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Generate impression based on findings. | Reason: altered mental status, looking for acute intracranial abnormality History: altered mental status The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a moderate degree are present. Since the prior exam the lateral ventri... | 1.Since the prior examination the patient has developed periventricular white matter hypodensities of a moderate degree it is clinically appropriate MRI of brain with helpful in further evaluating this as it is rather unusual progression in the past 4 months especially given the patient's age of 20. 2.There is a subtle... |
Generate impression based on findings. | Reason: h/o CVA; POD #1 interval debulking from ovarian cancer History: altered mental status Since the prior exam in the 2004 the patient developed a right temporal and occipital lobe encephalomalacia with associated vacuum effect along the left lateral ventricle. A smaller focus of encephalomalacia is present along t... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Encephalomalacia involving the right temporal lobe, right occipital lobe and left occipital lobe has developed since 2004.3.CT is insensitive for the early detection of nonhemorrhagic CVA. |
Generate impression based on findings. | Male 53 years old; Reason: Re-Staging; metastatic Bladder Cancer; Patient on Clinical Trial History: Re-staging post chemotherapy CHEST:LUNGS AND PLEURA: Mild emphysematous changes. New right lower lobe subpleural nodule measures 5mm (image 50/series 6)The pleural spaces are clear.MEDIASTINUM AND HILA: No mediastinal l... | 1.New right subcentimeter right lower lobe pulmonary nodule. 2.No change in the reference lymph node measurements. |
Generate impression based on findings. | Reason: h/o NHL, now with progressive fatigue and recent abdominal pain History: NHL CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No lymphadenopathy. Heart size is normal. Mild coronary artery calcification. No pericardial effusion.CHEST WALL: No axillary lymphadenopathy.ABDOMEN:LIVER,... | 1.No acute intra-abdominal abnormality. 2.No evidence of recurrent disease. |
Generate impression based on findings. | Female; 67 years old. Reason: r/o PE; h/o CVA ; currently POD#1 from tumor debulking from peritoneal cancer History: hypotension; tachycardia. PULMONARY ARTERIES: No evidence of pulmonary embolism. LUNGS AND PLEURA: Small bilateral pleural effusions with overlying dependent atelectasis, right greater than left. No foca... | 1.No evidence of pulmonary embolism. 2.Postsurgical changes s/p peritoneal tumor debulking as described above. 3.Small bilateral pleural effusions with overlying dependent atelectasis, right greater than left. |
Generate impression based on findings. | Reason: hx of pulmonary nodules reassess History: above LUNGS AND PLEURA: Stable multiple bilateral nodules: The original index left lower lobe nodule remains stable when using similar measurement technique. On series 6 image 65, it measures 7 x 8 mm, previously 8 x 8 mm on 12/7/12, 5 x 5 mm on 12/7/11.A second referen... | 1. Stable multiple pulmonary nodules. No interval calcification or new pulmonary nodule.2. The lesion in the superior pole of the right kidney is not included in this field of view. If interval outside sectional imaging has not been performed, recommend further evaluation of the right kidney with either dedicated renal... |
Generate impression based on findings. | Female, 48 years old, facial weakness. Evaluate for stroke. 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... | No acute intracranial abnormality. |
Generate impression based on findings. | Reason: Grade 3 endometrial ca History: pelvic pain CHEST:LUNGS AND PLEURA: Pulmonary micronodules, some of which are calcified. Mild basilar scarring. No pleural effusions.MEDIASTINUM AND HILA: No mediastinal lymphadenopathy. Heart size is normal. No pericardial effusion.CHEST WALL: No axillary lymphadenopathy.ABDOMEN... | Soft tissue mass in the endometrial cavity with asymmetrically prominent right external iliac lymph nodes suspicious for local metastasis. |
Generate impression based on findings. | Female, 29 years old, history of breast cancer status post chemo, now with fever of unknown origin. The frontal sinuses and frontoethmoidal recesses are clear. The ethmoid air cells are well pneumatized and unremarkable. The sphenoid sinuses are clear. The sphenoethmoidal recess are not well visualized but this may be ... | No evidence of active sinus infection. |
Generate impression based on findings. | Lungs he is status post chemo and resection CHEST:LUNGS AND PLEURA: Large left pleural fluid collection occupying the greater than two thirds of the left hemithorax and partially loculated at the lung apex. The lingula and remaining upper lobe are collapsed. A mass at the left apex is not readily distinguishable from a... | 1. Decrease in measurement of left apical mass.2. Lingular nodule not significantly changed.3. Lymphadenopathy at the left hilum stable.4. Interval development of soft tissue stranding and skin thickening of the left breast as well as an internal nodular lesion. Although the findings could reflect sequelae of radiation... |
Generate impression based on findings. | Reason: carcinoid tumor compare to last Ct \T\ measure 1) left base nodule, 2) left hilum nodule, 3) paraspinal mass T10, 4) left pleural nodule \T\ 5) paratracheal node History: post 2 cycles of therapy CHEST:LUNGS AND PLEURA: Stable centrilobular emphysema and pulmonary cysts. Confluent dense air space opacities in t... | 1. Progressive left upper lobe airspace density with new cavitation. Considerations include a malignancy (such as squamous cell carcinoma) or cavitary infection.2. New ground glass nodule left upper lobe.3. Stable size reference left anterior upper lobe and lower lobe nodules. Additional non-referenced pulmonary nodule... |
Generate impression based on findings. | 52 year old female. Follicular lymphoma. Reason: NHL restaging History: None CHEST:LUNGS AND PLEURA: Stable micronodules.MEDIASTINUM AND HILA: Stable right thyroid subcentimeter nodule. Stable mediastinal adenopathy; reference sub-carinal lymph node measures 1.5 x 1.0 cm (image 39; series 3), unchanged.CHEST WALL: No s... | No significant interval change in extensive, confluent retrocrural, retroperitoneal, and mesenteric adenopathy. |
