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Generate impression based on findings. | Persistent headache for 6 weeks after head trauma. 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 extrac... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Female 64 years old; Reason: diverticular disease with ?fistulas History: abd pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No suspicious hepatic lesions. Liver contour is smooth . No intra-or extrahepatic ductal dilatation following cholecystectomy.SPLEEN: No significant abnormality ... | 1.Colonic diverticulosis. |
Generate impression based on findings. | Sensorineural hearing loss, left worse than right. On the right, there is a focus of relatively low attenuation in the region of the fissula ante fenestram that extends to the posterior aspect of the apical turn of the cochlea. There is another focus of relatively low attenuation adjacent to the anterior aspect of the ... | Bilateral fenestral and cochlear otospongiosis, left worse than right. |
Generate impression based on findings. | Reason: r/o abscess History: MRSA+ cellulitis, now RLQ abd pain ABDOMEN:LUNG BASES: Basilar atelectasis.LIVER, BILIARY TRACT: Nonspecific right hepatic lobe lesions, likely hemangiomas.SPLEEN: Accessory splenule.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS... | Phlegmonous anterior abdominal wall collection.Findings text paged to Dr. Poston at 4:50 pm on 10/16/2013. |
Generate impression based on findings. | Lower extremity hyperreflexia. Rule out stenosis, disk disease. The cervical lordosis is maintained. The vertebral body heights are preserved. There is intervertebral disk height loss at C5-6 and C6-7. No fractures are identified. There is no lymphadenopathy or prevertebral soft tissue swelling.Additional findings by l... | Mild multilevel degenerative spondylosis, most pronounced at the C4-5 and C5-6 levels, but no significant spinal canal stenosis. |
Generate impression based on findings. | Female; 59 years old. Reason: evaluate for cause of SOB and History: SOB and chronic cough LUNGS AND PLEURA: Several scattered small lung nodules/micronodules are nonspecific but appear unchanged since the prior study. Mild bronchial wall thickening but no focal consolidation or pleural effusion. No new suspicious lesi... | No acute cardiopulmonary abnormality identified. Several scattered small lung nodules/micronodules are nonspecific but unchanged. |
Generate impression based on findings. | Reason: eval for appendicitis, RLQ pain History: as above, ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Mild splenomegaly. PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Right kidney with a ... | 1.Although the appendix is not visualized, there is no evidence to suggest acute appendicitis.2.Left-sided corpus luteum cyst.3.Right nabothian cyst.4.Right kidney with a focal area of poor perfusion extending up to the capsule with haziness along the parenchyma. These findings are nonspecific and may be old scarring, ... |
Generate impression based on findings. | Conductive hearing loss, h/o tympanostomy tubes. On the right, the mastoid air cells are not significantly pneumatized beyond the aditus ad antrum, which is partially opacified. The middle ear is also underpneumatized. The tympanic membrane is thickened and retracted. The ossicles are dysmorphic. In particular, the hea... | Stigmata of bilateral chronic otomastoiditis with markedly underpneumatized middle ears and mastoid air cells and left greater than right tympanomastoid opacification, but no definite evidence of cholesteatoma. |
Generate impression based on findings. | Clinical question: Rule out bleed. Signs and symptoms: Headache Nonenhanced head CT: No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system and CSF spaces.Prominence of cerebellar and ver... | 1.No acute intracranial process.2.Acute right maxillary sinusitis and unremarkable other paranasal sinuses. |
Generate impression based on findings. | Clinical question: Rule out hemorrhage. Signs and symptoms: Altered mental status. Nonenhanced head CT: Streak artifact obscure portions of the exam and makes detection of subtle findings difficult. Within this limitation however examination demonstrate moderate degree of periventricular and subcortical low attenuation... | 1.No detectable acute intracranial process.2.Extensive age indeterminate small vessel ischemic strokes, mild ex vacuo dilatation of supratentorial ventricular system without gross interval change since prior exam. |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: Left facial droop. Nonenhanced head CT:There is no detectable acute intracranial process CT however is insensitive for detection of acute non-hemorrhagic ischemic strokes.Examination demonstrate diffuse periventricular and subcortical low attenuation of white matter believed ... | Extensive age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Clinical question: Evaluate for intracranial pathology. Signs and symptoms: Altered mental status. Nonenhanced head CT:There is no detectable acute intracranial process CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF ... | No acute intracranial findings. |
Generate impression based on findings. | Clinical question: Evaluate for altered mental status. Signs and symptoms: Hypoxia. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white ma... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Status post trauma. Signs and symptoms: 33-year-old with headache after head trauma. Nonenhanced head CT:No detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.The cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter differe... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Rule out hemorrhage. Signs and symptoms: History of fall, increasing headaches. Nonenhanced head CT:No detectable acute intracranial process. Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter differentiation.Unremarkable calvarium and soft tissues o... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: CVA Nonenhanced head CT:No detectable acute intracranial process CT however is insensitive for detection of acute nonhemorrhagic ischemic stroke.Examination demonstrates a focus of encephalomalacia in the left occipital and medial aspect of posterior left temporal lobe consis... | 1.No acute intracranial process.2.Age indeterminate small vessel ischemic stroke and chronic left PCA cortical stroke grossly similar to prior exam. |
