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Generate impression based on findings. | Female 72 years old; Reason: r/o pancreatitis, mass, pseudocyst History: epigastric TTP ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: Pancreas enhances homogeneously. Splenic vein is patent. No peripancreat... | 1.No CT findings of acute pancreatitis.2.Complex right renal cyst and smaller left renal cysts are unchanged. |
Generate impression based on findings. | Syncope. Medical history includes brain tumor. Evaluate for intracranial lesion. There are sequela of the left parietal craniotomy. There is some ventricular prominence, particularly in the left occipital horn where there is ex vacuo dilatation related to an area of overlying encephalomalacia. There is no intracranial ... | Sequela of prior craniotomy with left temporoparietal encephalomalacia. No acute pathology demonstrated. |
Generate impression based on findings. | Male 24 years old; Reason: stone History: hematuria ABDOMEN:LUNGS BASES: Hilar and mediastinal calcified nodes.LIVER, BILIARY TRACT: Hepatic calcifications presumably from prior granulomatous disease. The liver is otherwise unremarkable for unenhanced technique.SPLEEN: Scattered splenic granulomata.PANCREAS: No signifi... | 1.No evident nephrolithiasis, or hydronephrosis. |
Generate impression based on findings. | Male 22 years old; Reason: h/o multiple operations, open abdomen with wound vac, concern for ec fistula History: tachycardia, bilious drainage from vac ABDOMEN:LUNGS BASES: Patchy ground glass opacities at the lung bases, most likely infectious. Atelectatic changes at the left lung base with a small left pleural effusi... | 1.At least 3 large wall enhancing fluid collections two in the left upper abdomen and one within the pelvis suspicious for large intra-abdominal abscess.2.Left upper abdominal drain does not enter either the collections.3.Fatty liver with perfusion abnormalities but patent vasculature.4.Large ventral body wall defect w... |
Generate impression based on findings. | Reason: SBO - partial vs complete? History: nausea/vomiting ABDOMEN:LUNG BASES: Subcentimeter right upper lobe pulmonary nodule adjacent to the major fissure is unchanged (series 10, image 5). Small bilateral pleural effusions, unchanged. Cardiophrenic lymphadenopathy without significant interval change.LIVER, BILIARY ... | 1.Small bowel obstruction with transition point in the right lower quadrant adjacent to an inflamed thickened loop of bowel.2.Widespread metastatic disease. |
Generate impression based on findings. | Female; 73 years old. Reason: syncope History: syncope No significant interval change since prior study.Mild global parenchymal volume loss, commensurate for the patient's age. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is preserved. There is no mass effect... | No acute intracranial abnormality. |
Generate impression based on findings. | Reason: obstruction History: abdominal pain, mass ABDOMEN:LUNG BASES: Motion artifact limits evaluation of the lung bases. Small left pleural effusion. Basilar atelectasis.LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS... | 1.Heterogeneous right adnexal mass. Correlate with pelvic ultrasound.2.Percutaneous gastrostomy with surrounding subcutaneous fat stranding and foci of air suggesting cellulitis. No drainable fluid collections.3.No evidence of bowel obstruction. |
Generate impression based on findings. | Reason: rule out stone History: flank pain Lack of IV contrast limits evaluation of solid organ pathology.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 sig... | No hydronephrosis or nephroureterolithiasis. |
Generate impression based on findings. | Reason: ?pancreatitis ?cholelithiasis History: abdominal pain ABDOMEN:LUNG BASES: Basilar atelectasis/scarring.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No ... | 1.Stool distended rectum with mild perirectal inflammatory changes. Correlate for stercoral colitis. 2.No evidence of bowel obstruction, cholelithiasis or pancreatitis. |
Generate impression based on findings. | Reason: evaluate for intra-abdominal pathology History: epigastric, RUQ, LUQ pain/tenderness ABDOMEN:LUNG BASES: Bibasilar atelectasis and consolidation. Previously referenced right upper lobe pulmonary nodule is incompletely visualized.Mural thrombus along the posterior wall of the distal thoracic aorta, unchanged.LIV... | Small bowel obstruction with a transition point in the left lower quadrant. |
Generate impression based on findings. | Female, 54 years old, history of testis, otitis media, hearing loss, chronic sinusitis. The frontal sinuses and frontoethmoidal recesses are clear. Ethmoid air cells are clear. Sphenoid sinuses and sphenoethmoidal recesses are clear.The maxillary sinuses are clear. The maxillary ostia is not well seen on the right but ... | 1. No evidence of active sinusitis.2. Partial opacification of the right mastoid air cells is noted which is a nonspecific finding but may indicate an inflammatory process.3. Unremarkable evaluation of the temporal bone structures. No middle ear masses or other specific findings are seen to account for the patient's te... |
Generate impression based on findings. | 45 year old patient for surveillance of bilateral subdural hematoma. The previously documented subdural hematomas are demonstrated overlying the frontal and parietal lobes bilaterally. These have demonstrated expected interval evolution including layering of hyperattenuating blood products dependently without significa... | Expected interval evolution of bilateral subdural hematomas without new collection or significant change in dimension. |
Generate impression based on findings. | Female 53 years old; Flatulence, eructation, and gas pain Regional enteritis of small intestine with large intestine ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. Probable cyst in the right hepatic lobe . Hepatic and portal vein... | 1.Findings of ongoing bowel inflammation involving multiple areas of the ileum with possible areas of stricturing. This could be better evaluated with a dynamic study such as a small bowel follow-through. |
Generate impression based on findings. | Female, 85 years old, with intracranial hemorrhage. A large amount of parenchymal hemorrhage is present within the posterior left frontal, left parietal and left occipital lobes. The blood product is of differing CT density suggesting blood at different stages of evolution. On many slices, a prominent blood fluid level... | Extensive parenchymal, subdural and probably subarachnoid hemorrhage involving predominantly the left cerebral hemisphere. This results in severe generalized mass effect with marked subfalcine and transtentorial herniation. Parenchymal hypoattenuation surrounding the large hematomas and extending to the brain stem may ... |
