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Generate impression based on findings. | Lymphoma. History of SVC clot. Lovenox administration. Check progression. LUNGS AND PLEURA: No opacity is identified. No pleural effusion is seen.MEDIASTINUM AND HILA: No lymphadenopathy is present. The heart size is normal. Pericardial effusion is not seen.CHEST WALL: Left-sided central line tip is in superior vena ca... | Unchanged blood clot in superior vena cava. |
Generate impression based on findings. | Clinical question: Carotid involvement of cancer. Signs and symptoms: Head and neck pain. Neck CTA:The aortic arch, as well as the origins of the major vessels remain within normal limits.Brachiocephalic and bilateral subclavian arteries are unremarkable.There are normal appearing bilateral vertebral arteries throughou... | 1.Unremarkable CTA of the neck and without convincing evidence of vascular encasement/lumen compromise.2.Very close proximity of patient's large left neck tumor with left carotid system is again identified on the source images. |
Generate impression based on findings. | Female; 43 years old. Reason: h/o palate cancer; eval for mets. LUNGS AND PLEURA: Mild bibasilar scarring/atelectasis, without focal air space opacity or pleural effusion. No suspicious pulmonary nodules or masses to indicate metastatic disease. Very mild apical ground glass opacity and associated mild bronchial wall t... | No evidence of metastatic disease. |
Generate impression based on findings. | Altered mental status, subarachnoid hemorrhage. Evaluate for progression. There is considerable motion artifact on this portable exam which significantly limits sensitivity. Within these limitations, the previously described foci of subarachnoid hemorrhage is demonstrated within a sulcus overlying the left parietal lob... | Considerably limited examination demonstrating previously described focus of subarachnoid hemorrhage without significant extension. No obvious hydrocephalus or gross mass effect. |
Generate impression based on findings. | Reason: hx of histoplasmosis with recurrent dry, cough, assess for mediastinal LAD History: dry cough LUNGS AND PLEURA: Irregularly marginated right lower lobe nodule measuring 10 mm in maximum diameter, slightly decreased in size and opacity compared to the previous scan.Foci of attenuation of the lung bases suggestiv... | Marked decrease in mediastinal and hilar lymphadenopathy and slight decrease in right lower lobe pulmonary nodule, compatible with treated histoplasmosis. |
Generate impression based on findings. | 71 year old male. Reason: patient with history of prostate cancer, currently receiving therapy with enzalutamide. Please assess for disease progression History: met prostate cancer CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Increasing left s... | 1.Increasing lymphadenopathy. 2.Increasing left adrenal nodule. |
Generate impression based on findings. | 27-year-old male with tonsillar swelling. Evaluate for abscess There is enlargement of the right palatine tonsil with internal linear hypodensity, likely representing striations of edema. There is thickening of the adjacent soft palate and increased density within the right parapharyngeal fat. There is no distinct drai... | Enlargement of the right palatine tonsil and adjacent soft tissues, consistent with tonsillitis. There is no fluid collection to suggest abscess formation at this time. There is slight confluence of low-density centrally along the superior aspect of the tonsil, and a very early forming fluid collection cannot be entire... |
Generate impression based on findings. | Reason: metastatic breast Ca, followup of left lung lesions and liver met History: left anterior chest wall pain CHEST:LUNGS AND PLEURA: Slightly decreased anterior left upper lobe subpleural opacity, likely inflammatory.Left upper lobe reference nodule (image 37/116) mm, 26x26mm on the axial sections and more accurate... | Stable disease. |
Generate impression based on findings. | Hematuria ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Bilobar hepatic cystsSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: 7-mm nonenhancing fat focus within the lower pole of the right kidn... | Nonenhancing fat containing focus arising from the lower pole right kidney corresponding to the echogenic focus seen on the recent ultrasound. Findings consistent with benign angiomyolipoma. No worrisome renal lesion appreciated. |
Generate impression based on findings. | 67-year-old male. EC fistula, perineal fluid collections. Evaluate for interval resolution of peritoneal fluid collections status post drainage. ABDOMEN:LUNG BASES: Bilateral pleural effusions, left greater than right. Bibasilar atelectasis. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant a... | Interval resolution of superior anterior fluid collection and inferior collection.The percutaneous drainage catheters remain unchanged since the prior exam. |
Generate impression based on findings. | 32 year old male. Clinical stage I testicular cancer. Follow-up for recurrence. Reason: History of testicular cancer, s/p chemo, no RPLND, assess for recurrence. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDO... | No evidence of residual or recurrent disease. |
Generate impression based on findings. | 64 year old female. Reason: Pre-Kidney Transplant Evaluation, assess aortic and iliac vessels for transplant History: Pre-Kidney Transplant Evaluation ABDOMEN:LUNG BASES: Numerous centimeter-sized hepatic hypodensities most likely represent simple cysts.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: 1.2 ... | Right lower quadrant fat-containing mass may be an intraperitoneal lipoma. Probable splenic artery aneurysm. Absent native kidneys. Minimal vascular calcification in the pelvis. |
Generate impression based on findings. | 33 year old male with metastatic melanoma, on Vemurafenib, recently held therapy for brain surgery, evaluate for progression. History: Met melanoma CHEST:LUNGS AND PLEURA: Scattered nonspecific pulmonary micronodules are unchanged from the prior study. No suspicious pulmonary nodule or mass is seen. No consolidation or... | New pretracheal lymphadenopathy. The soft tissue nodule posterior to the left gluteal muscles has significantly increased in size since the prior exam. |
