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Generate impression based on findings. | 3/23/1973 (40 yrs.) - F. CVA. Disturbance of skin sensation The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized portions of ... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA |
Generate impression based on findings. | Reason: h/o HNC, CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Calcified and noncalcified punctate micronodules, without evidence of pulmonary or pleural metastases.Mild dependent atelectasis bilaterally.MEDIASTINUM AND HILA: No evidence of mediastinal or hilar lymphadenopathy.Heart s... | No specific evidence of metastases, or other abnormality. |
Generate impression based on findings. | Male 74 years old Reason: Evaluate for PNA History: New RLL opacity LUNGS AND PLEURA: The lungs are under inflated.Bronchial wall thickening unchanged, suggestive of chronic bronchitis.Mild centrilobular emphysema. Stable benign calcified pulmonary nodules.Minimal residual left pleural effusion. MEDIASTINUM AND HILA: F... | 1. No evidence of pneumonia.2. Mild emphysema and bronchitis. |
Generate impression based on findings. | h/o L eye vision loss for 1 day last week The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Atherosclerotic calcifications are present al... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA. |
Generate impression based on findings. | Hodgkin lymphoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomySPLEEN: Spleen, upper limits of normal in sizePANCREAS: Again noted, unchanged is the efface... | Stable examination. No new adenopathy. Again noted is the abnormal contour of the pancreas, with effacement of normal lobulations associated with abnormal thickening and fluid within the left Gerota's fascia. This finding is unusual for lymphomatous involvement and the possibility of IgG4 related sclerosing disease is ... |
Generate impression based on findings. | 66 year old male. Reason: kidney stones ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Probable cysts in the left lateral segment of the liver.SPLEEN: Hypoattenuating focus in the inferior aspect of the spleen is incompletely characterized.PANCREAS: No significant abnormality noted.ADRENAL G... | Atrophic native kidneys with calculi in the right renal pelvis, left renal pelvis.No hydronephrosis or hydroureter. No bladder calculi. |
Generate impression based on findings. | Chronic lymphoid leukemia, without mention of having achieved remission A right axillary lymph node currently measuring 27 x 26 mm axial dimensions previously measured 25 x 26 mm axial dimensions. A left submandibular node previously measuring 14 x 8 mm axial dimensions now measures 11 x 9 mm axial dimensions. A left p... | 1.Stable neck lymphadenopathy. |
Generate impression based on findings. | TxN3M0 HPV + SCC unknown primary treated with TFHX(s/p TPF induction) and bilateral tonsillectomy. There is persistent diffuse mucosal edema in the hypopharynx, larynx, and retropharynx that is attributable to treatment. There is no significant interval change in the infiltrative lesion located anterior to the right st... | 1.Unchanged infiltrating residual tumor along the right anterior triangle of the neck with superimposed treatment effects.2.No evidence of significant cervical lymphadenopathy on the basis of CT size criteria. |
Generate impression based on findings. | Clinical question: Hematoma? Signs and symptoms: Dizziness, recent concussion. Nonenhanced head CT:Examination demonstrates no detectable posttraumatic intracranial, calvarial or soft tissues of the scalp the findings.There is a very small arachnoid cyst in the anterior -- medial aspect of middle cranial fossa measurin... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Liver/kidney transplant workup. ABDOMEN: Please note that this examination is limited in sensitivity for solid organ pathology due to lack of IV contrast.LUNG BASES: No significant abnormality noted. No pleural effusions.LIVER, BILIARY TRACT: Cirrhotic liver morphology, similar to the prior MRCP, progressed since the 2... | 1. Cirrhotic liver morphology with splenomegaly, similar to the prior MRCP on 8/6/13. No ascites is present.2. Stable cystic liver lesion, likely representing a benign cyst or cystadenoma. |
Generate impression based on findings. | Male 17 years old; Reason: assess glenoid healing for Latarjet History: Latarjet . Status post resection and transfer of the coracoid bone to reconstruct the anterior glenoid. Two screws affix the transferred bone to the glenoid. No hardware complications are evident. There is some osseous bridging across the transfer.... | Status post Latarjet procedure without evidence of hardware complication. |
Generate impression based on findings. | Reason: 23 yo with history of CD presents with worsening abdominal pain, nausea and vomiting. History: abdominal pain, nausea and vomiting. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No suspicious focal liver lesions. Mild periportal edema and heterogeneous enhancement of the liver correl... | Mildly thickened bowel wall and marked mucosal enhancement of a single , long segment of the terminal ileum is consistent with Crohn's disease without evidence of complications. |
Generate impression based on findings. | Left VC paralysis. 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 are clear. The right mastoid air cells are underpneumatized and partially opaci... | Assessment is limited without intravenous contrast.1. No evidence of intracranial hemorrhage, mass, or cerebral edema. Evaluation is limited without contrast.2. No mass lesions or significant lymphadenopathy in the neck.3. Postoperative findings related to right uncinectomy with mild partial opacification of the neoinf... |
Generate impression based on findings. | Male 40 years old; Reason: Reassess arthritis History: ttp pain. CT of the right ankle demonstrates a plate and screw device affixing a distal fibular fracture in anatomic alignment and without hardware complication. The fracture appears healed. Two pins and a screw also affix a medial tibial malleolar fracture in anat... | Severe osteoarthritis of the tibiotalar joint and mild osteoarthritis and subtalar joints. |
