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Generate impression based on findings. | Reason: 47 y/o with hx of Crohn's s/p multiple ab surgeries, SBO, presenting with partial SBO History: 47 y/o with hx of Crohn's s/p multiple ab surgeries, SBO, presenting with partial SBO ABDOMEN:LUNG BASES: Trace pleural effusion at bilateral bases with minimal overlying atelectasis.LIVER, BILIARY TRACT: There is mil... | 1.Mild interval increase in small bowel dilation consistent with chronic partial obstruction likely from adhesions. No free intra-abdominal air.2.Redemonstration of intrahepatic and extrahepatic biliary ductal dilatation, not significantly changed compared to prior exam. |
Generate impression based on findings. | Reason: 38 y/o with hematuria History: 38 y/o with hematuria ABDOMEN:LUNG BASES: Basilar atelectasis.LIVER, BILIARY TRACT: Mild intrahepatic biliary ductal dilatation. Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormali... | 1.Cystitis.2.Indeterminate cystic right adnexal lesion. Pelvic ultrasound should be considered as clinically warranted. |
Generate impression based on findings. | Clinical question: Evaluate intracranial process. Signs and symptoms: New onset of delusions. Nonenhanced head CT:There is no detectable acute intracranial process CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Slight prominence of cortical sulci in the frontal convexity similar to pri... | No acute intracranial process. |
Generate impression based on findings. | 47-year-old female with history of breast cancer with known metastatic disease and presenting with new right upper quadrant pain ABDOMEN:LUNG BASES: Chest CT will be dictated separately. Posterior mediastinal lymph nodes and extensive palmar embolus involving the right lower lobe pulmonary arteries are noted. Interval ... | Interval increase in the size of the upper abdominal adenopathy. Index pelvic lymph node is decreased in size.Interva increase in the size of the liver with large areas of heterogeneous enhancement which likely represents interval increase in the size and number of metastatic disease. MRI of the liver may be helpful fo... |
Generate impression based on findings. | Reason: Gallstone pancreatitis? 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: Left upper pole cyst.RET... | No evident cause of the patient's abdominal pain. |
Generate impression based on findings. | 57 year old female with cardiac arrest. History of craniectomy Hardware components of occipital-axial fusion in near-anatomic alignment without radiographic evidence of complication. The scattered post-surgical foci of subcutaneous air are decreased compared to 10/11/13. The degree of basilar invagination appears uncha... | Post-surgical changes of an occipital-axial fusion, without acute intracranial abnormality evident. |
Generate impression based on findings. | Female; 40 years old. Reason: 40F w/ SLE w/ multiple episode of syncope, eval for PE History: syncope Minimal contrast was infused into the patient and so findings are based on limited images obtained prior to study being aborted. PULMONARY ARTERIES: Non-diagnostic due to extravasation.LUNGS AND PLEURA: Mild dependent ... | Non diagnostic PE exam due to contrast extravasation as detailed above. |
Generate impression based on findings. | Clinical question: Status post craniotomy for tumor removal. Signs and symptoms: As above. Nonenhanced head CT:Examination demonstrate interval right anterior frontal and temporal large craniotomy for debulking of patient's known meningioma. There is expected postoperative changes of subarachnoid and epidural air colle... | 1.Interval right frontal -- temporal craniotomy for tumor debulking.2.Right inferior frontal edema and a small hematoma measuring approximately 7 mm.3.P in ost operative changes results in approximately 7 mm leftward midline shift at the level of septum pellucidum.4.Better visualization of basal cistern secondary to re... |
Generate impression based on findings. | Reason: SBO History: distention, obstipation ABDOMEN:LUNG BASES: Basilar atelectasis and patchy consolidation.LIVER, BILIARY TRACT: Ascites.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality no... | 1.Small bowel obstruction with a transition point in the right lower quadrant. Small bowel wall thickening in the midabdomen. Ischemia cannot be excluded.2.Left iliac wing lytic lesion of indeterminate etiology. Metastatic disease cannot be excluded. Correlate for history of malignancy. |
Generate impression based on findings. | Stage 4 poorly differentiated squamous cell carcinoma of the glottic larynx with supraglottic and infraglottic extension status post chemotherapy and radiation. Head: There is a 3 mm diameter within the grey-white matter junction of the left middle frontal gyrus with surrounding vasogenic edema. There is a also 6 mm di... | 1. At least two enhancing intracranial lesions that measure up to 6 mm, which likely represent brain metastases. Brain MRI may be useful for further evaluation.2. Thickening of the bilateral vocal folds with effacement of the vestibules, left greater than right with effacement of the paraglottic fat and irregularity of... |
Generate impression based on findings. | 69-year-old male with known pancreatic head mass ABDOMEN:LUNG BASES: Emphysema.LIVER, BILIARY TRACT: 1.4-cm hypodense lesion near the dome of the liver in image number 18, series number 10, suspicious for metastatic disease.SPLEEN: No significant abnormality notedPANCREAS: Large pancreatic head mass measuring 4 by 3.1 ... | Locally invasive large pancreatic adenocarcinoma with lesion suspicious for metastatic disease in the liver. |
Generate impression based on findings. | Reason: 54 yo M with hx of HCV/Etoh cirrhosis transferred from OSH for incarcerated inguinal hernia repair, now with abdominal pain, leukocytosis, eval for source of infection, also with cough, eval for improving pneumonia History: abdominal pain, leukocytosis, cough CHEST:LUNGS AND PLEURA: Right basilar scarring with ... | 1. Free intraperitoneal air. Correlate with surgical date.2. Dilated small bowel loops without transition point suggests post-operative ileus.3. No drainable fluid collections.4. New right pulmonary nodule. |
