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Generate impression based on findings. | 81-year-old male with small cell lung cancer diagnosed in 2007, status post chemoradiation therapy and PCI. CHEST:LUNGS AND PLEURA: The reference right lower lobe pulmonary nodule is unchanged at 0.7 x 0.6 cm (series 5, image 207) compared to 4/2/13. No new nodules or masses are seen.Post surgical changes are again see... | Right lower lobe pulmonary nodule, without interval change since 4/2/13, though significantly increased in size since 2010, likely representing malignancy. |
Generate impression based on findings. | Female 56 years old; Reason: left shoulder pain; neuropathic shoulder; preop assessment; include entire scapula History: pain. Again seen is marked deformity and fragmentation of the humeral head and glenoid.The humeral head is subluxed inferiorly relative to the glenoid. The glenohumeral joint is distended and measure... | Findings compatible with neuropathic arthropathy. |
Generate impression based on findings. | Reason: Patient with chronic sinusitis, eval for anatomic abnormalities, evidence of disease History: Patient with chronic sinusitis, eval for anatomic abnormalities, evidence of disease The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated. Incidental note... | CT of the paranasal sinuses is within normal limits. No evidence for paranasal sinus obstructive disease |
Generate impression based on findings. | 70 year-old female with pancreatic cancer, evaluate for disease progression. CHEST:LUNGS AND PLEURA: Multiple pulmonary throughout both lungs are increased in size with the reference lesion measuring 1.6 x 2.5 cm (image 46, series 9) and previously measuring 0.7 x 1.7 cm. The reference nodule is now confluent with the ... | 1. Progression of metastatic disease as described above.2. Left common iliac vein and IVC thrombus. Findings discussed with Dr. Walker by Dr. Thomas at 12.30pm |
Generate impression based on findings. | T1N2B right tonsillar cancer status post CRT. There are stable post-treatment findings in the right neck without evidence of recurrent tumor. There is no evidence of significant lymphadenopathy. The major salivary glands and thyroid gland are unchanged. The upper aerodigestive tract is patent. There is unchanged degene... | No evidence of locoregional tumor tumor recurrence or significant cervical lymphadenopathy. |
Generate impression based on findings. | Reason: Stage IVA NSCLC with pleural disease/effusion/scarring and adenopathy- but asymptomatic, indolent growth, History: please compare with film from 12 and 4 months ago to assess trajectory CHEST:LUNGS AND PLEURA: Surgical scarring with a loculated right pleural effusion and right basilar pleural thickening with at... | Pleural thickening and mediastinal lymphadenopathy, the latter slightly progressed. Possible renal lesion discussed above for which a dedicated renal protocol CT is recommended. |
Generate impression based on findings. | Hypoxia. History of scleroderma. Evaluate for interstitial lung disease LUNGS AND PLEURA: Diffuse bilateral centrilobular groundglass opacities, slightly more predominant in the upper lobes, with areas of mosiac attenuation. Septal thickening at the right lung base, likely representing scarring. There is no evidence of... | Diffuse bilateral centrilobular groundglass opacities, which may represent hypersensitivity pneumonitis or respiratory bronchiolitis, or less likely NSIP. Pulmonary arterial hypertension is also present, which can account for the lung findings. |
Generate impression based on findings. | 62 year-old female with history of gastric GIST status post resection CHEST:LUNGS AND PLEURA: Bibasilar scarring is again noted. Scattered micronodules are unchanged.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Subcentimeter hypodense ... | No metastatic disease evident. |
Generate impression based on findings. | Reason: CVA History: CVA 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 of the paranasal sinuses are clear. Th... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for early detection of nonhemorrhagic CVA |
Generate impression based on findings. | Reason: hx of BOT ca, s/p CRT, eval for dz, compare to previous History: as above CHEST:LUNGS AND PLEURA: Stable apical scarring.Calcified granulomas in the right lung base.No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: Calcified mediastinal lymph nodes compatible with prior granul... | No evidence of metastatic disease. No significant interval change. |
Generate impression based on findings. | Reason: Pt is a 28 y/o male with h/o met seminoma, evaluate for recurrence History: met seminoma CHEST:LUNGS AND PLEURA: Nonspecific right lower lobe pulmonary micronodules, new from prior exam, likely postinfectious.MEDIASTINUM AND HILA: Anterior mediastinal soft tissue density measures 2.5 x 1.4 cm (series 3, image 3... | 1.No convincing evidence of disease. 2.Slightly more prominent anterior mediastinal soft tissue mass with imaging characteristics that favor thymic tissue.3.Nonspecific pulmonary micronodules, likely postinfectious. |
Generate impression based on findings. | BOT ca, s/p CRT. Head: There is no evidence of intracranial mass effect, cerebral edema, or abnormal enhancement to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are unremarkable. The ventricles are stable in size and configuration. The paranasal sinuses and mastoid air cells a... | 1.Stable posttreatment findings in the neck without evidence of locoregional tumor recurrence or significant lymphadenopathy.2. No intracranial metastatic disease. |
Generate impression based on findings. | Female 49 years old; Reason: eval for disease progression in pt with metastatic melanoma History: eval for disease progression in pt with metastatic melanoma CHEST:LUNGS AND PLEURA: The pleural spaces are clear. Minimal atelectasis in the right middle lobe. No dominant lung lesion.MEDIASTINUM AND HILA: No significant a... | 1.Slight increase in the left posterior lateral body wall lesion. |
Generate impression based on findings. | Reason: Head and Neck cancer with metastasis to the lungs, evaluate progression, results post RT History: lung nodules CHEST:LUNGS AND PLEURA: Right middle lobe nodules are not identified on the current exam. There is now noted to be groundglass opacities within the right middle lobe compatible with post radiation chan... | 1.Interval resolution of the right middle lobe nodules. No new nodules identified.2.Groundglass opacities throughout right middle lobe compatible with radiation changes. |
