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Generate impression based on findings. | Male; 67 years old. Reason: etiology of neutropenic fever History: CLL, severe pressure like headache. LUNGS AND PLEURA: Scattered pulmonary nodules are again noted bilaterally, most prominent at the lung bases. Reference nodule in the right lung base has decreased in size and measures 1.1 x 0.9 cm, previously 1.5 x 1.... | 1.No specific source of infection identified. 2.Significant interval improvement in pulmonary nodular disease and lymphadenopathy. |
Generate impression based on findings. | Reason: eval for any acute pulm process History: dyspnea, leukocytosis LUNGS AND PLEURA: Small bilateral pleural effusions with associated atelectasis and consolidation in the left lower lobe. This finding is nonspecific with a differential diagnosis that includes aspiration and infection.MEDIASTINUM AND HILA: No signi... | Pleural effusions with a focal nonspecific consolidation and atelectasis in the left lower lobe that may be due to aspiration or infection. |
Generate impression based on findings. | Reason: sarcoidosis progressive History: radicular involvement with possible sarcoidosis CHEST:LUNGS AND PLEURA: Bilateral mainly subpleural areas with reticular interstitial opacities and traction bronchiectasis indicative of fibrosis, with a mild upper zone predominance. This is consistent with a history of sarcoidos... | Relatively mild pulmonary abnormalities consistent with fibrosis, nonspecific but consistent with sarcoidosis. |
Generate impression based on findings. | Male; 72 years old. Reason: COP, r/o underlying malignancy History: SOB LUNGS AND PLEURA:Multifocal basilar predominant airspace/interstitial opacities are again noted and appear markedly improved since the prior CT. Previously noted mass-like area of consolidation in the posterior left upper lobe has decreased in size... | Marked interval improvement in multifocal areas of consolidation on a persistent background of chronic interstitial lung disease as described above. Imaging findings are compatible with resolving organizing pneumonia superimposed on chronic underlying lung disease, possibly fibrosing NSIP. |
Generate impression based on findings. | 62-year-old female patient history of bilateral intraventricular hemorrhage. There is stable intraventricular blood present involving the lateral ventricles, the third ventricle and fourth ventricle without sulcal effacement.A ventriculostomy tube courses through the right frontal lobe into the right lateral ventricle ... | 1.Stable intraventricular blood and subarachnoid hemorrhage in the posterior fossa. Ventriculostomy tube is stable in position. |
Generate impression based on findings. | 62-year-old female patient with interventricular hemorrhage. There is stable intraventricular blood present involving the lateral ventricles, the third ventricle and fourth ventricle without sulcal effacement.A ventriculostomy tube courses through the right frontal lobe into the right lateral ventricle with tip in regi... | 1.Stable intraventricular blood and subarachnoid hemorrhage in the posterior fossa. Ventriculostomy tube is stable in position. |
Generate impression based on findings. | 47 year old with tonsil cancer status post surgery and chemo radiation with jaw osteoradionecrosis. SOFT TISSUES: When compared to the prior exam, at the level of the arytenoid cartilage, there has been interval increase of soft tissue fullness measuring 6 mm within the left piriform sinus, contralateral to the origina... | 1.Interval development of soft tissue fullness within the left piriform sinus which demonstrates mild enhancement and may represent postoperative scarring or change. However new contralateral tumor cannot entirely be excluded. Direct visualization with laryngoscopy may be indicated.2.Interval formation of bony bridging... |
Generate impression based on findings. | 9-year-old with LOC. 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.PARANASAL SINUSES AND MASTOID AIR CELLS:Minim... | No acute intracranial process. |
Generate impression based on findings. | 4 year old with mass, operative planning. A stereotactic grid is in place.BRAIN PARENCHYMA:As demonstrated on the multiple recent prior exams, there is a large multilobed cystic mass with mass effect on the pons, vermis, midbrain, right temporal lobe and right cervical peduncle is demonstrated interval increase in size... | 1.Large multi-lobed cystic mass with mass effect on the pons, vermis, midbrain, right temporal lobe and right cerebellar peduncle as identified on recent MRI..\2.Obstructive hydrocephalus of the lateral and third ventricles with transependymal CSF flow as identified on recent MRI. |
Generate impression based on findings. | 4-month-old evaluate for hemorrhage status post elevation of depressed skull fracture. BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage.VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.FLUID:No fluid collections. No evidence of hemorrhage.BONE:Soft tissue swelling and gas is... | 1.No evidence of acute intracranial hemorrhage.2.Soft tissue swelling and gas are identified over the right frontal lobe with an underlying fractured piece of calvarium now in alignment with the remainder of the skull. |
Generate impression based on findings. | 52-year-old with head and neck squamous cell carcinoma. CT brain: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.C... | No interval change in size of left paratracheal mass. Stable appearance of reference lymph nodes. |
Generate impression based on findings. | 52-year-old with head and neck squamous cell carcinoma. CT brain: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.C... | 1.Stable postsurgical changes without evidence of residual or recurrent disease.2.No evidence of intracranial metastases. |
Generate impression based on findings. | 51 year old rule out stroke: Left upper extremity and lower extremity weakness. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage. Mild periventricular and subcortical white matter hypodensity likely represents sequela of small... | Small vessel disease of indeterminate age. If there is ongoing clinical concern for an acute infarction, an MRI exam of the much more sensitive and specific. |
