RSL 1 month History: 1 month protocol. PULMONARY ARTERIES: There are multiple pulmonary emboli in the bilateral lobar branches of the pulmonary arteries. Mildly enlarged pulmonary trunk diameter is suggestive of pulmonary arterial hypertension.LUNGS AND PLEURA: Basilar predominant subpleural... | 1.Multiple pulmonary emboli in the bilateral pulmonary artery lobar branches.2.Findings suggestive of pulmonary arterial hypertension as detailed above. 3.Hypodensity in the right atrium near the SVC insertion may also represent thrombus. 4.Underlying fibrotic UIP pattern in the native lung as described above. |
Generate impression based on findings. | Reason: pre-op eval per ct surg History: pre-op potential cabg LUNGS AND PLEURA: Mild upper zone paraseptal and centrilobular emphysema.Mild basilar scarring.No suspicious nodules.MEDIASTINUM AND HILA: Pericardial thickening and calcification suggestive of previous pericarditis.No significant lymphadenopathy.Extensive ... | 1.Extensive pericardial calcification and coronary artery calcification.2. Mild apical emphysema and basilar scarring, but no acute disease. |
Generate impression based on findings. | Prostate cancer and S.O.B. LUNGS AND PLEURA: Pleural plaques consistent with prior asbestos exposure. Small loculated pleural fluid collection with associated mild pleural thickening and may posterior left lower thorax. Mild posterior pleural thickening on the right. At this level, there is mild bilateral subpleural co... | New small loculated left pleural fluid collection at the site of pre-existing mild pleural thickening. New adjacent scarlike abnormality and subpleural consolidation in the lower lobes bilaterally. Query history of prior RT to the spine in this location. If the patient does not have a correlating history of RT, conserv... |
Generate impression based on findings. | 63 year old female with cough. LUNGS AND PLEURA: Scattered subcentimeter micronodules are likely benign in nature. Multiple biapical ground glass nodules are noted, the largest of which measures approximately 1.5 cm (series 4, image 14). No airspace opacity or pleural effusion. MEDIASTINUM AND HILA: Normal heart size w... | Ground glass nodules in the lung apices are non specific, and imaging follow-up in 3 months is recommended for further assessment and to monitor to exclude malignancy vs. infection. |
Generate impression based on findings. | Clinical question: VPS status. Signs and symptoms: Headache and eye pain, blurry vision. Nonenhanced head CT:Small shunted supratentorial ventricular system remains stable since prior exam from 9 -- 19 -- 13. Stable right frontal approach ventricular catheter with the tip at the level of right foramen of Monro.No detec... | 1.No acute intracranial process.2.Stable small size of the supratentorial ventricular system and right-sided ventricular catheter. |
Generate impression based on findings. | Clinical question: Evaluate for mass. Signs and symptoms: Headache for one month. Nonenhanced head CT:No detectable acute intracranial process. No CT evidence of a mass on this nonfused exam.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF, cisterns, and gray -- white matter differentiation.Paranas... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Subdural bleed, subarachnoid bleed. Signs and symptoms: Dizziness and headache. Nonenhanced head CT:No detectable acute intracranial hemorrhage. CT however, is insensitive for detection of acute nonhemorrhagic ischemic strokes.There is evidence of a large right posterior cerebral artery vascular terr... | 1.No acute intracranial process.2.Large chronic right PCA territory ischemic stroke.3.Focal acute sinusitis of a right posterior ethmoid air cells. |
Generate impression based on findings. | Reason: evaluate for pulmonary embolus History: left sided pleuritic chest pain PULMONARY ARTERIES: Diagnostic study without evidence of pulmonary embolism. Normal caliber main pulmonary artery without evidence of right heart strain.LUNGS AND PLEURA: Scattered groundglass opacities are present, unlikely tumor for a pat... | 1. No evidence of pulmonary embolism.2. Scattered groundglass nodule suggestive of atypical infection including viral a etiology. |
