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Generate impression based on findings. | 32 year-old female with intraventricular drainage and headaches The patient's ventriculostomy catheter is in unchanged position, approaching the right lateral ventricle from a right frontal burr hole. There has been near interval resolution of pneumocephalus. The lateral and third ventricles have slightly decreased in ... | 1.Decrease in lateral and third ventricle sizes.2.No acute changes in the multiple bilateral metastatic lesions. |
Generate impression based on findings. | Intoxicated, fell onto ground. Evaluate for intracranial abnormality. 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. Orbits and mastoid air cells are normal. There are no ... | Unchanged examination. No intracranial abnormality demonstrated. |
Generate impression based on findings. | Lung cancer status post chemo/RT/surgery, then consolidation chemotherapy CHEST:LUNGS AND PLEURA: New complete consolidation of left upper lobe, which obscures the left upper lobe reference nodule. This is presumably related to radiation pneumonitis, however pneumonia could present similarly. Continued follow-up is rec... | New complete consolidation of left upper lobe, which obscures the left upper lobe reference nodule. This is presumably related to radiation pneumonitis, however pneumonia could present similarly. Continued follow-up is recommended.Reference left lower lobe pulmonary nodule, other small subcentimeter nodules and left hi... |
Generate impression based on findings. | Status post motor vehicle collision. ABDOMEN:LUNG BASES: No consolidation or pleural effusion is seen in the lung bases.LIVER, BILIARY TRACT: No liver lesion or biliary duct dilation is seen.SPLEEN: No focal splenic lesion.PANCREAS: The pancreas appears normal.ADRENAL GLANDS: No nodule is seen in either adrenal gland.K... | Nonobstructive bowel containing umbilical hernia. Otherwise normal examination. |
Generate impression based on findings. | 24 hours of right sided weakness. Unenhanced CT examination of the head. Hypoattenuation within bilateral ACA territories anteriorly represent sequela of the ACA infarct documented on 3/21/2013. There is no associated hemorrhage. No intracranial mass, fluid collection, hemorrhage, hydrocephalus or CT evidence of acute ... | Sequela of the bilateral ACA infarcts documented 3/25/2013. No hemorrhagic conversion or new abnormality. |
Generate impression based on findings. | Injury s/p high speed MVA. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is mild prominence of the bilateral extra-axial CSF spaces particularly in the bilateral frontal convexities. Otherwise, the ventricles and basal cisterns are normal in size and configuration. There is no midline ... | Mild prominence of the bilateral extra-axial CSF spaces particularly in the bilateral frontal convexities. Otherwise, no evidence of acute intracranial hemorrhage, mass, cerebral edema, or displaced calvarial fracture. |
Generate impression based on findings. | History of head and neck cancer. CHEST:LUNGS AND PLEURA: Scattered punctate micronodules are unchanged. 4 mm scarlike nodule in the left upper lobe (image 24/105) is unchanged. Emphysema. No new nodules.MEDIASTINUM AND HILA: Previously referenced thyroid nodule is not within the field of view of study. Please see neck ... | 1.No evidence of metastatic disease in the chest or upper abdomen.2. Small nodule in the left upper lobe is nonspecific and unchanged, but continued follow-up is recommended as part of the patient's cancer surveillance. This potentially represent an early indolent primary lung malignancy. It is not typical of metastati... |
Generate impression based on findings. | Reason: eval stone History: h/o stones, R CVAT, RLQ pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Nonobstru... | Bilateral nonobstructive renal calculi with a punctate stone in the proximal left ureter. |
Generate impression based on findings. | Large cell lymphoma CHEST:LUNGS AND PLEURA: Stable micronodulesMEDIASTINUM AND HILA: Stable large hiatal herniaCHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: N... | Significant interval decrease in size of pelvic and right inguinal adenopathy. No new adenopathy. |
Generate impression based on findings. | 74-year-old male with head and neck cancer now with abdominal distention, flatulence air eructation, and gas pain. Evaluate for abdominal mass, seroma, ventral hernia, rule out partial small bowel obstruction. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLE... | 1. Large anterior abdominal wall fluid collection, unchanged since 9/sec/13. 2. No other finding seen to account for patient's symptomatology. |
Generate impression based on findings. | Headaches after trauma. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unr... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | 59-year-old, evaluate for mesenteric ischemia or perforation ABDOMEN:LUNG BASES: Right lower lobe atelectasis.LIVER, BILIARY TRACT: Cirrhotic morphology of the liver. Portal vein is patent. Multiple scattered heterogenous hypodense attenuation within the liver without any distinctly arterially enhancing lesions. Subhep... | 1. Cirrhotic liver morphology with atrophic left lobe without focal lesions. Portal hypertension and spleno renal shunt with ascites.2. Stable pancreatic cystic lesion.3. No specific evidence of mesenteric ischemia as clinically questioned.4. Mild to moderate abdominal and pelvic ascites.5. Nonspecific proximal small b... |
Generate impression based on findings. | History of tonsil cancer. Rule out chest metastases. LUNGS AND PLEURA: New cluster of faint subcentimeter nodular opacities in the left lung base and posterior left upper lobe (image 60, 64/111). Emphysema. Stable pleural thickening. Scattered punctate micronodules are stable.MEDIASTINUM AND HILA: Status post tracheost... | New clustered left-sided subcentimeter nodular opacities are nonspecific but most likely related to aspiration. However, continued follow-up is recommended to exclude metastatic disease. Other findings, including intrathoracic lymphadenopathy, are stable. |
Generate impression based on findings. | Neck pain, with midline tenderness. There is no evidence of cervical spine fracture or spondylolisthesis. There is fusion of the C2 and C3 vertebral bodies, spinous processes, and facet joints, which is likely congenital. The craniocervical junction is intact. There is a small partially calcified posterior disc-osteoph... | 1. No evidence of cervical spine fracture or spondylolisthesis.2. Fusion of C2 and C3 vertebral elements is likely congenital. |
