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Generate impression based on findings. | Clinical question: 70-year-old male with OHT and seizure disorder, history of CVA. Having acute changes in mental status. Signs and symptoms: As above. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Focus of encepha... | No acute intracranial process. Stable exam since prior study. |
Generate impression based on findings. | Male 70 years old Reason: r/o PE History: sob, doe PULMONARY ARTERIES: Technically adequate study. No evidence of pulmonary emboli or right heart strain.LUNGS AND PLEURA: Severe bilateral paraseptal and centrilobular emphysema unchanged.Posterior right upper lobe subpleural mass now measures 29 x 58 mm (image 49, serie... | 1. No evidence of pulmonary emboli.2. New compression fracture of the T12 vertebral body.3. Extremely severe paraseptal and centrilobular emphysema.4. Increased pleural contact of the right upper lobe subpleural mass compatible with known adenocarcinoma.5. Lymphadenopathy unchanged. |
Generate impression based on findings. | Reason: ICH History: ICHIntracerebral hemorrhageUnspecified cerebral artery occlusion with cerebral infarctionIntracerebral hemorrhageIntracerebral hemorrhage There is a redemonstration of a large right basal ganglia hematoma currently measuring 48 x 84 mm axial dimensions and previously measuring 3 x 48 mm axial dimen... | 1.There is redemonstration and no change of a large right basal ganglia hematoma associated with significant mass-effect with sulcal effacement and midline shift, uncal herniation, subfalcine and transtentorial herniation which are stable . There is a extensive intra-to the in the lateral and third ventricles as well a... |
Generate impression based on findings. | Reason: Pt s/p en bloc tumor rxn w/ sigmoid colon, end colostomy 9/25 for peritonitis/stool spillage/peritonitis - pt has persistant elevated WBC - please eval for undrained abscess History: Elevated WBC ABDOMEN:LUNG BASES: Large left pleural effusion with overlying compressive atelectasis. Marked interval decrease in ... | 1.Increasing loculated mesenteric fluid and large left subdiaphragmatic collection with internal foci of gas.2.Decreasing right pleural effusion.3.No evidence of bowel obstruction or pneumoperitoneum. |
Generate impression based on findings. | Reason: 66 yo female with history of CD presents with abd pain concerning for SBO. SBFT showing mid small bowel wall thickening concerning for ischemia History: abdominal pain Residual barium is visualized in the transverse and proximal descending colon. The small amount of residual contrast is visualized in the sigmoi... | 1.Incomplete study due to residual barium from prior study. Scout image demonstrates residual barium in the transverse and proximal descending colon as well as the sigmoid colon. 2.Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Hip pain, question of fracture. CT images of the right hip reveal osteophyte formation along the acetabulum, predominately along the superior aspect. There is no fracture or malalignment. There is no acute fracture of the visualized femur. Focus of endosteal scalloping seen on radiographs is again seen and filled with ... | No evidence of fracture or malalignment. |
Generate impression based on findings. | 8 year-old female. Trauma. Clinical service wanted abd/pelvis scan with L-spine reconstructions to save the patient radiation. ABDOMEN:LUNG BASES: Lung bases are clear.LIVER, BILIARY TRACT: Normal appearance of the liver. No focal hepatic lesion. No biliary ductal dilatation.SPLEEN: Normal appearance of the spleen.PANC... | 1. Probable right superior pubic ramus buckle fracture. 2. No evidence of solid organ injury. |
Generate impression based on findings. | Neutropenic with fever and sinus pain. Evaluation for sinusitis. There is opacification of the right maxillary sinus as well as thin band of soft tissue density demonstrated within the retromaxillary fat immediately posterior to the right maxillary sinus wall which extends to involve the right pterygopalatine fossa. Wh... | Partial opacification of frontal, ethmoid, sphenoid and left maxillary sinuses. Near total opacification of the right maxillarysinus with findings suggesting extension beyond the confines of the right maxillary sinus including fat stranding and possible bony involvement of the posterior wall. These features suggest a m... |
Generate impression based on findings. | Reason: concern for pneumonia s/p abdominal surgery History: concern for pneumonia s/p abdominal surgery CHEST:LUNGS AND PLEURA: Bilateral basilar airspace consolidation, right greater than left. MEDIASTINUM AND HILA: Endotracheal tube are noted. Nasogastric tube with tip in the distal antrum. Right internal jugular ce... | 1.Extravasation of contrast from the ileocolostomy anastomosis.2.Diffuse, scattered fluid collections throughout the peritoneum and pelvis, some of which appear loculated.3.Loculated fluid collection in the soft tissue of the the right chest may represent a seroma. There are no signs of infection but CT is limited in t... |
Generate impression based on findings. | Reason: 51 M with hx of myoepithelial carcinoma of L palate s/p XRT with recurrence s/p salvage maxillectomy and graft. Please evaluate for residual tumor, possible skull base invasion. History: L face pain. Dysphagia. LUNGS AND PLEURA: Stable, nonspecific micronodules the right apex. No evidence of pleural or pulmonar... | Nonspecific, stable micronodular right apex. No specific evidence of intrathoracic metastases. |
Generate impression based on findings. | 62-year-old female with left flank pain -- evaluate for kidney stone ABDOMEN: Within the limits of a non-IV contrast enhanced examination limiting evaluation of abdominal parenchymal organs and vascular structures, the following observations can be made:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: ... | 1. Extensive diverticular changes in the sigmoid colon without wall thickening or adjacent fluid collections. 2. Slight increased haziness to the mesenteric just superior to the sigmoid colon, which may be adjacent inflammation related to diverticular disease or be independent. Nonspecific in nature. |
Generate impression based on findings. | Male, 51 years old, history of myoepithelial carcinoma of the left palate, status post radiation with recurrence status post salvage maxillectomy and graft. Presenting with left face pain and dysphagia. Evaluate for residual tumor, possible skull base invasion. Since the prior examination, patient has undergone left ma... | Extensive postsurgical change, new from the prior examination, including left maxillectomy and reconstruction with a myocutaneous flap.There is a peripherally enhancing, centrally hypodense lesion along the left posterior lateral margin of the graft, adjacent to the vascular pedicle, which is highly concerning for a fo... |