Generate impression based on findings. | Male 51 years old Reason: larynx cancer History: r/o chest mets LUNGS AND PLEURA: Apical scarring and pleural thickening unchanged. No new suspicious lung nodules or masses identified. Mild bronchial wall thickening is present.MEDIASTINUM AND HILA: There is no mediastinal or hilar lymphadenopathy. Tracheostomy with can... | No evidence of pulmonary metastatic disease, or lymphadenopathy. |
Generate impression based on findings. | 54 year old male. Reason: hematuria; history of transitional cell cancer of the right kidney ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Accessory splenule.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Status post right nephrecto... | 1.Polypoid mass of the bladder with eccentric wall thickening compatible with patient's history of TCC.2.Multiple borderline enlarged retroperitoneal and pelvic lymph nodes. |
Generate impression based on findings. | Reason: eval right upper lobe nodule History: smoker, cough, h/o oral cancer LUNGS AND PLEURA: 6 by 8 mm nodule adjacent to a cyst or bulla image 62 series 5, slightly larger than on the prior study, not present 11/8/2011.Other benign appearing pulmonary micronodules are unchanged, at least one calcified.Moderate to se... | 1. Slight enlargement since 3/15/2013 of the right upper lobe nodule adjacent to a bulla, not present 11/8/2011. This is suspicious for an indolent lung cancer. 3 to 6 month follow up is recommended.2. Centrilobular emphysema with stable benign-appearing micronodules unchanged. 3. Pulmonary arterial hypertension, likel... |
Generate impression based on findings. | 58 year old male. Reason: Stage IV colon cancer. Please compare to previous scan and provide index lesion measurements. CHEST:LUNGS AND PLEURA: Stable biapical scarring. Stable emphysema.MEDIASTINUM AND HILA: Minimal nonocclusive thrombus associated with right central venous catheter.CHEST WALL: Right sided venous acce... | Interval increase in size of confluent left hepatic lobe metastatic mass lesion. Other bilobar hepatic metastases are stable or increased in size. |
Generate impression based on findings. | Reason: abnormal finding on CXR, concern for PE History: as above PULMONARY ARTERIES: Technically adequate study, without evidence of pulmonary embolism, pulmonary artery enlargement or right heart strain.LUNGS AND PLEURA: Right lower lobe superior segment consolidation is present, with scattered regions of apparent su... | 1. No evidence of pulmonary embolism.2. Right lower lobe pneumonia with basilar subsegmental atelectasis bilaterally. |
Generate impression based on findings. | Female 65 years old Reason: COPD History: SOB LUNGS AND PLEURA: There is diffuse pulmonary parenchymal loss consistent with severe centrilobular emphysema. No suspicious nodule or mass is identified. No focal airspace opacity identified.MEDIASTINUM AND HILA: Mild calcifications seen in the walls the coronary arteries a... | Severe centrilobular emphysema, with no acute cardiopulmonary disease.Hypodense hepatic lesions which may represent hepatic cysts. |
Generate impression based on findings. | Reason: right buccal cancer, s/p surgery and RT, eval for recurrence History: as above LUNGS AND PLEURA: Upper lower lung zone groundglass opacities with mosaic attenuation, unchanged.Right upper lobe/apical postinflammatory opacities are stable.Scattered benign appearing micronodules are unchanged.Basilar predominant ... | 1. No sign of metastases.2. Groundglass mosaic attenuation with basilar bronchiectasis, unchanged. |
Generate impression based on findings. | Clinical question: Right buccal cancer. Sign and symptoms: Rule out lung metastases. Enhanced neck CT:Limited view of intracranial space remains unremarkable.Bilateral cavernous sinuses, and skull base, bilateral petrous bones in all paranasal sinuses are unremarkable.Unremarkable images through the nasal for exam nasa... | 1.There is no convincing evidence of recurrence of tumor or cervical adenopathy by CT size criteria.2.Interval complete resolution of small focus of fluid-like accumulation at the level of graft. |
Generate impression based on findings. | 80 year old male. Reason: history of prostate cancer, rising PSA, assess for metastases. Fatty liver, chronic thrombocytopenia and alcohol use. ABDOMEN:LUNG BASES: Coronary artery calcifications. No acute infiltrates or effusions. LIVER, BILIARY TRACT: Cirrhotic morphology. SPLEEN: Autologous splenorenal shunt with var... | No definite metastatic disease. Hepatic cirrhosis. Splenorenal shunt. Splenomegaly. |
Generate impression based on findings. | Reason: hx NSIP/UIP autoimmune ILD, follow-up study History: hx NSIP/UIP autoimmune ILD, follow-up study LUNGS AND PLEURA: Patchy upper and lower lung zone reticular opacities with honeycombing and traction bronchiectasis are unchanged.Upper lung zone predominant ground glass opacities have regressed.No specific eviden... | 1. Interstitial lung disease with reticular opacities and honeycombing unchanged.2. Mild regression of upper lobe predominant ground glass opacities. |
Generate impression based on findings. | Clinical question: Stroke. Signs and symptoms: Stroke. Unenhanced head CT:Summation demonstrates an acute right thalamic hematoma measuring 24 x 28 x 27-mm in size. There is evidence of dissection of hemorrhage into the ventricular system with resultant extensive blood in the right lateral ventricle and minimally in th... | 1.Acute right thalamic hematoma measuring 24 x 28 x 27-mm with evidence of dissection into the ventricular system with significant right lateral ventricular blood and minimally in the third ventricle.2.No ventriculomegaly.3.Approximately 5 mm midline shift to the left.4.Moderate age indeterminate small vessel ischemic ... |
Generate impression based on findings. | Reason: h/o lung cancer s/p chemo check response History: doe CHEST:LUNGS AND PLEURA: Right upper lobe scar like opacities continue to decrease in intensity.Right upper lobe small ground glass nodule image 30 series 4 is consistent with atypical adenomatous hyperplasia.Mild scarring right lung base.MEDIASTINUM AND HILA... | New right paratracheal lymph node consistent with recurrent disease. |
Generate impression based on findings. | Clinical question: Fall. Signs and symptoms: Headache. Nonenhanced head CT:There is no evidence of acute posttraumatic intracranial, calvarial or soft tissues of the scalp. Findings.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF, cisterns, and gray -- white matter differentiation.There is anatomi... | No acute posttraumatic findings. Please see above comments. |