Generate impression based on findings. | Reason: EVAL FOR PE History: CHEST PAIN AND HYPOXEMIA PULMONARY ARTERIES: Diagnostic quality study without evidence of pulmonary embolism, pulmonary artery enlargement, or right heart strain.LUNGS AND PLEURA: Moderate sized bilateral pleural effusions are present with atelectasis of the adjacent lung bases, unchanged. ... | 1. No evidence of pulmonary embolism.2. Pleural effusions and basilar consolidation, and possible mild pulmonary edema.3. Ascites. |
Generate impression based on findings. | Reason: eval for PE History: right sided chest pain PULMONARY ARTERIES: Diagnostic quality study without evidence of pulmonary embolism, pulmonary artery enlargement or right heart strain.LUNGS AND PLEURA: Scattered punctate benign appearing micronodules, otherwise unremarkable appearing lungs.MEDIASTINUM AND HILA: No ... | No evidence of pulmonary embolism, or other abnormality. |
Generate impression based on findings. | Male; 62 years old. Reason: PE/ ILD protocol, lung transplant History: as above PULMONARY ARTERIES: No evidence of pulmonary embolism. Enlarged main pulmonary trunk diameter is suggestive of pulmonary hypertension.LUNGS AND PLEURA: Grossly stable subpleural reticulation, traction bronchiectasis, and moderate peripheral... | 1.No evidence of pulmonary embolism.2.Findings compatible with pulmonary arterial hypertension as described above.3.UIP pattern in the native lung. |
Generate impression based on findings. | Male 63 years old Reason: evaluation and characterization of pulmonary mets History: hemoptysis, prior CT imaging showing concern for pulm mets from primary renal cell cancer LUNGS AND PLEURA: Near complete resolution of the large left loculated pleural effusion with residual fluid seen in the major fissure, and near c... | 1. Near complete resolution of the left pleural effusion with associated reexpansion of the left lung.2. New right pleural effusion with associated compressive atelectasis.3. Left lung opacities consistent with aspiration of blood given clinical history of hemoptysis.4. Interval decrease in size of pulmonary nodules.5.... |
Generate impression based on findings. | Female; 71 years old. Reason: pt with new right-sided pleuritic pain and b/l pleural effusions on CXR. Please eval for PE. PULMONARY ARTERIES: There is an acute pulmonary embolus in the distal right lower lobar artery which extends into and occludes several segmental branches. Punctate hypodensity in a single left lowe... | 1.Acute pulmonary embolus in the distal right lower lobar artery extending into several segmental branches.2.Findings compatible with pulmonary hypertension and possible right heart strain.3.Right basilar atelectasis/consolidation which may represent infarct secondary to PE.4.Large right paratracheal mass measuring wat... |
Generate impression based on findings. | 57 year old female. Reason: evaluate for intrabdominal pathology History: lower abdominal/back pain ABDOMEN:LUNG BASES: Bibasilar dependent atelectatic changes.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signi... | No acute abnormality to explain lower abdominal / back pain. Constipation. |
Generate impression based on findings. | Reason: 48 yo f w history of crohn's dz s/p total colectomy w hartmans pouch and end ileostomy. please eval pelvic abscess or fistula tract due to continued abdominal pain History: abd pain UTERUS, ADNEXA: Bilateral adnexal cystic lesions. On the left, the cystic lesions measure up to 5.2 cm (series 3, image 54) with p... | 1.Dilated right lower quadrant bowel loops with transition point at a soft tissue density in the mid pelvis. These findings are compatible with a partial small bowel obstruction likely secondary to surgical adhesions.2.Bilateral adnexal cystic lesions with possible mural nodularity. Pelvic ultrasound is recommended for... |
Generate impression based on findings. | Right mandibular fracture. Assault yesterday. There is a craniocaudal-oriented fracture through the anterior body of the mandible, at the right of midline. This appears in near-anatomic alignment. A second oblique fracture is seen through the posterior aspect of the right coronoid process and extending through the ramu... | Two fractures of the mandible in near anatomic alignment, as described above |
Generate impression based on findings. | Male 50 years old. Reason: Evaluate for bowel obstruction History: abdominal pain. Recent stroke. S/P LVAD. ABDOMEN:LUNG BASES AND PLEURA: Basilar atelectatic and possible subsegmental consolidative changes. No loculated fluid collections.LVAD is in the expected position. Status post median sternotomy. Gynecomastia. LI... | 1.LVAD device with bibasilar atelectasis.2.No acute abnormality. No bowel obstruction. |
