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Generate impression based on findings. | Reason: h/o vocal cord cancer, smoker History: r/o lung mets LUNGS AND PLEURA: Mild predominantly paraseptal upper lobe emphysema.No suspicious pulmonary nodules.MEDIASTINUM AND HILA: No significant lymphadenopathy.Moderate coronary artery calcification.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absenc... | Indeterminate left adrenal nodule, most likely benign, and no other evidence of metastatic disease. |
Generate impression based on findings. | Reason: 37 year old male with history of imperforate anus, now s/p perineal proctectomy and colostomy with development of pelvic fluid collection. S/p IR drainage on 9/17, please assess resolution of fluid collection. ABDOMEN:LUNG BASES: Basilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN:... | 1.Near complete interval resolution of presacral fluid collection. 2.Additional smaller collection, which is not in contiguity with the percutaneous catheter may represent a separate fluid collection or, alternatively, post-surgical change. |
Generate impression based on findings. | Stage IVa parotid cancer, status post CRT, surveillance. LUNGS AND PLEURA: Scattered areas of linear scarring and atelectasis. No new pulmonary nodules.MEDIASTINUM AND HILA: Scattered small subcentimeter nodes are unchanged. Coronary calcification. The left vertebral artery arises directly from the aortic arch, normal ... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: expanding hemothroarx? History: hypoxia LUNGS AND PLEURA: Upper zone centrilobular emphysema with septal thickening, unchanged from previous.Loculated left pleural fluid collection consistent with pneumothorax, unchanged, with underlying compressive atelectasis.MEDIASTINUM AND HILA: Prevascular, paratracheal an... | Left partly loculated pneumothorax with underlying atelectasis and no significant change. |
Generate impression based on findings. | Male; 56 years old. Reason: pt with laryngeal ca and lung ca s/p 3 additional cycles of chemo History: now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Severe upper lobe predominant centrilobular emphysema. Peripheral right lower lobe ground glass nodule measures 6 mm and is un... | Slight interval decrease in size of right hilar mass. No new sites of disease. |
Generate impression based on findings. | Right upper lobe subpleural mass and right apical nodule. Compare to previous. Super D protocol. Dyspnea. LUNGS AND PLEURA: Subpleural right upper lobe nodule measures 22 x 16 mm on image 45/17 (18 x 15 mm in prior image 27/68). Nonspecific right apical nodules measuring 8 mm on image 22/107 and 7 mm on image 17/107, n... | 1. Subpleural right upper lobe nodule slightly larger and presumably malignant.2. Subcentimeter right apex nodules are stable and nonspecific though continued follow up is recommended. |
Generate impression based on findings. | 78 year old female. Reason: assess for small bowel lesions. History: abnormal vce anemia. ABDOMEN:LUNG BASES: Serpiginous vascular abnormality in the right lower lobe compatible with AVM. Small left Bochdalek hernia.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Nonspecific splenic hypodensities. Calcif... | 1.No CT evidence of small bowel pathology. 2.Splenic artery pseudoaneurysms. 3.Right lower lobe pulmonary AVM. |
Generate impression based on findings. | History of recurrent head and neck cancer status post CRT LUNGS AND PLEURA: New bronchial thickening and centrilobular nodules with small areas of more dense opacity involving the posterior aspect of the right upper lobe and base of the right lower lobe.MEDIASTINUM AND HILA: Aspirated debris in central airways. Interva... | 1. New right-sided pulmonary opacities suggestive of aspiration though continued follow up is recommended. Interval increase in lymphadenopathy is most likely due presumed aspiration pneumonitis.2. Subcutaneous emphysema in the right subclavicular area contiguous with the tracheostomy. See dedicated neck CT report for ... |
Generate impression based on findings. | 53 year old male. Reason: HCC screening History: cirrhosis ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cirrhotic morphology of the liver. No enhancing lesions on arterial, portal venous, or delayed images. No ascites. Probable right lobe hepatic cyst.SPLEEN: Splenomegaly. PANCREAS: No sign... | 1. No evidence of hepatic mass.2. Cirrhosis with portal hypertension. |
Generate impression based on findings. | Male 43 years old; Reason: kidney stones History: stones ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Non... | 1.Nonobstructive right renal calculi measuring between 2 to 5-mm. |
Generate impression based on findings. | Male, 68 years old, history of CLL, status post FCR chemotherapy. Mild hypodensity within the right internal capsule, if not artifactual, may represent age indeterminate small vessel ischemic disease. Intracranial views are otherwise unremarkable.A few mildly enlarged lymph nodes are identified at level 4 on the left a... | At most borderline enlarged lymph nodes in the lower neck as discussed above. A right pleural effusion is better assessed on accompanying chest CT. Remainder of the exam is unremarkable. |
Generate impression based on findings. | Male 68 years old; Reason: CLl s/p FCR chemotherapy for evaluation History: CLL CHEST:LUNGS AND PLEURA: Right pleural effusion occupies at least 20% of the right hemithorax. There are right lung base opacities and areas of consolidation.Left pleural space is clear.No dominant lung lesion although evaluation of the righ... | 1.Significant decrease in the lymphadenopathy in the chest, abdomen and pelvis.2.Right pleural effusion, not significantly changed. |
Generate impression based on findings. | Reason: rule out gb disease History: abd pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Small subcentimeter, hypoechoic lesion in the left lobe of the liver, segment two, is too small to further characterize. Gallbladder wall thickening with hyperenhancement and surrounding pericholecyst... | 1.Small subcentimeter, hypoechoic lesion in the left total liver is too small to further characterize.2.Cholelithiasis with associated gallbladder wall thickening and hyperenhancement with surrounding pericholecystic fluid suggestive of acute cholecystitis.3.Hourglass shape of the gallbladder is typical of adenomyomato... |