Generate impression based on findings. | Weakness. Stroke symptoms. CT head:There is no intracranial mass, fluid collection, hemorrhage, hydrocephalus or evidence of acute ischemia. Gray-white matter differentiation is maintained bilaterally in the midline is intact. Orbits, paranasal sinuses and mastoid air cells are unremarkable.CTA neck:The left common car... | 1.No evidence of infarct. CT is insensitive for the early detection of nonhemorrhagic CVA.2.Mild atherosclerotic changes involving the left carotid bifurcation without significant stenosis. 3.No aneurysm or steno-occlusive lesions demonstrated. 4.Incidental note of emphysematous changes of the lung apices and thyroid h... |
Generate impression based on findings. | Metastatic right maxillary sinus adenoid cystic carcinoma after completing 50 Gy in 10 fractions to a RML metastasis. Previous treatment has included resection of her primary (2/2004) and adjuvant RT. There are stable postoperative findings related to right hemi-maxillectomy, including resection of the entirety of the ... | Stable postsurgical findings without evidence of locoregional tumor recurrence or significant cervical lymphadenopathy. |
Generate impression based on findings. | Reason: lung cancer s/p 4 cycles of chemo. please evaluate for disease and compare with previous scans History: lung cancer CHEST:LUNGS AND PLEURA: New 20 x 16-mm focal lesion in the lingula, image 57 series 6.Unchanged right lower lobe volume loss with scarring in the superior segment extending into the base.Groundgla... | 1. New focal lingular opacity, conceivably atelectasis but this is likely tumor.2. Progression of hepatic metastases with new and larger lesions as well is a new perihepatic or subcapsular.3. Stable skeletal metastases. |
Generate impression based on findings. | 61-year-old female with pancreas cancer. CHEST:LUNGS AND PLEURA: Stable scattered, calcified and noncalcified micronodules compatible prior granulomatous disease. No new nodules, infiltrates or masses. No pleural abnormality seen.MEDIASTINUM AND HILA: Stable appearance with unchanged peripherally calcified, round lesio... | 1. Stable measurements to pancreatic head tumor size, but subjectively continued slight decrease in volume of tumor. 2. No peritoneal metastasis seen in contrast to 5/28/13 exam. 3. No new lesions seen. 4. Patent biliary stent. |
Generate impression based on findings. | Reason: r/o growth of lung lesion History: h/o ground glass lung lesion. Outside pulmonologist would like follow-up CT scan LUNGS AND PLEURA: Unchanged approximately 5 mm right upper lobe ground glass opacity, image 89 series 5.Scattered stable benign appearing micronodules are present.Lingular cyst or bulla unchanged.... | Unchanged 5-mm right upper lobe ground glass nodule. This could represent a very indolent adenocarcinoma in situ or atypical adenomatous hyperplasia. Follow-up by CT in two years is recommended. |
Generate impression based on findings. | Reason: evaluate lung nodule History: lung nodule LUNGS AND PLEURA: Lobulated 23 x 12 mm left upper lobe nodule image 37 series 4 is consistent with primary lung cancer. Several small satellite lesions in the accompany this.Mild lower lung zone linear scarring is present.MEDIASTINUM AND HILA: A nonspecific 10-mm anteri... | Left upper lobe nodule consistent with primary lung cancer. PET imaging is recommended for further follow-up. |
Generate impression based on findings. | Reason: evaluate right tongue lesion for growth; h/o radiation/chemo for left buccal cancer History: none The patient is status post left neck surgery with removal of the left submandibular gland appeared a number of surgical clips are present along the left neck. The left sternocleidomastoid muscle is low but smaller ... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.A lesion in the right tongue base remains stable and compared to prior exam.3.Postsurgical changes at the left alveolar ridge is stable4.Chronic sinusitis involving the left maxillary sinus |
Generate impression based on findings. | Male 43 years old; Reason: evaluate for disease progression. History: metastatic leiomyosarcoma. CHEST:LUNGS AND PLEURA: No suspicious lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: Right chest wall port is at the cavoatrial junction. No mediastinal lymphadenopathy.CHEST WALL: Right body wall mass measures... | 1.Decrease in size of some of the reference lesions however, dramatic increase in the size and number of right axillary, intra-abdominal mesenteric and retroperitoneal disease. |
Generate impression based on findings. | Female 38 years old; Reason: evaluate for perforation or free air History: abdominal pain after EGD. 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 signifi... | 1.Status-post gastric bypass surgery. No evidence for perforation. No free air or fluid. |
Generate impression based on findings. | Prostate carcinoma CHEST:LUNGS AND PLEURA: Stable micronodulesMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Stable left lobe low attenuation foci. Stable cholelithiasisSPLEEN: No significant abnormality notedPANCREAS: No significant abnor... | Stable examination |
Generate impression based on findings. | 62 year-old female with small cell lung cancer and Eaton-Lambert syndrome status post three cycles of chemotherapy CHEST:LUNGS AND PLEURA: No suspicious mass is seen in the lungs. Linear opacities at the left lung periphery likely represent scarring. Scattered pulmonary micronodules. Right middle lobe granuloma.MEDIAST... | 1. No definite evidence of intrathoracic malignancy. No lymphadenopathy by CT criteria.2. 1.2-cm hypodense renal lesion, which does not measure simple fluid density. In the setting of a known malignancy, this may represent metastasis. Dedicated renal imaging may be helpful in differentiating this.3. Long segment intram... |
Generate impression based on findings. | Reason: eval appendicitis History: vague periumbilical pain, just started ABDOMEN:LUNG BASES: Nonspecific left lower lobe pulmonary micronodule (series 4, image 4). No pleural effusions.LIVER, BILIARY TRACT: Focal hypoattenuating focus in segment IVb suggest a focal perfusion defect.SPLEEN: No significant abnormality n... | Nonspecific mesenteric fat stranding without additional findings to support diagnosis of appendicitis -- in addition, the pelvic free fluid may support diagnosis of an inflammatory process, although not necessarily appendicitis. No loculated fluid collections. |
Generate impression based on findings. | Reason: rule out appendicitis History: right sided abdominal pain ABDOMEN:LUNG BASES: Left lower lung base scarring. Mild scarring along the fissure in the right lung base.LIVER, BILIARY TRACT: No evidence of cholelithiasis. No gallbladder wall thickening . No evidence of intrahepatic or extrahepatic ductal dilatation.... | 1.No evidence of appendicitis.2.Bilateral cystic adnexal lesions, left greater than right. |
