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Generate impression based on findings. | 50-year-old male with respiratory distress. Evaluate for pneumonia versus pulmonary edema. LUNGS AND PLEURA: Bilateral scattered patchy and groundglass opacities with septal thickening, more prominent dependently and at the lung bases. The left lower lobe is collapsed secondary to compression by the heart. There is a t... | 1. Mild pulmonary edema. No specific evidence of pneumonia.2. Left lower lobe compressive atelectasis. |
Generate impression based on findings. | Right flank pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Status post left nephrectomy. Solitary right kidn... | Solitary right kidney. No evidence of recurrence in the left nephrectomy bed.No evidence of nephrolithiasis, however, multiple hypodense lesions in the right kidney cannot be optimally evaluated due to lack of IV contrast. |
Generate impression based on findings. | Abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Nonspecific hypodense lesion in the right lobe of the liver measuring 9 mm, most likely benign. No other focal lesions.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant... | Unremarkable study. |
Generate impression based on findings. | Reason: 88F with history hep C and hepatocellular ca, treated with RT, surveillance scan and stable AFP History: no symptoms CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN... | 1.New arterially enhancing lesion without definite washout is nonspecific. Special attention should be paid to this area on future exams.2.Reference left hepatic lobe lesion is unchanged. |
Generate impression based on findings. | Colon carcinoma CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary nodules. A representative right lower lobe nodule best seen on image 55, series 4, measures 0.6 x 0.4 cm. A left lower lobe nodule best seen on image 60 of series 4, measures 5 mm in diameter.MEDIASTINUM AND HILA: No significant abnormality noted.CHES... | Multiple bilateral pulmonary nodules, worrisome for metastatic foci. Bilobar hepatic metastatic lesions; reference measurements provided. Fatty infiltration of the liver. |
Generate impression based on findings. | Reason: further eval abd wall abscess, please give contrast through G tube. History: further eval abd wall abscess ABDOMEN:LUNG BASES: Interval increase in left pleural effusion. Basilar atelectasis bilaterally.LIVER, BILIARY TRACT: Status post cholecystectomy. No focal liver lesions. No intrahepatic or extra hepatic d... | 1.Heterogeneous right adnexal mass is again seen. Further workup of this mass is recommended.2.Percutaneous gastrostomy tube with interval worsening of surrounding subcutaneous fat stranding and air foci is suggestive of an early abscess. No drainable fluid collections is noted.3.No evidence of bowel obstruction. |
Generate impression based on findings. | Non-Hodgkin's lymphoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Stable reference left paratracheal lymph node, best seen on image 19 of series 5, measuring 1 x 0.6 cm.CHEST WALL: Stable reference right axillary lymph node as seen on image 25 of series 5, measuring 0.4 cm in short ax... | Reference mesenteric lymph nodes no longer visualized. Otherwise, stable examination. No new adenopathy. |
Generate impression based on findings. | Female; 65 years old. Reason: Eval for post op hemorrhage History: headache CT head:Postsurgical changes from left pterional approach left MCA aneurysm clipping. There is diffuse brain edema with sulcal effacement, likely due to immediate postoperative state. There is small amount of subarachnoid hemorrhage in the infe... | 1. Interval postsurgical changes of left pterional approach left MCA aneurysm clipping.2. Mild subarachnoid and extraaxial hemorrhage, likely within expected immediate postsurgical findings. No intraparenchymal hemorrhage.3. Mild, ill-defined hypoattenuation extending to the gray matter in the low left parietal lobe, w... |
Generate impression based on findings. | Reason: acute abd pain, r/o acute abd changes History: abd pain ABDOMEN:LUNG BASES: Basilar atelectasis.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 signifi... | No acute intra-abdominal abnormality. |
Generate impression based on findings. | Reason: eval for progression History: metastatic rcc, worsening back pain 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:CHEST:LUNGS AND PLEURA: Scattered micronodules in the right lower l... | 1.Slight interval increase in size of right posterior 11th rib lytic lesion with soft tissue component.2.Stable paraesophageal reference lymph node.3.Slight decrease in size of left iliac reference lymph node.4.Stable right adrenal mass.5.Stable left iliac bone lytic lesion. |
Generate impression based on findings. | Reason: peritoneal cancer with carcinomatosis compare to last CT History: pre chemo CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Right chest wall Port-A-Cath tip terminates at the superior cavoatrial junction. Heart size is normal without pericardial effu... | 1.Peritoneal nodularity compatible with carcinomatosis without significant interval change.2.Left greater than right hydronephrosis, improved from the prior exam. |
Generate impression based on findings. | Papillary thyroid carcinoma s/p total thyroidectomy on 1/21/11. There are postoperative findings related to total thyroidectomy. There is no mass lesion in the resection bed. There is no significant cervical lymphadenopathy. The oral cavity. oropharynx, nasopharynx, hypopharynx, and larynx are unremarkable. The major s... | No evidence of locoregional tumor recurrence or significant cervical lymphadenopathy. |
Generate impression based on findings. | Pre-renal transplant evaluation of vasculature ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abno... | No significant arterial calcification involving distal aorta, iliac, or external iliac branches bilaterally. Stable retroperitoneal adenopathy. |
Generate impression based on findings. | Male 73 years old Reason: left true vocal cord paralysis. evaluate entire length of recurrent nerve in neck and chest. suspect related to lymphadenopathy previously identified LUNGS AND PLEURA: Left upper lobe cavitary lesion with associated consolidation, atelectasis, architectural distortion, volume loss and extensiv... | 1. Consolidation and scarring adjacent to the left apex, but no specific etiology found to explain the patient's vocal cord paralysis; refer to report of CT neck the same day for further information.2. Left upper lobe necrotic cavitary lesion, bronchiectasis and nodular opacities not significantly changed and compatibl... |
