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Generate impression based on findings. | Evaluate mediastinal and retroperitoneal lymphadenopathy. Outside hospital CT shows diffuse lymphadenopathy and pulmonary nodules. Left supraclavicular lymph node biopsy consistent with sarcoidosis. CHEST:LUNGS AND PLEURA: Scattered, subcentimeter micronodules which can be followed.MEDIASTINUM AND HILA: Extensive adeno... | 1. Extensive adenopathy, predominating in the chest and abdomen. Nonspecific hypodense splenic nodules. These findings are compatible with clinical diagnosis of sarcoidosis.2. Gynecomastia. |
Generate impression based on findings. | Reason: s/p renal xplant, evaluate for hydronephrosis History: nephrostomy tube fell out now with dysuria and distention 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:... | 1.Mild hydronephrosis of the transplant kidney in the right iliac fossa may be secondary to reflux versus obstruction.2.Bladder diverticulum arising from the left lateral wall.3.Diverticulosis of the sigmoid and descending colon without complications.4.Severe degenerative joint disease involving L3-L4 and L4-L5 lumbar ... |
Generate impression based on findings. | Reason: Etiology of neutropenic fever- typhylitis History: Profuse diarrhea, neutropenic fever, perianal skin tear, CHEST:LUNGS AND PLEURA: Upper lobe predominant centrilobular emphysema and small bilateral pleural effusions.MEDIASTINUM AND HILA: Heart size is normal. No significant pericardial effusion.CHEST WALL: No ... | 1.No CT evidence of infectious source in the chest, abdomen, or pelvis. 2.Small bilateral pleural effusions. |
Generate impression based on findings. | Female, 35 years old, status post catheter placement. Right posterior parietal approach catheter is redemonstrated. Since the prior examination, the catheter tip has been repositioned. It now terminates to the right of midline within the body of the right lateral ventricle. Scalp swelling is redemonstrated. In addition... | 1. Interval repositioning of the intraventricular catheter. The catheter tip now terminates in the region of the body of the right lateral ventricle. A small amount of blood product is seen at midline along the corpus callosum, at the prior site of catheter termination.2. Since the prior examination, the caliber of the... |
Generate impression based on findings. | IVH. There is an unchanged right transfrontal ventriculostomy catheter that terminates in the region of foramen of Monro. There is unchanged hemorrhage within the lateral ventricles, right greater than left. No new intracranial hemorrhage is identified. The lateral ventricles are stable compared in size and configurati... | Unchanged hemorrhage within the lateral ventricles, right greater than left, and unchanged ventricular size with ventricular catheter in position. |
Generate impression based on findings. | Reason: renal stone History: renal colic. H/o stone 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 abnormality noted.KIDNEYS, URETERS: No hydron... | No hydronephrosis or nephrolithiasis. |
Generate impression based on findings. | Reason: eval for poss AAA, dissection History: chest pain, AMS CHEST:LUNGS AND PLEURA: Small right pleural effusion.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. Mildly prominent mediastinal lymph nodes.VASCULATURE: Mild atherosclerosis of the aortic arch. No evidence of aneurysmal dilatation or ... | 1.No evidence of aneurysm/dissection of the aorta or its branches. Mild stenosis of the proximal right common iliac artery. 2.Abdominal and pelvic ascites suggest fluid overload or possibly heart failure. |
Generate impression based on findings. | Mental cell lymphoma. Lymph nodes at multiple sites. CHEST:LUNGS AND PLEURA: Left upper lobe pulmonary nodule (image 24; series 7) measures 4-mm, unchanged.Subtle nodularity involving the right lower lobe peripherally as noted previously. No new dominant lesion. The pleural spaces are clear. The central airways are pat... | Stable examination with measurements given above. |
Generate impression based on findings. | Lung cancer, follow-up CHEST:LUNGS AND PLEURA: Multiple bilateral scattered part solid and ground glass nodules are again observed in all lobes. All but two foci appear unchanged and for reference the partially solid lesion in the right lower lobe again measures 2.2 cm (image 48 series 5). Of concern and note are two p... | Minimal interval change including mildly different solid components of two mixed semisolid left upper lobe lesions. The numerous additional bilateral pulmonary findings are otherwise unchanged from the immediate prior exam; yet demonstrate overall mild progression since 2010. The overall appearance remains compatible w... |
Generate impression based on findings. | Male, 62 years old, history of squamous cell carcinoma of the left tongue base. Glottic and supraglottic mucosal edema is redemonstrated compatible with treatment related effects. Also unchanged is a thin retropharyngeal effusion. No mucosal based mass or pathologic enhancing lesion is seen.No pathologic adenopathy is ... | Posttreatment findings in the neck with no significant interval changes and no evidence of progressive disease. |
Generate impression based on findings. | Reason: RUQ pain, hyperbilirubinemia, leukocytosis. ? obstruction vs infectious source vs other cause History: see above ABDOMEN:LUNG BASES: Basilar subsegmental atelectasis and consolidation.LIVER, BILIARY TRACT: No intra-or extrahepatic biliary ductal dilatation. No CT evidence of cholelithiasis. No focal hepatic les... | Minimal left colonic wall thickening without surrounding fat stranding suggests possible colitis of unclear etiology, including infectious/inflammatory causes. |
Generate impression based on findings. | Reason: mets lung ca, w/ uterine lesion, ALK+, on Crizotinib, s/p mulitple chemo prior. Pls c/w previous study and evaluate tx response. History: lung ca CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Reference prevascular lymph node measures 1.4 x 0.9 cent... | 1. Stable to slight decrease in reference prevascular lymph node. 2. Stable left adnexal dermoid.3. No new sites of disease. |
Generate impression based on findings. | 81-year-old female with history of past surgeries, presenting with vomiting 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,... | Small bowel obstruction secondary to ventral hernia. |
