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Generate impression based on findings. | Reason: Eval ascending aortic aneurysm and compare from previous History: none CHEST:LUNGS AND PLEURA: Stable nodule in the right middle lobe measuring approximately 3 mm. Stable nodular fissural densities within the left major fissure since 2011, likely intrapulmonary lymph nodes.No pleural effusion.MEDIASTINUM AND HI... | 1.Measurement of the ascending thoracic aorta is limited by cardiac motion, as this was a non-ECG gated study. However, when compared to nonorthogonal technique from 10/23/12, no significant change is noted. Maximal dimension is 40 x 42 cm. Recommend follow-up imaging with ECG gated CTA thorax.2.Cardiac enlargement is ... |
Generate impression based on findings. | Right tonsillar cancer status post CRT. There are post-treatment findings related to right neck dissection, tonsillectomy, and radiation therapy. There is no definite mass lesion in the treatment bed. The is no significant cervical lymphadenopathy. There is partial effacement of the left with piriform sinus. The airway... | No evidence of locoregional tumor recurrence of significant cervical lymphadenopathy. |
Generate impression based on findings. | Female 75 years old Reason: mesothelioma, please evaluate for disease and compare with previous scans. s/p 3 months observation CHEST:LUNGS AND PLEURA: Increased size of the previous lesions, and new areas of focal pleural thickening most notably in the left inferior anterior pleural surface and lateral major fissure, ... | 1. New and increased areas of pleural thickening, and significantly increased size of the large left anterior chest wall mass.2. Previously described right internal mammary chain and right costophrenic nodes have significantly decreased in size. |
Generate impression based on findings. | Bilateral enlarged parotid glands. There is no significant interval change in the relatively low attenuation well-defined lobulated mass within the superficial parotid gland that measures 20 AP x 9 RL x 12 SI mm. The right parotid gland is unremarkable, with several normal-appearing lymph nodes. Indeed the dominant nod... | No significant interval change in the relatively low attenuation well-defined lobulated mass within the superficial parotid gland that measures up to 20 mm. Differential considerations include a sialocele, developmental cyst, lymphadenopathy, and cystic neoplasm. MRI may be useful for further characterization. |
Generate impression based on findings. | Follow up to assess for hemorrhagic conversion sp heparin drip in patient with recent very large ischemic stroke. There are postoperative findings related to right hemicraniectomy. There are extensive edema in the right MCA territory related to the recent infarct with protrusion of brain through the craniectomy defect,... | Continued evolution of the extensive subacute right MCA territory infarct with protrusion of brain through the craniectomy defect, 10 mm of midline shift to the left and subfalcine herniation, but no evidence of hemorrhagic conversion. |
Generate impression based on findings. | Large cell lymphoma CHEST:LUNGS AND PLEURA: New 0.3-cm right apical module best seen on image 14 of series 5.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Stable calcified scarlike residual soft tissue within the left axilla best seen on image 21 of series 3 measuring 1.7 x 1.9 cm.ABDOMEN:LIVER, BI... | Interval appearance of left lung apical subcentimeter nodule. Special attention to this focus on future surveillance scans recommended. Otherwise, stable examination. |
Generate impression based on findings. | 59-year-old male with history of bladder cancer. Status postcystectomy with neobladder. Evaluate for recurrent/metastatic disease. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffuse fatty infiltration throughout the liver is seen. Presenceof fat can obscure visualization of underlying sol... | 1. Status post cystoprostatectomy with continent neobladder stable inappearance. 2. Small reference left retroperitoneal, periaortic lymph node, slightlydecreased in size. 3. Two mm papillary lesion along medial wall of right renal pelvis -- see above. 4. No evidence of metastatic disease.Findings discussed with Dr. St... |
Generate impression based on findings. | GIST status-post resection CHEST:LUNGS AND PLEURA: Scattered calcified granulomas and micronodules.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 sign... | Status post resection of small bowel mass. No evidence for recurrent tumor, adenopathy, or metastatic focus. |
Generate impression based on findings. | 79-year-old female evaluate for stricture The study is limited due to lack of IV contrast and motion artifactsABDOMEN:LUNG BASES: Bilateral pleural effusions and dependent atelectasis. Mild cardiomegaly.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significan... | Ileal mass. Differential diagnosis includes gastrointestinal stromal tumor, lymphoma and less likely adenocarcinoma. Bilateral pleural effusions and cardiomegaly. |
Generate impression based on findings. | 35 year-old female with new onset hypoxia with dyspnea on exertion. Evaluate for pulmonary embolus versus edema. Motion artifact limits evaluation. Within this limitation, the following findings are noted.PULMONARY ARTERIES: No evidence of pulmonary embolus.LUNGS AND PLEURA: Bilateral small pleural effusions with under... | 1 No evidence of pulmonary embolus. 2. Findings suspicious for right middle lobe and right lower lobe pneumonia. 3. Findings as described above suspicious for congestive heart failure.4. Mild to moderate atherosclerotic disease as detailed.Findings relayed to Dr. Anshu Verma, covering pager 2987, over the phone at appr... |
Generate impression based on findings. | 60-year-old woman with stage II E. diffuse large B-cell lymphoma status post 6 cycles of therapy. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Stable mildly enlarged mediastinal lymph nodes.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Stable cholelithiasis... | Interval decrease in size of right retroperitoneal hematoma. Otherwise stable exam without evidence for new adenopathy. |
Generate impression based on findings. | Male 69 years old Reason: 69M s/p cardiac arrest, eval for PE History: chest pain PULMONARY ARTERIES: Technically adequate study without evidence of right heart strain or pulmonary emboli. LUNGS AND PLEURA: Severe apical predominant centrilobular and paraseptal emphysema. Mild dependent basilar architectural distortion... | 1. No evidence of pulmonary emboli.2. Severe centrilobular and paraseptal emphysema with possible mild fibrotic changes seen in the lung bases.3. Left lower lobe pulmonary nodule, recommend initial CT follow-up in 3 months; metastasis cannot be excluded.4. Pancreatic head mass and hepatic lesion suspicious for metastas... |