Generate impression based on findings. | Male 56 years old Reason: evaluate for pulmonary embolus History: hypoxia, respiratory distress PULMONARY ARTERIES: No evidence of pulmonary embolism or right heart strain. Technically adequate study.LUNGS AND PLEURA: Bibasilar atelectasis and bronchial wall thickening with associated left basilar predominant mild bron... | 1. No evidence of pulmonary emboli.2. Findings compatible with atelectasis, aspiration and suggestion of superimposed aspiration pneumonia.3. Persistent interstitial opacities possibly related to toxicity from prior chemotherapy.4. Findings compatible with colitis/enteritis, refer to CT abdomen from the same day for fu... |
Generate impression based on findings. | 52 year old female with left breast cancer status post mastectomy, radiation therapy, now on AI. Left axillary adenopathy, suspicious on FNA. CHEST:LUNGS AND PLEURA: Postradiation changes along the anterior lungs bilaterally. Ill-defined 6-mm nodular opacity with surrounding ground glass in the left upper lobe (series ... | 1. Ill-defined 6-mm nodular opacity in the left upper lobe, which is nonspecific. This may represent postradiation changes, however, continued follow up is recommended.2. Post-treatment changes at the left breast and left axilla, without lymphadenopathy seen. |
Generate impression based on findings. | Female 20 years old Reason: persistent tachycardia post operatively History: tachycardia Technically adequate study.PULMONARY ARTERIES: Central filling defect in a left basilar segmental pulmonary artery (image 122, series 9) compatible with acute pulmonary embolism. No evidence of right heart strain.LUNGS AND PLEURA: ... | 1. Pulmonary embolism in a left basilar subsegmental artery and probable small subpleural pulmonary infarction in the distribution of this vessel.2. Bibasilar atelectasis with superimposed consolidation in the right lower lobe suggestive of aspiration but superimposed infection cannot be excluded.3. Postoperative pneum... |
Generate impression based on findings. | Reason: r/o abscess History: fevers and chills s/p abd reconstruction on 10/1 with RLQ JP drain in place ABDOMEN: LUNG BASES: Bilateral scarring/atelectasis of bilateral lung bases.LIVER, BILIARY TRACT: A hypodense subcentimeter lesion in hepatic segment 8 is too small to further characterize. Another small subcentimet... | Large, thin loculated fluid collection with an enhancing rim draping over the anterior abdominal wall is suspicious for infection. There are adjacent small enhancing phlegmons and loculated fluid collections with enhancing walls both in the subcutaneous fat and in the underlying rectus muscle. |
Generate impression based on findings. | 54-year-old male with melena and syncope. ABDOMEN:LUNG BASES: bibasilar atelectasis or scarring.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Benign cortical cysts ... | 1. No diagnostic abnormality seen in the abdomen or pelvis. |
Generate impression based on findings. | Neoplastic workup. Fever of unknown origin. Blood dyscrasias. CHEST:LUNGS AND PLEURA: Mild-to-moderate pulmonary edema. Moderate right and small left pleural effusions with overlying compressive atelectasis. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Enlarged mediastinal and hilar lymph nodes. Prec... | 1. Mild to moderate pulmonary edema with bilateral pleural effusions and moderate-sized pericardial effusion.2. Few enlarged thoracic lymph nodes, which are of uncertain clinical significance. These may be reactive or secondary to edema.3. No acute intra-abdominal process evident. 4. No specific CT findings to account ... |
Generate impression based on findings. | Cervicalgia. There is mild reversal of the normal cervical lordosis without evidence of spondylolisthesis, which may be positional or related to muscle spasm. The vertebral body heights are preserved. There is no evidence of cervical spine fractures. The imaged portions of the skull base and craniocervical junction are... | 1. No evidence of cervical spine fractures or spondylolisthesis.2. Enlarged C7 transverse processes with rudimentary ribs bilaterally, right greater than left. |
Generate impression based on findings. | 45-year-old male in motor vehicle collision 24 hours ago, now with an episode of rectal bleeding and left lower quadrant abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Homogeneous liver parenchyma without evidence of trauma.Occupying lesions. Patient status post cholecystectom... | Anterior abdominal wall subcutaneous indurations, most likely from seatbelt injury. No intra-abdominal organ injury or evidence of traumatic abnormality. |
Generate impression based on findings. | Female; 21 years old. Reason: r/o PE; better characterize b/l lower lobe opacities (infection vs acute chest vs old infarction vs atalectasis vs other) History: Sickle cell crisis; h/o acute chest. Coagulopathic with multiple known DVTs. PULMONARY ARTERIES: No evidence of pulmonary embolism.LUNGS AND PLEURA: Although t... | 1.No evidence of acute pulmonary embolism.2.Peripheral wedge-shaped opacity in the right lower lobe, for which differential considerations include subsegmental atelectasis and pulmonary infarct. |
Generate impression based on findings. | 72-year-old female with tachypnea, tachycardia, and sepsis. Within the limits of a non-IV contrast enhanced examination which limits evaluation of vascular structures and solid parenchymal organs, the following observations can be made:CHEST:LUNGS AND PLEURA: Marked elevation of the left hemidiaphragm again seen as evi... | 1. Marked elevation left hemidiaphragm. 2. Bibasilar lung infiltrates most likely relating to atelectasis but superimposed airspace disease cannot be excluded. 3. Slight disproportion dilatation proximal small bowel compared with mid and distal -- this may be physiologic. See above. 4. No evidence for source of sepsis ... |
Generate impression based on findings. | Neck pain following MVC. There is normal alignment of the cervical spinal column without evidence of spondylolisthesis. The vertebral body heights are preserved. There is no evidence of cervical spine fractures. There is a small anterior disc-osteophyte complex at C5-6 with associated vacuum disc phenomenon. There does... | No evidence of cervical spine fractures or spondylolisthesis. |