Generate impression based on findings. | Male 62 years old; Reason: sp lapchole with cb bile leak and mutiple drains History: as above ABDOMEN:LUNGS BASES: Large bilateral effusions and lower lobe consolidation/atelectasis has not changed substantially compared to prior.LIVER, BILIARY TRACT: Large perihepatic abscess with gas fluid collection measuring 11.5 x... | Decrease in size of perihepatic fluid collection. Pelvic collection slightly smaller. Peri-splenic collection stable. Unchanged bilateral pleural effusions with lung consolidation/atelectasis. |
Generate impression based on findings. | Lymphoma and aspergillus. Last CT worsening opacities concerning for fungal pneumonia. Bronchoscopy negative. LUNGS AND PLEURA: Significant improvement in the acute right upper lobe but opacities seen on the most recent previous scans, now with minimal residual scarring (6/24, 6/26). Solid nodule the right lower lobe (... | Significant improvement in right upper lobe pneumonia with residual scarring. |
Generate impression based on findings. | Male 63 years old; Reason: Cholangiocarcinoma: restaging History: none CHEST:LUNGS AND PLEURA: No suspicious pulmonary lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: Right hilar lymph node measures 1.2 x 1.2 cm (image 40/series 4) previously, 1.4 x 0.9 cm.CHEST WALL: No significant abnormality notedOTHER: ... | 1.Resolution of the segment 4 hepatic lesion. No new lesions.2.Stable exam otherwise. |
Generate impression based on findings. | Female 61 years old; Reason: Metastatic CRC - Restaging History: Completed 6 cycles chemo CHEST:LUNGS AND PLEURA: Subcentimeter pulmonary nodule along the right minor fissure (image 38/ series 6). No dominant or suspicious pulmonary lesions.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Right chest ... | 1.Solitary liver lesion and a left upper abdominal peritoneal deposit. |
Generate impression based on findings. | History of small cell (cured) now with growing groundglass opacities. Cough. LUNGS AND PLEURA: Architectural distortion, groundglass opacity and scarring in the lung adjacent to the right mediastinum most consistent with evolving radiation fibrosis. Scattered subpleural and intrapulmonary nodular opacities are most con... | 1. Subtle apparent growth of 4-mm micronodule right lower lobe; metastasis cannot be excluded. Three month CT follow-up recommended.2. The remaining paramediastinal opacities have an appearance most compatible with evolving radiation pneumonitis and fibrosis over the last 3 scans. 3. Residual soft tissue in the mediast... |
Generate impression based on findings. | Female 29 years old; Reason: hx breast cancer, now with FUO x 3 wks History: breast cancer, fever CHEST:LUNGS AND PLEURA: No suspicious pulmonary lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Left breast thickening with soft tissue mass in the left breast.ABDOM... | 1.No evident metastatic disease.2.Fatty liver which limits evaluation for solid hepatic lesions.3.No drainable fluid collections in the chest, abdomen or pelvis. |
Generate impression based on findings. | Female 33 years old; Reason: eval acute intraabd process History: upper abd pain, vomiting, prior abd surgeries ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Diffuse fatty infiltration of the liver. Hepatic and portal veins are patent. Intrahepatic pneumobilia.SPLEEN: No significant abnorm... | 1.Focal dilatation of a loop of bowel in the left lower abdomen adjacent to a suture anastomosis. This may represent a focal partial bowel obstruction.2.Wall thickening of the small bowel in the left upper abdomen.3.No drainable fluid collections. |
Generate impression based on findings. | 60 suture woman with abdominal pain, nausea and vomiting. Evaluate for diverticulitis or abscess. ABDOMEN: LUNG BASES: Bibasilar subsegmental atelectasis. Centrilobular emphysema.LIVER, BILIARY TRACT: Unchanged scattered hypoattenuating foci, which are too small to fully characterize, possibly representing cysts. Statu... | No significant abnormality identified. No evidence of abscess or diverticulitis. Note that mild diverticulitis may be occult on imaging. |
Generate impression based on findings. | Female 23 years old; Reason: appy, bladder stone/clots? History: right sided abd pain, fever 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 abn... | 1.Large left ovarian teratoma2.Probable right ovarian teratoma3.Abdominal and pelvic ascites. Differential includes ovarian torsion vs ruptured dermoid4.Mild right hydronephrosis due to compression of the right ureter by the mass.5.Appendix is not visualized. |
Generate impression based on findings. | Male, 78 years old, history of metastatic thyroid cancer, compare to prior. No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are intact. Evidence of thyroidectomy is redemonstrated. No significant change is seen with... | Stable postsurgical and posttreatment change. No evidence of progressive disease in the neck or intracranial metastatic disease. |
Generate impression based on findings. | Malignant neoplasm of the kidney. Secondary malignant neoplasm of the lung. Metastatic renal cell carcinoma. Evaluate for progression. CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules are overall stable in size. A reference left lower lobe nodule measuring 1.2 x 1.2 cm (image 97; series 5) appear stable. Stents in th... | Overall unchanged exam. Reference measurements given above. |
Generate impression based on findings. | Acute shortness of breath and chest pain in the setting of DVT and been bed bound. Motion artifact degrades image quality, limiting assessment for detail.PULMONARY ARTERIES: Infusion was adequate. New filling defect in the left upper lobe pulmonary artery (13/79). Residual filling defects in a subsegmental branch of th... | 1. Acute pulmonary embolus in the left upper lobe pulmonary artery. Referring resident of the neurology service verbally notified at 1:15 p.m. on 9/27/13.2. Small nonocclusive subacute embolus in a subsegmental branch of the right lower lobe.3. Left-sided cardiomegaly but no signs of right heart strain or pulmonary ede... |
