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Generate impression based on findings. | Female; 57 years old. Reason: eval for interstitial lung disease History: Abnormal CXR and PFTs, chronic dyspnea on exertion. LUNGS AND PLEURA: Extensive areas of consolidation have resolved since the prior study. No new focal air space opacities or pleural effusions. There are multifocal areas of ground glass opacity,... | 1.Multifocal ground glass opacities, septal thickening, and mild basilar predominant bronchiectasis. Differential considerations include atypical pulmonary edema, hypersensitivity pneumonitis, and drug reaction. 2.Interval resolution of extensive lower lung zone and right middle lobe consolidation.3.Findings compatible... |
Generate impression based on findings. | Male 53 years old Reason: metastatic thyroid ca, eval for dz progression History: as above CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules the majority of which are unchanged in size and extent.Reference pulmonary nodule measurements are as follows:Right lower lobe reference nodule measures 0.8 cm (series 5, image 7... | 1. Enlarged lingula reference nodule, and otherwise stable pulmonary nodules.2. Stable hilar and mediastinal lymphadenopathy.2. Interval increase in size of the lytic lesion in the T11 vertebral body.3. Newly identified right clavicular head lytic lesion compatible with metastasis. |
Generate impression based on findings. | History of chordoma CHEST:LUNGS AND PLEURA: Left upper lobe cavitary lesion measures 2.4 by 1.6-cm on image number 17, series number 4, slightly smaller compared to previous study.Lobulated referencing the liver mass abutting the pericardium measures 5.1 x 3. 6 cm number 58, series number 4, increasedin size compared t... | Interval increase in most of the parenchymal and mediastinal index lesions as described above. |
Generate impression based on findings. | Male, 26 years old, worsening headache for one month, evaluate for ventricular enlargement. Right frontal approach shunt catheter is redemonstrated, tip in stable position within the left frontal horn. The caliber of the ventricles has not significantly changed compared to the recent prior MRI (the CC dimension of the ... | Stable positioning of the ventriculostomy catheter. Ventricular caliber is stable when compared to a recent MRI, and only minimally increased compared to a more remote CT. The ventricles are by no means enlarged. |
Generate impression based on findings. | Male; 48 years old. Reason: r/o PE History: pleuritic chest pain, cough. PULMONARY ARTERIES: No evidence of pulmonary embolism. Normal main pulmonary trunk diameter. LUNGS AND PLEURA: Minimal dependent scarring/atelectasis. MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality no... | No evidence of pulmonary embolism. There is bilateral basilar scarring/discoid atelectasis. |
Generate impression based on findings. | 57-year-old male needs coronary assessment for liver transplant. Coronary calcifications noted on chest CT and multiple risk factors for coronary artery disease with associated reduced exercise capacity. The aortic arch is left sided. Visualized portions of the aorta demonstrate no evidence of dissection or aneurysm. L... | No significant coronary artery plaque. |
Generate impression based on findings. | Female 84 years old; Reason: Residual subcutaneous fluid collection? NO IV and NO ORAL CONTRAST PLEASE. History: drainage from fistula site PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: Left iliac lymph nodes.BOWEL, MESENTERY: The device in the sigmoid co... | 1.Persistent track to the skin although the amount of gas has decreased. There is a new focus of gas in the left iliac fossa. |
Generate impression based on findings. | Female 53 years old; Reason: incarcerated hernia History: abd pain, periumbilical ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality no... | 1.Surgical mesh or radiopaque foreign body in the left abdominal subcutaneous tissues adjacent to the left rectus muscle. Possible track to the skin.2.Cecal wall thickening and sigmoid diverticulosis. Follow up is suggestedI personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this re... |
Generate impression based on findings. | Female 32 years old Reason: Rule out PE History: Chest pain, SOB PULMONARY ARTERIES: Technically adequate study with no evidence of pulmonary embolism or right heart strain.LUNGS AND PLEURA: Minimal dependent basilar predominant atelectasis. Low normal lung volumes.MEDIASTINUM AND HILA: No significant abnormality noted... | 1. No evidence of pulmonary emboli.2. Cholelithiasis without evidence of cholecystitis. |
Generate impression based on findings. | Reason: follow up small bowel ileus History: abd pain, N/V ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Nonspecific right hepatic lobe hypodensity is too small to further characterize, but likely benign.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADR... | 1.Enhancing cystic left adnexal lesion compatible with tubo-ovarian abscess.2.Small bowel obstruction with a transition point in the left hemipelvis.Findings discussed with Dr. Bos of OB/GYN by telephone on 10/9/2013 at 9:15 a.m. |
Generate impression based on findings. | 44-year-old male with history of relapsed arch and lymphoma CHEST:LUNGS AND PLEURA: Subcentimeter nodule in the right middle lobe previously is no longer visualized. New small left pleural effusion with overlying compressive atelectasis.MEDIASTINUM AND HILA: Conglomerate anterior mediastinal adenopathy has increased in... | Interval increase in the size of the conglomerate anterior mediastinal adenopathy. Stable sclerosis in the L1 vertebral body. Fatty infiltration of the liver. |
Generate impression based on findings. | Male 45 years old Reason: pe? History: pleuritic cp, prior pe PULMONARY ARTERIES: Technically adequate study. The pulmonary trunk is enlarged measuring 36 mm. Small subsegmental filling defects are seen in the left lower lobe (image 143, series 8) and anterior right upper lobe 98/131).LUNGS AND PLEURA: Basilar predomin... | 1. Bilateral small subsegmental pulmonary emboli.2. Enlarged pulmonary artery trunk consistent with pulmonary hypertension.3. Pulmonary nodules and mild lymphadenopathy unchanged. |
Generate impression based on findings. | Reason: r/o worsening dissection History: persist ant low back pain CHEST:LUNGS AND PLEURA: Left inferior lobe atelectasis. Bilateral apical bulla, right greater than left.MEDIASTINUM AND HILA: There are penetrating atherosclerotic ulcers of the thoracic aorta. Atherosclerotic calcifications of the aortic arch. Mural t... | 1.Type B aortic dissection.2.Increase in size of abdominal aneurysmal component of aortic dissection.3.Multiple penetrating ulcers of the thoracic aorta. |