Generate impression based on findings. | 60 year-old male with malignant neoplasm of kidney -- restaging scans prior to starting new systemic therapy. CHEST:LUNGS AND PLEURA: The prior noted right upper lobe reference lesion is increased in size and now measures 1.5 x 1 .2 cm (series 5, image 50), previously measuring 1.0-cm. While this is a moderate increase... | 1. Marked increase in size of left renal mass and associated retroperitoneal adenopathy. 2. No pelvic mesenteric mass and associated mesenteric fluid. 3. Marked increase in liver metastases size and number. 4. Dramatic increase in size and extent of pulmonary parenchymal metastatic disease and new mediastinal lymphaden... |
Generate impression based on findings. | Reason: esophageal ca s/p 2 cycles of chemo please assess response to therapy and compare to previous imaging History: esophageal ca CHEST:LUNGS AND PLEURA: Several unchanged micronodules, a few of which are calcified, compatible with previous infection, and 3 mm micronodule in the right middle lobe, and a subpleural l... | 1. Distal esophageal thickening consistent with carcinoma.2. Nonspecific patchy hypodensities which are indeterminate but somewhat concerning for metastasis. The apparent differences in size and conspicuity it could be explained by hemangiomas with differences in contrast phase. MRI or multiphase dedicated abdominal CT... |
Generate impression based on findings. | Reason: s/p fall in room History: s/p fall in room There is a right pleural based in the right fourth rib . The mass in the posterior aspect of the right chest wall which is a stable when compared to the prior exam. The inferior aspect is not included on this exam.There is redemonstration of a enlargement of the right ... | 1.No acute cervical spine fracture.2.There are multiple lytic lesions in the cervical spine which were also identified on the prior exam and have not changed substantially.3.There are degenerative changes present in the cervical spine worst at C5-6 and C6-7 where there is bilateral neural foramen encroachment with susp... |
Generate impression based on findings. | Reason: CIRRHOSIS PROTOCOL: Please evaluate for extent of HCC including multifocal disease, extrahepatic spread or vascular invasion History: 54 yo M with NASH cirrhosis and HCC with high AFP CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Nonspecific prominent mediastinal lymph ... | 1.Two left hepatic lobe masses which meet the AASLD criteria for HCC.2.No evidence of metastatic disease.3.Cirrhosis with portal hypertension.4.Nonspecific lymphadenopathy in the setting of chronic liver disease. |
Generate impression based on findings. | Clinical question: Status post fall, on Plavix. Signs and symptoms: Evaluate for bleed. Nonenhanced head CT:There is no detectable acute intracranial process. CT Homer is insensitive for detection of acute non-hemorrhagic ischemic strokes.There are moderate periventricular and subcortical patchy foci of white matter lo... | 1.No detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.2.Moderate age indeterminate small muscle ischemic strokes as detailed.3.Unremarkable calvarium, soft tissues of the scalp, paranasal sinuses, mastoid air cells and bilateral orbits. |
Generate impression based on findings. | Reason: eval nodules seen on prior CT History: abnl CT of chest- LUNGS AND PLEURA: Benign-appearing micronodules, some calcified, are unchanged in very likely benign and postinflammatory.Previously seen pleural effusions and basilar interstitial edema have resolved.MEDIASTINUM AND HILA: Right lobe thyroid enlargement a... | 1. Benign-appearing pulmonary micronodules unchanged.2. Resolution of prior CHF related abnormalities.3. He junction thickening. If the patient has symptoms of dysphasia an esophagogram is recommended. |
Generate impression based on findings. | Reason: 61y/o with AML and h/o prior allogeneic stem cell transplant, h/o presumed fungal pneumonia and worsening infiltrates on last Chest CT; on antifungal therapy, please evaluate CXR for infiltrate. History: abnormal chest CT LUNGS AND PLEURA: Groundglass/solid opacities may have slightly improved as there is less ... | Slight improvement in pulmonary opacities consistent with resolving atypical infection. |
Generate impression based on findings. | Clinical question: Evaluate intracranial hemorrhage. Signs and symptoms: Alteration of mental status. Nonenhanced head CT:No detectable acute intracranial process. CT ovaries intensity and an acute nonhemorrhagic ischemic strokes.Examination demonstrates extensive periventricular and subcortical patchy foci of white ma... | Grossly stable extensive periventricular and subcortical low attenuation of white matter consistent with age indeterminate small vessel ischemic strokes. No CT evidence of acute intracranial process. |
Generate impression based on findings. | Papillary thyroid carcinoma with recurrences, the last surgery of which was a left neck dissection in October 2012. Radiation was completed in January 2013. There are post-treatment findings related to total thyroidectomy, neck dissection, and radiation therapy. There has been interval decrease in size of a nodular foc... | 1.Interval decrease in size of the nodular focus adjacent to the left thyroid surgical bed, which now measures 3 mm, previously 6 mm. Otherwise, there is no evidence of residual tumor in the resection bed and no evidence of significant cervical lymphadenopathy. 2.Persistent obscuration of the left piriform sinus is lik... |
Generate impression based on findings. | Reason: ct of abdomen post embolization of right portal vein History: cto of abdomen post embolization of right portal vein, history of metastatic adenocarcinoma of the colon. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Multiple metastatic lesions throughout the right lobe liver, largest l... | 1.Multiple space-occupying lesions in the right little are consistent with metastatic disease, unchanged in size and appearance.2.Status post coiling of right portal vein with thrombosis of the posterior branch and poor visualization of the anterior branch. There is no evidence significant change in volume of the left ... |
Generate impression based on findings. | GIST tumor CHEST:LUNGS AND PLEURA: Scattered micronodules, several calcifiedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Interval appearance of multiple right lobe metastatic lesions. A representative segment 8 mass best seen on image 79... | Dramatic interval increase in size and number of hepatic and bulky mesenteric metastatic disease |