Generate impression based on findings. | Reason: PE History: sob PULMONARY ARTERIES: One suboptimal opacification of the pulmonary arterial tree. No large central pulmonary emboli can be identified.LUNGS AND PLEURA: Decreased lung volumes with elevation right hemidiaphragm.Areas of the scarring and atelectasis noted medially in the right upper and lower lobes... | 1.Limited exam demonstrates no evidence of large central pulmonary emboli.2.Decreased lung volumes with elevation right hemidiaphragm.3.Focal subpleural groundglass opacity in the left upper lobe may represent an area of hemorrhage or infarction. |
Generate impression based on findings. | Reason: Head and neck cancer. Baseline evaluation. History: as above Reason: Head and neck cancer. Baseline evaluation. History: as above CHEST:LUNGS AND PLEURA: A partially necrotic, nodular mass extends from the right infrahilum into the right lower lobe. This encircles the central right lower and middle lobe bronchi... | A partially necrotic, nodular mass extends from the right infrahilum into the right lower lobe with associated postobstructive atelectasis of the right lower lobe.Right high paratracheal adenopathy.Multiple pulmonary nodules on the left compatible with metastases. |
Generate impression based on findings. | Female; 40 years old. Reason: r/o PE History: syncope No contrast was infused into the patient and so findings are based on limited images obtained prior to study being aborted. PULMONARY ARTERIES: Nondiagnostic study of the pulmonary arteries due to contrast extravasation as detailed above. | Nondiagnostic exam of the pulmonary arteries due to contrast extravasation and resultant early termination of the study. |
Generate impression based on findings. | Reason: anasarca/ascites - eval liver triple phase History: anasarca/ascites CHEST:LUNGS AND PLEURA: Partially calcified nodule in the right lung and calcified hilar lymph nodes.Follow-up on repeat scans is indicated.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOM... | 1.Questionable lesion in the right lobe of the liver. Follow up imaging with MR after paracentesis would be useful. 2.Cirrhotic liver with large amount of ascites and portosystemic collaterals.3.Partially calcified nodule in the right lung with calcified hilar lymph nodes. |
Generate impression based on findings. | Reason: Evaluate for fluid collection/abscess, Pneumonia History: uptrending WBC, confusion CHEST:LUNGS AND PLEURA: Low lung volumes with basilar atelectasis/consolidation and small pleural effusions.MEDIASTINUM AND HILA: Endotracheal tube terminates above the level of the carina. Right central catheter tip terminates ... | 1.Interval placement of percutaneous abdominal drains with interval decrease / resolution of two abdominal fluid collections.2.Bilateral pleural effusions.3.Right IJ thrombus. |
Generate impression based on findings. | Reason: evaluate for PE History: chest pain, SOB PULMONARY ARTERIES: Technically adequate exam demonstrates no evidence of pulmonary emboli. The pulmonary artery is of normal caliber.LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Cardiac size is normal without evidence of pericardial effusion.... | No evidence of pulmonary emboli. No significant cardiopulmonary abnormalities. |
Generate impression based on findings. | Reason: stroke History: stroke status post revascularization and reperfusion There is redemonstration of a patchy hypodensity in the inferior aspect of the right cerebellar hemisphere and a new patchy hypodensity in the superior aspect of the right cerebellar hemisphere. In addition there is a new hypodensity in the me... | 1.No evidence for acute intracranial hemorrhage.2.Patchy hypodensities in the right cerebellar hemisphere and left occipital lobe are compatible with acute infarctions |
Generate impression based on findings. | Reason: eval for PE, rib metastases History: new DVT, pleuritic pain PULMONARY ARTERIES: Large pulmonary emboli occupying the right and left pulmonary arteries, nearly obstructive within the distal right pulmonary artery. This large clot burden extends into the right superior and inferior lobar arteries. The proximal r... | Large pulmonary emboli occupying the right and left pulmonary arteries, nearly obstructive within the distal right pulmonary artery. This large clot burden extends into the right superior and inferior lobar arteries. The proximal right inferior lobar artery is markedly expanded and appears focally obstructed. Posterior... |
Generate impression based on findings. | Male; 59 years old. Reason: rule out pe History: sinus tachycardia PULMONARY ARTERIES: No evidence of pulmonary embolism. Main pulmonary trunk demonstrates normal caliber.LUNGS AND PLEURA: Basilar atelectasis/scarring without focal consolidation or significant pleural effusion. Upper lobe predominant centrilobular emph... | 1.No evidence of pulmonary embolism. 2.Mild bronchial wall thickening and basilar atelectasis/scarring without focal lung opacity. Findings may represent bronchitis or asthma. 3.Anomalous left upper lobe pulmonary venous return as described above, a normal variant. |
Generate impression based on findings. | Clinical question: Check prior to heparin drip. Signs and symptoms: Check prior to heparin drip. Nonenhanced head CT:Examination demonstrates no evidence of acute intracranial hemorrhage no evidence of hemorrhagic conversion of a large right hemispheric subacute ischemic stroke.Extent, overall morphology and size of th... | 1.No convincing evidence of any acute new finding since prior exam.2.Stable nonhemorrhagic very large right hemispheric subacute ischemic stroke and its associated mass effect and 6-mm leftward midline shift.3.Stable normal size of ventricular system since prior exam.4.Stable small amount of subdural blood product at t... |
Generate impression based on findings. | Reason: eval postop changes History: s/p mechanical thrombectomy The CSF spaces are appropriate for the patient's stated age with no midline shift. There is redemonstration of a patchy hypodensity in the inferior aspect of the right cerebellar hemisphere. There is contrast present within the intracranial vasculature no... | 1.No evidence for acute intracranial hemorrhage.2.Findings are compatible with acute stroke involving the right cerebellar hemisphere |