Generate impression based on findings. | Female; 32 years old. Reason: r/o SAH 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 significant intracranial stenosis is appreciated.4 x 5 mm aneurysm with a relatively na... | 1. 4 x 5 mm right superior hypophyseal artery aneurysm as detailed above. No additional aneurysms are evident. If the clinical workup is negative for acute hemorrhage, please refer the patient to neurointerventional clinic for further management discussions.2. No acute intracranial hemorrhage is evident.These findings ... |
Generate impression based on findings. | Female, 17 years old, headache and vision changes status post VP shunt. Right parietal approach shunt catheter is in stable position, tip in the vicinity of the left foramen of Monro.Caliber of the ventricular system has not significantly changed. The frontal and temporal horns are completely decompressed. The atria ar... | Stable positioning of the ventriculostomy catheter. Stable caliber of the ventricular system. No acute intracranial abnormality. |
Generate impression based on findings. | Nodular lymphoma. Stem cell transplant. CHEST:LUNGS AND PLEURA: Nodular scarring at the right lung apex is stable compared to the prior examination. Minimal subpleural scarring and mild interstitial scarring. Scattered bulla.MEDIASTINUM AND HILA: Subcentimeter mediastinal lymph nodes. Coronary artery calcifications.CHE... | Small lymph nodes in the chest, abdomen, and pelvis with reference measurements given above. Splenomegaly. Sclerosis and partial collapse of the L1 vertebral body. Bilateral, nonobstructive renal calculi. Ovarian varices; consider pelvic venous congestion syndrome. |
Generate impression based on findings. | Female, 27 years old, headache status post shunt removal in July. Since the prior CT examination, 3 previously seen right-sided intracranial catheters have been removed.A region of CSF density is identified within the right inferior frontal lobe measuring approximately 2.0 x 1.2 cm (image 16 series 3). This is increase... | No acute intracranial abnormality. No significant change in the size of a cystic region within the right inferior frontal lobe, or of the ventricular caliber, when comparison is made to an MRI examination from 08/08/13. |
Generate impression based on findings. | Reason: r/o abscess History: perirectal pain, fevers UTERUS, ADNEXA: No significant abnormality noted.BLADDER: Decompressed due to Foley catheter.LYMPH NODES: Small pelvic lymph nodes.BOWEL, MESENTERY: Perirectal fat stranding without loculated fluid collections. Small amount of free fluid in the pelvis. BONES, SOFT TI... | 1.Perirectal and right gluteal inflammatory changes without evident loculated fluid collection. 2.Recommend MRI pelvis to evaluate for perianal fistula. |
Generate impression based on findings. | Male 72 years old; Reason: patient with questionable right nonfunctional adrenal mass, please characterize History: right sided mass, renal vs adrenal vs testicular vs retroperitoneal ABDOMEN:LUNGS BASES: Atelectatic changes at the lung bases.LIVER, BILIARY TRACT: Liver contour is smooth. The posterior aspect of the li... | 1.Fat containing right retroperitoneal mass in the location of the right adrenal gland. Differential considerations include a complex adrenal myolipoma or right retroperitoneal liposarcoma. 2.Left inguinal hernia containing loops of small bowel. |
Generate impression based on findings. | Reason: r/o appy History: lower abdominal pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant... | 1. The appendix is not definitely identified.2. Small amount of free fluid in the pelvis is abnormal in a young male. Follow up is recommended. |
Generate impression based on findings. | Female, 47 years old, headache. Evaluate for sinusitis. The distal basilar artery, and perhaps the origin of the right PCA, are markedly hyperdense. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen... | 1. The distal basilar artery is hyperdense which is highly concerning for the presence of a potentially occlusive thrombus, much less likely atherosclerotic disease given the relatively normal appearance of the other vessels. Further evaluation with CT angiography is suggested.2. No CT evidence of acute ischemia is see... |
Generate impression based on findings. | Reason: eval diverticulitis History: BRBPR, dark stools, TTP LLQ ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Cirrhotic morphology of the liver. The hepatic and portal veins are patent. No suspicious hepatic lesions given the single phase of contrast.SPLEEN: No significant abnormality note... | 1.Small bowel obstruction with transition point at a jejunal loop in the midabdomen.2.Cirrhotic morphology of the liver with evidence of portal hypertension.Findings discussed with Dr. Carter in the ED by telephone on 10/9/2013 at 9:10 a.m. |
Generate impression based on findings. | Female; 7 years old. Reason: fall from > 10 ft w/ neck flexion vs axial load History: midline C5-C7 tenderness Straightening of normal cervical lordosis is likely positional. The cervical vertebral bodies are appropriate in overall alignment and height. No fractures are evident. No compromise to the spinal canal or neu... | No acute fracture or malalignment of the cervical spine. |
Generate impression based on findings. | Female 58 years old; Reason: stone History: L flank pain, hematuria ABDOMEN:LUNGS BASES: Partially imaged lower lung with bullous changes.LIVER, BILIARY TRACT: Liver is normal morphology. There are multiple gallstones in the gallbladder. Common bile duct is dilated measuring up to 2.8-cm. There are multiple calcified f... | 1.Two left calcifications in the course of the left ureter likely representing obstructive a partially obstructive calculi. Follow-up is recommended.2.Cholelithiasis and extensive choledocholithiasis which M.R.C.P. is recommended to evaluate the common bile duct and head of the pancreas. |
Generate impression based on findings. | Hypoxia, tachycardia, newly diagnosed AML, a valid for pulmonary embolism PULMONARY ARTERIES: No pulmonary embolus.LUNGS AND PLEURA: Multifocal consolidation is seen throughout the lungs. Bilateral pleural effusions are seen. Diffuse groundglass opacities are also present.Perifissural right middle lobe nodule likely re... | 1.No pulmonary embolus.2.Multifocal consolidation consistent with infection.3.Bilateral pleural effusion and diffuse ground glass opacities which may represent pulmonary edema. Body wall edema.4.Bilateral axillary lymphadenopathy. |
Generate impression based on findings. | Female; 80 years old. Reason: pt with recurrent lung ca s/p 3 cycles of chemo History: now needs disease evaluation compare to previous scans and comment. Mild motion artifact limits diagnostic sensitivity. CHEST:LUNGS AND PLEURA: Extensive right upper lobe scarring and atelectasis are again noted, with associated smal... | 1.Right suprahilar tumor is stable in size and continues to constrict the right upper lobe bronchus and cause post-obstructive atelectasis. 2.No additional suspicious lesions are identified. 1. |