Generate impression based on findings. | 55 year old male. Reason: eval aortic pathology, pancreatitis History: epigastric/LUQ abd pain CHEST:LUNGS AND PLEURA: Mild dependent basilar atelectasis bilaterally.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Right chest wall mass with soft tissue density.ABDOMEN:LIVER, BILIARY TRACT: Status post... | Paraumbilical hernia filled with incarcerated mesenteric fat. No evidence of bowel strangulation or incarceration. |
Generate impression based on findings. | 63 year old male. Reason: please evaluate for sigmoid volvulus or other etiology of ileus. History: POD 6 s/p cyst/IC. AXR obstructive series concerning for sigmoid volvulus. ABDOMEN:LUNG BASES: Bibasilar atelectasis. No infiltrates or effusions.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significa... | Dilated rectum and sigmoid has been present since 2005. Transition in the proximal sigmoid is incompletely evaluated, so colonoscopy or sigmoidoscopy may be helpful for further evaluation, if indicated. This transition may be due to spasm or other etiology. Status post recent cystoprostatectomy with multiple gas bubble... |
Generate impression based on findings. | Male 65 years old. Reason: IV CONTRAST ONLY - please eval for intraabdominal process, NO PO CONTRAST, please do after CT PE. History: PERSISTENT LEUKOCYTOSIS AND ABDOMINAL PAINs ABDOMEN:LUNG BASES: There are bilateral moderate pleural effusions with associated compressive atelectasis. Please see chest CT PE scan report... | 1.No bowel obstruction. No free air. 2.Small amount of free mesenteric fluid and ascites with no evidence of abscess.3.Stable 3.7 cm diameter aortic aneurysm. |
Generate impression based on findings. | 19 year-old female status post assault and loss of consciousness There is no intracranial hemorrhage. There is no mass-effect, midline shift, or loss of the gray-white matter differentiation. There are no extra-axial fluid collections. The ventricles and basal cisterns appear within normal limits.There is no fracture o... | No fracture or malalignment of the maxillofacial bones. No acute intracranial abnormality. |
Generate impression based on findings. | 55-year-old male with history of renal cancer. Reason: Diarrhea for 4 weeks. EGD and colonoscopy normal. Rule out small bowel pathology. RCC, s/p nephrectomy. Status post splenectomy and distal pancreatectomy. ABDOMEN:LUNG BASES: Unremarkable.LIVER, BILIARY TRACT: Again noted multiple metastatic lesions in the liver.SP... | Metastatic disease in the liver and retroperitoneum. No abnormality in the small bowel segments to account for patient's diarrhea. |
Generate impression based on findings. | 76 year old female. Reason: eval for mass, pancreatitis, gall bladder, etc History: abd pain and weight loss This examination is limited by absence of IV contrast. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted. Hepatic hypodensities are probably benign cysts.... | Stable examination. Degenerative changes in spine and pelvis. Large uterine fibroids, some of which are calcified in the central pelvis are located adjacent to rectosigmoid with external compression effect. No acute abnormality to explain pain in abdomen and weight loss. |
Generate impression based on findings. | 32 year old female. Reason: hernia History: hernia ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No signifi... | Small fat-containing supraumbilical hernia. |
Generate impression based on findings. | 51-year-old male with history of end-stage renal disease, hypertension, diabetes. Reason: evaluate for abdominal abnormality, pancreatitis. History: epigastric abdominal pain. ABDOMEN:LUNG BASES: Small right pleural effusion with associated consolidation/compressive atelectasis. Left basilar subsegmental atelectasis/co... | 1. No acute or pelvic abnormality to explain epigastric abdominal pain.2. Otherwise stable exam. |