Generate impression based on findings. | Intracranial hemorrhage with left sided weakness. There has been interval increase in size of the large intraparenchymal hematoma centered in the right basal ganglia, which now measures 70 AP x 40 RL x 57 SI mm, previously 65 AP x 37 RL x 55 SI mm. There is also a greater degree of intraventricular extension of hemorrh... | Interval increase in size of the large intraparenchymal hematoma centered in the right basal ganglia, which now measures up to 70 mm, previously 65 mm, as well as a greater degree of intraventricular extension of hemorrhage into the ventricular system, slight increased in the degree of midline shift, now approximately ... |
Generate impression based on findings. | Metastatic SCC of larynx. CHEST:LUNGS AND PLEURA: Previously referenced subpleural nodule at the left base has decreased from 8 to 7 mm on image 87/116. New clustered irregular nodular opacities in the posterior right lower lobe and posterior medial left lower lobe. These are nonspecific but more typical of aspiration ... | 1. Multifocal metastases as above.2. New clustered irregular nodular opacities in the posterior right lower lobe and posterior medial left lower lobe. These are nonspecific but more typical of aspiration than metastases. Continued follow-up is recommended. |
Generate impression based on findings. | 26-year-old abdominal pain, generalized, diffuse abdominal pain, elevated WBC count 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 noted... | Mild asymmetric hypodensities in bilateral renal cortices could be due to timing of contrast injection. However, striated nephrogram suggesting pyelonephritis is also likely. Please correlate with urine analysis and culture. . |
Generate impression based on findings. | 18-year-old right lower quadrant pain, rule out appendicitis ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No si... | No acute intra-abdominal abnormality. |
Generate impression based on findings. | Reason: eval for fluid collection History: abd pain, hx crohns and diverticulitis, mult bowel resections Lack of IV contrast limits evaluation of solid organ pathology.ABDOMEN:LUNG BASES: Basilar scarring/atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREA... | Limited study due to lack of intravenous or oral contrast1.Mild mesenteric inflammatory change in the right upper quadrant/hepatic flexure of indeterminate etiology, possibly infectious/inflammatory. Adjacent suture line is intact. 2.No evidence of loculated fluid collections on this limited examination. |
Generate impression based on findings. | Left sided weakness. There is a large intraparenchymal hematoma centered in the right basal ganglia, which now measures 70 AP x 40 RL x 57 SI mm, previously 65 AP x 37 RL x 55 SI mm. There is also intraventricular extension of hemorrhage into the ventricular system, particularly within the left occipital horn and third... | Large intraparenchymal hematoma centered in the right basal ganglia that measures up to 65 mm, as well as intraventricular extension of hemorrhage, 12 mm of midline shift, and dilatation of the trapped left ventricle. |
Generate impression based on findings. | AML in blast crisis with WBC > 100,000. There is extensive diffuse lymphadenopathy in the imaged portions of the neck. Reference lymph nodes include the following:* A right level 2A lymph node measures 15 x 26 mm (image 51, series 4).* A left level 2B lymph node measures 12 x 11 mm (image 52, series 4). * A left level ... | 1. Extensive diffuse cervical lymphadenopathy and marked diffuse enlargement of the bilateral palatine tonsils with associated moderate narrowing of the oropharyngeal airway, compatible with leukemia. 2. New diffuse right retropharyngeal soft tissue swelling may represent pharyngitis, but no evidence of abscess. |
Generate impression based on findings. | Reason: 70-year-old male presents with fever and pyelonephritis. Evaluate for renal collection History: h/o xanthogranulomatous pyelonephritis ABDOMEN: Within the limitations of a non-IV contrast enhanced examination which limits evaluation of solid organ parenchyma and vascular structures, the following observations c... | 1.Interval worsening of perinephric stranding about a right kidney that is almost entirely placed with large cystic lesions containing a central calcified stone. Differential includes pyonephrosis from obstruction versus xanthogranulomatous pyelonephritis.2.Relatively stable hypodense hepatic lesions. Characterization ... |
Generate impression based on findings. | 40 year-old female with lump in chest LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy. Cardiac size is normal without evidence of a pericardial effusion.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of enteric contrast material marke... | No significant pulmonary or pleural abnormalities. |
Generate impression based on findings. | Male 59 years old Reason: , enlarged pulm art on CT PE, mediastinal LAD with soft tissue mass encasing the pulm art History: SOB and JVD, hepatojugular reflex, contrast reflux into IVC, dilated IVC on bedside TTE LUNGS AND PLEURA: Multiple calcified pulmonary nodules compatible with prior granulomatous disease. Bibasil... | 1. Bilateral chronic pulmonary mural thrombi with associated pulmonary artery enlargement.2. Moderate emphysema with bibasilar bronchiectasis, scarring and atelectasis.These findings were relayed by phone to Dr. Elliot at 1:54 on 10/7/2013 |
Generate impression based on findings. | Reason: Pleural effusion History: Shortness of breath / CXR findings LUNGS AND PLEURA: Interval increase in left pleural effusion with underlying atelectasis in the left lung.Calcified granulomas in the atelectatic lung compatible with previous infection.Mild scarring and bronchiectasis at the right base.MEDIASTINUM AN... | Increased left pleural effusion and increased atelectasis in the left lung. |
Generate impression based on findings. | Reason: eval for mets History: sarcoma LUNGS AND PLEURA: Calcification left upper lobe and scattered nonspecific micronodules are unchanged.No new suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: No hilar or mediastinal or mediastinal lymphadenopathy.Cardiac size is normal without evide... | No interval change. No evidence of metastatic disease. |