Generate impression based on findings. | Facial pain/persistent cough. There are sequela of right uncinectomy. There are small bilateral maxillary sinus retention cysts. The infundibula are patent. There is minimal scattered ethmoid sinus mucosal thickening. The frontal and sphenoid sinuses are clear. The mastoid air cells are clear. The imaged intracranial s... | Sequela of right uncinectomy with small bilateral maxillary sinus retention cysts, but otherwise unremarkable paranasal sinuses and nasal cavity. |
Generate impression based on findings. | Diffuse abdominal pain. History of ulcerative colitis. Concern for appendicitis or ulcerative colitis sequelae. ABDOMEN:LUNG BASES: Calcified right lower lobe micronodule, likely secondary to prior granulomatous disease. No suspicious pulmonary opacities. LIVER, BILIARY TRACT: Hepatic steatosis. No focal hepatic lesion... | Acute appendicitis, without evidence of perforation or abscess formation. |
Generate impression based on findings. | 61-year-old male, rule out free air. ABDOMEN:LUNG BASES: Basilar consolidation, suggesting infection or aspiration.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS:... | 1. Bilateral hydronephrosis and hydroureter, greater on the right which most likely relates to chronic obstructive disease. However, given that the distal ureters are not visualized we cannot exclude unlikely distal ureteral lesions.2. No evidence of bladder perforation.3. Basilar consolidation, suggesting aspiration o... |
Generate impression based on findings. | Pancreatic pseudocyst endoscopic ultrasound drainage. ABDOMEN:LUNG BASES: Calcified granuloma posteriorly at the right lung base.LIVER, BILIARY TRACT: Gallstones and sludge. No enhancing hepatic lesions.SPLEEN: No significant abnormality notedPANCREAS: There is a 5.9 x 11.2 cm fluid collection compatible with a pseudoc... | Large peripancreatic pseudocyst as noted in the clinical history. Status post gastric bypass surgery. Gallstones and sludge in the gallbladder. |
Generate impression based on findings. | Male 80 years old male with small cell lung cancer. Reason: ?RLQ abscess size s/p drain insertion History: gram negative bacteremia, fluid-filled cavity with gas formation ABDOMEN:LUNG BASES: Bilateral pleural effusions with overlying compressive atelectasis (left greater than right). Left effusion is equivocally large... | 1.Unchanged soft tissue masses.2. Interval drainage right lower quadrant fluid collection. If this catheter is no longer draining, it can be removed; if it is draining, a drain study should be performed in IR to assess for a fistula to bowel. 3. Slight increase in size of left left pleural effusion |
Generate impression based on findings. | Male 80 years old Reason: Pt with resp failure, PEA arrest. Please assess for PE. Pt also has a thoracic aneursym, please also assess for aortic dissection PULMONARY ARTERIES: Technically adequate study without evidence right heart strain or pulmonary embolus.LUNGS AND PLEURA: CT series was acquired in expiration. Near... | 1. No evidence of pulmonary embolism a right heart strain.2. Significant multifocal atelectasis with suggestion of superimposed consolidation, likely related to mucous plugging.3. Multiple bilateral acute rib fractures.4. Stable aneurysmal dilatation of the ascending aorta, with no evidence of dissection. |
Generate impression based on findings. | Reason: Dissection? History: Chest pain, concerning CXR CHEST:LUNGS AND PLEURA: Reticular and groundglass opacities in the right upper lung may reflect developing infarction related to pulmonary emboli. Right pleural effusion with overlying atelectasis. Mild dependent atelectasis of the left lower lobe. Partially occlu... | 1.Right pulmonary artery embolus with multiple segmental pulmonary emboli. Reticular and groundglass opacities at the right lung may represent developing infarction. These findings were communicated to clinical service at the time of the examination by the radiology resident on call.2.No evidence of aortic dissection o... |
Generate impression based on findings. | Evaluate for kidney stone. Right flank pain. ABDOMEN:LUNG BASES: No significant abnormality noted. Small hiatal hernia.LIVER, BILIARY TRACT: Sludge and gallstones noted in the gallbladder. No evidence of wall thickening or pericholecystic fluid.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormalit... | Gallstones and sludge in the gallbladder; no evidence acute cholecystitis. No evidence of hydronephrosis or renal calculi. Normal appendix. Small hiatal hernia. |
Generate impression based on findings. | Male; 68 years old. Reason: r/o PE, hx of lung CA History: SOB. PULMONARY ARTERIES: No evidence of pulmonary embolism. Normal main pulmonary trunk diameter. LUNGS AND PLEURA: There has been interval increase in size and extent of multiple bilateral pulmonary nodules, some of which are cavitary and compatible with metas... | 1.No evidence of pulmonary embolism. 2.Interval increase in size and extent of multiple bilateral pulmonary nodules, compatible with known history of metastatic squamous cell carcinoma, without significant interval change in mediastinal or hilar lymphadenopathy. Please see reference measurements above. 3.Interval incre... |
Generate impression based on findings. | Reason: r/o dissection History: chest pressure with ataxia CHEST:LUNGS AND PLEURA: Multifocal patchy air space opacities. No pleural effusions.MEDIASTINUM AND HILA: Heart size is normal without pericardial effusion. Coronary artery calcifications. Enlarged subcarinal lymph node measures 2.7 x 1.6 cm (series 10, image 7... | 1.No evidence of aortic aneurysm or dissection.2.Probable non-occlusive SVC thrombus. SVC protocol chest CT should be considered for further evaluation if clinically warranted. 3.Predominantly subpleural patchy airspace opacities. Differential considerations include infection, malignancy, and organizing pneumonia. Reco... |
Generate impression based on findings. | Reason: h/o salivary gland adenoma, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Pulmonary nodules increasing in size and number. Reference right upper lobe pulmonary nodule measures 6 mm, previously 4 mm (series 5, image 43). MEDIASTINUM AND HILA: Reference appearing mediastinal lymph no... | 1.Increasing pulmonary nodules.2.New segment IVa hepatic lesion suspicious for metastatic disease. |