Generate impression based on findings. | Male, 53 years old, history of base of tongue squamous cell carcinoma. Mild treatment related changes are redemonstrated in the neck. No evidence of recurrent tongue base tumor or pathologic adenopathy is demonstrated. A reference right submandibular node measures 10 x 7 mm (series 4 image 48), previously 9 x 6 mm. A r... | Stable treatment related change in the neck. No evidence of active disease. |
Generate impression based on findings. | Female, 13 years old, loss of consciousness, new diagnosis of lupus, increased intracranial pressure. Subtle parenchymal and leptomeningeal abnormalities noted on the prior MRI cannot be distinguished on CT. Within this limitation, no discrete parenchymal abnormalities are identified. No edema, mass effect or midline s... | Unremarkable CT examination of the head. |
Generate impression based on findings. | Male, 62 years old, base of tongue cancer. Treatment related changes are redemonstrated in the neck. No focal tongue base or mucosal lesions are seen to suggest recurrent disease. No pathologic adenopathy is detected in the neck by size criteria.Sallivary glands are within normal limits. Subcentimeter left thyroid nodu... | Treatment related change in the neck. No evidence of recurrent disease. |
Generate impression based on findings. | Male, 45 years old, cervicalgia. The the palatine tonsils are slightly bulky with scattered tonsilliths. The left base of tongue mucosa is also slightly prominent causing partial effacement of the left vallecula. Otherwise, the aerodigestive mucosal spaces are within normal limits.Scattered cervical lymph nodes are ide... | Mild prominence of the left base of tongue mucosa likely reflect asymmetric lymphoid tissue. There is, however, some resulting effacement of the left vallecula. Visual inspection may be considered if clinically warranted.The soft tissues of the neck are otherwise unremarkable. No mass lesions or pathologic adenopathy i... |
Generate impression based on findings. | Male, 66 years old, history of tonsil cancer. Treatment related change is seen including soft palate hyperemia as well is infiltration in the left neck. No soft tissue masses are identified.No pathologic adenopathy can be detected. A left level 2/3 reference node measures 5 x 4 mm (image 48 series 5), unchanged.The sal... | Treatment related change in the neck with no evidence of recurrent disease or pathologic adenopathy.Interval resection of the right thyroid lobe. |
Generate impression based on findings. | Male, 49 years old, stroke, status post hemi-craniectomy, follow-up after fully anticoagulate. Surgical change is again seen compatible with a right hemicraniectomy. Sequelae of right MCA stroke are redemonstrated including substantial edema of the frontal, parietal and temporal lobes. The brain herniates through the c... | Post craniectomy change for decompression of a large right MCA distribution stroke. There is mild interval improvement in the degree of brain herniation through the craniectomy defect. Evidence of mild hemorrhagic transformation is again seen within the infarct region. No new hemorrhage is detected. No evidence of new ... |
Generate impression based on findings. | Male 39 years old; Reason: concern for mesenteric ischemia History: acute abdomen, recent VTE, no anticoag, persistent lactic acidosis ABDOMEN:LUNGS BASES: Bilateral pleural effusions are not significantly changed in size. There is basilar atelectasis.LIVER, BILIARY TRACT: Hepatic parenchyma is diffusely abnormal. The ... | 1.New significant abnormality involving the liver. Differential considerations include new, extensive metastatic disease, hepatic infarction, asymmetric fatty deposition. Correlation with hepatic enzymes is recommended.2.Peripheral hypodensities in the spleen most suggestive of infarctions. Rounded lesions are more sug... |
Generate impression based on findings. | Male 32 years old; Reason: Etiology of severe neutropenic fevers- evidence of fungal or bacterial infections? History: persistently febrile to 40 degrees, C diff positive CHEST:LUNGS AND PLEURA: No dominant lung lesion. Micronodule in the right upper lobe (image 10/series 5) nonspecific. The pleural spaces are clear. T... | 1.No definite infectious source identified in the chest, abdomen or pelvis.2.No evident lymphadenopathy.3.No bowel obstruction. |
Generate impression based on findings. | Female 58 years old; Reason: pancreatitis History: abd pain, elevated lipase ABDOMEN:LUNGS BASES: Bilateral lower lobe scattered ground glass opacifications with areas of dense opacities.LIVER, BILIARY TRACT: Liver has a smooth contour. No suspicious hepatic lesions. Mild intrahepatic or ductal dilatation following cho... | 1.Lower lobe ground-glass opacities may be infectious. Dedicated chest imaging is suggested.2.Polypoid focus adjacent to the ampulla in the duodenum of unclear etiology, follow-up is recommended.3.Suggestion of colonic wall thickening involving the cecum, suboptimally evaluated without proper enteric contrast / colonic... |
Generate impression based on findings. | Female 31 years old; Reason: s/p wound debridement 10/2 now with acute renal failure; r/o intraabdominal bleeding History: abdominal pain ABDOMEN:LUNGS BASES: Trace right pleural effusion.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality... | 1.Large body wall defect with inflammation and fluid extending to the pelvis. The lack of intravenous contrast limits evaluation of the fluid collection.2.No definite hematoma. |
Generate impression based on findings. | 35-year-old female with tachycardia and hypoxia post operative. Evaluate for pulmonary embolus. Additional history as per clinical service: patient with history of ectopic pregnancy, status post laparoscopic salpingectomy (postoperative day 2). PULMONARY ARTERIES: No evidence of a pulmonary embolus.LUNGS AND PLEURA: No... | 1. No evidence of a pulmonary embolus. 2. Small amount of free intraperitoneal air and high density perihepatic and perisplenic fluid. Findings are likely postoperative in etiology given clinical history above. However, if there is further clinical concern, evaluation with CT abdomen and pelvis is recommended.3. Nonspe... |