Generate impression based on findings. | Male 71 years old Reason: history of calcified lung nodules LUNGS AND PLEURA: Calcified left lower lobe nodule compatible with a granuloma unchanged. No suspicious pulmonary nodules or mass identified. No pleural effusions.MEDIASTINUM AND HILA: Calcified mediastinal and hilar lymph nodes compatible with prior granuloma... | Evidence of prior granulomatous disease. No suspicious pulmonary nodules. No follow-up recommended. |
Generate impression based on findings. | Reason: 54 male with AML, neutropenic fever. r/o sinusitis History: Neutropenic fever The ostiomeatal complex units are patent bilaterally. There is some mild mucosal thickening present along the ostiomeatal complex units but they are patent. Within the nasal cavity no obstructive lesions are appreciated.The frontal si... | 1.No evidence for paranasal sinus outlet obstruction.2.No convincing evidence for acute sinusitis.3.There is some mild opacification of maxillary sinuses due to mucosal thickening which is likely inflammatory |
Generate impression based on findings. | Female; 60 years old. Reason: h/o HNC, CRT, compare to previous, measurements pls LUNGS AND PLEURA: Postoperative changes consistent with left upper lobectomy. Scattered punctate micronodules are again noted and unchanged. No suspicious pulmonary nodules or masses. Upper lobe predominant centrilobular emphysema. No foc... | Stable interval exam without evidence of metastatic disease. |
Generate impression based on findings. | Recurrent squamous cell carcinoma of the nasopharynx status post surgery, chemotherapy and radiation. Research scan for Merck MK3475-012 Study (IRB13-0311). Head: There are post-treatment findings in the nasopharynx, central skull base, and sinonasal region. There is ill-defined enhancing tissue intermixed with trapped... | 1. Post-treatment findings in the nasopharynx, central skull base, and sinonasal region with interval decease in size of the ill-defined nasopharyngeal carcinoma extending from the the posterior nasopharynx extending into the clivus and left petrous apex, now measuring approximately 18 mm AP x 22 mm SI, although the tu... |
Generate impression based on findings. | Reason: rule out thymic hyperplasia or thymoma History: ptosis, fatiguable weakness There is a mediastinal lipomatosis present at 10 the thymus does not appear to be particularly enlarged. There is generalized atrophy of head and neck musculatureWithin the suprahyoid neck on the basis of size criteria for lymphadenopat... | 1.No evidence for thymoma or an enlarged thymus.2.There is generalized atrophy of the visualized head and neck musculature. |
Generate impression based on findings. | Left knee swelling, abnormal Doppler. Evaluate for cause of swelling. There is a large joint effusion with enhancing synovium extending approximately 9 cm craniocaudally from the patella with a transverse dimension of approximately 7 cm. There is posterior extension of the effusion into the popliteal fossa. There is su... | 1. Large joint effusion of the knee.2. Degenerative changes of the knee as described above without fracture evident. |
Generate impression based on findings. | Reason: 54 male with AML, neutropenic fever. r/o infiltrate History: Neutropenic fever LUNGS AND PLEURA: Multiple poorly marginated opacities with a nodular configuration are consistent with atypical pneumonia, especially of a fungal etiology.No significant sized pleural effusions are present.MEDIASTINUM AND HILA: Ther... | Multi-focal pneumonia likely fungal in etiology. |
Generate impression based on findings. | Reason: ich History: ich There is redemonstration of a right hemispheric hematoma associated with an drainage catheter. The hematoma appears very similar compared to prior exams measuring 45 mm in width and 22 mm AP dimension which is very similar prior exams. Please note that this hematoma is irregular. A right thalam... | 1.The examination is stable compared to yesterday's exam. There is redemonstration of a large right hemispheric hematoma associated with a midline shift and intraventricular hemorrhage and a left-sided ventriculostomy tube. |
Generate impression based on findings. | Reason: ich History: ich There is redemonstration of the ventriculostomy tube which course of the right frontal lobe into the right lateral ventricle with the tip in the region of foramen of Monroe. Horns of the lateral ventricles remain mildly dilated. Biventricular diameter and appears stable when compared to the pri... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Stable position of ventriculostomy tube .3.Stable size The appearance of optic nerve heads is unchanged and suggestive of a possible papilledema. Please correlate with clinical history and the intracranial pressure and with funduscopic findings4.Sta... |
Generate impression based on findings. | Reason: 71 y/o male with RLE numbness, MRI findings questioning for iliacis hematoma. Please evaluate. History: Hematoma ABDOMEN:LUNG BASES: Scattered pulmonary micronodules. Near resolution of previously described pleural effusions and basilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: ... | 1. Bilateral iliacus collections are unchanged and suggest hematomas. Superimposed infection can not be excluded.2. Decreasing anterior abdominal wall fluid collections. |
Generate impression based on findings. | 86 year old female with altered mental status. Evaluate subdural hematoma. Left pterional craniotomy changes are again noted, with postsurgical air in the left subdural space. The left convexity heterogeneous subdural hematoma is unchanged at 7 mm thick when measured similarly (coronal series 80356, image 43). It demon... | 1. Bilateral evolving subdural hematomas, without significant interval change in size.2. No evidence of new acute hemorrhage. |
Generate impression based on findings. | Reason: 24F w/ h/o perforated gastic antrum s/p ex lap represents from LTAC w/ uptrending WBC and worsening anemia, eval for intraabd infection, abscess; no focal abd pain History: elevated WBC, no focal abd pain CHEST:LUNGS AND PLEURA: Increasing right pleural effusion and decreasing left pleural effusion. Improving u... | 1.Increasing enhancing fluid collections with internal gas extending up the posterior soft tissues of the back and extending into the ischiorectal fossa. Some collections appear inseparable from the rectum and anus. The possibility of fistulous communication with the bowel can not be excluded. Necrotizing fasciitis is ... |