Generate impression based on findings. | 65-year-old female with adenocarcinoma of the lung LUNGS AND PLEURA: The spiculated right middle lobe mass now measures 2.3 x 1.3 cm (series 5, image 52), previously 4.0 x 2.0 cm. No new suspicious nodules or masses are seen. Mild centrilobular emphysema. Scattered pulmonary micronodules.MEDIASTINUM AND HILA: The refer... | Decreased size of the right middle lobe mass and right hilar lymph node compared to 7/26/13 |
Generate impression based on findings. | Female 75 years old Reason: pt with lung ca s/p 6 weeks chemo and Rt after surgical resection History: doing well now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Postoperative changes consistent with left upper lobectomy. Slight interval decrease in a small left anterior locul... | 1. Unchanged mediastinal lymphadenopathy.2. Small ground glass nodular opacity in right lower lobe unchanged, but recommend long-term follow-up to confirm stability. |
Generate impression based on findings. | Reason: stage IV lung cancer with liver metastases, received 3 cycles of chemotherapy- reimaging exam History: none CHEST:LUNGS AND PLEURA: A previously solid left upper lobe nodule has become cystic and now measures 27 mm in maximum diameter compared to 36 mm previously.A right upper lobe ground glass nodule with cyst... | 1. Marked decrease in hepatic and adrenal metastases. 2.Slight decrease and interval cavitation of left upper lobe nodule, and a presumed second primary lesion in the right upper lobe.3. Skeletal metastases, some of which have slightly increased in extent. |
Generate impression based on findings. | 84-year-old female with history of colocutaneous fistula status post plugging UTERUS, ADNEXA: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: A radiodense plug in the left hemicolon is noted. A 7.7 cm x 8 mm tract extends from the c... | Left colonic plug device and tract extending to the abdominal wall containing fluid and gas as described above. |
Generate impression based on findings. | Malignant melanoma CHEST:LUNGS AND PLEURA: Stable micronodulesMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: ... | Stable negative examination. No evidence for acute, inflammatory, or metastatic process. |
Generate impression based on findings. | Male 65 years old; Reason: pre op eval for right reverse TSA History: right shoulder arthritis. There is severe narrowing of the glenohumeral joint. Osteophytes are seen along with sclerosis and a ring of subchondral cysts surrounding the humeral head. There is narrowing of the acromiohumeral interval and retraction of... | Marked osteoarthritic changes and chronic rotator cuff tear of the right shoulder. |
Generate impression based on findings. | Reason: evaluate for bleed History: altered mental status with history of SAH in 90s The patient is status post left-sided craniotomy for aneurysm clip placement along the distal left internal carotid artery. There is encephalomalacia involving the left inferior frontal gyrus part of left orbital gyrus and a part of th... | 1.No evidence for acute intracranial hemorrhage mass effect or edema. CT is insensitive for the early detection of nonhemorrhagic CVA2.Findings are compatible with lacunar infarcts involving basal ganglia, pons and in the left thalamus. Most of these are new since the prior exam. The possibility that one of these is ac... |
Generate impression based on findings. | Reason: Eval for HCC History: abdominal pain CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. Left basilar scarring.MEDIASTINUM AND HILA: Prominent cardiophrenic lymph node measures 2.1 x 1.4 cm (series 10, image 54). Heart size is normal. No pericardial effusion. Coronary artery calcifications.CHEST ... | 1.Innumerable foci of faint enhancement, predominately in the left hepatic lobe, with portal venous washout, many of which meet the AASLD criteria for HCC, including a dominant lesion in the right hepatic lobe.2.Tumor invasion of the main, left and right portal veins with extensive peripheral involvement in liver.3.Cir... |
Generate impression based on findings. | Metastatic colorectal carcinoma CHEST:LUNGS AND PLEURA: No significant change in bilateral pulmonary nodules. Reference right lower lobe nodule best seen on image 50 of series 5 measures 1 x 0.7 cm. Reference pleural-based right anterior middle lobe focus as seen on image 74 series 3 measures 1.4 x 1.2 cm.New small bil... | Interval increase in size and confluence of extensive bilobar hepatic metastatic disease associated with interval increase in degree of ascites and increase in size of mesenteric metastatic lesions and omental nodularity. |
Generate impression based on findings. | Male; 21 years old. Reason: Malignant melanoma to left neck, s/p neck dissection and XRT. Surveillance scanning History: Melanoma The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra- or extra-axia... | 1. No evidence of intracranial metastasis.2. Interval postsurgical changes of left neck dissection with no evidence of residual or recurrent disease. |
Generate impression based on findings. | Reason: history of nephrolithiasis, recurrent pain History: abd pain The lack of IV contrast limits evaluation of solid organ pathology.ABDOMEN:LUNG BASES: Hepatic lobe nonspecific hypodensities, likely benign.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No s... | Nonobstructive 4-mm left lower pole calculus without hydronephrosis. |
Generate impression based on findings. | Reason: 69 M with hx of NSCLC and esophageal ca, evaluate for residual or new disease History: None LUNGS AND PLEURA: Interval clearing of consolidation and atelectasis in the right lung.Residual extensive postsurgical abnormalities with pleural thickening, calcification, and a very small loculated pneumothorax.Left up... | 1. Interval resolution of extensive consolidation in the right hemithorax with residual pulmonary and pleural scarring and minimal pneumothorax. 2. Marked decrease in mediastinal lymphadenopathy.3. Suspicious left upper lobe ground glass and cystic nodule, stable since the previous scan but slightly increased since 201... |
Generate impression based on findings. | History of sagittal craniosynostosis status post total cranial vault reconstruction 10/2012. There has been a significant degree of bony remodeling since the prior examination which followed surgery for scaphocephaly. There has been restoration of a rounded contour of the posterior aspect of the skull where there was p... | 1. Significant bony remodeling subsequent to prior craniosynostosis surgery. A few small areas of bony thinning or defect primarily demonstrated near the vertex with an overall improvement in the now rounded contour of the calvarium, especially along the posterior aspect of the skull. Restoration of a more normal AP: T... |