Generate impression based on findings. | 40 year-old female with history of fall, neck pain, and seizures. Evaluate for fracture and intracranial hemorrhage. Head:The ventricles and sulci are normal for age. The cisterns are symmetric and unremarkable. The gray-white matter differentiation is preserved. There is no mass effect, midline shift, intra- or extra-... | 1.No acute intracranial normality.2. No evidence for cervical spine fracture or subluxation. |
Generate impression based on findings. | Non-Hodgkin's lymphoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Stable bilobar heterogeneous enhancing foci; favor benign etiology, such as hemangiomas. Hepatic vessels patent. ... | Stable examination. No new adenopathy. |
Generate impression based on findings. | Reason: 3 weeks of subacute abdominal pain and distention History: had incomplete colonoscopy and now has inability to have BM ABDOMEN:LUNG BASES: Basilar scarring/atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADREN... | No acute intra-abdominal abnormality. |
Generate impression based on findings. | Left parotid tumor s/p parotidectomy complicated by hematoma. There are postoperative findings related to interval left parotidectomy and neck dissection. There is ill-defined intermediate attenuation fluid compatible with hemorrhage as well as scattered foci of gas located in the left parotidectomy bed that extends in... | Interval left parotidectomy with hemorrhage in the resection bed that measures up to 11 cm in length without evidence of airway compromise, discernable pseudoaneurysm, or abscess. |
Generate impression based on findings. | 66 year old female status post wedge resection of liver lesion CHEST:LUNGS AND PLEURA: Scattered micronodules, unchanged.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: There is a new hypodense lesion with air fluid levels measuring 4.7 x... | Interval development of an intrahepatic fluid collection with air-fluid level suspicious for biloma/abscess.Dr. Polite was paged about these findings at the time of dictation. |
Generate impression based on findings. | Left true vocal cord paralysis. There is medialization of the posterior left vocalis muscle, which is otherwise atrophy, compatible with paralysis. The larynx is otherwise unremarkable. The thyroid gland is unremarkable. There is no significant cervical lymphadenopathy. There is no evidence of mass lesions in the neck.... | 1. Findings compatible with left vocal cord paralysis by no evidence of mass lesions in the neck or skull base. 2. Extensive bilateral upper lung opacities. Refer to the concurrent separate chest CT report for additional details. |
Generate impression based on findings. | Possible left renal mass seen on outside ultrasound. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significan... | Negative for acute, inflammatory, or neoplastic process. Specifically, no GU related abnormality. |
Generate impression based on findings. | History of colon cancer CHEST:LUNGS AND PLEURA: Nonspecific subcentimeter nodule in the left lower lobe, measuring 5 mm number 65, series number 5.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No... | No evidence of metastatic or recurrent disease. Small collection near the anastomosis, adjacent to the sigmoid colon |
Generate impression based on findings. | Reason: r/o infection in LUL, immunosuppressed host History: cough, nausea, tremors LUNGS AND PLEURA: Subpleural scarring left upper and right lower lobes, but no specific evidence of active infection.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Status post heart transplant.CHEST WALL: Median sternotom... | No evidence of lung infection with scarring from prior infection or infarction. Probable hepatic hemangioma. |
Generate impression based on findings. | Cough. Follow-up micronodules. LUNGS AND PLEURA: Few scattered micronodules, similar to the prior exam in 2010. No new nodules or masses seen. Minimal bibasilar subsegmental atelectasis. No focal airspace opacities or pleural effusions.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Normal sized heart wi... | 1. No specific findings to account for the patient's symptoms. 2. Stable pulmonary micronodules, which may be secondary to prior infection or intrapulmonary lymph nodes. No further follow-up is recommended for this finding. |
Generate impression based on findings. | Possible left renal mass seen on outside ultrasound. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significan... | Negative for acute, inflammatory, or neoplastic process. Specifically, no GU related abnormality. |
Generate impression based on findings. | Male 56 years old Reason: 56 male with ALL, needs methotrexate, but must rule out pleural effusion before chemotherapy History: ALL LUNGS AND PLEURA: Focal scarring of the lingula unchanged.Diffuse bronchial wall thickening unchanged and suggestive of chronic bronchitis or asthma.MEDIASTINUM AND HILA: No significant me... | 1. No evidence of pleural effusions as clinically questioned.2. Diffuse bronchial thickening suggestive of chronic bronchitis or asthma. |
Generate impression based on findings. | Female 73 years old; Reason: OSH CT without contrast (uploaded to PACS under MRN 255619) with report that showed possible soft tissue mass with lymphadenopathy, unclear on location of mass. Please rule out mass. PELVIS:UTERUS, ADNEXA: Absent or atrophicBLADDER: Gas within the urinary bladder which is decompressed by a ... | 1.Bilateral sacral insufficiency fractures with parasymphysial fractures. There are erosive changes about the pubic symphysis which may be due to fracture healing.2.No evident pelvic mass.3.Findings discussed with Dr. Press at 4.50pm by Dr.Thomas |
Generate impression based on findings. | Clinical question: Hemorrhage. Signs and symptoms: Right-sided headache, dizziness and nausea after MVC. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.There are very subtle some cortical foci of low-attenuation in bilateral cerebral hemisphe... | 1.No acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.2.Subtle subcortical low-attenuation white matter is a nonspecific finding and recommend follow up with MRI for better assessment.3.Complete opacification of left maxillary sinus with thickening of sinus walls consistent with long-st... |