Generate impression based on findings. | AMS. 60 year-old male unresponsive at home he suffered a PEA arrest in the ED, evaluate for evolving CNS event. The portable technique somewhat limits sensitivity. There is sulcal and ventricular prominence likely representing atrophic change as well as extensive patchy periventricular and subcortical white matter hypo... | Sequela of chronic small vessel ischemic disease and old infarctions without CT evidence of intracranial hemorrhage or obvious acute ischemia. MRI examination would be more sensitive in the assessment of acute ischemia. |
Generate impression based on findings. | Blunt head trauma. 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 mastoid air cells are clear. There is no evidence of skull fracture. Maxillofacial: There is a right zyg... | 1. Right zygomaticomaxillary complex fracture that includes a 3 mm laterally displaced fracture of the zygomatic arch, comminuted fractures of the anterior and lateral maxillary sinus walls with herniation of a portion of the buccal fat pad into the antrum and associated hemosinus, and comminuted inferior orbital wall ... |
Generate impression based on findings. | Female 70 years old Reason: r/o PE History: SOB PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. The main PA is large and there may be mild right heart strain.LUNGS AND PLEURA: Noncalcified right upper lobe 6-mm nodule not significantly changed 2006 (image 18, series 8). Other calci... | 1. No evidence of pulmonary embolism.2. Enlarging descending aortic aneurysm incompletely evaluated on this examination. Dedicated 3-dimensional angiographic imaging is recommended for further evaluation. |
Generate impression based on findings. | Reason: Hx of prostate ca with increasing PSA levels--restaging of disease History: Postoperative day one after prophylactic trochanteric fixation. CHEST:LUNGS AND PLEURA: Bilateral mild to moderate paraseptal emphysematous changes.MEDIASTINUM AND HILA: Scattered subcentimeter mediastinal lymph nodes.CHEST WALL: Bilate... | 1.Lytic, soft tissue density lesions of the sacrum with posterior extension into the left sacral foramina worrisome for metastases.2.Hypodense lesion in the right lobe of the liver is unlikely to be metastases but should be followed on future exams.Findings discussed with Dr. Haydon (pager 1861) over the phone by Dr. A... |
Generate impression based on findings. | Midline tenderness at C2-3. There is straightening of the physiologic lordosis likely on the basis of positioning during image acquisition. There is normal vertebral body and intervertebral disk height. Alignment is normal. There is no visualized fracture and the odontoid is intact. No prevertebral soft tissue swelling... | No visualized abnormality including fracture. |
Generate impression based on findings. | Diffuse weakness, question of slurred speech. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is mild scattered cerebral white matter hypoattenuation, which may represent microangiopathy. There is a partially empty sella. There is a punctate focus of fat along the falx cerebri. The ventr... | 1. No evidence of intracranial hemorrhage, mass, or cerebral edema. 2. Mild scattered cerebral white matter hypoattenuation, which may represent microangiopathy. However, non-contrast CT is insensitive for the detection acute infarction. |
Generate impression based on findings. | Female; 61 years old. Reason: eval PE History: R-sided chest pain. PULMONARY ARTERIES: No evidence of pulmonary embolism. LUNGS AND PLEURA: Large right pleural effusion with overlying compressive atelectasis/consolidation. Mild left basilar scarring. Solid 9 mm nodule adjacent to the right lower lung most likely arises... | 1.No evidence of pulmonary embolism. 2.Large right pleural effusion with overlying compressive atelectasis. 3.Solid 9 mm nodule adjacent to the right lower lung, most likely extrapulmonary and arising from the diaphragmatic pleura. Differential considerations include metastatic disease given the patient's abdominal asc... |
Generate impression based on findings. | Shortness of breath, pectus excavatum, please evaluate with Haller index LUNGS AND PLEURA: No consolidation or pleural effusion.MEDIASTINUM AND HILA: The heart is normal in size and there is no pericardial effusion.CHEST WALL: Pectus excavatum deformity is noted with Haller index of 2.7UPPER ABDOMEN: No significant abn... | Pectus excavatum as described above. |
Generate impression based on findings. | Nausea, vomiting, headache. Rule out intracranial hemorrhage. There is no intracranial mass, focal hemorrhage, hydrocephalus or CT evidence of acute ischemia. Gray-white matter differentiation is maintained bilaterally and the midline is intact. There is no bony fracture. Orbits and mastoid air cells are unremarkable. | No acute intracranial pathology demonstrated. |
Generate impression based on findings. | Female; 29 years old. Reason: eval for PE History: hx recent DVT, now w/ SOB. PULMONARY ARTERIES: Limited exam due to suboptimal pulmonary artery opacification, but no evidence of pulmonary embolism to the lobar level. LUNGS AND PLEURA: Patchy right lower lobe interstitial/airspace opacities are compatible with the pat... | 1.No evidence of pulmonary embolism to the lobar level. 2.Patchy right lower lobe interstitial/airspace opacities are compatible with the patient's known history of blastomycosis. Additional infectious foci are noted within the left lower lobe. |
Generate impression based on findings. | Allergic rhinitis with postnasal drip, now with daily headaches. The paranasal sinuses and nasal cavities are clear. The mastoid air cells are underpneumatized, but clear. The orbits and imaged intracranial structures are unremarkable. There are nonspecific right cheek skin lesions that measure up to 5 mm in width. | No evidence of rhinosinusitis. |
Generate impression based on findings. | Weakness and confusion. Rule-out intracranial abnormality. There is no intracranial fluid collection, hemorrhage, hydrocephalus or CT evidence of acute ischemia. Gray-white matter differentiation is maintained bilaterally and the midline is intact. Visualized portions of the orbits, paranasal sinuses and mastoid air ce... | No intracranial abnormality. |
Generate impression based on findings. | 28-year-old male with history of GBM presents with seizures, posturing. There is no evidence of acute intracranial hemorrhage. There are postsurgical findings related to resection of left frontal craniotomy for resection of glioblastoma. There is mildly hyperattenuating ill-defined tumor along the left frontal resectio... | 1. Residual tumor involves the left frontal resection margins and left anterior cingulate gyrus, extending into the body of the corpus callosum with extensive confluent white matter hypoattenuation in the left cerebral hemisphere, which is similar in extent as on the prior MRI accounting for differences in technique, b... |
