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Generate impression based on findings. | 25 year old female with pelvic mass and pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnor... | Pelvic mass is most likely due to myomatous uterus. |
Generate impression based on findings. | 30 year old female. Reason: assess for appy vs fluid collection History: lower abd pain; s/p tubal ligation 3 wks ago and PID ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENA... | No appendicitis. Diffuse bowel wall thickening in the pelvis is most likely due to local peritonitis. No definite abscess or free air. Left adnexal cyst has adjacent inflammatory changes that are probably due to PID. Transvaginal ultrasound examination may be helpful for further evaluation of this region. |
Generate impression based on findings. | 74 year old female. Reason: Staging update for head and neck cancer History: Head and Neck Cancer CHEST:LUNGS AND PLEURA: Right and left upper lobe cystic lesions represent sites of now treated metastases, unchanged. No new suspicious pulmonary nodules or masses. Basilar atelectasis.MEDIASTINUM AND HILA: No lymphadenop... | 1.Decreasing left neck subcutaneous nodule, no longer discretely measurable.2.Otherwise, stable exam. |
Generate impression based on findings. | 47-year-old male with renal cell carcinoma, and multiple surgical complications. Reason: eval for changes in abdominal infection, and for progression of malignancy. History: metastatic RCC with recurrent abdominal infections. CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary nodules within the lower lobes and lingul... | 1. Stable inflammatory changes without discernible fluid collection along the left lateral pericolic gutter compatible with post-op changes. 2. Status post left nephrectomy with surgical drain in left retroperitoneum, with no significant residual fluid about drain. |
Generate impression based on findings. | Reason: Staging update for head and neck cancer History: Head and neck cancer LUNGS AND PLEURA: Residual thin walled cyst at the site of a previous right upper lobe reference nodule.A previously referenced left upper lobe nodule has also resolved with a residual thin walled cyst.New very small bilateral pleural effusio... | 1. Resolution of subcutaneous and pulmonary metastases with residual thin-walled pulmonary cysts. 2. Very small pleural effusions of uncertain etiology. |
Generate impression based on findings. | 28 year old male. Reason: eval liver flow, r/o abscess RLQ History: RLQ spasms, s/p liver transplant x2 ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Status post liver transplant. Scattered hepatic hypodensities are too small to further characterize, likely benign. The portal vein and hepat... | No acute intra-abdominal abnormality. |
Generate impression based on findings. | Female 66 years old Reason: Re-eval LUL pneumonia History: Cough/SOB LUNGS AND PLEURA: Left upper lobe solid mass/consolidation with air bronchograms has significantly decreased in size as seen on coronal image 44 when compared to the prior exam. Now measures 33 x 16 mm (image 19, series 4), previously measuring 38 x 2... | 1. Decrease in size of the left upper lobe mass/consolidation compatible with infectious/inflammatory etiology.2. Large hypodense thyroid nodule unchanged. |
Generate impression based on findings. | Reason: please eval perihilar opacity seen on cxr History: pihilar opacity LUNGS AND PLEURA: Motion somewhat limits sensitivity.Bilateral pleural effusions and left lower lobe dense consolidation/atelectasis compatible with infection, infarction, or possibly neoplasia.Bilateral apical pleural thickening.Mild upper lobe... | 1.Bilateral pleural effusions.2.Dense consolidation in the left and suggestive of infarction or infection.3.Evidence of submucosal edema within the stomach and visualized upper abdominal bowel with a small amount of ascites.. |
Generate impression based on findings. | Pancreatic neuroendocrine tumor CHEST:LUNGS AND PLEURA: Stable nonspecific right upper lobe pulmonary micronodules. No new pulmonary nodules or masses. Minimal bibasilar subsegmental atelectasis. No pleural effusions.MEDIASTINUM AND HILA: Subcentimeter mediastinal lymph nodes. No mediastinal or hilar lymphadenopathy. N... | Slight changes in the extensive metastatic disease, as described above. |
Generate impression based on findings. | Clinical question: Subdural hematoma. Signs and symptoms: Subdural hematoma. Nonenhanced head CT:Images through posterior fossa demonstrate mild ectopia of cerebellar tonsils unchanged since prior exam and unremarkable otherwise. There is revisualization of a mixed density left hemispheric subdural. Multiple measuremen... | 1.No convincing evidence of change in size or any new hemorrhage in bilateral hemispheric (left greater than right) mixed density subdural since prior exam. Stable overall mass effect and trace rightward midline shift since prior exam.2.No evidence of change in the normal size of ventricular system, evidence of parench... |
Generate impression based on findings. | 83 year old female. Reason: eval for response History: urothelial cancer, on chemotherapy CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Coronary artery calcifications.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No signif... | Status post left nephrectomy with a mass at the left periaortic region that has decreased in size since the outside examination of 7/9/2013. Enlarged left periaortic lymph node. No other definite evidence of local recurrence, residual disease or metastases. |
Generate impression based on findings. | Reason: s/p 8 mo after RLL for management of T1aN0 Stage IA adenocarcinoma History: f/u CHEST:LUNGS AND PLEURA: Interval resolution of right pneumothorax and decrease in right pleural effusion with residual postsurgical scarring. 7-mm left lower lobe nodule with an adjacent small cyst, unchanged since 12/3/2012 except ... | 1. Resolving postsurgical abnormalities in the right hemithorax.2. Very small nodule in the left lower lobe with suspicious morphology, for which follow-up is recommended in approximately 9 months time. |
Generate impression based on findings. | Male, 26 years old, history of chordoma status post surgery. Evaluate extent of tumor. Redemonstrated is the patient's known partially resected clival/nasopharyngeal tumor. As on the prior MRI, extensive invasion of the clivus is seen as well as invasion of the spinal canal at the level of the foramen magnum. The odont... | 1. Limited evaluation with regards to comparison for interval change as the prior examination, and the only postsurgical examination available, is an MRI. Within this limitation, it does appear that the bulky residual clival/nasopharyngeal tumor has increased in size with measurements as above.2. There is at least one ... |