Generate impression based on findings. | Thymoma and resection, follow-up CHEST:LUNGS AND PLEURA: Stable left major fissural lymph node (image 68 series 5). Otherwise scattered micronodules are also unchanged, some of which are calcified. No new suspicious nodules or masses. No effusions. Minimal right middle lobe scarring and diffuse central lobular emphysem... | No suspicious findings to suggest metastatic or recurrent disease. Postsurgical findings as described. |
Generate impression based on findings. | Reason: Hx of Follicular NHL History: s/p 4 cycles of chemotherapy CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Reference precarinal lymph node measures 2.1 x 1.4 cm (series 3, image 46), previously 1.8 x 1.3 cm. Reference right hilar lymph node measures ... | Increasing lymphadenopathy in the chest, abdomen, and pelvis. |
Generate impression based on findings. | Female; 72 years old. Reason: eval for interval change of metastatic disease History: known malignancy LUNGS AND PLEURA: There is no focal air space opacity, pleural effusion, or pneumothorax. No suspicious pulmonary nodules or masses to suggest metastatic disease. Scattered pulmonary micronodules are grossly unchanged... | 1.Left axillary lymphadenopathy, left chest wall nodule, and innumerable new hepatic lesions are compatible with diffuse metastatic disease. 2.No evidence of pulmonary metastases. |
Generate impression based on findings. | Neoplasm of the glottis. CHEST:LUNGS AND PLEURA: A new right upper lobe 6-mm nodule (image 26 series 5) with otherwise stable scattered micronodules. No effusions.MEDIASTINUM AND HILA: No lymphadenopathy. Cardiac and pericardium are within limits other than moderate coronary calcifications.CHEST WALL: Right chest port ... | New right upper lobe pulmonary nodule and questionable changes involving the right kidney; both concerning for progression in metastatic disease |
Generate impression based on findings. | Abdominal pain, history of for a cancer CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Ectatic descending aorta is unchanged measuring 4.7-cm image number 31, series number 4.CHEST WALL: Enlarged right axillary lymph node is stable measuring 1.9 by 1.7-cm image number 28, series number 4... | New, distal small bowel obstruction. Index measurements are stable. The etiology is unknown the and small bowel obstruction can be secondary to carcinomatosis versus adhesions.Dr. Lee was notified about these findings at the time of dictation. |
Generate impression based on findings. | Reason: 65 y/o M w/ stage iV neuroendocrine small call carcinoma, extensive mets. Please assess therapy response. Please perform a triple phase liver scan. Thanks! 3972 History: none CHEST:LUNGS AND PLEURA: Stable nonspecific 5 mm right upper lobe pulmonary nodule (series 12, image 34). No new suspicious pulmonary nodu... | 1. New diffuse sclerotic skeletal metastases. 2. Decrease in size of reference lesions. |
Generate impression based on findings. | Thyroid cancer, please follow-up CHEST:LUNGS AND PLEURA: Scattered bilateral micronodules are all unchanged. No new suspicious nodules or masses. No effusions.MEDIASTINUM AND HILA: Postoperative changes in the thyroid bed unchanged.Interval progression of a high right paratracheal lymphadenopathy, for reference the rig... | Interval enlargement of right paratracheal lymph nodes with associated new adjacent lymphadenopathy, some necrotic. Concern for focal advancement and recurrence, all correlating with concomitant exams |
Generate impression based on findings. | Male; 58 years old. Reason: eval for fluid collection surrounding LVAD tracking through driveline, eval for abscess History: chronic bacteremia, chills, drainage surrounding driveline. Significant streak artifact due to mediastinal hardware limits diagnostic sensitivity. CHEST:LUNGS AND PLEURA: Minimal basilar scarring... | No fluid collection seen around the driveline or other LVAD components as clinically questioned. |
Generate impression based on findings. | Tongue cancer, follow-up CHEST:LUNGS AND PLEURA: Mild dependent atelectasis superimposed upon moderate central lobular emphysema. No suspicious new focal nodules or masses. No effusions.MEDIASTINUM AND HILA: Previously identified right thyroid cysts appear somewhat smaller, possibly due to changes in gantry angle and p... | No findings to suggest metastatic disease and old nephrolithiasis |
Generate impression based on findings. | 69-year-old male with history of follicular non-Hodgkin lymphoma CHEST:LUNGS AND PLEURA: Moderate to severe centrilobular emphysema, unchanged.MEDIASTINUM AND HILA: Index pretracheal lymph nodes measures 2.1 x 0.8 cm image number 40, series number 3, significantly smaller compared to previous study. Other mediastinal a... | Interval decrease in the size of the mediastinal and axillary lymph nodes. Cholelithiasis. |
Generate impression based on findings. | Reason: History of pulmonary nodules (aspergillosis) on Vfend, eval for change History: SOB LUNGS AND PLEURA: Significant improvement and/or resolution of multiple pulmonary nodules noted on the prior exam.Mild upper lobe predominant centrilobular emphysema.MEDIASTINUM AND HILA: Stable mild cardiac enlargement without ... | Significant interval improvement and/or resolution of multiple pulmonary nodules compatible with treatment response in this patient with a history of aspergillosis. |
Generate impression based on findings. | Tonsil cancer LUNGS AND PLEURA: Minimal bilateral and apical radiation fibrotic change without superimposed suspicious nodules or masses. Other than mild and largely basilar atelectasis, no acute pulmonary abnormality. Mild bronchial wall thickening and basilar bronchiectasis with mild centrilobular emphysemaMEDIASTINU... | No evidence of metastatic disease. |
Generate impression based on findings. | History of follicular NHL. Status post 4 cycles of chemotherapy. There has been a significant decrease in size of all index nodes measured within the soft tissues of the neck when compared to measurements on the prior exam. There is residual adenopathy demonstrated which is most prominent in the left jugular chain. Mea... | 1.Significant interval regression of lymphadenopathy at each previously described level. Residual lymphadenopathy largely isolated to the left jugular chain.2.Lucencies associated with dental apices most like representing sequela of dental disease.3.Emphysematous changes at the lung apices.4.Degenerative changes of the... |