Generate impression based on findings. | Male, 42 years old, severe headache, evaluate for aneurysm and subarachnoid hemorrhage. On precontrast imaging, no evidence of intracranial hemorrhage is seen. No focal parenchymal edema or mass effect is seen. No abnormal extra-axial fluid is detected. The ventricular system is patent and within normal limits for size... | 1. No intracranial hemorrhage or other acute findings.2. Unremarkable CTA with no evidence of aneurysms. |
Generate impression based on findings. | Reason: 64M EtoH/smoking chronic pancreatitis s/p ERCPx2 for pancreas divisum with recurrent pain History: pain, r/o PD stones, PD strictures, interval malignancy/other causes abdominal pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significa... | Pancreas divisum without CT evidence of acute pancreatitis. |
Generate impression based on findings. | Word finding difficulty. No intracranial mass, fluid collection, hemorrhage, hydrocephalus or CT evidence of acute ischemia. Gray-white matter differentiation is maintained bilaterally and the midline is intact. The orbits, paranasal sinuses and mastoid air cells are unremarkable. Incidental note is made of hyperostosi... | No acute intracranial abnormalities. |
Generate impression based on findings. | Cerebral infarction. There is no evidence of acute intracranial hemorrhage. There are slightly more clearly defined areas of hypodensity in the inferior left cerebellar hemisphere, superior and inferior right cerebellar hemisphere, brainstem, and left occipital lobe and splenium of the corpus callosum. There is partial... | Continued evolution of the early subacute infarctions involving the brainstem, cerebellum, and left PCA territory, without evidence for hemorrhagic conversion or hydrocephalus. |
Generate impression based on findings. | Male, 54 years old, history of salivary gland adenoma, compared to previous. 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. Change related to prior left parotidectomy is redemonstrated. The fascial plan... | 1. Stable treatment related change in the neck. No evidence of recurrent disease.2. No intracranial metastatic disease. |
Generate impression based on findings. | Reason: 86 y/o hx of colon ca s/p resection, survillence History: hx of colon ca CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. Centrilobular emphysema.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size is normal without pericardial effusion. Coronary artery calcifications and... | 1.Concentric rectal wall thickening is unchanged likely benign.2.No evidence of metastatic disease. |
Generate impression based on findings. | Reason: r/o SBO, pancreatitis History: epigastric pain ABDOMEN:LUNG BASES: Mild bilateral dependent atelectasis at the lung bases.LIVER, BILIARY TRACT: Mild intrahepatic biliary ductal dilatation. Status post cholecystectomy. No suspicious focal liver lesions.SPLEEN: No significant abnormality notedPANCREAS: No signifi... | Fecalization of small bowel contents implying some component of chronic obstruction or stasis. No acute bowel obstruction is evident. |
Generate impression based on findings. | Male 58 years old Reason: assess for progression of disease and infectious etiology History: hx of metastatic NSCLC p/w sepsis likely 2/2 new pna LUNGS AND PLEURA: Small right pneumothorax, 11mm.There is new extensive necrotizing consolidation in the right upper lobe. Near the apex there has been breakdown of emphysema... | 1. New right upper lobe necrotizing consolidation in multifocal airspace opacities suspicious for pneumonia given the rapid radiographic appearance. Tumor is possible but considered less likely.2. Persistent atelectasis/consolidation of the right middle and lower lobes with associated tumoral occlusion of the bronchus ... |
Generate impression based on findings. | Reason: 74yo female with stage IIIB ovarian CA, now with rising CA 125. assess for recurrent disease History: rising tumor marker Within the limitations of a non-IV contrast enhanced examination which limits evaluation of solid organ parenchyma and vascular structures, the following observations can be made:CHEST:LUNGS... | Limited assessment due to lack of IV contrast. No CT evidence of residual or recurrent metastatic disease. |
Generate impression based on findings. | Male; 63 years old. Reason: hemoptysis - source? History: hemoptysis. Mild motion artifact limits evaluation of the lung bases. LUNGS AND PLEURA: Dense focal left upper lobe airspace opacity with air bronchograms, and surrounding areas of patchy airspace and ground glass opacities. Differential considerations include p... | 1.Dense focal left upper lobe airspace opacity with surrounding areas of additional patchy airspace and ground glass opacities. Differential considerations include pulmonary hemorrhage and infection. Findings in the left lower lobe are compatible with associated aspiration. 2.Narrowing of left upper lobe bronchus, most... |
Generate impression based on findings. | Reason: sarcoidosis of liver, eval for portal hypertension History: sarcoidosis ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Borderline cirrhotic morphology. No arterially enhancing lesions. Patchy enhancement of the right hepatic lobe likely represents perfusion anomalies. No ascites.SPLE... | 1.Borderline cirrhotic morphology of the liver without evidence of portal hypertension.2.Nonspecific heterogeneous splenic lesions may represent splenic sarcoidosis but is non-specific on imaging. |
Generate impression based on findings. | Male, 17 years old, increasing headache, evaluate for any acute changes from prior imaging. Bilateral frontal approach ventricular catheters are again seen. The tips are in stable position, the right terminating in the right lateral ventricular body at midline and the left terminating slightly more posteriorly within t... | Stable examination. No significant interval changes or acute findings to account for the patient's headaches. |