Generate impression based on findings. | Female 19 years old; Reason: 19 yo with history of indeterminate colitis presents complaining of worsening abdominal pain, fever 101, CRP 178.Please eval for intra-abdominal abscess. History: abdominal pain, fever. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver has a smooth contour. N... | 1.Findings of a diffuse colitis without evident abscess. |
Generate impression based on findings. | Female 30 years old; Reason: R/O malignancy or other lesions, pt with multiple enhancing lesions on MRI brain History: see above CHEST:LUNGS AND PLEURA: Multiple pulmonary opacities with a solid spiculated mass in theright upper lobe measuring 1.3 x 0.9 cm (image 28/series 5). No pleural effusions. No cavitation.MEDIAS... | 1.Extensive lymphadenopathy in the chest, abdomen and pelvis. Findings are most suggestive of a lymphoproliferative disorder.2.Pulmonary parenchymal opacities represent either of infectious or malignant etiology.3.Cholelithiasis. |
Generate impression based on findings. | Female 68 years old; Reason: suspicious lesion in lumbar spine; concern for mets History: as above CHEST:LUNGS AND PLEURA: Calcified lesion in the right upper lobe. There are ipsilateral calcified hilar nodes. The pleural spaces are clear. The central airways are patent.MEDIASTINUM AND HILA: Heart size is normal. No pe... | 1.Destructive lesion of L5 vertebral body with a lymphadenopathy in the axilla and pelvis. Differential considerations include lymphoma or metastatic disease. |
Generate impression based on findings. | 59-year-old male with shortness of breath. Patient is status post DVT and off anticoagulation for one month. Evaluate for pulmonary embolus. PULMONARY ARTERIES: Examination is diagnostic to the segmental level. No evidence of pulmonary embolus to the segmental level.LUNGS AND PLEURA: Mild to moderate centrilobular emph... | 1. No evidence of pulmonary embolus to at least the segmental level. 2. Soft tissue density appears to encase the left main pulmonary artery raising the question of a malignant invasive process. Further evaluation with a dedicated CT chest examination with contrast is recommended.3. Hilar and mediastinal lymphadenopath... |
Generate impression based on findings. | 71-year-old female with hypertension, high right-sided pressures, McConnell's sign and history of DVT. Evaluate for pulmonary embolus. PULMONARY ARTERIES: Examination is nondiagnostic for evaluation of pulmonary embolus. There is no large saddle embolus.LUNGS AND PLEURA: Trace right pleural effusion. Small left pleural... | 1. Nondiagnostic examination for evaluation of pulmonary embolus. No evidence of large saddle embolus.2. Chronic occlusion of the right subclavian vein, brachiocephalic vein, and the superior vena cava with multiple mediastinal collaterals and opacification of a large azygos vein. |
Generate impression based on findings. | Female 78 years old; Reason: r/o retroperitoneal hematoma History: acute drop in hgb ABDOMEN:LUNGS BASES: Small bilateral pleural effusions with associated atelectasis. There is a calcified granuloma in the right lung base.LIVER, BILIARY TRACT: Nonspecific hypervascular foci in the liver. Few scattered hepatic calcific... | 1.No evident retroperitoneal or body wall hematoma. |
Generate impression based on findings. | Male 44 years old; Reason: small bowel obstruction History: distension, nausea, vomiting, lack of BM ABDOMEN:LUNGS BASES: 6-mm left lower lobe pulmonary nodule (image 17/series 6) this may represent a discrete nodule versus area of atelectasis.LIVER, BILIARY TRACT: Scattered intrahepatic pneumobilia. Gallbladder is abs... | 1.Extensive fecal material within the colon suggests constipation.2.Mild distention of the duodenum and jejunum without a discrete transition point suggest partial obstruction or small bowel ileus.3.6mm pulmonary nodule; follow up is suggested.4.Chronic pancreatitis with pancreatic atrophy. If needed, consider M.R.C.P.... |
Generate impression based on findings. | Female 42 years old; Reason: eval for obstruction History: pt with severe abd pain, s/p colectomy ABDOMEN:LUNGS BASES: Moderate size pericardial effusion, partially imaged.LIVER, BILIARY TRACT: Liver is enlarged measuring over 20 cm in craniocaudal, dimension. No biliary ductal dilatation. Hepatic and portal veins are ... | 1.Findings of a bowel obstruction with the transition point in the right lower abdomen, most likely due to adhesions.2.Trace pelvic ascites may be physiologic or due to bowel obstruction.3.Pericardial effusion |
Generate impression based on findings. | Female 26 years old; Reason: free fluid in abd History: abd pain ABDOMEN:LUNGS BASES: Trace pericardial effusion. No basilar pleural effusions.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnorma... | 1.No bowel obstruction as clinically questioned.2.No findings of appendicitis.3.Trace pelvic fluid. |
Generate impression based on findings. | Slurred speech. Rule out CVA. There are two small areas of hypoattenuation within the subcortical white matter of the right frontal lobe (axial image 20) and right basal ganglia. No associated hemorrhage or mass effect. Gray-white differentiation is normal elsewhere. Incidental note is made of hyperattenuation consiste... | Small areas of hypoattenuation within subcortical white matter and basal ganglia. These most likely represent sequelae of ischemia which are age indeterminate by CT criteria. The patient went on to undergo an MRI examination, refer to report for further detail. |
Generate impression based on findings. | Vertigo with nausea and vomiting. Rule out intracranial hemorrhage. There is no intracranial mass, fluid collection, hemorrhage, hydrocephalus or evidence of acute ischemia. Gray-white matter differentiation is unremarkable and the midline is intact.Visualized portions of the orbits and paranasal sinuses are unremarkab... | No acute intracranial pathology |
Generate impression based on findings. | Male, 55 years old, history of thyroid cancer and is Tesio neuroblastoma. Neck mass felt on exam. Evaluate for recurrence. Extensive surgical changes redemonstrated within the nasal cavity. The ostiomeatal units have been removed as have all of the nasal cavity structures with the exception of the inferior turbinates. ... | 1. Redemonstration of extensive postsurgical change in the nasal cavity. Soft tissue along the residual sphenoid bone, extending into the clivus, has not significantly changed from prior exams. No findings to suggest locally recurrent esthesioneuroblastoma are seen.2. Postsurgical change compatible with thyroidectomy i... |