Generate impression based on findings. | 68-year-old female with cough and dyspnea LUNGS AND PLEURA: Minimal biapical centrilobular emphysema with scattered upper lobe nodular subpleural opacities, similar to 11/17/11. These opacities are nonspecific, though their stability suggests a benign or indolent process. No specific evidence of interstitial lung disea... | Minimal centrilobular emphysema. Apical subpleural opacities could be from prior granulomatous disease, including sarcoidosis, but also suggestive of pulmonary fibroelastosis. |
Generate impression based on findings. | Female 76 years old Reason: Patient s/p 6 cycles carboplatin/alimta. Reevaluation for NSCLC. History: NSCLC CHEST:LUNGS AND PLEURA: Spiculated/lobulated right upper lobe nodule now measures 23 x 15 mm (image 26, series 7), previously measuring 23 x 15 mm.Unchanged scattered bilateral pleura micronodules, some of which ... | 1.Stable spiculated right upper lobe nodule compatible with primary adenocarcinoma.2.No evidence of metastatic disease. |
Generate impression based on findings. | Reason: CIRRHOSIS PROTOCOL: Please evaluate for extent of HCC including multifocal disease, extrahepatic spread or vascular invasion History: 54 yo M with NASH cirrhosis and HCC with high AFP CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Nonspecific prominent mediastinal lymph ... | 1.Two left hepatic lobe masses which meet the AASLD criteria for HCC.2.No evidence of metastatic disease.3.Cirrhosis with portal hypertension.4.Nonspecific lymphadenopathy in the setting of chronic liver disease. |
Generate impression based on findings. | Reason: history of metatatic renal cancer on therapy History: renal cancer LUNGS AND PLEURA: Increased interstitial opacity with septal lines consistent with edema, and small pleural effusions, new since previous. Large central pulmonary artery consistent with pulmonary hypertension. Image quality is degraded by marked... | 1. Pulmonary edema with small pleural effusions consistent with CHF.2. Increasing mass at the thoracic inlet which may be secondary to metastatic disease, or thyroid carcinoma, with increased mediastinal lymphadenopathy. 3. Severe cardiomegaly and pulmonary hypertension. |
Generate impression based on findings. | Reason: evaluate for lymphadenopathy, malignancy, interstitial lung disease History: cough, shortness of breath, abnormal PFTs LUNGS AND PLEURA: Very mild basilar subpleural reticulation is present with moderate traction bronchiectasis.There is no honeycombing, groundglass opacities or air trapping. Scattered calcified... | 1. Mild fibrosis with traction bronchiectasis, not characteristic of any of the common idiopathic interstitial pneumonias. This could represent early UIP or connective tissue disease, however. 2. Prior granulomatous disease probably histoplasmosis. |
Generate impression based on findings. | Male 43 years old; Reason: Must use water only for oral contrast prep. Must include arterial phase Chest and Upper Abdomen. IRB12-2221, call HIRO for questions 2-9172, please compare to previous History: stage IV metastatic melanoma CHEST:LUNGS AND PLEURA: Bilobar pulmonary metastatic disease. Reference right middle lo... | 1.Bilobar pulmonary metastatic disease. 2.Right hilar lymphadenopathy |
Generate impression based on findings. | Clinical question: Rule out subarachnoid hemorrhage. Signs and symptoms: Altered mental status. Nonenhanced head CT:Images through supratentorial space redemonstrate subarachnoid hemorrhage in patchy noncontiguous pattern. There is a slight interval decrease in the subarachnoid hemorrhage since prior exam in particular... | 1.Slight interval decrease in subarachnoid hemorrhage since prior exam.2.Residual blood both the supratentorial and infratentorial space still identified.3.No evidence of ischemic changes since prior study.4.Stable normal size of ventricular system since prior exam.5.Stable minimal hemorrhage in the left lateral ventri... |
Generate impression based on findings. | Testicular carcinoma ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONE... | Stable exam. No evidence for acute, inflammatory, or metastatic process. |
Generate impression based on findings. | Reason: Any sign of remote dissection in vertebrals, particularly right vertebral. History: Neck pain, headache, thalamic stroke 6/29/2013 There is redemonstration of a hypodense focus centered in the left subfrontal lobule but also involving left inferior parietal lobule , lateral aspect of the left post central gyrus... | 1.Continued evolution of an infarction with hemorrhagic conversion involving a small portion of the left parietal lobe extending so a portion of the subcentral lobule and insular cortex associated with the small amount of a hemorrhagic conversion. There is no new hemorrhage appreciated.2.Multiple lesions in the right b... |
Generate impression based on findings. | Reason: new left sided neck mass History: painless neck mass on left There is a well circumscribed left neck mass measuring 24x25mm axial dimensions and 46x24mm coronal dimensions which is located lateral to the left carotid space and medial to the left parotid gland and the . It has a heterogeneous appearance with an ... | 1.There is a large left upper neck mass present between the left carotid and the left parotid gland. Differential considerations include schwannoma, possibly lymphadenopathy or less likely paraganglioma. 2.There is a 2cm heterogenous lesion in the left thyroid gland lobe. CT is not accurate in the evaluation of thyroid... |
Generate impression based on findings. | Clinical question: The without acute injury or hemorrhage. Signs and symptoms: Mechanical fall with loss of consciousness. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Extensive periventricular and subcortical low attenuation of white matte... | Advanced age indeterminate small muscle ischemic strokes. No acute posttraumatic findings. |
Generate impression based on findings. | Clinical question: Rule out TIA/stroke. Signs and symptoms: Blurred speech x 20 minutes. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray ... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Evaluate for hemorrhage. Signs and symptoms: Status post fall with blunt head trauma. Nonenhanced head CT: There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Minimal periventricular low attenuation of white matter considering patients age likely r... | Minimal age indeterminate small vessel ischemic strokes. No detectable acute posttraumatic findings. |