Generate impression based on findings. | 52 year-old female with incidental right renal mass. Evaluate for metastases. CHEST:LUNGS AND PLEURA: Dependent subsegmental atelectasis. Scattered small pulmonary cysts, likely representing mild centrilobular and paraseptal emphysema. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hi... | 1. 1.9 cm indeterminate right renal mass, without evidence of metastases. This study was performed as a screening study for metastases. If further characterization of this lesion is clinically warranted, a dedicated renal protocol CT or MRI may be helpful.2. 1.7-cm lobulated mass in the right lateral breast. Correlatio... |
Generate impression based on findings. | Head trauma. Head: There is a left frontal and periorbital subcutaneous hematoma, which measures up to 14 mm in thickness. There is no evidence of acute 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 ... | 1. Left frontal and periorbital subcutaneous hematoma, which measures up to 14 mm in thickness. No evidence of orbital fracture or retrobulbar hematoma. 2. No evidence of acute intracranial hemorrhage, calvarial fracture, mass, or cerebral edema.3. Right antromeatal polyp with associated osteomeatal complex obstruction... |
Generate impression based on findings. | 59 year old male. Reason: chest pain - evaluate for atherosclerosis History: chest pain Height: 72 in Weight: 165 lbs BSA: 1.96 m^2BMI: 22.4 kg/m^2Calcium Score:LM: 0LAD: 184LCx: 26.5RCA: 117Total: 327, This represents the 84% for this patients age and gender.Cardiac Morphology:Left Ventricle:EDV: 150 ml The left ventr... | Total Calcium score was 324; 84% for age and gender.Diffuse multifocal coronary artery calcifications in the RCA, LCx and LAD. Normal ventricular volume and morphology. |
Generate impression based on findings. | Female 71 years old; Reason: preop planning; need entire glenoid History: pain. CT of the left shoulder demonstrates a minimally displaced posterior superior fracture of the osseous glenoid. The fracture fragment measures 2.7 x 0.7 mm. There is some sclerosis around the fracture line indicating a subacute nature of the... | Posterior superior glenoid fracture with mild displacement and severe osteoarthritis of the shoulder. |
Generate impression based on findings. | Reason: eval for intra-abd infection History: altered mental status ABDOMEN: LUNG BASES: Inferior lobe airspace consolidation/atelectasis of bilateral lung bases.LIVER, BILIARY TRACT: No evidence of cholelithiasis. No suspicious focal liver lesions. No intrahepatic or extrahepatic biliary ductal dilatation. Small amoun... | 1.Mild to moderate amount of abdominal/pelvic fluid, stable compared to prior exam. No loculated fluid collections.2.Diffuse mucosal enhancement and edema of the small bowel and portions of the colonic walls indicative of ileitis and colitis. Interval improvement of colonic wall edema. Small bowel findings remain stabl... |
Generate impression based on findings. | Female; 26 years old. Reason: evaluate for PE History: Hx of PE, now with chest pain. PULMONARY ARTERIES: Nondiagnostic study due to lack of intravenous access. Mild subsegmental atelectasis or scarring is present. | Nondiagnostic study due to lack of intravenous access. |
Generate impression based on findings. | Fall off bike, nausea. Head: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues ar... | 1. No evidence of intracranial hemorrhage, mass, or cerebral edema.2. No evidence of cervical spine fracture or spondylolisthesis. |
Generate impression based on findings. | Male; 24 years old. Reason: Better characterize progression of pulmonary fibrosis, r/o pneumonia History: Fevers, SOB LUNGS AND PLEURA: Combined emphysematous and fibrotic changes are again noted and appear to have progressed in the left lung. No superimposed areas of consolidation or pleural effusions are noted. Subpl... | Findings compatible with combined pulmonary fibrosis and emphysema (CPFE) which have progressed in the left lung since the prior CT. No evidence of superimposed acute abnormality. |
Generate impression based on findings. | Reason: persistent post op tachycardia s/p fistula takedown, SBR, cecal resection, lysis of adhesions History: tachycardia ABDOMEN:LUNG BASES: Mild air space consolidation/atelectasis in bilateral lung bases.LIVER, BILIARY TRACT: No suspicious focal liver lesions. No evidence of cholelithiasis. No evidence of intrahepa... | 1.Previous segment of sigmoid colon with wall thickening is against demonstrated. Incomplete distention of the portions of the colon make delineation of disease difficult.2.Postoperative changes to the cecum with mild, expected distention of preceding small bowel.3.Loculated fluid collections in the lower abdomen/pelvi... |
Generate impression based on findings. | Patient status post thrombectomy for basilar artery distribution 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 hypodensit... | 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. | 47-year-old female with abdominal pain and vomiting. Evaluate for obstruction. ABDOMEN:LUNG BASES: Bibasilar subsegmental atelectasis/scarring.LIVER, BILIARY TRACT: Innumerable scattered metastatic lesions throughout the liver, which have increased in size and number compared to the prior study. For reference, a segmen... | 1. Widespread metastatic disease, with worsening disease in the liver.2. Increased non-specific gastric wall thickening. This may represent a drug reaction, infectious, or inflammatory process. 3. Moderate stool burden throughout the colon, without evidence of bowel obstruction. |
Generate impression based on findings. | Clinical question: Rule out intracranial mass. Signs and symptoms: Intermittent blurry vision bilaterally, nausea and frontal headache. Nonenhanced head CT:No detectable acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic strokes.There is a focus of subtle increased density alon... | 1.Subtle focus of parenchymal increased density along the medial/inferior aspect of the right cerebellum with suggestion of subtle mass effect on the fourth ventricle. Recommend follow-up with MRI to exclude a mass.2.Unremarkable nonenhanced head CT otherwise. |