Generate impression based on findings. | Acute mental status change. There is mild patchy periventricular and subcortical hypoattenuation which likely represents sequela of chronic small vessel ischemic disease. There is no intracranial mass, fluid collection, hemorrhage, hydrocephalus or CT evidence of acute ischemia. Gray-white matter differentiation is nor... | No acute intracranial pathology demonstrated. |
Generate impression based on findings. | 51-year-old male who had acute worsening of hypoxia. Evaluate for pulmonary embolus or infarction. PULMONARY ARTERIES: No evidence of pulmonary embolus.LUNGS AND PLEURA: There is a small left apical pneumothorax. Bilateral small pleural effusions with underlying atelectasis. There are small vague areas of ground glass ... | 1. No pulmonary embolus. 2. Small left apical pneumothorax. 3. Large left hilar mass as detailed above results in attenuation of the left upper lobe pulmonary artery.3. Bilateral small pleural effusions. 4. Vague areas of groundglass opacities in the right upper and lower lobes; diagnostic considerations may include at... |
Generate impression based on findings. | 44 year-old patient. Headache. Rule out intracranial hemorrhage. No intracranial mass, fluid collection, hemorrhage, hydrocephalus or evidence of acute ischemia. Gray-white matter differentiation is maintained bilaterally and the midline is intact. There is soft tissue density consistent with maxillary and ethmoid sinu... | No acute intracranial pathology demonstrated. |
Generate impression based on findings. | C-spine tenderness and tingling of lower extremities following helmet to helmet contact. CT head: There is no intracranial mass, fluid collection, hemorrhage, hydrocephalus or evidence of acute ischemia. Gray-white differentiation is maintained bilaterally and the midline is intact. There is mild mucosal thickening in ... | No abnormality of the head or cervical spine demonstrated. |
Generate impression based on findings. | 35 year-old female with new onset hypoxia with dyspnea on exertion. Evaluate for pulmonary embolus versus edema. Motion artifact limits evaluation. Within this limitation, the following findings are noted.PULMONARY ARTERIES: No evidence of pulmonary embolus.LUNGS AND PLEURA: Bilateral small pleural effusions with under... | 1 No evidence of pulmonary embolus. 2. Findings suspicious for right middle lobe and right lower lobe pneumonia. 3. Findings as described above suspicious for congestive heart failure.4. Mild to moderate atherosclerotic disease as detailed.Findings relayed to Dr. Anshu Verma, covering pager 2987, over the phone at appr... |
Generate impression based on findings. | 18 years old. Vomiting following head trauma. There is no intracranial mass, fluid collection, hemorrhage, hydrocephalus or evidence of acute ischemia. Gray-white matter differentiation is maintained bilaterally and the midline is intact.Orbits, paranasal sinuses and mastoid air cells are unremarkable. | No visualized intracranial abnormality. |
Generate impression based on findings. | Male, 32 years old, persistently febrile to 40 degrees, neutropenic. The frontal sinuses are clear. There is mild opacification at the level of the frontoethmoidal recesses. Patchy opacification of the ethmoid air cells is demonstrated. Mild soft tissue thickening is present within the sphenoid sinuses. The sphenoethmo... | Patchy opacification through the ethmoid air cells could reflect an inflammatory or infectious process. Mucosal thickening within the maxillary sinuses demonstrates more the appearance of mucous retention cysts, and in any event, was present on prior MRI. No findings to suggest an aggressive or invasive sinus infection... |
Generate impression based on findings. | Assault with loss of consciousness. No intracranial mass, fluid collection, hemorrhage, hydrocephalus or evidence of acute ischemia. Gray-white matter differentiation is maintained bilaterally and the midline is intact. | No intracranial abnormality demonstrated. |
Generate impression based on findings. | 22-year-old male status post significant vascular surgery. Intermittent desaturations. Assess for pulmonary embolus. PULMONARY ARTERIES: Suboptimal opacification of the pulmonary artery limits evaluation. Within this limitation, no evidence of a large pulmonary embolus.LUNGS AND PLEURA: Moderate sized bilateral pleural... | 1. Suboptimal examination for evaluation of pulmonary embolus as detailed. No large saddle embolus. 2. Multiple pulmonary nodules with reference measurements as detailed; findings are suspicious for metastatic disease.3. Abdominal ascites and incompletely evaluated soft tissue density anterior to the pancreas. Further ... |
Generate impression based on findings. | 55-year-old patient with right hand numbness. There are small foci of hypoattenuation within the internal capsules bilaterally. No significant mass effect, or associated hemorrhage. There are no other intracranial masses or fluid collections. Gray-white differentiation is maintained and the midline is intact. There is ... | Small foci of hypoattenuation within the internal capsules noted. This is a nonspecific finding, though could represent small age indeterminate lacunar infarction or prominent perivascular space. An MRI is in progress at the time of this dictation. |
Generate impression based on findings. | Male, 66 years old, status post fall, head trauma, now with subdural and subarachnoid hemorrhage. Stable hyperdense extra-axial blood along the right frontal lobe. Stable intermediate density extra-axial clot along the left frontal lobe. Subarachnoid hemorrhage within the right sylvian fissure is less dense and less co... | Scattered intracranial blood product is stable or reduced in conspicuity. No progressive or new hemorrhage is seen. |
Generate impression based on findings. | 62 year-old female with tachycardia and chest pain. Evaluate for pulmonary embolus Motion artifact somewhat limits evaluation. Within this limitation, the following findings are noted.PULMONARY ARTERIES: No evidence of pulmonary embolus. LUNGS AND PLEURA: Bilateral small pleural effusions with underlying atelectasis/co... | 1. No evidence of pulmonary embolus. 2. Bilateral small pleural effusions with underlying atelectasis/consolidation. 3. Mild to moderate cardiomegaly with small pericardial effusion. 4. Hepatomegaly. |