Generate impression based on findings. | Kidney stones. Low-back pain with hematuria. The following observations are made given the limitations of an unenhanced study.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENA... | No findings to explain low back pain. No evidence of renal or ureteral calculi. |
Generate impression based on findings. | Reason: s/p G tube insertion from 10/2/13 History: G-tube site erythema, purulent drainage, tenderness ABDOMEN:LUNG BASES: Right mild pleural effusion with overlying minimal atelectasis.LIVER, BILIARY TRACT: No suspicious focal liver lesions. No intrahepatic or extrahepatic ductal dilatation. Minimal gallbladder sludge... | Soft tissue thickening in the anterior abdominal wall about the G-tube without discrete drainable fluid collection.Findings were discussed with Miranda Dellert via phone at 9:30 p.m. on 10/8/2013 by Dr. Jahangir.Contrast extravasation description:Supervising radiologist: Dr. David JangirMinor or major extravasation: Mi... |
Generate impression based on findings. | Clinical question: Metastases? Signs and symptoms: New onset of vertigo. Nonenhanced head CT:There is no detectable acute intracranial process.Ectopia of cerebellar tonsils with flattening deformity of the inferior poles of tonsils and complete effacement of subarachnoid space is noted. Findings concerning for Chiari m... | 1.Ectopia of cerebellar tonsils with resultant tonsillar deformity and complete effacement of subarachnoid space at the level of foramen magnum concerning for Chiari malformation.2.Unremarkable nonenhanced head CT otherwise. |
Generate impression based on findings. | Male, 30 years old, seizures, postop grid placement. A left parietotemporal craniotomy has been performed. Electrode grid has been placed intracranially along the left temporal, parietal and frontal lobes. Scalp swelling, subcutaneous air and pneumocephalus are within expected postoperative limits.Mild generalized mass... | Expected postoperative findings subsequent to placement of a grid along the left frontal, parietal and temporal lobes. |
Generate impression based on findings. | Female 49 years old; Reason: R/o diverticulosis/diverticulitis History: Rectal Bleed ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver has a smooth contour. Status post cholecystectomy. Note suspicious hepatic lesions. Hepatic vasculature are patent.SPLEEN: No significant abnormality not... | 1.Focal area of colonic wall thickening and inflammation at the level of the hepatic flexure. Differential considerations include focal diverticulitis, colitis or possible mass causing the inflammation. Recommend colonoscopy and follow up to resolution.2.Scattered colonic diverticula involving the splenic flexure.3.Sta... |
Generate impression based on findings. | Lymphoma, pre-stem cell transplant evaluation. There are small retention cysts within the bilateral maxillary sinuses, left greater than right. There is also a small retention cyst within the left sphenoid sinus as well as suggestion of an air-fluid level. Otherwise, the ethmoid and frontal sinuses are clear. The nasal... | 1. Small retention cysts within the bilateral maxillary sinuses and left sphenoid sinus and suggestion of an air-fluid level that can represent acute sinusitis in the appropriate clinical setting.2. Advanced bilateral temporomandibular joint degenerative changes. |
Generate impression based on findings. | Reason: eval abscess History: severe pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No focal hepatic lesions.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality ... | No evident localized inflammatory process in the abdomen or pelvis. |
Generate impression based on findings. | Apparent bony defect of right tegmen tympani on MRI and continued leaking from right nostril after car accident. On the right, the external auditory canal is clear and patent. The mastoid air cells are underpneumatized, but clear. The middle ear cavity is also clear. The ossicular chain is intact. The posterior incudal... | 1. Apparent thinning and perhaps dehiscence of the anterior wall of the epitympanum medially that measures up to 2 mm without associated encephalocele or middle ear fluid and thus may represent a normal variant. 2. Patchy faint hypoattenuation in the medial right temporal lobe and right middle cerebral peduncle, as wel... |
Generate impression based on findings. | Reason: angiosarcoma History: angiosarcoma LUNGS AND PLEURA: Bronchial/bronchiolar wall thickening with tree in bud opacities are again left lower lobe compatible with aspiration bronchiolitis and loculated fluid within the left fissure similar appearance the prior exam.Peripheral left lower lobe cavitary lesion with w... | 1.Large right posterior chest wall mass with associated rib involvement and intrathoracic extension demonstrates increasing necrosis and foci of air which may represent post therapeutic changes and accompanying ulceration.2.New right basilar nodular opacity with surrounding groundglass most likely is inflammatory/infec... |
Generate impression based on findings. | Female; 63 years old, presents with cough. Reason: prior CT scan here shows abnormal T12 lesion and lung nodule. LUNGS AND PLEURA: The well circumscribed left lower lobe nodule containing central lipid attenuation is unchanged in size, measuring 13 x 10 mm. Imaging findings are most consistent with a benign lesion such... | 1.Left lower lobe pulmonary nodule is unchanged in size and most likely represents a benign lesion such as hamartoma.2.Sclerotic focus in T12 vertebral body is unchanged .3.No interval change or evidence of metastatic disease. |
Generate impression based on findings. | Reason: r/o aortic dissection History: chest pain CHEST:LUNGS AND PLEURA: Apical bulla bilaterally.MEDIASTINUM AND HILA: Mild atherosclerotic calcification of the aortic arch.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No focal suspicious hepatic lesions. No intrahepatic or extrahepatic d... | 1.Ulcerating plaque on the anterior wall of the descending aorta at the level of the diaphragmatic crux.2.High-grade narrowing at the origin of the celiac artery with poststenotic dilatation.3.Fusiform aneurysmal dilatation of the abdominal aorta below the level of the renal arteries extending to but not involving the ... |
Generate impression based on findings. | Reason: assess for toxic megacolon History: hx of cdiff, abd pain and distention ABDOMEN:LUNG BASES: Basilar atelectasis/scarring. Mild peri-fissural nodularity compatible with history of sarcoidosis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Accessory splenule.PANCREAS: No significant abnormality n... | 1.Mild colonic wall thickening compatible with history of colitis. 2.No evidence of toxic megacolon or drainable fluid collections.3.Indeterminate right renal lesions. Recommend MRI abdomen for further characterization. |