Generate impression based on findings. | 55 year old with recurrent head and neck cancer. CT brain: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.CT NECK:... | 1.Obscuration of the normal fat planes with soft tissue density on the left secondary to extensive lymphadenopathy in the left level 2, 3, 4 and 5 stations. There is also left axillary lymph node which measures 1.4 cm.2.Postsurgical changes are identified adjacent the left tonsil, however there is no definite evidence ... |
Generate impression based on findings. | 30 year-old with 8 month history of bilateral lacrimal gland and orbit swelling. There is symmetric mild enhancement with enlargement of the lacrimal glands bilaterally. The preseptal soft tissues are otherwise unremarkable. The globes are symmetric. The intraocular lenses demonstrate appropriate position. The optic ne... | There is symmetric mild enhancement with enlargement of the lacrimal glands bilaterally, mild enhancement and nodularity of the parotid glands bilaterally, and mild prominence of the nasopharyngeal adenoid tissue. The differential diagnosis would most likely include Sjögren's syndrome, scleroderma, lupus, Mikulicz's di... |
Generate impression based on findings. | Follow-up lung incidental AVM on CT chest in 9/2013 PULMONARY ARTERIES: No pulmonary embolus. LUNGS AND PLEURA: Nodular/tubular density in the left lower lobe is unchanged likely representing a thrombosed AVM. No consolidation or pleural effusion.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. The heart ... | No pulmonary embolus. No change in left lower lobe thrombosed AVM. |
Generate impression based on findings. | Status post ortho procedure 9/27, persistent tachycardia, evaluate for PE. PULMONARY ARTERIES: Left lower lobe segmental pulmonary embolus is seen.LUNGS AND PLEURA: Dependent atelectasis is present, right greater than left. Debris is seen within the trachea and right mainstem bronchus.7 mm scarlike nodule is seen in th... | 1.Left lower lobe segmental pulmonary embolus.2.Debris within the trachea with dependent atelectasis likely related to aspiration, right greater than left.3.7 mm scarlike nodule in the right upper lobe. If the patient is at high risk for lung malignancy, follow-up CT at 3 to 6 months is recommended, otherwise follow-up... |
Generate impression based on findings. | 39-year-old male with history of pilocytic astrocytoma s/p ventricular catheter insertion status post RT and several rounds of chemotherapy, now experiencing headache. Redemonstrated is the patient's right transfrontal Ommaya catheter that terminates in the medial right lateral ventricle, unchanged in position. Previou... | Slight interval increase in size of lateral and third ventricles. |
Generate impression based on findings. | Large compressing hematoma to left lower extremity, hypercoagulable state, now short of breath and tachy, evaluate for pulmonary embolus PULMONARY ARTERIES: Technically adequate study without pulmonary embolus.LUNGS AND PLEURA: Subpleural perifissural right middle lobe nodule is unchanged from the prior study likely re... | 1.No pulmonary embolus. 2.Stable pulmonary micronodules and ground glass opacities. This may be due to a chronic interstitial lung disease and is unchanged compared to 7 years ago. If further evaluation is clinically indicated, dedicated interstitial lung disease CT protocol with expiration and prone sequences should b... |
Generate impression based on findings. | Short of breath, evaluate for pulmonary embolus PULMONARY ARTERIES: Technically adequate study without pulmonary embolus.LUNGS AND PLEURA: Right basilar atelectasis/scarring is present. Right basilar bronchiectasis is also present. These may be chronic findings, potentially related to chronic aspiration. No acute conso... | No pulmonary embolus. |
Generate impression based on findings. | Female 30 years old Reason: appy History: pain, n/v ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Other surgically absent. No intrahepatic or extra hepatic biliary dilatation. No focal liver lesions. Possible fatty liver.SPLEEN: No significant abnormality notedPANCREAS: No significant abnorm... | Cyst or cystic lesion left adnexa maximal dimension 3.8-cm. This could be evaluated further with ultrasound if clinically indicated. Possible fatty liver. Nephrolithiasis bilaterally without hydronephrosis.No evidence of appendicitis.Moderate allergic reaction with hives as detailed above treated with IV Benadryl. |
Generate impression based on findings. | 9-month-old with skull fracture and cardiac arrest. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:There is edema, and loss of sulcal differentiation overlying the posterior parietal lobe, findings may represent effacement from adjacent subdural hematoma, however acute i... | Comminuted, obliquely oriented minimally posterior displaced fracture of the right posterior parietal calvarium with overlying soft tissue swelling and underlying subdural hematoma.There is edema and loss of sulcal differentiation, involving the underlying posterior parietal lobe, findings may represent effacement from... |
Generate impression based on findings. | Female 56 years old Reason: Rectal Cancer: Restaging History: none CHEST:LUNGS AND PLEURA: Demonstration of multiple pulmonary nodules. No new nodules seen. Mild cavitation in some of the nodules is redemonstrated.Reference right lower lobe cavitary nodule, series 3 image 70 measures 1.8 x 1.2 cm. Previously 1.6 x 1.2 ... | Minor change in size of pulmonary nodules. No new nodules. |
Generate impression based on findings. | Male 42 years old history lower abdominal pain. 60-pound weight loss. Family history gastric malignancy (mother). Abdominal pain. GI/GU pain c/b trouble urinating. Would like evaluation for GI/GU malignancy ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN:... | Unexpected finding of hydronephrosis and proximal hydroureter that may or may not be explained by the small ureteral stone. Underlying ureteral lesion should be excluded.Findings communicated to Aaron Wolfson, pager 3479 covering Cathryn Lee pager 2786, 10:30am 9/29/13 who will plan to call Dr. Waldman tomorrow. |
Generate impression based on findings. | 60 -year-old with altered mental status and AML, neutropenic fever. Rule out hemorrhage in setting of thrombocytopenia. CT brain: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 hemor... | Unremarkable head CT and maxillofacial CT. There is minimal, stable opacification of the left mastoid air cells. |
