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Generate impression based on findings. | Reason: patient with previous fungal PNA, which cleared on CT on 9/28. However, he spiked a fever last night and is neutropenic. Evaluation for any pulmonary etiology of fever History: neutropenia, fever LUNGS AND PLEURA: Linear and ground glass opacities are unchanged where there had been likely fungal nodules two stu... | Residual pulmonary opacities where earlier there had been likely fungal nodules, without specific evidence of active infection or new abnormalities. |
Generate impression based on findings. | Male; 77 years old. Reason: Assess for intrapulmonary pathology History: Fatigue in the setting of recently diagnosed relapsed AML LUNGS AND PLEURA: No focal consolidation, pleural effusion, or pneumothorax. No suspicious pulmonary nodules or masses. Scattered pleural calcifications are compatible with prior asbestos e... | 1.No acute cardiopulmonary abnormality.2.Findings compatible with pulmonary arterial hypertension. 3.Large soft tissue defect in left chest wall, which may represent fungating tumor or less likely, infection. |
Generate impression based on findings. | Male, 55 years old, history of oral cavity cancer, status post CRT. Surgical change is redemonstrated including evidence of partial left mandibulectomy as well as left floor of mouth and submandibular space dissection. The mandibulectomy defect is bridged by bone graft which is fixed to the native mandible by a plate a... | 1. Progressive level 3 lymphadenopathy on the right. Additional lymph nodes in the right neck have also increased in size by 1 or 2 mm which is concerning as well.2. Surgical change involving the left mandible, floor of mouth and submandibular space appears similar to the prior exam. No evidence of recurrent disease in... |
Generate impression based on findings. | Reason: h/o HNC, compare to previous, measurements pls, s/p CRT History: none LUNGS AND PLEURA: No sign of pulmonary or pleural metastases.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy noted. Previously discussed small normal-sized right hilar lymph node stable.CHEST WALL: Mild degenerative abnormalitie... | No evidence of metastases or interval change. |
Generate impression based on findings. | Metastatic head and neck cancer pretreatment scans CHEST:LUNGS AND PLEURA: Interval increase in size and number of pulmonary nodules and masses. Largest lesion in the left lung measures 4.2 x 5.1 cm (previously 2.3 x 4.1 cm on 8/14/13) and is contiguous with adjacent left hilar and interlobar lymphadenopathy (4/86). Th... | Diffuse thoracic and peritoneal metastases with increase in the size and number of pulmonary lesions. |
Generate impression based on findings. | Reason: hx ACC. Eval for mets History: none LUNGS AND PLEURA: Minimal basilar scarring.No significant pulmonary or pleural abnormality.MEDIASTINUM AND HILA: Enlarged right thyroid lobe which extends into the right peritracheal region almost to the level of the aortic arch, unchanged.Extensive vascular, valvular and cor... | Status post left adrenalectomy without evidence of metastases. Reference should be made, however, to an abdomen and pelvis MR reported separately. |
Generate impression based on findings. | Reason: metastatic head and neck cancer, pre-therapy scans, eval for dz with measurements History: as above CT neck:There is redemonstration of a 26 x 19 mm axial dimension ill-defined right tongue base lesion unchanged when compared to the prior exam. It appears to infiltrate the right sublingual space. On coronal ima... | 1.No lymphadenopathy on the basis of CT size criteria for lymphadenopathy is identified, however, a new lymph nodes identified in the right posterior triangle. Its significance is uncertain but the fact it is new in view of history of cancer could imply that this is metastatic2.stable right tongue base mass.3.No eviden... |
Generate impression based on findings. | Prostate cancer metastatic to the bones. Rising PSA. CHEST:LUNGS AND PLEURA: Stable bilateral micronodulesMEDIASTINUM AND HILA: Stable left thyroid nodulesCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. Hypodense segment 2 lesions are unchanged and probably repre... | No substantial interval change with reference measurements given above. |
Generate impression based on findings. | Female; 62 years old. Reason: metastatic breast CA to chest and liver. Followup on chemo History: cough, shortness of breath on exertion. CHEST:LUNGS AND PLEURA: Small left pleural effusion and left basilar subsegmental atelectasis. Adjacent nodular pleural thickening is not significantly changed. Right lung is now cle... | 1.Interval decrease in mediastinal lymphadenopathy and hepatic metastases, with stable osseous metastases. No new suspicious lesions are identified. 2.No significant interval change in large loculated pericardial effusion. |
Generate impression based on findings. | Reason: hx of left tonsil ca, s/p CRT ,eval for progression of dz History: as above LUNGS AND PLEURA: Benign-appearing micronodules, most calcified, unchanged.No evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: There is no mediastinal or hilar lymphadenopathy.CHEST WALL: Degenerative abnormalities are ... | No change, and no evidence of metastases. |
Generate impression based on findings. | Reason: h/o recurrent HNC, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Numerous pulmonary and pleural nodules consistent with metastases, some of which have increased in size. For example, several non-referenced pleural-based nodules are larger:Anterior left upper lobe (series 5 image 35... | 1. Numerous pulmonary and pleural nodules consistent with metastases, many of which have increased in size. 2. Referenced pulmonary nodule remains stable in size.3. No interval mediastinal or hilar lymphadenopathy. |
Generate impression based on findings. | Reason: Change in size of lung nodule? Progression of bronchiectasis? Need for further scan. History: Cough and sputum LUNGS AND PLEURA: Left apical less than 5-mm groundglass nodule unchanged, image 14 series 4, likely atypical adenomatous hyperplasia.Unchanged smoothly marginated benign-appearing right middle lobe 5 ... | No reliable evidence of malignancy. Likely atypical adenomatous hyperplasia in the left apex and what is likely a benign nodule in the right middle lobe all unchanged. New ground glass regions in the left lower lobe most likely are inflammatory. Three month follow-up recommended to reassess the left lower lobe. Otherwi... |
Generate impression based on findings. | History of Ewing sarcoma status-post autotransplant, 100 day evaluation LUNGS AND PLEURA: No consolidation or pleural effusion. Perifissural nodules are seen along the right minor fissure and left major fissure and may represent intrapulmonary lymph nodes. Subpleural densities along the posterior right lower lobe likel... | No suspicious pulmonary mass or nodule. |