Generate impression based on findings. | 73 year old male. Reason: r/o stone, infection History: flank pain Lack of IV contrast limits evaluation of lymph nodes and solid organ pathology.ABDOMEN:LUNG BASES: Medial basilar opacity in the left lower lobe suggests aspiration/infection. Small left pleural effusion. Basilar atelectasis/scarring.LIVER, BILIARY TRAC... | 1.9 mm stone in the proximal left ureter with upstream hydronephrosis. Additional bilateral stones in the renal pelvis.2.Left medial basilar opacity suggests aspiration/infection. Debris is present within the gastric pull up. |
Generate impression based on findings. | Reason: h/o palate cancer History: r/o chest mets LUNGS AND PLEURA: No evidence of pulmonary or pleural metastases.Basilar predominant ground glass opacities are consistent with aspiration.Linear scarring is present bilaterally.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.A very small pericardial fluid... | 1. No sign of metastases.2. Basilar opacities suggestive of aspiration. |
Generate impression based on findings. | Female; 46 years old. Reason: metastatic thyroid ca, on therapy, eval for disease progression with measurements. CHEST:LUNGS AND PLEURA: Right lower lobe reference nodule is unchanged and measures 12 x 8 mm (series 5, image 55). Numerous other nodular metastases are present but are grossly unchanged. No focal air space... | Interval decrease in size of right adrenal nodule but otherwise stable disease. No new sites of disease identified. |
Generate impression based on findings. | 75-year-old male with pancreatic neuroendocrine tumor status post resection CHEST:LUNGS AND PLEURA: Small right pleural effusion, slightly increased. Atelectasis/scarring at the right lung base. No suspicious nodules or masses are seen.MEDIASTINUM AND HILA: Subcentimeter mediastinal lymph nodes. No mediastinal or hilar... | 1. No new sites of disease evident2. Expected maturation of the left upper abdominal omental fat necrosis3. Slightly enlarged right pleural effusion |
Generate impression based on findings. | Metastatic renal cell carcinoma CHEST:LUNGS AND PLEURA: Stable micronodulesMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Slight interval increase in size of several of the previous noted bilobar liver metastatic lesions. The reference seg... | Slight interval increase in size of several bilobar hepatic metastatic lesions as well as slight interval increase in size of reference metastatic right external iliac lymph node. |
Generate impression based on findings. | 57 year old female. Reason: To restage for carcinoid tumor History: Diarrhea, status post surgery for midgut carcinoid syndrome. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: New arterially enhancing lesion in segment IVa measures 1.7 x 1.5 cm (series 7, image 27).SPLEEN: No significant abn... | 1.Arterially enhancing segment IVa hepatic lesion suspicious for metastatic disease. 2.Postsurgical changes in the abdomen with residual mesenteric stranding and slight nodularity. Residual or recurrent disease can not be excluded. |
Generate impression based on findings. | Male; 59 years old. Reason: PE status History: sob, hx PE/DVT. Mild motion artifact limits diagnostic sensitivity. PULMONARY ARTERIES: No evidence of pulmonary embolism.LUNGS AND PLEURA: There appears to be congenital asymmetry of the chest, with less volume in the left lung and resultant cardiac rotation. These findin... | 1.No evidence of pulmonary embolism.2.Stable chest asymmetry with cardiac rotation as described above. |
Generate impression based on findings. | 51 year old female. Reason: anal cancer restaging History: anal cancer restaging CHEST:LUNGS AND PLEURA: Interval decrease in size of right lower lobe pulmonary nodules. Reference right lower lobe pulmonary nodule measures 0.5 x 0.7 cm (series 5, image 44), previously 1.2 x 1.0 cm. Additional reference nodule measures ... | 1.Decreasing reference pulmonary nodules. 2.No new sites of disease. |
Generate impression based on findings. | Clinical question: Subdural hematoma expansion. Signs and symptoms: Headache. Nonenhanced head CT:There is revisualization of a mixed density large left hemispheric subdural hematoma. There is no convincing evidence of any further hemorrhage within the subdural or increased size/extent. Multiple measurements of subdura... | Stable bilateral hemispheric (left greater than right) mixed density subdural hematomas and associated mass effect and trace rightward midline shift. |
Generate impression based on findings. | 63-year-old male. Reason: Stage IV colon cancer. Please compare to previous scan and provide index lesion measurements for RECIST CHEST:LUNGS AND PLEURA: Right upper lobe index subpleural nodule measures 0.9 x 0.5 cm (4/60).Left lower lobe index lesion measures 0.9 x 0.6 cm (4/74), unchanged. Additional micronodules ar... | Stable examination. |
Generate impression based on findings. | 67 year old male. Reason: evaluate for interval development of fistula and intraperitoneal fluid collection, seen on previous CT. History: enterocutaneous fistula ABDOMEN:LUNG BASES: Basilar atelectasis/scarring.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Accessory splenule.PANCREAS: No significant a... | Decreasing loculated anterior abdominal fluid collection without evidence of enterocutaneous fistulization. |
Generate impression based on findings. | Patient with long-standing history of celiac disease and abdominal pain with nausea and vomiting. Decreased celiac artery flow on ultrasound. Evaluate for median arcuate ligament syndrome ABDOMEN: LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.ADRENAL GLANDS: No signific... | Narrowing at the origin of the celiac artery with poststenotic dilatation, suspicious for median arcuate ligament syndrome. |
Generate impression based on findings. | Male 57 years old Reason: copd History: sob LUNGS AND PLEURA: 6-mm solid nodule adjacent to the right major fissure (image 226, series 4) with associated small cyst measuring 11 mm in combined size, unchanged when compared to 4/12/2013 exam. This is likely an intrapulmonary lymph node and associated emphysema, but 12-1... | 1. 6-mm solid nodule and associated small cyst unchanged. Recommend continued CT surveillance in 12 to18 months.2. Moderate centrilobular emphysema. |
