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Generate impression based on findings. | 25-year-old explain seen headache, s/p hemispherectomy and EVD replacement x2. Redemonstrated are 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 t... | 1.There is a catheter that terminates within the hemispherectomy cavity, unchanged in position.2.There is also a catheter that terminates within the atrium of the left lateral ventricle, also unchanged in position, with slight interval decrease in size of the adjacent lateral ventricle. |
Generate impression based on findings. | Female; 82 years old. Reason: 82 yo W with h/o early stage NSCLC s/p SBRT. Please assess for response History: occasional cough. CHEST:LUNGS AND PLEURA: Spiculated right upper lobe nodule is slightly decreased in size and measures 16 x 13 mm, previously 19 x 13 mm (series 4, image 52). Adjacent focal ground glass opaci... | 1.Slight interval decrease in size of spiculated right upper lobe nodule.2.Unchanged 16mm right apical lesion which is mostly groundglass density but may contain some internal solid component, suspicious for MIA/AIS . 3.Unchanged multiple ground glass nodules, which could represent additional indolent primary neoplasms... |
Generate impression based on findings. | Stroke, metastasis. There is extensive cortical and subcortical edema involving the bilateral superior frontal and cingulate gyri and bilateral occipital lobes. There is also a possible area of edema in the left cerebellar hemisphere. There is no midline shift or herniation. There is no evidence of acute intracranial h... | Extensive edema in the the bilateral occipital lobes and possibly within the right cerebellar hemisphere without evidence of acute intracranial hemorrhage or midline shift may represent recent multi-territorial infarcts and less likely posterior reversible encephalopathy syndrome. Brain MRI and cerebral vascular imagin... |
Generate impression based on findings. | Reason: 71 year old female with new diagnosis of colon adenocarcinoma. Staging. History: abdominal pain CHEST:LUNGS AND PLEURA: Left lower lobe pulmonary nodule measures 0.6 x 0.5 cm (series 4, image 52). Centrilobular emphysema. Left lower lobe basilar atelectasis/scarring. MEDIASTINUM AND HILA: Aneurysmal dilatation ... | 1.Hepatic metastases.2.Left lower lobe pulmonary nodule suspicious for metastasis.3.Probable renal cell carcinoma of the right kidney, however the phase of contrast is suboptimal. Dedicated renal CT or MRI may be helpful.4.Prominence of the common bile duct and pancreatic duct with nonspecific haziness at the ampulla. ... |
Generate impression based on findings. | CTA TAVR CAP W; 3/21/2012 3:04 PM VESSELS:Sinus of Valsalva equals 2.9 x 2.9 x 3.1 cm Sinotubular junction: 3.0 x 2.9 cmProximal ascending thoracic aorta at the level of the main pulmonary artery: 3.0 x 3.3 cmAscending thoracic aorta immediately proximal to the innominate artery: 2.9 x 2.8 cmProximal descending thoraci... | No significant abnormalities identified. Preoperative measurements given above. |
Generate impression based on findings. | 47 year old female with eye pain, evaluate for facial fracture Previously described left frontal scalp laceration is above the field of acquisition for the current study.The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. The maxilla, mandible, sphenoid boned... | Negative noncontrast maxillofacial CT. Specifically, there are no CT findings to explain the patient's eye pain. |
Generate impression based on findings. | Assault. There is a 1 to 2 mm depressed fracture of the left frontal process of the maxilla with overlying soft tissue swelling. 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 ... | 1. No evidence of acute intracranial hemorrhage, mass, or cerebral edema.2. Acute 1 to 2 mm depressed fracture of the left frontal process of the maxilla. |
Generate impression based on findings. | Female; 89 years old. Reason: Slowly-progressive lung cancer with increased hoarseness; evaluate for recurrence. CHEST:LUNGS AND PLEURA: Nodular opacity in the right lower lobe along the previous wedge resection suture line is unchanged since the prior study and compatible with tumor recurrence, having increased from t... | 1.Stable nodular opacity along right lower lobe suture line is compatible with recurrent tumor. 2.Unchanged left lower lobe nodule, which may represent metastasis or new primary tumor. 3.Findings compatible with pulmonary arterial hypertension. 4.Unchanged hepatic lesions, some of which are indeterminate in etiology. |
Generate impression based on findings. | Female 71 years old Reason: 71 year old woman with history of early stage LUL NSCLC treated with stereotactic radiotherapy in 5/2013. Please evaluate for interval change and compare to pretreatment CT. History: surveillance CT CHEST:LUNGS AND PLEURA: Upper lobe ground glass nodule has slightly decreased in size now mea... | 1. Decreased size of the left upper lobe nodule.2. Diffuse chronic lymphadenopathy with no significant change in axillary, subpectoral, mediastinal and hilar lymphadenopathy but slight interval increase in mesenteric lymphadenopathy. Indolent lymphoma cannot be excluded.3. Incomplete characterized left adrenal nodule s... |