Generate impression based on findings. | Reason: evaluate for infectious intrabdominal process History: hx of abdominal mesothelioma, with worsening abdominal pain, leukocytosis ABDOMEN:LUNG BASES: Mild left-sided pleural effusion. Trace right sided pleural effusion. Bilateral lower lobe atelectasis at the bases.LIVER, BILIARY TRACT: No suspicious focal liver... | 1.Diffuse peritoneal and omental involvement by mesothelioma.2.Tumoral involvement of the stomach wall and air within the wall may be due to tumor necrosis although it is worrisome for emphysematous gastritis from an infection which cannot be excluded.3.Disproportion of distal and proximal small bowel caliber suggestin... |
Generate impression based on findings. | 14-year-old female. Right-sided pain, swelling per mother. ABDOMEN: LUNG BASES: Bibasilar airspace consolidation, most pronounced in the left lower lobe, are consistent with infection.LIVER, BILIARY TRACT: Normal appearance of the liver. SPLEEN: Normal appearance of the spleen. PANCREAS: Normal appearance of the pancre... | 1. Bibasilar airspace consolidation, most pronounced in the left lower lobe, consistent with pneumonia. 2. No renal or ureteral stones. No hydronephrosis. |
Generate impression based on findings. | S.O.B. and pleuritic pain. PULMONARY ARTERIES: Although contrast infusion quality is adequate, there is severe motion artifact present which limits assessment for pulmonary emboli. Within this limitation, no filling defects are identified within the the main pulmonary arteries to the proximal segmental level in the upp... | 1. Limited examination for pulmonary embolus. No acute PE is identified to the proximal segmental level in the upper lobes and to the lobar are level in the lower lobes. Emboli distal to these areas cannot be ruled out by this examination.2. Focal consolidation in the right lower lobe is poorly assessed due to motion a... |
Generate impression based on findings. | 47-year-old male with pain and swelling to the dorsal wrist. Evaluate for wrist fracture. There is edema of the subcutaneous tissue of the dorsal aspect of the hand. The soft tissues otherwise appear normal given the limitations of CT. No fracture is evident. There is slight dorsal translation of the distal ulna relati... | No fracture is evident. Slight dorsal translation of the distal ulna relative to the distal radius is probably an artifact of pronation. |
Generate impression based on findings. | Reason: r/o pancreatic pathology History: epigastric pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Pneumobilia predominantly in the left hepatic lobe, unchanged from 2007 status post choledochoduodenal anastomosis. Status post cholecystectomy. Small stone in the distal common bile duct... | No acute intraabdominal abnormality or significant change from comparison exam. |
Generate impression based on findings. | Right shoulder dislocation status post attempted reduction. Patient with total shoulder arthroplasty in place. Evaluation limited by metallic streak artifact due to the patient's total shoulder arthroplasty device.Alignment of the prosthesis is within normal limits. There is deformity of as well as round and tubular lu... | No evidence of dislocation with other findings as described above. |
Generate impression based on findings. | 50, 1-year-old female with CML, status post stem cell transplant -- concern for PTLD. EB virus viremia, on immunosuppression. ABDOMEN:LUNG BASES: Bibasilar pleural effusions and left basilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted -- no parenchymal liver mass seen.SPLEEN: No significant abnor... | 1. Bibasilar pleural effusions. 2. Diffuse subcutaneous edema compatible with anasarca. 3. No enlarged lymph nodes or other masses/abnormality seen to show evidence of PTLD. |
Generate impression based on findings. | Male, 10 months old, intracranial tumor status post biopsy, patient less arousable. Evaluate for edema, impending herniation. Changes are demonstrated compatible with a right-sided craniotomy. Scalp swelling and subcutaneous air persists. There has been near complete resolution of postoperative pneumocephalus. A small ... | 1. Redemonstration of surgical change status post biopsy of a large right cerebral tumor. Accurate measurement of the tumor is complicated by differences in patient positioning. Size is grossly similar or at most a few millimeters larger.2. The caliber of the ventricular system has increased since the prior exam. This ... |
Generate impression based on findings. | Reason: CVA History: RUE \T\ RLE weakness, slurred speech x1 day The CSF spaces are appropriate for the patient's stated age with no midline shift. There is some hypodense subcortical and periventricular white matter hypodensities present in suspicion for hypodensity in the left ponsNo abnormal mass lesions are appreci... | 1.The possibility of lacunar infarct cannot be excluded. If clinically appropriate MRI of the brain may be of further benefit. 2.Subcortical hypodensities are present which could represent large perivascular spaces or infarction or other entity. If clinically appropriate MRI of the brain would be of further benefit to ... |
Generate impression based on findings. | Male 71 years old Reason: hypoxia, also with history of cavitary lesion PULMONARY ARTERIES: Technically adequate study without evidence of right heart strain or pulmonary emboli.LUNGS AND PLEURA: New focus of solid/ground glass opacity in the lingula suggestive of pneumonitis or hemorrhage, associated with atelectasis.... | 1. No evidence of pulmonary emboli.2. Left lower lobe segmental atelectasis with endobronchial debris, and diffuse bronchial wall thickening compatible with bronchitis and associated aspiration .3. Interval decrease in size of the right upper lobe cavitary mass.4. Stable paratracheal lymphadenopathy.5. Left upper lobe ... |
Generate impression based on findings. | Reason: patent blood flow? History: weakness CT head:The CSF spaces are appropriate for the patient's stated age with no midline shift. Atherosclerotic calcifications are present along the distal internal carotid arteries.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified.... | 1.No evidence for acute internal hemorrhage mass effect or edema.2.CTA of the head and neck was not possible due to infiltration of contrast at the intravenous injection site. |
Generate impression based on findings. | Reason: 65 year old male with pancreatic cancer and dyspnea. Evaluate for possible PE and disease status. History: abdominal pain and dyspnea CHEST:LUNGS AND PLEURA: Interval mild increase in size of multiple, bilateral pulmonary nodules. Left lower lobe and right lower lobe pulmonary nodule (series 12, image 83) with ... | 1.Filling defects of the right pulmonary artery segmental and subsegmental branches are indicative of acute pulmonary embolism.2.Mild interval increase in size of multiple, bilateral pulmonary nodules. 3.Interval increase in size of mediastinal and axillary lymphadenopathy.4.Interval increase in number and size of mult... |