Generate impression based on findings. | Female 41 years old Reason: assess for metastatic disease History: vaginal lesion positive for recurrent cancer CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Possible fatty liver,... | Hydronephrosis and proximal hydroureter on the right. Nephrolithiasis within the proximal ureter may not completely explain these findings. Further evaluation is recommended.Fatty liver. Hepatomegaly Cholelithiasis.Findings discussed with the Dr. Yamada by telephone 9:15 a.m., 9/29/13. |
Generate impression based on findings. | 62-year-old female patient history of bilateral intraventricular hemorrhage. There is stable intraventricular blood present involving the lateral ventricles, the third ventricle and fourth ventricle without evidence of interval new hemorrhage.A ventriculostomy tube courses through the right frontal lobe into the right ... | 1.Stable intraventricular blood2.Subarachnoid blood products in the posterior fossa are less conspicuous and decreasing in density. 3.Ventriculostomy tube is stable in position. |
Generate impression based on findings. | CT P HEAD WO, 9/28/2013 6:45 PM 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.PARANASAL SINUSES AND MASTOID AIR ... | No acute intracranial process. |
Generate impression based on findings. | 51-year-old with pain. CT maxillofacial:SOFT TISSUES:Minimal right premaxillary soft tissue swelling.BONE:No fractures. Visualized bony structures are normal.PARANASAL SINUSES AND MASTOID AIR CELLS:Minimal mucosal thickening of the paranasal sinuses. The visualized mastoid air cells are clear.ORBITS:The globes are symm... | No evidence of maxillofacial or cervical spine fracture.Nodular thyroid. |
Generate impression based on findings. | 59-year-old with LOC and mechanical fall. VENTRICLES/CSF SPACES:Prominence to the ventricles and sulci is consistent with moderate age related volume loss. No midline shift.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage. Mild to moderate hypodensity within the periventricular and subcortical distributi... | No acute intracranial process. Small vessel disease, mild/moderate, stable. |
Generate impression based on findings. | 33-year-old with headache and altered mental status. 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.PARANASAL SIN... | No acute intracranial process. |
Generate impression based on findings. | 51 year-old with altered mental status, rule out acute intracranial abnormality. 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 structu... | No acute intracranial process. |
Generate impression based on findings. | 46-year-old with seizures, evaluate for mass. 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.PARANASAL SINUSES AN... | No acute intracranial process. |
Generate impression based on findings. | 42 year old with unilateral headache and hypertension. Rule-out acute subarachnoid hemorrhage. History of 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... | Mild mucosal thickening of the ethmoid sinuses. No acute subarachnoid hemorrhage. |
Generate impression based on findings. | 4-year-old with drooling and throat pain, evaluate for retropharyngeal abscess. SOFT TISSUES:There is no evidence of a peripherally enhancing fluid collection to suggest abscess.LYMPH NODES: There is prominence of the adenoids commonly seen in a patient of this age. Otherwise there is no evidence of enlarged lymph node... | No evidence for retropharyngeal abscess. |
Generate impression based on findings. | 10-year-old with vomiting and hydrocephalus status post shunt placement. Evaluate for change in ventricular size. VENTRICLES/CSF SPACES:Ventricular shunt catheter terminates in the region of the mid third ventricle. Third ventricle is smaller in size than the prior exam, imaging 11.8 mm where on the prior exam it measu... | Mild interval decrease in size of third ventricle. Size of lateral ventricles is unchanged. |
Generate impression based on findings. | Female 71 years old Reason: evaluate for cause of bleeding History: anemia of unknown etiology ABDOMEN: Exam is significantly limited particularly in the abdomen the respiratory motion.LUNG BASES: Small to moderate bilateral pleural effusions with bibasilar atelectasis or consolidation.LIVER, BILIARY TRACT: No signific... | Exam is limited in the abdomen to the respiratory motion. No obvious cause for the patient's symptoms found. |
Generate impression based on findings. | 62 year old left-sided swelling and neck mass. Evaluation is limited by streak artifact.SOFT TISSUES:Within the left neck, extending from level of the TMJ to the hyoid bone is a 4.3 x 4.2 x 8.8 cm soft tissue mass in the demonstrates multifocal areas of low central attenuation concerning for necrosis. The adjacent left... | 1.Evaluation is limited secondary to streak artifact and lack of intravenous contrast; there is a incompletely characterized mass originating along the left neck and extending from the left TMJ to the hyoid bone, it is unclear whether the mass arises from the left parotid gland or displaces it. Asymmetric irregularity ... |
Generate impression based on findings. | Male 64 years old Reason: r/o obstruction History: pain, vomiting The exam is not sensitive detecting lesions in the solid organs due to lack of intravenous contrast. Given that limitation, the following observations are made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnor... | No findings to explain pain or vomiting. NG tube tip at EG junction.Findings communicated to clinical service by the radiology resident on call at the time of the examination. |
Generate impression based on findings. | Female 85 years old Reason: r/o obstruction History: pain, constipation, irreducible hernia ABDOMEN:LUNG BASES: A 0.8-cm nodule left lower lobe series 5 image 4. No effusions. 4-mm nodule right middle lobe. Scarring. Other micronodules possible.LIVER, BILIARY TRACT: Gallbladder is surgically absent. Intra-and extra hep... | Unexplained intra-and extra hepatic biliary dilatation concerning for obstruction of the distal common bile duct. This should be evaluated further.Small cystic lesion pancreatic tail. This could be evaluated further with M.R.C.P.Fluid and fat stranding perirectal and perianal area. Correlate clinically for colitis and ... |