Generate impression based on findings. | 81 year old male. Reason: pt with history of renal cell cancer and prostate cancer, please assess for disease progression History: RCC and Prostate cancer. CHEST:LUNGS AND PLEURA: Scattered calcified granulomata in the right lung base. Right lower lobe micronodules are unchanged. The pleural space are clear. No suspici... | 1.No significant change in the size of the left renal bed mass, but details are obscured by surgical clips.2.Wall thickening at the gastric fundus is stable.3.Multinodular goiter.4.No new lesions. |
Generate impression based on findings. | Clinical question: AMS. Signs and symptoms: Obtunded. Nonenhanced head CT:Examination redemonstrates a small amount of hemorrhage in the interpeduncular cistern with no interval change since prior exam. Minimal left perimesencephalic hemorrhage seen on prior exam is not identified on the current study.Subarachnoid hemo... | 1.No convincing evidence of any increased or new hemorrhage since prior exam.2.Slight interval decreased subarachnoid blood in the left perimesencephalic cistern since prior study.3.Stable right sylvian fissure subarachnoid hemorrhage and including subarachnoid clot on the right and minimal extra-axial blood in the lef... |
Generate impression based on findings. | 64 year old male. Reason: GIB History: anemia ABDOMEN:LUNG BASES: Bilateral pleural effusions with overlying compressive atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Calcified splenic granuloma.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDN... | No evident source of GI bleed. |
Generate impression based on findings. | Clinical question: Rule out space occupying lesion or other intracranial process. Signs and symptoms: Daily headache,? Toxoplasmosis in chart. Nonenhanced head CT:Examination is unremarkable. There is normal appearing cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter differentiati... | Unremarkable unenhanced head CT. |
Generate impression based on findings. | Reason: recurrent larynx cancer History: r/o lung mets LUNGS AND PLEURA: Interval improvement in the right upper lobe branching and nodular opacities (image 34, series 4 ) compatible with aspiration and/or mucoid impaction.Scattered stable nonspecific micronodules.No new suspicious pulmonary nodules or masses.MEDIASTIN... | 1.Interval resection of the metastatic lymph node right supraclavicular region. Residual soft tissue and fluid compatible with seroma/hematoma and postsurgical changes. See dedicated head and neck CT.2.There is a decrease in size of mildly prominent mediastinal lymph nodes.3.Interval improvement in the branching and no... |
Generate impression based on findings. | Female 77 years old Reason: ? adrenal hemorrhage History: found on prior non contrast imaging ABDOMEN:LUNG BASES: Small left pleural effusion persists.Thoracoabdominal aortic aneurysm unchanged. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnorm... | Stable left adrenal lesion suspicious for hemorrhage. Pelvic lesions suspicious for adnexal masses should be evaluated further with pelvic ultrasound or MR. In size and appearance of unchanged the current study of the benefit of intravenous contrast. Stable aortic aneurysm and other findings as above. Findings discusse... |
Generate impression based on findings. | Reason: Pt with hx of NPH s/p CRT 9/2012. Please reeval for recurrence History: as above LUNGS AND PLEURA: Scattered micronodules, some subpleural, unchanged and still likely benign.Subsegmental atelectasis or scarring in the superior segment of the right lower lobe may be from mucous plugging, unchanged. Moderate bron... | No evidence of metastases. |
Generate impression based on findings. | Male 65 years old Reason: Eval for cause of LUQ pain, drop in Hgb, Elevated Bili. Eval lungs for resolution of ground glass opacities History: See above CHEST:LUNGS AND PLEURA: Moderately large left pleural effusion is unchanged underlying atelectasis redemonstrated. Moderate-sized right pleural effusion increased in s... | Persistent and increasing sized pleural effusions, marked generalized ascites and marked anasarca. Areas of groundglass opacity changing some resolving with some mild no areas. Again an infectious or inflammatory process cannot be excluded. Redemonstration of other findings including cirrhotic morphology liver. |
Generate impression based on findings. | 64-year-old male with history of CLL. Reason: CLL on IRB 12-2149 for evaluation. CHEST:LUNGS AND PLEURA: Diffuse, bilateral miliary pattern is unchanged from previous study.MEDIASTINUM AND HILA: Stable enlarged mediastinal lymph nodes. CHEST WALL: Index left axillary lymph node is stable measuring 1.5 x 1 cm on image 2... | Stable size of the axillary, mediastinal, retroperitoneal and pelvic adenopathy.Bilateral centrilobular micronodules are unchanged in the lungs.Splenomegaly, unchanged. |
Generate impression based on findings. | 78 year old female. Reason: 78 y.o with new breast cancer; lesion is ulcerated, and had been present > 4 years, need to assess for distant disease. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Coronary artery calcification. Enlarged nodular thyroid. CHEST WALL: Large right breast mass ... | Large right breast mass. No measurable metastases. |
Generate impression based on findings. | Female 76 years old Reason: eval for malignancy, lymphadenopathy History: weight loss.Additional history from pathology report of 10/26/07 indicates history of Crohn's disease. Exam is not sensitive for detecting lesions in the solid organs of vasculature due to the lack of intravenous contrast. Given that limitation, ... | No CT findings to suggest underlying malignancy. No pathologic sized lymph nodes |
Generate impression based on findings. | Female 33 years old; Reason: H/o Burkitt's lymphoma please restage History: resolved adenopathy CHEST:LUNGS AND PLEURA: No dominant lung lesion. Mild emphysema. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediastinal lymphadenopathy.CHEST WALL: No axillary lympha... | 1.Stable exam without evident lymphadenopathy in the chest, abdomen or pelvis.2.Right inguinal node is not significantly changed.3.Cholelithiasis. |
Generate impression based on findings. | Reason: newly dx with lung ca no therapy so far h/o laryngeal ca in past History: doing well needs baseline date prior to initiation of therapy CHEST:LUNGS AND PLEURA: Upper lung predominant centrilobular emphysema, unchanged.Mass in the posterior segment of the right upper lobe (previously reported as right middle lob... | Right upper lobe nodule, most compatible with a primary adenocarcinoma, without significant change. |