Generate impression based on findings. | Headache. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Reason: R/O PCP pna History: SOB LUNGS AND PLEURA: Interval increase in extensive groundglass opacity asymmetrically throughout both lungs more prominent on the right. Interval increase in numerous small cysts on an underlying background of central lobular emphysema.Mild basilar fibrosis with mild honeycombing and trac... | 1.Significant interval increase in groundglass opacity and numerous small cysts in both lungs more prominent on the right. This may be related to atypical infection (PCP). The differential diagnosis would also include desquamative interstitial pneumonia (DIP).2.Upper lobe predominant centrilobular emphysema.3.Stable ba... |
Generate impression based on findings. | T3 N3 HPV positive right tonsil cancer completed chemoradiation in August 2011. Research scan for Merck MK3475-012 Study (IRB13-0311). There is unchanged filling defect within the right sigmoid sinus and internal jugular vein, consistent with chronic thrombosis. There is no abnormal enhancement within the brain. There ... | 1. No evidence of intracranial metatases.2. Unchanged filling defect within the right sigmoid sinus and internal jugular vein, consistent with chronic thrombosis. |
Generate impression based on findings. | Reason: Recurrent ovarian cancer receiving chemotherapy. Restaging. History: n/a CHEST:LUNGS AND PLEURA: Scattered bilateral pulmonary nodules without significant interval change in size. Reference left lower lobe nodule measures 6 x 5 mm (series 4, image 66), previously 7 x 5 mm. No pleural effusions.MEDIASTINUM AND H... | 1.Decreasing right hepatic lobe metastasis.2.Mediastinal lymphadenopathy is unchanged from the comparison exam, but is decreased over several exams dating back to March, 2013.3.Gastrohepatic and retroperitoneal lymphadenopathy is unchanged.4.Decreasing soft tissue masses in the region of the common iliac vessels. |
Generate impression based on findings. | Male; 61 years old. Reason: Subcutaneous emphysema in patient s/p stem cell transplant, also new hypoxia. LUNGS AND PLEURA: Bilateral basilar predominant ground glass opacities with multifocal areas of consolidation. No pleural effusions. No suspicious pulmonary nodules or masses. Findings are compatible with atypical ... | 1.Interval development of extensive bilateral subcutaneous emphysema, pneumomediastinum, and pneumopericardium. Findings may be secondary to patient's recent laryngoscopy at outside hospital.2.Bilateral basilar predominant ground glass opacities with multifocal areas of consolidation. Differential considerations includ... |
Generate impression based on findings. | Fall, AMS. There is mild cerebral white matter hypoattenuation that is consistent with small vessel ischemic disease. There is unchanged ex vacuo dilatation of right lateral ventricle secondary to chronic right basal ganglia and frontal lobe coronal radiata lacunar infarcts. There is no evidence of hydrocephalus. There... | 1. No evidence of acute intracranial hemorrhage. 2. Unchanged small vessel ischemic disease and chronic infarct affecting the right basal ganglia and right frontal lobe corona radiata. However, noncontrast CT is insensitive for detection of acute nonhemorrhagic stroke. |
Generate impression based on findings. | Reason: stroke History: stroke There is redemonstration of a patchy hypodensity in the inferior aspect of the right cerebellar hemisphere and a a patchy hypodensity in the superior aspect of the right cerebellar hemisphere which continued to evolve. Some subtle patchy hypodensities are present in the left cerebellar he... | 1.No evidence for acute intracranial hemorrhage.2.Patchy hypodensities in the cerebellar hemispheres (right worse than left), brainstem and left occipital lobe are compatible with early subacute infarctions there is no evidence for hemorrhagic conversion. |
Generate impression based on findings. | History of relapsed neuroblastoma, restaging status post MIBG therapy CHEST:LUNGS AND PLEURA: Right upper lobe micronodule is unchanged. No consolidation or pleural effusion. No suspicious pulmonary nodule or mass.MEDIASTINUM AND HILA: Left PICC tip lies in the superior SVC. No mediastinal or hilar lymphadenopathy is s... | 1.Increased periosteal reaction along the left ilium.2.No change in retroperitoneal mass, right upper lobe pulmonary micronodule, or osseous metastases.3.Slight decrease in size of liver metastases. |
Generate impression based on findings. | Female; 51 years old. Reason: Please evaluate for resolution of ground glass opacities and consolidation. LUNGS AND PLEURA: There has been near-complete resolution of scattered bilateral ground glass opacities and areas of consolidation compared to the prior study, compatible with resolving infection. Small bilateral p... | Near-complete resolution of multifocal pneumonia .Increasing pleural effusions and subcutaneous edema, suggestive of CHF/volume overload. |
Generate impression based on findings. | Reason: 6 month post op cervical laminoplasty History: 6 month f/u The cervical vertebral bodies are appropriate in overall alignment and height. No fractures are identified in the cervical spine. The patient is status post multilevel right-sided laminoplasty from C3 down to C7 with osseous bridging noted at C6 and C4.... | 1.There are multilevel degenerative changes present in the cervical spine associated with ossification of posterior longitudinal ligament status post laminoplasty with the multilevel encroachment on exiting nerve roots due to osteophytes predominantly in the narrowing of the spinal canal due to ossification of posterio... |
Generate impression based on findings. | Reason: r/o PE History: hypoxia, tachycardia PULMONARY ARTERIES: No evidence of a pulmonary embolus.LUNGS AND PLEURA: Moderate sized bilateral pleural effusions with underlying atelectasis.Perihilar and upper lobe ground glass opacities compatible with edema.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy... | 1.No evidence of a pulmonary embolus.2.Moderate to large sized bilateral pleural effusions with evidence of pulmonary edema compatible with decompensating CHF |
Generate impression based on findings. | Female; 76 years old. Reason: metastatic thyroid ca, on therapy, eval for dz progression with measurements. CHEST:LUNGS AND PLEURA: Low lung volumes with mild posterior and basilar scarring/discoid atelectasis. No focal consolidation or pleural effusion. Scattered punctate micronodules are again observed but there are ... | No significant interval change in superior mediastinal mass and mediastinal adenopathy. No new sites of disease identified. |
Generate impression based on findings. | Male; 51 years old. Reason: pt with lung ca s/p Tarceva therapy (oral) therapy > 16 months History: now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Left paramediastinal fibrosis is again noted and compatible with prior radiation treatment. Reference left upper lobe nodule is u... | 1.No significant interval change in pulmonary or osseous lesions, which likely represent metastatic disease. Enhancing hepatic lesion may represent a hemangioma.2.Identification of large left ileal osteolytic lesion with cortical breakthrough. Recommend dedicated CT/MR of this region. |