Generate impression based on findings. | Clinical question: Evaluate intracranial process. Signs and symptoms: Intoxication, battery. Nonenhanced head CT:No detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter different... | 1.No acute posttraumatic findings.2.Unremarkable intracranial contents.3.Chronic small blowout fracture of left lamina papyracea. |
Generate impression based on findings. | Clinical question: Rule out stroke. Signs and symptoms: Left foot drop. Nonenhanced head CT:No detectable acute intracranial process, CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter dif... | 1.No acute intracranial or calvarial findings.2.Left posterior parietal scalp hematoma.3.Unremarkable nonenhanced head CT otherwise. |
Generate impression based on findings. | Clinical question: Rule out intracranial hemorrhage, history of seizure D./O. Signs and symptoms: Patient had seizure shortly after MVA. Nonenhanced head CT:There is no evidence of acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, ... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Evaluate for intracranial abnormalities. Signs and symptoms: Confusion, hallucination. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for detection of acute non-hemorrhagic ischemic strokes.There is prominence of cortical sulci and supratentorial vent... | 1.There is no detectable acute intracranial process. CT however is insensitive for detection of acute non-hemorrhagic ischemic strokes.2.Minimal age indeterminate small muscle ischemic stroke is suspected. |
Generate impression based on findings. | Male 41 years old Reason: eval for pe History: tachycardia PULMONARY ARTERIES: Technically limited study, without evidence of pulmonary emboli or right heart strain.LUNGS AND PLEURA: Triangular soft tissue lesion in the left costophrenic angle may be pleural or intraparenchymal, measuring 29 x 11 mm (image to 213, seri... | 1. No evidence of acute pulmonary emboli, but somewhat technically limited study.2. Nonspecific lesion in the left costophrenic angle of unclear etiology possibly post infectious or a subacute subsegmental infarct. Recommend follow-up CT in 6 weeks to exclude the remote possibility of a metastasis, though this is consi... |
Generate impression based on findings. | Reason: evaluate renal vasculature for bleeding History: hematuria ABDOMEN: Limited exam due to poor contrast bolus.LUNG BASES: Stable micronodule in the left lung base (series 4, image 9). Atherosclerotic calcification of the descending thoracic aorta. Mural thrombus of the descending and ectatic thoracic aorta.LIVER,... | 1.Moderate amount of free air within the peritoneum. Bowel perforation versus recent surgery--the service was notified of this finding at the time of dicatation.2.Bilateral atrophic kidneys with hypoplastic renal arteries. No evidence of hemorrhage. No evidence of hydronephrosis bilaterally.3.Right ureteral stent and l... |
Generate impression based on findings. | Reason: stone? History: L flank pain, additional history includes lupus nephritis Lack of IV contrast limits evaluation of solid organ pathology.ABDOMEN:LUNG BASES: 4 mm micronodule at the left base (series 4, image 23).LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANC... | 1.Atrophic kidneys with bilateral indeterminate lesions, which can not be characterized without intravenous contrast. 2.Nonspecific retroperitoneal lymphadenopathy. |
Generate impression based on findings. | Chest pain, shortness of breath PULMONARY ARTERIES: Technically adequate examination. There is a large acute-appearing pulmonary embolus in the right middle lobar pulmonary artery with smaller emboli seen in the right upper lobe. LUNGS AND PLEURA: Low lung volumes with basilar atelectasis. Stable moderately severe pred... | Acute pulmonary embolism at the lobar level and further distally, with emboli in the right upper and middle lobes. |
Generate impression based on findings. | 10 year-old male. Abdominal pain, bilateral hydronephrosis. Evaluate for obstruction or any intraabdominal pathology. ABDOMEN:LUNG BASES: Lung bases are clear.LIVER, BILIARY TRACT: No biliary ductal dilatation. Normal hepatic contour. No focal hepatic lesion.SPLEEN: Normal appearance of the spleen.PANCREAS: Normal appe... | Mild bilateral hydronephrosis. Small amount of free fluid in the proximal inguinal canals. |
Generate impression based on findings. | Fall from monkey bars, dried blood in auditory canal. Rule out skull fracture. On the right, the external auditory canal is clear and patent. The middle ear and mastoid air cells are well-pneumatized and clear. The ossicular chain is intact. No temporal bone fracture is identified. The facial nerve describes a normal c... | 1. Linear soft tissue density within the lumen of the left external auditory canal approximately 12 mm deep to the meatus likely corresponds to the dried blood apparent on clinical exam.2. No evidence of temporal bone fracture or ossicular chain disruption. |
Generate impression based on findings. | Reason: Abd pain, h/o Hep C cirrhosis w/ worsening LFT's, slightly elevated lipase, rule out gallstones/pancreatitis History: Abd pain, h/o Hep C cirrhosis w/ worsening LFT's, slightly elevated lipase, rule out gallstones/pancreatitis ABDOMEN:LUNG BASES: Basilar atelectasis.LIVER, BILIARY TRACT: Liver contour: The live... | 1.Enlarged pancreatic head with mild peripancreatic fat stranding. Differential considerations include pancreatic mass and acute pancreatitis. Recommend endoscopic ultrasound for further evaluation. 2.No CT evidence of gallstones. 3.Cirrhosis. Vascular segment III lesion is unchanged. Findings discussed with Dr. Yashar... |
Generate impression based on findings. | Head injury and neck pain. Head: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is a small right maxillary sinus retention cyst. The mastoid air cells are clear. The skull an... | 1. No evidence of intracranial hemorrhage or skull fracture.2. No evidence of cervical spine fracture or spondylolisthesis. |
Generate impression based on findings. | Male 67 years old Reason: 67M w myeloma, h/o prior TB exposure, multiple nodules seen on prior CT, pls eval for progression/resolution History: 67M w myeloma, h/o prior TB exposure, multiple nodules seen on CT, please eval for progression/resolution LUNGS AND PLEURA: Significant interval decrease in size and extent of ... | 1. Significant interval decrease in size of bilateral lung nodules favoring resolving infection. Additional CT follow-up in 4 to 6 weeks is suggested.2. Lytic lesions affecting the skeleton compatible with given history of multiple myeloma. |