Generate impression based on findings. | Male 64 years old Reason: restaging scans s/p 8 weeks of investigational immunotherapy; please compare to previous scans History: hx of head and neck cancer LUNGS AND PLEURA: Left perihilar mass now measures 45 x 32 mm (image 70, series 3), previously measuring 42 x 30 mm. The mass occludes the superior left lower lobe... | 1. Stable left hilar mass with associated increased postobstructive atelectasis and possibly infection. 2. Stable pulmonary nodules, subcarinal lymphadenopathy and pleural nodules.3. Increased lytic/sclerotic lesions in the T3 and T12 suspicious for metastases.4. New left axillary lymphadenopathy suspicious for metasta... |
Generate impression based on findings. | Male; 68 years old. Reason: 67 y/o with SCC of the L thumb with axillary LN s/p adjuvant RT. Please evaluate for metastatic disease. CHEST:LUNGS AND PLEURA: Focal pleural thickening is again noted laterally in the left upper lobe, and is slightly less prominent than on prior CT. No suspicious pulmonary nodules or masse... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 70 year old female. Reason: History AAA with EVAR, Type B aortic dissection History: AAA with EVAR, Type B aortic dissection The phase of contrast is optimized for evaluation of the arterial system. Evaluation of solid organ pathology is limited.CHEST:LUNGS AND PLEURA: Calcified left upper lobe nodule, likely benign.ME... | 1.Type B dissection extending from the mid descending thoracic aorta to the superior margin of the abdominal aortic stent graft with progressive thrombosis of the false lumen.2.Infrarenal abdominal aortic aneurysm with stent graft, slightly smaller compared to previous.3.Patent branch vessels of the abdominal aorta. |
Generate impression based on findings. | 76 year-old female with metastatic pleomorphic sarcoma of right elbow with thoracic cord compression, status post resection CHEST:LUNGS AND PLEURA: Moderate centrilobular emphysema. The right upper lobe nodular opacity measures 1.7 x 1.5 cm (series 5, image 16), previously 0.7 cm. Although this may be exaggerated by in... | 1. Increased size of the right upper lobe nodular opacity, new indeterminate right upper lobe nodule, and enlarged left pleural effusion. These findings are suspicious for disease progression in the thorax. 2. Pathological compression fracture of T11, as seen on the prior MR. 3. Overall stable size of the pleural thick... |
Generate impression based on findings. | Female, 72 years old, status post fall. Evaluate for subdurals. Image quality is degraded by motion and streak artifact. Within this limitation, the following observations are made.Periventricular hypodensities are likely present, a nonspecific finding which typically reflects age indeterminate small vessel ischemic di... | Significantly limited examination secondary to motion and streak artifact. As such, the presence of small subdural or subarachnoid collections cannot be excluded. No large parenchymal hematoma or large extra-axial fluid collections are seen. |
Generate impression based on findings. | Clinical question: Frequent sinusitis treated medically without resolution. Signs and symptoms: As a ball. Medtronic fusion sinus CT:Frontal sinuses extensive opacification of bilateral frontal sinuses (right greater than left).Ethmoid sinuses.Near complete opacification of right ethmoid air cells and extensively of th... | Acute on chronic pansinusitis with occluded bilateral ostiomeatal units and sphenoethmoidal recess. |
Generate impression based on findings. | Female; 65 years old. Reason: metastatic head and neck cancer, on therapy, evaluate for disease progression with measurements. CHEST:LUNGS AND PLEURA: Large left pleural fluid collection and associated compressive atelectasis have resolved. Irregular left lower lobe mass with internal necrosis is now more easily visual... | 1.Interval resolution of left pleural fluid collection and compressive atelectasis, with left lower lobe mass presumably representing metastasis as described above.2.Interval improvement in pleural based lesions and lymphadenopathy. |
Generate impression based on findings. | Clinical question: Rule out chronic sinusitis. Signs and symptoms: Facial pain/numbness; history of chronic sinusitis requiring multiple courses of antibiotics. Medtronic fusion sinus CT:Frontal sinuses.Small bilateral frontal sinuses without evidence of sinusitis.Ethmoid sinuses.No evidence of disease and with interva... | 1.Evidence of acute sinusitis in the left chamber of sphenoid sinus however with patent sphenoethmoidal recess.2.Interval improvement of previously noted chronic sinusitis since prior study. |
Generate impression based on findings. | Clinical question: Epistaxis. Signs and symptoms: Nasal congestion and discharge. Medtronic fusion sinus CT:Frontal sinuses are well pneumatized and unremarkable. Stable since prior exam.Ethmoid sinuses are pneumatized and without evidence of disease. Stable since prior exam.Sphenoid demonstrate acute sinusitis with fl... | 1.Acute sinusitis of the right chamber of the sphenoid sinus.2.Minimal chronic sinus disease of the left maxillary sinus with partially compromised the left ostiomeatal unit. This is a new finding since prior exam.3.Increased soft tissue thickening of the nasal septum since prior. Nasal septum deviation with a bony spu... |
Generate impression based on findings. | Female, 5 years old, with bilateral cysts behind ears. No mass effect, focal edema or suspicious enhancement is seen in the brain. Parenchymal morphology is within normal limits. The ventricular system is patent and normal in size. The bones of the calvarium and skull base are intact. The paranasal sinuses, mastoid air... | Thickened enhancing soft tissue is present involving the lobule of the left ear with extension posteriorly and deep along the parotid gland. No frank cystic lesion is seen at this time, and imaging characteristics as demonstrated are nonspecific. However, they may reflect a prior cyst or tract which was at some point i... |
Generate impression based on findings. | 16-year-old male with erythrocytosis, please evaluate liver, kidneys, and adrenal glands for malignant or vascular lesions ABDOMEN:LUNG BASES: No consolidation or pleural effusion is seen in the lung bases.LIVER, BILIARY TRACT: No focal liver lesion or biliary duct dilation.SPLEEN: No focal splenic lesion.PANCREAS: The... | No liver, renal, or adrenal lesions. |