Generate impression based on findings. | Reason: evaluation of malignant lesions s/p radiation History: surveillance CHEST:LUNGS AND PLEURA: Left upper lobe pleural based nodule measures 1.6 x 0.9 cm (series 6, image 31), previously 1.4 x 0.8 cm. Reference left lower lobe pulmonary nodule measures 5 mm (series 6, image 37), previously 6 mm. Additional scatter... | Mixed response of index lesions in the chest, abdomen, and pelvis. |
Generate impression based on findings. | Female 68 years old Reason: Distant history of small cell lung CA s/p chemo and RT History: growing nodule seen on recent non-infused CT CHEST:LUNGS AND PLEURA: Solid noncalcified right upper lobe nodule measures 11 x 9 mm (image 46, series 5), previously 11 x 10 mm. The caudal aspect of the nodule causes tenting of th... | 1. Unchanged right perihilar mass and right upper lobe nodule highly compatible with primary pulmonary malignancies.2. No evidence of metastatic disease. |
Generate impression based on findings. | Reason: Please evaluate kidneys, ureters, bladder for malignancy, abnormality History: hx of bladder cancer ABDOMEN:LUNG BASES: Basilar atelectasis. LIVER, BILIARY TRACT: Two likely benign enhancing lesions in the right hepatic lobe (series 7, image 19 and 45).SPLEEN: Status post splenectomy. Soft tissue density in the... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Reason: incidental find pt with 8-10cm thoracoabdominal aneurysm, need imaging with contrast History: back pain CHEST:LUNGS AND PLEURA: Nonenhancing, peripherally calcified right upper lobe lung nodule measuring 1.2 x 1.1 cm (series 11, image 32). Mild paraseptal emphysematous changes two bilateral lung bases. Small ri... | 1.Large thoracoabdominal aneurysm extending from above the celiac axis to the level of the renal arteries as outlined above. There is a large thrombus within the aneurysmal component with slightly increased density which is worrisome for a possible intramural hematoma.2.Second focal , infrarenal abdominal aneurysm.The ... |
Generate impression based on findings. | Refractory neuroblastoma, assess for response to chemotherapy CHEST:LUNGS AND PLEURA: No consolidation or pleural effusion. No suspicious pulmonary mass or nodule.MEDIASTINUM AND HILA: Left anterior/superior mediastinal mass at the level of the clavicular heads now measures 2.1 x 1.0 cm (image 10, series 3), previously... | No change in the intraperitoneal soft tissue masses anteromedial to the left kidney. No change in superior mediastinal soft tissue mass. |
Generate impression based on findings. | Male 64 years old Reason: History of prior nodule/abnormality, also needed for work-up for heart transplant History: getting work up for heart transplant, has history of abnormality/nodule on a prior CT. LUNGS AND PLEURA: Nonspecific left lower lobe micronodules measures less than 4 mm (image 105, series 4) and likely ... | 1. Findings compatible with aspiration and pulmonary edema.2. Nonspecific pulmonary micronodule in the left lower lobe. |
Generate impression based on findings. | Right soft palate swelling, throat pain. There is diffuse fluid attenuation within the retropharyngeal space that measures up to 8 mm in thickness, which extends from the level of the C2 to C7 vertebrae. There is also diffuse ill-defined hypoattenuation in the right parapharyngeal space at the level of the oropharynx a... | Diffuse edema within the right oropharyngeal and hypopharyngeal region as well as extensive retropharyngeal effusion with mils airway narrowing. Differential considerations include angioedema related to enalapril or other medications versus an infectious pharyngitis. No evidence of tonsillitis or mass lesions.Discussed... |
Generate impression based on findings. | Female, 76 years old, metastatic thyroid cancer on therapy, evaluate for disease progression. No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are intact. Post surgical change consistent with thyroidectomy is redemon... | 1. No definite evidence of disease progression in the neck. A mass in the left thyroid bed is grossly stable allowing for some degree of measurement error due to more ill-defined margins on the present study, felt to be technical. Additional upper mediastinal adenopathy is also not significantly changed but is better a... |
Generate impression based on findings. | Lung cancer CHEST:LUNGS AND PLEURA: Stable unchanged diffuse bronchiolitis with tree in bud opacities throughout all right lung lobes, unchanged. Small subcentimeter nodular opacities are also stable in appearance without interval alteration. No effusion.The left lung cavity with a large loop fluid collection represent... | Postsurgical changes with findings on the right stable in appearance and likely representing recurrent aspiration and much less likely infection given stability. Stable small more focal opacity in the anterior right upper lung, again more obtained serial follow-up imaging to exclude recurrent malignancy |
Generate impression based on findings. | Nasal head and neck cancer. Check for malignancy CHEST:LUNGS AND PLEURA: The previously referenced right upper lobe and right middle lobe nodules are currently not visualized and suspected to have resolved. The peripheral right upper lobe nodular opacity is grossly unchanged questionably partially calcified, again meas... | 1. Resolution of two referenced nodules with stability in the third remaining right upper lobe nodule, measurement above.2. Nonspecific osseous changes mid thoracic spine also unchanged with a stable appearing compression fracture of L1 |
Generate impression based on findings. | History of lung nodule. Bladder cancer LUNGS AND PLEURA: Interval advancement with enlargement of the previously described posterior nodule in the superior segment of the left lower lobe (image 55 series 5). This finding abuts the pleura with associated diffuse nodular thickening throughout the left hemithorax greater ... | Interval progression of the canal bilateral suspected metastatic disease with new lesions and left pleural changes |
Generate impression based on findings. | Reason: restaging scans s/p 4 cycles of investigational PDL1 systemic treatment History: hx of metastatic bladder cancer CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No lymphadenopathy. Heart size is normal without pericardial effusion. Coronary artery stents. Hiatal hernia.CH... | 1. Enhancing soft tissue lesion along the distal right ureter suspicious for residual disease.2. Decrease in the size of the left paraaortic lymph node. |
Generate impression based on findings. | Thyroid cancer CHEST:LUNGS AND PLEURA: Numerous scattered bilateral nodules greater on the right are again observed, many calcified. All essentially remain unchanged such as the right middle lobe nodule (image 20 series 5) remains 5 mm and the left lower lobe reference nodule (image to 71 series 5) remains 4 mm when ea... | Stable numerous multiple pulmonary nodules compatible with known metastatic disease and granulomata. See reference measurements provided. |