Generate impression based on findings. | MVC. Rule out bleed. Head: No intracranial mass, fluid collection, hemorrhage, hydrocephalus or CT evidence of acute ischemia. Gray-white differentiation is maintained bilaterally and the midline is intact. Max/face/sinus: There are no visualized facial or mandibular fractures. There is a very small amount of soft tiss... | No visualized sequelae of trauma. A small amount of maxillary sinus secretion could potentially imply early/mild sinusitis. |
Generate impression based on findings. | Reason: eval for biliary pathology, SBO History: epigastric pain ABDOMEN:LUNG BASES: Multiple basilar pulmonary micronodules measuring up to 4 mm (series 4, image 19). LIVER, BILIARY TRACT: Peripherally enhancing left hepatic lobe mass compatible with a hemangioma. Right hepatic lobe cyst and parenchymal calcifications... | 1.Findings compatible with an ampullary lesion and possible subsequent pancreatitis. MRCP should be considered for further evaluation.2.Nonspecific basilar pulmonary micronodules. |
Generate impression based on findings. | Reason: 58yoM with head and neck cancer, checking for recurrence and extent History: head/neck ca LUNGS AND PLEURA: Right apical opacities favor that of radiation reaction. Dependent groundglass, mild bronchial wall thickening with subsegmental atelectasis raising the question of aspiration. Focus of consolidation at t... | 1. Apical opacities favor that of radiation reaction.2. Dependent opacities subsegmental atelectasis. Consolidation medial basal segment left lower lobe, consider infection related to aspiration or round atelectasis with associated small pleural effusion.3. Mild mediastinal lymphadenopathy.4. No evidence of pulmonary m... |
Generate impression based on findings. | 57-year-old male with abdominal pain and fevers -- rule-out abscess. CHEST:LUNGS AND PLEURA: No masses, nodules or infiltrates. No pleural effusions.MEDIASTINUM AND HILA: No adenopathy, masses or abnormal fluid collections. Intubation tube traverses through the esophagus into the stomach.CHEST WALL: No significant abno... | Number one good interval insertion of large right flank catheter into retroperitoneum. 2. Minimal, change in measured size of fluid collections throughout retroperitoneum, but subjectively slightly smaller. 3. No abnormality seen in chest. 4. No new fluid collections identified. |
Generate impression based on findings. | Male; 45 years old. Reason: eval subdural History: bilat evac sdh with drains, level of drains decreased 10/7 Redemonstration of bilateral subdural hematomas with postoperative pneumocephalus. When measured at the same locations as in the comparison study, both collections are not significantly changed in size. The rig... | 1. No significant interval change in bilateral subdural fluid and air collections. No new hemorrhage or overt hematoma formation.2. Right-sided subdural drain is retracted when compared to prior study with its tip within the subdural space approximately 2 cm from the calvarium. |
Generate impression based on findings. | Female 61 years old; Reason: new serous uterine cancer, evaluate metastatic disease preop History: see above CHEST:LUNGS AND PLEURA: No dominant lung lesions. The pleural spaces are clear. The central airways are patent.MEDIASTINUM AND HILA: Heart size is normal. There are enlarged mediastinal lymph nodes with a prevas... | 1.Enlarged left adnexa possibly to spread of disease to the left adnexa.2.Cholelithiasis.3.Mildly enlarged mediastinal lymph node and left axillary nodes |
Generate impression based on findings. | cerebral hemorrhage/Intracerebral hemorrhageIntracerebral hemorrhage There is a redemonstration of a large right basal ganglia hematoma currently measuring 48 x 84 mm axial dimensions and previously measuring 71 x 41 mm axial dimensions. It appears to have enlarged along its medial aspect and superior aspect. Coronal i... | 1.There is redemonstration and enlargement of a large right basal ganglia hematoma associated with significant mass-effect with sulcal effacement which has progressed. There is an associated uncal herniation, subfalcine and transtentorial herniation. Midline shift has progressed . There is a extensive intraventricular ... |
Generate impression based on findings. | MVA. Right-sided neck pain. Rule out fracture. There is straightening of the cervical spine which could be on the basis of position/neck brace or muscle spasm. Vertebral body and intervertebral disk heights are maintained. There are no visualized fractures. There is no prevertebral soft tissue swelling. The odontoid is... | No visualized fracture or abnormality of the cervical spine. |
Generate impression based on findings. | Male 57 years old Reason: mets lung ca, EGFR +, on Metmab and Erlotinib now, s/p cycle 18, pls c/w previous study and evaluate tx response. History: lung ca CHEST:LUNGS AND PLEURA: Right apical pleural thickening and traction bronchiectasis unchanged. Perihilar bronchial thickening, bronchiectasis and fibrosis unchange... | 1. Increased conspicuity of hepatic lesions, likely related to contrast phase, with possible increase in size of segment 4a lesion.2. Otherwise, no significant interval change or new lesions identified. |
Generate impression based on findings. | Reason: Cirrhosis protocol eval liver lesions, masses, ascites rising AFP 1194 History: cirrhosis, HCV, rising AFP 1194 CHEST:LUNGS AND PLEURA: Basilar atelectasis.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No lymphadenopathy.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY ... | 1.Increasing right hepatic lobe mass compatible with HCC.2.Portal vein is patent.3.Increasing ascites.4.Cirrhosis with evidence of portal hypertension. |
Generate impression based on findings. | Follow-up ventriculomegaly. Ventriculostomy catheter is demonstrated traversing the right frontal lobe with its tip in the right frontal horn. There is hypoattenuation along the catheter tract which slightly more prominent than on the examination one day prior. The ventricular diameter has been unchanged since the prio... | Unchanged ventricular diameter and stable position of ventriculostomy catheter with interval partial resolution of intraventricular blood demonstrated previously. Unchanged presence/effect of multiple bilateral supra- and infratentorial metastatic lesions. Mass effect within the posterior fossa without frank herniation... |
Generate impression based on findings. | Male 56 years old; Reason: lymphoma History: lymphoma CHEST:LUNGS AND PLEURA: Cyst in the right upper lobe with subcentimeter nodules adjacent to it. No dominant or suspicious lung lesion. Pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. There are borderline enlarged mediast... | 1.Axillary, subpectoral and thoracic inlet adenopathy.2.Splenomegaly.3.Pelvic lymphadenopathy4.Indeterminate right adrenal lesion. |