Generate impression based on findings. | 59-year-old male status post liver transplant presenting with nausea and vomiting ABDOMEN:LUNG BASES: Moderate right small left sided pleural effusion and dependent atelectasis. Extensive varices in the posterior mediastinum.LIVER, BILIARY TRACT: Hepatic vasculature is patent. There is mild periportal edema. No evidenc... | Findings suggestive of mild partial distal small bowel obstruction. Changes secondary to liver transplant. |
Generate impression based on findings. | Relapsed rhabdomyosarcoma. Pre-therapy evaluation. Back pain. CHEST:LUNGS AND PLEURA: No focal opacity is present. No pleural effusion is identified.MEDIASTINUM AND HILA: Heart size is normal. Left hilar lymph node is no longer appreciated.CHEST WALL: Right chest port tip is in right atrium. Left paraspinal soft tissue... | Decrease in size of mass adjacent to tail of pancreas. Almost complete resolution of left paraspinal mass. |
Generate impression based on findings. | 79-year-old female with stage IV metastatic melanoma. Reason: Re-evaluate disease status following completion of systemic therapy; compare to previous scan and provide bi-dimensional measurements. History: Stage IV metastatic melanoma CHEST:LUNGS AND PLEURA: Right apical reference nodule (series 4 image 16) is not chan... | 1. Stable right upper lobe lung nodule. 2. Stable left retroperitoneal periaortic lymph node.3. No new lesions. |
Generate impression based on findings. | Reason: History of synovial sarcoma on treatment, evaluate for response and extent of disease History: History of synovial sarcoma on treatment, evaluate for response and extent of disease LUNGS AND PLEURA: Reference right middle lobe nodule (series 5 image 49) 11 x 11 mm, not significantly changed from 10 x 11 mm prev... | Slight increase in size of several pulmonary nodules, consistent with metastases. |
Generate impression based on findings. | 71 year-old female. Abdominal distention. Evaluate for SBO. Reason: Ov Ca, disease progression History: increasing abdominal distention ABDOMEN:LUNG BASES: Moderate right and small left pleural effusions have slightly decreased since 9/14/2013. Bibasilar atelectasis. Coronary artery calcifications. LIVER, BILIARY TRACT... | 1. Diffuse small and large bowel dilatation suggests persistent ileus.2. Extensive peritoneal calcified disease, not significantly changed. Stable pelvic calcified mass.3. Segment 6 liver lesion is unchanged. 4. No significant interval change in bone lesions.5. Smaller right and small left pleural effusions. |
Generate impression based on findings. | 55 year old male. Reason: Assess vasculature to support transplant. History: Pre-kidney transplant evaluation ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Splenomegaly. PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormali... | Minimal to no significant calcification of major vessels in the pelvis. Pelvic lymphadenopathy. Atrophic kidneys and decompressed urinary bladder. |
Generate impression based on findings. | 52 yo M with h/o glioblastoma on Avastin, one day of sharp pleuritic chest pain, developed new onset atrial flutter, rule out PE. PULMONARY ARTERIES: There is an acute pulmonary embolus in the distal right main pulmonary artery which extends into all right lobar arteries. Pulmonary emboli are also noted in the left low... | 1.Extensive acute pulmonary emboli extending from the distal right main pulmonary artery into most lobar arteries as described above. 2.Areas of peripheral left basilar consolidation, consistent with infarct and/or hemorrhage. 3.Findings suggestive of pulmonary hypertension and right heart strain. |
Generate impression based on findings. | Metastatic prostate carcinoma CHEST:LUNGS AND PLEURA: Stable right lower lobe nodule best seen on image 59 of series 4 measuring 0.8 x 0.6 cm; other micronodules also stable.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Stable sclerotic bony metastatic fociABDOMEN:LIVER, BILIARY TRACT: No significan... | Stable examination |
Generate impression based on findings. | 50 year old female. Reason: Severe iron deficiency anemia, r/o small bowel source History: as above; EGD/colon negative. 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... | No source of hemorrhage in the bowel. |
Generate impression based on findings. | Male 48 years old Reason: left lower rib mass vs soft tissue? History: left lower rib mass vs soft tissue? LUNGS AND PLEURA: Numerous pulmonary micronodules and granulomas, likely post infectious in etiology. Reference 11-mm (image 81, series 4) left lower lobe nodule with diffuse internal calcification consistent with... | No abnormal osseous or soft tissue mass identified as clinically questioned. Evidence of prior granulomatous disease. |
Generate impression based on findings. | Rectal carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Stable low attenuation focus within segment 7 of the right lobe of the liver best seen on image 85 of series 3 measurin... | Nonspecific thickening of the rectal wall associated with peri-rectal soft tissue infiltration; favor post therapeutic changes rather than metastatic disease. Otherwise stable examination. |
Generate impression based on findings. | 71 year old male. Reason: Eval for leak from gastrectomy site and for resolution of infected fluid collections in chest abdomen and pelvis with attention to pancreas History: S/P Partial Gastrectomy and Pancreatic Pseudocyst drainage / Fluid Collections of chest and abdomen - suspected to be infectious CHEST:LUNGS AND ... | 1.No evidence of leak from gastrectomy site.2.Resolution of pancreatic fluid collection.3.Stable mediastinal fluid collection.4.Decreasing fluid collection anterior to the sternum. |
Generate impression based on findings. | Reason: h/o HNC, compare to previous, measurements pls, h/o CRT History: none LUNGS AND PLEURA: Mild basilar scarring. No suspicious nodules.MEDIASTINUM AND HILA: Moderately enlarged high right paratracheal lymph node measuring 7 mm in short axis, unchanged.No other significant lymphadenopathy.Tracheostomy tube in plac... | No evidence of metastases. |
Generate impression based on findings. | Male; 57 years old. Reason: r/o metastases, evaluate for coronary calcifications History: active on the liver transplant waiting list, HCV/ETOH cirrhosis, HCC. LUNGS AND PLEURA: No new or suspicious pulmonary nodules are identified. No focal air space opacity or pleural effusion. Scattered micronodules, some of which a... | 1.No evidence of metastatic disease. 2.Mild coronary calcifications with at least one discrete plaque visualized in the LAD, although this study is non-gated and thus not optimal for coronary calcium detection. 3.Primary liver lesions presumably representing HCC s/p ablation as described above. |