Generate impression based on findings. | Reason: Pt with HNSCC s/p tx; please compare previous scans and eval response History: as above CHEST:LUNGS AND PLEURA: Scattered stool nonspecific micronodules.No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy.Left chest Port-A-Cath with its ti... | No evidence of metastatic disease. |
Generate impression based on findings. | Female, 68 years old, history of adenoid cystic carcinoma of the right submandibular gland. 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. Post surgical change is redemonstrated centered upon the right ... | 1. Post-treatment/post-surgical changes are demonstrated in the right neck. The conspicuity of soft tissue thickening within this region has diminished. No discrete mass or pathologic enhancement is demonstrated to suggest recurrent disease.2. No pathologic adenopathy in the neck.3. No intracranial metastatic disease. |
Generate impression based on findings. | Reason: pt w/ hx of Nasopharyngeal CA s/p surgery and RT, now 1.5 yrs out. Surveillance scans to rule out DM's History: pt w/ hx of Nasopharyngeal CA s/p surgery and RT, now 1.5 yrs out. Surveillance scans to rule out DM's LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND ... | No interval change. No evidence of metastatic disease. |
Generate impression based on findings. | Reason: recurrent ewing's sarcoma on chemotherapy; assess for response to therapy History: ewing's sarcoma pelvis LUNGS AND PLEURA: Small micronodules (images 39 and 53 of series 4) are unchanged from the prior exam.Left lower lobe nodules present on the prior exams have resolved. No new suspicious pulmonary nodules or... | Interval resolution of left lower lobe nodules. No evidence of metastatic disease on the current exam. |
Generate impression based on findings. | Male 81 years old; Reason: assess for pelvic fluid collection History: 81M s/p cystectomy and ileal conduit, readmitted with fevers and abd pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant ... | 1.Small left pelvic side wall collection.2.Iliac artery 5.1-cm aneurysm. |
Generate impression based on findings. | 56 year old female. Reason: Rectal cancer surveillance. History: not symptomatic CHEST:LUNGS AND PLEURA: Right upper lobe subpleural nodule measures 6 x 6 mm (image 30, series 80261). There is interval resolution of the numerous centrilobular nodules seen on the prior examination. No new pulmonary nodules.MEDIASTINUM A... | 1.Stable size of right upper lobe subpleural pulmonary nodule. 2.Nonspecific bowel wall thickening is no longer seen.3.No measurable metastatic disease. |
Generate impression based on findings. | Male; 47 years old. Reason: evolution of CVA History: CVA Redemonstrated is a large infarction involving the right MCA distribution with mass effect resulting in sulcal effacement, and partial effacement of the right lateral ventricle. There is 4 mm leftward midline shift at the level of the third ventricle, slightly i... | Large non-hemorrhagic infarction within the distribution of the right MCA. Right to left midline shift measures 4 mm (previously 3 mm). |
Generate impression based on findings. | Reason: evaluate pulmonary fibrosis History: cough sob fibrosis LUNGS AND PLEURA: Mild/moderate upper lobe predominant centrilobular emphysema.Basilar predominant septal thickening, bronchiectasis, and subpleural reticulation with very minimal honeycombing.Scattered areas of groundglass opacity.Small bilateral pleural ... | 1.Mild nonspecific pulmonary fibrosis with some honeycombing in an atypical UIP pattern and may be postinflammatory in origin.2.Upper lobe predominant centrilobular emphysema.3.Cardiac enlargement with small pleural effusions , left greater than right, may be secondary to mild CHF. |
Generate impression based on findings. | Injury with left leg pain and weakness. There is normal lumbar lordosis with preserved vertebral body height. There is loss of intervertebral disk height at the L5-S1 level. The conus is demonstrated at the L1-2 level.L1-2: There is no significant bulge or degenerative change. Spinal canal and neural foramina are paten... | 1.L3-4 left paracentral disk protrusion resulting in moderate canal stenosis most prominent at the left lateral recess.2.Central/left paracentral protrusion at L4-5 without significant canal or neural foraminal stenosis. |
Generate impression based on findings. | Right chest/axilla sarcoma. Completed preop XRT 7/20/2013 LUNGS AND PLEURA: Calcified nodule in right middle lobe is stable and presumed to represent a granuloma. Rarely, however, soft tissue sarcomas can calcify. MEDIASTINUM AND HILA: Calcified intrathoracic lymph nodes consistent with healed granulomatous disease. CH... | 1. Grossly stable right axillary chest wall mass. Surrounding nodes are slightly decreased on size. Please see report of 9/30/2013 MR which will provide better characterization.2. Calcified pulmonary nodule and intrathoracic lymph nodes are suggestive of healed granulomatous disease and are not believed to represent me... |
Generate impression based on findings. | Female 43 years old; Reason: r/o intrabd infection ./ colitis History: fever, tachy, lactate, pain to RUQ ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver has a smooth contour. No suspicious hepatic lesions. Hepatic and portal veins are patent. Status post cholecystectomy. No biliary du... | 1.Persistent colonic wall thickening.2.Mild delay in the right renal nephrogram, correlate with urine analysis |
Generate impression based on findings. | 47 year old male. Reason: Crohn's disease, rectal pain, hx of perianal abscess/fistula History: rectal pain, r/o perianal abscess ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedAD... | Wall thickening and enhancement in the terminal ileum compatible with history of chronic Crohn's disease. Atypical cyst versus small mass in the right mid pole region. Partially obstructing left renal pelvis calculus with hydroureter. No definite rectal abscess or fistulae. |