Generate impression based on findings. | Sarcoidosis and lung cancer, please compare CHEST:LUNGS AND PLEURA: Postsurgical changes including right middle and lower lung resections and a persistent right paramediastinal consolidation, mediastinal shift and volume loss. No definite associated effusion and the previously described reticular opacities and traction... | 1. Essentially stable appearing pulmonary appearance with numerous scattered innumerable pulmonary nodules again most consistent with sarcoidosis. The single larger reference left upper lobe lesion however appears mildly improved, yet this possibly and partially may be due to differences in patient positioning 2. Posto... |
Generate impression based on findings. | Male 68 years old Reason: Water density nodule in the prevascular space most compatible with a thymic cyst. History: none. Quit cigs 2007 LUNGS AND PLEURA: Interval decrease in previously described scattered foci of nodular plaque-like pleural thickening.Interval resolution of the small right pleural effusion.Minimal b... | 1. Unchanged water density nodule in the prevascular space likely representing a thymic cyst.2. Interval resolution of the small right pleural effusion and pleural plaques.. |
Generate impression based on findings. | Reason: peritoneal mesothelioma s/p surgery in the past. please evaluate for residual disease and compare with previous scans History: peritoneal mesotheliomas CHEST:LUNGS AND PLEURA: Pulmonary micronodules. No suspicious pulmonary nodules or masses. No pleural nodularity or effusions.MEDIASTINUM AND HILA: No mediastin... | 1.No evidence of recurrent or metastatic disease.2.Spiculated left breast mass. Recommend mammographic correlation.3.Findings text paged to Dr. Jennifer Hull at time of dictation. |
Generate impression based on findings. | Laryngeal cancer, follow-up CHEST:LUNGS AND PLEURA: Mildly shifting and largely improving multiple patchy mixed areas of partial consolidation most improved in the right upper lobe and right lung base. Stable scattered solid micronodules are less unchanged with basilar scarring and atelectasis. Central lobular emphysem... | Interval near complete resolution of the intrapulmonary opacities representing interval treatment of the suspected opportunistic infection. The remaining underlying pulmonary appearance is baseline with atelectasis. Reference measurements are provided. |
Generate impression based on findings. | Reason: pt with lung ca s/p resection in 2011 History: now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Postsurgical changes reflecting right upper lobe segmentectomy. There is a focal consolidation within nodular component that is stable in size 11 mm (series 4 image 25), adja... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 47-year-old male with history of Hodgkin's disease and stem cell transplant CHEST:LUNGS AND PLEURA: Previously described cavitary lesion in the right upper lobe is much smaller and measures 2.8 x 1.1 cm image number 17, series number 6. Surrounding consolidation around this lesion has also significantly resolved.Slight... | Significant interval improvement of the lung lesions. Stable abdominal and pelvic lesions. |
Generate impression based on findings. | Reason: Pulm nodule History: Abnormal CT LUNGS AND PLEURA: Right middle nodules unchanged with reference nodule (image 59 series 4) measuring 8 mm previously measuring 9 mm.Stable basilar predominant minimal fibrosis in the UIP pattern.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy.Mild cardiac enlargeme... | Right middle lobe nodules and mild basilar fibrosis unchanged. |
Generate impression based on findings. | Reason: Check for ARDS History: Check for ARDS LUNGS AND PLEURA: Interval appearance of near complete lower lobe consolidation with atelectasis. Coarse groundglass within the right lower lobe and a component affecting in the lateral segment of the right middle lobe suspicious for edema. Bilateral pleural effusions, mod... | Interval appearance of near complete lower lobe consolidation with atelectasis. This may represent aspiration pneumonia. Coarse groundglass within the right lower lobe and a component affecting in the lateral segment of the right middle lobe suspicious for edema. Bilateral pleural effusions, moderate on the right and s... |
Generate impression based on findings. | Reason: history of lung cancer, new right lung nodule History: None CHEST:LUNGS AND PLEURA: Interval improvement in the right apical pneumothorax, postoperative right upper lobe atelectasis/consolidation, and edema.Right pleural effusion almost completely resolved.Right pleural nodular density (image 59 series 3) small... | 1.Almost complete interval resolution of the right pneumothorax.2.Interval improvement in right paramediastinal atelectasis/consolidation and interstitial edema in the right upper lobe.3.Interval resolution of right pleural effusion . |
Generate impression based on findings. | Clinical question: Assess degree of tracheal narrowing. Signs and symptoms: History of metastatic thyroid cancer or origin mass. The likely received RAI, but not to assess degree of tracheal narrowing first. Nonenhanced neck CT:Partially visualized intracranial content partially demonstrates few of patient's known intr... | 1.There is mild decreased tracheal caliber at the level of thyroid mass which measures at 14.4 in transverse and 20-mm in AP axis. Normal appearing trachea immediately superior to the mass measures at 19.3 in transverse and 22.7 mm in AP axis.2.Interval decreased size of thyroid mass and its left supraclavicular cluste... |
Generate impression based on findings. | 62 year-old female with flank trauma This study is limited due to left of IV contrastABDOMEN:LUNG BASES: Small right-sided pleural effusion and dependent atelectasisLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No ... | Limited study due to lack of IV contrast. No evidence of post traumatic changes. Right nephrolithiasis. Small right pleural effusion with linear atelectasis. |
Generate impression based on findings. | History of esophageal cancer CHEST:LUNGS AND PLEURA: Right upper lobe index nodule measures 1.4 x 0.7 cm in image number 27, series number 5, not significantly changed. Left upper lobe nodule measures 7 by 5-mm image number 59, series number 5, not significantly changed from previous study.Interval increased in the siz... | New bone metastases involving the pelvic bones and L3 vertebral body. Bone scan may be helpful for further evaluation of the bone metastases.Interval increase in the amount of pleural effusion and left retroperitoneal adenopathy. |
Generate impression based on findings. | Mantle cell lymphoma with auto SCT 2005 and recent relapse on maintenance Rituxan. There has been continued interval increase in size of a cluster of enlarged lymph nodes in the left subclavicular region, with the largest measuring approximately 20 x 23 mm, previously 19 x 17 mm. Otherwise, no new pathological lymph no... | 1. Continued interval increase in size of a cluster of enlarged lymph nodes in the left subclavicular region, with the largest measuring approximately 20 x 23 mm, previously 19 x 17 mm. 2. Severe stenosis of the proximal left internal carotid artery. |