Generate impression based on findings. | Reason: uncontrolled asthma History: Shortness, tighness cough LUNGS AND PLEURA: Very small nonspecific nodules and scars, unchanged.No sign of pneumonia or other significant pulmonary abnormalities.MEDIASTINUM AND HILA: No significant lymphadenopathy or pericardial effusion.CHEST WALL: 7-mm smoothly marginated left br... | No significant abnormalities. |
Generate impression based on findings. | EGUS last cancer. Starting treatment. Needs new baseline. CHEST:LUNGS AND PLEURA: Emphysema. Scattered punctate micronodules are unchanged and presumably postinflammatory. No evidence of pulmonary metastases.MEDIASTINUM AND HILA: Large right thyroid nodule is unchanged. Coronary calcification. Scattered small subcentim... | Residual thickening near GE junction related to known primary malignancy. No evidence of pulmonary metastases. |
Generate impression based on findings. | Reason: 82 year old female with history of head and neck cancer (resected History: as above CHEST:LUNGS AND PLEURA: Multiple small bilateral pulmonary nodules are present, slightly increased from previous, suspicious for metastases. Referenced nodule at the left lower lobe (series 6 image 80) is now 6 mm in diameter, i... | Interval slight increase in the size of multiple small pulmonary nodules, compatible with metastases. |
Generate impression based on findings. | Male; 43 years old. Reason: AML, patient to start induction chemotherapy, would like baseline scan History: mouth pain, AML. LUNGS AND PLEURA: Very faint patch airspace opacity in the medial right middle lobe (image 56/114) is nonspecific but more likely atelectasis or aspirate than pneumonia. Patchy faint subcentimete... | Very faint patch airspace opacity in the medial right middle lobe is nonspecific but more likely atelectasis or aspirate than pneumonia. |
Generate impression based on findings. | Reason: Evaluate for progression of prior R sided opacity, new L sided opacity History: cough, fevers/chills, myalgias LUNGS AND PLEURA: A patient motion limits evaluation.Previously noted subpleural right upper lobe and right lower lobe opacities demonstrate interval improvement.Increasing ground glass basilar opaciti... | 1.Almost complete resolution of the right lung sub-pleural opacities previously.2.Basilar groundglass opacities suggestive of aspiration, atelectasis, or edema.3.Interval resolution of the left chest wall fluid collection. |
Generate impression based on findings. | Nasopharyngeal carcinoma status post CRT. Evaluate for recurrence CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN: Absence of enteric contrast material markedly limits sensitivity for abdominal pathology... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: CVA History: CVA The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Periventricular and subcortical white matter hypodensities of ... | 1.No evidence for acute intracranial hemorrhage mass effect or edema. CT is insensitive for early detection of nonhemorrhagic CVA2.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; 58 years old. Reason: Neuroendocrine tumor arising from ileum and carcinoid syndrome please evaluate for thoracic involvement. LUNGS AND PLEURA: No significant abnormality noted. No suspicious pulmonary nodules or masses. MEDIASTINUM AND HILA: Normal heart size without pericardial effusion. Scattered small subc... | 1. No evidence of pulmonary metastatic disease.2. T12-L1 posterior disk herniation with mass effect on cord.The above findings were discussed with Kenisha Allen, RN of the referring clinical service at the time of report dictation. |
Generate impression based on findings. | Reason: hx H\T\N ca, post CRT, evaluate dx and compare measurements to previous scans History: as above CHEST:LUNGS AND PLEURA: Multiple bilateral nonspecific micronodules, some of which are calcified, compatible with previous infection, unchanged.No suspicious nodules.Chronic basilar interstitial abnormalities with fi... | No sign of metastases and no change. |
Generate impression based on findings. | Reason: scleroderma - ILD PROTOCOL History: DOE LUNGS AND PLEURA: Bilateral predominantly subpleural and basilar chronic interstitial opacity with reticular components and mild traction bronchiectasis compatible with fibrosis.MEDIASTINUM AND HILA: Moderately enlarged prevascular, subcarinal and lower paratracheal lymph... | Moderate basilar predominant interstitial fibrosis with architectural distortion and mild traction bronchiectasis but no overt honeycombing, compatible with scleroderma related lung disease. |
Generate impression based on findings. | Routine follow up for right upper lobe ground glass nodule CHEST:LUNGS AND PLEURA: Innumerable ground glass opacities in the right upper lobe are stable versus 2/28/2013 but increased versus 5/13/2011 and are suspicious for slowly growing adenocarcinomas. The previously referenced right upper lobe ground glass lesion a... | Persistent multiple glass lesions suspicious for indolent adenocarcinomas, stable in size and density. |
Generate impression based on findings. | Chronic airway obstruction LUNGS AND PLEURA: Left paramediastinal consolidation, fibrosis , and left upper lobe volume loss unchanged.Adjacent 3.2 cm x 1.2 cm area of consolidation with internal cavitation (image 31 series 5) similar in appearance to the prior exam and unchanged in size compared the exam dated 7/25/13.... | 1.Left upper lobe paramediastinal area of consolidation/atelectasis and volume loss compatible with postinflammatory changes.2.Adjacent left upper lobe focal area of consolidation with internal cavitation unchanged compared to the prior exam and may represent organizing pneumonia. Malignancy still cannot be excluded. F... |
Generate impression based on findings. | Reason: cT4aN2bMx vocal cord squamous cell carcinoma s/p induction chemotherapy. please eval and compare to prior scans History: as above CHEST:LUNGS AND PLEURA: Approximately 6 mm subpleural nodule in the left lower lobe, unchanged and likely benign.No suspicious nodules.MEDIASTINUM AND HILA: Mildly enlarged left cerv... | No sign of metastases. |
Generate impression based on findings. | Reason: 69 M with profound hypotension, recent G tube placement at OSH, concern for complications, History: hypotension ABDOMEN:LUNG BASES: Moderate, bilateral pleural effusions. Bilateral, right greater than left consolidation/atelectasis of the lung bases. Mild mediastinal lymphadenopathy. LIVER, BILIARY TRACT: Peric... | 1.Gallbladder sludge with mild gallbladder wall thickening and pericholecystic fluid suggestive of acute cholecystitis. Dedicated right upper quadrant ultrasound for further evaluation is advised.2.Multiseptated fluid collections within the pelvis suggestive of abscesses or possible necrotic metastatic deposits. 3.Bila... |