Generate impression based on findings. | Reason: eval mass suprapubic/LLQ History: abd pain, mass palpated just L lateral to midline ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Multiple subcentimeter, hypodense lesions in the right lobe of liver are too small to further characterize.SPLEEN: No significant abnormality notedPANCRE... | 1.Multiple large necrotic appearing uterine fibroids with associated mass effect on adjacent structures.2.Subcutaneous soft tissue nodule of unclear etiology in the left buttock.3.Multiple subcentimeter, hypodense lesions in the liver are too small to further characterize, but likely represent hepatic cysts.4.Focal asc... |
Generate impression based on findings. | Male; 45 years old. Reason: Hx of Hodgkin's Disease History: Evaluate extent of disease Male; 45 years old. Reason: Hx of Hodgkin's Disease History: Evaluate extent of disease Reference lymph nodes measurements are detailed below: Reference group of right level II lymph nodes have increased in size and measure approxim... | 1. Interval increased size in bilateral cervical and left supraclavicular lymph nodes, several of which are now suspicious based on size and/or morphology.2. New poor contrast opacification of the left internal jugular vein, likely due to obstruction at the level of the patient's known anterior mediastinal mass.3. Plea... |
Generate impression based on findings. | CLL. History of fungal pneumonia. A follow-up scan. LUNGS AND PLEURA: Continued improvement in bilateral groundglass opacities consistent with fungal pneumonia. Residual patchy foci of ground glass as well as subtle areas of nodularity which may reflect persistent foci of infection. No pleural fluid. Subpleural nodular... | Continued improvement in fungal pneumonia with near complete resolution of the ground glass and nodular opacities. |
Generate impression based on findings. | Right parenchymal hemorrhage. There has been slight interval evolution and decrease in size of the large intraparenchymal hematoma centered within the right basal ganglia and thalamus that extends into the ventricular system and along the right transfrontal ventricular shunt track and associated vasogenic edema. Howeve... | 1. Slight interval evolution and decrease in size of the large intraparenchymal hematoma centered within the right basal ganglia and thalamus that extends into the ventricular system and along the right transfrontal ventricular shunt track with associated vasogenic edema with redistribution and/or slightly increased in... |
Generate impression based on findings. | Reason: pt history of ovarian cancer, currently in treatment. Please eval for response/progression using measurements if applicable and compare with previous History: see above CHEST:LUNGS AND PLEURA: Reference right lower lobe pulmonary nodule measures 5 mm, unchanged (series 5, image 57).Biapical and basilar scarring... | 1.New mesenteric soft tissue nodule along the posterior wall of the stomach compatible with progression of disease. |
Generate impression based on findings. | Multiple myeloma with pleuritic chest pain. Check for pleural disease LUNGS AND PLEURA: Mild basilar atelectasis, most dependent and posterior without discrete underlying focal additional abnormality. Mild central lobular emphysema with scattered subpleural micronodules bilaterally, likely post inflammatory. No superim... | Basilar scattered atelectasis and nonspecific suspected subpleural nodules representing old postinflammatory findings. |
Generate impression based on findings. | Male, 62 years old, incontinence, off balance, mild dementia. Evaluate for normal pressure hydrocephalus. Vague hypoattenuation within the posterior limb of the right internal capsule may be artifactual or related to age indeterminate small vessel ischemic disease.Otherwise, the cerebral and cerebellar hemispheres and ... | No acute intracranial abnormalities. No evidence of normal pressure hydrocephalus as clinically questioned. |
Generate impression based on findings. | s/p right retrosigmoid craniotomy for resection of meningioma with micro dissection on 10/8/13. The images are degraded by patient motions. There are postoperative findings related to right suboccipital craniotomy and cranioplasty with a right posterior fossa resection cavity filled with fluid and a small amount of pne... | Expected postoperative findings related to recent right suboccipital craniotomy without evidence of acute intracranial hemorrhage. However, evaluation for residual tumor is limited on this non-contrast CT. |
Generate impression based on findings. | Female; 41 years old. Reason: enlarged thyroid Graves' Looking for how far down in the chest that the thyroid extends LUNGS AND PLEURA: No focal air space opacity or pleural effusion. Scattered pulmonary micronodules are present, the largest of which measures 8 mm (series 4, image 39). These nodules are nonspecific but... | 1.Large thyroid goiter exerts mild mass effect on the airway and extends inferiorly to the level of the left brachiocephalic vein just below the thoracic inlet.2.Scattered nonspecific pulmonary micronodules may be post-inflammatory in etiology. |
Generate impression based on findings. | Female, 57 years old, paralysis agitans, status post DBS placement. Bilateral parietal burr holes have been created through which bilateral stimulator leads are directed. These coarse inferiorly and medially to terminate at the inferior margins of the thalami.Pneumocephalus is an expected postoperative finding. No evid... | Expected findings status post placement of bilateral DBS leads. |
Generate impression based on findings. | Female 68 years old Reason: lung cancer s/p 14 cycles of chemo. please evaluate for disease and compare with previous scans History: lugn cancer CHEST:LUNGS AND PLEURA: Reference spiculated right lower lobe nodule measures 25 x 13 mm (image 62, series 5), previously 21 x 13 mm. nodular pleural thickening along the supe... | 1. Moderate interval enlargement of reference pulmonary nodule and prevascular lymphadenopathy.2. Remaining lymphadenopathy and pleural nodularity unchanged.3. No new focus of metastatic disease identified. |
Generate impression based on findings. | Male, 54 years old, history of tracheostomy x 2 status post decannulation. Evaluate for tracheal stenosis with fine cuts of the larynx. The right anterolateral aspect of the maxilla is expanded by the presence of a complex appearing lesion. The lesion is composed of both soft tissue and highly mineralized structures re... | 1. Mild tracheal deformity and paratracheal thickening at the level of the presumed prior tracheostomy. This likely reflects scarring and deformation from prior instrumentation. There is at most a very mild narrowing of the airway at this level, but overall, the airway remains patent throughout.2. Expansile lesion invo... |