Generate impression based on findings. | Reason: 50 year old man with Hodgkin lymphoma s/p allogeneic stem cell transplant. Compare to prior studies. History: Pruritis and sweats. The right jugulodigastric node measures 10 x 12 mm in axial dimensions and is unchanged since prior exam. A left level 3 lymph node measures 8 x 5 mm axial dimensions and is unchang... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy |
Generate impression based on findings. | Reason: metastatic thyroid ca, on therapy, compare to previous with measurements, eval for dz History: as above CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are unchanged from the prior study. Nodular fissural densities at right major fissure stable, likely intrapulmonary lymph nodes. No consolidation or pl... | No change in referenced lesions. Slight increase in size of a non-index mediastinal lymph node. |
Generate impression based on findings. | Evaluate for enterovesicular or enterovaginal fistula. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: 2.0-cm lobulated cystic structure in the right lobe likely represents a simple cyst. 4.2 x 3.9 cm hypodense lesion in segment 7 with peripheral nodular discontinuous enhancement likely repre... | Punctate focus of air between the urethra and vagina posterior to the pubic symphysis, which is suspicious for a urethrovaginal fistula versus urethral diverticulum. This may be further evaluated with a voiding cystourethrogram. There is no specific evidence of an enterovesicular fistula.Findings discussed with Dr. Pac... |
Generate impression based on findings. | Reason: lung cancer History: lung cancer LUNGS AND PLEURA: Status post left upper lobectomy for lung cancer resection with no evidence of tumor recurrence.Punctate benign appearing micro-nodule right middle lobe image 60 series 5, stable.5-mm right lower lobe ground glass nodule image 81 series 5 stable, likely atypica... | 1. Status post left upper lobectomy.2. Stable ground glass nodule right lower lobe likely atypical adenomatous hyperplasia.3. Stable benign appearing right middle lobe micronodule.4. Annual surveillance recommended. |
Generate impression based on findings. | Male; 76 years old. Reason: lung nodule CHEST:LUNGS AND PLEURA: Right lower lobe ground glass nodule with a central cyst measures 12 mm in diameter, previously 15 mm (series 5, image 48). While not increased in size since the prior study, its morphology and increase in opacity since scans dating back to 1/19/2010 are h... | 1.Right lower lobe ground glass nodule with central cyst is highly suspicious for indolent adenocarcinoma when compared to earliest exam from 2010.2.No evidence of metastatic disease. 3.No significant interval change in size or appearance of atypical exophytic cystic lesion in left kidney. |
Generate impression based on findings. | Reason: History lung CA s/p resection yearly f/u History: Cough LUNGS AND PLEURA: Status post left upper lobectomy.Subtle groundglass centrilobular opacities have developed and progressed, suggestive of etiologies such as hypersensitivity pneumonitis or RB-ILD.No sign of tumor recurrence.MEDIASTINUM AND HILA: There is ... | No evidence of tumor recurrence. Subtle centrilobular opacities are suggestive of hypersensitivity pneumonitis or RB-ILD. |
Generate impression based on findings. | Patient with stage IV Hodgkin's, now off therapy CHEST:LUNGS AND PLEURA: No consolidation or pleural effusion is seen. Right middle lobe pulmonary nodule is unchanged (image 57, series 4), however some of the previously noted pulmonary micronodules are longer present.MEDIASTINUM AND HILA: Several small pretracheal lymp... | 1.No change in right iliac wing lesion. 2.Decrease in size of previously referenced lymph nodes.3.Many of the previously noted right upper and middle lobe pulmonary micronodules are no longer seen. One right middle lobe pulmonary micronodule is unchanged. |
Generate impression based on findings. | Male 56 years old; Reason: evaluate for change in fluid collection, PV thrombus History: s/p perforated diverticulitis ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. The left portal vein and anterior branch of right portal vein r... | 1.Portal venous thrombosis as detailed above.2.Decrease in the inflammatory tissue adjacent to sigmoid colon with mild persistent inflammation of the sigmoid colon. |
Generate impression based on findings. | Total laryngectomy for laryngeal cancer status post left carotid stent, left carotid inferior embolization, left carotid superior suture for carotid blowout. LUNGS AND PLEURA: Apical fibrosis. Interval development of bronchial wall thickening and clustered peribronchial air space opacities in the dependent aspect of th... | Worsening lower lung zone bronchiolitis with interval development of bronchopneumonia in the right upper lobe and mild lymphadenopathy. Debris within the airways suggests that this is at least partly aspiration related though chronicity and asymmetry remains suspicious for chronic indolent infection such as MAI or othe... |
Generate impression based on findings. | Reason: eval soft tissue mass at mandible, temple, neck History: eval soft tissue mass at mandible, temple, neck CT neck:There are multiple calcified lymph nodes present within the soft tissues of the neck as well as the visualized portions of the superior mediastinum. One located in the posterior triangle of the supra... | 1.There are multiple very large calcified lymph nodes throughout the soft tissues of the neck.2.Mediastinal lymphadenopathy in general appear stable compared to prior exam but is not completely evaluated on this exam.3.Left-sided pleural effusion is new since the prior CT chest exam4.multiple lytic lesions scattered in... |
Generate impression based on findings. | Male, 13 years old, history of stage IV Hodgkin's status post therapy. Small lymph nodes are evident on both sides of the neck. These have not significantly changed in size and none of them are pathologically enlarged. No new or progressive lymph nodes are demonstrated.The palatine tonsils are mildly prominent, but thi... | Stable examination with no evidence of progressive or new adenopathy. |
Generate impression based on findings. | Female 69 years old Reason: pt with metastatic breast cancer s/p everolimus and aromasin please assess response to therapy and compare to previous imaging CHEST:LUNGS AND PLEURA: Unchanged right lower lobe nodule, now 5 x 6 mm (series 10295, image 43), previously 5 x 6 mm. This nodule was not seen on the most recent ex... | 1. Resolution of bilateral pleural effusions and near complete resolution of multifocal air space opacities.2. Interval decrease in mediastinal lymphadenopathy, but grossly unchanged reference AP window lymph node.3. Stable right lower lobe nodule.4. Interval increase in size of the right chest wall mass with new exten... |