Generate impression based on findings. | Reason: Lung cancer in f/u - please compare to previous. Thanks. History: Lung ca CHEST:LUNGS AND PLEURA: Post surgical changes and volume loss in the right lung with evidence of a previous right upper lobectomy.Stable scattered nonspecific micronodules.No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No... | Status post right upper lobectomy. No evidence of recurrence or metastatic disease. Embolized wire fragments unchanged. |
Generate impression based on findings. | Reason: H/o mediastinal fibrosis, PleurX catheter, recurrent effusions, clogged catheter, SOB History: As above LUNGS AND PLEURA: Interval increased size of a left pleural effusion that is now large with associated, near complete atelectasis of the left lower lobe. Aeration is isolated to the superior segment. The left... | 1. A Pleurex catheter remains in place on the right. There is interval decreased loculated posterior pleural fluid collection. The additional loculated fluid collections along the right lateral pleural surface and extending into the major fissure are relatively stable.2. Interval increased size of a left pleural effusi... |
Generate impression based on findings. | 52-year-old female with history of mesothelioma ABDOMEN:LUNG BASES: Chest CT will be dictated separately.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significan... | Interval increase in the size of the ascites and peritoneal nodularity most prominently in the pelvis. |
Generate impression based on findings. | Reason: pt with mesothelioma s/p 4cycles of chemo History: doing well now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Postsurgical changes related to a previous right pleurectomy, decortication, and diaphragmatic patch.Resolution of small right apical pneumothorax. Decreasing ... | 1.Postsurgical changes related to a previous right pleurectomy, decortication, and diaphragmatic patch. 2.No evidence of recurrent or residual disease.3.Resolution of right apical pneumothorax with interval decrease in right pleural effusion |
Generate impression based on findings. | Reason: Pt with HNC need baseline scans prior to starting CRT. please re-eval and compare to prior scans History: as above CHEST:LUNGS AND PLEURA: Subsegmental atelectasis involves the lingula and medial basal segment right lower lobe.There are scattered pulmonary micronodules which are nonspecific. The largest nodule ... | 1. Scattered pulmonary micronodules which are nonspecific. The largest nodule is pleural-based, measuring 4 mm. Given the difference in slice thickness, this pleural-based nodule is stable. 2. No mediastinal or hilar lymphadenopathy. |
Generate impression based on findings. | Follicular NHL status post 4 cycles of chemotherapy. There has been overall interval increase in size of the majority of the diffuse parotid and cervical lymphadenopathy. For example, a level IA lymph node now measures 16 x 20 mm, previously 15 x 17 mm. A right superficial parotid lymph node now measures, 10 x 11 mm, p... | Overall interval increase in size of the majority of the diffuse parotid and cervical lymphadenopathy. |
Generate impression based on findings. | 33 year old man with a variation of Shone's complex (double orifice mitral valve, abnormal aortic valve, aortic coarctation). He is referred to evaluate cardiac anatomy.CPT Code: 75574 Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of valsalva and bifurcates into the left anter... | 1. There are no significant coronary artery stenoses present. 2. The RCA origination is above the sinotubular junction and is anteriorly rotated. 3. The mid LAD forms a myocardial bridge. 4. The aortic valve morphology is complex. One of the leaflets appears to prolapse into the LVOT. Additionally, there is a supraval... |
Generate impression based on findings. | Concern for metastatic disease. There is no evidence of intracranial hemorrhage, mass, or abnormal enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There are postoperative findings related to endoscopic sinus surgery and scattered paranasal si... | No evidence of intracranial metastases. |
Generate impression based on findings. | Mesothelioma, please follow-up LUNGS AND PLEURA: Grossly stable appearance of the right hemithorax including postsurgical changes with associated volume loss and diffuse nodular pleural thickening and loculated effusions. Reference measurements are as follows:1. At the level of the innominate vein (image 25 series 8027... | 1. Essentially stable to mildly improved disease throughout the right hemithorax. Reference measurements provided2. Mild improvement of the nonspecific but possible drug reaction bleeding two an intrapulmonary ground glass abnormality. |
Generate impression based on findings. | Nasal congestion. There is minimal mucosal thickening within the bilateral maxillary and ethmoid sinuses. The frontal and sphenoid sinuses are clear. The nasal cavity is clear and there is minimal nasal septal deviation. The ethmoid roofs are nearly symmetric and intact. The lamina papyracea are also intact. The optic ... | Minimal scattered paranasal sinus mucosal thickening and minimal nasal septal deviation. |
Generate impression based on findings. | 69 year-old female with angiosarcoma and pericardial peritoneal carcinomatosis CHEST:LUNGS AND PLEURA: 7 mm right upper lobe nodule unchanged on image number 50 postures number 5. Other scattered micronodules are also unchanged.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Focal asymmetry in the le... | Interval increase in the size of the transverse mesocolon mass on the right side of the abdomen. |
Generate impression based on findings. | Reason: 61 y/o with left palate adenoid cystic cancer. Compare to last CT \T\ measure 1) LUL nodule, 2) right lobe liver lesion \T\ 3) left parotid tissue nodule History: post 2 cycles of therapy CHEST:LUNGS AND PLEURA: Multiple bilateral metastases, unchanged from previous.Left upper lobe reference nodule (series 4 im... | 1. Stable pulmonary metastases.2. Progressive increased size of hepatic metastases.3. Low-density lesions in both kidneys, the majority have remained stable over several studies and likely represent cysts. The largest in the superior pole and is mildly heterogeneous, measuring 2.2 x 2.8 cm. When compared to the initial... |