Generate impression based on findings. | Reason: rule out hydronephrosis History: UTI Lack of intravenous contrast limits evaluation of solid organ pathology.ABDOMEN:LUNG BASES: Basilar atelectasis/scarring. Small pleural effusions.LIVER, BILIARY TRACT: Gallstones.SPLEEN: Calcified splenic granulomata.PANCREAS: No significant abnormality noted.ADRENAL GLANDS:... | Bilateral renal cysts . No evidence of hydronephrosis. |
Generate impression based on findings. | Coumadin, fall down 3 stairs. Head: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There are postoperative findings related to right uncinectomy and partial internal ethmoidectomy.... | 1. No evidence of intracranial hemorrhage or skull fracture.2. No evidence of cervical spine fracture or spondylolisthesis.3. A sclerotic focus within the left C5 vertebral body that measures up to 9 mm may represent an enostosis. |
Generate impression based on findings. | Male, 70 years old, status post aortic aneurysm repair, now with right sided weakness. Examination is significantly limited due to suboptimal positioning with streak and motion artifact. Within these limitations, the following observations are made.Areas of hypoattenuation are seen within the posterior left parietal lo... | Scattered areas of left hemispheric ischemia are highly suspected, at least subacute if not acute. When the patient's condition allows, repeat CT imaging in the radiology department, or MRI, would better delineate these abnormalities.Findings discussed with Dr. Gaudet at 0900 hrs on 10/11/13. |
Generate impression based on findings. | Reason: evaluate for malignancy, retroperitoneal hematoma History: abd distention, bruising Lack of intravenous contrast limits evaluation of solid organ pathology.ABDOMEN:LUNG BASES: Basilar interlobular septal thickening with ground-glass opacities compatible with edema. More dense consolidation at the right base. Sm... | 1.No evidence of retroperitoneal hematoma. 2.Nonspecific upper abdominal and retroperitoneal lymphadenopathy. 3.Probable CHF with ascites and body wall anasarca. |
Generate impression based on findings. | Reason: eval prior inguinal mesh hernia repair, acute intraabd process History: L>R inguinal swelling/pain, hx CKD 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: Moder... | 1.Bilateral inguinal hernias, left greater than right. Left hernia appears to be obstructive of small bowel. Early ischemia cannot be excluded.2.Bilateral fluid collections adjacent to inguinal hernias with air foci suggestive of abscesses.3.Extensive vascular calcifications and ectasia of the infrarenal abdominal aort... |
Generate impression based on findings. | Clinical question: Evaluate for hemorrhage. Signs and symptoms: Headache. Nonenhanced head CT:Examination demonstrates no evidence of any new intracranial hemorrhage since prior study.Previously seen left-sided subarachnoid hemorrhage in the left sylvian fissure and left frontal -- parietal and occipital cortical sulci... | 1.No evidence of any new hemorrhage since prior exam. 2.Stable minimal subarachnoid hemorrhage and hemorrhage along the superior surface of tentorial leafs (right greater than left) since prior exam.3.Subtle parenchymal edema in the left anterior temporal and frontal in the immediate surgical site of left sylvian fissu... |
Generate impression based on findings. | Reason: h/o RUE fistula evaluate venous outflow History: h/o RUE fistula evaluate venous outflow CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules. No suspicious pulmonary nodules or masses. Basilar atelectasis/scarring.MEDIASTINUM AND HILA: No lymphadenopathy. Heart size is normal without pericardial effusion. ... | 1.Right Brescia-Cimino fistula with inflow vein stenosis near the AV anastomosis, which would be amenable to angioplasty. Arterial outflow to the hand is preserved. Aneurysmal dilatation of the venous limb.2.Multiple venous stenoses involving the SVC, right internal jugular vein and subclavian veins.3.Right arm and che... |
Generate impression based on findings. | 25 year-old female with end-stage renal disease, cardiomegaly, multiple autoimmune disorders, now with subacute worsening shortness of breath and unresponsive to antibiotics. Evaluate for possible ILD. Please note that sensitivity is limited by patient motion.LUNGS AND PLEURA: Moderate subpulmonic left pleural effusion... | 1. Scattered right lung patchy air space opacities, most likely representing infection.2. No specific evidence of diffuse interstitial lung disease or pulmonary edema.3. Moderately large left subpulmonic pleural effusion.4. Bronchial wall thickening, suggestive of asthma or bronchitis.5. Moderate mediastinal and axilla... |
Generate impression based on findings. | Clinical question: Intracranial hemorrhage. Signs and symptoms: Intracranial hemorrhage. Unenhanced head CT:The examination redemonstrates a very large, irregular and dissecting right basal ganglial, thalamic hemorrhage without convincing evidence of any significant interval change since prior exam from 10 -- 10 -- 13.... | 1.No evidence of new hemorrhage or increased size of patient's known large right hemispheric hematoma.2.Stable mass effect of hematoma/surrounding edema with resultant 11-mm leftward midline shift.3.No change in the size of ventricular system (mildly dilated left lateral ventricle) and intraventricular hemorrhage since... |
Generate impression based on findings. | Reason: GIST s/p resection, on adjuvant Gleevec, eval EOD History: none ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Scattered punctate calcifications suggestive of granulomata. No suspicious focal liver lesions. No evidence of intrahepatic ductal dilatation. Mild prominence of the common d... | 1.Stable cystic lesion adjacent to the pancreatic body.2.Stable exam without evidence of metastatic disease. |
Generate impression based on findings. | Reason: ICH History: ICH Since the prior examination a left hemispheric hematoma has increased in size from 59 x 48 mm axial dimensions to 71 x 66 mm in axial dimensions. Midline shift has progressed with shift of septum pellucidum approximately 20 mm in the right middle and current exam and 10 mm on the prior exam. Th... | 1.Interval significant progression of left hemispheric hematoma with progression of midline shift, uncal herniation, transtentorial herniation and subfalcine herniation. There is associated intraventricular and subarachnoid blood.2.there is redemonstration of ventriculomegaly. The ventricles are low but smaller on the ... |