Generate impression based on findings. | 83 year old female. Reason: evaluate for intraabdominal process, Hx of colon CA, breast CA. History: left flank pain ABDOMEN:LUNG BASES: Mild bibasilar subsegmental atelectasis or scar. 6-mm pulmonary nodule in the left lower lobe at axial image 16, series 5. This may be followed with subsequent examinations.LIVER, BIL... | No acute abnormality to explain left flank pain. Hepatomegaly. Fat-containing paraumbilical hernia with contains fat stranding and a small amount of fluid suggesting inflammatory changes. |
Generate impression based on findings. | 70 year old male. Reason: r/o appendicitis, acute mesenteric ischemia. Hx of CAD, carotid stenosis History: RLQ abd pain ABDOMEN:LUNG BASES: Bibasilar atelectais. No effusions. Coronary artery calcifications. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No sign... | Normal appendix. No acute abnormality to explain right lower quadrant pain. |
Generate impression based on findings. | Female 59 years old Reason: Assess L Hemothorax History: Post procedure Hemothorax Patient motion limits the sensitivity of the examination.LUNGS AND PLEURA: Interval decrease in size of the large left pleural effusion, secondary to prior thoracentesis. Effusion is predominantly water attenuation, but the inferior most... | 1.Interval decrease in size of the large left-sided pleural effusion, with areas of loculated pleural fluid in the superoposterior left pleural space and tracking into the major fissure.2.Markedly enlarged pulmonary artery and mild interstitial edema consistent with pulmonary hypertension, unchanged.3.Nonspecific enlar... |
Generate impression based on findings. | 69 year old female. Reason: eval for perinephric abscess History: right flank pain ABDOMEN:LUNG BASES: Basilar scarring/atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.... | Edematous and enlarged left kidney suggests pyelonephritis in the appropriate clinical context. No evidence of perinephric abscess. |
Generate impression based on findings. | Clinical question: 69 year-old female with subdural hematoma; please evaluate hematoma for any change. Signs and symptoms: As above. Unenhanced head CT:There is no evidence of new hemorrhage since prior exam.A right sided falcine subdural in the right posterior frontal and parietal is again noted. There is interval dec... | 1.Interval decreased size and density of subdural since prior exam from 9 -- 21 -- 13.2.No evidence of new hemorrhage and stable. 3.Stable minimal periventricular and subcortical parenchymal attenuation. |
Generate impression based on findings. | Female; 60 years old. Reason: left bronchopleural fistula after LUL lobectomy History: indwelling chest tube, cough. LUNGS AND PLEURA: Postsurgical changes compatible with left upper lobectomy. There is an air-fluid level in the left lung apex. While a direct communication from the bronchus to this air-fluid level is n... | 1.Postsurgical changes s/p left upper lobectomy and left chest tube placement. 2.Findings compatible with left apical bronchopleural fistula, without visualization of direct communication from bronchus to air-fluid level via surgical stump.3.Granulomatous cavitary lesion in the right lung apex, with thick irregular wal... |
Generate impression based on findings. | 75 year old male. Reason: urothelial cancer of L upper tract, s/p resection, had prior lung nodule--needs re-evaluated and eval for met dz History: urothelial cancer of L upper tract, s/p resection, had prior lung nodule--needs re-evaluated and eval for met dz CHEST:LUNGS AND PLEURA: Reference left lower lobe pulmonary... | 1.New sclerotic focus in the T2 vertebral body compatible with metastatic disease.2.Increasing retroperitoneal lymphadenopathy.3.Status-post left nephrectomy with soft tissue density in the nephrectomy bed may represent postsurgical change although tumor cannot be excluded.4.Stable left base pulmonary nodule. |
Generate impression based on findings. | Reason: Assess soft tissue swelling above sternum, and sternal integrity. History: Hematoma s/p Sternotomy for Heart transplant LUNGS AND PLEURA: Atelectasis and consolidation in the basilar segments of the lower lobes, greater on the left.Small left pleural effusion.MEDIASTINUM AND HILA: Retrosternal opacity extending... | Retrosternal and presternal fluid collections consistent with postoperative hematoma. |