Generate impression based on findings. | RUE pain and numbness. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is mild patchy cerebral white matter hypoattenuation, which is likely related to microangiopathy. There are unchanged bilateral basal ganglia calcifications. The ventricles and basal cisterns are normal in size and co... | No evidence of acute intracranial hemorrhage, mass, or cerebral edema. Non-contrast CT is not sensitive for detection of acute non-hemorrhagic infarction. Brain MRI may be considered for further evaluation if the patient does not have any contraindications and if clinically warranted. |
Generate impression based on findings. | Reason: evaluate lung disease, asthma History: sob LUNGS AND PLEURA: No pulmonary or pleural abnormalities identified.No significant air trapping or evidence of interstitial disease.MEDIASTINUM AND HILA: Mild enlargement of the thyroid gland with hypodensities in both lobes similar in appearance to the prior exam.No hi... | No pleural or pulmonary abnormalities identified. No evidence of interstitial lung disease. |
Generate impression based on findings. | Colon carcinoma CHEST:LUNGS AND PLEURA: Interval increase in size of many of the previously noted numerous bilateral pulmonary metastatic nodules. The reference right upper lobe nodule best seen on image 27 of series 6, now measures 1.1 x 1 cm; this is in comparison to 0.6 x 0.7 cm on 8/14/2013.MEDIASTINUM AND HILA: St... | Interval increase in size of many of the numerous bilateral pulmonary metastatic nodules as well as interval increase in size of bilobar hepatic metastatic lesions. |
Generate impression based on findings. | Renal carcinoma status post partial nephrectomy CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Stable reference right hilar lymph node best seen on image 47, series 3, measuring 1.3 x 0.7 cm.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Stable hepatic dome hema... | Stable examination without acute, inflammatory, or metastatic process. |
Generate impression based on findings. | Urothelial carcinoma with ileal conduit ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Fatty infiltration of the liver again noted.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Stable minimal... | No evidence for recurrent or metastatic focus. Stable minimal bilateral hydronephrosis. Fatty infiltration of the liver again noted. |
Generate impression based on findings. | Female; 58 years old. Reason: eval for PE History: tachycardia. PULMONARY ARTERIES: No evidence of acute pulmonary embolism. LUNGS AND PLEURA: Bibasilar airspace opacities are compatible with focal atelectasis/consolidation. The distribution and extent of atelectasis is suggestive of aspiration. No pleural effusion or ... | 1.No evidence of acute pulmonary embolism. 2.Basilar airspace opacities are compatible with aspiration and atelectasis. |
Generate impression based on findings. | Male; 59 years old. Reason: r/o PE for SOB. PULMONARY ARTERIES: Multiple small acute pulmonary emboli are noted in the distal lobar/proximal segmental arteries of the right lower, left upper, and left lower lobes. Upper normal main pulmonary trunk diameter. LUNGS AND PLEURA: Severe upper lobe predominant chronic inters... | 1.Multiple acute pulmonary emboli in bilateral distal lobar/proximal segmental pulmonary arteries. New ground glass opacity in the right lower lobe may represent developing hemorrhagic infarct. 2.No significant interval change in severe chronic interstitial lung disease as described above, compatible with sarcoidosis.T... |
Generate impression based on findings. | Reason: ? ILD extent and source of hemoptysis History: hemoptysis and dyspnea LUNGS AND PLEURA: Subpleural and basilar predominant chronic interstitial disease with reticular and honeycomb components consistent with fibrosis.Extensive cystic abnormalities anteriorly in the left upper lobe with associated traction bronc... | Severe atypical chronic interstitial disease with marked progression of cystic destruction in both lower lobes and areas of consolidation in a peribronchial distribution that raises the question of infection, aspiration and organizing pneumonia, on a background of UIP. |
Generate impression based on findings. | Urothelial carcinoma with ileal conduit ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Fatty infiltration of the liver again noted.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Stable minimal... | No evidence for recurrent or metastatic focus. Stable minimal bilateral hydronephrosis. Fatty infiltration of the liver again noted. |
Generate impression based on findings. | 59 year-old female with anal cancer status post hepatic resection in May 2013. CHEST:LUNGS AND PLEURA: Scattered nonspecific pulmonary micronodules, similar to the prior exam. Unchanged pulmonary cysts and biapical scarring. No suspicious pulmonary nodules or masses. MEDIASTINUM AND HILA: No mediastinal or hilar lympha... | 1. Right hepatectomy, now with near resolution of the associated fluid collection. 2. No evidence of metastatic disease. |
Generate impression based on findings. | Reason: left lung nodule, right paraesophageal lymph node History: left lung nodule, right paraesophageal lymph node CHEST:LUNGS AND PLEURA: Scattered nonspecific micronodules. Calcified left lower lobe granuloma.Stable 10 mm x 9 mm left basilar subpleural solid nodule is unchanged over several prior exams dating back ... | 1.10-mm left basilar subpleural nodule unchanged over 8 months and may represent a noncalcified granuloma. Recommend follow-up examination in one year.2.Scattered calcified and noncalcified micronodules compatible with prior granulomatous disease.3.No evidence of mediastinal or hilar lymphadenopathy. Small right perica... |
Generate impression based on findings. | Reason: CT adrenals to evaluate for changes in adrenal nodule History: CT adrenals to evaluate for changes in adrenal nodule ABDOMEN:LUNG BASES: Mild dependent edema and atelectasis of the lung bases bilaterally. Mild prominence of subcentimeter right middle lobe micronodular.LIVER, BILIARY TRACT: Punctate hepatic calc... | 1.Findings confirming a lipid poor adrenal adenoma that is stable in size compared to prior exam.2.Nonspecific pancreatic hypodensity is unchanged. |