Generate impression based on findings. | Tonsil cancer, follow-up CHEST:LUNGS AND PLEURA: Redemonstrated is the peripheral right lower lung nodule along the posterior costophrenic angle (image 78 series 4) with associated adjacent partially confluent additional nodules. Gross measurement remains 9 x 7 mm compared to 9 x 5 mm however the adjacent lesions with ... | 1. New right lower lobe peripheral nodules clustered with a prior peripheral nodular abnormality is indeterminant with stable appearing immediately adjacent pleural nodular findings previously described.2. New perihilar opacity concerning for infection and possible patient immunocompromise. Short term follow up to conf... |
Generate impression based on findings. | Metastatic lung cancer status post chemo/RT CHEST:LUNGS AND PLEURA: Severe emphysema. Left upper lobe mass measures 18 x 12 mm (4/72), previously 18 x 16 mm. Right apical fibrosis. New nodular density in the right apex (4/58). Other lesions seen previously are otherwise stable. Micronodule in the lingula unchanged.MEDI... | Interval decrease in measurement of left upper lobe index lesion. Right adrenal gland nodule is less prominent and was likely artifactual on the prior examination. New nodular density right upper lobe indeterminate but could be a result of the involving radiation fibrosis, short-term follow-up may be of use. |
Generate impression based on findings. | Reason: bilateral renal mass, please compare to OSH infused study History: bilateral renal mass, hx of prostate ca 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: Small... | 1.Small solid, exophytic mass arising the lower pole of the left kidney he is suspicious for renal neoplasm.2.Large left renal cyst.3.Small right renal cyst.4.Hypodense subcentimeter hepatic segment 8 lesion is too small to further characterize.5.Hypodense subcentimeter lesion in the tail of pancreas likely represents ... |
Generate impression based on findings. | Severe COPD and MAI infection. Cough and dyspnea. LUNGS AND PLEURA: Severe centrilobular emphysema. Debris in the dependent trachea and left greater than right mainstem bronchi.Septal thickening and masslike consolidation in the medial segment of the right middle lobe and anterior periphery of the lateral segment right... | 1. Mixed response since the previous examination with resolution of one of the two nodules in the right upper lobe but development of new focal nodular opacities in the right lung suspicious for active infection. 2. New consolidation involving the peripheral aspects of the right middle lobe with filling defect in the r... |
Generate impression based on findings. | Female 59 years old Reason: hemothorax/fibrothorax History: shortness of breath and chest pain LUNGS AND PLEURA: Interval decrease in size of the loculated left pleural effusion and associated compressive atelectasis. New left apical predominant patchy ground glass opacities and interlobular septal thickening compatibl... | 1. Interval decrease in size of the left pleural effusion and associated compressive atelectasis.2. New left patchy groundglass opacities and septal thickening compatible with edema. |
Generate impression based on findings. | Reason: history of known prostate cancer, please evaluate for mets. with delayed imaging. CT urogram. History: none ABDOMEN:LUNG BASES: Small punctate micronodule in the lower right lung.LIVER, BILIARY TRACT: Small subcentimeter hypodense lesion in the right lobe of the liver is too small to characterize (series 3, ima... | 1.Small subcentimeter hypodense lesion in the right lobe of the liver too small to further characterize.2.Enlarged prostate without significant local lymphadenopathy. There is no evidence of metastatic disease.3.Diverticula of the sigmoid and descending colon without complications. |
Generate impression based on findings. | New slurred speech. hx of r sided weakness There are moderate patchy areas of cerebral white matter hypoattenuation. There is more focal area of encephalomalacia in the left basal ganglia and corona radiata. However, there is no evidence of acute intracranial hemorrhage, mass, or cerebral edema. No dense vessel sign is... | Moderate patchy areas of cerebral white matter hypoattenuation, which may represent small vessel ischemic disease of indeterminate age. There is more focal area of encephalomalacia in the left basal ganglia and corona radiata, may represents sequela of chronic infarction, although acute infarction cannot be excluded. N... |
Generate impression based on findings. | Status post 4 months right thoracotomy parietal pleurectomy for management of epithelioid type malignant pleural mesothelioma and RML. for amyloidoma. CHEST:LUNGS AND PLEURA: Interval decrease in volume of partially loculated pleural fluid on the right. Right pleural thickness measurements as follows:Level of the horiz... | Decreased volume of partially loculated pleural fluid on the right and decrease in reference level measurements. Thickening of the right hemidiaphragm and focal areas of pericardial thickening are better appreciated on today's study given scan variability and decreased amount of cardiac motion but may have been present... |
Generate impression based on findings. | Reason: PATIENT WITH STAGE IV NED COLON CANCER S/P RESECTION OF LEFT UPPER LUNG LESION IN APRIL 2013. eVALUATE FOR INTERVAL CHANGE History: MET COLON CANCER CHEST:LUNGS AND PLEURA: Surgical sutures are identified in where the previously noted left lower lobe nodule was noted. However there is now a 16 mm x 18 mm mass s... | Status post wedge resection of a left lower lobe metastasis now demonstrating recurrent tumor at the surgical site. |
Generate impression based on findings. | Enlarged thyroid Graves' disease. There is marked diffuse enlargement of the thyroid gland that measures approximately 5.7 AP x 10.0 RL x 11.0 SI cm. The thyroid gland essentially extends inferiorly to the level of the clavicular heads and superiorly to the level of the oropharynx and there is retropharyngeal extension... | Marked diffuse enlargement of the thyroid gland that measures approximately 5.7 AP x 10.0 RL x 11.0 SI cm. The thyroid gland essentially extends inferiorly to the level of the clavicular heads and superiorly to the level of the oropharynx and there is retropharyngeal extension of the bilateral thyroid lobes such that t... |
Generate impression based on findings. | Male; 76 years old. Reason: pt with mesothelioma s/p resection History: doing well now needs disease evaluation. LUNGS AND PLEURA: No suspicious lesions or masses are identified to suggest recurrent disease. 7 mm pulmonary nodule adjacent to the right minor fissure most likely represents an intrapulmonary lymph node. N... | 1.No evidence of pleural disease. 2. Focal area of right upper lobe ground glass opacity may represent mild infection. Follow-up chest radiographs recommended in 6 weeks to assess for resolution.3. Small unchanged mediastinal lymph nodes and unchanged paraesophageal fluid collection of uncertain clinical significance.4... |
Generate impression based on findings. | Serous ovarian cancer. Reevaluate for tumor. 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: Focal hypoperfusion a... | No definite evidence of metastatic disease. Status post TAH/BSO. |