Generate impression based on findings. | Malignant melanoma of the scalp and neck. Clinical trial. CHEST:LUNGS AND PLEURA: No pulmonary nodules identified.MEDIASTINUM AND HILA: Tiny hypodense right thyroid lesion is unchanged. No mediastinal or hilar lymphadenopathy. The heart is normal in size and there is no pericardial effusion. Severe coronary artery sten... | Stable exam with no definite evidence of metastatic disease. |
Generate impression based on findings. | Female 80 years old; Reason: increasing SOB, hx of appendicitis, hematoma History: sob, abdominal pain CHEST:LUNGS AND PLEURA: Severe bronchiectasis, bronchial wall thickening and mucous plugging involving the superior segment of the left lower lobe with cavitary changes and atelectasis/consolidation. Moderate bronchie... | 1.Chronic lung changes including bronchiectasis, areas of atelectasis and areas of infection. Findings are most suggestive of a mycobacterial infection (MAI) or other atypical infections.2.Resolution of the right lower body wall collection.3.No bowel obstruction.4.Mild aneurysmal dilatation of the distal abdominal aort... |
Generate impression based on findings. | Lung nodule LUNGS AND PLEURA: Mild centrilobular emphysema. Paramediastinal fibrosis suggestive of prior radiation therapy. 12 x 9 mm nodule (5/54) in the right lower lobe is unchanged compared to the prior study and unchanged compared to the 8/12/11 exam when remeasured at 12 x 9 mm (5/46, 8/12/11) and most likely ben... | Unchanged right lower lobe nodule, most consistent with a benign lesion. No additional CT follow-up is required unless clinically warranted. |
Generate impression based on findings. | Male, 67 years old, history of stage III melanoma. Soft tissue volume loss involving the scalp posterior to the right ear is redemonstrated, unchanged and likely reflective of prior surgery. The soft tissue which remains, posterior and superior to the right ear, is thickened similar to prior. An additional area of scal... | Stable examination. No evidence of active disease. |
Generate impression based on findings. | Reason: h/o total laryngectomy for laryngeal CA s/p L carotid stent, L carotid inferior embolization, L carotid superior suture for carotid blowout, evaluate for disease/recurrence History: h/o total laryngectomy for laryngeal CA s/p L carotid stent, L carotid inferior embolization, L carotid superior suture for caroti... | 1.Since the prior examination the patient has undergone left and neck surgery. There there appears be residual neoplasm in the left neck possibly extending from as low as the left clavicle and as high as C2. A left common artery and left internal carotid artery have thrombosed. There is a plug present at the origin of ... |
Generate impression based on findings. | Male 43 years old; Reason: Hx of Follicular NHL History: s/p 4 cycles of Immunotherapy CHEST:LUNGS AND PLEURA: Minimal linear atelectasis adjacent to the lingula. No focal consolidation. The lungs are otherwise clear. The pleural spaces are clear. Central airways are patent.MEDIASTINUM AND HILA: Right thoracic inlet ly... | 1.Decrease in the lymphadenopathy in the chest, abdomen and pelvis. |
Generate impression based on findings. | Reason: h/o total laryngectomy for laryngeal CA s/p L carotid stent, L carotid inferior embolization, L carotid superior suture for carotid blowout, evaluate for disease/recurrence History: h/o total laryngectomy for laryngeal CA s/p L carotid stent, L carotid inferior embolization, L carotid superior suture for caroti... | 1.Since the prior examination the patient has undergone left and neck surgery. There there appears be residual neoplasm in the left neck possibly extending from as low as the left clavicle and as high as C2. A left common artery and left internal carotid artery have thrombosed. There is a plug present at the origin of ... |
Generate impression based on findings. | BOT CA status post CRT 2.6 years. CHEST:LUNGS AND PLEURA: Scattered subpleural lymph nodes along the fissures. No pleural fluid or pneumothorax. No suspicious pulmonary nodules.MEDIASTINUM AND HILA: Right-sided aortic arch with aberrant left subclavian artery, normal anatomic variant. Numerous mildly enlarged dense, po... | 1. No suspicious pulmonary nodules or masses.2. Mediastinal and right hilar region lymphadenopathy, some of which is smaller or decreasing density. The radiographic appearance and absence of hepatic or splenic lesions is atypical for granulomatous disease. Consider Castleman's disease. |
Generate impression based on findings. | History of breast and colon cancer, now with elevated CEA Please note that this examination is limited in sensitivity for solid organ pathology due to lack of IV contrast.CHEST:LUNGS AND PLEURA: Scattered calcified and noncalcified pulmonary nodules. Several subcentimeter calcified nodules are seen, likely secondary to... | 1. Limited examination due to lack of IV contrast and poor opacification of bowel by oral contrast. Given these limitations, there is no specific evidence of metastatic disease. 2. Bilateral punctate thyroid calcifications. Ultrasound may be helpful to further evaluate this. |
Generate impression based on findings. | Reason: Hx of Follicular NHL History: s/p 4 cycles of Immunotherapy The patient is status post right parotid surgery. There is no evidence for recurrence of the patient's right parotid mass. A small hyperdensity in the right parotid gland identified on the prior exam has regressed, previously measuring 23 x 11 mm now m... | 1.Since the prior exam a right parotid lesion as well as right neck lymphadenopathy have continued to regress |
Generate impression based on findings. | Reason: mid-back pain approx T10 rule out facet pathology History: sharp pain worse with extension The thoracic vertebral bodies are appropriate in the overall alignment and height. The thoracic spinal cord has normal signal characteristics and overall morphology. There is no compromise of thoracic spinal canal or exit... | No evidence for pathologic lesion in the thoracic spine. No significant degenerative change or spinal stenosis or neural foraminal encroachment is identified in the thoracic spine. |
Generate impression based on findings. | Reason: confusion History: confusion 90 years old female The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Atherosclerotic calcifications... | 1.No evidence for acute intracranial hemorrhage mass effect or edema. No CT findings that would help explain the patient's confusion2.CT is insensitive for the early detection of nonhemorrhagic CVA |
Generate impression based on findings. | Female 80 years old; Reason: metastatic breast cancer - evaluate response to treatment, compare with previous History: known lung mets CHEST:LUNGS AND PLEURA: Subpleural fibrotic changes worst in the lingula.Right upper lobe nodule is more solid measuring 0.8 x 0.8 cm (image 36/series 9) previously, 0.5 x 0.5 cm.Right ... | 1.Slight size increase in the right upper lobe pulmonary nodule which appears more solid. |