Generate impression based on findings. | Reason: 71M w/ complicated diverticular disease now POD 25 s/p ex lap, subtotal colectomy, creation of end ileostomy, left ureteral stent placement; c/b bladder and left ureteral injury s/p vesicular /ureteral repair and abdominal wall reconstruction with biologic mesh placement History: abdominal wall cellulitis, also... | 1.Interval improvement of multiple anterior fluid collections.2.Although there are no fluid collections around the vast majority of the bladder, there are some ill-defined densities around the distal ureter and the dome of the bladder. Without contrast filling the bladder and ureters, a leak cannot be completely exclud... |
Generate impression based on findings. | 86-year-old female with abdominal distention and vomiting. Concern over small bowel obstruction. ABDOMEN:LUNG BASES: Bibasilar pleural effusions, left greater than right. Left basilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnor... | 1. Marked disproportionate plane proximal and mid small bowel versus collapsed distal small bowel indicative of bowel obstruction. 2. Presence of ascites can be associated with ischemic changes from obstruction. |
Generate impression based on findings. | Reason: CT guided aspiration of ICH History: left sided weakness There is a redemonstration of a large right basal ganglia hematoma currently measuring 71 x 41 mm and 61x40 mm coronal dimensions. The patient is status post drainage catheter placement within this hematoma. A small amount of blood is adjacent to the drai... | 1.Examination was not performed for CT guidance so that the referring service could place a drainage catheter in the right basal ganglia hematoma.2. There is redemonstration and enlargement of a large right basal ganglia hematoma associated with significant mass-effect with sulcal effacement. There is an associated unc... |
Generate impression based on findings. | Male 72 years old; Reason: Rectal cancer please assess and provide index lesions and evaluate for any possible metastatic disease prior to chemo/radiation/surgery History: As above CHEST:LUNGS AND PLEURA: Left upper lobe pulmonary nodule measures 10-mm on image 24/series 5 previously, 11-mm and is unchanged allowing fo... | 1.No change in the left upper lobe nodule.2.Circumferential rectal mass with small malignant appearing lymph nodes outside the mesorectal fascia on the right3.Minimally complex right renal cyst. |
Generate impression based on findings. | Female 56 years old; Reason: pt history met. breast ca currently receiving treatment. please eval for response/progression using measurements if applicable and compare with previous History: see above CHEST:LUNGS AND PLEURA: Bilateral interstitial opacities and scattered areas of ground-glass opacities. Some of the pul... | 1.No significant size change in the right hepatic lobe lesion.2.Pulmonary parenchymal ground-glass opacities appear more solid.3.Osseous metastatic disease |
Generate impression based on findings. | Reason: Pt with Tongue Ca s/p CRT in July 2012. please re-eval and compare top prior exams History: as above Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is ... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy |
Generate impression based on findings. | Male, 53 years old, intracerebral hemorrhage. Extensive parenchymal hemorrhage is demonstrated in the right greater than left frontal lobes, and the right greater than left anterior temporal lobes. Parenchymal edema is seen surrounding the areas of hemorrhage, particularly on the right. This results in significant gene... | Extensive parenchymal hemorrhage involving the right worse than left frontal lobes and right worse than left temporal lobes. Subdural, subarachnoid and intraventricular blood is also present.There is significant generalized mass effect with effacement of the suprasellar cistern and a midline shift to the left of betwee... |
Generate impression based on findings. | 63 yo F with CHF and recent AVR/MVR complicated by loculated pleural effusion/hemothorax. Please quantify the area of hemothorax vs. prior. LUNGS AND PLEURA: The endotracheal tube has been removed. Mild interval decrease in size of mixed density right pleural effusion which is partially loculated anteriorly. Small left... | 1.Mild interval decrease in size of partially loculated mixed density right pleural effusion which likely contains blood products.2.Loculated substernal fluid collection also appears slightly decreased in size given the limitations of this noncontrast study, and may represent a resolving abscess, hematoma, or seroma.3.... |
Generate impression based on findings. | Reason: eval for parastomal varices History: gi bleed The phase of intravenous contrast is optimized for evaluation of arterial system. Evaluation of solid organ pathology is limited.ABDOMEN:LUNG BASES: Motion artifact limits evaluation of the lung bases. Basilar atelectasis/scarring.LIVER, BILIARY TRACT: Cholelithiasi... | 1.Wide-mouthed left lower quadrant parastomal hernia containing mesenteric fat, vessels, and bowel loops without evidence of strangulation. No evidence of bowel obstruction.2.Parastomal varices draining into the bilateral iliac/femoral veins. No hematoma.3.Mild atherosclerosis of the abdominal aorta and its branches, w... |
Generate impression based on findings. | Male, 53 years old, intracerebral hemorrhage. Bilateral, right worse than left, frontal lobe hematomas, and bilateral, right worse than left, temporal lobe hematomas are redemonstrated. Accurate measurements are difficult due to the irregular nature of the hemorrhage, but no definite significant interval changes are se... | Extensive parenchymal hematomas are stable to most 1 or 2 mm larger. Subdural, subarachnoid and intraventricular hemorrhage is also grossly unchanged. Associated mass effect is stable as well. |
Generate impression based on findings. | 20 year-old female. Desaturation, chest pain. Evaluate for PTLD in the chest, abdomen, and pelvis. PULMONARY ARTERIES: No pulmonary embolism identified. LUNGS AND PLEURA: Trace left pleural effusion. Left lower lobe dependent atelectasis/consolidation with adjacent nodular opacities. Scattered bilateral upper lobe grou... | 1. No evidence of pulmonary embolism.2. No evidence of PTLD. 3. ETT tip is at the carina/right mainstem bronchus.4. Left lower lobe atelectasis/consolidation. Scattered left basilar nodular opacities and upper lobe groundglass opacities may represent aspirate and/or infection.5. New splenic infarcts. 6. Moderate perica... |