Generate impression based on findings. | 78-year-old male with history of IBD and admitted with multiple abscesses on outside CT ABDOMEN: LUNG BASES: Bilateral small pleural effusions, decreased in size compared to previous study.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality ... | Multiple abscesses adjacent to the sigmoid colon between the small bowel loops in the lower abdomen and in the pelvis, most on the left side. Adjacent small bowel loops and sigmoid colon demonstrate mild wall thickening consistent with inflammation. |
Generate impression based on findings. | Recurrent ascites. Evaluate IVC ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hypodense lesions in the liver are unchanged from previous study. Their etiology is unknown.SPLEEN: Small infarct is unchanged. PANCREAS: Dilated pancreatic duct throughout its course is unchanged.ADRENAL GLANDS: N... | Findings consistent with end-stage renal disease.Small hypodense lesions in the liver, small splenic infarct, ascites and carcinomatosis are unchanged.Diffuse atherosclerotic changes involving the aorta and its major branches. IVC and iliac veins are patent. |
Generate impression based on findings. | Pancreas cancer CHEST:LUNGS AND PLEURA: Bilateral scattered micronodules. An index nodule in the right lower lobe measures 3 mm on image number 53, series number 10. These nodules are suspicious for metastatic disease.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.AB... | Interval increase in the peritoneal carcinomatosis. Patient's known pancreatic body mass, unchanged. Liver metastases and lung metastases. |
Generate impression based on findings. | 69-year-old male with fluid collection are real transplant and sepsis The study is limited due to lack of IV contrast.ABDOMEN:LUNG BASES: Patchy air space opacities in the lung bases and bilateral large pleural effusions, again noted. These may represent early pneumonia.LIVER, BILIARY TRACT: Cholelithiasis.SPLEEN: No s... | Limited study due to lack of IV contrast. No evidence of peritransplant fluid collection.Large bilateral pleural effusion and bilateral airspace opacities at the lung bases, not significantly changed from the dedicated chest CT performed on 9/25/2013 |
Generate impression based on findings. | History of lymphoma CHEST:LUNGS AND PLEURA: Biapical scarring.MEDIASTINUM AND HILA: Small mediastinal lymph nodes. Index pretracheal node measures 1.2 by 0.7 cm on image number 35, series number 3.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No signif... | Small mediastinal and pelvic lymph nodes as described above. |
Generate impression based on findings. | History of surgery for polymorphic adenocarcinoma. Evaluate for recurrence. There is significant mucosal thickening and enhancement within the fluid-filled right maxillary sinus. The enhancing component is somewhat thickened, though is uniform circumferential. A stable postoperative bony defect is demonstrated at the i... | 1.Postsurgical findings within the floor of the right maxillary sinus.2.Significant enhancing component of thickening with right maxillary sinus. This is prominent, though there are no aggressive features and this is felt to represent benign mucosal thickening.3.No CT evidence of lymphadenopathy or obvious tumor spread... |
Generate impression based on findings. | Gross hematuria CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENA... | No GU related abnormality. Enlarged prostate. No evidence for acute, inflammatory, or neoplastic process |
Generate impression based on findings. | 55 year old female. Reason: r/o perforation History: increasing abdominal distention and pain ABDOMEN:LUNG BASES: Small pleural blebs. Trace amount of fluid along the major fissure in the upper portion of the lung.LIVER, BILIARY TRACT: Cirrhotic liver morphology. Cholelithiasis with sludge in a distended gallbladder. N... | 1.No evidence of intra-abdominal free air to suggest perforation.2.Moderately distended, predominately fluid filled right colon with a relatively more decompressed left colon. These findings are suggestive of colonic ileus.3.Cholelithiasis with sludge in a distended gallbladder without evidence of gallbladder wall thic... |
Generate impression based on findings. | Female, 44 years old, history of Graves' and HIV with diplopia and proptosis, os>od. The right optic nerve looks full. Question interval change in muscle size, apex crowding. Visual field testing is normal. The globes are proptotic, again left greater than right, but unchanged compared to the prior examination. The glo... | Very mild prominence of the left-sided extraocular muscles, along with mild hypodensity of the left-sided muscles, is a stable finding and suggests the sequela of prior inflammation, perhaps related to the patient's known Graves' disease. The globes remain proptotic.Very mild prominence of the right optic nerve sheath ... |
Generate impression based on findings. | 46-year-old male with history of left retromolar trigone squamous cell cancer status post radiation and surgery. Postsurgical changes of a left-sided mandibulectomy and partial maxillectomy with flap placement are again seen. The soft tissue thickening along the left neck extending to the left inferotemporal fossa and ... | Post-operative changes, without definite evidence of disease recurrence or cervical adenopathy |
Generate impression based on findings. | 81 year old female. Reason: r/o cad History: chest pressure Height: 5'6"Weight: 154 lbsBSA: 1.8 m^2BMI: 25 kg/m^2Cardiac Morphology:Left Ventricle:EDV: 116 ml The left ventricle is normal in size, shape, wall thickness, and volume. Right Ventricle:EDV: 107 ml The right ventricle is normal in size, shape, wall thickness... | 1. Status post coronary artery bypass grafts to RCA, LAD and LCx. All CABGs are patent. Extensive calcific coronary artery disease limits detailed evaluation of coronary anatomy.2. Normal ventricular volume and morphology.3. Calcium score 955.7; This represents the 93% for this patient's age and gender.4. Partially thr... |
Generate impression based on findings. | Left sided nasal congestion The frontal sinuses, frontal-ethmoid recesses, anterior/posterior ethmoids, and sphenoid sinuses are well developed and clear. There is minimal mucosal thickening at the floors of the maxillary sinuses. There is clearing of the previously-seen paranasal sinus hemorrhage.The nasal septum is m... | 1. No evidence of active sinus disease2. Interval clearing of the previously-seen paranasal sinus hemorrhage. |