Generate impression based on findings. | Female, 38 years old, left parotid tumor status post surgery. Since the prior examination, the patient has undergone left parotid space surgery. The volume of remaining parotid gland is reduced relative to prior consistent with tumor resection. No definite evidence of residual or recurrent tumor is seen within the surg... | Postoperative change consistent with tumor resection from the left parotid space. No definite evidence of residual or recurrent tumor is seen. However, given that the original tumor was of similar density to the surrounding parotid gland, small lesions may be missed on CT. If clinically warranted, MRI would provide a m... |
Generate impression based on findings. | Reason: Pt with BOT Ca. s/p CRT 2.6 years. please re-eval and compare to prior scans History: as above Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is apprec... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy |
Generate impression based on findings. | Prior small cell lung CA status post RT and chemo 10 years ago. Last CT mentioned nodules appeared more solid, please reevaluate. CHEST:LUNGS AND PLEURA: Mild centrilobular and paraseptal emphysema. Paramediastinal radiation fibrosis predominantly in the upper left apex. No pleural fluid.Solid noncalcified nodule right... | 1. Slow-growing 3.2-cm mass in the right lower lobe is now highly compatible with primary pulmonary malignancy. Mass occurs 6-cm below the level of the carina and is inseparable from the right major fissure and adjacent bronchovascular structures.2. Slow growing right upper lobe nodule is also now consistent with a syn... |
Generate impression based on findings. | Reason: s/p fall History: dizziness The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Periventricular and subcortical white matter hypode... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA3.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. |
Generate impression based on findings. | Female, 30 years old, sickle cell disease with crisis, weakness. Evaluate for hemorrhage. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift. The... | Normal exam. No acute intracranial abnormality. |
Generate impression based on findings. | Male 64 years old; Reason: met prostate cancer, now with palpable mass in epigastric region, pain in abdomen History: met prostate cancer, now with palpable mass in epigastric region, pain in abdomen CHEST:LUNGS AND PLEURA: No suspicious primary nodules. Minimal nodularity along right major and minor fissures. The pleu... | 1.Osseous metastatic disease.2.No focal body wall mass or intra-abdominal mass to correlate with the palpable epigastric abnormality. |
Generate impression based on findings. | Male, 78 years old, with headache. Periventricular hypoattenuation is demonstrated along with areas of hypoattenuation involving the left internal capsule and the left thalamus. These have not significantly changed from prior examination and likely reflect age indeterminate small vessel ischemic disease.No mass effect ... | 1. No acute intracranial normality.2. Age indeterminate small vessel ischemic disease, not substantially changed from the prior examination. |
Generate impression based on findings. | 37 year-old female with left eye swelling the past 3 weeks Prominence is noted of the soft tissues involving the lateral aspect of the left eyelid with adjacent stranding noted in the subcutaneous tissues overlying the anterior most zygomatic arch. This is not associated with a focal fluid collection and there are no p... | Prominence is noted of the soft tissues involving the lateral aspect of the left eyelid with adjacent stranding noted in the subcutaneous tissues overlying the anterior most zygomatic arch. This is not associated with a focal fluid collection and there are no post-septal abnormalities. These findings are most suggestiv... |
Generate impression based on findings. | Heart replaced by transplant. Fever, unspecified. Evaluate for infection. CHEST:LUNGS AND PLEURA: Previously described multiple peripheral wedge-shaped masses have cavitated since the prior examination which may reflect treatment response. Areas of atelectasis and parenchymal disease at the lung bases appear similar to... | Interval cavitation of multiple peripheral cavitary lung nodules, possibly reflecting treatment response to infection or evolving septic emboli. Abdominal and pelvic ascites is unchanged. |
Generate impression based on findings. | Esophageal CA status post CRT CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. Paramediastinal bronchiectasis and fibrosis has progressed. There is a nodular component medially within the left lower lobe (4/74) which falls within the the radiation field and is more likely to be post therapeutic than m... | 1. Esophageal mass just above the level of the carina with development of thoracic lymphadenopathy, highly suspicious for a synchronous primary tumor and nodal metastases. Please note that a newly enlarged lymph node adjacent to the suprahepatic IVC is also identified and may indicate spread of disease related to this ... |
Generate impression based on findings. | Malignant neoplasm of the prostate. Assess metastatic disease. ABDOMEN:LUNG BASES: Minimal punctate nodularity medially at the left lung base is of unclear etiology and should be followed. This may reflect aspiration.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS:... | Widespread bony metastases. Soft tissue mass in the region of the right seminal vesicle and distal ureter; I cannot determine organ of etiology. |
Generate impression based on findings. | Patient history of metastatic thyroid cancer for surveillance. Head CT: There is no intracranial mass, fluid collection, hemorrhage, hydrocephalus or evidence of acute ischemia. There is no pathological enhancement. Gray-white matter differentiation is maintained bilaterally and the midline is intact. The imaged portio... | 1.No intracranial abnormality. 2.Stable postoperative changes related to thyroidectomy and tracheostomy placement.3.No evidence of local recurrence or metastatic disease including lymphadenopathy.4.Degenerative changes of the cervical spine as described.5.Multiple pulmonary nodules related to metastatic deposits. Refer... |
Generate impression based on findings. | 72 year-old female with history of medullary thyroid cancer. Evaluate for metastatic disease. CHEST:LUNGS AND PLEURA: 2-mm micronodule left upper lobe.MEDIASTINUM AND HILA: Borderline right hilar adenopathy with node on image 33/142 measuring 1.4 x 1.5 cm. Elevation of the left hemidiaphragm.CHEST WALL: Post thyroidect... | 1. Subpectoral lymph node on the left.2. Borderline right hilar and retrocrural adenopathy.3. No definite evidence for hepatic metastatic disease. |