Generate impression based on findings. | Reason: HCV cirrhosis, HCC screening History: HCV cirrhosis ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver contour: The liver has widened fissures.Features of portal hypertension: None Portal vein: Patent Hepatic veins: PatentHepatic artery: Conventional hepatic arterial anatomy.Lesion... | Chronic liver disease without evident HCC. |
Generate impression based on findings. | Male; 57 years old. Reason: patient with a right lung mass; questionable endobronchial obstruction; long standing, 10years?; OSH films available (7/23/13) History: cough; dyspnea on exertion. LUNGS AND PLEURA: There is a right suprahilar soft tissue mass that measures approximately 4.7 x 3.4 cm and is hypermetabolic on... | 1.Right suprahilar soft tissue mass which encases and nearly obliterates the lumen of the right upper lobe bronchus, causing post-obstructive atelectasis of the inferior segment of the right upper lobe and disseminated right upper lobe bronchiolitis. 2.Small mediastinal and upper abdominal lymph nodes, with reference m... |
Generate impression based on findings. | Male 62 years old; Reason: eval fluid collections, pleural effusions History: s/p lap chole c/b bile leak, pleural effusions s/p IR drain placements CHEST:LUNGS AND PLEURA: Patchy areas of ground-glass opacity involving the right lung with basilar subsegmental atelectatic regions.Small left pleural effusion occupying a... | 1.Decrease in the size of the perihepatic abscess with a drain.2.Decrease in the size of the peri-splenic and pelvic abscess which do not have drains. |
Generate impression based on findings. | Reason: evolution of RLQ mass History: Asymptomatic now; ? periappendiceal abscess seen in earlier study. Rx medically Lack of intravenous contrast limits evaluation of solid organ pathology.ABDOMEN:LUNG BASES: Right lower lobe fissural micronodule is unchanged (series 3, image 2).LIVER, BILIARY TRACT: Left hepatic lob... | 1.Significant interval decrease in periappendiceal inflammatory changes and fluid. |
Generate impression based on findings. | Male, 58 years old, history of head and neck cancer, evaluate for recurrence and extent. 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. Note is made of prominent venous structures in the bilateral tempo... | 1. Bilateral hypopharyngeal tumor centered at the level of the piriform sinuses which extends in infiltrative fashion superiorly, along the left posterior pharynx, to the level of the palatopharyngeal arch.2. No discrete pathologic adenopathy is identified in the neck. However, there is the suggestion of contiguous tum... |
Generate impression based on findings. | 64-year-old male with history of left partial nephrectomy, February, 2012. Evaluate kidney post partial nephrectomy. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS:... | 1. Postoperative changes seen about the left kidney -- no evidence for recurrent or residual disease seen, however, lack of IV contrast limits evaluation of renal parenchyma. |
Generate impression based on findings. | Male 82 years old; Reason: Pt is an 82 y/o male with prostate cancer, PSA rising, evaluate for met disease, compare to last year's imaging History: prostate cancer CHEST:LUNGS AND PLEURA: Subcentimeter nodule adjacent to the minor fissure, unchanged. No suspicious bony lesions. The pleural spaces are clear.MEDIASTINUM ... | 1.Decrease in the size of the reference lesions.2.New 2.6cm right lymph node adjacent to the prostate. |
Generate impression based on findings. | 59-year-old male with history of bladder cancer. Status post cystectomy with neobladder. Evaluate for recurrent/metastatic disease. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffuse fatty infiltration throughout the liver is seen. Presence of fat can obscure visualization of underlying s... | 1. Status post cystoprostatectomy with continent neobladder stable in appearance. 2. Small reference left retroperitoneal, periaortic lymph node, slightly decreased in size. 3. No evidence of metastatic disease. |
Generate impression based on findings. | Reason: sepsis w/unknown source History: sepsis w/unknown source ABDOMEN: Streak artifact from cardiac hardware limits evaluation of the upper abdomen.LUNG BASES: Basilar ground-glass opacities and consolidation compatible with aspiration/infection. Calcified right basilar pulmonary nodule. Four chamber cardiomegaly wi... | Fluid-filled colon compatible with a diarrheal state, which may represent an early colitis.1.Basilar ground-glass opacities and consolidation compatible with infection/aspiration.2.No drainable fluid collections in the abdominal cavity.3.Gallbladder sludge.4.CT chest dictated separately. Please see final report for fin... |
Generate impression based on findings. | Clinical question: Subarachnoid hemorrhage, want to a reevaluate prior to anticoagulation. Signs and symptoms: As above. Unenhanced head CT:Previously noted residual subarachnoid hemorrhage in the right sylvian fissure and right frontal cortical sulci demonstrate interval decreased size and density. There is however a ... | 1.There is interval decreased size and density of previously noted hemorrhage in the right sylvian fissure and right frontal cortical sulci.2.There is a small new focus of subarachnoid hemorrhage more superiorly in the right frontal cortical sulci suspicious for new hemorrhage however less likely possibility of redistr... |
Generate impression based on findings. | Male; 55 years old. Reason: Pt with Tongue Ca s/p CRT in July 2012. please re-eval and compare top prior exams. CHEST:LUNGS AND PLEURA: Mild apical fibrosis likely secondary to radiation treatment but no suspicious pulmonary nodules or masses. There is no focal airspace opacity or pleural effusion. Scattered pulmonary ... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: Evaluate for progression of metastatic disease; compare to previous scan History: none0 CHEST:LUNGS AND PLEURA: Bilateral perihilar scarring, architectural distortion, bronchiectasis, and left lower lobe postsurgical changes similar in appearance compared to multiple prior exams.No new suspicious pulmonary nodu... | No interval change without evidence of recurrent metastatic disease. |
Generate impression based on findings. | Reason: h/o HNC, CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Scattered benign-appearing pulmonary micronodules and intrapulmonary lymph nodes are stable.There is no evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: There is no evidence of mediastinal or hilar lymphad... | No evidence of metastases, or other significant finding. |
Generate impression based on findings. | Clinical question: Left-sided weakness, history of prior stroke. Signs and symptoms: As above. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.There are moderate periventricular and subcortical low attenuation of whi... | 1.No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.2.Moderate age indeterminate small vessel ischemic strokes and a chronic right parietal cortical stroke as detailed. |