Generate impression based on findings. | Multiple myeloma. Dropping hemoglobin. Rule-out retroperitoneal or intra-abdominal hemorrhage. ABDOMEN:LUNG BASES: Bilateral pleural effusions with overlying compressive atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedAD... | No evidence of intra-abdominal or retroperitoneal hemorrhage. Multiple myeloma. Bilateral effusions with overlying compressive atelectasis. Findings discussed with the clinical service at the time of dictation. |
Generate impression based on findings. | Male 60 years old; Reason: hs follicular NHL compare to previous History: hx follicular 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 abnormal... | 1.Stable exam with no significant size change in the pelvic lymph node. |
Generate impression based on findings. | Female 39 years old; Reason: Rectal Cancer: Restaging History: none CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Anterior mediastinal soft tissue measures 2.2 x 0.9 cm (image 32/series 4) previously, 2.2 x 1.0 cm.Right chest wall port terminates at the cavoatrial junction.CHEST WALL: N... | 1.No change in the size of the reference lesions. |
Generate impression based on findings. | Male 78 years old; Reason: h/o met thyroid ca, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: There are multiple pulmonary nodules. A reference left lower lobe nodule measures 6-mm (image 64/series 9), unchanged. The pleural spaces are clear.MEDIASTINUM AND HILA: Soft tissue nodule is anter... | 1.Further decrease in the size of the right adrenal lesion.2.Slight size increase in the right ilium lesion. |
Generate impression based on findings. | Male 50 years old Reason: RUL pulmonary nodule; had CT in Oct 2012 and one in Kuwait in march 2013; unchanged in size 8 mm History: none LUNGS AND PLEURA: Moderate-sized partially loculated right pleural effusion unchanged. Right lower lobe atelectasis and consolidation unchanged consistent with rounded atelectasis. Mu... | 1. Interval decrease in size of the right upper lobe nodular opacity, likely infectious/inflammatory in etiology.2. Persistent loculated right pleural effusion with associated rounded atelectasis.3. Stable moderate partially loculated pericardial effusion. |
Generate impression based on findings. | Reason: r/o for lung path. abn chest xray History: paresthesia of the hands, feet, smoker with clubbing; on Cellcept for nephrotic syndrome LUNGS AND PLEURA: Mild centrilobular emphysema is present.Right lower lobe calcified granuloma.Previously seen bilateral effusions have resolved. MEDIASTINUM AND HILA: Calcified me... | No significant abnormality. No abnormality to account for the reported chest radiograph findings. |
Generate impression based on findings. | Reason: evaluate for possible primary or distant melanoma History: evaluate for possible primary or distant melanoma. 52-year-old female CT neck:Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for ly... | 1.No evidence for neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.No evidence for brain metastases.3.Heterogeneous lesion is present in the left thyroid gland lobe and a hypodense lesion in the right thyroid lobe. Please note CT is not accurate in evaluation of thyroid gland.4.Low lying cereb... |
Generate impression based on findings. | Female; 48 years old. Reason: evaluate ILD for changes History: worsening sob LUNGS AND PLEURA: The lung volumes are decreased. There is severe honeycombing with subpleural reticular opacities, architectural distortion, and traction bronchiectasis in the right middle lobe, both lower lobes, and posterior left upper lob... | 1.Severe lower lung zone predominant honeycombing and architectural distortion is most compatible with an atypical UIP or a fibrosing NSIP pattern, but not significantly changed. 2.Findings compatible with pulmonary arterial hypertension. |
Generate impression based on findings. | Reason: 59 yo with HCV/HIV cirrhosis please eval for lesions History: none ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver with cirrhotic morphology with with evidence of portal hypertension including portosystemic collaterals and splenomegaly. Atrophied left lobe of the liver. Small no... | 1.Cirrhotic liver with atrophic left lobe without evidence of focal lesions.2.Portal hypertension with splenomegaly and splenorenal shunt with minimal amount of ascites.3.Indeterminate pancreatic head cystic lesion may represent intraductal papillary mucinous neoplasm (IPMN). |
Generate impression based on findings. | Reason: h/o lung nodule History: cough LUNGS AND PLEURA: New poorly marginated 16-mm right lower lobe nodule image 48 series 5.New poorly marginated 15-mm left lower lobe nodule image 53 series 5, with a smaller nodule posterior medial to this. Scattered benign appearing micronodules are stable.MEDIASTINUM AND HILA: No... | Multiple ill-defined pulmonary nodules, many of which alone would be suspicious for primary lung cancer, more likely metastatic breast cancer given the patient's history. |
Generate impression based on findings. | Reason: hx of bladder cancer, evaluate for lung mets History: none CHEST:LUNGS AND PLEURA: Postsurgical changes in the right lung. Scattered pulmonary micronodules. No suspicious pulmonary nodules or masses. No pleural effusions. MEDIASTINUM AND HILA: Multinodular thyroid gland appears unchanged. No lymphadenopathy. He... | 1.No evidence of recurrent disease or metastatic disease. 2.Stable lymph nodes. |
Generate impression based on findings. | Hypoxia question expanding hemo-thorax LUNGS AND PLEURA: Loculated left hydro-hemo-thorax slightly larger overall though the hemothorax on of the collection is not occlusive changed, seen at the lung base.Background centrilobular emphysema with mild diffuse septal thickening consistent with edema. Subsegmental atelecta... | 1. Although the overall volume of fluid in the left pleural space is slightly larger, the dense hemothorax component appears similar. 2. Signs of pulmonary arterial hypertension, right heart enlargement and pulmonary edema; constellation of findings raises the question of pulmonary venoocclusive disease although distal... |