Generate impression based on findings. | Metastatic prostate cancer. Evaluate disease for baseline. CHEST:LUNGS AND PLEURA: Severe centrilobular emphysema. There is a 3.8 x 3.7 cm left upper lobe lung mass (image 28; series 5) which has an appearance most compatible with primary lung carcinoma. Radiation changes are also noted in the left lung. Moderate to la... | Widespread bony metastases. Left upper lobe lung mass (presumably representing primary bronchogenic carcinoma) with mediastinal lymphadenopathy and bilateral adrenal metastases. Pelvic adenopathy with measurements given above. |
Generate impression based on findings. | Female, 63 years old, history of metastatic thyroid cancer. Mottled lucency is again seen involving the right parietal bone, the squamous right temporal bone, and a small portion of the right retromastoid occipital bone. The right sphenoid wing is also mottled and irregularly lucent with involvement of the lateral orbi... | 1. Stable lytic change involving the right aspect of the calvarium and the floor of the right middle cranial fossa.2. Epidural tumor along the right parietal and temporal bones, the floor of the right middle cranial fossa, and extending into the infratemporal fossa has probably not significantly changed. Please note th... |
Generate impression based on findings. | Female 59 years old Reason: s/p 8 mo after Right video-assisted robotic resection of the right upper lobe lung cancer, Talc Pleurodesis History: f/u CHEST:LUNGS AND PLEURA: There has been a right upper lobe wedge resection of the previously described right lobe nodule; however, multiple new solid nodules are seen in th... | 1. Local recurrence at the site of wedge resection.2. Stable reference left lower lobe lung nodule and new right upper lobe lung nodule.3. Severe emphysema unchanged.4. Hepatic segment 7 lesion incompletely characterized on this examination, special attention should be paid on future imaging studies. |
Generate impression based on findings. | Female; 49 years old. Reason: Rule out PE History: SOB PULMONARY ARTERIES: No evidence of pulmonary embolism. LUNGS AND PLEURA: Small bilateral pleural effusions and overlying compressive atelectasis, left greater than right. No focal air space opacity. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No... | 1.No evidence of pulmonary embolism.2.Small bilateral pleural effusions and overlying compressive atelectasis, left greater than right. |
Generate impression based on findings. | Abdominal pain ABDOMEN:LUNG BASES: Trace bilateral pleural effusions with overlying subsegmental atelectasis.LIVER, BILIARY TRACT: No focal hepatic lesions are seen. No intrahepatic or extrahepatic biliary ductal dilatation. Normal CT appearance of the gallbladder.SPLEEN: No significant abnormality noted.ADRENAL GLANDS... | Post-surgical changes in the left upper abdominal quadrant, without specific evidence of complication or acute abnormality otherwise.Probable left adnexal hemorrhagic/ruptured cyst |
Generate impression based on findings. | Metastatic thyroid cancer on treatment CHEST:LUNGS AND PLEURA: Numerous pulmonary nodules consistent with metastases. Left lower lobe index nodule measures 22 x 19-mm (5/53), previously 18 x 16 mm. A second left lower lobe index nodule (5/59) measures 18 x 23 mm, previously 15 x 21 mm. Right lower lobe index nodule dif... | Pulmonary metastases with minimal increase in reference measurements. Hepatic mass is unchanged over the past several scans but is incompletely characterized. If accurate characterization would alter clinical management of the patient, a dedicated hepatic CT may be of use. |
Generate impression based on findings. | 66-year-old female with left inguinal hernia, evaluate for recurrence. UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Lumbar vertebral body screws and disk sp... | No evidence of hernia. |
Generate impression based on findings. | Male; 84 years old. Reason: 84 yo M with h/o NSCLC s/p hypofractionated RT > 1 year ago. Please assess for recurrence. CHEST:LUNGS AND PLEURA: Reference peripheral nodule in right upper lobe is not reliably measurable due to adjacent consolidation and fibrosis from radiation therapy. There is abrupt airway cutoff in th... | 1.Mild interval improvement in right upper lobe radiation reaction, but underlying spiculated lung nodule remains obscured and not measurable. 2.No new suspicious lesions or interval change. |
Generate impression based on findings. | Left ureteral injury and hydronephrosis. Flank pain. The following observations are made given the limitations of an unenhanced study.ABDOMEN:LUNG BASES: Two separate 4-mm nodules at the right lung base are nonspecific (image 10, 4; series 3).LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant ... | Distal left ureteral calculi and atrophic left kidney. |
Generate impression based on findings. | Metastatic breast cancer status post S/P RT to 3 lung lesions and right level 12 node 3/13. RML lesion was untreated. Occasional cough. CHEST:LUNGS AND PLEURA: Right apical fibrosis. Subpleural fibrosis in the anterior right lung consistent with RT. Bronchiectasis and architectural distortion of the proximal right midd... | 1. Anterior right lower lobe metastasis measures minimally larger. Additional lesions obscured by post therapeutic change.2. Right pleural metastasis slightly larger. Interval enlargement of a subpleural lymph node in the right major fissure suspicious for metastasis.3. Necrotic right internal mammary chain metastases ... |
Generate impression based on findings. | 42 year old female. Reason: CT pe rliving kidney donor protocol History: kidney donor 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 not... | 1.Solitary renal arteries with bifurcation of segmental arteries at the renal hilum bilaterally.2.Segmentary confluence of the right renal vein occurs less than 1cm from the IVC. |
Generate impression based on findings. | Regional enteritis of small intestine. History of Crohn's disease. Evaluate for abscess in the right lower quadrant. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS:... | 1. No evidence of a right lower quadrant abscess as clinically queried. 2. Changes in the terminal ileum compatible with history of Crohn's disease. 3. Bilateral renal calculi which are nonobstructive.4. Right adnexal cystic nodule. Consider correlation with gynecologic ultrasound if clinically indicated. |
Generate impression based on findings. | Female 63 years old Reason: metastatic thyroid ca, on therapy, eval for dz, compare to previous with measurements History: as above CHEST:LUNGS AND PLEURA: Stable multiple bilateral pulmonary nodules. Stable mild emphysema.Reference nodule measurements are as follows:1.Apical right upper lobe nodule (series 4, image 24... | 1. Unchanged reference pulmonary nodules. 2. Unchanged renal metastases.3. Unchanged osseous metastases and nondisplaced glenoid fracture. |