Generate impression based on findings. | Reason: gi bleed recent History: blood in stool ABDOMEN:LUNG BASES: Mild bilateral lung base atelectasis. Coarse calcifications of the lung pleura bilaterally. Atherosclerotic calcifications of the coronary arteries.LIVER, BILIARY TRACT: Hypodense lesion in the right lobe of the liver, segment 8, measuring 0.9 x 1.2 cm... | 1.Normal CT enterography.2.Bilateral pleural calcifications. |
Generate impression based on findings. | 17 year-old male. History of empyema, ARDS. Evaluate for changes of empyema. LUNGS AND PLEURA: Decreased sized of previously seen loculated right pleural collection, which now contains multiple pockets of air. In the right lower lung zone, there is a 5.7 x 6.5 cm air-fluid collection (series 3, image 43). This collecti... | 1. Decreased size of right empyema.2. Large air-fluid collection in the right lower lung zone. It is unclear if this collection is within the major fissure or intraparenchymal. Recommend prone chest radiograph to determine if this collection communicates with the pleural space. |
Generate impression based on findings. | 56 yo with HCV cirhrosis please eval for HCC ABDOMEN:LUNG BASES: Basilar scarring/atelectasis. Hiatal hernia.LIVER, BILIARY TRACT: Cirrhotic morphology of the liver. No arterially enhancing lesions. The portal vein is patent. No ascites. Punctate gallstones.SPLEEN: Hypoattenuating lesion in spleen measures 16 mm in cra... | No CT evidence of HCC. |
Generate impression based on findings. | Male; 38 years old. Reason: mesothelioma, s/p 6 doses of immunotherapy. please evaluate for disease and compare with previous scans using the same reference lesions. LUNGS AND PLEURA: Right pleurectomy with an associated diaphragmatic mash and loculated fluid occupying the hemithorax. Nodular pleural thickening is agai... | Stable reference measurements with the one exception of a single solitary right paratracheal lymph node demonstrate mild enlargement. This may be partially artifact in differences in patient positioning and gantry angle. Please see reference measurements providedI personally reviewed the Images and/or procedure with th... |
Generate impression based on findings. | Female 39 years old Reason: s/p OHT with increasing dyspnea LUNGS AND PLEURA: Scattered pulmonary micronodules are unchanged and likely benign in etiology. Partially resolved right basilar atelectasis with scarring. Interval resolution of small pleural effusions.MEDIASTINUM AND HILA: Postsurgical changes consistent wit... | No specific etiology found to account for the patient's shortness of breath with continued improvement in right basilar atelectasis and effusion. |
Generate impression based on findings. | 79-year-old female with history of bladder cancer ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis. Fatty infiltration of the liver.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: ... | No evidence of recurrence or metastatic disease. |
Generate impression based on findings. | Evaluate for metastatic prostate cancer. History of rising PSA. ABDOMEN:LUNG BASES: Scarring at both lung bases as noted previously.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Multiple right adrenal nodules are u... | Slight interval enlargement of abdominal and pelvic lymph nodes. A few sclerotic areas in the vertebral bodies should be correlated with bone scan. |
Generate impression based on findings. | Reason: please evaluate ground-glass opacity in left upper lung lobe History: pre-existing ground-glass opacity in left upper lung lobe LUNGS AND PLEURA: Previously noted groundglass nodule within the left upper lobe has slightly increased in size. It currently measures 17 x 20 mm (series 4 image 80) on the high resolu... | Previously noted groundglass nodule within the left upper lobe has slightly increased in size. It currently measures 17 x 20 mm, previously 13 x 22 mm. This is suspicious for a slow-growing adenocarcinoma.No mediastinal lymphadenopathy. |
Generate impression based on findings. | Male; 73 years old. Reason: mesothelioma, please evaluate disease and compare with previous scans. CHEST:LUNGS AND PLEURA: Reference nodule abutting the ascending aorta is unchanged in size, measuring 2.1 x 1.1 cm (series 3, image 39). The reference nodule abutting the aortic arch is also unchanged, measuring 1.2 x 0.8... | 1.Interval stability of pleural based lesions, pulmonary nodules, and lymphadenopathy with reference measurements given above.2.Interval decrease in size of pleural effusions. |
Generate impression based on findings. | Male 57 years old Reason: head and neck cancer, s/p chemo and RT, now with recurrence disease at left neck. Pls evaluate dz status, try to obtain recent CD for comparison. History: recurrence head and neck cancer CHEST:LUNGS AND PLEURA: Scattered non-specific pulmonary micronodules. Mild centrilobular emphysema greater... | 1. No definite evidence of metastatic disease.2. Focal thickening of the posterior lateral trachea likely representing mucous/debris, serial imaging recommended to confirm benign etiology.2. Heterogeneous renal lesion of uncertain significance, recommend dedicated renal imaging for further evaluation.3. Mild apical pre... |
Generate impression based on findings. | Left parotid acinic cell carcinoma with high grade transformation status post radical parotidectomy and facial nerve reconstruction. There are postoperative findings related to left total parotidectomy with diffuse thickening of the subcutaneous tissues and muscles along the surgical incision plane. No definite discret... | No definite residual tumor in the left parotidectomy bed and no evidence of significant cervical lymphadenopathy. Ill-defined soft tissue within the left stylomastoid foramen adjacent to a surgical clip likely represents post-operative scar tissue and less likely perineural tumor. A dedicated MRI with contrast may neve... |
Generate impression based on findings. | Mesothelioma, please follow up CHEST:LUNGS AND PLEURA: Stable right apical scarring and scattered subpleural nodules more pronounced the left lung base. The reference and largest nodule remains 8 mm (image 86 series 5). Mild basilar atelectasis and/or scarring. No superimposed focal air space opacity or pleural effusio... | Stable postsurgical pleurectomy findings and no associated evidence of recurrent or metastatic disease |
Generate impression based on findings. | Reason: hx idiopathic recurrent pancreatitis, and a 9 cm fluid collection. Evaluate History: abdominal pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: The splenic vein is narrowed but patent.PANCREAS: Encapsulated fluid collection replacing the pa... | Pancreatic pseudocyst replacing the body and tail, unchanged. |