Generate impression based on findings. | Headache s/p hemispherectomy and EVD replacement x2. There are interval postoperative findings related to completion right hemispherectomy with a fluid collection and hemostatic material deep to the craniotomy plate that collectively measure up to 10 mm in thickness. There is a catheter that terminates within the hemis... | Expected postoperative findings related to interval completion right hemispherectomy with external ventricular drains in position. |
Generate impression based on findings. | Nasal congestion, DNS, h/o nasal polyps. The maxillary, frontal, and sphenoid sinuses are clear. There is minimal focal opacification in a left anterior ethmoid air cell. The nasal cavity is clear. There is minimal nasal septal deviation. The left ethmoid roof is approximately 2 mm higher than the right ethmoid roof. T... | No evidence of sinusitis or sinonasal polyposis. |
Generate impression based on findings. | Colon carcinoma CHEST:LUNGS AND PLEURA: Stable emphysema.Stable micronodules. Reference right middle lobe nodule best seen on image 59 of series 4, measures 0.4 cm in diameter.MEDIASTINUM AND HILA: Stable right thyroid nodule. Stable reference AP window lymph node, best seen on image 40 of series 3, measuring 2 x 0.9 c... | Slight interval decrease in size of pancreatic body mass; other reference lesions stable. |
Generate impression based on findings. | 58-year-old male with renal cancer. CHEST:LUNGS AND PLEURA: The reference right lower lobe nodule measures 1.0 cm (series 5, image 64), previously 0.7 cm. The left lower lobe nodule measures 1.1 cm (series 5, image 69), previously 0.9 cm. Additional micronodules appear unchanged.MEDIASTINUM AND HILA: No mediastinal or ... | 1. Slight increase in size of several pulmonary nodules. Continued follow-up is recommended.2. No acute intra-abdominal findings. |
Generate impression based on findings. | Male 59 years old Reason: eval for metastatic disease History: none LUNGS AND PLEURA: No suspicious pulmonary nodules or masses identified. Mild bibasilar scarring/atelectasis unchanged.MEDIASTINUM AND HILA: Mediastinal and hilar lymph nodes, unchanged. Reference borderline enlarged precarinal node measures 11 mm (imag... | No evidence of metastatic disease and no significant interval change. |
Generate impression based on findings. | Breast cancer and CLL; pain and fullness in left side of neck and left supraclavicular fossa. Streak artifact related to dental amalgam obscures surrounding structures. There is asymmetric prominence of the right tongue base with partial effacement of the right vallecula. The nasopharynx. hypopharynx, larynx, and trach... | 1. Asymmetric prominence of the right tongue base with partial effacement of the right vallecula, which can be further evaluated via direct inspection.2. Heterogeneous thyroid gland with a dominant left thyroid nodule that measures up to 11 mm. This can be further characterized via thyroid ultrasound. |
Generate impression based on findings. | 21-year-old male off therapy for Ewing's sarcoma, evaluate for pulmonary metastases LUNGS AND PLEURA: Right upper lobe micronodule is unchanged (image 31, series 4). No suspicious pulmonary nodule or mass. No consolidation or pleural effusion.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy is seen. Residu... | Stable right upper lobe micronodule without new suspicious pulmonary nodule or mass. |
Generate impression based on findings. | 59 year old female. Reason: Pancreas cancer. Please compare to previous scan and provide index lesion measurements for RECIST. History: Metastatic pancreatic cancer. CHEST:LUNGS AND PLEURA: Bibasilar atelectasis or scarring.MEDIASTINUM AND HILA: Enlarged thyroid with multiple hypodense nodules. CHEST WALL: Right-sided ... | Questionable thickening of the ascending colon and cecum on the prior exam has resolved.Pancreatic mass with pancreatic ductal obstruction. Diffuse hepatic ill-defined lesions consistent with metastatic disease are smaller and better defined. The pancreatic head mass appears smaller on this exam. |
Generate impression based on findings. | Disturbances of sensation of smell and taste. There is mild mucosal thickening within the alveolar recess of the right maxillary sinus. The left maxillary sinus is clear. There is minimal diffuse mucosal thickening within the bilateral ethmoid sinuses. The frontal and sphenoid sinuses are clear. The nasal cavity and ol... | No significant sinonasal opacification. |
Generate impression based on findings. | 47 year old male with metastatic colon cancer, please evaluate for interval change compared to outside (uploaded) CT. History: status post chemotherapy and radiation ABDOMEN:CHEST: LUNGS AND PLEURA: Stable small focus of scarring versus chronic infarct in the inferior aspect of the lingula.MEDIASTINUM AND HILA: No sign... | Status post resolution of right lower quadrant mesenteric mass, with stable residual circumferential soft tissue associated with adjacent small bowel and the anterior body wall.No measurable metastatic disease. No new lesions. |
Generate impression based on findings. | 52 year old male. Reason: Baseline evaluation of thoracoabdominal aorta after descending aortic replacement. History: Hx of Type A aortic dissection, with ascending replacement Jan 2013, now s/p Descending Aortic Replacement 10/9/13. CHEST:LUNGS AND PLEURA: Left upper lobe atelectasis and pleural thickening. Mild right... | Postop changes from a recent thoracic aortic dissection repair involving the descending aorta from the arch to the left hemidiaphragm. A hematoma surrounds the thoracic descending aorta. Some pockets of gas bubbles between and adjacent to the thoracic aorta and spine suggest possible infection or may be due to residual... |
Generate impression based on findings. | Right ear squamous cell carcinoma status post resection x 2 (most recently October 2010) and radiation completed on 1/14/11. There are post-treatment findings related to right parotidectomy, right neck dissection, and radiation. There is no discrete enhancing mass in the treatment bed to suggest local recurrence. The r... | Stable post-treatment findings for a right preauricular squamous cell carcinoma without evidence of locoregional tumor recurrence or cervical lymphadenopathy. |