Generate impression based on findings. | 73-year-old female with history of metastatic renal cell carcinoma; assess for disease progression. CHEST:LUNGS AND PLEURA: Moderate right pleural effusion has increased in size since the prior exam. Right lower lobe consolidation and volume loss. Large right lower lobe nodule is difficult to measure due to adjacent at... | 1.Left lower pole renal cell carcinoma is unchanged in size.2.Stable to minimally increased retroperitoneal lymphadenopathy.3.Stable pulmonary metastatic disease with nodular pleural thickening.4.New hepatic and splenic hypodensities are suspicious for metastases. 5.Increased right pleural effusion. |
Generate impression based on findings. | Female 42 years old; Reason: evaluate for perf after IR drain History: tachy, abnormal XRAY CHEST:LUNGS AND PLEURA: Small right pleural effusion occupying approximately 15% of the right hemithorax.Moderate to large left pleural effusion occupying at least 40% of the left hemithorax. Bilateral associated atelectasis. No... | 1.Extensive free intraperitoneal air and fluid. The right lower abdominal catheter appears to enter the transverse colon.2.Recommend examination to confirm position of the catheter and reposition if needed.3.Findings discussed with Dr. Forbes with a recommendation for a tube check. |
Generate impression based on findings. | Chest pain chest pain radiating to back. Rule out dissection. CHEST:LUNGS AND PLEURA: No PE. Lungs hypoinflated with mosaic attenuation possibly due to airtrapping. Bibasilar subsegmental atelectasis left greater than right.MEDIASTINUM AND HILA: Normal caliber aorta with no evidence of aortic dissection. CHEST WALL: Sm... | No evidence of PE or aortic dissection. |
Generate impression based on findings. | Female, 6 years old, with headache and neck pain, fever. Evaluate for hydrocephalus. 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 vent... | No evidence of hydrocephalus or any other acute intracranial finding which would account for the patient's symptoms. |
Generate impression based on findings. | Male 20 years old; Reason: evaluate for resolution of fluid collection seen on prev CT History: back/flank pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver has a smooth contour. No suspicious hepatic lesions. Hepatic and portal veins are patent.SPLEEN: No significant abnormality no... | 1.No evident collection surrounding the left retroperitoneal catheter.2.Diffuse colitis. |
Generate impression based on findings. | Lung cancer on treatment. CHEST:LUNGS AND PLEURA: Bilateral small pulmonary nodules, some of which are calcified, are unchanged since the previous exam. The reference lesion in the left upper lobe is stable at 5 mm (image 56, series 6) compared to 5 mm previously. Multiple thin walled cysts are present. Right upper lob... | Stable pulmonary nodules. |
Generate impression based on findings. | 58 year old male. History: severe vascular disease \T\ epigastric pain. Has erosive gastritis and a duodenal bulbar ulcer. Evaluating for AEF ABDOMEN:LUNG BASES: Mild bibasilar emphysematous changes.LIVER, BILIARY TRACT: Small punctate calcification in the left lobe of the liver. No suspicious focal lesions. No evidenc... | 1.No evidence of aorto-enteric fistula.2.Redemonstration of ectatic atherosclerotic changes of the aortoiliac repair. The grafts are patent.3.Right inguinal hernia containing small bowel loops and mesenteric fat extending down into the scrotum without evidence of obstruction.4.Redemonstration of occlusion of the left i... |
Generate impression based on findings. | 62 year old female. Reason: Uterine cancer. Assess for metastatic disease. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hepatomegaly. The liver is more than 20 cm in craniocaudal dimension.SPLEEN: Splenic cyst at the anterior pole. Splenule in the left upper quadrant. PANCREAS: No significa... | No measurable metastatic disease. |
Generate impression based on findings. | History of head and neck cancer status post CRT. CHEST:LUNGS AND PLEURA: Scattered punctate micronodules, some of which are calcified, are unchanged and presumably post inflammatory.MEDIASTINUM AND HILA: Atherosclerotic calcification of the aorta and its branches. Coronary calcification. Small hiatal hernia.CHEST WALL:... | No evidence of metastases. |
Generate impression based on findings. | 77 year old male. Reason: History type B aortic dissection. Evaluate for interval change. CHEST:VASCULATURE: Left-sided aortic arch with normal branching of the brachiocephalic vessels. There is aneurysmal dilatation of the thoracic aorta with the following measurements: 3.5 cm at the sinuses of Valsalva, 4.4 cm at the... | 1. Stable dissection involving the celiac axis and SMA, which are patent.2. Stable aneurysmal dilatation of the thoracic and abdominal aorta as well as several branch vessels as described above. |
Generate impression based on findings. | History of head and neck squamous cell carcinoma status post CRT completed 8/20/2013 CHEST:LUNGS AND PLEURA: Subsegmental linear atelectasis at right lung base. Calcified granuloma left.MEDIASTINUM AND HILA: Port tip in SVC. Atherosclerotic disease involving the right brachiocephalic arteryCHEST WALL: Right chest wall ... | No evidence of metastatic disease. |
Generate impression based on findings. | Male; 68 years old. Reason: mets lung ca, ALK+, on Crizotinib, pls c/w previous study and evaluate dz status. History: lung ca CHEST:LUNGS AND PLEURA: Postsurgical changes compatible with right lower lobe wedge resection. There is no focal air space opacity, pleural effusion, or pneumothorax. No suspicious pulmonary no... | 1.Mild decrease in mediastinal lymphadenopathy without evidence of new metastatic disease. 2.Increased visibility of incidental hepatic lesions as described above, most likely benign. |
Generate impression based on findings. | T2N2b p16+ SCCa of the right BOT status post radiation therapy completed in 8/2013. Head: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is no evidence of abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift... | 1. Interval decrease in size of the right base of tongue mass and right suprahyoid lymphadenopathy, status post treatment.2. No evidence of intracranial metastases.3. Unchanged lobulated right orbit extra-conal mass, which may represent a cavernous hemangioma and unlikely a metastasis, since the lesion was not hypermet... |