Generate impression based on findings. | Reason: f/u ICH History: f/u ICH Brain CTA: Findings are compatible with CTA spots sign along the left frontal lobe subcortical white matter at the superior aspect and anterior aspect of the hematoma. Please see image number 186 to 220 axial 2-mm cuts and image 417 of 511 of series 8, image 159 of 394 of the sagittal .... | 1.The patient has developed a large left-sided hemispheric hematoma centered in the centrum semiovale and subcortical white matter associated with significant mass effect with midline shift subfalcine herniation and uncal herniation as well as a compression of the brainstem towards the right and ventriculomegaly . This... |
Generate impression based on findings. | NPH status post ventricular shunt insertion. There has been interval insertion of a right transfrontal ventricular shunt catheter that terminates in the right lateral ventricle. There is a small amount of subdural pneumocephalus in the anterior right frontal region. There is marked dilatation of the lateral and third v... | No significant interval change in the degree of triventricular dilatation related to normal pressure hydrocephalus status post right transfrontal ventricular shunt insertion, without evidence of acute intracranial hemorrhage. |
Generate impression based on findings. | Reason: h/o HNC, s/p CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Apical radiation fibrosis unchanged.Benign-appearing nodules some calcified, unchanged.Left basilar groundglass opacity improved consistent with aspiration.No sign of pulmonary or pleural metastases.MEDIASTINUM AND HIL... | Improving left base groundglass opacity likely from prior aspiration, and no evidence of metastases. |
Generate impression based on findings. | Reason: uip History: UIP/PSS LUNGS AND PLEURA: Peripheral and basilar reticular opacities have worsened since the prior study and there is now subtle honeycombing deep in the costophrenic sulci.Traction bronchiectasis and bronchiolectasis is present.No significant groundglass disease is present. Calcified and noncalcif... | Worsening interstitial lung disease in a UIP pattern. Healed granulomatous disease probably histoplasmosis. |
Generate impression based on findings. | Female, 60 years old, left neck fullness. A left level 2 lymph node is identified measuring 9 x 9 mm (image 26 series 3) which may correspond to the patient's palpable abnormality. No prior dedicated neck imaging is available for comparison. However, when comparison is made to coronal images from a prior neck MRA, ther... | 1. 9 x 9 mm left level 2 lymph node, stable when compared to a prior examination from 2011.2. 16 x 11 mm left supraclavicular lymph node, probably also stable when compared to the prior exam. |
Generate impression based on findings. | Reason: pt with lung ca s/p treatment h/o pelvic mass too History: doing fairly well now needs disease evaluation compare to previous scans and outside one too CHEST:LUNGS AND PLEURA: Postsurgical changes in the right hemithorax. No suspicious pulmonary nodules or masses. Centrilobular emphysema.MEDIASTINUM AND HILA: R... | 1.Reference high right paratracheal lymph node is smaller.2.Status post right upper lobectomy.3.No new sites of disease in the chest, abdomen, or pelvis. |
Generate impression based on findings. | Male 55 years old; Reason: lung cancer a/p 39 cycles of chemo. please evaluate for disease and compare with previous scans using same target lesions. History: lung cancer CHEST:LUNGS AND PLEURA: Decrease in the left hemithoracic volume due to circumferentialpleural thickening. Pleural thickening adjacent to the mediast... | 1.No evident change in the left hemithorax pleural thickening. |
Generate impression based on findings. | Lung cancer. CHEST:LUNGS AND PLEURA: Postsurgical and postradiation changes, with left lung volume loss and apical opacities, appear similar to prior exam. Centrilobular emphysema. No pleural effusions.The left upper lobe focal nodular opacities are decreased. No new nodules or masses.MEDIASTINUM AND HILA: Interval dec... | 1. Decreased size of the left upper lobe nodules and mediastinal lymph nodes. No evidence of disease progression.2. Stable appearance of the suspected left atrial appendage thrombus. |
Generate impression based on findings. | Reason: metastatic bladder cancer evaluation of disease after chemotherapy treatment History: bladder cancer post chemo LUNGS AND PLEURA: Scattered pulmonary micronodules.MEDIASTINUM AND HILA: New prominent left supraclavicular lymph node measures 1.3 x 1.0 cm (series 5, image 10). Heart size is normal without pericard... | New left supraclavicular and retroperitoneal lymphadenopathy. |
Generate impression based on findings. | Reason: history of bladder cancer, please evaluate for mets with delayed imaging History: none ABDOMEN:LUNG BASES: Bochdalek hernia is again demonstrated.LIVER, BILIARY TRACT: Hyperdense focus in the right lobe of liver, segment 4/8 measuring 1.5 x 1.3 cm (image 22; series 7) is isodense to liver parenchyma on delayed ... | Hyperdense focus in the right lobe of the liver is most likely a hemangioma. Suggest continued follow-up .1.Subcentimeter nodule distal in the ileal conduit (slightly distal to anastomosis with left ureter) to the neobladder appears to have enlarged slightly compared to the most recent prior examination. Given this fin... |
Generate impression based on findings. | Reason: lung cancer, please evaluate for disease and compare with previous scan done in July 2013. Patient can't get MRI because of pacemaker History: lung cancer evaluate for brain mets. The CSF spaces are appropriate for the patient's stated age with no midline shift. There is redemonstration of a mass along the supe... | 1.Since the prior exam the mass in the vermis has enlarged and developed a cystic component and is now a cyst and mural nodule lesion. Given the patient's clinical history, metastasis is the most likely consideration. |
Generate impression based on findings. | Clinical question: Ventriculogram, service to inject 2 cc of Omnipaque 180 prior to scan. Injection will be performed at patient's bedside prior to head CT. Signs and symptoms: Hydrocephalus/headache. Nonenhanced head CT:Examination is performed after referring clinical service injected 2 cc of Omnipaque 180 through th... | 1.Interval complete resolution of previously noted extensive contrast within the subarachnoid space since prior study.2.Approximately 2 cc of Omnipaque 180 was injected by two the ventricular catheter by the referring clinical service is immediately prior to head CT.3.The initial exam demonstrate inject the contrast co... |