Generate impression based on findings. | Clinical question: Evaluate for hemorrhage or mass. Signs and symptoms: Seizures. Nonenhanced head CT:Examination demonstrates no evidence of any acute intracranial process including hemorrhage or mass as is questioned clinically. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.There ar... | 1.Mild age indeterminate small vessel ischemic strokes.2.No acute intracranial hemorrhage or mass as is questioned clinically. |
Generate impression based on findings. | Recently completed CRT for a left base of tongue squamous cell carcinoma on 9/7/13. History of NHL CHEST:LUNGS AND PLEURA: Unchanged calcified nodules most consistent with granulomas. No new or suspicious nodules or masses.MEDIASTINUM AND HILA: Interval decrease in size of lower paraesophageal region lymph nodes. The G... | Interval resolution of of lower paraesophageal lymphadenopathy and the appearance of the distal esophageal segment appears improved, this should be managed clinically. No signs of pulmonary or mediastinal nodal metastases. |
Generate impression based on findings. | Female 53 years old. Other diseases of lung, not elsewhere classified Abnormal weight gain Obesity, unspecified Tobacco use disorder. CHEST:LUNGS AND PLEURA: Mild diffuse paraseptal emphysema. Micronodule left lower lobe has increased in size and slightly lobular in contour measures about 0.9 x 0.9 cm is 5 image 67 pre... | Increase in size of left lower lobe nodule with lobular contours. Recommend biopsy.Discussed by telephone with Dr. Geetha Govindarajan at the time of this dictation. |
Generate impression based on findings. | Male, 56 years old, history of tonsil cancer, follow-up exam. Again seen are treatment-related changes, more in the left neck than the right, including platysmal thickening, infiltration of the subcutaneous and deep fascial planes, mucosal edema and thin retropharyngeal effusion. There has been no substantial interval ... | Stable treatment related change in the neck. No evidence of active disease. |
Generate impression based on findings. | Proptosis of left eye, possible orbital fracture right eye in 1970s. There is an inferiorly displaced right orbit wall fracture with a 5 mm defect adjacent to the inferior opthalmic nerve. There is no herniation of the orbital contents through the defect/ However, there is linear soft tissue that extends from the fract... | 1. Chronic right inferior and medial orbital blow out fracture with mild enophthalmos and scar tissue involving the right inferior rectus muscle, but no evidence of herniation.2. Multiple dental caries. |
Generate impression based on findings. | Evaluate for structural change after intracranial EEG lead placement. There are left cerebral electrode grids introduced via hemicraniotomy, which are in unchanged positions. Streak artifact form the hardware obscures regional anatomy. There is an unchanged postoperative air and fluid collection deep to the craniotomy ... | Stable postoperative findings related to left cerebral hemisphere grid electrode insertion without change in the position of the hardware and no definite evidence of acute intracranial hemorrhage. |
Generate impression based on findings. | Female, 59 years old, with right submandibular lymph node and thyromegaly. A pathologically enlarged node or cluster of nodes is evident at level 2 on the right corresponding to an abnormal lymph node seen on prior sonogram. This lesion measures 1.8 x 1.8 cm transaxial (image 22 series 5). In the craniocaudal plane, th... | 1. Right level 2 lymphadenopathy as discussed above. The fact that this lesion has not substantially changed in the several month interval since the prior sonogram increases concern for a malignant process.2. Heterogeneous, multi-nodular thyroid which is better assessed on sonography.3. In the absence of other specific... |
Generate impression based on findings. | Nose to opponent shoulder injury with widening of nasal bridge and b/l infraorbital regions. There is mild stranding of the subcutaneous fat overlying the zygoma and along the nasal dorsum. However, there is no evidence of nasal fracture or other maxillofacial fracture. The nasal septum appears to be intact without sig... | Mild contusion of the subcutaneous fat overlying the zygoma and along the nasal dorsum. However, there is no evidence of nasal fracture or other maxillofacial fracture. |
Generate impression based on findings. | Metastatic esophageal CA status post resection, chemo and RT. CHEST:LUNGS AND PLEURA: Right middle lobe intrapulmonary lymph node. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: The proximal and mid thoracic esophagus is dilated with fluid and has mild circumferential wall thickening. Proximal to the a... | Mixed response with newly visible recurrent tumor cranial to the distal esophageal anastomosis and intrathoracic lymphadenopathy consistent with nodal metastases. Continued improvement in appearance of hepatic metastases. Index and non-index retrocrural lymphadenopathy is worse. |
Generate impression based on findings. | Male 76 years old Reason: peritoneal mesothelioma s/p resection History: none. Additional history path report indicates history of colon cancer. ABDOMEN:LUNG BASES: Small hiatal hernia. No lung nodules or effusions. Calcific granuloma right perihilar area.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No... | Stable small noted in the right lower paraesophageal area. Possible lytic area T11 as described, unchanged. No evidence of recurrent peritoneal carcinomatosis. |
Generate impression based on findings. | Please evaluate glomus tumor in right middle ear. On the right, there is nearly complete opacification of the middle ear cavity with soft tissue density material and scattered faint amorphous calcific densities. There is mild irregularity of the cochlear promontory and tegmen tympani without frank dehiscence. There is ... | 1. Right middle ear mass compatible with glomus tympanicum. No evidence of extension into the jugular canal.2. Thinning and possible dehiscence of the superior semicircular canal. 3. Complete opacification of the right mastoid air cells. |
Generate impression based on findings. | Male 45 years old Reason: mesothelioma s/p 3 doses of immunotherapy. please evaluate for disease and compare with previous CT scans History: mesothelioma ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Gallbladder is surgically absent. No focal liver lesions or biliary dilatation.SPLEEN: Surgi... | Increase in size of index lesions as above. |
Generate impression based on findings. | Chronic airway obstruction. Shortness of breath and pulmonary hypertension LUNGS AND PLEURA: Mild centrilobular emphysema without associated definite additional changes of COPD or evidence of air trapping on expiration views.Scattered micronodules without discrete superimposed solitary abnormality. Many are subpleural ... | Mild basilar atelectasis with minimal questionable scarring. See detail provided |