Generate impression based on findings. | Male, 65 years old, with cervical and lumbar radiculopathy. C-spine:Surgical changes demonstrated in the cervical spine, new from the prior MRI, most suggestive of laminoplasty from levels C3 through C7. There are small defects in the lamina bilaterally at these levels which are bridged by plate and screw devices. No o... | 1. Postoperative change in the cervical region is seen consistent with laminoplasty, a new finding when compared to the MRI examination from 2006.2. There does not appear to be any significant narrowing of the bony spinal canal in the cervical region, but please note that CT is insensitive for soft tissue processes whi... |
Generate impression based on findings. | Female 64 years old. Reason: cholangiocarcinoma; please evaluate for extent of disease progression. History: ascites; pain CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Percutaneous ... | Biliary stent in place with expected pneumobilia. Decompressed gallbladder with cholecystostomy. The cholecystitis seen on the prior exam may have resolved. Minimal inflammatory changes surround the gallbladder. Nephrolithiasis of left kidney without obstruction.No ascites. |
Generate impression based on findings. | 49-year-old male. Reason: Eval for hematoma or abscess following lap chole. Hx of klebsiella bacteremia. Hx LVAD. History: RUQ pain and elevated WBC. CHEST:LUNGS AND PLEURA: Small pleural effusions have resolved. Ground glass opacities and septal thickening consistent with pulmonary edema.MEDIASTINUM AND HILA: Multiple... | 1. The cholecystostomy tube and gallbladder have been removed since the prior exam.2. New large loculated fluid collection extends from the gallbladder fossa, suspicious for biloma. This collection may be infected. 3. Diffuse ground glass opacities and septal thickening consistent with pulmonary edema are stable. Small... |
Generate impression based on findings. | 6-year-old male with a floor of mouth mass. There is a 3.6 x 1.4 cm tubular fluid-filled structure in the left sublingual space, superior to the mylohyoid muscle. There is no surrounding inflammatory change. This is most compatible with a simple ranula.No cervical lymphadenopathy is seen.The cervical vasculature appear... | 1. 3.6 cm tubular fluid filled structure in the left sublingual space, most compatible with a simple ranula.2. Frothy mucosal thickening of the maxillary sinuses. Correlation with symptoms of acute sinusitis is recommended. |
Generate impression based on findings. | Male 48 years old; Reason: s/p radiolunate fusion History: s/p radiolunate fusion. Plate and screws affix the distal radius to the lunate. The alignment is near anatomic. No hardware complications are evident. Fragments of fusion products from an attempted fusion are visualized adjacent to the radiolunate articulation.... | No evidence of hardware complication following a radiolunate fusion. |
Generate impression based on findings. | 35-year-old female Reason: achondroplasia w/ R knee OA - evaluate for preop planning History: as above. There is shortening of the femur with flaring of the metaphysis. Severe joint space narrowing and tricompartmental osteophytes compatible with severe osteoarthritis is noted about the knee joint. There is anterior co... | Severe tricompartmental osteoarthritis of the right knee with changes from achondroplasia. |
Generate impression based on findings. | Male, 51 years old, history of larynx cancer status post surgery. Postsurgical change is redemonstrated consistent with laryngectomy, tracheostomy and left pectoralis flap reconstruction. No new soft tissue mass or pathologic enhancement is demonstrated in the surgical region to suggest recurrent disease.There are no d... | No definite evidence of recurrent disease. Very mild interval increase in the size of a right level Ib lymph node is seen which may simply be reactive. Continued attention to this site on follow up exams is suggested. |
Generate impression based on findings. | Large right popliteal DVT. PULMONARY ARTERIES: Multiple bilateral subsegmental clots are present, sparing the upper lobes.LUNGS AND PLEURA: No focal opacity is identified. A pleural effusion is not seen.MEDIASTINUM AND HILA: Heart size is normal. No mass is identified.CHEST WALL: Normal in appearance.UPPER ABDOMEN: Nor... | Multiple subsegmental pulmonary emboli. |
Generate impression based on findings. | New large deep venous thrombosis. ABDOMEN:LUNG BASES: No focal opacity is seen.LIVER, BILIARY TRACT: Normal enhancement. No biliary ductal dilatation. Gallbladder is incompletely distended.SPLEEN: Normal in size.PANCREAS: Normal in appearance.ADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Symmetric e... | Normal examination of the abdomen and pelvis. |
Generate impression based on findings. | Reason: IVH History: IVH Atherosclerotic calcifications are present along the distal internal carotid arteries.There is intraventricular blood present involving the lateral ventricles , the third ventricle and fourth ventricle but no sulcal effacement.A ventriculostomy tube courses through the right frontal lobe into t... | 1.There is redemonstration of intraventricular blood some posterior fossa subarachnoid blood and ventriculostomy tube all of which are stable since the prior exam. The lateral ventricles have not changed in size and are nondilated currently.2.A small air bubble is present in the right lateral ventricle which was not pr... |
Generate impression based on findings. | Reason: evaluate for mass lesion History: Right eye proptosis CT head:The CSF spaces are appropriate for the patient's stated age with no midline shift.Atherosclerotic calcifications are present along the distal internal carotid arteries.Periventricular and subcortical white matter hypodensities of a mild degree are pr... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. 3.There is mucosal thickening present in the left maxillary sinus which is probably inflammatory in nature and ... |
Generate impression based on findings. | Reason: increasing size of abdominal soft tissue infection, r/o worsening infection History: pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: There is no evidence of intrahepatic ductal dilatation or focal mass lesion. The hepatic vasculature appears patent and there is no evidence of cho... | 1.Interval worsening of sub-cutaneous abscess extending to the rectus abdominis muscle with intraperitoneal fat stranding. 2.Redemonstration of a heterogeneous, partially cystic lesion in the right adnexa but a calcified focus. Pelvic ultrasound is recommended.3.Hyperattenuation of the endometrial cavity. Pelvic ultras... |