Generate impression based on findings. | 61-year-old male with headache and vision changes There is new hypodensity in bilateral parietal and occipital lobes, not in a typical vascular distribution. There is no significant mass effect from this nor are there findings of acute hemorrhage.A small focal encephalomalacic defect is noted in right periventricular w... | 1.New CT findings suspicious for posterior reversible encephalopathy syndrome (PRES). MRI with gadolinium is recommended to further characterize this abnormality and perhaps exclude other possibilities.2.Findings were discussed with Dr. Lindsey on 10/7/2013 approximately 11:15 a.m. |
Generate impression based on findings. | Reason: mesothelioma s/p 2 cycles of chemo. please evaluate for disease and compare with previous scans History: mesothelioma CHEST:LUNGS AND PLEURA: The diffuse nodular pleural thickening in the right hemithorax with loculated fluid collections and pleural calcification or possibly radiopaque material from previous pl... | Stable disease. |
Generate impression based on findings. | Male 78 years old Reason: follow-up of histoplasmosis History: cough LUNGS AND PLEURA: Smoothly marginated lingular nodule has not significantly changed and measures 17 x 14 mm (image 67, series 5), previously measuring 17 x 14 mm. This nodule has not significantly changed when compared to multiple prior studies dating... | Lingular nodule unchanged and consistent with pathologic diagnosis of histoplasmosis. |
Generate impression based on findings. | Reason: history of breast cancer, receiving treatment. eval for response/progression using measurements if applicable. pls compare with previous. History: see above CHEST:LUNGS AND PLEURA: Severe centrilobular emphysema. Bilateral pulmonary nodules. Reference left upper lobe pulmonary nodule measures 6 mm (series 4, im... | 1.Decreasing reference pulmonary nodule.2.Increasing reference cardiophrenic lymph node.3.Unchanged reference chest wall mass with underlying bone destruction.4.No measurable disease in the abdomen or pelvis. |
Generate impression based on findings. | 39-year-old with end-stage renal disease, evaluate vasculature for transplant Limited study, intravenous contrast not administered. This limits sensitivity to detect small lesions in solid organs and bowel.ABDOMEN:LUNG BASES: Moderate left pleural effusion with underlying atelectasis. Mild pericardial effusion.LIVER, B... | 1. Atherosclerotic changes of abdominal aorta and bilateral external and internal iliac vessels and Vascular calcifications within the kidneys2. Moderate left pleural effusion and mild pericardial effusion.3. Abdominal and pelvic ascites.4. Generalized anasarca. |
Generate impression based on findings. | 57 year old man with recent diagnosis of SLL based on an FNA of a left neck lymph. There has been interval decrease in the degree of subcutaneous stranding and skin thickening overlying the superior left sternocleidomastoid muscle, where there is a biopsy clip. There are diffuse cervical lymph nodes with spheroid morph... | 1. Interval decrease in the degree of subcutaneous stranding and skin thickening overlying the superior left sternocleidomastoid muscle, where there is a biopsy clip. 2. Diffuse cervical lymph nodes with spheroid morphologies that are otherwise not significantly enlarged by size criteria. |
Generate impression based on findings. | History of metastatic breast cancer on treatment. CHEST:LUNGS AND PLEURA: Scattered punctate micronodules measuring up to 5 mm (image 76/99 in the right lower lobe) unchanged.MEDIASTINUM AND HILA: Stable 9 mm left thyroid nodule (image 5 such 149).CHEST WALL: Left breast mass measures 28 x 13 mm on image 53/149 (28 x 1... | Stable pulmonary nodule, left breast mass and axillary node are not significantly changed. No new sites of disease. |
Generate impression based on findings. | 67 year old female with a family history of CAD (sister recent anterior MI), dyslipidemia, and history of smoking. Nuclear stress test mildly abnormal showing mild-moderate LAD territory ischemia but likely submaximal performance. Question regarding evidence of obstructive CAD. Calcium Score:LM: 0LAD: 224LCx: 133RCA: 4... | 1.Total Calcium score was 398; 52% for age and gender.2. Significant plaque demonstrated by the LAD and circumflex coronary arteries with suggestion of ulcerated lesion involving the proximal LAD. 3. Suspected focal occlusion of mid to distal LAD with likely retrograde flow by collaterals. 4. Moderate stenosis of mid R... |
Generate impression based on findings. | 35-year-old male with left flank and left lower quadrant abdominal pain. Assess for left-sided kidney stone. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No sign... | 1. Punctate, nonobstructing left lower pole calix. 2. Slight hydronephrosis of the left kidney and dilatation of proximal ureter with mild perinephric fluid stranding. These findings may be due to a recently passed stone or the calcific density in the pelvis, which while favored to be a phlebolith, could represent a pu... |
Generate impression based on findings. | Reason: with lung cancer, eval for progression of disease History: with lung cancer, eval for progression of disease CHEST:LUNGS AND PLEURA: Right lower lobe mass (image 72 series 5) is unchanged measuring 5.1 cm x 3.3 cm previously measuring 5.1 cm x 3.2 cm.Right upper lobe subpleural nodule (image 37 series 5) is sta... | 1.Right lower lobe mass with two new right lower lobe nodules compatible with metastatic disease.2.Hilar mediastinal lymphadenopathy with interval increase in precarinal referenced lesion.3.Increase size of presumed liver metastasis. Stable left adrenal gland nodule.4.Mild interval decrease in pleural effusions and imp... |
Generate impression based on findings. | 32 male with ulcers colitis, status post total abdominal colectomy with Hartmann's pouch. Two weeks ago, readmitted with distention, abdominal pain -- now tachycardic and hypotensive and febrile out. Rule-out perforation versus bowel change. Abdominal distention. ABDOMEN:LUNG BASES: New small left pleural effusion and ... | 1. Moderate amount of ascites throughout the abdomen and in the, mesentery, new since 10/1/13. 2. Loculated mesenteric fluid collection in the pelvis. CT cannot characterize fluid is infected or noninfected although no signs for infection, such as air to suggest infection or involvement by bowel are seen. 3. Suggestion... |