Generate impression based on findings. | T3N2 tonsil SCC s/p CRT 4/12. Dental amalgam produces streak artifact that obscures surrounding structures. There are unchanged post-treatment findings in the right tonsillar region without evidence of tumor recurrence. There is no significant lymphadenopathy. There is an unchanged configuration of the right vocal cord... | No evidence of locoregional tumor recurrence or significant cervical lymphadenopathy. |
Generate impression based on findings. | Mesothelioma no therapy so far CHEST:LUNGS AND PLEURA: Right hemi-thorax posterior visceral and parietal pleural thickening and loculated fluid not appreciably changed. Reference level measurements as follows:Level of the main pulmonary artery (3/49) : 4 o'clock position is unchanged at 4-mm.Level of the right inferior... | No significant change in the right hemithorax pleural thickening. Mild pulmonary fibrosis. Lower mediastinal and bilateral hilar/interlobar level lymphadenopathy stable to slightly worse. |
Generate impression based on findings. | Head and neck cancer, follow-up CHEST:LUNGS AND PLEURA: Scattered micronodules unchanged without suspicious new superimposed nodules or masses. No effusions.MEDIASTINUM AND HILA: No lymphadenopathy.Moderate coronary calcifications. Cardiac and pericardium are otherwise unremarkable.Small hiatal herniaCHEST WALL: No sig... | No findings to suggest metastatic disease or interval change |
Generate impression based on findings. | History of desmoplastic pleural mesothelioma status post left pleurectomy/decortication on 5/13 CHEST:LUNGS AND PLEURA: Left hemithorax volume loss, thickening of the left major fissure and parietal pleural thickening consistent with provided history of mesothelioma. Scattered calcified and noncalcified nodules most co... | Left hemithorax mesothelioma with reference measurements as above. Overall there has been slight worsening with increase in left hilar lymphadenopathy and number of visible residual pleural lesions. Nodular pericardial thickening highly suspicious for metastases. Bilateral tumor foci in the anterior mediastinal fat sli... |
Generate impression based on findings. | Mesothelioma, follow-up CHEST:LUNGS AND PLEURA: Postsurgical changes throughout the left hemithorax with diaphragmatic mesh. Pleural thickening and irregular nodularity again consistent with history of mesothelioma with progression. Reference measurements are as follows:1. At the level of the second left rib (image 22 ... | Interval progression with more focal pleural thickening in the left upper hemithorax with known underlying mesothelioma. See reference measurements provided. |
Generate impression based on findings. | 74-year-old adenocarcinoma of unknown primary with metastatic disease to lungs, bone and brain. Baseline CT prior to chemotherapy. CHEST:LUNGS AND PLEURA: Pleural based mass and associated atelectasis abutting the left heart border appears slightly larger measuring 5.0 x 3.8 cm (image 45; series 4). Note that it is imp... | Interval progression of disease with reference measurements given above. Consider thoracic spine MRI for enlarging midthoracic vertebral body lytic lesion effacing the thecal sac as clinically indicated. |
Generate impression based on findings. | 60 year old female. Reason: Patient has LV dilation, coronary calcium, aortic calcification. extensive family history of CAD. please rule out obstructive CAD prior to possible liver transplant. History: Abnormal echocardiogram. Height: 63 in. Weight: 132 lbs. BSA: 1.62 m^2BMI: 23.4 kg/m^2Cardiac Morphology:Left Ventric... | 1. Mildly increased left ventricular volume. Diffuse multifocal coronary calcification, including the left main origin, LAD and mid-RCA. 2. Aortic wall calcification at the sinus of valsalva, not involving the aortic valve or coronary arteries. 3. Cirrhotic liver. |
Generate impression based on findings. | Reason: Any progression RA lung diseas? Extent bronchiectasis vs ILD. History: Rare cough. LUNGS AND PLEURA: Stable appearance of the lungs with areas of paraseptal emphysema, bronchiectasis, and mild basilar predominant fibrosis. No suspicious pulmonary nodules or masses. No pleural effusions.Lobe groundglass opacitie... | Paraseptal emphysema , bronchiectasis, and minimal subpleural fibrosis without significant interval change.. |
Generate impression based on findings. | Female; 54 years old. Reason: h/o HNC, pre-chemo CT, compare to previous, measurements. LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No focal consolidation or pleural effusion.MEDIASTINUM AND HILA: Normal heart size without pericardial effusion. No mediastinal or hilar lymphadenopathy. CHEST WALL: No si... | No evidence of metastatic disease. |
Generate impression based on findings. | Dizziness and giddiness. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is moderate patchy white matter hypoattenuation. 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 ar... | 1. no evidence of intracranial hemorrhage, mass, or cerebral edema. However, MRI may be useful for further interrogation2. Moderate patchy white matter hypoattenuation, which may be related to small vessel ischemic disease. |
Generate impression based on findings. | Right lower lung nodule CHEST:LUNGS AND PLEURA: A mildly spiculated subcentimeter nodular density observed immediately posterior to the right major fissure in the right lower lobe (image 61 series 5) appears unchanged from the two prior outside exams dated 3/18/13 and 3/19/12. This focus remains 9 x 7 mm and not associ... | Nonspecific stable appearing nodular density in the right lower lobe, unchanged for 18 months. Post surgical changes involving the left lower chest wall. No findings to suggest current or recurrent metastatic disease. |
Generate impression based on findings. | Reason: Pre-Kidney Evaluation Dedicated CT renal protocol History: Pre-Kidney Evaluation Dedicated CT renal protocol ABDOMEN:LUNG BASES: Basilar atelectasis/scarring.LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No s... | 1.Enhancing 1.7cm left lower pole renal mass suspicious for a cystic renal neoplasm (possibly small RCC). 2.Mild to moderate atherosclerosis of the abdominal aorta. Mild atherosclerosis of the common iliac arteries. |
Generate impression based on findings. | 14-year-old male. Chest pain, worsening deformity. Evaluate pectus recurrence. LUNGS AND PLEURA: Scattered micronodules, such as a 3 mm right upper lobe (series 4, image 35). No focal airspace consolidation or pleural effusion.MEDIASTINUM AND HILA: Normal size of the heart without compression by sternum. No significant... | 1. No specific findings to account for the patient's symptoms.2. Pectus excavatum repair. |