Generate impression based on findings. | Reason: pt with h/o lung ca in 2006 s/o Left lung s/p chemoRt now with right lesions of lung History: needs baseline data prior to initiation of therapy Hilar mass anything else CHEST:LUNGS AND PLEURA: Irregular nodular opacity in the central right upper lobe, adjacent to the hilum at the origin of the anterior segment... | Stable irregular nodular opacity in the central right upper lobe adjacent to the hilum at the origin of the anterior segmental bronchus. There is associated central necrosis. This continues to measure 1.7 x 2.7 cm. Although stable, it remains suspicious for primary lung cancer or metastasis. |
Generate impression based on findings. | Reason: Malignant neoplasm of prostate, bladder cander- lesions on liver seen on OSH scan 6/13/13 11 mm right lobe of the liver - two other smaller lesions also seen History: as above- please evaluate liver for liver lesions- pt has bladder cancer and prostate cancer ABDOMEN:LUNG BASES: ICD leads. Small micronodules in... | 1.Mediastinal lymphadenopathy with possible esophageal mass. Consider upper endoscopy.2.Multiple nonenhancing, hypodense hepatic lesions consistent with metastases. |
Generate impression based on findings. | Male; 72 years old. Reason: pt with mesothelioma and lymphoma off therapy x 6 months History: now needs disease evaluation, compare to previous scans and comment. CHEST:LUNGS AND PLEURA: Postsurgical changes compatible with left pleurectomy and diaphragmatic graft placement are unchanged. Irregular thickening of the pe... | 1.Stable mesothelioma and lymphoma, without change in pleural lesions or lymphadenopathy as detailed above.2.Persistent right upper lobe ground glass nodule is suggestive of indolent primary lung adenocarcinoma. |
Generate impression based on findings. | Reason: s/p lap DS History: abdominal pain/nausea ABDOMEN:LUNG BASES: Motion artifact limits evaluation of the lung bases. Basilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnorma... | Postoperative changes without evidence of complications or findings to account for the patient's symptoms. |
Generate impression based on findings. | Reason: eval for infection, infiltrate History: pre-transplant LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy. Cardiac size is mildly enlarged.Hypoattenuating blood pool compatible with anemia.Moderate coronary artery calcifications.CHEST WALL: Diffuse o... | No significant pulmonary or pleural abnormalities. Hypoattenuating blood pool (anemia ), splenomegaly, and diffuse osseous sclerosis compatible with history of myelofibrosis. |
Generate impression based on findings. | Reason: Evaluate submucosal rectal mass History: rectal mass seen on colonoscopy PELVIS:PROSTATE, SEMINAL VESICLES: Enlarged prostate.BLADDER: No significant abnormality noted.LYMPH NODES: No lymphadenopathy.BOWEL, MESENTERY: No discrete rectal mass. Sigmoid diverticulosis without evidence of diverticulitis.BONES, SOFT... | No lymphadenopathy or evidence of pelvic metastasis. |
Generate impression based on findings. | 50 yr old female with h/o AML, pre-stem cell transplant evaluation. History of cervical cancer with mediastinal metastases. MEDIASTINUM AND HILA: There is a left hilar lesion with internal foci of calcification that extends into the lung, measuring approximately 2.6 x 1.7 cm (series 9, image 52). Normal heart size with... | Peripheral left lower lobe nodule, surrounding clustered nodules and bronchial wall thickening, and central hilar enlargement with calcifications as described above. Imaging findings are most compatible with infection such as histoplasmosis. |
Generate impression based on findings. | Colon cancer CHEST:LUNGS AND PLEURA: Biapical fibrosis. Bilateral small lung nodules. Index nodule in the left lower lobe measures 8 x 8 mm on image number 52, series number 5. Metastatic disease cannot be excluded.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOM... | Limited study due to lack of IV contrast. Bilateral small nodules suspicious for metastatic disease.Ill-defined hypodense lesion replacing most of the left lobe of the liver. MR of the liver is recommended for further evaluation.Indeterminate small hypodense kidney lesions of uncertain etiology and significance. Lack o... |
Generate impression based on findings. | Reason: mesothelioma, s/p 6 doses of immunotherapy. please evaluate for disease and compare with previous scans using the same reference lesions. History: mesothelioma ABDOMEN:LUNG BASES: Please refer to the separately reported CT of the chest. Enlargement of cardiophrenic lymph nodes as noted.LIVER, BILIARY TRACT: No ... | 1.Slight overall increase in size and confluence of retroperitoneal and pelvic lymphadenopathy.2.Relatively stable peritoneal nodularity consistent with carcinomatosis.3.Increase in pelvic and abdominal ascites.4.Please refer to the same day separately dictated CT chest. |
Generate impression based on findings. | Reason: Pt states she was told she has clogged arteries in her neck, incidental finding picked up on CT scan at Roseland Hospital and was sent here for evaluation, however CT does not upload. She also has neck pain, 30 lb weight loss and h/o stroke. History: Pt states she was told she has clogged arteries in her neck, ... | 1. Subsegmental atelectasis involving the lingula and posterior basal segments of lower lobes. 2. Normal size of the thoracic aorta.3. 10 mm left adrenal nodule which may represent an adenoma. If clinically appropriate, further characterization with in-and-opposed phase MRI may be obtained. |
Generate impression based on findings. | 77-year-old female with history of adrenal hemorrhage ABDOMEN:LUNG BASES: Small left-sided pleural effusion.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: There is a 6.9 x 6.5 cm hypodense lesion involving the left ... | Right adrenal lesion with peripheral calcifications. This lesion cannot be optimally characterized due to lack of IV contrast. This lesion may represent hemorrhage versus an adrenal mass. MRI of the adrenal gland may be helpful for further characterization.Pelvic mass suspicious for ovarian neoplasm. Further evaluation... |
Generate impression based on findings. | Clinical question: 47-year-old male with history of ischemic stroke, need for anticoagulation. Please evaluate for any hemorrhage. Signs and symptoms: As above. Nonenhanced head CT:Examination today demonstrated a large subacute right MCA territory ischemic stroke in the right frontal lobe, right basal ganglia and righ... | Stable large right MCA territory subacute ischemic stroke in size, extent and overall associated mass-effect and 5-mm leftward midline shift. No evidence of hemorrhagic conversion. |