Generate impression based on findings. | Female 61 years old Reason: Evaluate for cause of SOB, Pt has hx of alpha-1 anti-trypsin and presumed dx of COPD which we need to confirm History: SOB CHEST:LUNGS AND PLEURA: Multifocal upper lobe predominant ground glass opacities are present. Minimal consolidation is seen along the left major fissure with associated ... | 1.Multifocal ground glass opacities in an unusual nonspecific pattern, which may be related to viral or mycoplasma infection, eosinophilic pneumonia, hypersensitivity pneumonitis or drug reaction.2.No evidence of emphysema.3.No evidence of cirrhosis. |
Generate impression based on findings. | Male, 61 years old, with EBV viremia. Assess for lymphadenopathy. Without the benefit of contrast, no pathologic adenopathy is detected in the neck.The aerodigestive mucosa is within normal limits. The salivary glands and the thyroid are free of focal lesions.Cervical vessels are not characterized without contrast.Emph... | No pathologic adenopathy is detected in the neck. |
Generate impression based on findings. | Female, 86 years old, status post stroke. Evaluate for evolution of intracranial lesions, evidence of hemorrhagic conversion. Known ischemic change involving the right temporal lobe and the right parietal lobe is difficult if not impossible to discern on CT. No evidence of hemorrhagic transformation seen.Parenchymal mo... | No significant interval changes. No evidence of new lesions or hemorrhagic conversion. |
Generate impression based on findings. | Reason: 69 M s/p renal tpt on immunosuppression, sepsis, worried about cavitation and necrotizing pna on plain XR History: see above LUNGS AND PLEURA: Diffuse bilateral air space and groundglass opacities, most severe in the upper lung zones with moderately large bilateral pleural effusions.No evidence of cavitation.ME... | Diffuse air space and groundglass opacity with symmetrical pleural effusions. No evidence of cavitation.The extremely sudden onset, symmetrical distribution and symmetrical effusions favor noncardiogenic edema/ARDS, though infection is also possible. |
Generate impression based on findings. | 69 year old male. Reason: worsening R side pain History: pain. CHEST:LUNGS AND PLEURA: Right-sided pleural thickening along the major fissure, unchanged compared to prior exam. Reference right lower lobe pulmonary nodule remain stable in size now measuring 1.1 x 1.3 cm, previously 1.3 x 1.2 cm. reference left upper lob... | 1.Increase in size of right psoas muscle with irregular margins compared to contralateral side and prior study. These findings are suspicious for local recurrence.2.Relatively stable pulmonary nodules, mediastinal lymph nodes, and liver lesions. |
Generate impression based on findings. | 53 year old patient with abnormal lumbar spine MR and leukocytosis. Clinical concern for diskitis. There is straightening of the physiologic lumbar lordosis with a levoconvex scoliosis centered at L2-3. There are significant degenerative changes including intervertebral disk height loss at all visualized levels from T1... | Multilevel degenerative changes including facet arthropathy, loss of disk height, osteophyte formation and multilevel disk bulges most progressed at L3-4 -- the level of concern on the recent MRI. The presence of significant vacuum phenomena within the disk at L3-4 is a strong indicator of an underlying degenerative et... |
Generate impression based on findings. | 60 year old female. Reason: gastric cancer IV HER2+ restaging History: epigastric pain, hx of cirrhosis ABDOMEN:LUNG BASES: Sub-solid right middle lobe pulmonary nodule measures 7 mm (series 4, image 40), unchanged from prior exam. Bilateral pleural effusions with basilar consolidation and atelectasis.LIVER, BILIARY TR... | 1.Eccentric left thickening of the stomach in the region of the antrum pylorus compatible with patient's malignancy.2.Cirrhosis and SMV thrombus, unchanged. Increasing abdominal ascites.3.Right hepatic lobe mass compatible with metastatic disease.4.Bilateral pleural effusions and stable right middle lobe pulmonary nodu... |
Generate impression based on findings. | Clinical question: Evaluate progression versus a stability of subarachnoid hemorrhage. Signs and symptoms: Headache. Nonenhanced head CT:There is interval decreased subarachnoid hemorrhage in the right sylvian fissure and along the right anterior frontal lobe. Minimal residual hemorrhage still present in the right fron... | 1.Slight interval increased parenchymal edema at the tip of right temporal lobe at the site of contusion however with decreased blood since prior exam.2.Interval decreased subarachnoid hemorrhage in the right cement fissure. Minimal residual blood still present.3.Interval decreased hemorrhage overlapping the right fron... |