Generate impression based on findings. | Headache. Evaluate SDH. The previously described bilateral acute subdural fluid collections overlying the frontal and parietal lobes have demonstrated no significant interval change in dimension, though there is layering of blood products on today's exam. The left and right collections measure up to 14 and 13 mm in dep... | 1.No significant increase in size, though interval layering of blood products within the bilateral acute subdural hematomas. 2.Low lying cerebellar tonsils. |
Generate impression based on findings. | Headache 4 days and left hand numbness. There are extra axial fluid collections overlying the frontal and parietal lobes bilaterally. Both demonstrate a crescentic configuration measuring 15 and 16 mm (left and right respectively) in maximum depth on coronal images. There is local mass effect on the underlying sulci an... | 1.Bilateral acute subdural hematomas. 2.Low lying cerebellar tonsils. |
Generate impression based on findings. | Evaluate for obstruction. Abdominal pain and vomiting. ABDOMEN:LUNG BASES: Previously described bibasilar atelectasis with consolidation has nearly completely resolved.LIVER, BILIARY TRACT: Status post cholecystectomy. No focal hepatic lesions evident.SPLEEN: Unchanged nonspecific splenic hypodensity.ADRENAL GLANDS: No... | Postsurgical changes without evidence of complication. No acute CT findings to account for the patient's symptoms. Resolution of previously described bibasilar atelectasis and consolidation. |
Generate impression based on findings. | Clinical impression: Evaluate subdural hematoma. Signs and symptoms: Altered mental status. Nonenhanced head CT:There is no detectable acute new findings since prior exam in particular no evidence of new hemorrhage. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Stable residual blood i... | 1.No evidence of any new acute intracranial process in particular hemorrhage since prior exam.2.Residual stable blood along the course of ventricular catheter.3.Stable dilated supratentorial ventricular system and a right-sided ventricular catheter.4.Stable blood in the dependent portion of bilateral occipital horns.5.... |
Generate impression based on findings. | Female 77 years old; Reason: eval extent of fx History: eval fx Transverse fracture through the surgical neck of the humerus with anterior and superior displacement of the distal fracture fragment by 1 shaft width. There is also anterior vertex angulation. A comminuted fracture is seen of the distal humerus involving t... | 1.Acute fractures through the surgical neck of the left humerus, distal humerus, distal radius and distal ulna as described above.2.Complex fluid collection with high density material in the left hemiabdomen in the area of the expected left adrenal gland. Adrenal hemorrhage is suspected. CT of the abdomen and pelvis is... |
Generate impression based on findings. | Clinical question: Stroke. Signs and symptoms: Stroke. Nonenhanced head CT:Findings consistent with a chronic left pica and left superior cerebellar artery territory ischemic stroke without change since prior exam.Stable left posterior temporal -- occipital ischemic stroke since prior study.A previously noted left MCA ... | 1.No detectable acute new finding since prior exam from 10 -- 1 -- 13. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.2.Stable multiple chronic ischemic strokes in supratentorial and infratentorial spaces.3.Stable multiple foci of subacute stroke with very minimal associated mass effec... |
Generate impression based on findings. | 72 year-old female status post MVR and TVR in ICU with right upper and lower extremity weakness. There is focal ex vacuo dilatation of the left frontal horn adjacent a well-defined region of hypoattenuation within the superior/middle aspect of the left putamen and external capsule representing encephalomalacia from a c... | Chronic sequela of stroke within the left basal ganglia without CT findings suggesting acute ischemia. Note that CT is suboptimal in its sensitivity for acute ischemia, and if concern persists MRI exam could be considered. |
Generate impression based on findings. | Headache and blurry vision with papilledema on ophthalmologic examination. 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. This mucosal thickening within the sphenoid sinuses,... | Sphenoid sinus mucosal thickening which could represent sequelae of sinusitis. No other acute abnormalities demonstrated. |
Generate impression based on findings. | Reason: 61 F with cirrhosis who is being worked up for liver/kidney transplantation, please also eval for shunting in the portal system and iliac vessels in the context of possible kidney transplant. History: liver tx eval ABDOMEN:LUNG BASES: Bilateral basilar atelectasis or airspace disease, improved on the right and ... | 1.Enlarged liver with irregular contours in heterogeneous, mottled appearance is consistent with provided history. Hepatic vasculature is patent.2.Mild amount of ascites surrounding the liver.3.Mild atherosclerotic calcifications of the posterior portion of the aorta and iliac arteries at the aortoiliac bifurcation. Il... |
Generate impression based on findings. | Gunshot wound, arterial injuryEXAMINATION: CTA of the lower extremities and CT of the abdomen/pelvis was performed after intravenous contrast administration of 90 mL of Omnipaque 350. No pre-contrast CT was performed in this pediatric patient to reduce radiation dose. 10/1/2013 2354 ABDOMEN:LUNG BASES: No significant a... | 1.Distal left superficial femoral artery is attenuated and irregular. While there is no active contrast extravasation, arterial injury to this area cannot be excluded. Alternatively vasospasm may have a similar appearance.2.No left leg vasculature is seen distal to the popliteal artery which is likely due to phase of c... |
Generate impression based on findings. | Clinical question: Evaluate for acute process. Signs and symptoms: Headache. Unenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic stroke.There is mild degradation of images due to motion artifact which makes detection of subtle fi... | No acute intracranial process. Consider MRI if clinical concern for stroke is high. |
Generate impression based on findings. | Headache. Evaluate for elevated ICP. Interval removal of the left sided ventriculostomy catheter which was demonstrated on the prior exam. There are sequela of multiple prior ventriculostomy devices including bilateral frontal burr holes and tracts of encephalomalacia within bilateral frontal lobes. There are no acute ... | Interval removal of ventriculostomy catheter. No CT evidence of hydrocephalus at this time. |