Generate impression based on findings. | 67-year-old female with history of cervicalgia. Evaluate for nerve root pathology. No acute fractures identified. Loss of the normal cervical lordosis. There is grade 1 retrolisthesis of C3 on C4 and grade 1 anterolisthesis of C4 on C5. The spinous process of C3 is out of alignment which indicates a rotational componen... | 1.No acute fracture.2.Severe degenerative joint/disk disease as described above with significant central canal stenosis at C3 -- C4 and severe neuroforaminal stenosis at many levels. |
Generate impression based on findings. | Female, 85 years old, history of adenocarcinoma of the palate status post surgery. Redemonstrated are postsurgical changes including the left nasal cavity, left maxillary sinus/alveolar ridge and left hard palate. A soft tissue flap remains interposed within the surgical defect. No evidence of soft tissue mass or patho... | Stable extensive postsurgical changes with no evidence of locally recurrent disease or pathologic adenopathy. |
Generate impression based on findings. | Reason: Coronary artery lesion? History: Chest pain Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and bifurcates into the left anterior descending and left circumflex coronary arteries. There are no significant stenoses present in the left main.LAD: The left anteri... | 1. There are no significant coronary artery stenoses present.2. There is a moderate to large hiatal hernia with associated nodularity, possibly representing a component of the gastric fundus herniated superiorly across the GE junction. Consider further evaluation with endoscopy. Findings were relayed to the resident, D... |
Generate impression based on findings. | 23 year old female. Abdominal or pelvic swelling, mass, or lump, other specified site 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... | No acute intra-abdominal process to account for the patient's symptoms. |
Generate impression based on findings. | Retroperitoneal sarcoma CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Stable cardiomegalyCHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Stable bilobar hepatic cysts. Stable cholelithiasis. No ductal dilatation. Hepatic vessels patent.SPLEEN: Spleen stable; up... | Interval resection of large retroperitoneal mass without evidence for residual or recurrent tumor or new adenopathy. |
Generate impression based on findings. | 71 year old male with history of stage III DLBC lymphoma s/p 6 cycles of R-CHOP History: h/o neck mass in need of restaging CTs. Please compare to prior. CHEST:LUNGS AND PLEURA: Biapical pleural-parenchymal scarring, unchanged. Stable right upper lobe pulmonary micronodules. MEDIASTINUM AND HILA: Right supraclavicular ... | 1.Stable size of lymphadenopathy in the right supraclavicular region. 2.Stable pulmonary micronodules. 3.No new lesions. |
Generate impression based on findings. | 70 year old female. Reason: Stage IV gastric cancer please compare to previous scan and provide index lesion measurements CHEST:LUNGS AND PLEURA: Increasing nonspecific bilateral ground-glass opacities. New nodular opacities at the right base. No pleural effusions.MEDIASTINUM AND HILA: Increasing mediastinal hilar lymp... | 1.Increasing pulmonary ground-glass opacities and right base nodular opacities.2.Increasing mediastinal and hilar adenopathy. 3.Innumerable hepatic metastases with reference measurements as above. |
Generate impression based on findings. | 52 year old female. History of T2 N0 descending colon cancer status post left hemicolectomy. Reason: cancer surveillance, r/o metastasis. History: Hx colon cancer - surveillance. CHEST:LUNGS AND PLEURA: Minimal biapical scarring is present. No suspicious pulmonary nodules are identified.MEDIASTINUM AND HILA: No mediast... | No evidence of metastatic disease.Stable examination. |
Generate impression based on findings. | Reason: metastatic thyroid ca, on therapy, compare to previous to eval for progression History: as above CHEST:LUNGS AND PLEURA: Innumerable pulmonary nodules of varying size unchanged from prior exam.Reference left upper nodule (image 53 series 5) is unchanged measuring 10 mm x 11 mm.Right lower lobe nodule (image 51 ... | Innumerable pulmonary nodules unchanged from prior exam. No new sites of disease identified. |
Generate impression based on findings. | Male, 59 years old, with lumbago. There is a mild scoliotic curvature of the spine. Alignment is otherwise unremarkable.Mild endplate concavity is demonstrated from L2 through L5. Otherwise, vertebral body heights are preserved and vertebral body morphology is unremarkable. There is a vague lucency within the right asp... | Multilevel degenerative changes of the disks and posterior elements which result in some degree of thecal sac effacement at several levels as discussed above. Please note that MRI would provide a more sensitive evaluation for soft tissue/disk pathology and its consequent effects on the spinal canal and nerve roots. |
Generate impression based on findings. | 53 year old male with ALS status post IR G-tube placement with fever, pus, and pain at the G-tube site. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: ... | G-tube bumper within the anterior abdominal wall with G-tube tip within the gastric lumen, compatible with buried bumper syndrome. No associated drainable fluid collection. G-tube repositioning is recommended. |
Generate impression based on findings. | Female, 46 years old, with metastatic thyroid cancer, on therapy. Redemonstrated is an extra-axial, homogeneously enhancing lesion situated along the left sphenoid wing adjacent to the anterior left temporal lobe. The lesion has not significantly changed in size with stable measurements of 14 x 12 mm (image 13 series 4... | 1. A small enhancing extra-axial lesion along the left sphenoid wing is stable in size. This may represent a meningioma, but given the patient's history, continued follow-up will be required.2. Stable lytic lesions involving the clivus, right occipital condyle and left lateral mass of C1. No new bony lesions are detect... |
Generate impression based on findings. | Female 75 years old Reason: eval possible new RUL History: abnormal CT, cough LUNGS AND PLEURA: Postsurgical changes compatible with prior left lower lobectomy without evidence of local recurrence. Bilateral apical scarring and pleural thickening unchanged. Right apical small flat nodular opacity likely representing sc... | 1. Small solid apical nodular opacity likely representing scarring unchanged since 2011.2. No evidence of tumorl recurrence or metastasis. |