Generate impression based on findings. | Carcinoid tumor resected two years prior LUNGS AND PLEURA: Postsurgical changes are again seen in the right lung, compatible with previous resection. No new suspicious nodules or masses are seen. The diffuse interstitial lung disease appears similar to the prior exam, with diffuse subpleural reticulation, apical nodule... | 1. No evidence of tumor recurrence.2. Stable appearance of the diffuse interstitial lung disease, compatible with atypical UIP. |
Generate impression based on findings. | Reason: lung cancer History: lung cancer s/p LLL lobectomy and LUL wedge resection LUNGS AND PLEURA: Interval increase in a nodule adjacent to left apical suture line, now 13 mm in diameter compared to 8 mm previously, highly suspicious for recurrence.7-mm irregularly marginated subpleural nodule in the right lower lob... | 1.Further interval growth of left upper lobe nodule adjacent to suture line highly suspicious for tumor recurrence.2. Increased 7 mm subpleural nodule in the right lower lobe which is also moderately suspicious though still indeterminate, and further follow up is recommended. |
Generate impression based on findings. | Clinical question: Evaluate acute intracranial process. Signs and symptoms cord slurred speech and weakness. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.There are very subtle subcortical low attenuation of white ... | 1.There is no detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.2.Moderate age indeterminate small vessel ischemic strokes grossly similar to prior exam from August of this year. |
Generate impression based on findings. | Non-small cell lung cancer status post 4 cycles of chemotherapy CHEST:LUNGS AND PLEURA: The right upper lobe mass involving invading the lateral chest wall is increased in size, measuring 4.9 x 3.6 cm (8023/28), previously 4.3 x 3.1 cm on axial images. The left upper lobe subpleural mixed groundglass and solid-appearin... | 1. Increased sizes of the right upper lobe mass invading the chest wall 2. Increased size of the hepatic metastasis.3. Stable appearance of the left lung mixed solid and ground glass opacity, which may represent an additional site of primary malignancy. |
Generate impression based on findings. | Clinical question: Rule out stroke. Signs and symptoms: Altered mental status. Nonenhanced head CT:No meniscal acute intracranial process. CT however insensitive for the detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matt... | Negative nonenhanced head CT. Please see above comments. |
Generate impression based on findings. | Hemoptysis, history of lupus, evaluate for pulmonary embolus PULMONARY ARTERIES: Right lower lobe segmental pulmonary embolus is seen. Groundglass opacities in the right lower lobe.LUNGS AND PLEURA: Ground glass opacities in the right lower lobe likely represents pulmonary hemorrhage. Ground glass opacities anomaly in ... | 1.Right lower lobe segmental pulmonary embolus.2.Pulmonary edema with small right pleural effusion.These findings were discussed with Dr. Heilbrunn at 11:00 a.m. 10/11/2013 |
Generate impression based on findings. | Reason: eval for cause of Left sided abdominal pain, distension, bloating, History: Left sided abdominal pain, bloating ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter cyst in the right lobe liver (series 3, image 41) is too small to further characterize. No intrahepatic or extra... | No finding to explain patient's stated symptoms. |
Generate impression based on findings. | Male 68 years old; Reason: history of metastatic prostate cancer to lungs, LN, bones post chemo History: prostate cancer with metastasis CHEST:LUNGS AND PLEURA: Interval development of numerous bilobar metastatic deposits. The right lower lobe lung lesion measures 2.2 x 1.6 cm (image 70/series 6) previously, 1.5 x 1.1 ... | Disease progression with a decrease in the size and number of the pulmonary lesions.1.New mediastinal and hepatic disease.2.Decrease in the size of the reference pelvic lesion following radiation. |
Generate impression based on findings. | Female 72 years old Reason: mets lung ca, ALK+, mets to mediastinum LAD and anterior abdominal subcutaneous lesion. Pls c/w previous study and evaluate tx response. History: lung ca, w/ abd SQ mets. CHEST:LUNGS AND PLEURA: Stable circumferential necrotic appearing nodular pleural based tumor in the right hemithorax. Th... | Stable right pleural-based tumor and nodules, as well as stable mediastinal lymph nodes and subcutaneous metastasis. |
Generate impression based on findings. | Three months after bronchoscopy, left robotic video-assisted thoracoscopy, left superior segment of lower lobe resection with a wedge excision of left lower lobe for metastatic clear cell renal carcinoma LUNGS AND PLEURA: Moderate volume of loculated pleural fluid on the left with a thickened rim and internal heterogen... | 1. Moderate volume of loculated pleural fluid on the left with a nonspecific surrounding rind and internal septations. Although the appearance is what is expected postoperatively, empyema may have similar radiographic appearance, correlate for signs of infection.2. Two nodules in the right lung suspicious for metastase... |
Generate impression based on findings. | Previous subarachnoid hemorrhage and PRES and treatment related AML presents with tachypnea and change in mental status. Please evaluate for intracranial bleed or mass. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is minimal white matter hypoattenuation with interval decrease in the a... | No evidence of acute intracranial hemorrhage, mass, or cerebral edema. There is minimal white matter hypoattenuation with interval decrease in the abnormality related to PRES, accounting for differences in technique. However, CT is not sensitive for non-hemorrhagic infarcts or mild PRES and MRI is recommended for furth... |
Generate impression based on findings. | Reason: history of bladder cancer, please eval with CT urogram History: none ABDOMEN:LUNG BASES: Chronic interstitial changes at the lung bases. No suspicious pulmonary nodules or masses.LIVER, BILIARY TRACT: Predominantly left hepatic lobe intrahepatic ductal dilatation and common bile duct dilatation are unchanged. S... | 1. Persistent nodularity along the posterior bladder wall is compatible with patient's history of malignancy.2. No evidence of metastasis.3. Nonspecific hypodense lesion in the left atrium. Echocardiogram is recommended for further evaluation.4. Biliary ductal dilatation is unchanged.Findings discussed with Nisha Kumar... |