Generate impression based on findings. | 31 year old patient. Headache and left arm weakness for 5 days. There is no intracranial mass, fluid collection, hemorrhage, hydrocephalus or CT evidence of ischemia. Gray-white matter differentiation is maintained bilaterally and the midline is intact. The orbits, paranasal sinuses and mastoid air cells are unremarkab... | No intracranial abnormality visualized. Given the patient has previously documented MS, if there is concern regarding an acute flare, MRI is a more sensitive technique for assessing the inflammation associated with MS. |
Generate impression based on findings. | 54-year-old male with tachycardia. Evaluate for pulmonary embolus Streak artifact from spinal hardware somewhat limits evaluation. Within this limitation, the following findings are noted.PULMONARY ARTERIES: There is a filling defect in the right lower lobe segmental pulmonary artery, extending into the subsegmental br... | 1. Right lower lobe segmental pulmonary artery embolus that extends into the subsegmental branches. 2. Small bilateral pleural effusions with underlying atelectasis.3. Small area of soft tissue density in the upper trachea. This may represent debris; however, follow up is recommended to document resolution.Findings rel... |
Generate impression based on findings. | Female, 64 years old, altered mental status, subdural hemorrhage. Right parietal extra-axial blood product is redemonstrated, not substantially changed in size but reduced in CT density. Small low-density extra-axial collection overlying the left parietal lobe is not significantly changed.No hemorrhage is detected. The... | No progressive or new hemorrhage. Hematoma along the right parietal lobe has reduced in CT density compatible with expected evolution. A small low-density left parietal extra-axial collection is unchanged. |
Generate impression based on findings. | Acute mental status change. History of metastatic lung cancer There is significant motion artifact limiting sensitivity. A ventriculostomy catheter is in unchanged position, approaching the right lateral ventricle from a right frontal burr hole. There has been a slight interval increase in the amount of pneumocephalus ... | 1.Interval slight decrease in ventricular caliber, though the examination is somewhat limited by motion artifact. 2.No acute changes in the multiple bilateral metastatic lesions, though increase in size as been demonstrated since an examination dated 9/30/2013. |
Generate impression based on findings. | Male 72 years old; Reason: aortic dissection History: chest pain CHEST:LUNGS AND PLEURA: Ground-glass nodule adjacent to the right minor fissure measures 1.9 x 1.6 cm (image 61/series 10). Scattered calcified and noncalcified right subcentimeter nodules.The pleural spaces are clear. MEDIASTINUM AND HILA: Heart size nor... | 1.No thoracoabdominal aneurysm or evident dissection.2.Ground-glass opacity along the right minor fissure may be infectious or inflammatory. Follow up recommended.3.9-mm splenic artery pseudoaneurysm, unchanged. |
Generate impression based on findings. | Female, 25 years old, status post shunt removal. Redemonstrated is evidence of multiple right sided craniotomies and right hemispherectomy defect. A left parietal approach shunt catheter, terminating within the diskectomy defect, is in place. This may be a revised catheter as it no longer connects to a subcutaneous res... | Revision of bilateral drainage catheters. A left parietal approach catheter terminates in similar position to what was seen on the prior examination. A right parietal approach catheter now terminates within the anterior cranial fossa, beneath the inferior frontal lobes. Other findings are not substantially changed. |
Generate impression based on findings. | Female, 25 years old, sudden onset severe headache. 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 ventricles and basal cisterns are pat... | Normal exam. |
Generate impression based on findings. | Female, 25 years old, headache. Precontrast head CT images remain within normal limits.The components of the anterior circulation including the ICAs, MCAs and ACAs demonstrate normal caliber and morphology. No high-grade stenosis, vascular occlusion or aneurysm is detected.The components of the posterior circulation in... | Unremarkable CT angiogram of the head. No aneurysms are detected. |
Generate impression based on findings. | 32 year-old female with metastatic non-small cell lung carcinoma including brain metastases with right upper extremity weakness. Evaluate for hemorrhage. The ventriculostomy catheter which approaches the right lateral ventricle from a right frontal approach is in unchanged position from previous. There is been interval... | 1.Interval increase in ventricular caliber since examination dated 9/30/2013 suggesting developing hydrocephalus. 2.Interval increase in size of the multiple intraparenchymal metastatic deposits of non-small cell lung cancer as well as associated edema which results in mass effect most prominent in the posterior fossa. |
Generate impression based on findings. | 32-year-old patient. HIV not on medications. Mass. There is no intracranial mass, fluid collection, hemorrhage, hydrocephalus, focus of pathologic enhancement or CT evidence of ischemia. Gray-white matter differentiation is maintained bilaterally and the midline is intact.The orbits and bony structures are unremarkable... | No intracranial pathology demonstrated. |
Generate impression based on findings. | Seizure. Rule out mass. No intracranial mass, fluid collection, hemorrhage, hydrocephalus or CT evidence of acute ischemia. Gray-white matter differentiation is maintained bilaterally and the midline is intact.Orbits and paranasal sinuses are unremarkable. | No intracranial pathology demonstrated. |
Generate impression based on findings. | Trauma. There is no intracranial mass, fluid collection, hemorrhage, hydrocephalus or CT evidence of acute ischemia. Gray-white matter differentiation is maintained bilaterally and the midline is intact. There are no visualized fractures or bony anomalies. Orbits, paranasal sinuses and mastoid air cells are unremarkabl... | No visualized sequelae of trauma. |
Generate impression based on findings. | Acute onset headache. Rule out mass. No intracranial mass, fluid collection, hemorrhage, hydrocephalus or evidence of acute ischemia. Gray-white matter differentiation is appropriate and the midline is intact. There is a contour abnormality at the posterior aspect of the globes bilaterally consistent with bilateral sta... | No acute intracranial abnormality demonstrated. |