Generate impression based on findings. | Female 66 years old Reason: 66 yo female with history of CD presents with abd pain concerning for SBO. SBFT showing mid small bowel wall thickening concerning for ischemia. Please include portal venous phase. History: abd pain, repeat KUB with residual decrease of retained barium ABDOMEN:LUNG BASES: Basilar atelectasis... | Marked nearly complete diffuse small bowel thickening with submucosal edema but without evidence of infarction. The lack of ascites or any intraperitoneal fluid makes ischemia somewhat less likely. Differential diagnostic considerations although still include infection, ischemia. Hemorrhage is unlikely. No signs of emb... |
Generate impression based on findings. | Clinical question: Ventriculogram. Signs and symptoms: Headache. Nonenhanced head CT:Examination demonstrate very irregular and loculated noncontinuous high-density contrast in the region of atrophic remaining right hemisphere. The exact location of contrast cannot be assessed precisely. The appearance however is not s... | Injected contrast prior to the head CT appears very irregular and loculated and remain entirely on the right. The exact location of the contrast cannot be determined with certainty. The very fragmented appearance of contrast is not suggestive of being within the ventricular system. There is no extension contrast into t... |
Generate impression based on findings. | 56-year-old male with history of renal cell cancer, status post partial nephrectomy. Reason: Follow up of stage II RCC, s/p left nephrectomy. Also following enlarged gastrohepatic LN. CHEST:LUNGS AND PLEURA: . Micronodule located along the left major fissure most likely represents intra-pulmonary lymph node (series 7, ... | 1.Status post partial left nephrectomy without evidence of residual or recurrent tumor. 2.No significant change. Stable examination. |
Generate impression based on findings. | Hodgkin's disease CHEST:LUNGS AND PLEURA: Interval resolution of right middle lobe medial nodule opacitiesMEDIASTINUM AND HILA: Stable anterior mediastinal soft tissue infiltration. Reference soft tissue focus within the prevascular space best seen on image 45 series 3 measures 2.9 x 1.1 cm.Stable reference left hilar ... | Slight interval increase in size of numerous mesenteric lymph nodes; special attention to these lymph nodes on future surveillance scans recommended. Otherwise stable examination. |
Generate impression based on findings. | Male; 76 years old. Reason: Evaluate pleural effusion vs pneumonia History: SOB CHEST:LUNGS AND PLEURA: There is a large left pleural effusion with overlying compressive atelectasis extending throughout the lung. This finding is suspicious for malignant effusion based on the patient's history of renal cell carcinoma. D... | 1.Large left pleural effusion with overlying atelectasis is non-specific but suspicious for malignant effusion considering the patient's history of renal cell carcinoma. 2.Mediastinal and cardiophrenic lymphadenopathy, for which the differential considerations include metastatic disease. 3.Focal non-specific lucent les... |
Generate impression based on findings. | 68 year old female. Reason: H/o pancreatic cancer, s/p 3 cycles of FOLFOX and now 3 cycles of XelOX, please evaluate disease response. History: Pancreatic cancer LUNGS AND PLEURA: Scattered nonspecific pulmonary micronodules, similar to the prior exam. No pleural effusions.MEDIASTINUM AND HILA: No significant lymphaden... | 1.Mixed response of hepatic metastases.2.Decreasing gastrohepatic lymph node.3.Hypodense pancreatic head mass without significant interval change. 4.Encasement of adjacent vasculature is unchanged. |
Generate impression based on findings. | Male, 80 years old, history of larynx cancer status post surgery. Since the prior examination, the patient has undergone additional right neck surgery. There is a new right pectoral soft tissue flap construct. Deep to this flap, and immediately adjacent to the right aspect of the tracheostomy, there is an ill-defined p... | Evidence of interval right neck surgery. On the prior examination, there was a round cystic lesion in the right supraclavicular soft tissues. On the current examination, this lesion is not discretely present, though there is another lesion deeper and more medial which demonstrates imaging features compatible with tumor... |
Generate impression based on findings. | Clinical question: Rule out stroke or other causes of altered mental status. Signs and symptoms: Alteration of mental status. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.There is evidence of a large chronic left ... | 1.No detectable acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic strokes.2.Large chronic/cavitating left basal ganglial stroke with resultant ex vacuo dilatation of left lateral ventricle and prominence of left hemispheric cortical sulci representing atrophy.3.Unremarkable ex... |
Generate impression based on findings. | Clinical question: Metastatic thyroid cancer, on therapy, evaluate for disease progression. Signs and symptoms: As above. Nonenhanced CT of soft tissues of neck:Limited view of the intracranial content is unremarkable on this nonenhanced exam.Images through the skull base, paranasal sinuses, mastoid air cells is unrema... | 1.There is no convincing evidence of recurrence of disease on this limited exam due to lack of intravenous contrast.2.Stable postoperative changes of bilateral total thyroidectomy.3.No convincing evidence of cervical lymphadenopathy. |
Generate impression based on findings. | Male, 58 years old, history of nasopharyngeal cancer, with intermittent right ear discomfort. Streak artifact limits evaluation of the oral cavity to some degree. Within this limitation, the following observations are made.No definite abnormalities of the nasopharyngeal soft tissues are demonstrated. The remainder of t... | Stable treatment related change in the neck. No evidence of recurrent disease or pathologic adenopathy. |
Generate impression based on findings. | Reason: post evd removal History: ams The patient is status post a recent removal of a ventriculostomy tubeThere is a hemorrhagic focus present in the right thalamus measuring 33 x 22 mm axial dimensions associated with intraventricular blood in the right lateral ventricle. The hematoma is stable. There is associated m... | 1.There is redemonstration of a right thalamic hemorrhage which is stable when compared to prior exam .2.There is associated with intraventricular blood also stable since the prior exam3.There is redemonstration of ventriculomegaly which was unchanged since the prior exam. The patient is status post a recent removal of... |