Generate impression based on findings. | Reason: r/o colitis, teflitis - aware this will be sub-optimal without IV contrast History: neutropenia, LLQ ab pain, diarrhea ABDOMEN:LUNG BASES: Mild dependent atelectasis bilaterally.LIVER, BILIARY TRACT: Gallbladder sludge without evidence of cholelithiasis or cholecystitis. No intrahepatic or extrahepatic biliary ... | 1.Lack of IV contrast limits the evaluation of bowel wall thickness. No pericolonic or mesenteric fat stranding to suggest acute inflammatory process involving the bowel.2.Mildly prominent mesenteric lymph nodes may be of infectious, inflammatory, or neoplastic in etiology.3.Nonobstructing renal stone in the left kidne... |
Generate impression based on findings. | Colon carcinoma CHEST:LUNGS AND PLEURA: Stable emphysema. Stable calcified granulomas and micronodules.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant change in numerous bilobar low attenuation lesions. Reference segment 2 le... | Stable examination |
Generate impression based on findings. | Reason: evalaute for intrabdominal pathology History: RLQ pain after unknown blunt trauma ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Calcified hepatic granulomata. SPLEEN: Calcified splenic granulomata.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality ... | No acute intra-abdominal abnormality. |
Generate impression based on findings. | Reason: evaluate upper urinary tracts for stones, malignancy History: microscopic hematuria, irritative voiding symptoms ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Punctate calcifications in the liver likely represent granulomata. No suspicious hepatic lesions.SPLEEN: No significant abnor... | No nephrolithiasis, hydronephrosis or evident focal mass. |
Generate impression based on findings. | Male 78 years old; Reason: Eval after 10 cycles of Sutent per IRB 11-0049 History: hx/o RCC CHEST:LUNGS AND PLEURA: Moderate emphysema affects the upper lobes of the lungs. There are a few scattered pulmonary micronodules some of which are calcified. No dominant lung lesion. There are trace effusions.MEDIASTINUM AND HI... | 1.Minimal change in the size of the reference lesions.2.Colonic wall thickening and edema involving the ascending colon. |
Generate impression based on findings. | Female 57 years old Reason: Metastatic breast cancer on treatment, evaluate for response and extent of disease. History: Metastatic breast cancer on treatment, evaluate for response and extent of disease. CHEST:LUNGS AND PLEURA: Persistent occlusion of the bronchus intermedius secondary to a right infrahilar soft tissu... | 1. Sclerotic focus in the T1 vertebral body concerning for osseous metastasis.3. Interval decrease of one reference pulmonary nodule and stable remaining pulmonary nodules, and new satellite nodules associated with non-referenced nodule.3. Interval decrease in size of the reference right paratracheal node.4. Stable hep... |
Generate impression based on findings. | Reason: rule out thymic hyperplasia or thymoma. Eval for lung nodules or infiltrates History: positive AChR ab, ptosis, fatiguable weakness, sob LUNGS AND PLEURA: Mild basilar scarring/discoid atelectasis.No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: Hilar or mediastinal lymphaden... | The no significant cardiopulmonary abnormalities. Specifically no evidence of an anterior mediastinal mass or thymic hyperplasia. |
Generate impression based on findings. | Reason: Pt with Tonsil ca sp 10-069 (CRT) in 4/201. Please re-eval and compare to prior scans History: as above CHEST:LUNGS AND PLEURA: Benign appearing punctate micronodules, but no evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: Mild upper esophageal thickening.No evidence of mediastinal or hilar ly... | No change, and no evidence of metastases. |
Generate impression based on findings. | Reason: T4BN0 SNUC HNC s/p resection f/b TFHX 10/1/08. please re-eval for recurrence History: as above CHEST:LUNGS AND PLEURA: 4-mm groundglass nodule left upper lobe (image 65 series 4) compatible with atypical adenomatous hyperplasia.No suspicious pulmonary nodules or masses.Azygos pseudo-lobe redemonstrated.MEDIASTI... | No interval change. No evidence of metastatic disease. |
Generate impression based on findings. | Female; 63 years old. Reason: pt with lung ca s/p lobectomy and h/o breast ca History: now needs disease evaluation compare to previous scans and comment. CHEST:LUNGS AND PLEURA: Postsurgical changes compatible with right upper lobectomy and mediastinal lymphadenectomy are again noted. The soft tissue lesion along the ... | 1.Postsurgical changes compatible with right upper lobectomy and mediastinal lymphadenectomy, with interval increase in size of soft tissue lesion along the craniocaudal suture line in the right lung. This finding is suspicious for tumor recurrence.2.No additional sites of disease identified. |
Generate impression based on findings. | Reason: evaluate for disease progression/metastasis. History: angiosarcoma of T spine. 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: Motion limits the elevation of... | Lack of intravenous contrast and motion limits the assessment. Stable examination. |
Generate impression based on findings. | Reason: lung cancer History: s/p lung resection LUNGS AND PLEURA: Right lower lobectomy with right hemithorax postsurgical volume loss and pleural thickening. Nonspecific ground glass opacity throughout the right lung has not changed. There is no evidence of tumor recurrence.Right intrapulmonary lymph node unchanged, i... | Prior right lower lobectomy, without evidence of tumor recurrence. |
Generate impression based on findings. | Reason: s/p LVAD with respiratory failure f/u lung mass History: f/u lung mass LUNGS AND PLEURA: Increasing size of the previously identified cavitary nodule within the peripheral right upper lobe. This currently measures 3.1 x 3.1 cm (High resolution series 5 image 133), as compared to 2.5 x 2.7 cm. Increasing interna... | Increasing size of the previously identified cavitary nodule within the peripheral right upper lobe. This currently measures 3.1 x 3.1 cm (High resolution series 5 image 133), as compared to 2.5 x 2.7 cm. Increasing internal consolidation. No extension into the chest wall. This remains suspicious for infection with det... |