Generate impression based on findings. | Left hip pain, unable to bear weight, evaluate for fractureEXAMINATION: CT hips without intravenous contrast 9/26/2013 1748 BONES AND SOFT TISSUES: Sclerotic/lytic lesions are seen throughout the pelvis, sacrum, and proximal femurs have not significantly changed when compared with the prior study. A lytic lesion in the... | 1.Multiple osseous metastases throughout the pelvis and proximal femurs. 2.New periosteal reaction along the iliac wing and left proximal femur. |
Generate impression based on findings. | 79-year-old male with history of neck pain. Evaluate for fracture or dislocation. Loss of the normal cervical lordosis is likely due to patient positioning normal spasm. Examination shows no evidence of a fracture or acute subluxation. Multilevel degenerative cervical spondylosis is present with bulky ventral and dorsa... | Severe degenerative disease which is unchanged without acute fracture or dislocation. |
Generate impression based on findings. | Male 65 years old Reason: 65 y/o M w/ metastatic CRC s/o percutaneous liver bx today now with SOB, and 3g Hb drop over <10 hours. please evaluate for an intraparenchymal bleed. History: pain The following observations are made given limitations of an unenhanced study.ABDOMEN:LUNG BASES: Subsegmental atelectasis at both... | No substantial change compared to prior. No evidence of intra-abdominal hemorrhage. |
Generate impression based on findings. | Male; 56 years old. Reason: r/o PE History: hypoxia. PULMONARY ARTERIES: There is no evidence of pulmonary embolus. LUNGS AND PLEURA: Two right-sided chest tubes terminate in the apex. Severe predominantly upper zone centrilobular and paraseptal emphysema. Bibasilar ground glass opacities may represent edema. Small rig... | 1.No evidence of pulmonary embolus.2.Postsurgical changes s/p median sternotomy and right pectoralis flap reconstruction as described above, with several healing/displaced posterior rib fractures and large right chest wall hematoma. 3.Lower lung zone opacities compatible with edema and bibasilar atelectasis. |
Generate impression based on findings. | History of perforation. Evaluate for abscess. ABDOMEN:LUNG BASES: Moderate left pleural effusion with overlying compressive atelectasis. Small right pleural effusion. Ill-defined opacities at the right lung base could be followed as they are nonspecific.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No s... | 1. Indeterminate left adrenal mass. Suggest further evaluation with either dedicated adrenal CT or MRI. 2. Indeterminate uterine mass. Suggest further evaluation with either gynecologic ultrasound or pelvic MRI.3. Small amount of air and fluid in the cul-de-sac. Fluid does not appear loculated at the current time howev... |
Generate impression based on findings. | Male 66 years old; Reason: 66 yo M with etoh cirrhosis c/b varices, scheduled for TIPS 9/27, needing CT abdomen liver protocol prior to procedure, please evaluate patency of vasculature History: etoh cirrhosis c/b esophageal, gastric, and rectal varices ABDOMEN:LUNGS BASES: Median sternotomy.LIVER, BILIARY TRACT: Liver... | 1.Cirrhotic liver without suspicious hepatic lesion.2.Patent hepatic vascular.3.Portal hypertension with splenomegaly and trace ascites. |
Generate impression based on findings. | Male 75 years old; Reason: 75M POD1 s/p APR for rectal ca now with new O2 requirement and AFib w/ RVR History: O2 requirement, afib ABDOMEN:LUNGS BASES: Bibasilar lung atelectasis and consolidation.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant a... | 1.Post operative changes, no drainable fluid collections.2.Gas-filled small bowel loops suggests ileus. |
Generate impression based on findings. | Female 57 years old; Reason: s/p hernia repair and bowel resection, now with epigastric abdominal pain History: epigastric pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: The liver is unremarkable for unenhanced technique. Gallbladder is mildly distended. There is pericholecystic fluid ... | 1.Finding suspicious for for gallbladder pathology. Clinical correlation for right upper quadrant pain is recommended.2.Suboptimal evaluation due to the lack of intravenous and enteric contrast. |
Generate impression based on findings. | Male 41 years old; Reason: obstruction, ileus, perforation, cholecystitis, pancreatitis History: Worsening abdominal pain, distension, emesis in a patient with CML ABDOMEN:LUNGS BASES: Median sternotomy, gynecomastia, right anterior pleural thickening with fluid. Atelectasis in the right lower lung.LIVER, BILIARY TRACT... | 1.Small bowel obstruction with a transition point in the pelvis. The presence of fluid indicates indicates higher level of obstruction. The lack of intravenous contrast limits evaluation for ischemia. This is most likely on the basis of adhesions.2.Follow up is recommended. |
Generate impression based on findings. | Female 44 years old; Reason: eval stone History: L flank pain, microscopic hematuria ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality... | 1.No evident nephrolithiasis or hydronephrosis. Given the persistent pain, recommend triphasic CT, urographic protocol for further evaluation |
Generate impression based on findings. | Reason: look for sources of staph bacteremia or lymphoma in AIDS patient History: fatigue, fevers/chills, malaise, weight loss ABDOMEN:LUNG BASES: Subpleural foci of consolidation with associated bronchiectasis in the lingula. No pleural effusions.LIVER, BILIARY TRACT: Nonspecific heterogeneous lesion in the right hepa... | 1.Short segment circumferential wall thickening in the transverse and descending colon. Differential etiologies include infectious/inflammatory causes, although neoplasm cannot be excluded. Colonoscopy is recommended for further evaluation.2.Subpleural foci of consolidation with associated bronchiectasis compatible wit... |
Generate impression based on findings. | Male; 75 years old. Reason: Assess for PE History: Afib w/ RVR and hypoxia in post operative patient. PULMONARY ARTERIES: No evidence of pulmonary embolus.LUNGS AND PLEURA: Trace bilateral pleural effusions. Bibasilar dependent opacities, right greater than left, likely represent atelectasis and aspiration pneumonia, g... | 1.No evidence of pulmonary embolus. 2.Pulmonary findings compatible with dependent atelectasis and aspiration pneumonia as described above, right greater than left. GE reflux of high density material into the mid esophagus also supports aspiration diagnosis. |