Generate impression based on findings. | Reason: 83 yo female with newly diagnosed pancreatic cancer; please do pancreatic protocol CT scan and evaluate extent of disease and vessel involvement History: pancreas cancer ABDOMEN:LUNG BASES: Scattered pulmonary micronodules. Small hiatal hernia.LIVER, BILIARY TRACT: Scattered hepatic hypodensities are too small ... | Pancreatic body mass with distal ductal dilatation. No definite evidence of metastatic disease. |
Generate impression based on findings. | Nasal septal deviation and turbinate hypertrophy. There no evidence of nasal cavity obstruction. The middle turbinate mucosa is not significantly enlarged on either side. The nasal cavity is clear and there is no evidence of nasal cavity obstruction. There is mild right nasal septal deviation. There is minimal opacific... | 1. No significant inferior turbinate hypertrophy.2. Mild right nasal septal deviation. |
Generate impression based on findings. | 55-year-old female status post gastric bypass. Reason: r/o nephrolithiasis. History: right sided flank pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Stable subcentimeter hypodense foci in the liver that are too small to characterize but likely benign. The gallbladder is absent and the c... | 1.No bowel obstruction or acute inflammation of the bowel.2.Stable mesenteric fat stranding.3.Status post Roux-en-Y gastric bypass.4.Stable left adnexal cyst.5.No nephrolithiasis or hydronephrosis. 6.No acute abnormality to explain right flank pain. |
Generate impression based on findings. | Female, 59 years old, history of rectal cancer with neck and abdominal adenopathy and pulmonary nodules, pre-chemotherapy evaluation. Adenopathy is reidentified within the left mid to lower neck, the supraclavicular fossa and the left axilla. Many of these nodes have increased in size. The most significant increase inv... | Progression of adenopathy in the left neck and axilla. Probable progression of pulmonary metastases as well. |
Generate impression based on findings. | 81Yrs old female patient with a hx of T2N2b BOT SCCa s/p resection with positive margins and ECE followed by adjuvant FHX completed 9/6/12. There are postsurgical findings related to partial right tongue resection and right neck dissection with right tongue hemiatrophy. There is no evidence of local tumor recurrence. T... | No evidence of recurrent locoregional tumor recurrence or significant cervical lymphadenopathy. |
Generate impression based on findings. | SOB. Fibrosis. Evaluate ILD. History of scleroderma and ILD. LUNGS AND PLEURA: Bilateral basilar predominant interstitial disease characterized by subpleural reticulation and traction bronchiectasis. No significant air trapping on artery phase images. Scattered punctate granulomas. Probable honeycombing in a few areas ... | Pulmonary fibrosis consistent with scleroderma lung disease. |
Generate impression based on findings. | Female 66 years old; Reason: History of Stage II colon cancer with CEA elevation to 12.4. Evaluate for disease recurrence History: colon cancer CHEST:LUNGS AND PLEURA: Respiratory motion limits evaluation of the lungs. There are scattered areas of atelectasis at the lung bases however, no evident lesion. The pleural sp... | 1.Stable exam without evident metastatic disease. |
Generate impression based on findings. | 56 yr old male with h/o lymphoma, pre-stem cell transplant evaluation. There are bilateral maxillary sinus retention cysts, left larger than right. The ethmoid and sphenoid sinuses are clear. The frontal sinuses are not pneumatized. The mastoid air cells are clear. There is no significant nasal septal deviation and the... | Bilateral maxillary sinus retention cysts, left larger than right. The other pneumatized paranasal sinuses are clear. |
Generate impression based on findings. | Female, 82 years old, right-sided chronic nasal obstruction, deviated nasal septum and nasal polyp seen on exam. Soft tissue nearly completely opacifies the right maxillary sinus with extension through a widened maxillary antrum into the right nasal cavity at the level of the middle meatus. The right middle turbinate i... | Soft tissue opacification is demonstrated involving the right maxillary sinus, extending through a widened right maxillary antrum into the middle meatus of the right nasal cavity. There are scattered calcific densities throughout this region of soft tissue abnormality.Given the location and appearance of the abnormalit... |
Generate impression based on findings. | Male 59 years old; Reason: evaluate rotator cuff with CT arthrogram (no IV contrast needed) History: left shoulder pain s/p injury eval biceps and supraspinatus with possible LHB or supra tear. There is no contrast extravasation into the subdeltoid or subacromial bursae and therefore no evidence of a rotator cuff tear.... | No CT evidence of a rotator cuff tear, injury to the long head of the biceps tendon or other findings to explain the patient's shoulder pain. |
Generate impression based on findings. | 39 year old male. Reason: Hx of Follicular NHL History: Evaluate extent of disease CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Diffuse mediastinal adenopathy.CHEST WALL: Bilateral axillary adenopathy. Reference, with the largest right axillary lymph node measures 3 x 4.7 cm at image 24... | Diffuse bilateral axillary, mediastinal, retroperitoneal and pelvic lymphadenopathy. Hepatosplenomegaly. |
Generate impression based on findings. | Male 90 years old; Reason: H/O DLBC Lymphoma s/p 4 cycles of chemotherapy in need of restaging scans. Please compare to prior. History: H/O DLBC Lymphoma CHEST:LUNGS AND PLEURA: Atelectatic changes at the lung bases. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is enlarged. No pericardial effusion. Sma... | 1.Left inguinal mass is more near fluid attenuating and is decreased in size. |
Generate impression based on findings. | Surgery in early mid-September. Now with obstructive symptoms. ABDOMEN:LUNG BASES: Dependent hazy opacity is identified. Left breast lesion is again visualized.LIVER, BILIARY TRACT: A round hypoattenuating area is a new finding in the posterior segment of the right lobe of the liver. The maximum diameter is approximate... | Small bowel obstruction at the level of the ileum.New liver lesion. Ultrasonography is recommended for further evaluation. |