Generate impression based on findings. | Reason: followup post change in drain pressure to 10cm H20 History: followup post change in drain pressure to 10cm H20 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 ... | 1.There is continued evolution of the patient's large right hemispheric hematoma without evidence for new hemorrhage. There is redemonstration of associated midline shift and intraventricular hemorrhage and a left-sided ventriculostomy tube. |
Generate impression based on findings. | Shortness of breath. Additional history of multiple myeloma and question of radiation pneumonitis per prior report. LUNGS AND PLEURA: Respiratory motion artifact degrades image quality. Lung volumes slightly decreased when compared to earlier scans this year. Volume loss left hemithorax with leftward mediastinal shift ... | 1. New right lower lobe air space opacities suspicious for pneumonia. Alternatively, this could left acute radiation pneumonitis in the appropriate clinical setting if the patient had received additional RT to the right chest wall at a later date.2. Minimal progression of pulmonary opacities most consistent with evolvi... |
Generate impression based on findings. | Male; 49 years old. Reason: elevated right hemidiaphragm History: dyspnea LUNGS AND PLEURA: Marked elevation of the right hemidiaphragm with suspected right lung base atelectasis and/or scarring. Diaphragmatic elevation is of unknown chronicity and significance. No focal consolidation or pleural effusion. No evidence o... | 1.No acute cardiopulmonary abnormality identified. 2.Marked elevation of the right hemidiaphragm, of unknown chronicity and significance. |
Generate impression based on findings. | 67-year-old male with history of colon cancer -- evaluate for progression. CHEST:LUNGS AND PLEURA: Nonspecific left lower lobe nodule (series 4, image 39) is unchanged in size, measuring 4 mm.. No new nodules are seen. No new infiltrates, masses, or effusions seen.MEDIASTINUM AND HILA: No significant abnormality notedC... | 1. No change in 4-mm nonspecific left lower lobe lung nodule and no other thoracic abnormalities of significance is seen. 2. Decrease in size of liver metastases. 3. Interval insertion of large bore biliary stent with pneumobilia as expected. 4. Stable appearance to an enlarged portacaval lymph node. |
Generate impression based on findings. | Confusion, tangential thinking. There is no evidence of acute intracranial hemorrhage, mass, or cerebral edema. There is mild patchy cerebral white matter hypoattenuation, which likely represents microangiopathy. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or hernia... | No evidence of acute intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Reason: eval for swelling History: eval for swelling There are patchy hypodensities involving gray and white matter in the right middle cerebral artery distribution predominately in the right temporal lobe but also in the right to frontal lobe and right parietal lobe. Additionally there are hypodense foci present in th... | 1.Findings are compatible with subacute infarction involving the entire right middle cerebral artery distribution superimposed on old infarctions in the right middle cerebral artery distribution with old lacunar infarcts in the right basal ganglia and evidence for Wallerian degeneration. There is no evidence for hemorr... |
Generate impression based on findings. | AML s/p BMT presents with fevers and red swollen eyes s/p recent laryngoscopy. There is extensive emphysema within the bilateral neck soft tissues, right greater than left, including the retropharyngeal space, parapharyngeal spaces, right masticator space, and paraspinal spaces. There are no associated fluid collection... | 1. Extensive neck soft tissue emphysema, likely a complication of the recent laryngoscopy at another institution.2. Mild mucosal thickening within the left maxillary sinus associated with an oroantral fistula.Discussed with Dr. Walker at 11: 50 AM on 10/16/13. |
Generate impression based on findings. | Shortness of breath and chest pain unspecified. Evaluate pulmonary nodule status post thoracentesis. Weight loss. LUNGS AND PLEURA: Small circumferential pneumothorax at the apex with an additional small anterior component extending into deep left anterior cardiophrenic angle and extraperitoneal space. Maximal pleural ... | Start numbering1.1cm left hydropneumothorax.2.15-mm left lower lobe solid nodule, indeterminate and suspicious for neoplasm or possibly atypical infection such as Coccidioidomycosis in the appropriate clinical context.3.Abnormal enhancement of the left pleura and meninges which could be infectious or neoplastic.4. Left... |
Generate impression based on findings. | Lung cancer, compare to prior CHEST:LUNGS AND PLEURA: Postsurgical right upper lobectomy changes without interval new abnormality. No specific findings to suggest recurrence. The left upper lobe subpleural nodule is unchanged again measuring 5 x 9 mm (image 42 series 4). Scattered pulmonary micronodules many of which a... | No evidence of focal local recurrence or new metastatic disease. |
Generate impression based on findings. | Female 85 years old; Reason: pancreatic cancer restaging History: pancreatic cancer restaging CHEST:LUNGS AND PLEURA: Ground glass nodule adjacent to the right upper lobe airway measures 2.7 x 2.1 cm (image 42/series 4) previously, 3.2 x 1.7 cm.A solid parenchymal nodule adjacent to the right posterior mediastinal bord... | 1.Decrease in the size of the pancreatic tail lesion.2.No significant size change in the two right lung lesions. |
Generate impression based on findings. | T4N0 sinonasal SCC status post CRT complete on 9/6/13. Head: There is a residual soft tissue mass present in the right pterygopalatine fossa that measures approximately 13 x 14 mm associated with expansion of the pterygopalatine fossa and the right foramen rotundum, which is not significantly changed. There are residua... | 1.Stable post-treatment findings with unchanged residual tumor within the right pterygopalatine fossa and right foramen rotundum.2.No evidence of intracranial metastases of significant cervical adenopathy.3.New sinonasal air-fluid levels may represent acute rhinosinusitis in the appropriate clinical setting. |
Generate impression based on findings. | Reason: f/u post fossa tumor resection History: post fossa tumor Since the previous exam, the patient has undergone posterior fossa craniectomy with mesh placement and C1 decompression.The patient has undergone recent posterior fossa surgery. Some hyperdensity is present along the right upper midbrain posteriorly and r... | 1.Status post suboccipital craniectomy and and C1 decompression for tumor resection with attendant post operative changes2.Hyperdense focus along the posterior aspect of the right midbrain and upper vermis could represent a blood products . The possibility of residual tumor cannot be excluded on the basis of this exam.... |