Generate impression based on findings. | 85 year-old with lung cancer, evaluate for brain metastases. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage. Mild chronic small vessel disease. There are no enhancing intracranial masses to suggest metastases.FLUID:No fluid ... | No evidence of intracranial metastases. |
Generate impression based on findings. | 7 year old removed knife from head. Soft Tissues:Postsurgical changes and soft tissue swelling is identified over the left temporalis muscle and left anterior frontal lobe. There is a focus of subcutaneous gas that extends subdural space.VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRA... | Postsurgical changes and soft tissue swelling identified over the left temporalis muscle and left anterior frontal lobe with a focus of subcutaneous gas and scattered minimal foci of admixed hemorrhage products without evidence of frank hematoma that extends into the left frontal subdural space. No evidence of intrapar... |
Generate impression based on findings. | Female 62 years old Reason: 62 F with LLQ hematoma with worsening abdominal distension, no improvement in Hgb despite blood, concern for intraabdominal bleeding History: abdominal distension Limitations: The exam is not sensitive for detecting lesions in the bowel vasculature or solid organs due to lack of oral or intr... | Incompletely visualized a large left low anterior abdominal wall hematoma. |
Generate impression based on findings. | Female 46 years old Reason: Colitis vs. hemorrhage (per KUB read) History: Abdominal pain Limited by lack of optimal oral contrast.ABDOMEN:LUNG BASES: Bibasilar atelectasis or consolidation.LIVER, BILIARY TRACT: Mild central intrahepatic biliary dilatation. No evidence of extrahepatic biliary dilatation. The is of ques... | No evidence of bowel abnormality. Other findings as above including mild intrahepatic biliary dilatation of uncertain significance but probably unchanged. |
Generate impression based on findings. | 75-year-old with altered mental status. 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.PARANASAL SINUSES AND MAST... | No acute intracranial process. |
Generate impression based on findings. | 9-month-old with skull fracture and cardiac arrest status post bolt placement VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:There is edema, and loss of sulcal differentiation overlying the posterior parietal lobe, findings may represent effacement from adjacent subdural... | Interval placement of a right frontal bolt with postprocedural pneumocephalus but no frank hematoma formation.Redistribution of right posterior subdural hemorrhage along the falx and tentorium.Unchanged fracture of the right posterior parietal calvarium extending to the sagittal and lambdoid sutures.Edema, and loss of ... |
Generate impression based on findings. | 49-year-old with right-sided weakness. VENTRICLES/CSF SPACES:No midline shift. CSF spaces appropriate for patient age.BRAIN PARENCHYMA:No abnormal mass lesions, edema, or hemorrhage. Mild periventricular and subcortical hypodensity likely represents small vessel disease of indeterminate age.FLUID:No fluid collections. ... | Mild periventricular and subcortical hypodensity likely represents small vessel disease of indeterminate age. |
Generate impression based on findings. | 57-year-old male with metastatic melanoma on chemotherapy, assess response to treatment and compared to prior imaging. HEAD: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. Again seen is mucosal thickenin... | 1.No evidence for neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy.2.There is new asymmetry of the left piriform sinus, however without abnormal enhancement nor a discrete mass.3.Multiple lung nodules; please refer to CT chest dictation for discussion of thoracic contents. |
Generate impression based on findings. | 56-year-old man with history of left vocal cord cancer, left neck pain, and hoarseness SOFT TISSUES:There is an irregular appearance to the piriform sinus, right more full than left, without visualization of discrete mass and no measurable focus of enhancement is identified. There is also questionable anterior rotation... | 1.There is an irregular appearance to the piriform sinus, right more full than left, without visualization of discrete mass and no measurable focus of enhancement is identified. There is also questionable anterior rotation of the left arytenoid cartilage. Findings may represent change from therapy. 2.No clinically sign... |
Generate impression based on findings. | Evaluate for signs of trauma. ABDOMEN:LUNG BASES: Coarse opacities are seen in the dependent bases. The the blood pool appears less dense than the intraventricular septum.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLAND... | Multiple healing rib fractures, small amount of free peritoneal fluid, anemia.Pelvic subcutaneous emphysema is most likely due to line placement. |
Generate impression based on findings. | Non-accidental trauma. ABDOMEN:LUNG BASES: Dependent opacities are present bilaterally.LIVER, BILIARY TRACT: Perichordal edema is identified. A 1 cm laceration extending to the capsule seen in the posterior segment of the right lobe (image 34/77.SPLEEN: Intact and normal in appearance.PANCREAS: Intact and normal in app... | Grade 1 liver laceration. Small to moderate free peritoneal fluid. Multiple healing rib fractures. |
Generate impression based on findings. | Swelling around shunt site. Vague abdominal pain. ABDOMEN:LUNG BASES: Minimal dependent atelectasis is seen.LIVER, BILIARY TRACT: Normal enhancement. No biliary ductal dilatation. The gallbladder is distended.SPLEEN: Normal in appearance.PANCREAS: Normal enhancement. Not enlarged.ADRENAL GLANDS: No significant abnormal... | Two loculated fluid collections in the lower abdomen/pelvis. Inflammatory changes are not seen adjacent to the collections however infection cannot be excluded. |
Generate impression based on findings. | Male; 60 years old. Reason: Does patient have a PE History: Hypoxia PULMONARY ARTERIES: No evidence of pulmonary embolism.LUNGS AND PLEURA: Multiple pulmonary nodules are stable in size and extent. Reference left lower lobe nodule measures 12 x 12 mm and is unchanged (series 9, image 136). Right mainstem bronchus stent... | 1.No evidence of pulmonary embolism. 2.Interval increase in right lower lobe atelectasis/consolidation, likely secondary to near-complete occlusion of the distal right mainstem bronchus by endobronchial tumor. |