Generate impression based on findings. | 68 year old female. Reason: microhematuria ABDOMEN:LUNG BASES: Bibasilar atelectasis or scar. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormali... | Fat stranding in the mesentery may be due to mesenteric panniculitis or other etiology. No urinary tract calculi. No hydronephrosis. No specific abnormality to explain microhematuria. |
Generate impression based on findings. | Female 59 years old; Reason: Rectal cancer with neck and abdominal adenopathy and pulmonary nodules. Please measure using recist criteria History: pre chemotherapy CHEST:LUNGS AND PLEURA: Innumerable bilateral pulmonary lesions. The reference left lower lobe lesion measures 2.1 x 2.0 cm (image 63/series 6) previously, ... | 1.New probably malignant left pleural effusion with slight increase in the size of the pulmonary lesions. |
Generate impression based on findings. | Reason: pancreas neuroendocrine tumor with metastases to liver follow up scan History: none CHEST:LUNGS AND PLEURA: A small micro-nodule in the left upper lobe is unchanged since 2008 (series 9, image 18). Moderate atherosclerotic calcifications of the coronary arteries. A hypoattenuating nodule in the right lobe of th... | 1.Extensive new peripherally enhancing metastases throughout the liver.2.Redemonstration of moderate intra-and extrahepatic biliary dilatation, unchanged.3.Stable enhancing lesion in the tail of the pancreas.4.Stable cystic mass in the body of the stomach unchanged over several years.5.Hypoattenuating nodule in the rig... |
Generate impression based on findings. | Reason: Cancer of the Fallopian tube History: increased SOB PULMONARY ARTERIES: No evidence of a pulmonary embolus.LUNGS AND PLEURA: Large left pleural effusion and moderate sized right pleural effusion.Interval decrease in the nodular opacities , some with cavitation previously identified in the upper lobes.Reference ... | 1.No evidence of an acute pulmonary embolus.2.Interval decrease in the pulmonary nodules some with cavitation.3.Stable to interval decrease in mediastinal lymphadenopathy.4.Increasing large left-sided pleural effusion and stable moderate right-sided pleural effusion. |
Generate impression based on findings. | Reason: history of stroke in 2012 with new weakness History: weakness There is redemonstration of a left-sided craniotomy as well as encephalomalacia involving the left frontal lobe including inferior frontal gyrus in some of the left middle frontal gyrus as well as the left inferior parietal lobule. This is stable whe... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Encephalomalacia involving the left frontal lobe and parietal lobe. It is suspected to be results of stroke3.CT is insensitive for the early detection of a nonhemorrhagic CVA |
Generate impression based on findings. | Nasal congestion, turbinate hypertrophy/edema, headaches. There is no evidence of inferior turbinate mucosal hypertrophy or nasal cavity obstruction. There is no significant nasal septal deviation. There is minimal mucosal thickening within the bilateral maxillary and ethmoid sinuses. The frontal sinuses are clear. The... | 1. No evidence of inferior turbinate mucosal hypertrophy or nasal cavity obstruction. 2. Minimal mucosal thickening within the bilateral maxillary and ethmoid sinuses. |
Generate impression based on findings. | Male 71 years old; Reason: Patient with ESRD on hemodialysis (MWF) with new diagnosis of adenocarcinoma of the colon. Please evaluate colonic mass and for evidence of metastatic disease. Needs IV and PO contrast. History: Hematochezia ABDOMEN:LUNGS BASES: Minimal basilar atelectasis. Wall enhancing fluid collection adj... | 1.Polypoid luminal mass in the sigmoid colon.2.Findings of chronic pancreatitis.3.Wall enhancing fluid collection is partially imaged adjacent to the thoracic spine. Differential considerations include paraspinal abscess. Tumor of neural origin. Recommend imaging of the thoracic spine.Findings discussed with Dr.Wendlan... |
Generate impression based on findings. | Clinical question:? Signs of trauma? Signs and symptoms: Status post trauma headache. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter differe... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Altered mental status. Evaluate for intracranial hemorrhage. Signs and symptoms: As above. Nonenhanced head CT:There is no detectable acute intracranial process, CT home were is insensitive for detection of acute nonhemorrhagic ischemic strokes.Mild to moderate periventricular and subcortical low att... | 1.No acute intracranial process.2.Mild to moderate age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Clinical question: Hemorrhage signs and symptoms: Fall Nonenhanced head CT:There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation.Unremarkable images ... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: History of pseudotumor with headache. Signs and symptoms: Headache. Nonenhanced head CT:No detectable acute intracranial process.Normal size and stable shunted supratentorial ventricular system since prior study.Stable right frontal approach ventricular catheter with the tip in the right frontal horn... | Stable exam since prior study and without detectable acute intracranial process. |
Generate impression based on findings. | Clinical question: Rule out hemorrhage. Signs and symptoms: Status post fall while on heparin, new contusion. Nonenhanced head CT:No detectable acute intracranial process, CT however is insensitive for detection of acute non-hemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, ... | 1.No acute intracranial findings.2.Stable and unremarkable head CT since prior exam. |
Generate impression based on findings. | Reason: eval for intraabdominal infection History: fever, tachycardia, leukocytosis, abdominal pain ABDOMEN:LUNG BASES: Small bilateral pleural effusions with overlying compressive atelectasis, left greater than right, unchanged. Small pericardial effusion.LIVER, BILIARY TRACT: Small amount of perihepatic fluid.SPLEEN:... | 1.Bilateral nonspecific loculated fluid collections in the paracolic gutters without evidence of internal gas or surrounding inflammatory change. CT cannot characterize homogeneous fluid further for the presence or absence of infection. 2.Possible fistulous communication between the rectal stump and adjacent small bowe... |