Generate impression based on findings. | Patient with previous left shoulder infection, and antibiotic spacer in place. Evaluate glenoid bone stock for TSA/RTSA. CT images of the left shoulder demonstrate contrast that stays within the shoulder joint and does not communicate with the subacromial bursa indicating an intact rotator cuff. There are osteophytes a... | Severe degenerative changes of the articular surface of the glenoid as described above. |
Generate impression based on findings. | Reason: Ptis a 56 y/o male with urothelial cancer, s/p radical cysetctomy with neobladder, CT urogram, 3D views, delayed images History: urothelial cancer CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Reference paraesophageal lymph node measures are 0.9 cm (series 8, image 67), previous... | 1.Reference paraesophageal lymph node without significant interval change.2.No new sites of disease. |
Generate impression based on findings. | Left pulsatile Tinnitus, Hx of tympanic rupture. The images are partially degraded by patient motion.On the right, the external auditory canal is patent. The middle ear and mastoid air cells are well-pneumatized and clear. The ossicular chain is intact. The facial nerve describes a normal course. There is no aberrant o... | Unremarkable temporal bones without evidence of aberrant or lateralized internal carotid artery, jugular bulb dehiscence or high riding jugular bulb, or glomus tympanicum. |
Generate impression based on findings. | Reason: Pt with metastatic pancreatic cancer, evaluate for progression. History: Metastatic pancreatic cancer. CHEST:LUNGS AND PLEURA: New left upper lobe pulmonary nodule measures 6 x 4 cm (series 5, image 32). New nodularity along the left major fissure.MEDIASTINUM AND HILA: Prominent mediastinal lymph nodes, some of... | 1. New pulmonary nodules.2. Increasing paratracheal lymph node.3. Decreasing pancreatic mass.4. Hepatic metastases are unchanged. |
Generate impression based on findings. | Sinonasal undifferentiated carcinoma status post treatment. Head: There is no abnormal intracranial enhancement. No acute intracranial hemorrhage, edema or abnormal fluid collection is identified within the brain parenchyma. The ventricles are stable in size and configuration. There are stable post-surgical findings re... | 1. No evidence of intracranial metastatic disease.2. Stable postsurgical findings without evidence of locoregional tumor recurrence or significant lymphadenopathy. |
Generate impression based on findings. | Reason: h/o palate cancer History: r/o lung mets LUNGS AND PLEURA: Scattered benign-appearing micronodules and scarring are unchanged.There is no evidence of pulmonary or pleural metastases. MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy noted.Moderate aortic root and coronary calcifications are present.... | No change, and no evidence of metastases. Stable benign-appearing micronodules and scarring. |
Generate impression based on findings. | 71-year-old male with history of bladder cancer ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Left-sided hydronephrosis, moderate to severe with left renal ... | Moderate to severe left-sided hydronephrosis, unchanged. |
Generate impression based on findings. | History of gastrointestinal stromal tumor CHEST:LUNGS AND PLEURA: Index right upper lobe nodule measures 3 x 4 mm on image number 27, series number 9. No other nodules.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Cholelithiasis.SPLEEN: N... | Decrease in the size of the index omental mass. However the majority of omental masses more superior compared to the index lesion have increased in size within the interval. |
Generate impression based on findings. | 77-year-old male with history of pancreas cancer CHEST:LUNGS AND PLEURA: Wedge-shaped ground glass opacity in the right upper lobe, unchanged from previous study. Right middle lobe and left lower lobe atelectasis, unchanged.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality not... | No significant change from previous study. |
Generate impression based on findings. | 62-year-old male with history of lung cancer CHEST:LUNGS AND PLEURA: Index left upper lobe mass now measures 1.6 x 1.1 cm image number 21, series number 6, not significantly changed from previous study. Groundglass opacities in lingula with some suggested nodularity is again noted. Nodularity is increased with in the i... | No significant change in sclerotic bone metastases.Lung lesions are also stable except for increase in the nodularity in the left upper lobe. New peritoneal carcinomatosis. Wall thickening surrounding the stomach may also be manifestation of peritoneal carcinomatosis. |
Generate impression based on findings. | 47-year-old male with left lower quadrant 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: Left renal cyst is ... | Simple left renal cyst. |
Generate impression based on findings. | Zone to 7-year-old male with history of cancer at the rectosigmoid junction CHEST:LUNGS AND PLEURA: Emphysema multiple nodules in the left lower lobe. Largest measures 3.2 x 2.5 cm image number 72, series number 5. These nodules are suspicious for metastatic disease.MEDIASTINUM AND HILA: Small mediastinal lymph nodes, ... | Limited study due to lack of IV contrast. Left lower lobe metastatic lung nodules. |
Generate impression based on findings. | Hard palate mucoepidermoidcancer, status post wide local excision with buccal fat pad flap. Streak artifact related to dental amalgam obscured surrounding structures. There are stable postoperative findings related to partial left hard palate resection with an associated defect in the posterior maxillary alveolus and t... | Stable postoperative findings without evidence of locoregional tumor recurrence or significant cervical lymphadenopathy. |
Generate impression based on findings. | 63-year-old male with history of gastrointestinal stromal tumor CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Stable small hypodense lesion in... | Stable exam without an acute or metastatic process. |
Generate impression based on findings. | 57-year-old female with stage IV pancreatic cancer CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Multiple thyroid nodules are unchanged.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Index right hepatic lobe lesion measures 1.5 x 1.3 cm in on image number 99,... | Slight interval decrease in the size of patient's known pancreatic head mass. hepatic lesions are unchanged. |