Generate impression based on findings. | History of smoking status post OHT. Eval for new tx. LUNGS AND PLEURA: Small bilateral pleural effusions. No suspicious pulmonary nodules.MEDIASTINUM AND HILA: Orphaned left-sided pacemaker. Postop changes from OHT with severe cardiomegaly, especially biatrial. Coronary calcification.Scattered small borderline mediasti... | Small bilateral pleural effusions. No suspicious pulmonary nodules. |
Generate impression based on findings. | Male, 81 years old, history of parotid cancer, status post resection, evaluate for recurrence. The previously seen enhancing lesion involving the cavernous sinus, Meckel's cave and the prepontine cistern on the left is no longer distinctly visualized. Meckel's cave on the left remains expanded relative to the right, bu... | 1. Apparent interval resolution of an enhancing mass at the level of the left cavernous sinus, Meckel's cave and prepontine cistern, likely representing response to therapy. Please note that MRI would provide a more sensitive evaluation of this lesion.2. No other evidence of intracranial metastatic disease.3. Stable su... |
Generate impression based on findings. | Reason: restaging s/p 6k cycles of oral TKI therapy History: hx of metastatic renal cell cancer LUNGS AND PLEURA: 4 mm solid nodule posteriorly in the right upper lobe (series 4 image 23), unchanged,Multiple new <4 mm micronodules too small to definitively characterize but suspicious for metastatic disease (images 42 a... | 1. While the reference pulmonary is stable, there are multiple new <4 mm micronodules too small to definitively characterize but suspicious for metastatic disease. Continued follow up is recommended.2. Hepatic metastases are grossly stable given limits of technique. |
Generate impression based on findings. | Chronic polypoid sinusitis. There are postoperative findings related to bilateral uncinectomy, middle turbinectomy, partial internal ethmoidectomy, and septoplasty. There is mild mucosal thickening within the bilateral maxillary sinuses. There is partial obstruction of the right neo-infundibulum due to mucosal thickeni... | Postoperative findings related to bilateral uncinectomy, middle turbinectomy, partial internal ethmoidectomy, and septoplasty with scattered paranasal sinus opacification predominantly in the bilateral ethmoid and frontal sinuses, as well as polypoid lesions projecting into the nasal cavity that may represent sinonasal... |
Generate impression based on findings. | T3N3 tonsil SCC s/p right neck dissection and chemoradiation completed five years ago. Head: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid... | 1. Post-treatment findings in the region of the right tonsillar fossa with no evidence of tumor recurrence or significant cervical lymphadenopathy. 2. Interval increased mixed lucency and sclerosis of the right mandible surrounding the extraction sites of ADA 30 and 31, as well as fragmentation of the overlying buccal ... |
Generate impression based on findings. | Male, 74 years old, history of larynx cancer, post CRT. Mild asymmetry of the tonsillar tissue persists at the left tongue base, unchanged. No concerning the aerodigestive mucosal lesions are identified.No pathologic adenopathy is seen by size criteria. A reference right level 2 lymph node measures 6 x 6 mm (image 51 s... | Stable examination with no evidence of active disease. |
Generate impression based on findings. | 65-year-old with malignant neoplasm of penis, Hodgkin's disease, reevaluate and compare to previous CHEST:LUNGS AND PLEURA: Mild to moderate interval increase in bilateral upper lobe paraseptal/centrilobar emphysema. Stable right upper lobe noncalcified micronodule, best seen on image 18, 5.MEDIASTINUM AND HILA: Stable... | Stable mediastinal and inguinal lymphadenopathyMinimal interval decrease in left axillary lymphadenopathy.Interval increase in bilateral upper lobe paraseptal/centrilobar emphysema. |
Generate impression based on findings. | Reason: MCA aneurysm, preop CTA,, eval for changes History: preop CTA for surgery 10/10/2013 Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. There is a 7 x 7 mm axial dimension the left middle cere... | 1.There is redemonstration of a left middle cerebral artery aneurysm which has not changed since the prior examination2.No evidence for cerebral vascular occlusive disease. |
Generate impression based on findings. | T4aN2Mx vocal cord squamous cell carcinoma status post induction chemotherapy. The bilateral transglottic soft tissue mass is now considerably less bulky, including decrease in size of the paraglottic and extralaryngeal components. There is unchanged thyroid cartilage demonstrates irregularity of the right posterior as... | 1.Interval decrease in size of the bilateral transglottic squamous cell carcinoma, indicating treatment response. 2.Stable cluster of lymph nodes within the left supraclavicular fossa without other significant lymphadenopathy.3. Carious ADA 17 with associated periapical lucency. |
Generate impression based on findings. | Male, 78 years old, Hodgkin's disease, nodular sclerosis, status-post 3 cycles of chemotherapy. Since the prior examination, there has been a substantial response to therapy with reduction in size of all of the previously visualized left neck and mediastinal lymph nodes. A left level 2 reference aggregate now measures ... | Interval improvement in adenopathy. |
Generate impression based on findings. | 78-year-old Hodgkin's disease nodular sclerosis unspecified site. Extranodal and solid organ sites. Status post 3 cycles of chemotherapy and need of restaging, please compare CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Interval decrease in left supraclavicular lymphadenopathy. Referenc... | 1. Interval reduction in left supraclavicular, mediastinal and retroperitoneal lymphadenopathy.2. Stable mesenteric lymphadenopathy.3. No new sites of disease |
Generate impression based on findings. | 17-year-old with neurofibromatosis type I and VP shunt with abdominal pain and headaches, evaluate for change in loculations. ABDOMEN:LUNG BASES: Bilateral dependent atelectasis with small left pleural effusion.LIVER, BILIARY TRACT: No focal liver lesion or biliary duct dilation.SPLEEN: No focal splenic lesion.PANCREAS... | Decrease in size of loculated fluid collections. |