Generate impression based on findings. | Reason: 61F with fever of unknown origin History: fever ABDOMEN:LUNG BASES: Left greater than right ground glass opacities with extensive bibasilar consolidation. Small right pleural effusion.LIVER, BILIARY TRACT: Hepatomegaly with cirrhotic morphology. Small amount of perihepatic ascites.SPLEEN: Splenomegaly.PANCREAS:... | 1.Extensive bibasilar consolidation with ground glass opacities and small right pleural effusion. Findings are compatible with infection/aspiration with possible superimposed edema.2.No drainable fluid collection in the abdomen or pelvis.3.Hepatomegaly with cirrhotic morphology and small amount of ascites. |
Generate impression based on findings. | Male; 43 years old. Reason: infection History: fever, chills. CHEST:LUNGS AND PLEURA: There is moderate bronchial wall thickening, bronchiectasis, and associated ground glass opacities. Findings were present on prior chest CT and are likely secondary to chronic aspirated secretions. Bibasilar scarring/atelectasis is no... | 1.Moderate bronchial wall thickening and bronchiectasis are chronic and likely secondary to aspirated secretions. No specific evidence of pneumonia.2.Stable postsurgical changes s/p cardiac transplant as described above.3.No significant interval change in cystic pancreatic tail lesion, favoring pseudocyst, given the im... |
Generate impression based on findings. | Reason: hx H \T\ N ca, post CRT, evaluate dx and compare to previous scan History: as above CHEST:LUNGS AND PLEURA: Scattered micronodules unchanged dating back to 12/14/12. No interval suspicious pulmonary nodule or pleural effusion.MEDIASTINUM AND HILA: Heart size remains normal. No interval mediastinal or hilar lymp... | No specific findings of metastatic disease. |
Generate impression based on findings. | Female 42 years old Reason: severe asthma and possible AATD History: sob LUNGS AND PLEURA: Numerous calcified pulmonary micronodules, statistically most likely granulomas though not specific as there is no evidence of granulomatous disease elsewhere. Moderate air trapping seen on the expiratory phase. Very minimal subp... | 1. Diffuse moderate air trapping compatible with obstructive lung disease.2. Minimal basilar emphysema in a distribution suggestive of AATD, though the extent is not typical.3. Minimal subpleural reticulation which may be due to early fibrosis or scarring. 4. Multiple calcified pulmonary micronodules, most likely granu... |
Generate impression based on findings. | Female 65 years old Reason: follow pulmonary nodules, super D protocol History: copd LUNGS AND PLEURA: The reference left upper lobe nodular lesion has significantly decreased in size, now measuring 6 x 4 mm (image 72, series 5), previously measuring 10 x 9 mm. Given the marked interval change in size, the nodule is li... | 1. Marked interval decrease in size of the left upper lobe nodule making infectious or inflammatory etiology most likely.2. No significant change in severe emphysema.3. New 4mm irregular nodular density in the right lower lobe may be followed in 6-12 months by CT to assess for growth or clearance. As it is dependent in... |
Generate impression based on findings. | Reason: Assess for abscess History: Surgical site infection with wound dehiscence - eval extent of inflammation/possible abscess ABDOMEN:LUNG BASES: Basilar scarring.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS:... | Air filled tract extending from the perineum and terminating in a presacral fluid collection contiguous with an adjacent loop of small bowel. Findings are compatible with a developing abscess and possible fistula. |
Generate impression based on findings. | 15 x 15 cm abdominal mass incidentally found one renal ultrasound outside hospital, please evaluate abdominal mass ABDOMEN:LUNG BASES: No consolidation or pleural effusion in the lung bases.LIVER, BILIARY TRACT: No mass lesion or biliary duct dilation. SPLEEN: No focal splenic lesion identified.PANCREAS: No significant... | Large fluid collection in the left upper quadrant contains the caudal tip of the ventriculoperitoneal shunt catheter is consistent with a CSF pseudocyst. |
Generate impression based on findings. | Reason: Does patient have colitis, diverticulitis, abscess History: Abdominal pain ABDOMEN:LUNG BASES: Minimal dependent basilar atelectasis bilaterally.LIVER, BILIARY TRACT: Status-post cholecystectomy with no intrahepatic ductal dilatation. Small subcentimeter hypodense lesion in the left lobe of the liver.SPLEEN: No... | 1.Long segment of sigmoid and descending colon wall thickening with increased vascular markings. These findings may be due to underdistention but colitis cannot be excluded. Follow-up is suggested.2. Small subcentimeter hypodense lesion in the left lobe of the liver is too small to further characterize.3.Prominent appe... |
Generate impression based on findings. | Reason: ICH History: ICH The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a hemorrhagic focus present in the right thalamus measuring 33 x 22 mm axial dimensions associated with intraventricular blood in the right lateral ventricle. The hematoma is larger on it posterior aspec... | 1.There is redemonstration of a right thalamic hemorrhage which is stable when compared to prior exam last night but increased in size when compared to the exam from yesterday morning2.There is associated with intraventricular blood also stable since the prior exam3.There is redemonstration of ventriculomegaly which wa... |
Generate impression based on findings. | Reason: bleed History: left sided weakness Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No aneurysms or intracranial stenosis is appreciated.The anterior communicating artery and the posterior c... | 1.There is redemonstration of a right thalamic hemorrhage which has increased in size when compared to the exam from earlier today2.There is associated with intraventricular blood also stable since the prior exam3.There is ventriculomegaly which has developed since the morning exam.4.No evidence for cerebral vascular o... |