Generate impression based on findings. | Female; 64 years old. Reason: r/o PE History: resp failure. PULMONARY ARTERIES: No evidence of pulmonary embolus. Main pulmonary artery is dilated, measuring 36 mm transverse.LUNGS AND PLEURA: There are diffuse ground glass opacities extending throughout both lungs. Associated basilar atelectasis/consolidation and pleu... | 1. No evidence of pulmonary embolus.2. New right upper lobe cavitary lesion, suggestive of a cavitary infection, possibly the result of interval septic embolus. No evidence of infection involving the LVAD driveline. 3. Diffuse ground glass opacities and bilateral atelectasis/consolidation compatible with pulmonary edem... |
Generate impression based on findings. | Reason: lung nodule, compare to previous, super D protocol History: cough/dyspnea LUNGS AND PLEURA: Interval appearance of posterior pleural based nodular consolidation measuring 15 x 18 mm involving the superior segment of the left lower lobe (high resolution series 5 image 94).Previously referenced ground glass nodul... | 1. Interval appearance of posterior pleural based nodular consolidation measuring 15 x 18 mm involving the superior segment of the left lower lobe (high resolution series 5 image 94).2. Previously referenced ground glass nodule posterior left lower lobe is ill-defined without measurable component. There is surrounding ... |
Generate impression based on findings. | Reason: Hx of breast cancer, lymphoma, and t-AML admitted for fever + c.diff c/b liver failure and AMS History: *Pls do with PO contrast but NO IV contrast.* Distended abdomen and pain - pls assess for signs of obstruction ABDOMEN: Within the limitations of a non-IV contrast enhanced examination which limits evaluation... | 1.No evidence of small or large bowel obstruction.2.Redemonstration of a large right pleural effusion and moderate left pleural effusion.3.Moderate amount of abdominal and pelvic ascites.4.Redemonstration of nonspecific, hypodense hepatic lesion. |
Generate impression based on findings. | Reason: r/o diverticulitis History: LUQ abd pain ABDOMEN:LUNG BASES: Mild emphysematous changes of bilateral lung bases.LIVER, BILIARY TRACT: No evidence of cholelithiasis. No intrahepatic or extrahepatic ductal dilatation. No suspicious focal hepatic lesion.SPLEEN: No significant abnormality notedPANCREAS: No signific... | Focal, acute diverticulitis of the mid descending colon without evidence of fluid collection or abscess. |
Generate impression based on findings. | 50 year-old female with breast cancer and renal cell carcinoma. Evaluate for recurrence of renal cell carcinoma, status post nephrectomy. CHEST:LUNGS AND PLEURA: Fibrotic changes at the left apex, unchanged. No new nodules, masses or infiltrates. No pleural abnormality seen.MEDIASTINUM AND HILA: No significant abnormal... | 1. Left nephrectomy without evidence of residual or recurrent tumor seen. 2. No evidence of metastatic disease. 3. Diffuse fatty infiltration of the liver -- presence of fat can obscure the presence of parenchymal liver masses. 4. Morphology of the liver raises question of cirrhotic changes. |
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.2.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. 3.CT is insensitive for the early detection of nonhemorrhagic CVA |
Generate impression based on findings. | Clinical question: Evaluate intracranial hemorrhage. Signs and symptoms: Intracranial hemorrhage, status post mistie catheter placement. Unenhanced head CT:There is no convincing evidence of any significant interval change in the size of very large and very irregular in shape hemorrhage in the right basal ganglia/thala... | 1.Stable large and very irregular dissecting hematoma of right basal ganglion with intraventricular extension of hemorrhage since prior study.2.Stable right-sided catheter entering from the right frontal burr hole and extending to the hematoma similar to prior exam.3.Stable extensive supratentorial intraventricular hem... |
Generate impression based on findings. | 48-year-old male with history of kidney and pancreatic transplant with perforation of graft duodenum this study is limited due to lack of IV contrast ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis with distended gallbladder and multiple stones associated with pericholecystic fl... | Cholelithiasis and cholecystitis with choledocholithiasis. |
Generate impression based on findings. | Reason: h/o HNC, CRT, compare to previous, measurements pls History: none There is redemonstration of infiltration of the soft tissues of the right neck more than the left associated with thickening of the platysma muscle right more than left. All this is likely post treatment related.Within the suprahyoid neck on the ... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.please note that the lack of intravenous contrast decreases the sensitivity for CT soft tissues of the neck |
Generate impression based on findings. | Pancreas cancer CHEST:LUNGS AND PLEURA: Micronodular image number 64 of series number 3, unchanged. No new nodules.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Previously measured index lesion in the liver is very difficult to differenti... | Interval decrease in the size of the patient's known tail mass. |
Generate impression based on findings. | Male 66 years old; Reason: 66 yo male with metastatic sigmoid colon cancer to liver. Palliative sigmoid colon resection to be done on 10/16/13. Need to evaluate extent of disease prior to resection History: Abdominal Pain CHEST:LUNGS AND PLEURA: Calcified right middle lobe granuloma. Few scattered micronodules are chan... | 1.No evident change in the size of the hepatic metastases.2.Peritoneal carcinomatosis. |
Generate impression based on findings. | Reason: assess for ich, cause for seizure History: seizure 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 subcorti... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. 3.CT is insensitive for the early detection of nonhemorrhagic CVA. |
Generate impression based on findings. | Reason: TxN3 HNSCC-completed 5/5 DFHX completed 3/9/12. please re-eval for recurrence History: as above CT neck:The patient is status post right radical neck surgery it is infiltration of the fat planes in the right neck surrounding the right carotid space from the level of the clavicle to the level of the C1 vertebral... | 1.No convincing evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.There are some infiltrative changes associated with mass effect present along the right neck which appear stable when compared to the prior exam suggesting this is likely post treatment effect. Co... |