Generate impression based on findings. | Clinical question: Rule out intracranial hemorrhage. Signs and symptoms: Status post fall. Has right thigh hematoma. Nonenhanced head CT:Examination demonstrates no detectable intracranial or calvarial posttraumatic findings. There is however a right central and lateral orbital soft tissue hematoma measuring up to 15 x... | 1.Nonenhanced head CT demonstrate soft tissue hematoma measuring at 25 x 15-mm in the right supra and right lateral orbit. No associated bony changes of calvarial or right orbital osseous structures.2.Advanced age indeterminate small muscle ischemic strokes with interval worsening since prior study from 2011. |
Generate impression based on findings. | Head and neck CA s/p resection and reconstruction with resultant foreign body. There are recent postoperative findings related to right transzygomatic partial maxillectomy and mandibulectomy with temporomandibular joint disarticulation for resection of a masticator space mass. There is extensive ill-defined fluid soft ... | Postoperative findings related to right partial maxillectomy and mandibulectomy for resection of a masticator space mass with a detached screw that has migrated into the posterosuperior portion of the partially opacified remaining maxillary sinus. No radio-opaque foreign body is identified within the right orbit.Discus... |
Generate impression based on findings. | History of bladder cancer CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormal... | No evidence of metastatic or recurrent disease. |
Generate impression based on findings. | 76-year-old female with history of bladder cancer CHEST:LUNGS AND PLEURA: Severe emphysema, unchanged. Right lower lobe linear atelectasis, unchanged.MEDIASTINUM AND HILA: Subcentimeter outpouching at the level of the distal arch representing a small pseudoaneurysm is unchanged compared to previous study.CHEST WALL: No... | Interval increase in the size of the infrarenal abdominal aortic aneurysm. Subcentimeter pseudoaneurysm arising from the proximal descending thoracic aorta is unchanged. |
Generate impression based on findings. | 76-year-old male with history of carcinoid tumor CHEST:LUNGS AND PLEURA: Scattered subcentimeter micronodules are unchanged.MEDIASTINUM AND HILA: Dilated main pulmonary arteries unchanged.CHEST WALL: Index left axillary prominent lymph node measures 1.2 x 0.9 cm image number 49, series number 7, unchanged.ABDOMEN:LIVER... | No significant change from previous study. |
Generate impression based on findings. | Melanoma CHEST:LUNGS AND PLEURA: Stable biapical scarring. Scarring is more prominent on the left side with calcified pleural plaques and associated volume loss.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Stable hepatic cyst.SPLEEN: No ... | Interval increase in the size of the bilateral metastatic lesions and right gluteal subcutaneous nodule.Minimal interval decrease in the size of the aortocaval index retroperitoneal lymph node. |
Generate impression based on findings. | Reason: worsening SOB with known nodules and interstitial disease History: shortness of breath, hypoxia LUNGS AND PLEURA: Subpleural diffuse reticular interstitial opacities with septal thickening and centrilobular nodules.. There has been significant interval improvement in the multiple nodular opacities.Right subpulm... | 1.Interval improvement in the multiple nodular opacities .2.Persistent reticular interstitial opacities and septal lines compatible with underlying chronic interstitial lung disease and possible superimposed edema.3.Mediastinal lymphadenopathy unchanged. |
Generate impression based on findings. | GE junction cancer CHEST:LUNGS AND PLEURA: Index left upper lobe nodule measures 8 x 10 mm on image number 60, series number 5, increased in size compared to previous study. Index right upper lobe nodule measures 10 mm in diameter image number 27, series number 5, minimally increased in size compared to previous study.... | Slight interval increase in the size of the lung lesions and some of the hepatic lesions. Retroperitoneal lymph nodes are stable.Slight interval increase in the amount of wall thickening of the stomach.Pelvic expansile/sclerotic bone lesions are stable. |
Generate impression based on findings. | 71-year-old male with history of bladder cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No sig... | Interval increase in the size and number of the retroperitoneal adenopathy suspicious for metastatic disease. |
Generate impression based on findings. | Female 69 years old Reason: esophogeal cancer History: dysphagia CHEST:LUNGS AND PLEURA: Two nodular fissural densities compatible with intrapulmonary lymph nodes in the left major and right minor fissures.Mild centrilobular emphysema. Bilateral posterior subpleural/pleural nodularity likely scarring or atelectasis.MED... | 1. Asymmetric circumferential thickening of the distal esophagus compatible with patient's known adenocarcinoma, with an indeterminate associated soft tissue density, which may be exophytic tumor or lymphatic in nature.2. Enlarged right subpectoral lymph node of uncertain significance.3. Retroperitoneal and gastrohepat... |
Generate impression based on findings. | 66 year old female with history of mesothelioma ABDOMEN:For chest findings please refer to dedicated chest CT report performed same dayLIVER, BILIARY TRACT: Hepatic hypodensities are stable.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality not... | Interval significant increase in the size of the infiltrative mass invading the anterior abdominal wall extending into the abdominal cavity.Slight interval increase in the size of the right femoral lymph node. Retroperitoneal lymph nodes are stable. |
Generate impression based on findings. | Reason: h/o HNC, compare to previous, measurements pls, h/o CRT History: none LUNGS AND PLEURA: No sign of pulmonary or pleural metastases.Prior groundglass opacities have resolved.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Degenerative abnormalities and osteophyte formation affect the thoracic ... | No evidence of metastases or significant change. |
Generate impression based on findings. | Slight vision change. There is a stereotactic frame in position, which produces streak artifact that obscures the underlying anatomy. The known right frontoparietal masses with surrounding vasogenic edema are better depicted on the recent prior MRI. There are post biopsy images are well, which show air along the right ... | Intraoperative stereotactic images show interval biopsy of a right frontal mass without evidence of acute intracranial hemorrhage or midline shift. |