Generate impression based on findings. | 14-year-old with history of recurrent osteosarcoma, currently asymptomatic LUNGS AND PLEURA: No suspicious pulmonary nodule or mass. No consolidation or pleural effusion.MEDIASTINUM AND HILA: Left port catheter is seen in place with its tip in the right atrium. No mediastinal or hilar lymphadenopathy is seen. The heart... | No evidence of metastatic disease. |
Generate impression based on findings. | 68 year old male with pancreatic neuroendocrine tumor. Surveillance scan. Reason: pancreatic neuroendocrine tumor on observation and Gleason 4+4 prostate s/p XRT. Evaluate for disease progression. CHEST:LUNGS AND PLEURA: Stable biapical scarring is again noted. Stable micronodules. Reference left lower lobe micronodule... | Stable exam, with no new lesions identified. |
Generate impression based on findings. | Reason: evaluate I:LD History: follow up for recently noted ILD LUNGS AND PLEURA: Stable subpleural reticulation, septal thickening, and bronchiectasis in more prominent in the right lung involving both the upper and lower lobes. There is a minimal honeycombing. No significant groundglass opacities or air trapping.No s... | Stable mild interstitial fibrosis in an atypical UIP pattern. Underlying etiologies would include mixed connective tissue disease and chronic hypersensitivity pneumonitis. |
Generate impression based on findings. | 63 year old male. Hodgkin lymphoma s/p ASCT 10/2010. Evaluate disease status. Re-eval and compare to previous. CHEST:LUNGS AND PLEURA: Subcentimeter left lower lobe pulmonary nodule nodule on image 89/series 4, is unchanged. No suspicious lesions. The pleural spaces are clear. Mild left hemithorax pleural thickening is... | Stable exam. |
Generate impression based on findings. | Left orbital injury. There is mild diffuse left preseptal swelling, but no evidence of retrobulbar hemorrhage or orbital fracture. The globes appear to be intact. There is no evidence of abscess. There is mild right and moderate left maxillary sinus mucosal thickening. The imaged intracranial structures are grossly unr... | Mild diffuse left preseptal hematoma, but no evidence of retrobulbar hemorrhage or orbital fracture. |
Generate impression based on findings. | Recurrent ear infections On the right, the tympanic segment of the facial nerve is dehiscent and low lying, positioned adjacent to the stapes capitellum. The ossicular chain is otherwise intact. The mastoid air cells are underpneumatized and opacified. The middle ear is clear. The inner ear structures are unremarkable.... | 1. Evidence of chronic bilateral otomastoiditis with underpneumatization and opacification of the mastoid air cells, right greater than left. No definite evidence of cholesteatoma.2. The right facial nerve is dehiscent and low lying, positioned adjacent to the stapes capitellum. |
Generate impression based on findings. | 54-year-old male with history of non-Hodgkin lymphoma status post autologous stem cell transplant in need of restaging. CHEST:LUNGS AND PLEURA: No new nodules, infiltrates or effusions. The small right middle lobe micronodules seen best on the MIP images (image 28) remained stable dating back to 2011. MEDIASTINUM AND H... | Stable examination with no evidence for recurrent adenopathy or disease. |
Generate impression based on findings. | Colon carcinoma 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: Stable segment 8 subcentimeter low attenuation focus; favor benign etiology such as cyst.SPLEEN: No significant abnor... | Slight interval increase in size of intermediate attenuation cystic focus arising from the lower pole of the right kidney. Would recommend dedicated renal CT to further characterize this lesion. Interval appearance of moderately enlarged parastomal hernia with colonic involvement. No evidence for bowel wall thickening ... |
Generate impression based on findings. | 71-year-old female with abdominal pain -- pressure feeling in abdomen, and bladder -- known large ventral or inguinal hernia. ABDOMEN: Within the limits of a non-IV contrast-enhanced examination which limits ability to evaluate solid parenchymal organs and vascular structures, the following observations can be made:LUN... | 1. Anterior abdominal ventral wall hernia containing small bowel without complication. 2. Right inguinal hernia containing only mesenteric fat. No other significant abnormalities seen. |
Generate impression based on findings. | Reason: breast cancer History: breast cancer CHEST:LUNGS AND PLEURA: Interval improvement in the right upper lobe subpleural opacity in the summer presented post radiation changes.Redemonstration of branching tubular opacity in the left lower lobe with surrounding hyperlucency compatible with bronchial atresia. Minimal... | 1.Interval increasing extrapleural soft tissue within the right inferior posterior chest wall corresponds to the focus of increased FDG activity noted on the recent PET scan and is compatible with progression of metastatic disease. 2.No suspicious pulmonary nodules or lymphadenopathy within the chest.3.Prominent peripa... |
Generate impression based on findings. | Back pain with metastatic angiosarcoma. This focal kyphosis centered at a burst fracture of the T4 vertebral body which demonstrates approximately 50% height loss when compared to adjacent vertebral bodies. There is 4 mm of retropulsion into the spinal canal with mass effect primarily on the right anterolateral aspect ... | 1.Focal kyphosis centered at the pathological T4 burst fracture with 50 % loss of height and impingement upon the right anterolateral aspect of the thecal sac. 2.Lytic lesion in the anterior and posterior elements of the T3 vertebra and subtle lytic lesion in the T5 vertebral body are compatible with metastases and mor... |
Generate impression based on findings. | Non-Hodgkin's lymphoma CHEST:LUNGS AND PLEURA: Stable biapical scarring. Stable 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 significan... | Slight interval decrease in size of mesenteric adenopathy; otherwise, stable examination. No new adenopathy. |