Generate impression based on findings. | Reason: Pt with hx of HNC; please re-eval and compare to prior exams History: as above CHEST:LUNGS AND PLEURA: Mild reticulonodular/tree in bud opacities and bronchial wall thickening previously noted at right lung base have decreased. However, similar findings within the right middle and left lower lobes have increase... | 1. Stable scattered pulmonary micronodules without specific evidence of metastaticdisease.2. Bronchial wall thickening with reticulonodular and tree in bud opacities within the bilateral lower lobes, lingula and right middle lobe. Associated consolidation posterior basal segment left lower lobe. Mucus within the bronch... |
Generate impression based on findings. | Reason: TxN3 HNSCC-completed 5/5 DFHX completed 3/9/12. please re-eval for recurrence History: as above CHEST:LUNGS AND PLEURA: Stable benign appearing left lower lobe subpleural nodule (image 80 series 5).Upper lobe predominant paraseptal and central lobular emphysema.No new suspicious pulmonary nodules or masses.MEDI... | No interval change without evidence of metastatic disease. |
Generate impression based on findings. | History of hepatocellular carcinoma, status post resection CHEST:LUNGS AND PLEURA: Nonspecific, scattered micronodules unchanged.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Ablation defect in segment 8 measures 5-mm in diameter image nu... | Slight interval decrease in the size of the posttreatment lesions in the liver |
Generate impression based on findings. | 58 year-old female with GIST -- restaging ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Multiple lesions are seen throughout the liver in a pattern of distribution and size, unchanged from 10/23/12. These lesions show different imaging characteristics, some been most characteristic of benign... | Stable examination -- the numerous hepatic lesions of varying appearances all appear stable. Reference measurements are provided, although these may not represent metastases. No other abnormality seen. |
Generate impression based on findings. | 35-year-old female with history of microscopic hematuria ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Liver is enlarged. Diffuse fat infiltration is present. There are multiple hyperdense lesions throughout the liver. The index lesion in the right lobe measures 3.5 x 3.3 cm on image number ... | No CT findings to explain patient's hematuria.Fat infiltration of the liver with hepatomegaly. Multiple hyperdense liver lesions. Their etiology is unknown but likely represents multiple adenomas or focal nodular hyperplasia. MRI of the liver with focal nodular hyperplasia protocol is recommended for further evaluation... |
Generate impression based on findings. | 77-year-old male with history of metastatic urothelial cancer This study is limited due to lack of IV contrastCHEST:LUNGS AND PLEURA: Right upper lobe spell with opacity is unchanged and likely represents scarring. It measures 9 x 7 mm and number 14, series number 5. Right lower lobe focal pasty measures 5-mm in diamet... | Limited study due to lack of IV contrast. No significant change from previous study. 4.5-cm infrarenal abdominal aortic aneurysm is also unchanged. |
Generate impression based on findings. | History of bladder cancer, status post cystectomy CHEST:LUNGS AND PLEURA: 5-mm nodule in the right lower lobe image number 6, series number 7. Chest CT is recommended for further evaluation.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No... | No evidence of metastatic disease or recurrence. |
Generate impression based on findings. | Reason: evaluate ILD History: cough sob fibrosis LUNGS AND PLEURA: Subpleural reticular opacities with a mildly basilar predominance, traction bronchiectasis and bronchiolectasis, but little specific evidence of honeycombing. No groundglass opacities are present.The patient has undergone several wedge biopsies on the r... | Moderate interstitial lung disease, a pattern consistent with possible UIP. Marked right hemidiaphragm elevation is present as well. |
Generate impression based on findings. | Reason: h/o met thyroid ca, compare to previous, measurements pls CT neck:There is redemonstration of total thyroidectomy and left neck dissection with apparent sacrifice of the left internal jugular vein and partial resection of the left submandibular gland. There is no discrete residual or recurrent tumor/mass in the... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.No evidence for brain metastases. |
Generate impression based on findings. | Male 61 years old; Reason: prostate cancer History: prostate cancer ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver has a smooth contour. There are least 3 hepatic lesions over 1 cm. A right hepatic lobe segment 5 lesion measures 3.4 x 2.2-cm (image 53/series 3. Lesion has peripheral n... | 1.Small right common iliac lymph node.2.Probable hepatic hemangiomata. |
Generate impression based on findings. | Clinical portion: Evaluate for sinusitis in patient with complaint of headache. Signs and symptoms: Patient with CF and long history of sinusitis. Sinus cultures negative. Medtronic fusion sinus CT:Frontal sinuses demonstrate interval improvement and read on a trace knee coastal thickening in the dependent portion of r... | 1.Interval improvement of frontal, sphenoid and bilateral ethmoid sinusitis since prior exam.2.Interval improvement of chronic sinus disease in the left maxillary sinus with widely patent sinonasal window.3.Interval worsening of right maxillary sinusitis with resultant decreased size of right sinonasal window.4.Evidenc... |
Generate impression based on findings. | Male 78 years old; Reason: Pt is a 78 y/o male with met prostate cancer, evaluate for worsening disease History: met prostate cancer, pain CHEST:LUNGS AND PLEURA: Right lower lobe pulmonary nodule measures 0.8 x 0.7 cm (image 83/series 4) previously, 0.8 x 0.8 cm.Sub pleural calcifications and pleural thickening are st... | 1.Stable size measurements of the reference lesions.2.Sclerotic osseous metastatic disease, better evaluated on the concurrent bone scan. |
Generate impression based on findings. | Reason: 28M w UC s/p robo completion proctectomy, IPAA, DLI on 10/2 discharge 10/7, here w nausea, vomiting History: nausea, vomiting ABDOMEN:LUNG BASES: Basilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL... | 1.Dilated small bowel loops with a transition point at the level of the loop ileostomy compatible with a partial small bowel obstruction. 2.Pneumoperitoneum and mesenteric fluid are likely postoperative. |