Generate impression based on findings. | Female; 73 years old. Reason: metastatic thyroid cancer on treatment. evaluate for disease progression with measurements History: as above Stable mild bilateral hypodensity involving the external capsule and overlying centrum semiovale is unchanged. No mass effect, focal edema, or suspicious enhancement is seen to sugg... | 1. No intracranial metastatic disease.2. No definite metastatic disease in the neck. Consider nuclear medicine scan for further characterization of the stable enhancing soft tissue focus in the left tracheoesophageal groove if clinically indicated. |
Generate impression based on findings. | Reason: Please evaluate pulsative tinnitus in the right ear. History: Pulsatile tinnitus in the right ear There is a 5-mm well-circumscribed lesion adjacent to the incus of the right middle ear as well as the lateral wall of the middle ear . superiorly it is contiguous with the intracranial venous structures and enhanc... | 1.There is a small vascular protrusion in the right temporal bone which is visually contiguous with an intracranial vein running across an eroded portion of the tegmen tympani which is adjacent to the incus, adjacent to the lateral wall of the middle ear superior to the tympanic membrane. It appears to be a continuatio... |
Generate impression based on findings. | Female 69 years old; Reason: 69yo female history of high grade uterine sarcoma s/p debulking surgery for mesenteric mass in July 2013, now with constipation and cramping pain. assess for recurrent disease History: as above CHEST:LUNGS AND PLEURA: Left lower lobe pulmonary nodule measures 1.7-cm (image 70/series 5) prev... | 1.Increase in size of the left lower lobe pulmonary lesion.2.Decrease in the size of the dominant right abdominal mass but new satellite lesion in the pelvis. |
Generate impression based on findings. | Female 52 years old; Reason: evaluate for possible primary or distant melanoma History: evaluate for possible primary or distant melanoma CHEST:LUNGS AND PLEURA: No suspicious primary lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: Soft tissue in anterior mediastinum most likely representing thymic tissue. ... | 1.Post operative changes in the right inguinal area. No evident distant metastatic disease. |
Generate impression based on findings. | Reason: please evaluate for etiology of hematuria History: patient with hematuria ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Cholelithiasis. No intra-or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLAN... | Small nonobstructive stone in left renal pelvis. |
Generate impression based on findings. | Abdominal pain. History of kidney stones on the left. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No evidence ... | No findings to explain abdominal pain. Hyperdense material noted in the appendix without evidence of appendiceal inflammation. No evidence of renal or ureteral calculi as clinically queried. |
Generate impression based on findings. | Female 73 years old Reason: metastatic thyroid cancer on treatment. evaluate for disease progression with measurements History: as above CHEST: Respiratory motion artifact degrades image quality and may affect measurements.LUNGS AND PLEURA: Pulmonary metastases reference lesions as follows:Left upper lobe measures 8 x ... | 1. Pulmonary metastases unchanged.2. Mediastinal lymphadenopathy unchanged.3. Left adrenal nodule unchanged in size and incompletely characterize on this examination. |
Generate impression based on findings. | Reason: 61-year-old male with history of bladder cancer status post radical cystectomy, please check for metastasis History: none ABDOMEN:LUNG BASES: Basilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLA... | 1.Stable abdominal lymph nodes. 2.Postsurgical change of cystoprostatectomy with intact neobladder and right nephrectomy. |
Generate impression based on findings. | Lung cancer poorly differentiated adenocarcinoma) liver mets no therapy yet. CHEST:LUNGS AND PLEURA: Centrally necrotic mass at the right hilum has enlarged, now causing mass effect upon the bronchus intermedius (7-mm in short dimension). The mass measures 5.2-cm in greatest dimension (coronal image 33), previously 4.3... | Interval increase in size of right lung mass as detailed in the body of the report. Tumor now causes mass effect on the bronchus intermedius, consider Pulmonary Medicine consultation for stent placement if clinically warranted. Metastases in the abdomen have increased in size and number. |
Generate impression based on findings. | Female; 28 years old. Reason: eval for PE and interval progression of airway compression History: dyspnea, tachycardia. PULMONARY ARTERIES: No evidence of pulmonary embolism. Top normal main pulmonary trunk diameter.LUNGS AND PLEURA: Innumerable pulmonary nodules of varying size are consistent with metastatic disease. ... | 1.No evidence of pulmonary embolism. 2.Mild interval improvement in pulmonary and lymph node metastases as detailed above, with resultant expansion of the affected airway. Persistent residual narrowing of the distal left mainstem bronchus secondary to lymphadenopathy is noted. |
Generate impression based on findings. | Male 27 years old; Reason: 27 yr old male with h/o NHL; re-evaluation History: Evaluate CHEST:LUNGS AND PLEURA: No suspicious pulmonary lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: Partially calcified anterior mediastinal and mediastinal lymph nodes are unchanged. The reference node measures 1.8 x 1.4 cm... | 1.Slight decrease in the partially calcified mediastinal nodes.2.No evident change in the left superior acetabular lesion. |
Generate impression based on findings. | Male; 59 years old. Reason: recurrent skin cancer History: s/p surgery and RT Post surgical change is redemonstrated in the left neck including soft tissue volume loss, partial resection of the left parotid gland, and infiltration/scarring of the fat planes. Evidence of a left neck dissection is also seen as well as mi... | 1. Stable postsurgical change in the neck without evidence of residual or recurrent disease.2. No pathologic adenopathy in the neck. |