Generate impression based on findings. | 43-year-old female with history of bilateral extremity weakness and neck pain. Evaluate for bony abnormalities. The images from the cervical thoracic junction and below is limited due to quantum mottle. There is C4 through C6 laminectomy and partial C3 laminectomy with anterior fusion plate at C3 and C4 and posterior r... | 1.Postsurgical findings related to anterior spinal fusion and posterior canal decompression with mild lucency surrounding the right C6 facet screw, which may represent incipient loosening.2.Mild bilateral neural foramen stenosis at C3-4 bilaterally. Please refer to the MRI obtained earlier in the day for a more detaile... |
Generate impression based on findings. | Reason: Pt with HNC s/p CRT 2/2010. Pleas re-eval for recurrence History: as above CHEST:LUNGS AND PLEURA: No evidence of pulmonary or pleural metastases. Scattered benign appearing micronodules are unchanged.MEDIASTINUM AND HILA: Benign-appearing that previously measured mediastinal lymph nodes are unchanged, but ther... | No sign of metastases or other significant findings. No significant change. |
Generate impression based on findings. | Reason: h/o tongue base cancer, h/o smoker History: eval for mats LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Mild coronary artery calcifications are present.CHEST WALL: Endplate depression of multiple thoracic vertebral bodies, unchanged.UPPER ABDOMEN: Absence of enteric contrast material ... | No evidence of metastases, and no interval change. |
Generate impression based on findings. | Reason: esophageal cancer s/p 6 cycles of chemo. pleae evaluate for disease and comapre with previous scans History: esophageal cancer CHEST:LUNGS AND PLEURA: Reference left lower lobe subpleural nodule 33 x 13 mm, unchanged (series 5 image 67).Nodular opacity at the left costophrenic angle, unchanged.Small left lower ... | Stable disease. |
Generate impression based on findings. | Reason: HNSCC. Post induction evaluation. History: as above CHEST:LUNGS AND PLEURA: Slight progression of scarring in the lingula and right middle lobe, but no evidence of pulmonary or pleural metastases.Scattered benign appearing micronodules are stable.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Rig... | No significant change, and no sign of metastases. |
Generate impression based on findings. | Reason: r/o metastatic disease; h/o larynx cancer History: none LUNGS AND PLEURA: No evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy noted.Stable residual thymic tissue.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of enteric contrast mater... | No sign of metastases. Possible splenomegaly. |
Generate impression based on findings. | Female; 55 years old. Reason: hx of lung cancer, resection of partial RLL History: cough, hx of lung cancer. LUNGS AND PLEURA: Postsurgical changes compatible with partial right lower lobe resection. Two new ground glass nodules are noted in the right upper lobe which measure 13 mm and 10 mm and are suspicious for new ... | 1.Two new right upper lobe ground glass nodules are suspicious for new primary lung cancer. 2.Hypodense lesion in the right hepatic lobe was present on prior CT and may represent an hemangioma, although it is incompletely characterized without dedicated liver imaging. |
Generate impression based on findings. | Reason: h/o HNC, s/p CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Benign-appearing micronodules and a right pleural and parenchymal scarring, unchanged.Mild centrilobular emphysema is present, as well as basilar bronchiectasis.There is no specific evidence of pulmonary or pleural met... | No evidence of metastases, or significant change. |
Generate impression based on findings. | Female 63 years old Reason: newly dx lung cancer, please evaluate for disease and compare with previous scans History: esophageal cancer for staging with TNM, biopsies if feasible CHEST:LUNGS AND PLEURA: Calcified micronodular compatible with prior granulomatous disease. No suspicious pulmonary nodules or masses identi... | No evidence of metastases or measurable disease. |
Generate impression based on findings. | Reason: history of recurrent acinic cell cancer, follow-up exam, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: No evidence of pulmonary or pleural metastases.Prior wedge resection left lower lobe.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Aberrant left vertebral artery a... | No change, and no sign of metastases. |
Generate impression based on findings. | Reason: gastric cancer restaging after chemo/RT History: gastric cancer restaging CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. Centrilobular emphysema. Basilar atelectasis.MEDIASTINUM AND HILA: No lymphadenopathy. Heart size is normal without pericardial effusion.CHEST WALL: Right chest wall Port-... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Lung cancer status post right lobectomy 2009. LUNGS AND PLEURA: Postsurgical changes of right upper lobectomy. Mild emphysema. No new or suspicious pulmonary nodules. Left lower lobe micronodules (5/64) unchanged dating back to at least 2010, consistent with a benign lesion.MEDIASTINUM AND HILA: Mass measuring the dens... | No signs of recurrent or metastatic disease. Fluid attenuation mass in the subcarinal space slightly larger but most likely benign. |
Generate impression based on findings. | Male, 73 years old, status post fall on Coumadin. Periventricular hypoattenuation is a non-specific finding which most commonly represents age-indeterminate small vessel ischemic disease. Extensive intracranial arterial atherosclerotic calcification is noted affecting both the anterior and posterior circulations.No int... | 1. No acute intracranial abnormality.2. Age indeterminate small vessel ischemic disease. |
Generate impression based on findings. | Reason: 79 year old female with newly diagnosed orbital MALT. Evaluate for disease. History: none CHEST:LUNGS AND PLEURA: Mild pleural thickening of the left lung.Calcified granuloma in the left lung is unchanged. MEDIASTINUM AND HILA: Severe atherosclerotic calcification of the aortic arch and coronary arteries. Scatt... | 1.Reference subcarinal and right axillary lymph nodes measured for follow-up purposes.2.No evidence of metastatic/systemic disease.3.Atrophic left kidney.4.Stable infrarenal abdominal aortic aneurysm. |