Generate impression based on findings. | Male, 60 years old, history of brain tumor with headache. Imaging was performed with a stereotactic frame in place. Streak artifact from this device degrades image quality. Within this limitation, the following observations are made.Surgical change is redemonstrated status post placement of a right parietal ventriculos... | Limited surgical planning examination of the head. Pre-existing right parietal approach ventriculostomy catheter is in stable position. When compared to the prior CT, ventricular caliber is increased. |
Generate impression based on findings. | Male 67 years old; Reason: Met CRC: Restaging History: none ABDOMEN:LUNGS BASES: A opacity at the left lung base is new. It is more linear in configuration a suggesting of focal atelectasis or scarring. LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No signific... | 1.Large soft tissue defect in the left inguinal region; further evaluation a contrast enhanced MRI is suggested.2.Severe left hydronephrosis likely due to a large soft tissue mass at the level of the left common iliac artery; further evaluation with a contrast-enhanced MRI of the pelvis is suggested .3.Soft tissue thic... |
Generate impression based on findings. | Male, 60 years old, history of brain tumor, headache, postop following ventriculostomy. Since the prior examination, a left temporal approach ventriculostomy catheter has been placed. The catheter courses transversely, crossing the left temporal horn, and terminating in the region of the interpeduncular cistern just po... | 1. Status post placement of a new left temporal approach ventriculostomy catheter. Stable right parietal approach ventriculostomy catheter. The caliber of the ventricular system is not substantially changed when comparison is made to the other same day examinations.2. Re-demonstration of the patient's large multi-compa... |
Generate impression based on findings. | Lung cancer status post 2.5 months on Tarceva. CHEST:LUNGS AND PLEURA: Postradiation change on the left with ipsilateral mediastinal shift. Underlying mass slightly decreased in size, measuring 27 x 30 mm, previously 32 x 30 mm. Additional smaller lesions in the same lobe (3/44, 3/42) also decreased in size.Subcentimet... | Slight decrease in measurements of left upper lobe mass and adjacent nodules. Decrease in size of low left paratracheal lymph node, other lymph nodes are unchanged. Focally dilated small bowel in the left upper quadrant of unclear clinical significance, correlate for symptoms. |
Generate impression based on findings. | Not tolerating tube feeds. It is J.P. out? Rule out leak. ABDOMEN:LUNG BASES: Increasing bilateral pleural effusions with overlying compressive-type atelectasis.LIVER, BILIARY TRACT: Fatty infiltration of the liver. Stable cholelithiasisSPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted... | New left upper quadrant fluid collections as described. Clinical service (pager number 4428) notified of this finding at the time of dictation. Increasing bilateral pleural effusions with overlying compressive-type atelectasis. |
Generate impression based on findings. | Male 65 years old; Reason: Pt is a 65 y/o male with met prostate cancer, rising PSA, evaluate for progression History: prostate cancer, rising PSA CHEST:LUNGS AND PLEURA: No suspicious pulmonary lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediastinal lym... | 1.Slight decrease in the size of the reference pelvic lymph node. |
Generate impression based on findings. | Fall. Rule out intracranial hemorrhage. There is hyperattenuation in a gyriform configuration overlying the right frontal (series 5 images 21-23) and temporal lobes (image 17) representing subarachnoid hemorrhage. There is no intraventricular hemorrhage. There is no mass effect or hydrocephalus. The midline is intact. ... | Subarachnoid blood associated with the right frontal and right temporal lobes which is most likely related to trauma given the history and associated right frontal scalp hematoma. No depressed skull fracture. |
Generate impression based on findings. | Malignant neoplasm of the thymus CHEST:LUNGS AND PLEURA: Stable postsurgical findings of the right upper lobe wedge resection without new suspicious abnormality. No effusions. Minimal scarring atelectasis scattered but greater in the upper lungs.MEDIASTINUM AND HILA: No lymphadenopathy. The superior mediastinal clips a... | No evidence of recurrent or metastatic disease superimposed upon postsurgical changes |
Generate impression based on findings. | Malignant epithelioid mesothelioma. LUNGS AND PLEURA: Left hemithorax nodular pleural thickening and volume loss consistent with provided history of mesothelioma. Trace fluid collection at the base. Left pleural catheter terminates in the left posterior costophrenic angle. Involvement of the visceral pleural surface no... | Left hemithorax pleural thickening consistent with provided history of mesothelioma. Diffuse bilateral mediastinal and hilar lymphadenopathy and numerous small lymph nodes in the left chest wall are suspicious for nodal metastases. Visceral pleural thickening is nodular, consistent with disease involvement. Pericardial... |
Generate impression based on findings. | Cancer, follow-up CHEST:LUNGS AND PLEURA: Minimal tree in bud left upper lobe changes suggesting mild aspiration or post inflammatory findings. No specific focal nodular air space abnormality. Minimal basilar atelectasis without effusions. Scattered calcified granuloma and moderate centrilobular emphysematous changes n... | Interval left breast mastectomy without findings to suggest pulmonary metastatic disease |
Generate impression based on findings. | Known metastatic disease involving skull. Left frontal headache. There are no acute intracranial abnormalities including hemorrhage, hydrocephalus or CT evidence of acute ischemia. There are focal bony lesions including a lytic lesion with intraorbital and intracranial soft tissue components centered at the left orbita... | Findings suggestive of multifocal metastatic disease of skull and facial bones including a left orbital roof lesion with intraorbital and intracranial components causing proptosis. |
Generate impression based on findings. | Male 69 years old; Reason: Please eval for metastasis History: Gleason 4+3=7 prostate cancer and PSA >20 ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology. Nonspecific subcentimeter hypodensity in segment 6 of the liver (image 42/series 4)SPLEEN: No significant ab... | 1.Small sclerotic left ilium lesions, can be further evaluated with a bone scan.2.Nonspecific subcentimeter hypodense right hepatic lobe lesion. |
Generate impression based on findings. | 83-year-old female left upper quadrant abdominal pain, abdominal distention, vaginal bleeding and change in stool. Evaluate for suprapubic mass or pelvic mass. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted -- incidentally noted are benign simple cysts.SPLEEN:... | 1. No findings seen to account for patient's symptomatology. 2. Diffuse diverticulosis without complication. 3. Status post hysterectomy and, specifically, no evidence of visible pelvic mass. |