Generate impression based on findings. | Reason: h/o recurrent skin cancer History: r/o lung mets LUNGS AND PLEURA: Benign-appearing pulmonary micronodules are unchanged.Pleural thickening with calcification is consistent with prior asbestos exposure. Adjacent consolidation in the left lower lobe has improved and may be related to the pleural thickening such ... | Improving left lower lung zone consolidation. There is no evidence of metastases. Status post bilateral lung transplant. |
Generate impression based on findings. | Reason: intra-abd bleed History: same 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: Bilateral pleural effusions. Right lower lobe consolidation and alveolar opacities... | 1.New mesenteric hematoma with fluid fluid levels and layering of blood in the pelvis. 2.Free intraperitoneal air likely secondary to recent surgery.3.Large volume of ascites.4.Right lower lobe consolidation with alveolar opacities likely aspiration pneumonia. Small bilateral pleural effusions.Findings were discussed w... |
Generate impression based on findings. | Pancreatic cancer. Status post Whipple. New baseline scan. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Small mediastinal lymph nodes reference purposes, precarinal and measures 1.5 x 1.0 cm (image 34; series 3). Coronary artery calcifications. Small hiatal hernia.CHEST WALL: No signif... | Small mediastinal lymph nodes. Unchanged fluid collection in the left pelvis, possibly representing a lymphocele or adnexal cyst. |
Generate impression based on findings. | Male 65 years old Reason: eval for PE History: dyspnea, tachycardia, malignancy PULMONARY ARTERIES: Technically adequate study. No filling defects to suggest PE.LUNGS AND PLEURA: Bibasilar atelectasis right greater than left with a small amount of associated right basilar consolidation. No pulmonary nodules or masses s... | 1. No evidence of pulmonary embolism.2. Bibasilar atelectasis with a small amount of associated right-sided consolidation.3. Innumerable hepatic metastases unchanged. |
Generate impression based on findings. | Male, 66 years old, status-post fall. Subdural hemorrhage along the right frontal lobe has progressed mildly in craniocaudal extent. For example, this collection now measures 27 mm in the CC dimension, previously 20 mm. The collection is stable in thickness at 5 mm.Subdural hemorrhage along the left frontal lobe has no... | Mild interval expansion of a right frontal subdural hematoma. It also appears that subarachnoid hemorrhage within the right sylvian fissure has increased as well. Subarachnoid blood at the level of the cerebral peduncles is questionably more prominent. A subdural hematoma along the left frontal lobe is stable.Lucency w... |
Generate impression based on findings. | Male, 66 years old, status-post fall. History of multiple myeloma per the medical record. Mild straightening of the cervical lordosis is demonstrated. There is a grade 1 anterolisthesis of C7 relative to T1. This is secondary to advanced facet hypertrophy at these levels. Alignment is otherwise anatomic.There is mild d... | 1. No evidence of acute cervical spine fracture or dislocation.2. Numerous bony lesions consistent with a history of multiple myeloma are demonstrated through the visualized spine. In addition, there is a large pleural-based right chest wall mass with significant associated destruction of the right fourth rib.3. Enlarg... |
Generate impression based on findings. | Male; 74 years old. Reason: T4N0M0 laryngeal SCC s/p CRT with salvage laryngectomy 7/6/2005 now with tonsillar/BOT SCC s/p resection. Now s/p adjuvant TFHX 4.5/4.5 cycles completed 5/8/13. CHEST:LUNGS AND PLEURA: There are no suspicious pulmonary nodules or masses. 3-mm right lower lobe micronodule is unchanged (series... | No evidence of metastatic disease. |
Generate impression based on findings. | Renal cell carcinoma Restaging scans 1.5 years after nephrectomy. Assess for metastatic disease. CHEST:LUNGS AND PLEURA: Mild upper lobe predominant centrilobular paraseptal emphysema. Chronic appearing interstitial thickening, unchanged. Mild basilar predominant bronchiectasis. Left apical ground glass opacity, not si... | Resolved bilateral pleural effusions. Otherwise stable examination with measurements given above. |
Generate impression based on findings. | Reason: 50 pack year smoking history, dyspneic on exertion, r/o nodule, assess for emphysema History: SOB LUNGS AND PLEURA: Mild to moderate upper lobe centrilobular emphysema.Left anterolateral subpleural fibrosis from prior radiation treatment for breast cancer.No pulmonary nodules identified, except for scattered be... | Mild/moderate centrilobular emphysema, but no pulmonary nodules. |
Generate impression based on findings. | Female; 51 years old. Reason: assess disease progression History: lung cancer. CHEST:LUNGS AND PLEURA: Postsurgical changes compatible with right upper lobe wedge resection and left lower lobectomy are again noted. Dense right apical consolidation measures 6.5 x 3.0 cm and is not significantly changed in size, previous... | Mixed response in right hemithorax disease. |
Generate impression based on findings. | Abdominal or pelvic swelling, mass, or lump, generalized The lack of intravenous contrast limits evaluation of solid organ pathology.ABDOMEN:LUNG BASES: Basilar atelectasis.LIVER, BILIARY TRACT: Status post left hepatic lobe wedge resection.SPLEEN: Top normal size.PANCREAS: No significant abnormality noted.ADRENAL GLAN... | No findings to account for the patient's symptoms. |
Generate impression based on findings. | Reason: Eval left adrenal and adnexal nodules seen in Feb, 2013 History: 64F with breast cancer and indeterminate findings on initial workup CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules.No suspicious nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Reference right paratracheal lymph node measur... | 1.Status post left mastectomy and axillary dissection.2.Indeterminate left adrenal nodule, unchanged.3.Left adnexal lesion, unchanged. Pelvic ultrasound should be considered as clinically warranted. |