Generate impression based on findings. | Reason: evaluate ILD History: sob LUNGS AND PLEURA: Surgical sutures are identified in the left lower lobe and left apex.Focal subpleural areas of clustered small cysts and surrounding groundglass opacity are noted in the right apex and posteriorly in the superior segments of the lower lobes bilaterally.Basilar groundg... | Focal areas of subpleural clustered cysts and surrounding groundglass with mild basilar fibrosis, possible early honeycombing , and ground glass opacities in a patient of this age group raises the question of pulmonary fibrosis secondary to mixed connective tissue disease. Chronic hypersensitivity pneumonitis is a diag... |
Generate impression based on findings. | Reason: 73yo F with 15 pack year history, RA, chronic DOE. Eval for pulm abnormalities History: chronic DOE LUNGS AND PLEURA: Multifocal and discontinuous regions of peripheral fibrosis with minimal groundglass that persist on prone imaging, extending from the apices to the bases. Although this is predominantly posteri... | Peripheral fibrosis with minimal groundglass. Mild associated mediastinal lymphadenopathy. In the setting of known rheumatoid arthritis, this favors findings secondary to mixed connective tissue disorder. |
Generate impression based on findings. | 9/25/2013 CHEST:LUNGS AND PLEURA: New basilar predominant ground glass opacities are seen with interlobular septal and bronchial wall thickening likely representing pulmonary edema. Bibasilar consolidation is again seen, likely related to aspiration/infection.Scattered pulmonary micronodules are again noted with severa... | 1.Bibasilar consolidation again seen and may be related aspiration/infection. New ill defined opacities and pulmonary nodules may also be due to infection.2.New bilateral pleural effusions. New pulmonary edema.3.No loculated fluid collection to suggest abscess formation. |
Generate impression based on findings. | 52-year-old female with history of renal calculus ABDOMEN: Within the limitations of a non-IV contrast enhanced examination which limits evaluation of solid organ parenchyma and vascular structures, the following observations can be made:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant a... | Multiple nonobstructing nephrolithiasis bilaterally. |
Generate impression based on findings. | Male 86 years old Reason: h/o met thyroid ca, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Innumerable basilar predominant bilateral pulmonary nodules compatible with metastatic disease, increased in size and number from the prior exam, and markedly increased from the exam dated 3/20/2013... | 1. Slight interval increase in size and number of miliary pulmonary metastasis. 2. Stable aneurysmal dilatation of the left gastric artery. |
Generate impression based on findings. | Reason: evaluate for stroke History: hypertension, unsteadiness There is redemonstration of a focus of encephalomalacia along the right occipital lobe centered in the cuneus. There is another focus of encephalomalacia involving the left lingual gyrus extending to the fusiform gyrus associated with ex vacuo effect along... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA3.Redemonstration and no change in encephalomalacia in the right and left occipital lobes. |
Generate impression based on findings. | Female 76 years old; Reason: metastatic colon cancer s/p microwave thermoablation of 3 hepatic tumors in august 2013. evaluate for interval change of disease History: colon cancer CHEST:LUNGS AND PLEURA: Right upper lobe pulmonary nodule has increased in size measuring 0.8 x 0.7 cm (image 20/series 4) previously, 0.6 x... | 1.Increase in the right upper lobe pulmonary nodule.2.Increase in the size of the hepatic lesions. |
Generate impression based on findings. | Reason: pre-op planning History: parkinsons Examination was performed for the purpose of stereotactic guidanceThe 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 withi... | 1.Examination was performed for the purpose of stereotactic guidance. No evidence for acute intracranial hemorrhage mass effect or edema.2.Metallic artifact in partially obscures visualization of the intracranial structures. This may obscure subtle abnormalities |
Generate impression based on findings. | Reason: Pancreas cancer please compare to previous scan and provide index measurements for RECIST History: As above CHEST:LUNGS AND PLEURA: Scattered micronodules without significant interval change. No dominant pulmonary lesion. No pleural effusions. MEDIASTINUM AND HILA: Right chest wall Port-A-Cath tip terminates at... | 1.Pancreatic body mass without significant interval change. 2.Patent splenic vein.3.Nonspecific pulmonary micronodules without significant interval change. |
Generate impression based on findings. | 57-year-old male with poorly differentiated neuroendocrine carcinoma of the pancreas. CHEST: LUNGS AND PLEURA: Stable 1 cm nodule in the anterior right middle lobe (series 9, image 31).MEDIASTINUM AND HILA: Scattered subcentimeter, benign-appearing lymph nodes in the mediastinum. Atherosclerotic vascular calcifications... | 1.Increase in size of pancreatic anterior pancreatic mass with increased soft tissue nodular component around necrosis. Interval worsening of encasement of SMA.2.Posterior right lobe liver mass is slightly increased in size3.New left lobe liver mass is suspicious for metastasis.4.Mild increase in periaortic lymph nodes... |
Generate impression based on findings. | Male 86 years old; Reason: hx UCC and lung nodule, evaluate for growth History: hx UCC CHEST:LUNGS AND PLEURA: Upper lung predominant emphysematous changes. A rounded superior peripherally located upper lobe mass measures 3.0 x 2.9 cm (image 18/series 4) previously, 3.0 x 2.9 cm.Spiculated left upper lobe mass measures... | 1.Mild persistent dilatation of the left ureter with small amount of soft tissue near its anastomosis may represent area of stenosis or small soft tissue lesion.2.Hypoattenuating areas in the liver are unchanged. |
Generate impression based on findings. | Reason: eval progression of saccular aneurysm of distal thoracic aorta History: hx of open AAA repair, saccular aneurysm of thoracic aorta LUNGS AND PLEURA: Moderate upper lobe predominant paraseptal emphysema.Mild basilar scarring/discoid atelectasis unchanged.Scattered calcified and noncalcified micronodules.No suspi... | No interval change with redemonstration of a small saccular aneurysm of the proximal descending aorta. |
Generate impression based on findings. | Reason: pancreatic cancer restaging History: pancreatic cancer restaging CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules increasing in size and number. Reference right lower lobe pulmonary nodule measures 8 mm (series 4, image 45), previously 6 mm. Reference left lower lobe pulmonary nodule measures 7 mm (series 4, ... | 1.Multiple pulmonary nodules, increase in number and size.2.Pancreatic mass is not discretely measurable but appears unchanged.3.Splenic vein thrombosis, unchanged.4.Reference right axillary lymph node is unchanged. |