Generate impression based on findings. | Reason: r/o abdominal infection History: abdominal pain ABDOMEN:LUNG BASES: Stable opacity in the right inferior lobe measures 1.2 x 0.9, previously measuring 1.3 x 1.1 cm. Isolated, stable bronchiectasis in the left lower lobe. Mild dependent bibasilar atelectasis.LIVER, BILIARY TRACT: Cholelithiasis without gallbladd... | 1.Fluid collection with gas in the anterior abdominal subcutaneous tissue without extension into the mesentery is likely a benign postoperative collection. Abscess is considered less likely.2.Cholelithiasis without evidence of acute inflammation.3.Stable hypoechoic lesion in an enlarged spleen.4.Stable opacity in the r... |
Generate impression based on findings. | 66-year-old female with in proper wound healing -- rule-out abscess or fluid collection. Within the limits of a non-IV contrast enhanced examination limiting evaluation of solid parenchymal organs and vascular structures, the following observations can be made: ABDOMEN:LUNG BASES: Increased bilateral pleural effusions ... | 1. Increasing bilateral pleural effusions and associated airspace disease./atelectasis. 2. Marked increase in ascites without loculation. 3. No significant change in postoperative appearance about the right lobe of liver. 4. Extensive right anterior/pelvic abdominal wound/surgical defect without significant change in w... |
Generate impression based on findings. | Weakness, left arm weakness/tingling, headache. There is no intracranial mass, fluid collection, hemorrhage, hydrocephalus or evidence of acute ischemia. Gray-white matter differentiation is maintained bilaterally the midline is intact.Visualized portions of the paranasal air sinuses, orbits and mastoid air cells are u... | Unremarkable CT examination of the head. |
Generate impression based on findings. | 65-year-old male with tachycardia and fever PULMONARY ARTERIES: Technically adequate examination. No pulmonary embolus is seen. No pulmonary artery enlargement or evidence of right heart strain.LUNGS AND PLEURA: Small right and moderate left pleural effusion with overlying subsegmental atelectasis, similar to the prior... | 1. No evidence of pulmonary embolism2. Increased upper lobe ground glass opacities and septal thickening, compatible with edema. Etiologies would include CHF or volume overload and less likely drug reaction and atypical infection.3. Stable bilateral pleural effusions and a new pericardial effusion. |
Generate impression based on findings. | AML in blast crisis with WBC > 100,000. Head: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull is unremarkable... | 1. Extensive diffuse lymphadenopathy in the imaged portions of the neck and marked diffuse enlargement of the bilateral palatine tonsils with associated moderate narrowing of the oropharyngeal airway, compatible with leukemia. Dedicated neck imaging may be useful for further delineation of the disease extent.2. No evid... |
Generate impression based on findings. | Headache, blurred vision. A ventriculostomy catheter is demonstrated taking an unchanged coarse via a parietal approach anteriorly to rest with its tip at the midline. The catheter is not visualized to be in direct contiguity with the ventricular system which has increased in caliber slightly since the prior examinatio... | Interval evolution of blood products associated with prior shunt revision. The ventriculostomy catheter traverses the right parietal lobe, though is not visualized to be in direct contiguity with the ventricular system which is increased in caliber slightly since the prior exam. |
Generate impression based on findings. | 78-year-old female with abdominal pain, anemia, evaluate for masses, or luminal abnormalities. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant ab... | Numerous colonic diverticula without evident complication. No specific findings to account for the patient's anemia. |
Generate impression based on findings. | Reason: eval for carotid artery infiltration History: pulsatile tinnitus Neck CTA: There is an infiltrating lesion present in the right neck extending from the level of the thyroid gland up to the level of the mastoid associated with the calcifications measuring approximately 32 x 62 mm coronal dimensions which abuts t... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease 3.the right common carotid artery abuts a large infiltrating mass in the right neck but is not severely encased by it.4.There is encasement of branches of the superior thyroidal artery by the infiltrating tumor mass along the patient's right... |
Generate impression based on findings. | Reason: please evaluate etiology of hematuria History: hematuria ABDOMEN:LUNG BASES: Basilar atelectasis/scarring.LIVER, BILIARY TRACT: Scattered hepatic hypodensities are too small to further characterize, but likely benign. No biliary ductal dilatation.SPLEEN: Accessory splenule.PANCREAS: No significant abnormality n... | 1.6 mm polypoid lesion in the posterior wall of the bladder, suspicious for neoplasm. 2.Nonobstructive renal stones.Findings discussed with Dr. Zagaja by telephone at 9:00 hours on 10/1/2013. |
Generate impression based on findings. | Reason: rule out PE History: chest pain PULMONARY ARTERIES: Posterior quality study without evidence of pulmonary embolism. Main pulmonary artery slightly large in caliber, suggestive of pulmonary arterial hypertension. No reliable evidence right heart strain however.LUNGS AND PLEURA: No significant abnormality noted.M... | 1. No evidence of pulmonary embolism.2. A large main pulmonary artery suggestive of pulmonary arterial hypertension. |
Generate impression based on findings. | Reason: pe History: dilated ventricle PULMONARY ARTERIES: Demonstration of acute central pulmonary emboli within the right and left pulmonary arteries extending into the lobar branches. There is some straightening of the interventricular septum and enlargement of the right ventricle with reflux of contrast into the IVC... | Demonstration of bilateral central acute pulmonary emboli extending into the lobar branches with a small focal area of possible hemorrhage or infarction in the right upper lobe. |
Generate impression based on findings. | Jaw pain. There are no maxillofacial fractures. The temporomandibular joints are intact. The facial soft tissues are unremarkable. The orbits are also unremarkable without evidence of retrobulbar hemorrhage. There is mild scattered paranasal sinus opacification without air fluid levels. The intracranial structures are ... | No evidence of maxillofacial fractures. |