Generate impression based on findings. | Male; 52 years old. Reason: change in lung nodules History: sob LUNGS AND PLEURA: Scattered pulmonary micronodules are present, one of which is cavitary. This referenced left upper lobe nodule has moderately increased in size and measures 10 x 7 mm, previously 7 x 6 mm (series 4, image 70) and associated with wall thic... | Interval increase in size of left upper lobe pulmonary cavitary nodule, while not definitely a primary malignant process or infection, if either are of concern clinically, short-term 2 month follow-up is recommended. |
Generate impression based on findings. | Asthma patient, check for infection LUNGS AND PLEURA: A discrete focal consolidation with small cavitation is observed in the right upper lung with extension towards the pleural surface with minimal adjacent pleural thickening. This finding measures 1.9 x 1.4 cm (image 17 series 6) and is not associated with any additi... | Bilateral right upper and left lower lobe pulmonary changes suggesting infection, possibly atypical pneumonia and or fungal in the appropriate clinical setting. However in light of the patient's age, a primary malignancy cannot entirely be excluded but a superimposed secondary process on the left side. Comparison with ... |
Generate impression based on findings. | 26-year-old female with history of MVA. Evaluate for fracture. There is loss of the normal cervical lordosis which may be due to positioning or muscle spasm. The cervical vertebral bodies are appropriate in overall alignment and height. No fractures or subluxations are identified in the cervical spine. There is no sign... | No evidence for cervical spine fracture or subluxation. |
Generate impression based on findings. | Lung cancer and MAI, on chemo and antibiotics. Evaluate for response. Dyspnea and cough. CHEST:LUNGS AND PLEURA: Interval increase in size of right upper lobe mass. Some of the previously adjacent to opacities are now inseparable. Reference of level measurement is 5.7 x 3.8 cm, previously 5.4 x 3.3 cm (6/29).Previously... | 1. Interval worsening of necrotic mediastinal and left hilar lymphadenopathy, which may be due to tumor or active infection.2. Interval development of pleural enhancement and a fluid level within the emphysematous cyst in the left lung; findings are suspicious for infection in the pleural space.3. Findings consistent w... |
Generate impression based on findings. | Male 53 years old Reason: Does this patient have a lung nodule? History: per patient, had a lung nodule, not imaged in >1 year LUNGS AND PLEURA: Right lower lobe subpleural granuloma unchanged since 2011 exam. Other small micronodules identified likely represent intrapulmonary lymph nodes.Moderate centrilobular emphyse... | 1. Peripheral right lower lobe granuloma unchanged since 12/5/2011.2. Moderate emphysema. 3. Findings compatible with chronic pancreatitis. |
Generate impression based on findings. | Reason: evaluate recently treated HCC History: cirrhosis with HCC ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Liver contour: The liver contour is nodular. Features of portal hypertension: Enlarged portal vein with multiple portosystemic collaterals consistent with portal hypertension. Mild... | 1.Segment 7 hepatic lesion status post chemoembolization without residual nodular enhancement, washout or rim enhancement.2.Redemonstration of numerous, likely hepatic cysts.3.Redemonstration of thrombosis of the right portal vein. |
Generate impression based on findings. | Dyspnea and other respiratory abnormalities. Solitary nodule follow-up LUNGS AND PLEURA: Evaluation of lungs is limited due to mild motion and extreme motion on the prior 2010 exam. Within this limitation, gross stability of multiple subcentimeter nodules in the right lower lobe, the largest measuring 8 mm (image 30 se... | . 1. Multiple right lower lung pulmonary nodules not grossly changed from 2010 but increased in size and number from 2005. 2. Moderately enlarged lymph nodes. 3. Diffuse mosaic lung pattern compatible with air space disease versus perfusion abnormalities unchanged from previous. |
Generate impression based on findings. | Male 40 years old; Reason: eval for kidney stone on the left History: uti, hx of stones, new L flank pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No si... | 1.Nonobstructive left renal calculus ; Left renal inflammation and perinephric inflammation. Differential considerations for a noncontrast CT include pyelonephritis, non radiopaque stone or recently passed stone.2.Recommend a follow imaging following the acute phase to ensure resolution. |
Generate impression based on findings. | Reason: h/o met hnc, getting chemo, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Stable scattered nonspecific micronodules.No suspicious pulmonary nodules or masses.Minimal basilar scarring/discoid atelectasis.MEDIASTINUM AND HILA: Stable mediastinal lymphadenopathy with reference right p... | 1.No evidence of pulmonary metastases.2.Stable T8 is sclerotic lesion.3.No new sites of disease identified. |
Generate impression based on findings. | Reason: Met small cell bladder cancer, delayed views, CT urogram, evaluate for response to therapy History: met small cell bladder cancer CHEST:LUNGS AND PLEURA: Centrilobular emphysema. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Interval decrease of left supraclavicular lymph node, now measuring 1... | 1.Marked interval decrease in bladder mass.2.Near resolution of lymphadenopathy in the supraclavicular, retroperitoneal, and pelvic regions.3.Persistent severe right hydronephrosis compatible with a high grade UPJ obstruction.4.Interval resolution of left hydronephrosis. |
Generate impression based on findings. | Clinical question: Evaluate for ventricular communication. Signs and symptoms: Headache. Unenhanced head CT:Axial contiguous non-enhanced CT of head was performed. 2 cc of Omnipaque injected through the right EVD catheter on the floor prior patient's arrival to the CT scanner.Examination demonstrates extensive contrast... | 1.Examination demonstrates extensive contrast within the subarachnoid space in the supratentorial space and posterior fossa and including the fourth ventricle. There is however no detectable contrast within the supratentorial ventricular system on this initial study.2.Interval decreased postoperative pneumocephalus wit... |
Generate impression based on findings. | SCC of the right tonsil region, at least T4bN2c status post chemotherapy. Head: There no significant interval change in size of the mass along the floor of the right middle cranial fossa, right cavernous sinus, and a portion of Meckel cave through a widened foramen ovale. There has also been progressive lytic destructi... | Ill-defined squamous cell carcinoma centered in the right tonsillar fossa with extension to the medial right masticator space, soft palate, hard palate, superior carotid space, posterior right maxillary sinus, pterygopalatine fossa, floor of the right middle cranial fossa, right cavernous sinus, and a portion of Meckel... |
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