Generate impression based on findings. | Reason: T4N0M0 laryngeal SCC s/p CRT with salvage laryngectomy 7/6/2005 now with tonsillar/BOT SCC s/p resection now s/p adjuvant TFHX 4.5/4.5 cycles completed 5/8/13. History: as above The patient is status post laryngectomy and tracheostomy placement with stoma. The sternocleidomastoid muscles are atrophic bilaterall... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.teslas head and neck surgery with soft tissue thickening in the right neck related to post treatment change compared3.chronic sinusitis |
Generate impression based on findings. | Reason: Eval right frontal bone lesion on bone scan History: 64F with breast cancer and indeterminate findings on initial workup There is a 5 x 6 mm sagittal dimension and the 5 x 60 mm coronal dimension lesion along the inner aspect of the right frontal calvarium. It is somewhat expansile and has an ill-defined inner ... | 1.There is a right frontal bone calvarial lesion present . Given the patient's clinical history, metastasis cannot be excluded2.No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Reason: please evaluate for subdural hemorrhage, hematoma. and evidence of icp History: R parietal skull fracture The CSF spaces are appropriate for the patient's stated age with no midline shift. There is subcutaneous soft tissue thickening present along the right parietal scalp tissues measuring 4 mm in thickness. Th... | 1.There is right parietal bone nondisplaced calvarial fracture present without associated intracranial hemorrhage2.Findings were discussed with resident Dr Jermain from the ER at the time of this interpretation |
Generate impression based on findings. | Pain. Prior right talar neck fracture with resulting subtalar joint arthritis. There is increased density with associated linear components along the lateral aspect of the talar dome. Otherwise, the talar dome is intact without evidence of fracture or collapse with a symmetric mortise. Early AVN is suspected.There is s... | Findings most suspicious for early AVN of the talus with hindfoot degenerative changes as described above. Specifically, there are no findings to support coalition. |
Generate impression based on findings. | Male 61 years old; Reason: recent surgery with abd pain, partial obstruction? History: abd pain, anorexia ABDOMEN:LUNGS BASES: Calcifications in the right lung base. These might be in the pleural space.LIVER, BILIARY TRACT: Liver has a smooth contour. Hepatic vasculature are patent. No biliary ductal location.SPLEEN: N... | 1.Fluid levels in the colon indicate a diarrheal state.2.No bowel obstruction or fluid collections.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female 35 years old; Reason: LLQ palpable, very mobile mass not seen on ultrasound - please take liberty to change exam to CT abdo/pelvis if warranted to image the area where mass is. History: palpable mass, tender ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver has a smooth contour. H... | 1.Bilateral cystic adnexal lesions may be physiologic cysts in a premenopausal female. |
Generate impression based on findings. | Female 42 years old; Reason: evaluate acute right lower quadrant pain (14 days post-ob from endometrial ablation) History: acute right lower quadrant pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No si... | 1.Etiology for the patient's right lower quadrant pain is not evident.2.No fluid collections. |
Generate impression based on findings. | Female 66 years old; Reason: pt with colon cancer, please evaluate for metastasis History: pt with colon cancer, please evaluate for metastasis CHEST:LUNGS AND PLEURA: Chronic changes in the right lung with volume loss and subpleural fibrotic changes anteriorly.No dominant lung lesion. The pleural spaces are clear.MEDI... | 1.Large left hepatic lobe metastases.2.Extensive lytic lesions throughout the osseous structures. The findings are more suggestive of multiple myeloma or an infiltrative malignancy although uncommonly extensive colonic metastatic disease can have a similar appearance. A bone marrow biopsy may be needed for diagnosis. |
Generate impression based on findings. | Male 63 years old; Reason: eval liver pathology, diaphragmatic involvement History: intractable hiccups, n/v ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver has a smooth contour. It is unremarkable for unenhanced technique. No perihepatic fluid collections are evident.Status post chole... | 1.No perihepatic or perisplenic collections to account for the patient's hiccups. |
Generate impression based on findings. | Female 33 years old; Reason: h/o mitotic leiomyoma History: new right lower quadrant pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No suspicious hepatic lesions. Hepatic and portal veins are patent.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADR... | 1.No evident metastatic disease.2.Findings suggestive of constipation with distention of the rectum. |
Generate impression based on findings. | Male 49 years old; Reason: punctate lesions in spleen on ultrasound, please evaluate further History: punctate lesions in spleen on ultrasound, please evaluate further ABDOMEN:LUNGS BASES: Please see chest exam.LIVER, BILIARY TRACT: Liver is enlarged measuring over 20 cm in craniocaudal dimension. The hepatic veins are... | 1.Hepatic and splenomegaly.2.Gallbladder wall edema possibly from heart failure as there is no significant pericholecystic fluid.3.Dilated hepatic veins likely from heart failure. |
Generate impression based on findings. | 79-year-old male status post aortic femoral bypass in September 2007, evaluate native aorta for progression/aneurysmal change. Reason: eval graft History: dissection repaired 6 yr ago here, fall with blunt chest trauma CHEST:LUNGS AND PLEURA: Mild diffuse emphysematous change is seen. There is basilar atelectasis and s... | No significant change since 2009. No aortic dissection. Status post aortobifemoral graft placement without endoleak. |
Generate impression based on findings. | 31 year old female. Reason: assess for clot. Status post right PCNL placement on 8/30/13. s/p R percutaneous stone removal. Dropping hemoglobin. Rule out retroperitoneal hematoma. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality... | Expected PCNL postop changes. Subcapsular left renal hematoma. |
Generate impression based on findings. | 83 year old female. Reason: eval acute intraabd process History: upper abd pain, recent dx diverticulitis at OSH, distention ABDOMEN:LUNG BASES: Bibasilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: N... | Diverticulosis without diverticulitis. |