Generate impression based on findings. | Lung cancer, compare to prior Motion heavily degrades sensitivityCHEST:LUNGS AND PLEURA: The right lower lobe previously described peribronchial vascular nodule remains unchanged measuring 8 mm (image 59 series 6) yet evaluation is severely limited due to motion mentioned. A calcified nodule of the right lower lobe is ... | Unchanged appearance with reference measurements provided. |
Generate impression based on findings. | Female, 26 years old, history of stage IVa alk+ anaplastic large cell lymphoma status post 6 cycles of CHOP, restaging scan. Scattered small lymph nodes are present on both sides of the neck, none meeting size criteria for pathologic enlargement and none showing significant interval change. A reference left level 2 lym... | Stable examination with no pathologic adenopathy in the neck. |
Generate impression based on findings. | Reason: lung cancer on chemotherpay check response History: cough CHEST:LUNGS AND PLEURA: Severe upper lobe predominant centrilobular paraseptal emphysema.Left lower lobe postsurgical changes with pleural thickening and effusion similar in appearance to the prior exam.Stable right upper and middle lobe micronodules (im... | 1.Post surgical changes in the left lower lobe with stable pleural thickening and fluid.2.No new suspicious pulmonary nodules or masses.3.No sites of disease identified. |
Generate impression based on findings. | 61-year-old male -- evaluate metastatic disease. CHEST:LUNGS AND PLEURA: Reference left lower lobe lung nodule measures 8 x 8 mm (series 4, image 29), unchanged from previous. The reference left upper lobe nodule (series 4, image 53) has increased in size to 8 x 8 mm, compared with 5-mm previously. In addition, new nod... | 1. Increasing size and number of pulmonary nodules, presumably metastases. 2. New right T1/T2 paravertebral soft tissue mass lesion with adjacent bony destruction. |
Generate impression based on findings. | Reason: 60 yr old male with h/o Hodgkin lymphoma; pre allo SCT evaluation History: Evaluate CHEST:LUNGS AND PLEURA: 6-mm pulmonary nodule in the right upper lobe (series 4, image 46), unchanged.Additional scattered pulmonary micronodules are not significantly changed.MEDIASTINUM AND HILA: Increasing subcarinal lymph no... | 1.Increasing lymphadenopathy in the mediastinum and right axilla. 2.Decreasing lymphadenopathy in the abdomen and pelvis. |
Generate impression based on findings. | Metastatic neuroblastoma presents with swelling of right and left orbits status post MIBG therapy. There is no significant change bilateral skull metastases with intracranial and right orbit soft tissue components. No new skull metastases are identified. There are no brain parenchymal metastases. There is preseptal sof... | 1.Stable bilateral skull metastases with intracranial and right orbit soft tissue components. 2.The mild right preseptal soft tissue swelling has slightly diminished. |
Generate impression based on findings. | 10 month old male. Intracranial malignancy CHEST:LUNGS AND PLEURA: Bilateral lower lobe dependent streaky opacities, likely representing atelectasis. MEDIASTINUM AND HILA: ETT tip is below the thoracic inlet and above the carina. No mediastinal or hilar lymphadenopathy.CHEST WALL: Bilateral subcentimeter axillary lymph... | 1. No evidence of metastasis in the chest, abdomen, or pelvis. 2. Dependent lower lobe opacities bilaterally, likely atelectasis. |
Generate impression based on findings. | Reason: Bladder cancer compare to last CT \T\ measure 1) LUL nodule \T\ 2) tail of pancreas mass History: post 2 cycles of therapy CHEST:LUNGS AND PLEURA: Interval increase in size and number of bilateral parenchymal nodules consistent with progressive metastatic disease. Reference nodule in the left upper lobe current... | 1.Interval increase in size and number of bilateral lung nodules suspicious for metastatic disease.2.Interval resolution of the hydronephrosis and hydroureter.3.Relatively stable cystic lesion arising from the tail of the pancreas.4.Stable soft tissue density mass along the external iliac vessels may represent the left... |
Generate impression based on findings. | Male; 65 years old. Reason: lung cancer s/p 20 cycles of chemo. please evaluate for disease and compare with previous scans CHEST:LUNGS AND PLEURA: Postoperative changes compatible with left upper lobectomy and right upper lobe wedge resection are again noted. Scattered pulmonary micronodules are unchanged. Right upper... | 1.No evidence of metastatic disease with unchanged mediastinal lymphadenopathy.2.Unchanged appearance of right upper lobe ground glass nodule, which remains concerning for an indolent primary adenocarcinoma. Annual surveillance is suggested. |
Generate impression based on findings. | Reason: 52 y/o male with Myxofibrosarcoma of the chest wall, RT-induced; s/p resection and RT; assess for recurrence/mets History: surveillance scan LUNGS AND PLEURA: Minimal basilar atelectasis/scarring.Minimal left apical groundglass opacity similar in appearance to the prior exam and may represent radiation reaction... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Lung cancer resection, one year follow-up. LUNGS AND PLEURA: Numerous groundglass opacity nodules bilaterally, left greater than right. Reference right lower lobe lesion measures 11 x 6 mm, previously 10 x 7 mm, not conclusively changed allowing for scan variability. Postoperative changes consistent with wedge resectio... | 1. Reference right lower lobe lesion not significantly changed allowing for differences in scan variability and remain suspicious for an indolent adenocarcinoma.2. Left lower lobe lesion associated with the cyst not significantly changed compared to recent previous however is increased in size compared to 2010, suspici... |
Generate impression based on findings. | Bilateral moderate sensorineural hearing loss. On the right, there is minimal soft tissue attenuation material within the external auditory canal, which may represent cerumen. The middle ear and mastoid air cells are well-pneumatized and clear. The ossicular chain is intact. The facial nerve describes a normal course. ... | 1. Nonspecific opacification within portions of the left middle ear without associated bony erosions may represent otitis media in the appropriate clinical setting. 2. The inner ear structures are unremarkable. However, temporal MRI may be useful for further evaluation.3. Moderate scattered paranasal sinus opacificatio... |
Generate impression based on findings. | Reason: Lul nodule recheck History: sob LUNGS AND PLEURA: Severe centrilobular emphysema.Left upper lobe nodular scar like opacity (image 21 series 7) has decreased in size since the prior exam. No new suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopa... | 1.Left upper lobe nodular and scarlike opacity decreased in size compared to the prior exam.2.Severe emphysema. |