Generate impression based on findings. | Altered mental status. Hypotension. 44-year-old woman with metastatic squamous cell carcinoma presenting with acute respiratory distress syndrome and concern for liver abscess or metastasis. ABDOMEN:LUNG BASES: Numerous pulmonary nodules at both lung bases, some are cavitated. Bilateral effusions with overlying compres... | Presumably widespread metastatic disease.1. Large renal/perirenal hemorrhage2. Bilateral pulmonary nodules, some of which are cavitated.3. Liver lesions, probably representing metastases4. Ascites and anasarca. 5. Left anterior rib lesion with associated osseous destruction.Findings were discussed with the clinical ser... |
Generate impression based on findings. | Female; 74 years old. Reason: 74 yo woman with new low back pain and urinary incontinence, evaluate for nerve impingement History: low back pain Five lumbar type vertebral bodies are presumed to be present. The vertebral body heights are well preserved without evidence of acute fracture. Minimal anterolisthesis of L4 o... | 1.Mild multilevel degenerative arthritic changes. No significant central canal stenosis aside from mild stenosis at L4-5. No significant neural foraminal narrowing aside from mild bilateral narrowing at L3-4.2.There is severe right greater than left arthritic change of the partially visualized sacroiliac joints. |
Generate impression based on findings. | Reason: parotid cancer surveillance--restaging History: surveillance CHEST:LUNGS AND PLEURA: No evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: High left paratracheal lymph node still 7 mm, image 14 series 3. Other small mediastinal lymph nodes are stable in size.CHEST WALL: No significant abnormality... | No change, and no sign of metastases. |
Generate impression based on findings. | Pancreatitis ABDOMEN:LUNG BASES: Small bilateral pleural effusions, left greater than right, with overlying atelectasis. Punctate clustered densities within the atelectatic right lung base may represent a small calcified nodule or aspirated oral contrast.LIVER, BILIARY TRACT: No significant abnormality noted within the... | 1. 5.3 x 3.4 cm lesion in the pancreatic tail, suspicious for a cystic pancreatic mass. Focal pancreatic necrosis is also a possibility, though less likely given the constellation of findings, as described above.2. Subcentimeter cystic lesions in the pancreatic head, which are too small to fully characterize on this ex... |
Generate impression based on findings. | Reason: 8 months dry cough History: asthma, 13 pack year history LUNGS AND PLEURA: Poorly marginated 24 x 24 mm right lower lobe nodule image 81 series 5, consistent with primary lung cancer.Linear scarring is present bilaterally.There is no evidence of interstitial lung disease or air trapping on expiration series.MED... | Right lower lobe nodule highly consistent with primary lung cancer. Findings were discussed with Dr. Davis at the time of reporting 10/4/2013, 1412. |
Generate impression based on findings. | Reason: pt with lung ca s/p resection 2010 History: now needs yearly evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Right upper lobe scarring with sutures status post cancer resection.Severe centrilobular predominant emphysema is present.There is no evidence of new or recurrent tumor in the lu... | 1. Severe emphysema.2. No evidence of tumor recurrence or new lung cancer.3. Stable abdominal aortic aneurysm. |
Generate impression based on findings. | Reason: Evaluate for cause of fever History: Fever LUNGS AND PLEURA: No pulmonary nodules noted on the and so no specific evidence of fungal infection.Peripheral reticular interstitial opacities have developed or progressed since/28/2013, with some dependent atelectasis but no significant sized pleural effusions. This ... | No specific evidence of infection. However, there has been progression or development over the last 8 months of age chronic-appearing interstitial abnormality possibly drug reaction given the patient's history. This would be atypical for infection. |
Generate impression based on findings. | HNC soft palate radiotherapy. CHEST:LUNGS AND PLEURA: Centrally necrotic lower lung zone nodules consistent with metastases. Left lower lobe nodule is noted inseparable from an adjacent smaller lesion together measuring 13-mm in short axis, previously 6 and 3-mm (4/56).Larger of the two right lower lobe nodules has inc... | 1. Interval increase in size of two of the pulmonary metastases, the third lesion is now spiculated, also likely metastatic.2. Worsening mediastinal and left interlobar lymphadenopathy compatible with nodal metastases.3. Nonspecific sclerotic osseous lesions, one of which has increased in density. Indolent metastatic d... |
Generate impression based on findings. | 52-year-old male with ascending aortic aneurysm. Dyspnea. CHEST:LUNGS AND PLEURA: Mild bibasilar subsegmental atelectasis. No focal air space opacities or pleural effusions. No large central pulmonary embolus is seen.MEDIASTINUM AND HILA: The ascending aorta measures 4.6 cm in AP dimension on axial images at the level ... | 1. 4.6 cm ascending aortic aneurysm, as described above.2. Bicuspid aortic valve with calcification.3. Coronary artery atherosclerosis. |
Generate impression based on findings. | Male 58 years old Reason: Lung cancer compare to last CT \T\ measure lesions using recist criteria History: pre chemo CHEST:LUNGS AND PLEURA: Left upper lobe nodule unchanged, measuring 8 mm (image 24, series 4) previously measuring 8 mm.The right necrotic appearing perihilar mass is difficult to measure because of the... | 1. Near complete occlusion of the bronchus intermedius by tumor.2. No significant change in left upper lobe nodule and right perihilar necrotic mass. 3. New atelectasis and consolidation of the right middle lobe and persistent atelectasis and new ground glass opacities in the right middle lobe; post obstructive pneumon... |
Generate impression based on findings. | Female; 51 years old. Reason: super D protocol, compare to previous, history of breast cancer and radiation History: lung mass LUNGS AND PLEURA: Radiation changes are noted at the right apex. Scattered unchanged pulmonary micronodules are noted, but there are no suspicious lesions to suggest recurrent disease. No focal... | No evidence of metastatic disease. Left upper findings consistent with atypical mycobacterial infection. |
Generate impression based on findings. | Large cell lymphoma. Restaging. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Right central venous catheter terminates in the right atrium.CHEST WALL: Small axillary lymph nodes.ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy. No focal liver lesions or intrahepatic biliary duc... | Scattered lymph nodes reference measurements given above. Heterogeneous right kidney, presumably reflects underlying scarring. |