Generate impression based on findings. | Reason: r/o retroperitoneal hemorrhage History: hgb drop, s/p nephrostomy tube accidental removal on left Lack of IV contrast limits evaluation of solid organ pathology.ABDOMEN:LUNG BASES: Small pleural effusions, left greater than right, with overlying compressive atelectasis. Basilar scarring.LIVER, BILIARY TRACT: Ne... | 1.Interval removal of left percutaneous nephrostomy tube without perinephric collection to suggest hematoma.2.Increasing moderate left hydronephrosis.3.Mesenteric and omental thickening compatible with peritoneal carcinomatosis, unchanged.4.Increasing perihepatic ascites.5.Bilateral pleural effusions. |
Generate impression based on findings. | Male; 57 years old. Reason: eval ICH History: s/p ICH Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. The left common carotid artery originates from the brachio... | 1. No evidence for intracranial aneurysm, acute arterial thrombus or dissection.2. Large right basal ganglia intraparenchymal hematoma associated with a midline shift and uncal herniation is not significantly changed in size.3. Interval placement of left frontal approach ventriculostomy catheter with tip in the body of... |
Generate impression based on findings. | Female; 63 years old. Reason: question of PE History: new onset pleuritic chest pain, recent immobilization, tachycardia, hypoxia PULMONARY ARTERIES: No evidence of pulmonary embolism. Enlarged main pulmonary trunk diameter is compatible with pulmonary hypertension.LUNGS AND PLEURA: Diffuse but upper lobe predominant r... | 1.No evidence of pulmonary embolism. 2.Upper lobe predominant interstitial lung disease as described above and significant mediastinal/hilar lymphadenopathy. Findings are not significantly changed and differential considerations include sarcoidosis, mixed connective tissue disease, and chronic hypersensitivity. 3.Findi... |
Generate impression based on findings. | Hematuria ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Benign left renal cysts. No worrisome mass, stone, or ac... | Negative for GU related abnormality. Benign left renal cysts without evidence for worrisome mass, acute inflammation, stone, or obstruction.Moderately enlarged prostate gland.Mildly enlarged left pelvic lymph nodes of unclear significance. |
Generate impression based on findings. | Reason: HCC s/p Y90-surveillance imaging post procedure History: as above CHEST:LUNGS AND PLEURA: Sub-solid pulmonary nodules without significant interval change. No new pulmonary nodules or masses. No pleural effusions. Mild basilar atelectasis.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No si... | 1.Multifocal HCC with mixed response of reference measurements. Patent portal vein.2.Increasing cystic lesion in the right hemipelvis, previously thought to be a cystic adnexal lesion. Differential includes increasing lymphadenopathy.3.Sub-solid pulmonary nodules are unchanged and possibly post-infectious in etiology. |
Generate impression based on findings. | Female, 58 years old, metastatic esophageal cancer. As on the prior examination, diffuse stranding through the fascial planes of the neck is seen. Mucosal edema/hyperemia is also demonstrated involving the tongue base, larynx and hypopharynx. The prevertebral musculature is also mildly edematous. These findings are lik... | 1. Stable treatment-related changes in the neck. No definite evidence of progressive disease.2. A right upper lobe mass is better assessed on the accompanying dedicated chest CT. |
Generate impression based on findings. | Nephrotic syndrome with anemia CHEST:LUNGS AND PLEURA: Scattered micronodules. Small bilateral pleural effusions MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Bilateral axillary adenopathy. A representative left axillary lymph node best seen on image 32 of series 3 measures 2.2 x 1.6 cm.ABDOMEN:LIV... | Bilateral axillary adenopathy, indeterminate in nature. |
Generate impression based on findings. | History of smoking with submandibular lymph node enlargement. There is no evidence of submandibular mass lesions or significant cervical lymphadenopathy based on size criteria. There is a punctate focus calcific density focus in the left parotid gland. The nasopharynx, oropharynx, hypopharynx, and larynx are unremarkab... | No definite evidence of submandibular mass lesions or significant cervical lymphadenopathy based on size criteria. |
Generate impression based on findings. | Reason: evaluate for AAA and mediastinum History: h/o AAA CHEST:LUNGS AND PLEURA: Emphysematous changes in bilateral lung apices, right greater than left. Honeycombing of the lateral lung bases, right greater than left.MEDIASTINUM AND HILA: Mild atherosclerotic calcification of the aortic arch. Coronary artery calcific... | 1.There is a infrarenal fusiform aneurysm with intramural thrombus.2.Multiple arterially enhancing hepatic lesions throughout the liver; could represent flash filling hemangiomas. Background liver parenchyma appears unremarkable. MR liver protocol is recommended for further evaluation. 3.Bilateral inguinal hernias cont... |
Generate impression based on findings. | Reason: lung cancer, s/p chemo and RT and s/p lobectomy, pls c/w previous study and evaluate dzx status. History: lung ca CHEST:LUNGS AND PLEURA: Interval right upper lobectomy.Dense airspace opacity in the superior segment of the right lower lobe, suggestive of pneumonia.Moderately large partly loculated right pleural... | Extensive new airspace opacity in the superior segment of the right lower lobe suggestive of infection.No specific evidence of recurrent tumor. |
Generate impression based on findings. | Lung transplant workup. Shortness of breath. LUNGS AND PLEURA: Subsegmental right middle and right base scarring and/or atelectasis not significantly changed. Mild nonspecific bronchial wall thickening likely due to asthma/bronchitis. Multifocal air trapping on expiratory phase imaging consistent with small airways dis... | Multifocal scarring and atelectasis with bronchial wall thickening and air trapping consistent with small airways disease/asthma. Early findings of emphysema are seen at the apices. |
Generate impression based on findings. | Post nasal drip, evaluate for sinusitis. There is mild to moderate mucosal thickening within the bilateral maxillary sinuses, which extends into the bilateral infundibula. There is moderate opacification of the anterior ethmoid air cells and frontoethmoid recesses. The frontal sinuses are otherwise clear. There are bub... | Scattered paranasal sinus opacification in a sporadic pattern, including bubble secretions within the right sphenoid sinus, which may indicate acute sinusitis. |