Generate impression based on findings. | Male; 61 years old. Reason: s/p OLT with possible PNA. Low O2 sats. NO CONTRAST. LUNGS AND PLEURA: Again seen are ground glass opacities in the bilateral upper lobes, with new overlying areas of focal consolidation and air bronchograms in the right middle lobe, posterior right upper lobe, and bilateral lower lobes. The... | 1.Acute multifocal pneumonia superimposed on a background of upper lobe ground glass opacities, for which differential considerations include atypical infection, drug reaction, or chronic interstitial disease.2.Significant interval increase in size of right pleural effusion. 3.Findings compatible with pulmonary arteria... |
Generate impression based on findings. | Female 70 years old Reason: hx pancreatic ca s/p whipple 2010, free of cancer, new RLL nodule since 3/2013- larger in May, smaller in June- follow up at 3 months History: lung nodule Study is limited due to patient motion.LUNGS AND PLEURA: Scattered micronodules unchanged in size and distribution; likely benign and pos... | Interval decrease in density of the focal opacity in the right lower lobe, likely representing scarring or organizing pneumonia. |
Generate impression based on findings. | 9-week-old male. Acute drop in hemoglobin. Evaluate for intracranial hemorrhage. There is severe diffuse parenchymal volume loss and ex vacuo ventricular dilatation, which is increased compared to 9/9/13. There is no new intracranial hemorrhage. Hypodense areas within the small amount of remaining brain parenchyma like... | 1. No evidence of new intracranial hemorrhage.2. Progressive encephalomalacia and ex vacuo ventricular dilatation. |
Generate impression based on findings. | Male, 58 years old, history of melanoma, stage IV, evaluate disease status following additional systemic therapy. Again seen is a heterogeneous enhancing mass within the right supraclavicular fossa. Maximal dimensions in the coronal plane have not significantly changed at 5.4 x 3.3 cm (image 32 series 8030). Maximal di... | Although qualitatively, the patient's right supraclavicular fossa mass does not appear to have changed significantly from the prior examination, by careful measurement, some mild interval enlargement is appreciated. This is most easily appreciated when comparing to the more remote examination of 4/19/13. |
Generate impression based on findings. | Reason: h/o HNC, compare to previous, measurements pls History: none LUNGS AND PLEURA: Increased airspace opacity in the right middle lobe consistent with aspiration pneumonia.Persistent ground glass opacity in the basilar segments of the right lower lobe, also consistent with aspiration. Ground glass opacity in the le... | 1. Extensive aspiration in the right middle lobe and lower lobes.2. No specific evidence of metastatic disease. |
Generate impression based on findings. | 58 year old male. Reason: re-evaluate disease status following additional systemic therapy compared to previous scan, provide bilateral dimensions History: stage IV metastatic melanoma CHEST:LUNGS AND PLEURA: Left anterior pleural based nodule measures 1.4 x 1.0 cm, previously 1.1 x 0.9 cm (series 8, image 53).MEDIASTI... | 1. Stable to slight increase of reference lesions in the chest and abdomen. |
Generate impression based on findings. | AML with EBV viremia; infectious mononucleosis CHEST:LUNGS AND PLEURA: Emphysema again notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Stable cholelithiasisSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality no... | No adenopathy. Interval increase in size of left adrenal mass now associated with intrinsic high attenuation. This finding is suggestive for left adrenal hemorrhage; an underlying neoplastic etiology cannot be excluded. |
Generate impression based on findings. | Female, 33 years old, headache after a fall in January 2013. 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. The ventricles and basal cistern... | Unremarkable examination. No specific findings to account for the patient's headache. |