Generate impression based on findings. | Nodular lymphoma CHEST:LUNGS AND PLEURA: A lymph node in the minor fissure measures 0.9 x 0.7 cm (6/48). No focal air space opacities or pleural effusions.MEDIASTINUM AND HILA: Numerous subcentimeter mediastinal and hilar lymph nodes. Normal sized heart without pericardial effusion.CHEST WALL: Extensive bilateral axill... | Extensive lymphadenopathy in the chest, abdomen, and pelvis, with reference measurements provided. |
Generate impression based on findings. | Evaluate pancreas. Elevated liver function tests. Transplant rejection. The following observations are made given limitations of an unenhanced study.ABDOMEN:LUNG BASES: A small left pleural effusion with overlying compressive-type atelectasis. Scarring or atelectasis anteriorly at the right lung base. Small pericardial... | Status post kidney pancreas transplant. Small retroperitoneal lymph nodes. Left pleural effusion with atelectasis. |
Generate impression based on findings. | Reason: 61 female with ALL, neutropenic fever. r/o infiltrate History: Neutropenic fever LUNGS AND PLEURA: Left upper lobe scar like abnormality unchanged since the prior study and improved compared 2/28/2013. Indolent infection in this region is unlikely given the stability, but is in the differential diagnosis. Other... | Residual and unchanged scarlike abnormality left upper lobe, indolent infection unlikely although in the differential diagnosis. |
Generate impression based on findings. | Follow up recurrent laryngeal CA status post total laryngectomy, thyroidectomy. CRT 7/13. CHEST:LUNGS AND PLEURA: Pleural thickening and calcified plaques consistent with prior asbestos exposure. Diffuse fine emphysema pattern. Areas of peripheral subpleural opacity suggestive of organizing pneumonia increased. Subpleu... | Interval development of a peripherally enhancing fluid collection containing a small amount of air in the right posterior tracheal region highly suspicious for an abscess due to malignant tracheal-mediastinal fistula. Patricia Heinlen was verbally notified at 4:30 p.m. on 10/4/13. Interval increase in lymphadenopathy a... |
Generate impression based on findings. | Male; 84 years old. Reason: Evaluate for evidence of lung cancer recurrence. Had resection of part of right upper lobe and left upper lobe due to non-small cell lung cancer. LUNGS AND PLEURA: Postsurgical changes compatible with partial right upper lobe and left upper lobe resections. There is a solid 5 mm pulmonary no... | Solid 5 mm right lower lobe pulmonary nodule, for which CT follow-up in 3 months then annually is recommended as new disease cannot be excluded. |
Generate impression based on findings. | Uterine carcinosarcoma. The following observations are made given the limitations of an unenhanced study.CHEST:LUNGS AND PLEURA: Scattered granulomas. Ill-defined soft tissue nodule anteriorly at the right lung base (image 49; series 5) measures 0.8 x 0.6 cm. This was not included on the prior examination and should be... | Status post left nephrectomy and hysterectomy. Ill-defined subcentimeter pulmonary nodule at the right lung base can be followed. |
Generate impression based on findings. | Malignant neoplasm of upper lobe bronchus. Secondary malignant neoplasm of bone or bone marrow. CHEST:LUNGS AND PLEURA: Innumerable small solid pulmonary nodules have slightly increased in size and number since the previous scan and remain compatible with metastases. Left lower lobe opacity with volume loss and air bro... | Progression of disease based on increase in size and number of lung nodules. Sclerotic osseous lesions are unchanged. |
Generate impression based on findings. | Female; 25 years old. Reason: r/o abscess, mass History: right LNA x 1 week with pain The visualized intracranial compartment is unremarkable without abnormal enhancement evident. The paranasal sinuses and mastoid air complexes are clear. The orbits are unremarkable.There is a smoothly marginated, mildy lobulated, enha... | Enhancing mass in right level 2a felt to represent a conglomerate of enlarged lymph nodes. The size and morphology would be atypical for reactive or inflammatory lymphadenopathy, though these are possibilities. Advise follow-up to resolution to exclude neoplastic process. |
Generate impression based on findings. | 41 year old man with atypical chest pain. His coronary risk factors include hyperlipidemia and a family history of accelerated coronary artery disease.CPT Code: 75574 Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of valsalva and bifurcates into the left anterior descending and... | 1.There are no significant coronary artery stenoses present.This portion of the report pertains to the heart and great vessels only. The remaining soft tissues of the thorax and upper abdomen will be interpreted by the attending chest radiologist and included as an addendum to this report. |
Generate impression based on findings. | Malignant neoplasm of bladder. Evaluate for metastasis. Delayed imaging. ABDOMEN:LUNG BASES: Minimal left lower lobe scarring without focal opacities or pleural effusions, stable.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADREN... | Stable examination.1.No definite evidence of recurrent or metastatic disease2.Large, round, single-dominant, heterogeneously dense, 8.1 x 8.0 cm uterine mass. As noted previously, CT is not specific for evaluation and correlation with gynecologic ultrasound can be performed if clinically indicated.3.Unchanged 1.6cm uni... |
Generate impression based on findings. | Female 62 years old Reason: PE? pna? edema? History: SOB, tachycardia PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolism or right heart strain.LUNGS AND PLEURA: Multiple small pulmonary nodules unchanged. Minimally increased bilateral basilar predominant dependent atelectasis. Small t... | 1. No evidence of pulmonary embolism 2. Minimal increase in dependent atelectasis without pulmonary etiology found to explain patient's shortness of breath.3. Stable extensive metastatic disease.4. Findings consistent with bowel obstruction better evaluated on CT abdomen and pelvis from the same day. |
Generate impression based on findings. | Female 25 years old Reason: pulmonary embolism? History: pleuritic chest pain, worse with inspiration PULMONARY ARTERIES: Technically adequate study without evidence of right heart strain or pulmonary embolism.LUNGS AND PLEURA: Minimal dependent atelectasis right greater than left, without evidence of focal consolidati... | 1. No evidence of pulmonary embolism.2. No etiology found to explain the patient's pleuritic chest pain. |