Generate impression based on findings. | Reason: abscess with possible anal involvement History: abscess ABDOMEN:LUNG BASES: Basilar atelectasis/scarring.LIVER, BILIARY TRACT: Right hepatic lobe hypodensity is too small further characterize, but likely benign.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: N... | Mild left gluteal fat stranding and skin thickening without evidence of loculated fluid collection. |
Generate impression based on findings. | Reason: eval PE History: SOB, tachy, h/o lung ca PULMONARY ARTERIES: Demonstration of acute pulmonary embolus within the left pulmonary artery extending into the upper and lower lobar arteries and their proximal segmental branches.LUNGS AND PLEURA: There is volume loss in the right lower lobe with evidence of surgical ... | 1.Demonstration of acute pulmonary emboli involving the left pulmonary artery extending into the lobar and proximal segmental branches.2.Postsurgical changes and volume loss in the right lung.3.Left upper lobe nodules concerning for metastatic disease.4.Sclerotic T1 vertebrae compatible with osseous metastasis.5.Right ... |
Generate impression based on findings. | SVT postpartum Please note that motion limits sensitivity.PULMONARY ARTERIES: Technically adequate examination for evaluation of the pulmonary arteries to the lobar level. No evidence of pulmonary embolism or right heart strain.LUNGS AND PLEURA: Small bilateral pleural effusions, right slightly greater than left. Consi... | 1. No evidence of pulmonary embolism.2. ET intubation with tip in the right mainstem bronchus3. Dense bilateral dependent atelectasis.4. Small bilateral pleural effusions. |
Generate impression based on findings. | Assault. There is a comminuted, 2 mm posteromedially displaced fracture of the frontal process of the left maxillary bone with diastasis of the left nasomaxillary suture, as well as mildly angulated fracture of the frontal process of the right maxillary bone and a non-displaced right nasal bone fracture. There is diffu... | 1. Comminuted, 2 mm posteromedially displaced fracture of the frontal process of the left maxillary bone with diastasis of the left nasomaxillary suture, as well as mildly angulated fracture of the frontal process of the right maxillary bone and a non-displaced right nasal bone fracture.2. Multiple dental caries and as... |
Generate impression based on findings. | Trauma. There is a small right frontal subgaleal hematoma associated with a small laceration. There is no intracranial mass, fluid collection, hemorrhage, hydrocephalus or evidence of acute ischemia. Gray-white matter differentiation is maintained bilaterally and the midline is intact. There is mucosal thickening withi... | No acute intracranial abnormality including sequela of trauma demonstrated. Findings suggesting sinusitis. |
Generate impression based on findings. | Reason: evaluate associated ILD History: sob fibrosis LUNGS AND PLEURA: Left basilar predominant reticular interstitial disease with honeycombing, also affecting the anterior aspect of the upper lobes.There is no groundglass disease, expiration series show no significant air trapping, and there is only mild traction br... | Interstitial lung disease in a UIP pattern, slightly atypical as there is anterior upper lobe involvement raising a question of etiologies that include rheumatoid arthritis and other autoimmune diseases. |
Generate impression based on findings. | Reason: h/o HNC, s/p induction chemo, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Right lower lobe calcified granuloma.No sign of pulmonary or pleural metastases.MEDIASTINUM AND HILA: Nodular thyroid enlargement, stable.No evidence of mediastinal or hilar lymphadenopathy.Small pericardia... | 1. No evidence of metastases.2. Very small stable pericardial effusion. |
Generate impression based on findings. | Somnolence following fall off of bike. Scalp laceration. There is a small right parietal subgaleal hematoma with scalp swelling. There is no intracranial mass, fluid collection, hemorrhage, hydrocephalus or evidence of acute ischemia. Gray-white differentiation is maintained bilaterally and the midline is intact. There... | No visualized abnormality, including sequela of trauma. |
Generate impression based on findings. | Reason: hydrocephaly History: worsening of gait, dysarthria There is a hyperdense mass present in the posterior fossa measuring 39 x 38 mm axial dimensions and the 47 x 37 mm sagittal dimensions centered in the vermis eccentric toward the right muscle to represent a hematoma associated with a surrounding cerebellar hyp... | 1.There is a hemorrhage in the posterior fossa which appears to be in the subacute stage associated with mass effect and compression of the fourth ventricle.2.Status-post suboccipital craniotomy3.Hypodensity involving the right midbrain inferior aspect of the right thalamus and right posterior limb of internal capsule ... |
Generate impression based on findings. | 9-month-old male with history of nonaccidental head trauma and cerebral edema status post bolt with concern for herniation as well to rule out bleed. There has been interval removal of the bolt device with a small bony defect and small bone chip (coronal series 80430 image 12) within the right frontal bone. There is un... | 1.Right parietal edema likely related to contusion with associated petechial hyperattenuation likely representing acute intraparenchymal hemorrhage.2.Focal hyperattenuation within the left parietal lobe which could represent redistribution or new petechial hemorrhage.3.Interval removal of the bolt device.4.Pneumocephal... |
Generate impression based on findings. | Reason: acute stroke? History: inability to speak, right facial, right tongue deviation Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET c... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease3.findings are compatible with a new focus of infarction in the left precentral gyrus laterally from the hand motor area.4.There is redemonstration of multiple foci of encephalomalacia in both hemispheres of the brain as well as the cerebellu... |