Generate impression based on findings. | Clinical question: 50-year-old female with history of AML, pre stem cell transplant evaluation. Signs and symptoms: As above. Maxillofacial CT:Frontal sinuses.No evidence of disease.Ethmoid sinuses.Minimal left to right sinus disease and unremarkable otherwise.Sphenoid sinus.No evidence of disease and patent sphenoethm... | 1.Acute on chronic left maxillary sinus disease with compromised left ostiomeatal unit.2.Minimal left anterior ethmoid air cell opacification.3.Unremarkable other paranasal sinuses.4.Nasal septum deviation to the right and a small soft tissue density in the right nasal passage may represent a small polyp and/or mucosal... |
Generate impression based on findings. | Male 52 years old Reason: lung ca screen in pt w +++ smoking hx - quit 5 y ago History: chronic phlegm (no change) LUNGS AND PLEURA: 6-mm right fissural nodule appears unchanged in size since the 2009 examination consistent with an intrapulmonary lymph node. MEDIASTINUM AND HILA: No evidence of mediastinal or hilar lym... | No evidence of suspicious pulmonary nodules. |
Generate impression based on findings. | Female 60 years old Reason: s/p gastropexy 9/22/2013 r/o PE History: dyspnea, fatigue, cough PULMONARY ARTERIES: There is no evidence of pulmonary embolism and the main pulmonary artery is normal caliber. Streak artifact from contrast in the SVC somewhat limits the evaluation of a right superior segment pulmonary arter... | 1. No evidence of pulmonary embolism.2. New elevation of left hemidiaphragm.3. Resolution of previous gastrocutaneous fistula. |
Generate impression based on findings. | Hearing loss. On the right, there is soft tissue attenuation material within the external auditory canal, which may represent cerumen. Otherwise, the external auditory canal is patent. The ossicular chain is intact without evidence of bony fixation. Lucency within the head of the incus represents a normal marrow varian... | 1. No evidence of incomplete partition, cochlear fossette narrowing, cholesteatoma, or ossicular fixation. Nevertheless, a dedicated temporal bone MRI may be useful for further interrogation if the patient exhibits sensorineural hearing loss.2. The bilateral temporal horns of the lateral ventricles are enlarged. A brai... |
Generate impression based on findings. | Status post robotic pyeloplasty 9/13 with postoperative ileus, now with diarrhea, coffee ground emesis, leukocytosis, flank pain, hematuria, evaluate for urinary leakage, intra-abdominal fluid collection, GI pathology ABDOMEN:LUNG BASES: No consolidation or pleural effusion is seen the lung bases.LIVER, BILIARY TRACT: ... | Urine leak from the left renal pelvis into the peritoneum. Urine ascites. |
Generate impression based on findings. | Clinical question: Cerebellar pathology. Signs and symptoms: Tremor Nonenhanced head CT:Examination through posterior fossa demonstrate normal density and morphology of cerebellar hemispheres, vermis as well as normal appearing midline position of the fourth ventricle. The CSF spaces remain widely patent and unremarkab... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Evaluate for intracranial hemorrhage or fracture. Signs and symptoms: Head injury due to fall. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial findings.There is no detectable posttraumatic calvarial findings.There is evidence of a left-sided supra-orbital soft tissue thick... | 1.No acute intracranial findings.2.Small left supraorbital scalp small laceration and soft tissue swelling.3.Stable exam since prior head CT from 9 -- 18 -- 2013 otherwise. |
Generate impression based on findings. | Clinical question: Intracranial hemorrhage. Signs and symptoms: Head contusion. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial or calvarial findings.There is evidence of a large left parietal scalp laceration with underlying hemorrhage and edema.Unremarkable cerebral cortex, cortical sulci,... | 1.No acute posttraumatic intracranial or calvarial findings.2.Left parietal scalp laceration underlying hemorrhage. |
Generate impression based on findings. | 66 year old female with carcinomatosis suggestive of GYN cancer, status post neoadjuvant chemotherapy CHEST:LUNGS AND PLEURA: Moderate centrilobular and paraseptal emphysema. Scattered nonspecific micronodules. No suspicious pulmonary mass is seen.MEDIASTINUM AND HILA: Subcentimeter mediastinal lymph nodes. No mediasti... | 1. Peritoneal thickening and nodularity suggestive of pneumatosis, which appears stable compared to the prior exam2. Unchanged pancreatic head mass, which may represent malignancy or less likely an IPMN.3. Emphysema, without evidence of pulmonary metastatic disease.4. Thyromegaly with bilateral nodules. |
Generate impression based on findings. | 67 year old male. Reason: AFP 1900, eval for HCC History: cirrhosis, s/p TIPS ABDOMEN:LUNG BASES: Small left pleural effusion.LIVER, BILIARY TRACT: Cirrhotic morphology of the liver. No arterially enhancing lesions. TIPS in place and patent. Hepatic vasculature is patent. No biliary ductal dilatation. No ascites.SPLEEN... | Cirrhosis without CT evidence of HCC. |
Generate impression based on findings. | Female; 37 years old. Reason: PE? History: SOB, tachycardia. PULMONARY ARTERIES: No evidence of pulmonary embolism.LUNGS AND PLEURA: Minimal basilar scarring/atelectasis. No focal air space opacity, pleural effusion, or pneumothorax. No suspicious pulmonary nodules or masses. MEDIASTINUM AND HILA: Normal heart size wit... | No evidence of pulmonary embolism or other acute cardiopulmonary abnormality. |
Generate impression based on findings. | Hypo-osmolality and hyponatremia. Abnormal chest radiograph. LUNGS AND PLEURA: Scattered benign appearing punctate micronodules.The lungs are otherwise unremarkable.MEDIASTINUM AND HILA: There is no evidence of mediastinal or hilar lymphadenopathy.Aortic root and coronary calcifications are mild.CHEST WALL: Degenerativ... | No significant abnormality. Specifically, no abnormality to account for the chest x-ray finding. |
Generate impression based on findings. | 76 year old female. Reason: eval TEVAR repair. History: hx of saccular aneurysm of distal aortic arch CHEST:LUNGS AND PLEURA: Basilar subsegmental atelectasis and consolidation.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. Coronary artery calcifications.VASCULATURE: Stent graft in the aortic arch... | 1.Status post TEVAR with persistent aortic arch saccular aneurysm. No evidence of endoleak. 2.Right groin postoperative fluid collection. |