Generate impression based on findings. | 82 year old female. Reason: ESRD patient s/p femoral line with hypotension and anemia. Eval for retroperitoneal bleed. History: hypotension ABDOMEN:LUNG BASES: Small bilateral pleural effusions. Left lower lobe consolidation and volume loss. Transvenous pacemaker lead in the right ventricular apex.LIVER, BILIARY TRACT:... | No retroperitoneal hematoma. Right femoral venous catheter terminates in the IVC. Moderate bilateral pleural effusions. Left lower lobe consolidation and volume loss. |
Generate impression based on findings. | 31 year old female. Reason: eval for evidence of appy History: RLQ abd pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS,... | The ascending colon and cecum wall thickening may be due to infectious colitis or inflammatory bowel disease. Normal appendix. |
Generate impression based on findings. | 65 year old male. Reason: Large clinically T3 invasive bladder mass, please assess for metastatic disease. ABDOMEN:LUNG BASES: Small amount of right sided dependent pleural thickening.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: Fatty infiltration of the pancre... | No definite evidence of metastatic disease. |
Generate impression based on findings. | 32 year old male. Reason: stone vs appy History: pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significa... | No acute abnormality to explain abdominal pain. No renal stone. Normal appendix. |
Generate impression based on findings. | 54 year old male. Reason: eval for abscess History: LLQ pain. Crohn's disease, perirectal fistulas. ABDOMEN:LIVER, BILIARY TRACT: Diffusely decreased signal of the liver likely represents iron deposition from prior blood transfusion.SPLEEN: Nonspecific splenic cyst.PANCREAS: No significant abnormality noted.ADRENAL GLA... | 1.Perianal, enterovesical, enteroenteric, and right abdominal wall fistulas were seen on prior MRI and persist, compatible with diagnosis of Crohn's disease.2.Small perianal abscess along the tract of the right perianal fistula.3.Small right abdomen wall abscess 4.Moderate right hydronephrosis with dilation of the prox... |
Generate impression based on findings. | 23 year old female. Reason: h/o Polycyctic Kidney disease, rule out Nephrolithiasis History: Pain. Hypertension. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No ... | Multiple punctate nonobstructing renal calculi bilaterally in polycystic kidneys without hydronephrosis or hydroureter. |
Generate impression based on findings. | 37 year old male. Reason: r/o appy History: periumbilical / RLQ pain. HIV +. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS... | Diverticulitis of sigmoid colon with abscess. No free air. Retroperitoneal lymphadenopathy. |
Generate impression based on findings. | 61 year old female. Reason: rule out aortic dissection. History: shoulder pain CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted. The aorta has normal caliber and taper. No aortic dissection. No aortic aneurysm.AB... | No aortic dissection. No aortic aneurysm. Left adrenal adenoma. No bowel obstruction or free air. |
Generate impression based on findings. | Male; 49 years old. Reason: r/ o PE in the setting of severe pulm HTN History: SOB. PULMONARY ARTERIES: No evidence of pulmonary embolism. Enlarged pulmonary trunk diameter is compatible with pulmonary arterial hypertension.LUNGS AND PLEURA: Right upper lobe airspace/interstitial opacities are most compatible with infe... | 1.No evidence of pulmonary embolism.2.Findings compatible with pulmonary hypertension and right heart enlargement. 3.Pulmonary findings are most compatible with right upper lobe pneumonia; asymmetric edema and hemorrhage are secondary diagnostic considerations. |
Generate impression based on findings. | Male; 42 years old. Reason: PE? History: h/o pe, noncompliant with coumadin, tachycardic, hypoxic. Motion artifact and contrast dilution limits diagnostic sensitivity.PULMONARY ARTERIES: No evidence of pulmonary embolism to the lobar level. Filling defect within the right lower lobe branch artery is likely artifactual ... | 1.No evidence of pulmonary embolism to the lobar level. 2.Findings compatible with pulmonary arterial hypertension. 3.Small nodule at a vascular bifurcation in the right upper lobe is most likely benign, but follow-up with low dose CT protocol is recommended in approximately 6 months to confirm stability or resolution.... |
Generate impression based on findings. | 67 year old male status post fall, evaluate for intracranial hemorrhage. VENTRICLES/CSF SPACES:Stable in size and appearance to the 2005 exam, is a prominent arachnoid cyst within the left middle cranial fossa resulting in a stable minimal rightward midline shift measuring approximately 6 to 7 mm. A drainage catheter e... | 1.No evidence for acute intracranial hemorrhage, hematoma, or acute cortical stroke.2.Scattered ill-defined, poorly characterized lucent lesions within the skull which may be consistent with the clinical history of multiple myeloma.3.Stable appearing prominent arachnoid cyst within the left middle cranial fossa resulti... |
Generate impression based on findings. | 16-month-old with seizure. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage.FLUID:No fluid collections. No evidence of hemorrhage.BONE:No fractures. Visualized bony structures are normal. Sinuses are clear. | No acute intracranial process. |
Generate impression based on findings. | 90 year-old with neck stiffness. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age. BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage. There are calcifications of the basal ganglia bilaterally. There are moderate periventricular and subcortical hypodensities likely representin... | No acute intracranial process. |
Generate impression based on findings. | Male; 64 years old. Reason: PE? History: lung ca, tachycardic, sob. PULMONARY ARTERIES: Suboptimal exam due to motion artifact in the lower lung zones, but no reliable evidence of pulmonary embolism. LUNGS AND PLEURA: Postsurgical changes status post VATS and right upper lobe wedge resection, with small residual hydrop... | 1.Suboptimal exam due to motion artifact in the lower lung zones, but no reliable evidence of pulmonary embolism. 2.Postsurgical changes s/p VATS and wedge resection as described above, with persistent right upper lobe lung mass and thoracic lymphadenopathy. |