Generate impression based on findings. | Lymphadenopathy. History of ALL CHEST:LUNGS AND PLEURA: Few scattered nonspecific micronodules, appearing similar to the prior study. MEDIASTINUM AND HILA: Subcentimeter mediastinal lymph nodes. No mediastinal or hilar lymphadenopathy. Normal sized heart without pericardial effusion..CHEST WALL: No axillary lymphadenop... | Upper abdominal lymphadenopathy, with minimal change as described above. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Benign-appearing nodules and micronodules, some calcified. No evidence of pulmonary or pleural metastases. MEDIASTINUM AND HILA: Mild coronary calcification.No mediastinal or hilar lymphadenopathy noted. CHEST WALL: No ... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | Hypoxia. History of breast cancer. PULMONARY ARTERIES: Technically adequate examination. No evidence of pulmonary embolism.LUNGS AND PLEURA: Moderate-sized bilateral pleural effusions with overlying atelectasis, most prominent at the left lower lobe. No suspicious pulmonary nodules or masses are seen in the aerated lun... | 1. No evidence of pulmonary embolism.2. Findings consistent with tumor recurrence and metastases in the right chest wall. 3. Mass in the thymic bed invading the mediastinum and left pleura with potential chest wall invasion anteriorly most likely represents a metastasis. A primary thymic tumor could have a similar radi... |
Generate impression based on findings. | Reason: s/p bilateral pleural thickening and calcification of his pleura History: f/u CHEST:LUNGS AND PLEURA: Emphysema and extensive bilateral pleural thickening and calcification consistent with asbestos exposure.Round atelectasis posteriorly at the right base, unchanged.Pleural thickening at the right base posterola... | Extensive chronic abnormalities with stable pleural thickening and no specific evidence of neoplasm. |
Generate impression based on findings. | Right upper lobectomy for lung cancer. LUNGS AND PLEURA: Right upper lobectomy. No signs of localized recurrence at the resection site. Nonspecific thickening within a band of atelectasis or scarring in the right lower lobe measuring up to 6 mm in the AP dimension (5/55). Subpleural nodular densities in the right middl... | No signs of localized recurrence and no conclusive signs of metastases. Area of nonspecific parenchymal thickening and atelectasis can be followed on subsequent exams but is most likely of benign etiology. |
Generate impression based on findings. | Acute mental status change, status post recent right retrosigmoid craniotomy for resection of meningioma. 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 pneumocephalus, but no evidence of ac... | 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. Likewise, non-contrast CT is not sensitive for non-hemorrhagic acute infarct. MRI may be useful for further evalua... |
Generate impression based on findings. | Reason: eval of distal esophageal adenocarcinoma History: esophageal adenocarcinoma CHEST:LUNGS AND PLEURA: Left upper lobe 14-mm sharply marginated nodule, unchanged since at least 6/13/2013.An associated tubular component suggestive of a bronchocele has largely resolved.Interval clearing of right lower lobe groundgla... | 1.Stable left upper lobe nodule with partial resolution of an associated bronchocele, favoring a benign etiology, though further follow-up is recommended.2. No new findings. |
Generate impression based on findings. | Abnormal radiograph. No S.O.B. at baseline, no DOE. History of COPD, tobacco use and chronic organizing pneumonia. Last CT with questionable interval progression, reevaluate. LUNGS AND PLEURA: Bilateral areas of subpleural curvilinear scarring consistent with multifocal organizing pneumonia in various stages of healing... | Multifocal organizing pneumonia with mixed response. While some areas have resolved with residual scarring, new or larger nodules are present in the right lung. Please note that malignancy cannot be differentiated radiographically and if there is clinical concern, FDG-PET maybe obtained for verification. Otherwise, 6 m... |
Generate impression based on findings. | Clinical question: Evaluate for sinus polyps or sinus disease. History of anosmia. Signs and symptoms: Disturbance of sensation of smell and taste. Nonenhanced head CT:Examination demonstrates no evidence of acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.The... | 1.Unremarkable nonenhanced head CT.2.Nonenhanced maxillofacial CT demonstrate expected postoperative changes of sinus surgery without evidence of acute or chronic sinus disease. Images through the nasal passage as well demonstrate postop changes and without convincing evidence of a mass or polyp. Bilateral mastoid air ... |
Generate impression based on findings. | Reason: mesothelioma, s/p 6 cycles of chemo. please evaluate for disease and compare with previous scans using the same target lesions History: mesothelioma CHEST:LUNGS AND PLEURA: Diffuse pleural thickening and subpleural consolidation anteriorly in the left hemithorax consistent with mesothelioma.Nonspecific intersti... | No significant change and no specific evidence of residual tumor. |
Generate impression based on findings. | Female 58 years old; Reason: stage 4 colon cancer s/p chemotherapy with complete response, eval EOD, compare to previous History: non3 CHEST:LUNGS AND PLEURA: No new lung lesions. The pleural spaces are clear. The central airways are patent.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediast... | 1.Stable exam without evident metastatic disease. |
Generate impression based on findings. | Newly diagnosed oral cancer evaluate for metastases. Smoker. LUNGS AND PLEURA: Nonspecific 2 to 3-mm micronodules and scattered areas of endobronchial debris in the peripheral airways. Subcentimeter nodules in the periphery of the left lower lobe measuring up to 5-mm (4/207, 4/153, 149). These nodules measure lipid att... | 1. Indeterminate pulmonary nodules are more likely to be post inflammatory than metastatic based on their density and lack of mediastinal lymphadenopathy. Enlarged lymph nodes in the lower aspect of the right hilum could be postinflammatory, not in the expected distribution of metastases. Six week follow-up chest CT is... |