Generate impression based on findings. | 55 M, altered, in respiratory distress, rule out intracranial process. There is a 9 mm diameter hypoattenuating focus in the left hemi-pons. There is also moderate scattered cerebral white matter hypoattenuation. There is no evidence of acute intracranial hemorrhage. The ventricles and basal cisterns are normal in size... | 1. Hypoattenuating focus within the left hemipons may represent an infarct of indeterminate age. MRI and head/neck vascular imaging is recommended for further evaluation.2. Moderate nonspecific cerebral white matter hypoattenuation, which may represent small vessel ischemic disease or indeterminate age. 3. No evidence ... |
Generate impression based on findings. | Abdominal pain, right lower quadrant and midline. Appendicitis versus ovarian cyst. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is a 2.3 x 2.0-cm enhancing nodule at the dome of the liver (image 16; series 3). Given patient age and lack of known malignancy, this probably represents a... | 1. 2.6-cm right adnexal cystic structure; suggest further evaluation with gynecologic ultrasound. 2. No definite evidence of appendicitis although the appendix is suboptimally visualized. 3. Enhancing liver mass; benign hemangioma is favored as described above but consider further evaluation with dedicated liver MRI. T... |
Generate impression based on findings. | Clinical question: rule-out bleed. Signs and symptoms: Blown pupils. Portable nonenhanced head CT:Significantly degraded images due to portable technique as well as motion artifact. Subtle findings and including subarachnoid hemorrhage cannot be assessed. No evidence of parenchymal or intraventricular hemorrhage.No def... | 1.Severely limited exam due to motion artifact and portable technique which precludes precise assessment for subtle findings including small focus of parenchymal edema, mass effect or subarachnoid hemorrhage. Consider repeat exam or an MRI study.2.Within this limitation no gross intracranial abnormality is detected.3.F... |
Generate impression based on findings. | Male 41 years old Reason: eval opacities/nodules, r/o pe History: new opacities Technically adequate study.PULMONARY ARTERIES: There is a small apparent filling defect in a left lower segmental pulmonary artery branch (image 150, series 7); however, when compared to the coronal and sagittal projections, there is displa... | 1. No evidence of pulmonary embolus.2. Multiple pulmonary nodules and a single pulmonary mass consistent metastatic disease3. Large extracardiac mass concerning for local recurrence of patient's angiosarcoma.4. Hilar lymphadenopathy.5. Multiple ground glass opacities suspicious for pulmonary hemorrhage. |
Generate impression based on findings. | Reason: eval for PE History: eval for PE PULMONARY ARTERIES: No evidence of pulmonary embolus. The main pulmonary artery is dilated at 41 mm. In 2007, the main pulmonary artery measures approximately 36 mm transverse. The aorta at the similar level measures 34 mm. LUNGS AND PLEURA: Severe centrilobular emphysema which ... | 1.No pulmonary embolus.2.Progressive cardiac enlargement since 2007 with biatrial and left ventricular chamber dilatation. Significant reflux into the supra-and intrahepatic IVC as well as the hepatic veins. Associated ascites visualized in the upper abdomen. Progressive main pulmonary artery dilation. The constellatio... |
Generate impression based on findings. | Reason: Patient with ischemic stroke, admitted with hgb of 4. Please eval for small bowel lesion as a source of anemia. History: Anemia. ABDOMEN:LUNG BASES: Small bilateral pleural effusions, left greater than right with overlying compressive atelectasis, unchanged from the prior exam.LIVER, BILIARY TRACT: No significa... | 1.Lobular low density mass in the cecum not present on the CT exam performed 4 days prior. This finding may represent a blood clot or possibly a hypertrophied ileocecal valve. Malignancy is less likely. Colonoscopy may be helpful. 2.Small bilateral pleural effusions, unchanged. |
Generate impression based on findings. | Reason: rule out PE History: dyspnea on exertion PULMONARY ARTERIES: No evidence of a pulmonary embolus.LUNGS AND PLEURA: Moderate -sized right-sided pleural effusion with underlying atelectasis.Mild bronchial wall thickening.Nodular opacity in right middle lobe (image 73 series) measuring 10 mm increased in size from ... | 1.No evidence of a pulmonary embolus.2.Moderate size right pleural effusion.3.Enlarging right middle lobe nodule and new right cardiophrenic lymph nodes concerning for metastatic disease. |
Generate impression based on findings. | Clinical question: Altered mental status. Signs and symptoms: Edema/bleed. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray to wh... | 1.No acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes. Unremarkable intracranial content.2.New since prior exam from 2012 is evidence of acute blood in the posterior chamber of left globe with resultant fluid/blood level as detailed |
Generate impression based on findings. | 49-year-old male. Evaluate vasculature support kidney transplant This study is limited due to lack of IV contrastABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No ... | Atrophic kidneys and mild atherosclerotic calcifications. |
Generate impression based on findings. | Male 29 years old Reason: Acute hypoxia and tachypnea - PE? History: hypoxia and tachypnea Technically adequate study.PULMONARY ARTERIES: No evidence of pulmonary embolism with normal sized pulmonary artery. LUNGS AND PLEURA: Residual streaky bibasilar opacities consistent with atelectasis with resolution of the previo... | 1. No evidence of pulmonary embolism.2. Bibasilar atelectasis and volume loss with associated retained aspirated secretions in the trachea and main stem bronchi, consistent with chronic aspiration.3. Unchanged small pericardial effusion. |
Generate impression based on findings. | Reason: 85 yo female with vaginal bleeding/hematuria and gram-neg bacteremia. Poor historian and source of infection unclear - looking for infectious source and/or mass to explain bleeding History: see above The lack of IV contrast limits evaluation of the mediastinum, lymph nodes, and solid organ pathology.CHEST:LUNGS... | 1.Fluid and air filled collection in the upper pelvis may represent the bladder, although abscess cannot be excluded on this limited study. MRI may be helpful. 2.Bilateral pleural effusions.3.Findings discussed with Dr. Bassi by telephone at the time of dictation. |