Generate impression based on findings. | Female, 73 years old, tonsil cancer, status post CRT. No mucosal lesions are seen. No pathologic adenopathy is detected by size criteria. The salivary glands are free of focal lesions. Several small hypodense nodules are identified within both lobes of the thyroid, unchanged. Cervical arteries remain patent. The left i... | No evidence of active disease in the neck. |
Generate impression based on findings. | Fall, +LOC. 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. There is no evidence of calvarial fracture. There is a left... | Left frontal scalp laceration without evidence of calvarial fracture, intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Male, 80 years old, history of locally advanced lung cancer treated with chemotherapy and radiation, presenting with memory loss. Evaluate for metastatic lesions. Periventricular hypoattenuation is unchanged and most likely represents age indeterminate small vessel ischemic disease. Also redemonstrated is a likely chro... | Serpiginous leptomeningeal enhancement is again seen within the left occipital lobe. Since the prior examination, a mild degree of parenchymal edema seems to have developed. The differential considerations for these findings include a vascular anomaly such as a dural AV fistula. The possibility of neoplastic leptomenin... |
Generate impression based on findings. | 50 year-old with a history of nasopharyngeal cancer status post CRT completed in 2/2010. There are stable post-treatment findings in the right nasopharynx without evidence of focal mass. The skull base is intact. There are no enlarged lymph nodes by CT criteria. The salivary glands and thyroid gland are unchanged. The ... | No evidence of locoregional tumor recurrence or significant cervical lymphadenopathy. |
Generate impression based on findings. | Male 48 years old Reason: h/o met medullary thyroid ca, compare to previous, measurements pls CHEST:LUNGS AND PLEURA: Nodular density seen along the right major fissure compatible with intrapulmonary lymph node, unchanged. No new suspicious pulmonary nodules or masses identified. Mild dependent atelectasis.MEDIASTINUM ... | Stable hepatic metastasis without evidence of new metastatic foci. |
Generate impression based on findings. | 2-1/2 years status post laser resection of a left T1 vocal cord cancer. The vocal cords appear symmetric without discernable mass lesions. The paraglottic space is preserved and the laryngeal cartilages are intact. The oral cavity, oral pharynx, nasopharynx, hypopharynx, and subglottic airways are unremarkable. There i... | No evidence of left vocal cord tumor recurrence or cervical lymphadenopathy. |
Generate impression based on findings. | Male, 2 months old, status post VP shunt placement, history of obstructive hydrocephalus. A right parietal approach ventricular shunt catheter has been placed since the prior examinations. Tip terminates within the markedly dilated right sided ventricular system.Ventricular system remains markedly dilated with near com... | Status post placement of a right parietal approach ventricular shunt catheter. The ventricular system remains markedly dilated with severe thinning of the overlying parenchyma. Compared to the recent MRI, there has been no significant interval change in ventricular caliber or degree of parenchymal thinning. |
Generate impression based on findings. | Status post 6 cycles of ANBL0532, pre-transplant workup CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodule or mass. No consolidation or pleural effusion. No paraspinal masses.MEDIASTINUM AND HILA: Right central line tip lies in the left brachiocephalic vein. No mediastinal or hilar lymphadenopathy is seen. The hear... | 1.Resection of left adrenal mass. No retroperitoneal lymphadenopathy.2.Subtle osseous lesions in the pelvis and proximal femurs are unchanged. |
Generate impression based on findings. | Male, 66 years old, history of stroke. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift. The ventricles and basal cisterns are patent and norma... | No acute intracranial abnormality. No CT evidence of acute territorial stroke. |
Generate impression based on findings. | Renal stone at outside hospital. Still having abdominal pain. The following observations are made given limitations of an unenhanced study.ABDOMEN:LUNG BASES: Scarring predominating at the lateral right lung base appears similar compared to prior. Calcified granulomas also unchanged.LIVER, BILIARY TRACT: Gallstones as ... | No evidence of renal or ureteral calculi. Gallstones. |
Generate impression based on findings. | Male, 51 years old, seizure. There is a moderately sized left parietal region subgaleal hematoma. No skull fractures are detected.Within the left paramedian posterior parietal lobe, there is a 1 cm focus of hyperattenuation which, given the overlying subgaleal hematoma, most likely represents a small parenchymal contus... | Small posterior left parietal lobe contusion and small amount of subarachnoid blood product in the left sylvian fissure. Moderately sized left parietal subgaleal hematoma. No skull fracture.Findings as above are likely the sequelae of seizure. No definite parenchymal lesion is seen to account for the seizure, though MR... |
Generate impression based on findings. | T2 N2b M0 right tonsil SCC on 10-069 protocol. Extensive streak artifact related to the dental amalgam obscured surrounding structures. There has been marked interval decrease in size of the ill-defined right tonsillar fossa mass, now with mild residual prominence of the palatine tonsil, which is indiscernible from the... | Marked interval decrease in size of the right tonsil squamous cell carcinoma and right suprahyoid lymphadenopathy, although assessment is limited by artifact from dental amalgam. |
Generate impression based on findings. | Slurred speech. There is prominence of sulcal spaces in keeping with a degree of global atrophic change. There is no intracranial mass, fluid collection, hemorrhage, hydrocephalus or CT evidence of acute ischemia. Gray-white matter differentiation is normal bilaterally and the midline is intact. Visualized portions of ... | No acute intracranial pathology. |
Generate impression based on findings. | History of station 5 node, left upper lobe nodule. Cough and S.O.B. LUNGS AND PLEURA: Well circumscribed benign appearing 8mm nodule containing central internal calcifications left upper lobe (5/39), unchanged in size the. Significant motion artifact degrades image quality through the lung bases causing extensive slice... | 1. Irregularly marginated mixed density nodule with epicenter in the left periaortic region of the mediastinum suspicious for teratoma or other germ cell neoplasm (benign or malignant).2. Left upper lobe nodule has benign imaging characteristics and is statistically more likely to be benign than malignant. However, in ... |