Generate impression based on findings. | Male, 59 years old, history of tonsil cancer, right cheek opening, evaluate for recurrence. Since the prior examination, an ill-defined enhancing mass has developed infiltrating through the right masticator space. The lesion encompasses the right mandibular ramus extending inferiorly down to the level of the previously... | Progression of disease with interval development of a large mass infiltrating through the right masticator space with extension into the soft tissues of the right face. Cutaneous and subcutaneous thickening extends as far superiorly as the right periorbital region. This may reflect venous congestion, but the possibilit... |
Generate impression based on findings. | Neck pain and dizziness. Evaluate neck vasculature. There is normal anatomy at the aortic arch. The carotids demonstrate normal course bilaterally. There are no aneurysms or significant stenotic lesions. including at the bifurcations bilaterally. The vertebral arteries demonstrate normal course. There are no aneurysms ... | No abnormality demonstrated including stenotic lesion or aneurysm |
Generate impression based on findings. | Female, 48 years old, altered mental status. Unequal pupils. Given the limitations of portable technique and patient motion, no acute intracranial abnormalities are detected. There is no evidence of intracranial hemorrhage or abnormal extra-axial fluid. No focal parenchymal edema or generalized mass effect is seen. Ven... | No acute intracranial abnormalities. |
Generate impression based on findings. | Male 71 years old; Reason: history renal cancer, on systemic therapy, assess for progression History: upper back pain CHEST:LUNGS AND PLEURA: Nodularity along the major fissure in the right lung is unchanged. Scattered micronodules in the right middle lobe and ground-glass opacities in the lingula and left lower lobe. ... | 1.Right T7 pedicle lytic lesion with compression fracture. Thoracic MRI is suggested for evaluation of the cord.2.Slight increase in the size of the mediastinal lymph node.3.Mild inflammation of the fat adjacent to the proximal sigmoid colon suggests epiploic appendagitis. |
Generate impression based on findings. | 70 year old patient. Evaluate for subdural hematoma. There is sulcal and ventricular prominence globally. There is periventricular and subcortical white matter patchy hypoattenuation most likely representing sequela of chronic small vessel ischemic disease. There are no focal abnormalities including intracranial mass, ... | Unchanged examination. No acute intracranial pathology demonstrated. |
Generate impression based on findings. | Status post fight with loss of consciousness. Evaluate for bleed. There is no intracranial mass, fluid collection, hemorrhage, hydrocephalus or CT evidence of ischemia. Gray-white matter differentiation is maintained bilaterally and the midline is intact. A defect of the posterior arch of the C1 vertebral body on the r... | 1.Incomplete arch of C1 posteriorly which may be congenital, though given the patient's history of trauma designated imaging of the C-spine is recommended. 2.Left frontal and right temporal superficial cutaneous hematomas.3.No acute intracranial abnormality.This result was communicated to the emergency room physician b... |
Generate impression based on findings. | Female 59 years old; Reason: Stage IV colon cancer please assess and provide index lesion measurements for RECIST History: as above CHEST:LUNGS AND PLEURA: Left lower lobe pulmonary nodule measures 0.9 x 0.7 cm (image 64/series 3) .The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial ... | 1.Left lower lobe pulmonary nodule and extensive hepatic metastatic disease.2.Trace pelvic ascites with circumferential mass involving the rectum.3.Likely thrombosis of the right jugular vein with effacement of the fascial planes suggestive of hematoma.4.Findings sent to Dr. Polite via email. |
Generate impression based on findings. | Male 63 years old; Reason: HCC screening History: cirrhosis ABDOMEN:LUNGS BASES: Calcified left lower lobe granulomata.LIVER, BILIARY TRACT: Liver contour: The liver contour is nodular..No intra-or extrahepatic ductal dilatation. Features of portal hypertension: Splenomegaly. No ascites. Portal vein: The portal vein is... | 1.Cirrhosis with hypervascular foci but no evident lesion that meets the criteria for HCC. |
Generate impression based on findings. | Female 50 years old; Reason: r/o abd path History: abd pain and swelling, periumbilical; hx of fibroids ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver has a smooth contour. Non-enhancing hypodense hepatic foci likely represent small cysts.SPLEEN: No significant abnormality noted.PANCR... | 1.Uterine fibroids which show decreased enhancement following embolization.2.No bowel obstruction. Umbilical hernia without obstruction.3.No drainable fluid collections. |
Generate impression based on findings. | recurrent abdominal pain x2 years and mesenteric adenitis (4 months ago). Recent abd US was normal. Recurrent abdominal pain. ABDOMEN:LUNG BASES: Nonspecific ground glass opacities in the left lower lobe.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significa... | Multiple prominent subcentimeter mesenteric lymph nodes. No abnormal fluid collection. |
Generate impression based on findings. | Male 39 years old; Reason: abdominal pain and hematuria, r/o kidney stone History: abdominal pain and hematuria ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS:... | 1.Left renal calculus in a staghorn configuration without hydronephrosis. |
Generate impression based on findings. | Male 67 years old; Reason: duodenal obstruction, possibly adenocarcinoma - evaluate for tumor invasion in vessels History: duodenal obstruction, N/V ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver has a smooth contour. No suspicious hepatic lesions. Hepatic and portal veins are patent.... | 1.Mass centered in/around the distal common bile duct causing some ductal obstruction and invading the duodenum with regional lymphadenopathy but no vascular encasement.2.Findings suspicious for a small right lower pole renal cell carcinoma.3.Bilateral renal cysts some which are complex and can be followed up with a 6 ... |
Generate impression based on findings. | Male, 18 years old, head trauma. 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 ventricles and basal cisterns are patent and normal in s... | No acute intracranial abnormality. |
Generate impression based on findings. | Male, 28 years old, motor vehicle collision, C-spine tenderness C3 to C5. 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 ventricles and ... | 1. No acute intracranial abnormality.2. No C-spine fracture or traumatic malalignment. |