Generate impression based on findings. | 38-year-old female with history of right lower quadrant pain. History of colon cancer. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Multiple new hypodense lesions in the liver. The lesions demonstrate lacelike enhancement, suggestive of an abscess, however, metastatic disease given the hist... | New liver lesions which may represent abscesses versus metastatic disease.Pelvic fluid collection suspicious for an abscess near the anastomoses.These findings were corticated with Dr. Hong's nurse Stephanie at the time of dictation. |
Generate impression based on findings. | 73 year-old female with history of CLL. There is extensive diffuse cervical lymphadenopathy, which has overall increased in size since March 2011. For example, a left level 5 lymph node now measures 18 x 28 mm, previously 4 x 6 mm, and a right level 2 lymph node now measures 14 x 18 mm, previously 7 x 10 mm. The upper ... | Interval increase in diffuse cervical lymphadenopathy since March 2011, indicating progression of CLL. No evidence of airway compromise. Discussed with Dr. Kline at 9:00 AM on 10/2/13. |
Generate impression based on findings. | Reason: Pt with HNSCC on chemo; please evaluate response History: as above CHEST:LUNGS AND PLEURA: Stable small scattered micronodules, some of which are calcified. No suspicious pulmonary nodules or new pleural effusion. Pleural calcification consistent with prior asbestos exposure.MEDIASTINUM AND HILA: The sternum is... | No evidence of metastases. |
Generate impression based on findings. | Reason: 66F w/ CD and intraabdominal abscess s/p IR drainage now with persistent leukocytosis; assess for resolution History: persistent leukocytosis, hx intraabdominal abscess The lack of IV contrast limits evaluation of lymph nodes and solid organ pathology.ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, ... | 1.Resolution of intra-abdominal fluid collection with persistent surrounding inflammatory changes. 2.Postsurgical changes with persistently dilated loops of small bowel proximal to the suture line. |
Generate impression based on findings. | 32 year-old male with possible abdominal abscess below the stoma site ABDOMEN:LUNG BASES: Linear atelectasis at the lung bases.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, ... | No evidence of abscess or bowel obstruction. Small amount of fluid in the abdomen. |
Generate impression based on findings. | 76-year-old female with history of CLL This study is limited due to lack of IV contrast.CHEST:LUNGS AND PLEURA: Apical fibrosis. Calcified granulomas.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Index right axillary lymph node measures 2.6 x 1.5 cm on image number 24, series number 3, not signific... | Limited study due to the provided contrast. No significant change in the size and number of axillary, retroperitoneal and pelvic adenopathy. |
Generate impression based on findings. | Reason: Any evidence of intra or extra hepatic ductal dilation, unable to tolerate IV contrast or MRCP History: S/p idiopathic ALF and bilirubin of 15 with normal liver enzymes. ABDOMEN: Within the limitations of a non-IV contrast enhanced examination which limits evaluation of solid organ parenchyma and vascular struc... | 1.Large right pleural effusion and moderate left effusion.2.Hypodense lesion in the right lobe of the liver cannot be further characterized due to lack of IV contrast but is described on prior ultrasound as a possible hemangioma.3.Moderate amount of abdominal and pelvic ascites.4.No evidence of intrahepatic or extrahep... |
Generate impression based on findings. | 72-year-old female. Metastatic breast cancer. There has been interval development of necrosis within many of the metastatic left cervical and parotid lymph nodes. The affected lymph nodes are generally stable in size. For example, a conglomerate of left level 2A lymph nodes measures 15 x 13 mm, previously 14 x 13 mm, b... | 1. Interval development necrosis within the metastatic left intraparotid and left cervical lymphadenopathy without significant interval change in size. However, an left axillary and anterior chest wall mass have increased in size.2. The brain metastasis appear to have decreased in size and conspicuity. |
Generate impression based on findings. | Male; 66 years old. Reason: r/o PE, hx of rheumatoid arthritis History: CP, SOB. PULMONARY ARTERIES: No evidence of pulmonary embolism.LUNGS AND PLEURA: Anterior and basilar predominant subpleural reticular opacities, traction bronchiectasis, and architectural distortion in a honeycombing pattern, appearing similar to ... | 1.No evidence of pulmonary embolism.2.Atypical UIP pattern as described above, not significantly changed and compatible with the patient's known history of rheumatoid arthritis. |
Generate impression based on findings. | Reason: PE with hemorrhage. Please evaluate for progression of hemorrhage History: PE LUNGS AND PLEURA: Previously noted focus of ground glass opacity within the central right upper and superior aspect of the right middle lobes has slightly increased (series 80349 image 42). The previously identified focus of concentra... | 1. Previously noted focus of ground glass opacity within the central right upper and superior aspect of the right middle lobes has slightly increased. The previously identified focus of concentrated groundglass which abuts the minor fissure, bridging the right upper and middle lobeshas remained stable in appearance. Th... |
Generate impression based on findings. | Reason: s/p Whipple 2 weeks ago now w/ elevated WBC - please eval for abscess History: Elevated WBC ABDOMEN:LUNG BASES: Small right pleural effusion is unchanged.LIVER, BILIARY TRACT: Pneumobilia compatible with postoperative change. Interval removal of intra-abdominal surgical drain, previously terminating in the gall... | 1.Decreasing intra-abdominal inflammatory changes and non-loculated fluid compatible with postsurgical changes.2.No evidence of obstruction or drainable fluid collections. |
Generate impression based on findings. | Male, 69 years old, history of head and neck squamous cell cancer on chemotherapy. 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.Mild mucosal irregularity persists at the level of the left tongue base a... | 1. Stable examination of the neck with no evidence of progressive disease or pathologic adenopathy.2. No intracranial metastatic disease. |
Generate impression based on findings. | Reason: Location of G tube. GI notified not in correct location via KUB after placement History: Location of G tube. GI notified not in correct location via KUB after placement ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality ... | No significant abnormality noted. |
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