Generate impression based on findings. | Reason: Pancreas Cancer: Restaging History: none CHEST:LUNGS AND PLEURA: Bilateral bulla in apices. Calcified granuloma in the right upper lobe. Bibasilar atelectasis, left greater than right. Left lower lobe air space disease is improved from prior exam. Subcentimeter left supraclavicular lymph node with interval grow... | 1.Slight interval increase in size of the mass arising from the uncinate process.2.Interval improvement of left lower lobe opacities and atelectasis.3.Interval marked distension of the stomach and proximal duodenum proximal to the duodenal stent worrisome of an obstructive process. 4.Slight interval improvement of righ... |
Generate impression based on findings. | Relapsed Hodgkin's lymphoma status post two cycles of chemotherapy. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Decreased mediastinal lymphadenopathy. The reference right paratracheal lymph node measures 2.0 x 1.2 cm (axial series 701, image 31), previously 2.8 x 2.1 cm.CHEST WALL: No... | Decreased mediastinal lymphadenopathy. No new sites of disease are seen. |
Generate impression based on findings. | Female; 55 years old. Reason: Any evidence of pulmonary disease? History: Woman with NF1 who smokes and has cough and marked clubbing. LUNGS AND PLEURA: Moderate upper lobe predominant centrilobular and paraseptal emphysema. No suspicious pulmonary nodules or masses. Mild bronchial wall thickening is compatible with br... | 1.Moderate upper lobe predominant centrilobular and paraseptal emphysema.2.Mild bronchial wall thickening, compatible with bronchitis. |
Generate impression based on findings. | Male 66 years old Reason: COPD, h/o lung nodules LUNGS AND PLEURA: Scattered pulmonary micronodules unchanged since 4/2012.Reference right lower lobe nodule now measures 5 mm (image 138 series 4), previously 5 mm.Unchanged right middle lobe linear opacity now likely representing scarring (image 217, series 4). Lingular... | 1. Pulmonary micronodules and reference nodule unchanged since 4/2012, likely benign and postinfectious in etiology.2. Findings compatible with iodine deposition in the liver from treatment with amiodarone. |
Generate impression based on findings. | Status post renal pancreas transplant with abdominal pain; please evaluate for incisional hernia defect ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significa... | Multiple small fat containing ventral and umbilical herniations without bowel involvement. |
Generate impression based on findings. | 74-year-old with metastatic gastric cancer. Reason: Stage IV esophago-gastric cancer. Please provide index lesion measurements for RECIST prior to start of chemotherapy. LUNGS AND PLEURA: No focal air space opacity or consolidation.Multiple bilateral subpleural nodules are stable, measuring up to 4 x 7 mm at image 42 o... | 1. Multifocal mediastinal, hilar, mesenteric and left paraortic lymphadenopathy. Suspicious for metastatic disease.2. Multiple prominent pulmonary nodules are stable.3. Gastric mucosal thickening with intra-abdominal lymphadenopathy and liver lesions are suspicious for metastatic disease.4. Stable examination. No new l... |
Generate impression based on findings. | Reason: ild, pe History: sob cough PULMONARY ARTERIES: Technically adequate examination with no sign of pulmonary embolism.LUNGS AND PLEURA: Volume loss and scarring with pleural thickening in the left lower lung.Diffuse bronchial thickening suggestive of asthma or chronic bronchitis. There is a mild mosaic perfusion p... | 1. No pulmonary embolism.2. Diffuse bronchial thickening suggestive of asthma or chronic bronchitis with mild air trapping, and possibly respiratory bronchiolitis if the patient is a current smoker. |
Generate impression based on findings. | 47-year-old female with jejunal thickening. Concern for posttransplant lymphoproliferative disease. ABDOMEN:LUNG BASES: Cardiomegaly, similar to the prior exam.LIVER, BILIARY TRACT: Few scattered subcentimeter hypoattenuating foci in the liver, which are too small to characterize though likely representing cysts.SPLEEN... | 1. Limited evaluation of the bowel due to lack of oral contrast in the jejunum. 2. Persistent jejunal bowel wall thickening, with possible minimal improvement. No evidence of bowel obstruction. |
Generate impression based on findings. | 74 year old male. Reason: treated 2 years ago for CLL on a CALGB trial. Re-evaluate for residual disease. History: CLL CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Diffuse mediastinal and hilar adenopathy. For reference, there is a subcarinal lymph node in the midline that measures 2.3 ... | Diffuse hilar and mediastinal lymphadenopathy. |
Generate impression based on findings. | Female 94 years old; Reason: left foot and ankle CT to r/o fracture History: 94 yo osteoporotic pt with plantar arch and medial foot/ ankle pain, hurt foot when rolling over in bed 4 weeks ago. Diffuse demineralization and moderate to severe osteoarthritic changes are noted, especially about the midfoot and hindfoot, b... | Osteoarthritis and tendinopathy of the tibialis anterior but no evidence of fracture. |
Generate impression based on findings. | 46 year old female. Reason: NMO - neuromyelitis optica with myelopathy and sensory loss. To evaluate for occult malignancy. History: Weakness of LE, bowel and bladder incontinence CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant a... | No measurable metastatic disease. No suspicious lesions were found. |
Generate impression based on findings. | Breast carcinoma with abnormal LFT ABDOMEN:LUNG BASES: Interval appearance of multiple subcentimeter left basilar lung nodules.LIVER, BILIARY TRACT: Dramatic interval appearance of numerous confluent bilobar hepatic metastases. A representative segment 5 right lobe lesion as seen on image 51 of series 3 measures 1.9 x ... | Interval appearance of extensive confluent bilobar hepatic metastatic lesions. No ductal dilatation. Hepatic vessels patent. Trace ascites. Interval appearance of multiple subcentimeter left basilar lung nodules; these lesions are worrisome for new metastatic foci. |
Generate impression based on findings. | 49 year old female. Reason: right flank pain, known hx of right sided UPJ stone. 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: Splenomegal... | Moderately severe right hydronephrosis with 1.4-cm long calculus at the right ureteropelvic junction. |