Generate impression based on findings. | Reason: colon cancer restaging History: colon cancer restaging CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: No lymphadenopathy. Heart size is normal. No pericardial effusion.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No susp... | Stable exam with postsurgical changes and no evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Reason: acute stroke? History: inability to speak, right facial, right tongue deviation Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET c... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease3.findings are compatible with a new focus of infarction in the left precentral gyrus laterally from the hand motor area.4.There is redemonstration of multiple foci of encephalomalacia in both hemispheres of the brain as well as the cerebellu... |
Generate impression based on findings. | Reason: hydrocephalus History: r/o hydrocephalus There is redemonstration of ventriculostomy tube course the right frontal lobe into the right lateral ventricle with in the region of foramen of Monro. There is redemonstration of bilateral intraventricular blood right more than left stable since the prior exam. The size... | 1.Overall the examination is unchanged when compared to the previous exam status post ventriculostomy and intraventricular hemorrhage. |
Generate impression based on findings. | 31-year-old female with a CSF shunt -- now with headaches. Rule out pseudocyst. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted in the liver. Patient is status post cholecystectomy without biliary tract abnormality.SPLEEN: No significant abnormality notedPANCRE... | 1. CSF shunt catheter with small fluid collection about the catheter in the subcutaneous tissues, but not within the portion of catheter within the peritoneal space. 2. No other abnormalities seen. |
Generate impression based on findings. | 79-year-old female with abdominal pain and pain with bowel movements. ABDOMEN:LUNG BASES: No significant abnormality noted in liver parenchyma. Status post cholecystectomy. Slightly prominent extrahepatic bile duct again seen, unchanged.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnorm... | 1. Stable appearance to pancreatic calcifications and mildly dilated pancreatic duct -- these are findings most consistent with prior inflammation or chronic pancreatitis. 2. Prior cholecystectomy without other abnormalities seen in the, biliary tract -- slightly dilated extrahepatic duct is unchanged. 3. No other sign... |
Generate impression based on findings. | Reason: Pt is a 66 y/o female with met melanoma, evaluate for response to ipilimumab History: met melanoma CHEST:LUNGS AND PLEURA: Diffuse centrilobular ground-glass nodules. Left lower lobe 4-mm nodule is unchanged (series 5, image 81).MEDIASTINUM AND HILA: Reference subcarinal lymph node measures 2.4 x 1.5 cm (series... | Mixed response of reference lesions throughout the chest, abdomen, and pelvis. No new lesions seen. |
Generate impression based on findings. | Reason: rule out stone History: Left lower quadrant pain ABDOMEN: Within the limitations of a non-IV contrast enhanced examination which limits evaluation of solid organ parenchyma and vascular structures, the following observations can be made:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No signif... | 1.No specific findings to explain the patient's symptoms.2.Right kidney stone measuring 7 mm without evidence of hydronephrosis or hydroureter to suggest suggest obstruction.3.The uterus is large with a nodular contour suggesting possible fibroids. Due to the lack of IV contrast, evaluation of the adnexa is limited. |
Generate impression based on findings. | Reason: Pt with hx of tonsil Ca. Please re-eval and compare to previous scans History: as above CHEST:LUNGS AND PLEURA: Calcified benign appearing micronodules. No evidence of pulmonary or pleural metastases.Mild apical and basilar scarring is unchanged.MEDIASTINUM AND HILA: There is no mediastinal or hilar lymphadenop... | No evidence of metastases, or other significant findings. |
Generate impression based on findings. | Female 84 years old Reason: Pt with previous h/o PE p/w SOB, new Afib, CHF. Evaluate for new PE. History: Pt with previous h/o PE p/w SOB, new Afib, CHF Technically adequate study.PULMONARY ARTERIES: No evidence of pulmonary embolus.LUNGS AND PLEURA: There is scattered nonspecific pulmonary nodules, the largest in the ... | 1. No evidence of pulmonary embolism.2. Cardiomegaly, pleural effusions, septal thickening and ground glass opacities consistent with pulmonary edema secondary to CHF.3. several nonspecific pulmonary nodules, recommend follow up in 12 months to assess for interval change if this is not a high-risk patient. |
Generate impression based on findings. | AMS, s/p blunt head trauma 2 d prior. There is no evidence of acute intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. There are left parietal ski... | 1. No evidence of intracranial hemorrhage, mass, or cerebral edema.2. Left parietal skin staples overlying a small subgaleal hematoma. There is no evidence of calvarial fracture. |
Generate impression based on findings. | 55-year-old male with head and neck cancer, status post chemo radiation therapy. CHEST:LUNGS AND PLEURA: Scattered calcified and noncalcified micronodules, compatible with prior granulomatous disease. No significant abnormality noted otherwise.MEDIASTINUM AND HILA: Scattered calcified lymph nodes, compatible with prior... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: 51F s/p total abdominal hysterectomy, hernia repair 8/2013, now with increased drainage from midline incision History: evaluate for hernia, dehiscence, subcutaneous fluid collections ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy. No significant abnormality... | Anterior abdominal subcutaneous tissue fluid collection with peripheral enhancement is nonspecific and may represent postoperative changes or infection as CT cannot definitely characterize fluid. There is no evidence of dehiscence or herniation. |
Generate impression based on findings. | Reason: prostate cancer History: prostate cancer ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No suspicious hepatic lesions appear hypoattenuating focus in segment IVb (series 3, image 25), is unchanged and likely represents a focal perfusion defect.SPLEEN: Calcified splenic granuloma.PANC... | No evidence of recurrent or metastatic disease. |
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