Generate impression based on findings. | Male, 62 years old, larynx cancer, baseline scans to start treatment. No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are intact. Infiltrating, irregular enhancing tumor is redemonstrated involving the supraglottic ... | Irregular, infiltrating tumor at the supraglottic level has clearly changed in gross size. However, there is evidence of progressive erosion/invasion of the thyroid cartilage and the left arytenoid cartilage.Tumor along the tracheoesophageal grooves has increased in size, and there is new bony invasion of the T2 verteb... |
Generate impression based on findings. | 45 year old patient with bilateral subdural hematomas experiencing headache and confusion, extraventricular drain placement. There has been interval placement of bilateral subdural catheters into the patient's bilateral subdural hematomas. Post procedure pneumocephalus is present, without evidence of new hemorrhage or ... | 1.There has been interval placement of bilateral subdural catheters into the patient's bilateral subdural hematomas. Post procedure pneumocephalus is present, without evidence of new hemorrhage or overt hematoma formation. 2.Both hematomas have slightly decreased in size. |
Generate impression based on findings. | Male 69 years old Reason: hypoxia, hypotension History: sob PULMONARY ARTERIES: Sensitivity degraded by patient motion. No evidence of pulmonary embolism or right heart strain.LUNGS AND PLEURA: Sensitivity limited by patient motion. Bilateral moderate pleural effusions measuring with associated basilar predominant comp... | 1. No evidence of pulmonary embolism.2. Bilateral moderate partially loculated pleural effusions with associated compressive atelectasis and pulmonary edema.3. Destructive process involving T9 and T10 vertebral bodies and posterior elements with a soft tissue density between the fragments. The etiology is unclear, but ... |
Generate impression based on findings. | 21 month old male with history of pelvic sarcoma, now with right hip/leg pain evaluate for progression of tumor Motion artifact slightly limits the study.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 foc... | Increase in size right pelvic mass consistent with given history of sarcoma. New involvement of right obturator internus muscle. |
Generate impression based on findings. | Reason: patient s/p robotic hysterectomy on 9/16 now with flank pain and hydronephrosis, rule out ureteral injury History: see above ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality n... | 1.Layering filling defects in the distal left ureter may represent debris/blood products or inflammation secondary to recent instrumentation. No contrast extravasation to suggest ureteral injury. 2.Mild to moderate left hydronephrosis. |
Generate impression based on findings. | Male; 78 years old. Reason: empyema, PNA History: fever LUNGS AND PLEURA: Postsurgical changes and subcutaneous emphysema are compatible with recent left lower lobe wedge resection. There is also evidence of more remote right lower lobe wedge resection. Consolidation in the posterior left upper lobe with air bronchogra... | 1.Left upper lobe consolidation and surrounding ground glass opacity are compatible with pneumonia.2.Adjacent loculated fluid collection with air pockets, for which differential considerations include empyema or parapneumonic effusion. 3.Postsurgical changes compatible with recent left lower lobe wedge resection as des... |
Generate impression based on findings. | Male; 66 years old. Reason: r/o PE, hx metastatic prostate CA History: pleuritic CP, SOB PULMONARY ARTERIES: No evidence of pulmonary embolism. Enlargement of the pulmonary trunk diameter is compatible with pulmonary arterial hypertension.LUNGS AND PLEURA: Minimal basilar scarring. No focal air space opacity or pleural... | 1.No evidence of pulmonary embolism.2.Findings compatible with pulmonary arterial hypertension.3.Extensive osseous metastatic disease and associated collapsed vertebrae, stable since the prior CT. Lesions demonstrate expansile components that may be responsible for the patient's chest pain. |
Generate impression based on findings. | s/p fall, on heparin. Head: There is no evidence of acute intracranial hemorrhage, mass, or cerebral edema. However, there is extensive encephalomalacia in the left basal ganglia and left parieto-occipital region underlying a burr hole with associated ex vacuo dilatation of the left lateral ventricle. There is also a b... | 1. Acute 12 mm inferiorly displaced right orbital floor fracture with mild retrobulbar hemorrhage and herniation of orbital fat, but no inferior rectus muscle herniation. The right hemosinus and cheek and preseptal hematoma are also associated with the fracture.2. Likely remote right scalp and temporomandibular joint g... |
Generate impression based on findings. | 6 month old female. MVC. Evaluate for bleed/perforation. ABDOMEN:LUNG BASES: Lung bases are clear.LIVER, BILIARY TRACT: Normal hepatic contour. No focal hepatic lesion. No biliary ductal dilatation.SPLEEN: Normal appearance of the spleen.PANCREAS: Normal appearance of the pancreas.ADRENAL GLANDS: Normal appearance of t... | No evidence of solid organ injury or free fluid. |
Generate impression based on findings. | Reason: evaluate for thrombus burden and possibility for IR thrombectomy History: bilateral LE swelling with DVT, additional history includes metastatic prostate cancer ABDOMEN:LUNG BASES: Basilar scarring.LIVER, BILIARY TRACT: Cholelithiasis. No intra-or extra hepatic biliary ductal dilatation.SPLEEN: No significant a... | 1.Extensive retroperitoneal and pelvic lymphadenopathy with obstruction of the infrarenal IVC.2.Asymmetric right sided bladder wall thickening may represent tumor/lymph node invasion.3.Extensive thrombosis within the bilateral iliac and femoral veins.4.Bilateral hydronephrosis with hypo-enhancing edematous parenchyma o... |
Generate impression based on findings. | Reason: please evaluate for intra-abdominal abscess and for leakage from urinary tract. Please perform 3-phase (non-contrast, arterial phase, and delayed phase) CT UROGRAM History: s/p spence marsupialization and ileal conduit ABDOMEN: Exam is limited due to minimal delivered contrast following extravasation.LUNG BASES... | 1.Interval increase in size of left base nodular focus, which requires follow-up to exclude primary malignancy.2.No evidence of drainable fluid collections or abscesses.3.No evidence of contrast extravasation from the urinary tract.4.Midline abdominal wall defect with evidence of repair and multiple surgical drains.5.C... |