Generate impression based on findings. | Headache -- chronic retro-orbital. There is no evidence of intracranial mass, acute hemorrhage, or cerebral edema. The gray-white matter differentiation is normal intact. The ventricles are stable in size and configuration. The paranasal sinuses and mastoid air cells are unremarkable. There is an unchanged lucent lesio... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Chronic sinusitis and sphenoid sinus mass. There is an unchanged sclerotic focus along the inferior aspect of the midline of the planum sphenoidale that measures approximately 10 AP x 8 RL x 6 SI mm. There are bilateral Onodi cells, in which the septa attach to this sclerotic focus. The sphenoid sinuses are otherwise c... | Unchanged sclerotic focus arising from the midline of the planum sphenoidale that measures up to 10 mm likely represents a bone island, as do the additional sclerotic foci in the left mandible and right maxillary alveolus. The presence of multiple bone islands may indicate osteopoikilosis. |
Generate impression based on findings. | Status post cardiac surgery not moving left side. There is extensive loss of gray-white differentiation with diffuse hypoattenuation and swelling throughout the majority of the right MCA territory. There is a calcific density and other hyperdense material within the proximal right MCA immediately may represent vascular... | Acute large right MCA territory infarct without evidence of hemorrhagic conversion or midline shift. Cerebrovascular imaging is recommended for further evaluation.Discussed with Dr. Rao (ICU) at 1:20 PM 10/18/2013. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female 29 years old Reason: 29 yr old patient with leiomyosarcoma of the uterus s/p 18 cycles of Gemzar/Carboplatin History: none CHEST:LUNGS AND PLEURA: The previously described pulmonary nodules appear unchanged in size and morphology since the prior examination.MEDIASTINUM AND HILA: Enlarging pericardial effusion.CH... | Stable examination. Reference measurements are given above. |
Generate impression based on findings. | 70-year-old male with new left lower lobe lung mass and history of abdominal aortic aneurysm CHEST:LUNGS AND PLEURA: Previously mentioned spiculated nodule in the superior segment of the right lobe measures 1.9 by 1.2 cm on image number 41, series number 5, unchanged from previous study. Spiculated subpleural mass in t... | No significant change in parenchymal nodules in left lower lobe spiculated mass which remains to be suspicious for a primary pulmonary neoplasmAbdominal aortic aneurysm treated with stent graft. |
Generate impression based on findings. | Shortness of breath. Chronic pulmonary heart disease. PULMONARY ARTERIES: Main pulmonary artery enlarged measuring 3.5-cm in transverse dimension, consistent with known diagnosis of pulmonary arterial hypertension. No filling defects are identified within the pulmonary artery branches to suggest presence of acute pulmo... | 1. Signs of pulmonary hypertension and probable chronic thromboembolic disease, but no evidence of acute pulmonary embolus.2. Moderate pericardial fluid collection.3. Enlargement of the right heart with small size of the left cardiac chambers. Reflux of contrast into the suprahepatic IVC strongly suggests tricuspid reg... |
Generate impression based on findings. | Suprasellar meningioma s/p resection. There are postoperative findings related to right pterional craniotomy. There is a hypoattenuating lesion with a circumferential thin hyperattenuating rim along the left planum sphenoidale that measures approximately 17 AP x 19 RL x 13 SI mm, which is better characterized on the re... | Hypoattenuating lesion with a circumferential thin hyperattenuating rim that measures up to 19 mm without communication with the sphenoid sinus is better characterized on the recent brain MRI. Differential considerations include a Surgiceloma, organizing hematoma, among other possibilities. |
Generate impression based on findings. | Recurrent skull base acinic cell carcinoma status post multiple treatments including R superficial parotidectomy and adjuvant RT in 1991, proton therapy in 2002 at MGH, selective neck dissection on the right in 2003, and most recently chemoradiation to 70 Gy in 2 Gy fractions with 5-FU and hydrea completed on 11/23/12.... | No significant interval change in the treated acinic cell carcinoma involving the right lateral skull base. No evidence of recurrent tumor in the parotidectomy bed or significant cervical lymphadenopathy. |
Generate impression based on findings. | 56 year-old woman with abdominal pain and palpable left periumbilical mass. Please evaluate. The following observations are made given the limitations of an unenhanced study.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter hypodense nodule in the right lobe of liver probably cyst ... | Small periumbilical hernia containing fat. |
Generate impression based on findings. | Reason: sp olt with new cultures. po contrast only History: as above Lack of intravenous contrast limits evaluation of mediastinum, lymph nodes, and solid organ pathology.CHEST:LUNGS AND PLEURA: Right-sided pleural catheter. No pneumothorax. Right upper lobe patchy consolidation. Basilar atelectasis/consolidation. Righ... | 1. Right upper and lower lobe patch consolidation suggests infection.2. Ascites. No drainable fluid collections on this limited exam. |
Generate impression based on findings. | Reason: Evaluate for progression of metastatic disease. History: 63-year-old male with metastatic colon cancer. CHEST:LUNGS AND PLEURA: Mild subsegmental atelectasis at the left upper lobe.Few micronodules in the left lower lobe. A single micronodules in the right upper lobe.MEDIASTINUM AND HILA: Scattered subcentimete... | Large mass replacing the left lobe of the liver and invading left and main portal vein with multiple right lobe satellite lesions consistent with patient known history of cholangiocarcinoma.Extensive peritoneal carcinomatosis and metastatic retroperitoneal adenopathy.I personally reviewed the Images and/or procedure wi... |