Generate impression based on findings. | Reason: Colon Cancer: restaging History: none CHEST:LUNGS AND PLEURA: Stable bilateral pulmonary nodules.MEDIASTINUM AND HILA: Scattered mediastinal lymph nodes, normal in appearance. Moderate atherosclerotic calcifications of the coronary arteries.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRAC... | 1.Diffuse edema of the large portion of the small bowel starting at the anastomosis site and extending distally with surrounding fat stranding and engorgement of the vessels. These findings are nonspecific, and inflammatory, infectious, or ischemic etiology cannot be excluded. These findings may also be due to chemothe... |
Generate impression based on findings. | 58-year-old female with history of malignant solitary fibrous tumor CHEST:LUNGS AND PLEURA: Previously noted ground glass opacities within the left lung have resolved. Again noted multiple large pulmonary/pleural masses within the right hemithorax. Index right para-crural lesion measures 3.5 x 1.5 cm image number 82, s... | Interval increase in the size of the right-sided pulmonary/pleural masses and perihepatic masses. |
Generate impression based on findings. | Reason: h/o HNC, s/p induction, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Right greater than left subpleural bronchiectasis and bronchiolectasis with scattered areas of honeycombing. No significant associated ground glass opacity. There is mild thickening of the interlobular septa with... | Right greater than left subpleural bronchiectasis and bronchiolectasis with scattered areas of honeycombing. No significant associated ground glass opacity. There is mild thickening of the interlobular septa within regions of peripheral fibrosis. Mild nodular thickening of the major fissures are also present.Small pulm... |
Generate impression based on findings. | 76-year-old female with history of bladder cancer CHEST:LUNGS AND PLEURA: Severe emphysema, unchanged. Right lower lobe linear atelectasis, unchanged.MEDIASTINUM AND HILA: Subcentimeter outpouching at the level of the distal arch representing a small pseudoaneurysm is unchanged compared to previous study.CHEST WALL: No... | Interval increase in the size of the infrarenal abdominal aortic aneurysm. Subcentimeter pseudoaneurysm arising from the proximal descending thoracic aorta is unchanged. |
Generate impression based on findings. | Male; 37 years old. Reason: evaluate for disease progression. History: Malignant fibrous histiocytoma of the bone. LUNGS AND PLEURA: Postoperative changes compatible with prior partial left upper lobe resection. The heterogeneous, enhancing left hilar mass is again noted and continues to narrow the left mainstem and lo... | Interval increase in size of left hilar mass as described above. |
Generate impression based on findings. | History CML with splenomegaly. Status post colectomy with left upper quadrant pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomySPLEEN: No significant abnormality noted. Normal sized spleen.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant a... | Negative for acute, inflammatory, or neoplastic process. Specifically, no evidence for splenomegaly |
Generate impression based on findings. | History of bladder cancer CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormal... | No evidence of metastatic or recurrent disease. |
Generate impression based on findings. | 71-year-old male with history of bladder cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No sig... | Interval increase in the size and number of the retroperitoneal adenopathy suspicious for metastatic disease. |
Generate impression based on findings. | CT CHEST ABDOMEN PELVIS W, 10/15/2013 1:52 PM CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules, unchanged.MEDIASTINUM AND HILA: No lymphadenopathy. Heart size is normal without pericardial effusion. Moderate atherosclerosis at the origin of the right subclavian artery.CHEST WALL: Right chest wall Port-A-Cath ti... | 1. Increasing right inguinal lymph node.2. Other reference measurements without significant interval change. |
Generate impression based on findings. | T4N0M0 SCC R alveolar ridge status post right neck dissection and CRT complete in 4/2006, with pathologic fracture of mandible treated external fixator, which has since been removed. Last seen in clinic 10/16/12 exposed root, devascularized bone, and purulence around tooth #30 with >1000000 CFU/gram Candida and >100000... | Displaced fracture of the right mandibular body, which otherwise demonstrates areas of mixed sclerosis and lucency that are likely related to osteonecrosis and/or osteomyelitis. Ill-defined adjacent soft tissue swelling may be due to inflammation, although tumor recurrence cannot be entirely excluded. No evidence of ab... |
Generate impression based on findings. | Clinical question: Assess cervical laminoplasty. Signs and symptoms: Six months follow-up post cervical laminoplasty. Nonenhanced cervical spine CT:The alignment of vertebral column is anatomical and stable since prior exam.There is mild kyphosis of the cervical spine which likely is a result of positioning.Foramen mag... | 1.Stable and normal anatomical alignment the vertebral column.2.Stable postoperative changes of multilevel wide bilateral laminectomies from C3 through C6.3.Posterior fusion with placement of fixating screws and rods from C3 through C5 without evidence of hardware failure or complications.4.No detectable bony graft for... |
Generate impression based on findings. | Reason: metastatic prostate cancer, evaluation of disease after 3 cycles of investigational therapy. History: metastatic prostate cancer, CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Reference precarinal lymph node measures 2.0 by 1.0 cm (series 3, image ... | 1.New innumerable hepatic metastases.2.Diffuse skeletal metastases. |
Generate impression based on findings. | Clinical question: Nasal septum fracture? Signs and symptoms: Difficulty breathing through the nose, bruising around eyes, laxity of bride of nose. Unenhanced maxillofacial CT:Examination demonstrate a linear right nasal bone fracture with minimal medial and posterior displacement. There is compromise of right internal... | 1.There is evidence of right nasal bone fracture of indeterminate age with minimal displacement and resultant compromise of right internal nasal valve.2.There is no convincing evidence of nasal septum fracture as is questioned clinically. There is however nasal septum deviation to the left and with mucosal contact the ... |