Generate impression based on findings. | Reason: evaluate for spondilotic myelopathy History: loosing control of grasp, wrigting The cervical vertebral bodies are appropriate in overall alignment and height. No fractures are identified in the cervical spine.At C2-3 there is no significant compromise to the spinal canal or neural foramina. There is a disk bulg... | 1.Multilevel degenerative changes present in the cervical spine especially from C3-4 down to C6-7 as well as ossification of the posterior longitudinal ligament at C4-5 and C5-6 which together resulting spinal stenosis at C3-4, C4-5 C5-6 and C6-7. There is associated left-sided encroachment exiting nerve roots at C5-6 ... |
Generate impression based on findings. | Status post gunshot wound ABDOMEN:LUNG BASES: Left lower lobe scarring/atelectasis is present. No consolidation or pleural effusion is seen in the lung bases.LIVER, BILIARY TRACT: No focal liver lesion or biliary duct dilation.SPLEEN: No focal splenic lesion.PANCREAS: The pancreas appears normal.ADRENAL GLANDS: No nodu... | Bullet fragments and air in the subcutaneous tissues of the right back. |
Generate impression based on findings. | Abdominal pain Please note that this exam is limited in sensitivity for solid organ pathology due to lack of IV contrast.ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.K... | 1. Persistent right ureteral stone with increased hydronephrosis and renal atrophy.2. Stable appearance of the right adnexal cyst since 2006 |
Generate impression based on findings. | Female; 43 years old. Reason: 43 F w/ persistent hypoxia and pleuritic CP, r/o PE. PULMONARY ARTERIES: No evidence of pulmonary embolus.LUNGS AND PLEURA: Moderate bilateral pleural effusions with overlying compressive atelectasis, most pronounced in the right lower lobe. No focal airspace opacity or pneumothorax. No su... | 1.No evidence of pulmonary embolus.2.Moderate bilateral pleural effusions with overlying compressive atelectasis and third-spacing of fluid into the subcutaneous tissues of the upper abdomen. |
Generate impression based on findings. | 7 year-old female. Right lower quadrant tenderness. Evaluate for appendicitis. ABDOMEN:LUNG BASES: Lung bases are clear.LIVER, BILIARY TRACT: Normal appearance of the liver. No biliary ductal dilatation. No focal hepatic lesion.SPLEEN: No focal splenic lesion. Normal appearance of the spleen. PANCREAS: Normal appearanc... | No evidence of appendicitis. Nonspecific mildly enlarged lymph nodes in the right lower quadrant. |
Generate impression based on findings. | Male 18 years old; Reason: s/p gunshot wound with retained bullet. Trying to identify if bullet in joint space. History: above. Within the distal aspect of the posterior femur is a metallic object consistent with a bullet which abuts but does not fracture the bone. A superficial soft tissue defect is visualized adjacen... | 1.Retained bullet abutting the posterior aspect of the distal femur with a small adjacent hematoma. 2.The popliteal artery does not appear to be involved. |
Generate impression based on findings. | Female; 67 years old. Reason: 67 F with new onset wheezing, smoking hx History: wheezing, sob Mild respiratory motion artifact. LUNGS AND PLEURA: Mild upper lobe predominant paraseptal emphysema. Mild bronchial wall thickening, scattered ground glass opacities in the medial right upper lobe and lingula, and centrilobul... | 1.Pulmonary findings compatible with bronchiolitis as described above. 2.Anterior mediastinal soft tissue nodule which may represent a small thymoma. Follow-up chest CT in 3-6 months is recommended to ensure stability. Findings discussed with Dr. Walter of the ER at the time of final report dictation. |
Generate impression based on findings. | Renal transplant. Concern for bleeding. Further history obtained from surgical team: Concern for mesenteric hemorrhage due to bowel manipulation during surgery. Please note this examination is limited in sensitivity for solid organ pathology due to lack of IV contrast.ABDOMEN:LUNG BASES: Trace bilateral pleural effusio... | Large retroperitoneal hematoma, as described above. Though the specific etiology of this hemorrhage is not evident on this examination, possible etiologies include traumatic vascular injury versus ruptured mesenteric aneurysm. If additional diagnostic information is clinically necessary, CTA or interventional angiograp... |
Generate impression based on findings. | Evaluate supracondylar fracture, closed fractureEXAMINATION: CT of the left elbow was performed without contrast 10/3/2013 2203 Comminuted condylar fracture of the distal humerus is seen with dorsal displacement and angulation of the distal fracture fragment. There is an associated joint effusion and soft tissue swelli... | Comminuted left condylar fracture. |
Generate impression based on findings. | 27-year-old male with burning epigastric pain, vomiting, and constipation ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted. Normal CT appearance of the gallbladder.SPLEEN: No significant abnormality noted. ADRENAL GLANDS: No significant abnormality noted.KIDNEY... | No acute intra-abdominal process evident. No specific findings to account for the patient's pain. |
Generate impression based on findings. | Evaluate for source of fever. Lupus and neutropenic fever. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Subcentimeter mediastinal lymph nodes.CHEST WALL: Bilateral enlarged axillary lymph nodes. For reference purposes, a left axillary lymph node (image 29; series 3) measures 1.8 x 1.3 ... | Adenopathy in the chest, abdomen, and pelvis as described. |
Generate impression based on findings. | 70 year-old male with abdominal pain, sepsis and ileus. Evaluate for source of symptoms. ABDOMEN:LUNG BASES: Enlarging pleural effusions with bibasilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No s... | Persistent small bowel dilatation without transition point. |
Generate impression based on findings. | Reason: multiple foci in neck on previous PET scan History: newly diagnosed NSCLC, neck foci on PET, prolonged ICU stay, fevers of unknown origin Within the left submandibular space there is a 18 x 11 mm axial dimension nodule present associated with surrounding infiltration of fat planes. There is distortion of the ad... | 1.There is lymphadenopathy in the left submandibular space associated with inflammatory-type changes. Please correlate with clinical history. Differential considerations include infection as well as neoplasm. There is some associated asymmetry in the jugular digastric nodes raising question of involvement of the jugula... |