Generate impression based on findings. | Reason: s/p 8 mo after completion of induction therapy followed by left pneumonectomy for an initial T4N1M0 stage IIIB squamous cell carcinoma with residual TIN0M0 disease in the specimen History: f/u LUNGS AND PLEURA: Interval left pneumonectomy with the small amount of fluid in the pneumonectomy space. Right apical n... | 1. Interval left pneumonectomy with associated leftward mediastinal shift.2. Pulmonary micronodules on the right are unchanged. No suspicious right-sided nodules or interval pleural effusion. |
Generate impression based on findings. | 88-year-old man with diverticular bleed. Please localize. ABDOMEN:LUNG BASES: Trace effusions with overlying compressive-type atelectasis.LIVER, BILIARY TRACT: Innumerable presumed hepatic cysts were present previously have not changed substantially since the prior examination. No enhancing liver lesions identified or ... | No evidence of active gastrointestinal hemorrhage. 3-cm right common iliac artery aneurysm. These findings were communicated to the clinical service (pager 2619) at the time of dictation |
Generate impression based on findings. | Reason: r/o mets. compare to prior CT scan. History: thyroid cancer with lung mets LUNGS AND PLEURA: Innumerable pulmonary nodules in both lungs compatible with metastases, of some of which have slightly reduced in size. No new suspicious focal nodules identified. No interval effusion.MEDIASTINUM AND HILA: Heart size r... | Multiple bilateral pulmonary nodules compatible with metastases, some of which appear slightly smaller at this time. No new suspicious nodule. |
Generate impression based on findings. | Male 74 years old; Reason: Pt is a 74 y/o male with met RCC, evaluate for progression on pazopanib History: met rcc CHEST:LUNGS AND PLEURA: No dominant pulmonary lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal with extensive coronary artery calcifications.AP window node measures 1.7 x 1... | 1.Extensive disease in the chest, abdomen and pelvis with stable to slight decrease in the size measurements of the reference lesions. |
Generate impression based on findings. | CT scan following treatment for pseudomonas. Cough. LUNGS AND PLEURA: Slight improvement in diffuse bronchiolitis pattern, the right lung is affected more than the left. Subsegmental atelectasis abutting the right minor fissure anteriorly has improved. Peribronchial wall thickening, right greater than left. No pneumoth... | Moderate residual bronchiolitis pattern with slight improvement since the previous scan. Serial CT follow-up to complete radiographic resolution is recommended as endobronchial spread of mucinous adenocarcinoma may have an identical radiographic appearance. |
Generate impression based on findings. | Headache. There is no evidence of acute intracranial hemorrhage. There is unchanged encephalomalacia in the right MCA territory. There is also unchanged patchy scattered cerebral white matter hypoattenuation consistent with age indeterminate small vessel ischemic disease. The ventricles are stable in size and morpholog... | 1. No acute intracranial hemorrhage. 2. Chronic right MCA infarct and small vessel ischemic disease of indeterminate age. Please note that CT is insensitive to early detection of nonhemorrhagic CVA. |
Generate impression based on findings. | Recurrent sinus infections, right sided sinus pain/pressure, PND and chronic cough. There are right maxillary sinus retention cysts that measure up to 15 mm in width. The right maxillary sinus is clear and the infundibula are patent. There is a 4 mm left sphenoid sinus retention cyst. The right sphenoid, bilateral ethm... | Right maxillary sinus retention cysts that measure up to 15 mm in width and a 4 mm left sphenoid sinus retention cyst, but otherwise clear paranasal sinuses and nasal cavity. |
Generate impression based on findings. | Female 48 years old; Reason: epigastric pain History: known pancreatic ca, untreated ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal morphology. There is a new segment 5 lesion measuring 2.8 x 2.1 cm. The lesion is located peripherally. There is mild intrahepatic biliary duct... | 1.Slight increase in the size of the pancreatic mass which now causes further narrowing of the portal vein.2.Hypodense segment 5 lesion. Differential considerations include a new hepatic metastasis or possibly infection. |
Generate impression based on findings. | Reason: HNSCC. Post induction evaluation. History: as above CHEST:LUNGS AND PLEURA: Upper lobe predominant centrilobular emphysema. Right apical pleural parenchymal scarring, unchanged. Nonspecific scattered pulmonary micronodules. No suspicious pulmonary nodule or pleural effusion.MEDIASTINUM AND HILA: Heart size is n... | Scattered pulmonary micronodules are nonspecific. No suspicious pulmonary nodules.Left axillary lymph node is slightly smaller, 8 mm at this time. No mediastinal lymphadenopathy. |
Generate impression based on findings. | Panorex dated 10/9/13. There is a defect in the enamel and dentin along the mesiobuccal aspect of ADA 17. There is minimal associated perinodal lucency without evidence of abscess or osteomyelitis. There are small left maxillary sinus retention cysts. The mastoid air cells are clear. The orbits are unremarkable. The ma... | Carious ADA 17 with minimal associated perinodal lucency and no evidence of abscess or osteomyelitis. |
Generate impression based on findings. | Recent diagnosis of SCCA to BOT infiltrating right tonsil with bilateral spread to cervical lymph nodes, status post induction chemotherapy. Streak artifact emanating from dental amalgam obscures surrounding structures. Within this limitation, there has been marked interval decrease in size of the ill-defined mass cent... | Marked interval decrease in size of the ill-defined mass centered in the right base of tongue, which now measures up to approximately 20 mm, previously up to approximately 35 mm and marked interval decrease in size of the right suprahyoid lymphadenopathy indicated response to the induction chemotherapy. |
Generate impression based on findings. | 66 year old male with metastatic renal cell cancer -- ablation of liver lesion; restaging. The following observations are made given the limitations of an unenhanced study.CHEST:LUNGS AND PLEURA: Innumerable pulmonary parenchymal nodules are unchanged. Reference left lower lobe nodule (series 5, image 74) measures 3.0 ... | Stable lung lesions. Decrease in one of two reference liver lesions. Stable small lymph nodes. |
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