Generate impression based on findings. | Male, 41 years old, history of nasopharyngeal cancer, status post hospital study, evaluate response to previous treatment. Low density soft tissue thickening within the region of the left ethmoid air cells, and to a lesser degree in the region of the right ethmoid air cells, is unchanged relative to the prior exam. The... | 1. Stable nonenhancing soft tissue thickening involving the region of the ethmoid air cells, left side more so than right. The tissue on the left abuts the anterior skull base which is stably deficient as above. The possibility of intracranial soft tissue invasion would be better assessed on MRI if clinically warranted... |
Generate impression based on findings. | 67-year-old patient with acute mental status change. Evaluate for intracranial bleed. There is an arachnoid cyst at the anterior pole of the left temporal lobe in the middle cranial fossa which demonstrates a catheter with its tip in unchanged position adjacent the left superior orbital fissure. The cyst causes minimal... | 1. No visualized acute intracranial pathology.2. Stable, prominent extra-axial CSF spaces which could potentially reflect sequela of chronic subdural hemorrhage or effusion.3. Stable shunted arachnoid cyst in the left middle cranial fossa. |
Generate impression based on findings. | Reason: eval PE History: weakness, hypoxia, tachypnic PULMONARY ARTERIES: No evidence of a pulmonary embolus.LUNGS AND PLEURA: Moderate upper lobe predominant paraseptal and centrilobular emphysema.Mild bronchial wall thickening more prominent at the bases with scattered nodular opacities suggesting inspissated mucus/a... | No evidence of a pulmonary embolus. Redemonstration of paraseptal and centrilobular emphysema. |
Generate impression based on findings. | 63 year old male. Reason: Please evaluate cause for RUQ, R flank pain. History: Esophageal ca. ABDOMEN:LUNG BASES: Status post gastric pull up. Stable post-operative changes. No infiltrates, nodules or effusions. LIVER, BILIARY TRACT: Multiple hypodense lesions are scattered through the hepatic parenchyma consistent wi... | 1.Peripancreatic lymphadenopathy encasing the celiac axis, SMV, splenic vein, head of the pancreas and SMA, extends superiorly across the diaphragm. This lesion is stable since the 9/10/2013 examination.2.No acute change to explain right sided pain. |
Generate impression based on findings. | Male; 47 years old. Reason: Fall + Progression of R MCA infarct History: L side weakness Redemonstration of large acute infarction involving the right MCA distribution, which demonstrates increasing edema, sulcal effacement, and mass effect on the body of the right lateral ventricle. There is 3 mm leftward midline shif... | Large non-hemorrhagic acute infarction within the distribution of the right MCA with increasing edema and mass effect. |
Generate impression based on findings. | Female 91 years old; s/p MVC with knee pain, XR concerning for L tibial fracture, please evaluate further. The bones are diffusely demineralized indicating osteopenia. A linear lucency extends from the anterior articular surface of the tibial plateau and runs vertically with a slight posteroinferior angle and with mini... | 1.Nondisplaced lateral tibial plateau fracture. 2.Moderate to large knee joint effusion.3.marked osteoarthritis of the knee. |
Generate impression based on findings. | Reason: r/o cholecystitis History: abdominal pain ABDOMEN:LUNG BASES: Bibasilar atelectasis and/or scarring.LIVER, BILIARY TRACT: A distended gallbladder with no definite gallbladder wall thickening or pericholecystic fluid. Slight hyperattenuating areas in the dependent portion of the gallbladder are questionable for ... | 1.Questionable gallstones visualized without intrahepatic or extrahepatic ductal dilatation. No gallbladder wall thickening or pericholecystic fluid. If there is a strong clinical concern for acute cholecystitis, right upper quadrant ultrasound is recommended.2.Redemonstration of a benign-appearing, unilocular right ad... |
Generate impression based on findings. | Reason: eval thoracic aneurysm History: chest pain, known aneurysm CHEST:LUNGS AND PLEURA: Large bilateral pleural effusions with overlying passive atelectasis. Upper lobe predominant septal thickening compatible with edema.MEDIASTINUM AND HILA: Cardiomegaly with mild coronary artery calcification. No pericardial effus... | 1.Aortic arch aneurysm as described above. 2.CHF.3.Pulmonary arterial hypertension. |
Generate impression based on findings. | 78-year-old male with history of IBD and admitted with multiple abscesses on outside CT. Unclear etiology. 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 signi... | 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. These are somewhat smaller since the 9/26/2013 examination. Adjacent coalescent midline pelvic small bowel loops and sigmoid colon demonstrate mild wall thickening consistent wit... |
Generate impression based on findings. | 76-year-old male with question of infection. History: fever, hypotension CHEST:LUNGS AND PLEURA: Bilateral moderate pleural effusions with underlying atelectasis. Interlobular septal thickening and patchy ground glass opacities are compatible with edema. No suspicious lung nodules or masses. Interlobular septal thicken... | Bilateral pleural effusions. Lower lobe atelectasis. Trace ascites. No abscess or abnormal fluid collection. Cardiomegaly. Other findings are stable. |
Generate impression based on findings. | Male; 55 years old. Reason: r/o pe History: pleuritic chest pain. PULMONARY ARTERIES: Small linear filling defect in a segmental artery of the left lower lobe is suspicious for pulmonary embolus of uncertain chronicity (series 7, image 156).LUNGS AND PLEURA: Mild basilar atelectasis/scarring. No focal air space opacity... | 1.Small pulmonary embolus of uncertain chronicity and clinical significance in a left lower lobe segmental artery.2.Saline extravasation into wrist- see details in technique section above. |
Generate impression based on findings. | Right parotid gland mucoepidermoid, high grade carcinoma, stage IVa, pT2N2b, s/p total parotidectomy with ipsilateral neck dissection on August 7, 2008 (9/50 lymph nodes were positive for metastatic carcinoma, the largest focus measuring 4.4 cm with multiple matted lymph nodes). The patient also underwent chemoRT with ... | Stable posttreatment findings in the right neck without evidence of locoregional tumor recurrence or significant cervical lymphadenopathy. |