Generate impression based on findings. | Reason: looking for source of neutropenic fever History: neutropenic fever LUNGS AND PLEURA: Previously seen opacity medially in the right middle lobe has improved but not completely resolved.No other evidence of infection is present.Mild dependent atelectasis is stable, right greater than left, with a small right pleu... | Near resolution of right middle lobe opacity, but there is dependent atelectasis and a new small right pleural and pericardial effusion. |
Generate impression based on findings. | Reason: eval colitis History: L-sided abd pain, h/o Crohn's, h/o recent Clostridium difficile colitis - fever, elevated WBC, diarrhea ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No focal liver lesions. No evidence of intrahepatic or extrahepatic biliary ductal dilatation. No evidence of ch... | Pancolitis favoring infectious etiology such Clostridium difficile infection although a diffuse inflammatory etiology cannot be completely excluded. No evidence of complications such as perforation, abscess, fluid collections, or obstruction. |
Generate impression based on findings. | 67-year-old male with cholangiocarcinoma and hepatocellular cancer. Needs to have a CT to reassess. Effect of RFA and restage. CHEST:LUNGS AND PLEURA: A lobular nodule in right upper lobe (series 10, image 25) measuring 0.8 x 0.7 cm.. No other lung nodules, masses, infiltrates or effusions seen.MEDIASTINUM AND HILA: No... | 1. Progressive intrahepatic disease extension with many new foci of tumor in the liver. 2. New enlarged portacaval lymph node and other smaller periaortic enlarged nodes with enhancement indicative of metastatic disease. 3. Lytic lesions in the left first rib and T4 vertebral body indicative of metastatic disease |
Generate impression based on findings. | 54-year-old male with right-sided flank pain, urinary tract infection -- rule out kidney stone. Within the limits of a non-IV contrast enhanced examination which limits evaluation of vascular structures and solid parenchymal organs, the following observations can be made:ABDOMEN:LUNG BASES: No significant abnormality n... | 1. No urinary tract calculi are seen and no signs of urinary tract obstruction or perinephric fluid collections. 2. 1.0-cm hypodensity right renal cortex -- while this most likely represents a cyst, without IV contrast, the lesion cannot be characterized. 3. Enlarged uncinate process of the pancreas -- without IV or or... |
Generate impression based on findings. | Male 58 years old Reason: Hx of SCCA of the tongue, now with painful fullness over right inferior rib cage, rule out lesion History: above LUNGS AND PLEURA: Nodular density seen along the right major fissure compatible an intrapulmonary lymph node. Scattered pulmonary micronodules some of which are calcified, unchanged... | No chest wall lesion or other significant abnormality. |
Generate impression based on findings. | 72-year-old female with microscopic hematuria. Renal cyst on ultrasound. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted. Status post cholecystectomy.SPLEEN: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No... | 1. No specific findings to account for the patient's microscopic hematuria.2. The left renal cyst seen on prior ultrasound is not distinctly visualized on this study. |
Generate impression based on findings. | Left temporal scalp melanoma. The region of the left scalp melanoma is not included in the field of view of this exam. There are mildly prominent left level 2 lymph nodes, the largest of which measures 8 x 13 mm. However, there was no corresponding hypermetabolism on the prior PET. There are left palatine tonsilloliths... | 1. Mildly prominent left level 2 lymph nodes, the largest of which measures 8 x 13 mm, without corresponding hypermetabolism on the prior PET from September 2013. 2. The region of the left scalp melanoma is not included in the field of view of this exam. |
Generate impression based on findings. | Shunted hydrocephalus. There is an unchanged right transparietal shunt catheter that terminates in the collapsed left ventricle with its tip possibly extending into the adjacent parenchyma and an unchanged left transparietal shunt catheter that terminates in the collapsed right lateral ventricle with an apparent discon... | Stable decompressed ventricular system with biparietal ventricular shunt catheters including apparent disconnection of the left parietal VP shunt catheter at its entry into the burr hole. |
Generate impression based on findings. | Renal cell carcinoma status post partial nephrectomy ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Stable bilobar too small to characterize low-attenuation fociSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKI... | Interval increase in size of right upper pole renal cyst. This cyst demonstrates no complexity or enhancement. Other bilateral renal cysts, stable.Right inguinal hernia with small bowel involvement. No bowel wall edema or obstruction. |
Generate impression based on findings. | Neutropenic fever. There is minimal mucosal thickening within the left maxillary sinus. The right maxillary sinus is clear. There is mild scattered mucosal thickening within the ethmoid sinuses.There is a small retention cyst within the right frontoethmoid recess. The frontal sinuses are otherwise clear. There is minim... | 1. No evidence of acute sinusitis.2. Although only partially imaged, the Waldeyer ring structures appear to have decreased in size. |
Generate impression based on findings. | Vocal cord paralysis CHEST:LUNGS AND PLEURA: Calcified granulomas. MEDIASTINUM AND HILA: Calcified mediastinal lymph nodesCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GL... | Negative for acute, inflammatory, or neoplastic process. |
Generate impression based on findings. | History of CLL. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Multiple subcentimeter mediastinal lymph nodes, similar to prior exam. Normal sized heart without pericardial effusion. Mild coronary artery calcifications.CHEST WALL: Stable bilateral axillary lymphadenopathy. The reference ... | Stable lymphadenopathy throughout the chest abdomen and pelvis. No new sites of disease are seen. |
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