Generate impression based on findings. | Abscess. Stable postoperative changes related to right sided craniotomies, right anterior temporal resection cavity, encephalomalacia within the right parietal/occipital lobes and ex vacuo dilatation of the right temporal horn. There is diffuse right-sided dural enhancement associated with the subdural hypoattenuating ... | Sequelae of right craniotomies with slight interval improvement in dimensions of the curvilinear peripherally enhancing subdural fluid collection overlying the right hemisphere. Associated dural enhancement which could be in the basis of prior surgery or infection. |
Generate impression based on findings. | Right facial abscess. There is a rim-enhancing fluid collection within the right nasolabial fold that measures 17 AP x 20 RL x 17 SI mm. There is associated extensive overlying cellulitis and mild narrowing of the right nasal vestibule and external nasal valve. There is a carious ADA 7 with associated periodontal lucen... | Right nasolabial fold fluid collection compatible with an abscess that measures up to 20 mm with overlying cellulitis and an underlying carious ADA 7 with a defect of the lingual cortex that extends to the abscess. Periapical lucencies also affect ADA 27 and 29.Discussed with Dr. Gupta at 9:30 AM on 10/7/13. |
Generate impression based on findings. | Reason: s/p ex lap, APR and cystectomy with ileal conduit, prolonged ileus, eval for abscess, obstruction History: above ABDOMEN:LUNG BASES: Moderate bilateral pleural effusions with overlying compressive atelectasis. Coronary artery calcifications.LIVER, BILIARY TRACT: Mild perihepatic ascites. Gallbladder sludge.SPLE... | 1.Postsurgical changes with ileal conduit and right lower quadrant urostomy and right lower quadrant colostomy without evidence of bowel obstruction. Non specific small bowel wall thickening in the pelvis likely post-operative status.2.No loculated fluid collections in the abdomen or pelvis.3.Moderate bilateral pleural... |
Generate impression based on findings. | 41-year-old male with infarction experiencing bilateral upper extremity shaking Redemonstrated is a hypodense focus involving gray and white matter in the left precentral gyrus with some mild mass effect which remains stable.Foci of encephalomalacia are again noted within the right superior frontal gyrus, right postcen... | 1.Stable subacute infarction in the left precentral gyrus laterally from the hand motor area with no evidence for hemorrhagic conversion2.Redemonstrated are multiple foci of encephalomalacia in both hemispheres of the brain as well as the cerebellum, compatible with prior foci of infarction. |
Generate impression based on findings. | Reason: eval acute injury History: abd pain, epigastric, LUQ, s/p peds v auto ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Scattered right hepatic lobe hypodensities are too small to further characterize, but likely benign.SPLEEN: No significant abnormality noted.PANCREAS: No significant a... | No acute intraabdominal abnormality. |
Generate impression based on findings. | Left foot pain. Evaluate for healing of the calcaneus fracture There is diffuse osseous demineralization. There is an obliquely-oriented comminuted fracture of the calcaneus, extending from the middle facet to the anterior articular surface, with mild lateral displacement. This may represent an insufficiency fracture. ... | Subacute healing calcaneus fracture |
Generate impression based on findings. | Follow up base of tongue squamous cell carcinoma T1N2B BOT SCC with ECE, 2/44 LN + -> TPF X2 -> TFHX 6/2/12 CHEST:LUNGS AND PLEURA: Linear scarring or atelectasis at the bases and lingula unchanged. No new pulmonary nodules.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality no... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: eval for stone History: L flank apin ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral renal ... | Bilateral renal pelvis calculi, left greater than right. No hydronephrosis. |
Generate impression based on findings. | 70 year-old male with history of heart transplant complicated by seizures with worsening acute mental status change. On heparin for DVT. Evaluate for ICH. There is diffuse prominence of ventricular and extra axial fluid spaces which has been similar in extent and distribution since the earliest exam available performed... | Chronic findings including that of a left sided stroke, though no acute pathology is demonstrated which would account for the patient's recent symptoms. |
Generate impression based on findings. | Base of tongue cancer. History of head and neck cancer status post CRT. CHEST:LUNGS AND PLEURA: Reference 6-mm left upper lobe pulmonary nodule has decreased to 4 mm (image 30/166). Other punctate micronodules are unchanged. A subpleural punctate nodular opacity in the right upper lobe (image 42/166) was equivocally pr... | Previously referenced left upper lobe pulmonary nodule has significantly decreased in size. No new pulmonary nodules or other signs of metastatic disease, though continued follow up is recommended given the history of waxing/waning nodules. |
Generate impression based on findings. | Known chronic osteomyelitis in the sacrum secondary to chronic sacral ulcer. Now with fevers, nausea, vomiting. Evaluate for progression or acute osteomyelitis Again seen is a large decubitus ulcer which extends to what remains of the left iliac wing and sacrum. There are several extensive sinus tracts extending along ... | Increased soft tissue inflammation with osseous findings highly suspicious for acute osteomyelitis. |
Generate impression based on findings. | Reason: evaluate for obstruction History: abdominal pain,nausea, vomiting ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status-post cholecystectomy. No suspicious liver lesions. No evidence of intrahepatic or extrahepatic ductal dilatation.SPLEEN: Small splenule noted anterior to the spleen.... | Status post bariatric surgery without evidence of obstruction. |
Generate impression based on findings. | 50-year-old patient with acute mental status change. Evaluate for intracranial abnormality. No intracranial mass, fluid collection, hemorrhage, hydrocephalus or CT evidence of acute ischemia. Gray-white matter differentiation is maintained bilaterally and the midline is intact. Orbits are unremarkable. There is soft ti... | No acute intracranial pathology demonstrated. |
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