Generate impression based on findings. | 71-year-old female with history of bladder cancer post cystectomy. Reason: Does patient have evidence of abscess in pelvis? Please compare w/prior CT. History: SIRS and prior fluid collection, "cannot r/o abscess". ABDOMEN:LUNG BASES: Bibasilar atelectasis or scar. Coronary artery calcifications. LIVER, BILIARY TRACT: ... | Decreased size of the left pelvic fluid collection. Mild ascites. No other significant interval change. |
Generate impression based on findings. | History tonsil cancer, rule out lung mets. LUNGS AND PLEURA: Previously noted left lower lobe ground glass nodule now less dense but similar in size at 4 mm (image 43/99). A punctate left lower lobe micronodular (image 50/99) is unchanged. No new pulmonary nodules.MEDIASTINUM AND HILA: 6 mm right paratracheal lymph nod... | No evidence of metastatic disease. |
Generate impression based on findings. | Male; 76 years old. Reason: r/o subdural hematoma History: ams Stable extensive hypoattenuation in the subcortical, ventricular, and deep white matter with focus of hypodensity in the right thalamus, most compatible with small vessel ischemic disease and right thalamic lacunar infarct of indeterminate age. Stable appea... | 1. No CT evidence of acute intracranial abnormality. Please note that CT is not sensitive for early detection of nonhemorrhagic CVA.2. Stable small vessel ischemic disease and right thalamic lacunar infarct of indeterminate age.3. Stable right parietal high convexity encephalomalacia. |
Generate impression based on findings. | 57-year-old male. Metastatic melanoma on DTIC chemotherapy. Reason: pt with met melanoma on DTIC chemotherapy. Please assess response to treatment compared to previous imaging. CHEST:LUNGS AND PLEURA: Multifocal bilateral metastases. Index lesion right lower lobe series 5 image 71 measures 0.7 x 0.6 cm, smaller. A seco... | No new sites of disease. Index lesions are stable or slightly smaller. No other significant change. |
Generate impression based on findings. | 41 year old male. Reason: h/o HNC, Dr. Vokes would like an eval s/p hospital stay and possible response to previous treatment. Compare to previous scans and measurements. LUNGS AND PLEURA: Stable multiple pulmonary nodules and micronodules, Reference right lower lobe nodule (series 9, image 118) measures 5.3 mm. The pu... | 1.Stable to increased size of metastatic lesions throughout the liver with associated retroperitoneal lymphadenopathy consistent with metastatic disease.2.Cannot identify small hyperattenuating lesions in liver, pelvis, sacrum and lower lumbar spine, mentioned previously. 3.Stable retroperitoneal adenopathy. No new les... |
Generate impression based on findings. | Walking difficulty. Evaluate for intracranial mass. There is no intracranial mass, fluid collection, hemorrhage, hydrocephalus or evidence of acute ischemia. Gray-white matter differentiation is normal and the midline is intact. Incidental note is made of a cavum septum pellucidum and vergae.There are secretions in the... | No acute intracranial abnormality which would explain the patient's walking difficulty. Sphenoid sinus secretions which could suggest sinusitis. |
Generate impression based on findings. | Metastatic lung cancer status post 6 cycles chemotherapy. CHEST:LUNGS AND PLEURA: Reference right upper lobe mass measures 48 x 38 mm on image 31/111 (51 x 40 mm on prior). Reference left upper lobe nodule measures 15 x 13 mm on image 45/111 (15 x 13 mm in prior). Scattered ill-defined subcentimeter upper lobe nodular ... | 1. Grossly stable pulmonary masses. 2. Stable lymphadenopathy.3. No new sites of disease. |
Generate impression based on findings. | Female; 25 years old. Reason: eval PE History: chest pain, back pain. PULMONARY ARTERIES: No evidence of pulmonary embolism. Upper normal pulmonary trunk diameter. LUNGS AND PLEURA: Minimal basilar scarring. No focal air space opacity or pleural effusion. Right lower lobe subpleural nodule is most likely post-infectiou... | 1.No evidence of pulmonary embolism. 2.No acute pulmonary or mediastinal abnormalities. |
Generate impression based on findings. | Reason: eval abscess/hydro History: abd pain, recent pyelo ABDOMEN:LUNG BASES: Basilar scarring/atelectasis.LIVER, BILIARY TRACT: Cirrhotic morphology of the liver. Evaluation for hepatic neoplasm is limited by single portal venous phase of contrast. Mild intrahepatic biliary ductal dilatation. Porta hepatis lymphadeno... | 1.No evidence of renal abscess or hydronephrosis.2.Cirrhosis and nonspecific mild intrahepatic biliary duct dilatation. Evaluation for hepatic neoplasm is limited by the single portal venous phase of contrast. |
Generate impression based on findings. | Status post two cycles second line therapy for extensive stage small cell lung cancer. Oxygen dependent, COPD, pleural effusion. CHEST:LUNGS AND PLEURA: Emphysema.Significantly improved aeration of the left upper lobe though there is extensive residual interstitial and groundglass opacity and presumably some degree of ... | 1. Significant interval decrease in primary mediastinal mass. Left upper lobe now much better aerated with residual opacity presumably related to radiation pneumonitis and/or lymphangitic tumor spread but no measurable mass. Continued follow up is recommended.2. Interval decrease in widespread lymphadenopathy.3. Decrea... |
Generate impression based on findings. | Female, 60 years old, with headache and subarachnoid hemorrhage. Evaluate for resolution. Continued interval decrease in conspicuity of several areas of subarachnoid hemorrhage is demonstrated. This includes within the right sylvian fissure, several frontal lobe sulci, and the left central sulcus. Hypodensity involving... | Continued evolution of intracranial hemorrhage. Subarachnoid blood product at several locations as described above is barely detectable on the current exam. No new areas of hemorrhage are seen. |
Generate impression based on findings. | Reason: eval abscess/infection History: LLQ abd pain, tachy, back pain ABDOMEN:LUNG BASES: Basilar atelectasis or scarring.LIVER, BILIARY TRACT: High density material in the gallbladder likely represents vicarious excretion of contrast from prior CT.SPLEEN: No significant abnormality noted.PANCREAS: No significant abno... | 1.Nonspecific inflammation of the left iliopsoas of indeterminate etiology.2.Persistent nephrogram compatible with renal dysfunction. |