Generate impression based on findings. | Reason: 55 M with significant hypoxia History: hypoxia PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolism.Large main pulmonary artery, 38 mm, consistent with pulmonary arterial hypertension.No reliable evidence of right heart strain, however.LUNGS AND PLEURA: Severe centrilobular pred... | 1. No evidence of pulmonary embolism.2. Pulmonary arterial hypertension.3. Basilar opacities consistent with infection or aspiration; prominent hilar lymphoid tissue could be related to this, reactive. |
Generate impression based on findings. | 84 year-old female with upper abdominal pain, predominantly epigastric and right upper quadrant. The pain is worse with meals associated with weight loss and a Sister Mary Joseph periumbilical nodule in ABDOMEN:LUNG BASES: 0.6-cm right lower lobe pulmonary nodule. Scattered nonspecific micronodules. No pleural effusion... | 1.2 cm ill-defined pancreatic mass with extensive ductal dilatation and pancreatic atrophy, suspicious for pancreatic adenocarcinoma. There are findings of extensive metastatic disease, including omental carcinomatosis and adrenal and pulmonary nodules. |
Generate impression based on findings. | 63 year old female. Reason: infection? History: hemodynamic concerning for infxn CHEST:LUNGS AND PLEURA: Endotracheal tube terminates above the carina. Anterior bowing of the posterior tracheal wall reflects expiration. Low lung volumes with basilar atelectasis. Mixed density right pleural effusion, which may reflect b... | 1.Loculated substernal fluid collection consistent with abscess.2.Bilateral pleural effusions, partially loculated on the right and likely containing blood products.3.Postsurgical changes s/p aortic valve replacement.4.Cirrhotic morphology of the liver with abdominal / pelvic ascites. |
Generate impression based on findings. | Female 46 years old; Reason: eval for abcess, fluid collection History: ABD pain CHEST:LUNGS: Bilateral lower lobe consolidation and moderate right pleural effusion. Heart size is enlarged. Trace pericardial effusion. Sternotomy wires. Tracheostomy tube is in the expected position. MEDIASTINUM: Cardiomegaly with bilate... | 1.Moderate abdominal / pelvic ascites. No definite hematoma.2.Right pleural effusion. Bilateral lower lobe consolidation.3.Other findings are stable since 9/23/2013. |
Generate impression based on findings. | Clinical question: Metastatic basal cell cancer. On chemotherapy now. New onset of gait and balance. Evaluate for possible CNS metastases. Signs and symptoms: New onset of gait imbalance. Enhanced head CT:Examination demonstrate no detectable abnormal parenchymal or leptomeningeal enhancement to suggest metastatic dise... | Unremarkable enhanced head CT. Please see above comments. |
Generate impression based on findings. | 34 year old F with a history of ALL with newly found CNS relapse. Patient had a CT of the chest which showed nodule and lymphadenopathy. Will go for biopsy per pulmonary on 10/7, will need CT with SuperD protocol prior to bronch with biopsy History: AMS, fatigue, ALL with CNS relapse, pulmonary nodules. LUNGS AND PLEUR... | Mild interval improvement in numerous subpleural and bronchovascular pulmonary nodules, compatible with resolving atypical infection from fungal or viral agents. However, if the patient has not been treated, differential considerations can also include pulmonary lymphoma or leukemic deposits. |
Generate impression based on findings. | 48 year old male. Reason: Evaluate for peri-rectal or peri-anal abscess History: Hx of Crohn's Disease, s/p surgical drainage of perianal abscess 6 weeks ago now with recurrent symptoms. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abno... | Superficial abscess at the left medial buttock is associated with a fistulous tract that extends to the anus. Multiple smaller perianal fistulae and collections are present, with a midline drain tube at the anus extending through the buttock crease. |
Generate impression based on findings. | 45-year-old male. Reason: metastatic penile ca w/ inguinal mass/LAD, renal failure. Reassess masses and need for R inguinal drain, rule out hydrophrosis History: metastatic penile ca w/ inguinal mass/LAD, renal failure. Reassess masses and need for R inguinal drain, rule out hydronephrosis ABDOMEN:LUNG BASES: No signif... | 1. Hepatosplenomegaly. Right pelvic kidney with decreased hydroureteronephrosis. Herniation of the right ureter into a fat-containing right inguinal hernia.2. Right ureteral stent with proximal end in the inguinal portion of the mid-ureter and terminating in the bladder. No kinking or discontinuity of the stent. This i... |
Generate impression based on findings. | 48 year old male. Reason: retracted ostomy, check for free air History: metastatic renal cell carcinoma, status post left nephrectomy. ABDOMEN:LUNG BASES: Moderate bilateral pleural effusions with bilateral lower lobe atelectasis has increased since the prior exam. Small amount of coronary artery calcification.LIVER, B... | Interval removal of left lower quadrant metastatic mesenteric mass. Increased pleural effusions, especially on the left. Minimal free air. No bowel obstruction. Other findings appear stable since 9/21/2013. |
Generate impression based on findings. | 55 year old male. Reason: 55 y.o.male found down, abdominal tenderness. History: abdominal tenderness ABDOMEN:LUNG BASES: Chest PE CT scan was done. Please refer to that report for details. Small bilateral effusions. Right lower lobe consolidation. Coronary artery calcifications. Orogastric tube tip is in expected posi... | Moderate ascites. Anasarca. No bowel obstruction or free air. No acute abnormality to explain abdominal tenderness. Right lower lobe consolidation and volume loss. Bilateral pleural effusions. |
Generate impression based on findings. | Female 63 years old Reason: Head and neck cancer. Screening evaluation. History: as above CHEST:LUNGS AND PLEURA: Right middle lobe cavitary nodule now measures 21 x 24 mm (image 33, series 4), previously measuring 29 x 20 mm. The internal cavity has increased in size.The right upper lobe ground groundglass opacity are... | 1. right middle lobe nodule demonstrates increased cavitation from the prior exam.2. Right upper lobe mixed groundglass/solid lesion unchanged but may represent and may represent an indolent minimally invasive adenocarcinoma.3. Significant interval enlargement of the peripancreatic and paracolic gutter soft tissue mass... |
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