Generate impression based on findings. | Reason: s/p 3 mo after after neoadjuvant chemotherapy/radiation followed by resection of lingula and anterior segments LUL for management of regionally advanced NSCLC History: 3 mo f/u CHEST:LUNGS AND PLEURA: Interval resection of a left upper lobe nodule.Perihilar consolidation and atelectasis consistent with radiatio... | Postoperative findings with radiation reaction. No sign of recurrent tumor. |
Generate impression based on findings. | Female; 60 years old. Reason: ILD, lung transplant work-up History: SOB LUNGS AND PLEURA: Again demonstrated are diffuse ground glass and coarse reticulonodular opacities with relatively uniform distribution throughout the lungs. There is mild associated traction bronchiectasis and architectural distortion. No honeycom... | Pulmonary findings compatible with chronic interstitial lung disease without significant interval change. Primary differential considerations include chronic hypersensitivity pneumonitis and sarcoidosis. |
Generate impression based on findings. | : Pt with metastatic cervical esop ca s/p C5/C6 of 5-FU q21 days. Please re-eval pulm nodules. CHEST:LUNGS AND PLEURA: Multiple pulmonary metastases.Reference anterior right upper lobe nodule (series 5 image 17) 23 x 18 mm (22 x 17 mm previously).Lingular nodule (series 5 image 52) 25 x 23 mm (25 x 23 mm previously).12... | Grossly stable metastases with measurements as above. No new sites of disease. |
Generate impression based on findings. | Male 80 years old Reason: evaluate RUL cavity / compare to prior CT scans History: productive cough; MAI in sputum; bronchoscopic lavage was negative for M tuberculosis and malignancy LUNGS AND PLEURA: Right apical thick walled cavity now measuring 5.0 x 4.2 cm (image 17 of series 4), previously 3.9 x 2.9 cm. The surro... | 1. Increasing right apical cavity, bronchiectasis and multifocal tree in bud opacities with associated consolidation compatible with progressive tuberculous or fungal infection. This less likely represent malignancy.2. Increased left apical fibrosis consolidation.3. Mediastinal lymphadenopathy. |
Generate impression based on findings. | Female 85 years old; Reason: RTC arthropathy, evaluate glenoid bone stock History: pain. Severe degenerative changes are noted of the right shoulder. The humeral head is high riding consistent with chronic rotator cuff tear. The glenoid no longer articulates with the humerus head but rather articulates along the inferi... | 1.High riding humeral head consistent with chronic rotator cuff tear.2.Articulation of the glenoid with the proximal humeral neck is causing severe cortical thinning in this region.3.Severe degenerative changes noted elsewhere of the shoulder.4.Large shoulder joint effusion increased from previous exam. |
Generate impression based on findings. | Reason: sp 3 week craniotomy unruptured aneurysm rupture , with small subdural, evaluate for changes History: 3 week post op Since the previous examination the patient has undergone left-sided craniotomy for drainage of a left-sided subdural hematoma. There is a left-sided subdural collection present which measures 8 m... | 1.Status post left-sided craniotomy for subdural evacuation. There is a residual left-sided subdural collection present. Since the prior MR angiogram there is less midline shift and a subdural collection has decreased in size2.Status post coiling of a right posterior communicating artery and clipping of the left poster... |
Generate impression based on findings. | 70 year-old nonspecific abnormal findings on radiologic and other examination of biliary tract ABDOMEN:Intravenous contrast was not administered. This limits the sensitivity to detect small lesions in solid organs and bowel.LUNG BASES: Coronary artery Calcifications noted.LIVER, BILIARY TRACT: No evidence of intrahepat... | Unremarkable examination. |
Generate impression based on findings. | Abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Low-attenuation of the liver, suggestive for fatty infiltrationSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Mild left hydronephr... | 5-mm left UV junction stone associated with mild left hydronephrosis and hydroureter. Additional subcentimeter bladder calculus. |
Generate impression based on findings. | Reason: mets lung ca, ALK+, on ASP3026, s/p 6 cycles, pls c/w previous study and evaluate dz status and tx response. History: lung ca CHEST:LUNGS AND PLEURA: Postsurgical changes in the right hemithorax. Reference left subpleural nodule measures 4 mm (series 5, image 39), previously 5 cm. No suspicious pulmonary nodule... | 1.No suspicious pulmonary nodules or masses.2.Slightly increasing left para-aortic lymph node.3.Osseous lesions, unchanged. |
Generate impression based on findings. | Reason: History of bladder cancer History: none CHEST:LUNGS AND PLEURA: Emphysematous changes of bilateral lung apices, right greater than left. Intrafissural soft tissue density in the right lung likely represents an intrafissural lymph node.MEDIASTINUM AND HILA: Small, scattered subcentimeter normal appearing mediast... | 1.Emphysematous changes of the lung apices, right greater than left.2.No suspicious lymphadenopathy in the chest and abdomen to suggest metastatic involvement.3.A soft tissue mass with ill-defined margins arising from the posterior lateral wall of the bladder is compatible with provided history of bladder cancer.4.Subc... |
Generate impression based on findings. | Reason: bladder cancer liver mets SOB History: bladder cancer CHEST:LUNGS AND PLEURA: Previously described left lower lobe subpleural nodule is not seen on the current exam. Scattered pulmonary micronodules are unchanged. No dominant pulmonary lesion. No pleural effusion.MEDIASTINUM AND HILA: Heart size is normal. No p... | 1.Bladder wall thickening with infiltration of the perivesicular fat, unchanged. 2.Indeterminate left adrenal nodule, unchanged. 3.Right hepatic lobe lesion, unchanged. |
Generate impression based on findings. | Gross hematuria and dysuria ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: 2 x 1.2 cm left adrenal nodule, best seen on image 37 of series 8, without washout chara... | Enhancing polypoid mass arising from the right bladder; a malignant process such as transitional cell carcinoma must be excluded.No evidence for metastatic process or regional adenopathy.Left adrenal adenoma. Bilateral adrenal calcifications; favor benign chronic process. |