Generate impression based on findings. | Reason: followup nodule History: dyspnea LUNGS AND PLEURA: Severe centrilobular emphysema.Pulmonary nodule within the right lower lobe, adjacent to the major fissure (high-resolution series 5 image 202), unchanged from prior study. This documents stability over 7 months. If the patient is at low risk, confirmation over... | Pulmonary nodule within the right lower lobe, adjacent to the major fissure, unchanged from prior study. This documents stability over 7 months. If the patient is at low risk, confirmation over a one year time period is recommended (with additional chest CT March 2014). If the patient is at high risk, such as having sm... |
Generate impression based on findings. | Reason: evaluate ILD History: sob LUNGS AND PLEURA: Basilar predominant subpleural reticulation, septal thickening, architectural distortion, and traction bronchiectasis. There is minimal basilar honeycombing. No groundglass opacities. No air trapping.Bilateral pleural thickening similar in appearance to the prior exam... | Mild basilar predominant fibrosis in a UIP pattern. Etiologies include idiopathic, mixed connective tissue disease, and less likely drug reaction (amiodarone). |
Generate impression based on findings. | Reason: mitral regurgitation- previous groin cannulation History: SOB VESSELS:The length of the ascending thoracic aorta from the sinotubular junction to the ostium of the innominate artery is approximately 8.6 cm (series 80916 image 60). Common origin of the innominate and left common carotid arteries. Minimal calcifi... | 1.The length of the ascending thoracic aorta from the sinotubular junction to the ostium of the innominate artery is approximately 8.6 cm. No ascending thoracic aneurysm nor dissection. Access vasculature measurements as above.2.Small right pleural effusion. |
Generate impression based on findings. | Reason: eval liver vs other acute process History: abd distention 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 micronodules in the right lung base (series 4, i... | Lack of IV contrast limits assessment.1.Heterogeneous, cystic-appearing mass is in bilateral adnexa suspicious for malignancy. There is a large amount of intraperitoneal ascites with peritoneal carcinomatosis compatible with pseudomyxoma peritonei. 2.Mildly prominent para-aortic lymph node.3.Few subcentimeter micronodu... |
Generate impression based on findings. | Female; 66 years old. History of mesothelioma. LUNGS AND PLEURA: Postsurgical changes compatible with right pneumonectomy and diaphragmatic graft placement with large amount of fluid in the right hemithorax are not significantly changed. Previously noted thickening along the inferior right pleura anterior to the liver ... | 1.Postsurgical changes status post right pneumonectomy as described above, without evidence of local recurrence or metastatic disease in the chest.2.Please see separately dictated abdominal CT report for further details on incompletely imaged anterior chest wall tumor. |
Generate impression based on findings. | Reason: palpable mass 1 inch epigastric region , needs also po contrast to rule out hernia History: none 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 abnor... | Nonspecific circumferential thickening of the gastric antrum, unchanged from the prior exam. Endoscopy is recommended. |
Generate impression based on findings. | Laryngeal neurofibroma. Dysphagia. The hypoattenuating left laryngeal circumscribed oval mass centered along the left vocal cord measures 4.0 x 2.5 cm on sagittal images (sagittal series 80265, image 45), previously 3.9 x 2.0 cm, with supraglottic extension. This mass causes effacement of the left pyriform sinus, outwa... | 1. 4.0 cm nonenhancing hypodense mass centered at the left vocal cord as described above, which is slightly enlarged compared to 11/10/12 with supraglottic extension. Mass effect on adjacent structures, including the airway which is deviated to the right and narrowed. 2. 0.7 x 0.7 x 1.7 cm tubular enhancing versus hype... |
Generate impression based on findings. | Reason: advanced ovarian cancer, s/p chemo and suboptimal surgery, evaluate residual disease History: see above CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules. No suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Reference right paratracheal lymph node measures 9 x 7 mm (serie... | 1. Increasing gastrohepatic and retroperitoneal lymphadenopathy.2. Increasing soft tissue nodularity and lymphadenopathy in the pelvis.3. Slight decrease in mediastinal lymphadenopathy.3. Status post omentectomy. |
Generate impression based on findings. | Urothelial carcinoma CHEST:LUNGS AND PLEURA: Slight interval decrease in size of reference left lower lobe nodule best seen on image 64, series 4 measuring 0.7 x 0.7 cm; this is in comparison to 0.9 x 0.9 cm on 8/6/2013. Other subcentimeter nodules stable, including reference left upper lobe nodule best seen on image 3... | Slight interval decrease in size of reference left lower lobe lung nodule; otherwise, stable examination. |
Generate impression based on findings. | Reason: ascending thoracic aneurysm last exam 1 year ago measured 3.2cm Looking for interval change History: thoracic aneurysm CHEST:LUNGS AND PLEURA: There is respiratory motion artifact.Biapical pleural parenchymal thickening. Bibasilar subsegmental atelectasis with ground glass opacities that may represent blurring ... | Ascending thoracic aneurysm with a maximal dimension at the level of the mid ascending thoracic aorta 45 x 45 mm. Recommend follow up imaging with ECG gated CTA thorax. |
Generate impression based on findings. | Nocturnal cough, nasal stuffings. The maxillary sinuses are clear. There is minimal scattered bilateral ethmoid sinus mucosal thickening. The sphenoid sinuses are clear. The frontal sinuses are clear. There is mild nasal septal deviation. There is a small right conchae bullosa. The nasal cavity is clear. The turbinates... | No evidence of acute sinusitis or obstructive nasal lesions. |
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