Generate impression based on findings. | Reason: metastatic breast cancer History: metastatic breast cancer CHEST:LUNGS AND PLEURA: Near interval resolution of anterior right upper and middle lobe reticular opacities. Basilar atelectasis.MEDIASTINUM AND HILA: No lymphadenopathy. Heart size is normal without pericardial effusion. Central catheter tip terminate... | 1. Increasing hepatic metastases.2. Sclerotic osseous metastases are unchanged in distribution. |
Generate impression based on findings. | Reason: 82 y/o M with mesothelioma needs baseline staging. History: pain ABDOMEN:LUNG BASES: See separately dictated CT chest.LIVER, BILIARY TRACT: Multiple benign cysts. Few scattered hypodensities are too small to further characterize, but likely benign. Gallstones.SPLEEN: No significant abnormality noted.PANCREAS: N... | 1.Left inferior pole mass suspicious for infected cystic renal neoplasm. Recommend correlation with prior imaging, particularly if from 12 months or greater in past to help clarify characterization.2.Right lower quadrant near fluid attenuation mass suspicious for peritoneal implant.Findings discussed with Dr. Kindler b... |
Generate impression based on findings. | Neuroendocrine tumor of the lung status post chemo and RT to lung and pancreas. CHEST:LUNGS AND PLEURA: Left lower lobe nodule measures 19 x 13 mm (7/67), previously 18 x 9 mm; this may be pleural or intraparenchymal. Bilateral pleural nodules present previously given the benefit of retrospect, slightly larger on today... | 1. Pleural metastases bilaterally increased in size.2. Index left costophrenic angle nodule measures slightly larger.3. Non-index left upper lobe nodule increased in size. 4. Next left cardiophrenic angle lymph node stable. Nonindex hilar lymphadenopathy on the right appears slightly increased.4. Residual chronic throm... |
Generate impression based on findings. | 60 year-old metastatic thyroid cancer on therapy. Head: There is no significant interval change in the enhancing lesion that measures 7 x 4 mm in the right Heschl's gyrus. No new intracranial metastases are identified. The ventricles are stable in size and configuration. The skull and orbits are unremarkable. The masto... | 1.No significant interval change in the enhancing lesion that measures 7 x 4 mm in the right Heschl's gyrus. No new intracranial metastases are identified.2.Unchanged necrotic metastasis anterior to the left sternocleidomastoid, which measures 15 x 21 mm. 3.Perhaps slight interval increase in size of a homogeneously en... |
Generate impression based on findings. | Malignant neoplasm of the kidney. Check for metastatic disease LUNGS AND PLEURA: Mild left basilar atelectasis and/or scarring with an associated small subcentimeter nodular density unchanged since 2/19/13 (image 71 series 4). Mild centrilobular emphysema without additional focal air space abnormality. No effusions.MED... | No pulmonary metastatic disease identified |
Generate impression based on findings. | Tongue cancer, check for metastatic disease LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No lymphadenopathy.The cardiac and pericardium are unremarkableSmall hiatal herniaCHEST WALL: Mild gynecomastiaUPPER ABDOMEN: Absence of enteric contrast material markedly limits sensitivity for abdomina... | Mild gynecomastia without additional intrapulmonary abnormality. |
Generate impression based on findings. | Reason: evaluate for proximal jejunal submucosal lesion vs extrinsic compression vs vascular lesion History: melena, lesions seen on capsule endoscopy ABDOMEN:LUNG BASES: Bilateral pleural effusions, right greater than left with overlying atelectasis.LIVER, BILIARY TRACT: Multiple punctate calcifications throughout bot... | 1.No evidence mass or lesion to explain the patient's symptomatology. CT is not sensitive to resolve mucosal lesions.2.Right colonic diverticula without evidence of diverticulitis.3.Multiple small hyper enhancing lesions in the liver are nonspecific. |
Generate impression based on findings. | Lung nodule, follow-up CHEST:LUNGS AND PLEURA: Interval slow but continuous increase in the part solid ground glass nodular opacity anterior to the left major fissure in the right upper lobe (image 18 series 5 close parentheses. Although difficult to measure, currently this focus measures approximate 2.2 by 1.1 cm and ... | Continued interval increasing part solid ground glass nodular opacity showing slow interval increased size in the left upper lobe adjacent to the major fissure. Concern for primary malignancy remains high such, such as indolent invasive primary adenocarcinoma |
Generate impression based on findings. | Reason: PO contrast ONLY. s/p OLT with drop in hgb to 6, recurrent pleural effusion History: as above Lack of intravenous contrast limits evaluation of the mediastinum, lymph nodes, and solid organ pathology.CHEST:LUNGS AND PLEURA: Moderate right pleural effusion with overlying compressive atelectasis increased from th... | 1.Decreasing pelvic hematoma surrounding the transplant kidney with new foci of gas concerning for superimposed infection. No evidence of acute hemorrhage. |
Generate impression based on findings. | 79-year-old male with prostate cancer, metastatic disease and new renal insufficiency. Evaluate for progression. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No ... | 1. Increasing abdominal and pelvic lymphadenopathy with reference measurements as measured above. 2. No bilateral hydronephrosis -- dilated ureters are seen down to the level of. Pelvic adenopathy and may be tumor obstructing -- lack of IV contrast limits optimal visualization of the ureters. |
Generate impression based on findings. | Female; 45 years old. Reason: is there a pe History: hemoptysis, elevated d dimer PULMONARY ARTERIES: No evidence of pulmonary embolism. LUNGS AND PLEURA: Small clustered tree-in-bud like opacities in the left upper lobe likely reflect prior aspiration/infection. No focal consolidation or pleural effusion. MEDIASTINUM ... | 1.No evidence of pulmonary embolism.2.Small clustered tree-in-bud like opacities in the left upper lobe likely reflect prior aspiration/infection. No areas of focal consolidation. |
Generate impression based on findings. | Pleural effusions. Failing extubation attempts. LUNGS AND PLEURA: Right lower lobe atelectasis due to a large right pleural fluid collection. Significant motion artifact is present; collapse of the airways this cannot be excluded without expiratory phase scanning and is suspected.Consolidation and atelectasis in the le... | 1. Low cervical trachea is incompletely assessed but appears to be collapsed around the endotracheal tube. Tracheomalacia or other airway pathology cannot be excluded.2. Limited assessment of airway patency due to single phase scanning and significant motion artifact however appearance is suspicious for collapse of the... |
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