Generate impression based on findings. | 28-year-old with new onset seizure. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage.FLUID:No fluid collections. No evidence of hemorrhage.BONE:No fractures. Visualized bony structures are normal. | Unremarkable head CT. |
Generate impression based on findings. | Male; 42 years old. Reason: chest pain, sob, and leg pain/swelling for 3 days. r/o PE. Suboptimal contrast opacification limits diagnostic sensitivity. PULMONARY ARTERIES: No evidence of pulmonary embolism to the first segmental level.LUNGS AND PLEURA: No focal air space opacity, pleural effusion, or pneumothorax.MEDIA... | 1.No evidence of pulmonary embolism to the first segmental level.2.No significant pulmonary or pleural abnormalities. |
Generate impression based on findings. | Male; 58 years old. Reason: PE? History: tachycardic, new hypoxia PULMONARY ARTERIES: No evidence of pulmonary embolism.LUNGS AND PLEURA: Mild upper lung zone predominant centrilobular emphysema. Streaky basilar opacities are new since the prior CT but most likely represent atelectasis/scarring and are less likely rela... | 1.No evidence of pulmonary embolism. 2.New streaky basilar opacities most likely represent atelectasis/scarring or may be related to aspiration/infection. |
Generate impression based on findings. | Male; 21 years old. Reason: Evaluate for cause of fever History: Persistent fevers, URI Sx LUNGS AND PLEURA: No focal air space opacity, pleural effusion, or pneumothorax.MEDIASTINUM AND HILA: Normal heart size without pericardial effusion. No significant mediastinal or hilar lymphadenopathy. Low density blood pool com... | No abnormal findings to account for the patient's symptoms. |
Generate impression based on findings. | Reason: 65 year old male with large clinically T3 invasive bladder mass, please assess for metastatic disease. LUNGS AND PLEURA: Diffuse dorsolateral right pleural thickening appears chronic. No acute infiltrates. MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted. | No definite evidence of metastatic disease. |
Generate impression based on findings. | 30-year-old with new diagnosis of left laryngeal cancer, hoarseness. SOFT TISSUES:There is asymmetric soft tissue prominence involving the left true vocal cord with sclerosis of the adjacent arytenoid cartilage. LYMPH NODES:No evidence of enlarged lymph nodes by CT criteria or enlarged lymph nodes.GLANDS:The parotid, s... | Asymmetric soft tissue prominence involving the left true vocal cord with sclerosis of the adjacent arytenoid cartilage. |
Generate impression based on findings. | 47-year-old with weakness and CVA. Noncontrast CT head:BRAIN PARENCHYMA:In the setting of underlying small vessel ischemic disease, there is a large acute infarction within the distribution of the right middle cerebral artery with effacement of the sulci. On the current study, there is no evidence of hemorrhagic conver... | Large, non-hemorrhagic, acute infarction within the distribution of the right middle cerebral artery.Multifocal irregularity of the right internal carotid artery with absence of contrast within the distal right internal carotid artery and right MCA. Findings likely represent acute occlusion given the patient's clinical... |
Generate impression based on findings. | 69 year old male. Reason: Metastatic adenocarcinoma: restaging CHEST:LUNGS AND PLEURA: No suspicious pulmonary lesion. Scattered micronodules are unchanged. No pleural effusions.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. Coronary artery calcification. CHEST WALL: Right chest wall port terminat... | No new lesions. Decrease in the size of the reference hepatic lesions and the gastric mass extending from the antrum to the liver. |
Generate impression based on findings. | 47 year-old with stroke. BRAIN PARENCHYMA:There is a large acute infarction involving the distribution of the right MCA as demonstrated on the prior CT angiogram and head CT. There is increasing edema, sulcal effacement, and mass effect on the body of the right lateral ventricle. No midline shift. VENTRICLES/CSF SPACES... | Large non-hemorrhagic acute infarction within the distribution of the right MCA with worsening edema, sulcal effacement, and mass effect on the body of the right lateral ventricle. |
Generate impression based on findings. | 67 year old male. Reason: Any evidence for metastatic disease from colon cancer? History: 1.5 cm sessile benign-appearing sessile polyp removed from the ascending colon at colonoscopy on 9-16-13 showed invasive adenocarcinoma. ABDOMEN:LUNG BASES: Status post median sternotomy. Coronary artery calcifications. LIVER, BIL... | No measurable metastatic disease. |
Generate impression based on findings. | 56-year-old female with MGUS and lambda light chain amyloidosis. Reason: please evaluate for etiology of hematuria. please perform a CT urogram that includes non-contrast, arterial phase, and delayed images. History: 56 yo F who occasionally passes urinary clots ABDOMEN:LUNG BASES: No significant abnormality noted.LIVE... | No CT findings to indicate a lymphoproliferative disease process or to explain the patient's hematuria. No significant change since 2/12/2013. |
Generate impression based on findings. | Female; 48 years old. Reason: 48 y/o with lymphoma and sarcoidosis with persistent fevers of unknown origin, further imaging for infection v lymphoma progression v sarcoidosis. LUNGS AND PLEURA: Innumerable ground glass and solid nodules of varying size are noted, and are larger and predominate in the lung bases. Cavit... | Severe lymphadenopathy and nodular pulmonary disease with cavitation and lower lobe predominance. The differential diagnosis for these findings includes both sarcoidosis and lymphoma, but lower zone predominance of nodules and presence of cavitation favor pulmonary lymphoma over sarcoidosis. Granulomatous infection is ... |
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