Generate impression based on findings. | Male 23 years old Reason: patient with histoplasmosis and hemoptysis History: hemoptysis LUNGS AND PLEURA: The cavitary portion of the right middle lobe nodule has subsequently filled in with soft tissue, now measuring 14 x 10 mm (image 55, series 5), previously measuring 14 x 8 mm. There has been marked interval decre... | 1. Interval filling in of the right middle lobe cavitary lesion, which is unchanged in size.2. Confluent bulky mediastinal and hilar lymphadenopathy resulting in severe narrowing of the bronchus intermedius compatible with fibrosing mediastinitis, unchanged.3. Remainder of pulmonary findings compatible with histoplasmo... |
Generate impression based on findings. | 50 year-old male with lymphoma -- pre-stem cell transplant evaluation. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Anterior mediastinal reference lymph node mass (series 701, image 31) measures 2.6 x 1 .6 cm, previously 3.5 x 2.0 cm. other small subcentimeter lymph nodes appear unchang... | 1. Continued decrease in size of anterior mediastinal lymph nodes as measured above with no change in the, predominately small, subcentimeter lymph nodes seen in the abdomen and pelvis. 2. No new evidence of disease or progression. 3. No change in nonocclusive superior vena cava thrombus. |
Generate impression based on findings. | Reason: metastatic thyroid ca, eval for dz progression History: as above The patient is status post laryngectomy and thyroidectomy.There is a small nodule present in the right thyroid bed measuring 5 mm in size which is unchanged since prior examSince the prior exam the patient has developed a lytic lesion in the right... | 1.New pathologic fracture involving the right clavicular head is suspicious for metastatic disease .2.Small nodules in the right parietal lobe and left occipital lobe are better seen on a recent MRI of the brain and are suspicious for metastatic disease |
Generate impression based on findings. | Reason: lung cancer History: lung cancer CHEST:LUNGS AND PLEURA: Left sided volume loss, postsurgical changes, and a loculated hydropneumothorax unchanged from the prior exam.There is marked attenuation and narrowing of the left descending pulmonary artery.Azygos pseudo-lobe noted on the right.Mild pleural thickening o... | 1.Postsurgical changes and volume loss in the left lung with a loculated hydropneumothorax.2.Right hilar and mediastinal lymphadenopathy.3.Left paraspinal soft tissue at the level of the proximal descending aorta probably representing a metastatic focus although inflammatory etiology cannot be excluded. |
Generate impression based on findings. | 24 year-old male. Undifferentiated sarcoma, assess for pulmonary disease. LUNGS AND PLEURA: No suspicious nodules or masses identified.MEDIASTINUM AND HILA: Normal heart size. No hilar or mediastinal lymphadenopathy is identified.CHEST WALL: Left humeral prosthesis with adjacent surgical clips. Few Schmorl's nodes are ... | No evidence of intrathoracic metastasis. |
Generate impression based on findings. | 66-year-old male with resected renal cell carcinoma and enlarging lymph nodes. CHEST:LUNGS AND PLEURA: No parenchymal lung nodule seen. Reference left upper lobe parenchymal nodule (series 6, image 32) has slightly increased in size, measuring 2.0 x 1 .9 cm, previously 1.8 x 1.6 cm.MEDIASTINUM AND HILA: Again noted are... | 1. No new foci of involvement, however, slight increase in reference lymph node measurements in chest and abdomen. 2. Slightly increasing size of pulmonary nodule. |
Generate impression based on findings. | Reason: Does patient have pyogenic pyelonephritis or abdominal abscess or other etiology of suprapubic pain? History: hematuria, dysuria, frequency, SUPRAPUBIC PAIN ABDOMEN:LUNG BASES: Basilar atelectasis.LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant... | Bladder wall thickening with enhancing mucosa compatible with cystitis. No pelvic fluid collections. |
Generate impression based on findings. | Status post thoracic aneurysm repair with new left upper quadrant pain ABDOMEN:LUNG BASES: Patient's known descending thoracic aorta aneurysm is again noted. There is a stent in place. The aneurysm measures 7.7 x 5.1 cm number 3 series number 9. The thoracic aneurysm is incompletely imaged on this abdominal pelvic CT. ... | Posterior denting changes involving the descending thoracic artery aneurysm. The aneurysm is incompletely imaged with this abdominopelvic CT. Chest CT maybe helpful for better evaluation of the aneurysm clinically indicated.New focal dissection involving the right external iliac and right common iliac arteries.Multiple... |
Generate impression based on findings. | Right lower quadrant pain This study is limited due to lack of IV contrastABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Previously described hypodense lesions in the liver are not seen. Lack of IV contrast limits optimal evaluation of the liver.SPLEEN: No significant abnormality notedPANCREA... | Limited study due to lack of intravenous contrast.Interval decrease in the size of the pelvic fluid collection following percutaneous drainage.Patient's known liver lesions cannot be evaluated due to lack of IV contrast. |
Generate impression based on findings. | Metastatic pancreas cancer CHEST:LUNGS AND PLEURA: Scarring and atelectasis in the lung bases, not significantly changed from previous study. Nonspecific nodular densities in both lungs. Index lesion measures 5 mm image number 41, series number 5. Follow-up imaging is recommended.MEDIASTINUM AND HILA: Mediastinal adeno... | No significant change from previous study.Nonspecific right lung nodule. Follow-up with chest CT is recommended. |
Generate impression based on findings. | Ascending aortic aneurysm CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: There is a ascending thoracic aortic aneurysm measuring up to 4.5-cm in its greatest AP dimension. Aortic arch and descending thoracic aorta are unremarkable. An enlarged thyroid extending retrosternally.CHEST WALL: ... | Ascending aortic aneurysm.Retrosternal goiter. |
Generate impression based on findings. | Clinical question: History of arteriovenous malformation in the basal ganglia/thalamus, seizure disorder. Signs and symptoms: Seizures. Nonenhanced head CT:There is no evidence of acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Fairly extensive punctate and l... | 1.No evidence of acute intracranial process.2.Stable extensive punctate and linear vascular calcification in the left basal ganglia/thalamus consistent with patient's known arteriovenous malformation.3.Stable punctate focus of calcification in the right posterior thalamus. |
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