Generate impression based on findings. | Female 81 years old Reason: evaluate for PE History: 81yo F with supraglottic SCC p/w tachycardia and hypoxia following chemoXRT PULMONARY ARTERIES: Technically adequate study without evidence of right heart strain or pulmonary embolism.LUNGS AND PLEURA: Moderate basilar bronchial wall thickening right greater than lef... | 1. No evidence of pulmonary embolism.2. Atelectasis/consolidation in the right lower lobe with associated mucous plugging and bronchial wall thickening consistent with aspiration or aspiration pneumonia in the appropriate clinical setting.3. Two cavitary subcentimeter nodular opacities in the right middle lobe likely r... |
Generate impression based on findings. | 86 year old patient. Stroke. There is ventricular prominence and atrophic change in keeping with a the patients age. There is no intracranial mass, fluid collection, hemorrhage, hydrocephalus or CT evidence of acute ischemia. Gray-white matter differentiation is normal bilaterally and the midline is intact. Orbits are ... | No acute intracranial pathology demonstrated. CT is of suboptimal sensitivity in the assessment of acute ischemia and if of persisting concern, MRI could be considered. |
Generate impression based on findings. | First time seizure. There is ill-defined patchy hypoattenuation within subcortical and periventricular white matter in keeping with a degree of chronic small vessel ischemic disease. There is hyperattenuation in keeping with mineralization of the medial lentiform nuclei bilaterally which is most likely idiopathic. Infr... | No acute findings and no pathology demonstrated which would explain the patient's seizures. |
Generate impression based on findings. | Female 75 years old Reason: rule out PE History: shortness of breath, tachycardia PULMONARY ARTERIES: Technically adequate study without evidence of right heart strain or pulmonary embolism.LUNGS AND PLEURA: Bilateral small pleural effusions, left greater than right with associated basilar compressive atelectasis left ... | 1. No evidence of pulmonary embolism.2. Findings compatible with peritoneal carcinomatosis; if this is a new diagnosis, recommend dedicated abdominal and pelvic CT to confirm and evaluate extent of disease.3. Bilateral small pleural effusions with associated compressive atelectasis.4. 8 mm groundglass nodule along the ... |
Generate impression based on findings. | Reason: R/o aneurysm History: Chest and back pain with costophrenic angle opacity on CXR The phase of contrast is optimized for evaluation of the arterial system. Evaluation of solid organ and mediastinal pathology is limited.CHEST:LUNGS AND PLEURA: Mild upper lobe predominant centrilobular emphysema. Dependent atelect... | No evidence of aneurysm or dissection. Opacity visualized on chest x-ray corresponds to prominent epicardial fat pad on CT.Contrast reaction description:Supervising radiologist: Dr. VasnaniContrast type: Omnipaque (iodine containing)Signs and symptoms: Facial hivesTreatment given: None, patient refused BenadrylDischarg... |
Generate impression based on findings. | Acute mental status change. Rule out intracranial process. There is patchy hypoattenuation within a periventricular and subcortical distribution in keeping with sequela of chronic small vessel ischemic disease. There is mild diffuse sulcal and ventricular prominence in keeping with the patient's age. No intracranial ma... | No acute intracranial pathology demonstrated. |
Generate impression based on findings. | Female; 73 years old. Reason: back pain History: back pain CT thoracic spine:Moderate motion artifact as well as marked streak artifact from posterior fusion hardware limits sensitivity for acute pathology. There is also inherent low soft tissue resolution of this exam, which makes detection of soft tissue abnormalitie... | 1.Within the severe limitations of this exam, no acute fracture or malalignment evident.2.Mild multilevel degenerative arthritic changes are similar to prior study without evidence of significant central spinal stenosis.3. Stable appearance of posterior spinal fusion without evidence of hardware loosening. |
Generate impression based on findings. | Female 61 years old; Reason: Colitis History: LLQ abd pain ABDOMEN:LUNGS BASES: Basilar honeycombing and interstitial changes most suggestive of fibrosis. Ground glass opacities indicates active inflammation.LIVER, BILIARY TRACT: Liver has a smooth contour. No suspicious hepatic lesions. Hepatic and portal veins are pa... | 1.Cholelithiasis and possible choledocholithiasis causing moderate to severe intrahepatic and extrahepatic ductal dilatation for which M.R.C.P. is recommended.2.Partially obstructing 5-mm right mid ureter calculus.3.Pulmonary fibrosis with basilar interstitial changes. Dedicated high resolution CT of the chest and pulm... |
Generate impression based on findings. | Weakness. Rule out CVA. There are two wedge-shaped foci of hypoattenuation demonstrated within the right frontal and right parietal lobes. There is no associated mass effect or hemorrhage. These are in keeping with encephalomalacia related to chronic infarct. There is no evidence of acute CVA and the midline is intact.... | Findings related to chronic infarct without CT evidence of acute ischemia. CT is suboptimal in its sensitivity for detecting acute ischemia. If there is persistent concern, MRI could be considered. Incidental note is what most likely represents a congenital fusion anomaly at C1. |
Generate impression based on findings. | Female 69 years old; Reason: evaluation of abscess and anastomosis History: colostomy in place ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver has a smooth contour. No suspicious hepatic lesions. Mild intrahepatic ductal dilatation following cholecystectomy. Hepatic and portal veins ar... | 1.Decrease in the size the pelvic fluid collection following drain placement with minimal residual. |
Generate impression based on findings. | Reason: pt s/p subtotal colectomy, end ileostomy, s/p ostomy reversal hx of colitis now w/ leukocytosis, GNR bactermia: r/o colitis, anastomotic leak, abscess, fluid collection History: abdominal pain, nausea ABDOMEN:LUNG BASES: Basilar subsegmental atelectasis.LIVER, BILIARY TRACT: Mild to moderate perihepatic ascites... | 1.Postsurgical changes without evidence of bowel obstruction or enteric leak. 2.Mild to moderate abdominal and pelvic ascites of unclear etiology. No loculated fluid collections. |
Generate impression based on findings. | Female 62 years old; Reason: eval for intraabdominal process History: hx of metastatic thyroid CA, now with suprapubic, RUQ and LUQ pain/tenderness ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver has a smooth contour. Scattered intrahepatic calcifications represent granulomatous diseas... | 1.Findings suspicious for a colitis with some pericolonic fluid posterior to the right colon. |
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