Generate impression based on findings. | Female, 8 months old, status post craniofacial reconstruction. Evaluate for subdural. Postsurgical change consistent with cranioplasty of the anterior skull is demonstrated. This includes multiple craniotomies, intracranial air, and the presence of a subcutaneous drain.There is a large pocket of intracalvarial air is a... | Extensive surgical change compatible with anterior calvarial cranioplasty. Layering extra dural blood product is seen along the right supraorbital cranioplasty. No evidence of extra-axial hemorrhage is seen elsewhere. |
Generate impression based on findings. | Reason: Pt with T2N1B Tonsil SCC p16 negative, s/p CRT 7/20/2012 CHEST:LUNGS AND PLEURA: Previously noted new nodule in the right lower lobe has resolved. Slightly more superiorly a similar but smaller area of opacity in the right lower lob is present and is most likely related to scarring or aspirate (image 57/109). C... | Previously noted right lower lobe pulmonary nodule has resolved. A similar but smaller opacity is noted in the right lower lobe and is again atypical for metastatic disease but may be due to aspirate/postinflammatory. No definitive evidence of metastatic disease though continued follow up is recommended. |
Generate impression based on findings. | Reason: hx of tonsil ca, s/p CRT, eval for dz, compare to previous History: as above CHEST:LUNGS AND PLEURA: Stable scattered nonspecific micronodules.No new suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Cardiac size is normal without evidence ... | No interval change. No evidence of metastatic disease. |
Generate impression based on findings. | Female, 70 years old, history of tonsil cancer. Treatment related change is seen in the left neck including thickening of the platysma as well as infiltration and stranding through the fascial planes. The soft palate and pharyngeal mucosa is mildly hyperemic, and there is a small retropharyngeal effusion. Within this b... | 1. Treatment related change in the neck with no evidence of local tumor recurrence.2. No pathologic adenopathy is seen in the upper neck. 3. Within the upper mediastinum, however, ill-defined nonenhancing soft tissue thickening has developed along the carotid/subclavian junction. An additional focus of soft tissue thic... |
Generate impression based on findings. | Female 85 years old Reason: history of early-stage lung cancer of RLL s/p SBRT 1 month ago. Please evaluate for interval chagne History: post treatment surveillance CHEST:LUNGS AND PLEURA: The previously shown to be hypermetabolic right lower lobe nodule now measures 16 x 12 mm (image 74, series 5). This is approximate... | 1. Stable right lower lobe nodule corresponding to known adenocarcinoma.2. Multinodular goiter and associated thyroid mass suggestive of malignancy.3. The left upper lobe nodule unchanged, and may be benign. |
Generate impression based on findings. | 60 year-old female end-stage renal disease, prekidney transplant evaluation ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy. No intrahepatic biliary ductal dilatation. No focal lesions.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality note... | Multiple hypodensities within both kidneys with cortical thinning, not completely characterized however, could represent cysts. Large exophytic left renal hypodense lesion, mostly a simple cyst. Dedicated CT or MRI renal protocol would-be helpful for characterization of these hypodense lesions. |
Generate impression based on findings. | Female 60 years old; Reason: breast Ca never recurrent. Abnormal LFT's, found to have lesions on outside ultrasound. Evaluate for mets, other primary tumor. History: weight loss CHEST:LUNGS AND PLEURA: No dominant lung lesion. Micronodule adjacent to the right major fissure. The pleural spaces are clear.MEDIASTINUM AND... | 1.Enlarged left axillary lymph nodes. Hepatic and osseous metastatic disease. |
Generate impression based on findings. | 52-year-old malignant neoplasm of pancreas. Evaluate response to chemotherapy CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Tip of Port-A-Cath at the junction of right atrium and SVC.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Status post CBD stent. Expected... | 1. Known pancreatic head/uncinate process mass with CBD stent placement. The mass abuts the SMV and SMA.2. 7-mm obstructing left proximal ureteral calculus causing left-sided hydronephrosis with proximal hydroureter.Multiple nonobstructing calculi noted in both kidneys. |
Generate impression based on findings. | Status post gunshot wound to left buttock, retained missile ABDOMEN:LUNG BASES: No consolidation or pleural effusion is seen the lung bases.LIVER, BILIARY TRACT: No focal liver lesion or biliary duct dilation.SPLEEN: No focal splenic lesion.PANCREAS: The pancreas appears normal.ADRENAL GLANDS: The adrenal glands appear... | 1.Focus of active contrast extravasation in the right pelvis. Hemoperitoneum.2.Free intraperitoneal air and multiple bullet fragments around the rectum and posterior bladder. There is likely been rectal injury and injury to the bladder cannot be entirely excluded.3.Comminuted fracture of the posterior left ilium and le... |
Generate impression based on findings. | Reason: r/o mass vs. aneurysm History: sharp low back pain L>R, lung CA ABDOMEN:LUNG BASES: Severe paraseptal emphysema.LIVER, BILIARY TRACT: Cirrhotic morphology. No ascites. Nonspecific left hepatic lobe hypodensity is too small to further characterize, likely benign. SPLEEN: Splenomegaly. Accessory splenule.PANCREAS... | 1.New compression fracture of the T11 vertebral body.2.No acute intra-abdominal abnormality. |
Generate impression based on findings. | Reason: is there aneurysm History: headache Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No aneurysms or intracranial stenosis is appreciated.The anterior communicating artery is large. The left... | 1.No evidence for aneurysm.2.No evidence for cerebral vascular occlusive disease |
Generate impression based on findings. | Reason: is there aneurysm History: headache Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No aneurysms or intracranial stenosis is appreciated.The anterior communicating artery is large. The left... | 1.No evidence for aneurysm.2.No evidence for cerebral vascular occlusive disease |
Generate impression based on findings. | Clinical question: Rule out intracranial increase pressure, has Omaya reservoir. Signs and symptoms: Nausea and vomiting. Nonenhanced head CT: There is no evidence of increased intracranial pressure. Normal size of shunted supratentorial ventricular system remains stable in size and placement of right sided ventricular... | No acute intracranial process. Stable exam since prior study. |
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