Generate impression based on findings. | Female, 25 years old, with headache and drowsiness, ventricular shunts are evaluate ventricular communication. Surgical change is redemonstrated including evidence of a right hemispherectomy and right-sided craniotomies.Two drainage catheters are redemonstrated both of which terminate within the right-sided hemispherec... | Contrast injected into the ventricular system fills the left ventricular atrium and left temporal horn, similar to what was seen on a prior ventriculogram in August though the ventricles were larger at that time. A small amount of contrast does spill into the right hemispheric to meet defect. There is no evidence of an... |
Generate impression based on findings. | History of supraglottic cancer. The epiglottic and aryepiglottic soft tissue thickening and mucosal edema as well as hyperemia appear similar to the prior exam. These findings most likely represent post treatment changes. The soft tissue density in the left anterolateral and right posterior paraglottic fat are unchange... | Stable post-treatment changes, without definite evidence of progressive primary disease or cervical lymphadenopathy. |
Generate impression based on findings. | Male; 61 years old. Reason: Evaluate anterior mediastinal chest mass. LUNGS AND PLEURA: There is a 1.5 x 1.5 cm round peripherally enhancing nodule with a central necrotic component in the anterior right upper lobe (series 3, image 39), which appears contiguous with the adjacent anterior mediastinum. This nodule has de... | 1.Peripherally enhancing anterior right upper lobe nodule with low density center is compatible with necrotizing infection such as histoplasmosis. Neoplasm is considered unlikely given the rapid development and partial resolution of this lesion over several prior studies. 2.Unchanged appearance of large type B aortic d... |
Generate impression based on findings. | Clinical question: Left parotid tumor, right-sided weakness. Signs and symptoms: As above. Evaluate for gross. Enhanced neck CT:Limited view of intracranial content is unremarkable.Bilateral cavernous sinuses and skull base are unremarkable.Images through the orbits, paranasal sinuses and mastoid air cells are unremark... | 1.Stable left parotid high density well demarcated mass in size, morphology and overall appearance since prior exam, as detailed above.2.Stable enlarged bilateral thyroid lobes (left greater than right) and the isthmus of the thyroid in size, pattern of mixed density, and calcification since prior exam. 3.Unremarkable ... |
Generate impression based on findings. | 23 year old female. Reason: Pt with h/o of two abdominal surgeries for bowel obstruction presenting with abdominal pain, n/v History: abdominal pain, n/v ABDOMEN:LUNG BASES: Basilar atelectasis.LIVER, BILIARY TRACT: Left hepatic lobe hypodensity is too small further characterize.SPLEEN: No significant abnormality noted... | 1.No acute intraabdominal process.2.Small amount of free fluid in the pelvis is likely physiologic. |
Generate impression based on findings. | Intracranial hemorrhage. The ventriculostomy catheter is demonstrated in unchanged position descending from a right frontal approach to rest with its tip adjacent the septum pellucidum at the level of the foramen of Monroe. There is been interval decrease in the dimension of the lateral and fourth ventricles, though th... | Interval decrease in the ventricular diameter in this patient with stable extensive IVH without evidence of acute ischemia or mass effect. |
Generate impression based on findings. | 6-month-old female with closed anterior fontanelle. Evaluate for craniosynostosis Motion artifact limits evaluation of the skull base and facial bones. The anterior fontanelle is closed. There is fusion of the majority of the metopic suture. A portion of the metopic suture is patent superiorly at the apex. There is a s... | No specific evidence of craniosynostosis. Questioned focal asymmetric closure of mid to superior right coronal suture, without bony ridging. |
Generate impression based on findings. | Reason: Stage IV colon cancer with lung mets please evaluate and provide index lesion measurements for RECIST History: As above LUNGS AND PLEURA: Innumerable bilateral small pulmonary nodules ranging up to approximately 10 mm in diameter, consistent with metastases.A reference nodule and the right lower lobe (image 31/... | Multiple pulmonary and mediastinal metastases with measurements as described. |
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