Generate impression based on findings. | Female 51 years old Reason: severe asthma sp BT 2/28/2011 History: uncontrolled asthma LUNGS AND PLEURA: Borderline pulmonary mosaic attenuation pattern compatible with small airways or abnormal perfusion, unchanged.Mild peribronchial wall thickening, unchanged.MEDIASTINUM AND HILA: Multiple small hypodense thyroid nod... | Minimal evidence of small airway disease. No significant interval change.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Newly diagnosed orbital MALT. Lack of intravenous contrast limits assessment. Within this limitation, there is no definite evidence of significant cervical lymphadenopathy. However, there is partially imaged right preseptal soft tissue thickening and possible postseptal fat stranding. The aerodigestive track is grossly... | 1. No definite evidence of significant cervical lymphadenopathy, although the exam is limited by lack of intravenous contrast.2. Partially imaged right preseptal soft tissue thickening and possible postseptal fat stranding, compatible with known MALT lymphoma. Dedicated orbital imaging may be performed for further eval... |
Generate impression based on findings. | Abdominal aneurysm omission of rupture. CHEST:LUNGS AND PLEURA: Scattered micronodules. Emphysematous changes at both lung apices. Scarring at the right lung base.MEDIASTINUM AND HILA: Ascending aorta measures 4 cm in diameter and descending thoracic aorta measures 3.1 cm in diameter (image 49; series 10). Coronary art... | No evidence of abdominal aortic aneurysm. Scattered subcentimeter hypervascular nodules in the dome of the liver are of unclear etiology. Consider correlation with dedicated liver MRI or CT as clinically indicated. |
Generate impression based on findings. | Reason: hx retroperitoneal fibrosis/mesenteric panniculitis; abdomen asymmetric R>L; any recurrence/growth? History: hx retroperitoneal fibrosis/mesenteric panniculitis; abdomen asymmetric R>L; any recurrence/growth? ABDOMEN:LUNG BASES: Small pericardial effusion, unchanged.LIVER, BILIARY TRACT: Scattered hepatic hypod... | 1. Calcified mesenteric mass, unchanged in size, compatible with known mesenteric panniculitis.2. No evidence of bowel obstruction. |
Generate impression based on findings. | Female 28 years old Reason: Evaluate for lymphadenopathy. History: chest lesions. Previous abnormal CT scan of the chest. LUNGS AND PLEURA: The left upper lobe subpleural, previously cavitary, now calcified and scar like nodule is unchanged from the prior examination. Curvilinear nodular opacity inferior to the primary... | 1. Calcified scar like subpleural nodule in the left upper lobe unchanged.2. Near complete resolution of the other nodular/airspace opacities suggestive of infectious or inflammatory etiology.3. Calcified mediastinal and hilar lymph nodes unchanged.4. No additional CT follow up is recommended unless clinically warrante... |
Generate impression based on findings. | 48-year-old with history of medullary thyroid cancer. There are postsurgical findings related to total thyroidectomy without evidence of recurrent soft tissue within the thyroid bed. There is no significant interval change in the cervical lymph nodes. For example, selected reference lymph nodes are unchanged, including... | 1. No evidence of locoregional thyroid carcinoma recurrence.2. Stable cervical lymph nodes.3. Extensive dental caries with associated periodontal lucencies. |
Generate impression based on findings. | Chronically draining right ear with conductive hearing loss, s/p tympanostomy tube placement for chronic serous otitis media in November 2012. The images are considerable degraded by patient motion.On the right, the tympanic membrane appears diffusely thickened and retracted. The tympanostomy tube is not well-depicted.... | The exam is of limited diagnostic quality due to considerable patient motion. Nevertheless, partial middle ear and complete mastoid air cell opacification on the right are compatible with otomastoiditis. |
Generate impression based on findings. | Female; 71 years old. Reason: short of breath, 20 pack year smoking history, r/o nodule, assess for emphysema History: SOB. LUNGS AND PLEURA: There is mild subpleural reticulation in the upper lobes bilaterally which may represent early fibrosis, but is a nonspecific finding. Mild peripheral and basilar scarring withou... | Mild centrilobular emphysema and very mild subpleural reticulation suggesting early fibrosis. No suspicious pulmonary nodules or masses. Low-density right adrenal gland nodule is incompletely visualized, possibly an adenoma or myelolipoma. |
Generate impression based on findings. | Reason: r/o dissection History: s/p high speed MVC CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality noted. No evidence of acute aortic injury.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No suspicious focal liver lesions. No evidence o... | 1.No evidence of acute aortic injury. 2.Nondisplaced fractures of the left transverse processes of L2 and L3. |
Generate impression based on findings. | 64-year-old male with history of laryngeal cancer status post radiotherapy and surgery with hemoptysis. There is normal 3 vessel arch with atherosclerotic calcification demonstrated at the ostium and proximal segments of each of the great vessels. There is significant stenosis at the bifurcation of the right internal c... | 1.Post therapy findings without with no pseudoaneurysm or active extravasation demonstrated.2.Critical (95%) proximal right internal carotid stenosis and mild (30%) proximal left internal carotid stenosis.3. No evidence of locoregional tumor recurrence or significant lymphadenopathy. |
Generate impression based on findings. | Subglottic obstruction? hemoptysis. There is an endotracheal tube that terminates inferior to the thoracic inlet. There is fluid within the upper trachea and hypopharynx. There is no definite evidence of subglottic stenosis or exophytic masses in the aerodigestive track. There is no significant cervical lymphadenopathy... | Endotracheal tube in position with fluid in the upper trachea and hypopharynx, but no definite evidence of subglottic stenosis or exophytic masses in the aerodigestive track. A partially imaged left upper lobe consolidation may represent aspiration pneumonia or hemorrhage. Refer to the separate recent chest CT report f... |
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