Generate impression based on findings. | Reason: evaluate for cholelithiasis, pancreatitis, patient s/p renal transplant History: RUQ abdominal 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 significa... | 1.Large 2.4 cm gallstone within a distended gallbladder with gallbladder wall thickening may represent acute cholecystitis.2.Diverticulosis involving the sigmoid and descending colon without complications. Interval increase in size of right lateral abdominal wall hernia containing small and large bowel are along with t... |
Generate impression based on findings. | 74-year-old male. Restage lymphoma. Reason: Hx NHL lymphoma s/p 6 cycles of R-CHOP 11/2011; compare to previous. CHEST:LUNGS AND PLEURA: Right upper lobe pulmonary nodule is unchanged. No new or suspicious pulmonary nodule or mass. Mild upper lobe predominant centrilobular and paraseptal emphysema, unchanged. Biapical ... | 1.Stable examination with no enlarged lymph nodes.2.Stable osseous changes in the left pelvis and femoral head. 3.No new lesions. |
Generate impression based on findings. | Reason: r/o hematoma post-fall History: fall, hit left forehead The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized portions... | No evidence for acute intracranial hemorrhage mass effect or edema. CT is insensitive for the early detection of nonhemorrhagic CVA |
Generate impression based on findings. | 74-year-old male h/o SDH, s/p burr holes History: surveillance A previously demonstrated left sided hypodense subdural hematoma now measures 6 mm (previously 7 mm). There are no residual findings of right subdural hematoma. The patient is status post left-sided craniotomy. A there is no acute intercranial hemorrhage. T... | 1.A previously demonstrated left sided hypodense subdural hematoma now measures 6 mm (previously 7 mm).2.There are no residual findings of right subdural hematoma. |
Generate impression based on findings. | Reason: evalutate for vascular stenosis History: TIA Neck CTA: There is opacification of the aortic arch, great vessels and carotid arteries and vertebral arteries. The origins of the innominate artery and left common carotid artery are not included on this exam. There is no stenosis identified of the great vessels fro... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease3.there are multiple lesions in the basal ganglia which are compatible with lacunar infarcts age indeterminate.4.Periventricular and subcortical white matter changes of a mild to moderate degree are nonspecific. At this age they are most like... |
Generate impression based on findings. | Question evidence of interstitial disease. Shortness of breath, low DLCO. LUNGS AND PLEURA: Though there is minimal nonspecific subpleural reticulation at the lung bases, the dominant abnormality is upper lobe predominant paraseptal and centrilobular emphysema. No evidence of honeycombing or groundglass opacity. Scatte... | Though there is minimal nonspecific subpleural reticulation at the lung bases, the dominant abnormality is upper lobe predominant paraseptal and centrilobular emphysema. |
Generate impression based on findings. | Female, 25 years old, status post hysterectomy with drainage catheters and headache. Surgical change is redemonstrated including evidence of a right hemispherectomy and right-sided craniotomies.Two drainage catheters are redemonstrated both of which terminate within the right-sided hemispherectomy defect. One of these ... | Stable surgical change consistent with a right hemispherectomy. The hemispherectomy defect is unchanged in morphology. The shunted defect and left-sided ventricular system remain stable in caliber. |
Generate impression based on findings. | 80 year old female. Reason: Colon cancer please compare to previous scans and provide index lesion measurements for RECIST CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules, some calcified.No pleural effusions.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. Coronary artery calcifications. Ri... | 1.Stable exam without evidence of recurrent or metastatic disease.2.Sigmoid diverticulosis, unchanged. |
Generate impression based on findings. | Reason: post-operative etv History: headache Since the prior examination a ventriculostomy tube has been placed which courses through the right frontal lobe into the right lateral ventricle with tip in the region of the foramen of Monro. The lateral ventricle biventricular diameter on the coronal imaging at the level o... | 1.Since the prior examination a ventriculostomy tube is in place and the lateral ventricles have decreased in size2. Multiple heterogeneous lesions scattered in the cerebellar hemispheres, third ventricle as well as the left hemisphere are compatible with metastatic disease given the patient's clinical history of metas... |
Generate impression based on findings. | Male, 35 years old, history of AVM with seizure. A partially calcified lesion is reidentified within the left frontal lobe compatible with patient's known AVM. The surrounding parenchyma demonstrates hypodensity and some degree of encephalomalacia, in a pattern similar to that seen on the prior examination. Large drain... | Stable CT appearance of the patient's known left frontal AVM with stable associated parenchymal abnormalities. No intracranial hemorrhage, new edema, mass effect or other acute findings are seen. |
Generate impression based on findings. | Reason: frame guidance hcp History: headache The examination was performed with a stereotactic frame in place which may obscure some abnormalitiesThere is a 23 x 16 mm axial dimension mass centered in the left precentral gyrus at the hand motor area which was is hyperdense relative to gray matter and has a thin rim of ... | 1.Multiple heterogeneous lesions scattered in the cerebellar hemispheres, third ventricle as well as the left hemisphere are compatible with metastatic disease given the patient's clinical history of metastatic adenocarcinoma.2.Ventriculomegaly probably due to the above described metastatic lesions especially the one i... |