Generate impression based on findings. | Male 62 years old; Reason: Distal esophageal cancer s/p CRT. Restaging History: none CHEST:LUNGS AND PLEURA: No suspicious pulmonary lesion. Minimal right lower lobe bronchiectasis. Few scattered centrilobular micronodules in the left lung base may represent aspiration or infection.MEDIASTINUM AND HILA: Heart size is n... | 1.Distal esophageal mass with gastrohepatic lymphadenopathy and subcentimeter suspicious hepatic lesion. |
Generate impression based on findings. | Reason: evaluate for intraabdominal abnormality History: diffuse abdominal pain, history of metastatic melanoma ABDOMEN:LUNG BASES: Multiple metastatic pleural / pulmonary nodules and mediastinal lymphadenopathy. LIVER, BILIARY TRACT: New right hepatic lobe lesions compatible with metastatic disease.SPLEEN: No signific... | 1.No evidence of acute intra-abdominal process. 2.Extensive metastatic disease with interval decrease in reference measurements.3.New right hepatic lobe lesions suspicious for metastatic disease. |
Generate impression based on findings. | Penetrating soft tissue injury of left thigh on 9/22 which was irrigated and closed primarily. Pre-length drainage and increasing redness wound with wound dehiscence.EXAMINATION: CT left femur with IV contrast material 09/27/13 The skin is disrupted in two areas medial and inferior to the proximal femoral diaphysis. Th... | No abscess identified. Inflammatory changes. |
Generate impression based on findings. | Male 62 years old; Reason: met CRC restaging on chemo History: met crc CHEST:LUNGS AND PLEURA: No dominant lung lesion. The pleural spaces are clear. Subcentimeter right lower lobe nodules appear stable.MEDIASTINUM AND HILA: Left prevascular node measures 1.4-cm (image 45 / series 3) previously, 0.8-cm.Right hilar lymp... | 1.Slight decrease in the size of the reference hepatic lesion. |
Generate impression based on findings. | Reason: s/p cervical laminoplasty History: same The cervical vertebral bodies are appropriate in overall alignment and height. No fractures are identified in the cervical spine. Since the prior exam the patient has undergone laminoplasty is from C3 down to C7. There are air bubbles present at the surgical site suggesti... | 1.Status post recent multilevel laminoplasty . There are multilevel degenerative changes present with neural foramen encroachment worse at C3-4. |
Generate impression based on findings. | Reason: Pre-pancreas transplant evaluation. Please evaluate vasculature for transplant. History: Pre-pancreas transplant evaluation. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: Atrophic.ADRENAL GLANDS: No ... | 1.Moderate calcific atherosclerosis of the abdominal aorta and the origin of the common iliac arteries without aneurysmal dilatation. 2.The external iliac arteries are normal in caliber without calcific atherosclerosis. |
Generate impression based on findings. | Reason: Pt with h/o of CLL prior to treatment regimen History: Evaluation of disease status CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Supraclavicular lymphadenopathy. Small mediastinal lymph nodes. Heart size is normal. No pericardial effusion.CHEST WALL: Axillary lymphadenopathy. F... | Lymphadenopathy in the chest, abdomen, and pelvis with involvement of the spleen, kidneys and possibly the small bowel. |
Generate impression based on findings. | Reason: kidney stone? History: R 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: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnorma... | Bilateral non obstructing renal calculi, largest measuring 1.1-cm in the right kidney. No evidence of hydronephrosis or hydroureter bilaterally to suggest obstruction. |
Generate impression based on findings. | Malignant neoplasm of base of tongueRadiotherapy follow-up examinationChemotherapy follow-up examination Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appr... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy |
Generate impression based on findings. | Male 65 years old; Reason: recurrent UTI's History: recurrent UTI"s ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, U... | 1.No focal renal mass; no nephrolithiasis, hydronephrosis or bladder calculi.2.Soft tissue calcifications. Differential considerations include scleroderma , dermatomyositis, collagen vascular diseases. |
Generate impression based on findings. | Reason: hx of bladder cancer, please evaluate with delayed imaging, CT urogram History: none 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 abnormal... | 1.Mild eccentric bladder wall thickening without discrete mass. 2.No evidence of metastatic disease. |
Generate impression based on findings. | Male; 87 years old. Reason: hemoptysis History: history of Stage IB NSCLC 3 years s/p lung resection, now with recent hemoptysis. CHEST:LUNGS AND PLEURA: Postsurgical changes compatible with lingular resection. Several small pulmonary nodules are noted, some of which are associated with adjacent bronchial wall thickeni... | 1.Several small pulmonary nodules, some of which are associated with bronchial wall thickening and bronchiectasis resembling a bronchiolitis pattern. 2.No suspicious pulmonary nodules or evidence of metastatic disease. 3.Minor contrast extravasation event- see details in technique section above. |
Generate impression based on findings. | Reason: 49M with necrotizing pancreatitis 4/2012 s/p drainage/necrosectomy with recurrent pancreatic body/tail pseudocyst 5.8 x 9.1cm s/p pancreatic stent/IR drainage for follow-up History: pain, early satiety ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Redemonstration two subcentimeter hy... | 1.Interval resolution of the previously noted pancreatic body/tail pseudocyst extended down into the left retroperitoneum. Majority of the pancreatic tail and body is necrotic.2.Right-sided retroperitoneal fluid collection overlying the right psoas muscle remains grossly unchanged in size.3.Redemonstration of bilateral... |
Generate impression based on findings. | Female 56 years old Reason: pt with lung ca s/p multiple chemotherapies History: doing well now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Stable centrally necrotic right upper lobe lesion now measures 2.4 x 4.0 cm (image 37 series 3), previously measuring 4.3 x 3.4 cm. The p... | 1. Grossly stable right upper lobe mass with associated collapse of the right upper and middle lobes.2. Interval increase in size of the right lower lobe nodule.3. Stable high-density pericardial effusion suspicious for metastatic disease.4. Interval resolution of the left pleural effusion, and slight interval increase... |
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