Generate impression based on findings. | Left groin pain. Evaluate for incarcerated hernia ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.PANCREAS: No signific... | Thickening and enhancement of the soft tissues at the left inguinal canal. Most likely causes of this include infection, trauma, or post-surgical change. No evidence of bowel herniation. |
Generate impression based on findings. | A right-sided stone, possibly infected. White blood cell count, left flank pain, urinary tract infection. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signifi... | Focal pyelonephritis versus ill-defined mass at the upper pole left kidney (these may be indistinguishable on a single CT). Follow-up imaging is advised when this patient's symptoms resolve to confirm resolution of this abnormality. |
Generate impression based on findings. | 46-year-old male evaluate for cause of lower abdominal pain, history of Crohn's and multiple SBOs as well as status post surgery for adhesions. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Status post cholecystectomy. The common bile duct is dilated, measuring up to 2 cm, increased from pr... | 1. Dilated small bowel loops with transition point in the left lower quadrant suggesting chronic partial obstruction as described above, likely due to adhesions.2. Common bile duct dilatation and mild intrahepatic dilatation of unclear etiology. This would be best evaluated with MRCP |
Generate impression based on findings. | 24 year-old female with right lower quadrant pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant ... | Left ovarian varix with prominent gonadal veinscystic areas in both ovaries. If there is needed recommend ultrasound. |
Generate impression based on findings. | 76-year-old male with continued emesis following robotic APR, eval for sbo vs ileus vs abscess. ABDOMEN:LUNG BASES: Trace pleural effusions and adjacent atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted. Mild perihepatic ascites.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormal... | Multiple dilated small bowel loops with air-fluid levels consistent with obstruction with a transition point in the left lower abdomen. |
Generate impression based on findings. | 63-year-old male status post cystectomy with persistent ileus, distended abdomen. ABDOMEN: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 abnormality noted.KIDNEYS, U... | 1. Rectosigmoid wall thickening with adjacent infiltration of the fat and fascia, which may be postoperative or inflammatory in etiology. No fluid collection is noted.2. Status post cystectomy with ileal conduit diversion as described above.3. Mild abdominal/pelvic ascites. |
Generate impression based on findings. | Reason: post EVD removal History: headache The patient is status post removal of a right-sided ventriculostomy tube. Some minor blood products are present along the ventriculostomy tract.. There is redemonstration of bilateral intraventricular blood right more than left stable since the prior exam. The size of the late... | 1.Overall the examination is unchanged when compared to the previous exam status post ventriculostomy removal and intraventricular hemorrhage. |
Generate impression based on findings. | Reason: ICH, s/p EVD removal History: AMS, left neglect The patient is status post removal of a right-sided ventriculostomy tube. Some minor blood products are present along the ventriculostomy tract.. There is redemonstration of bilateral intraventricular blood right more than left stable since the prior exam. The siz... | 1.Overall the examination is unchanged when compared to the previous exam status post ventriculostomy removal and intraventricular hemorrhage. |
Generate impression based on findings. | Pancreas cancer restaging. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Subcentimeter mediastinal lymph nodes are noted, not enlarged by CT criteria and unchanged. Small amount of thrombus is noted around the tip of the Port-A-Cath (image 25; series 12)CHEST WALL: Right-sided Port-A-Cat... | Interval decrease in size of pancreatic mass with unchanged vascular invasion. |
Generate impression based on findings. | Reason: Pt with hx of multiple strokes, small hemorrhage on rt, on heparin gtt for DVT, please evaluate evolution or progression History: see above There is redemonstration of a hypodense focus involving gray and white matter in the left precentral gyrus with some mild mass effect. This is stable when compared to the p... | 1.Stable subacute infarction in the left precentral gyrus laterally from the hand motor area. There is no evidence for hemorrhagic conversion2.There is redemonstration of multiple foci of encephalomalacia in both hemispheres of the brain as well as the cerebellum. These are compatible with prior foci of infarction. |
Generate impression based on findings. | Headache Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No aneurysms or intracranial stenosis is appreciated.The anterior communicating artery and the posterior communicating arteries are identifi... | 1.No evidence for aneurysm.2.No evidence for intracranial turbo vascular occlusive disease3.no evidence for acute intracranial hemorrhage mass effect or edema4.in general the lateral ventricles are small. The possibility of intracranial hypotension cannot be excluded. |
Generate impression based on findings. | 76-year-old female with history of metastatic pleomorphic sarcoma. Evaluate for disease progression. There is lymphadenopathy demonstrated within supraclavicular (1.2 cm) and superior mediastinal nodal groups (1.2 cm - image 80) which has not changed significantly since the prior chest CT. There are multiple nodes demo... | 1.Supraclavicular and mediastinal lymphadenopathy which is not significantly increased since prior examination of the chest.2.Lymph nodes demonstrated throughout the neck which are prominent by virtue of number, though which are not significant by size criteria.3.Evidence of postoperative findings in the context of chr... |
Generate impression based on findings. | Reason: s/p LVAD, evaluation for LVAD driveline fluid collection History: Drainage CHEST:LUNGS AND PLEURA: Small left pleural effusion with associated left lower lobe atelectasis.There are faint ground glass nodules measuring 3 to 4 mm in the upper lobes (series 5 image 17 and 19) that are nonspecific. These may be pos... | No evidence of phlegmon associated with the left ventricular assist driveline. The intraperitoneal and extraperitoneal findings associated with the driveline are unremarkable.Mild ascites and diffuse anasarca. |
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