Generate impression based on findings. | Evaluate opacities in right lung noted on recent MRI. LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Esophageal varices.CHEST WALL: The abnormalities noted on MR correlate with multiple bilateral subacute rib fractures.UPPER ABDOMEN: Absence of enteric contrast material markedly limits sensiti... | The abnormalities noted on MR correlate with multiple bilateral subacute rib fractures. |
Generate impression based on findings. | Reason: rule out obstruction vs appendicitis History: abd pain, n/v ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: A small subcentimeter, hypodense lesion in the right lobe of liver, segment 4 A is too small to further characterize. No intrahepatic or extrahepatic biliary ductal dilatation. N... | 1.The diameter of the appendix is slightly greater than average measuring at 9 mm with slight enhancement of the wall and minimal fat stranding. These findings are indeterminate and could represent early appendicitis or be a variant of normal.2.Small hypodense lesion in the right lobe of the liver is too small to furth... |
Generate impression based on findings. | Reason: 60 male with AML, neutropenic fever, r/o infiltrate History: Neutropenic fever LUNGS AND PLEURA: Almost complete interval resolution of multiple nodular or focal air space opacities and micronodules.No new findings.MEDIASTINUM AND HILA: No significant lymphadenopathy.Mildly enlarged main pulmonary artery sugges... | Almost complete resolution of pulmonary nodules and focal consolidation, consistent with infection. |
Generate impression based on findings. | Recurrent head and neck cancer. LUNGS AND PLEURA: Scattered areas of bronchial thickening and bronchiectasis with centrilobular nodules are unchanged and likely related to chronic aspiration. Previously noted right lower lobe micronodule is no longer visible. No new pulmonary nodules.MEDIASTINUM AND HILA: Borderline ri... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: unruptured cerebral aneurysm incidentally found with family history of 2 family members with ruptured anerusym, evaluate for changes History: evaluate for changes, unruptured cerebral aneurysm Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proxim... | 1.There is a lesion present involving the left paracentral lobule with extension into the internal capsule and left brain stem which is associated with some mass effect. It was not readily identified on MRA of the brain performed in July. If clinically appropriate an MRI of the brain may be of benefit to further evalua... |
Generate impression based on findings. | 51 year old female. Reason: history of breast cancer, pt currently in treatment - scan for response/progression. please use measurements if applicable and compare with previous CHEST: LUNGS AND PLEURA: Suspicious nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Reference prevascular lymph node measures 1.6... | 1.Indeterminate hepatic dome lesion is unchanged.2.Stable prevascular mediastinal lymph node.3.Stable left anterior chest wall nodule.4.Status post bilateral mastectomy with postsurgical fluid collections, unchanged in size. |
Generate impression based on findings. | Metastatic thyroid cancer on sorafenib CHEST:LUNGS AND PLEURA: Motion limits sensitivity.Multiple pulmonary nodules are stableReference right lower lobe nodule (image 47, series 4) is unchanged, measuring 11 mm x 10 mm.Reference right apical nodule (image 22 series 4) is unchanged measuring 7 mm x 6 mm.Reference left b... | Stable lymphadenopathy and pulmonary metastases. |
Generate impression based on findings. | Reason: r/o obstruction vs colitis History: abdominal pain ABDOMEN:LUNG BASES: New right lower lobe linear atelectasis. Redemonstration of abnormal elevation of the right hemidiaphragm.LIVER, BILIARY TRACT: Cirrhotic liver morphology with evidence of portal hypertension. Atrophied left lobe liver, segment 2, 3, 4 with ... | Increased fluid about the gallbladder may be accounted for by chronic liver disease but may also represent pericholecystic fluid to suggest cholecystitis. If there is concern for acute cholecystitis, a nuclear medicine or sonographic examination is advised.1.New bowel wall thickening involving the descending and sigmoi... |
Generate impression based on findings. | Reason: 84 y/o F with n/v eval for esophageal dysmotility, food impaction History: above CHEST:LUNGS AND PLEURA: Chronic reticulonodular interstitial disease with basilar honeycombing and traction bronchiectasis, with a predominantly subpleural and basilar distribution, not significantly changed. This finding is consis... | 1.Massively dilated esophagus with retained food material.2. Basilar predominant pulmonary fibrosis compatible with UIP, likely secondary to rheumatoid disease and possibly related to recurrent aspiration. |
Generate impression based on findings. | Sinus disease and septal/facial trauma s/p MVA. There is moderate bilateral maxillary sinus mucosal thickening, extending into the bilateral infundibula. There is moderate scattered ethmoid sinus opacification. There is Keros 2 configuration of the cribriform plate. The fovea ethmoidalis are symmetric. The ethmoid roof... | 1. Mild to moderate pan-sinus opacification in a sporadic pattern.2. Post-traumatic findings related to nasal bone and frontal process of the maxilla fractures and phthisis bulbi.3. Dental caries. |
Generate impression based on findings. | Female 80 years old Reason: hx of osteosarcoma, evaluation for mets History: hx of osteosarcoma, evaluation for mets LUNGS AND PLEURA: Scattered nonspecific pulmonary micronodules are unchanged in size and extent since the 2/19/2013 exam, and are likely benign in etiology. No new suspicious pulmonary nodules or masses ... | No evidence of metastatic disease. |
Generate impression based on findings. | Recurrent head and neck cancer, pretreatment scan. CHEST:LUNGS AND PLEURA: Widespread bilateral pulmonary nodules consistent with metastatic disease. For continued reference a right lower lobe pulmonary nodule measures 9 x 9 mm on image 79/129 and a left lower lobe pulmonary nodule measures 9 x 7 mm on image 64/129. Ap... | 1. Pulmonary metastases.2. Left axillary lymphadenopathy.3. Left suprascapular soft tissue thickening, see neck CT report for further detilas.4. Nonspecific hepatic lesions which are more likely benign than malignant, though continued follow up is recommended. |
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