Generate impression based on findings. | Right lower quadrant pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPER... | No CT findings to explain patient's acute abdominal pain. |
Generate impression based on findings. | Female, 79 years old, leptomeningeal enhancement seen in the right parietal region on the prior MRI, history of lung cancer. Evaluate for vasculitis or other CNS vascular disease. Non-angiographic findings:In the region of the right parietal abnormality noted on prior MRI, there is mild gyriform hyperdensity which surr... | 1. No specific vascular anomaly or vascular lesion is seen to account for the abnormal findings noted on a prior MRI.2. Incidental note is made of a 2 mm x 2 mm aneurysm arising from the right M1 segment.3. Mild atherosclerotic disease is seen at the carotid bifurcations with moderate atherosclerotic disease at the lev... |
Generate impression based on findings. | Left total hip arthroplasty, pain with osteolysis The left total hip arthroplasty is again observed with associated marked lucency involving the superior acetabulum extending into both the anterior and posterior columns. At its most superior, this suspicious lucency measures over 3 cm, Mild protrusio abnormality, howev... | Suspected particle ostial lysis involving the left superior acetabulum, grossly unchanged from plain film. No associated superimposed acute process |
Generate impression based on findings. | Assess for infection prior to transplant. No evidence of sinusitis. Maxillary, sphenoid and ethmoid sinuses are aerated normally. There is no mucosal thickening. Ostiomeatal units are clear bilaterally. Visualized portions of the orbits are unremarkable and there are no bony abnormalities including fracture. Overlying ... | No evidence of sinusitis. Unremarkable examination. |
Generate impression based on findings. | Reason: Appendiceal carcinoid and retro-cecal perforation peritonitis resected in March 2013 -- some perivascular invasion and nodes -- assess for change History: none except urgency discomfort ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No arterially enhancing lesions.SPLEEN: No signific... | No evidence of recurrent or metastatic disease.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Status post resection of a T1 right vocal cord cancer December 31, 2012 and re-resected margins in January 2013. The vocal cords appear essentially unchanged with persistent effacement of the right laryngeal vestibule and indistinctness of the left paraglottic fat. There is unchanged sclerosis of the right arytenoid an... | 1. Essentially unchanged appearance of the vocal cords.2. No significant cervical lymphadenopathy. |
Generate impression based on findings. | Reason: evaluate for disease progression. History: leiomyosarcoma. CHEST:LUNGS AND PLEURA: Pulmonary nodules increasing in size and number. Reference right apical nodule measures 5 mm (series 6, image 11), previously 4 mm.No pleural effusions.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. Mild cor... | 1.Increasing pelvic mass with extension to the left pelvic sidewall and invasion of adjacent small bowel loops, left ureter, and possibly the sigmoid colon.2.Increasing pulmonary, hepatic, and osseous metastases.3.Chronically obstructed left kidney. |
Generate impression based on findings. | 45 year man with a perfusion defect on nuclear stress test and prior non-diagnostic stress echo. He is being considered for liver transplant and is referred to rule out coronary artery disease.CPT Code: 75574 Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of valsalva and bifurc... | 1.There is a densely calcified plaque in the proximal LAD resulting in an approximately 50% stenosis. 2.The LV and LA are mildly dilated. 3.The RV and PA are normal in size.This portion of the report pertains to the heart and great vessels only. The remaining soft tissues of the thorax and upper abdomen will be interpr... |
Generate impression based on findings. | Clinical question: Multiple sclerosis. Signs and symptoms: Primary hyperparathyroidism. Nonenhanced head CT:No detectable acute intracranial process.Diffuse foci of low-attenuation in the left hemisphere involving the cortex and subcortical white matter remains similar to prior brain MRI exam. In addition bilateral per... | No acute intracranial findings. Stable exam since prior MRI study from April of 2013. A |
Generate impression based on findings. | Clinical question: Evaluate for subarachnoid hemorrhage. Signs and symptoms: Status post fall; aneurysm. Nonenhanced head CT:No detectable acute posttraumatic intracranial or calvarial findings.There is evidence of posttraumatic subgaleal hemorrhage and edema in the left posterior parietal high complexity.Small focus o... | 1.No acute posttraumatic intracranial or calvarial findings.2.Left parietal subgaleal hemorrhage and edema.3.Stable small focus of left posterior parietal parenchymal hemorrhage since prior exam.4.Unremarkable intracranial contents otherwise. |
Generate impression based on findings. | Clinical question: Bleed. Signs and symptoms: Headache and paresthesia. Nonenhanced head CT:There is no detectable acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic stroke.Unremarkable cerebral cortex, cortical sulci and ventricular system.There is a slight prominence of cereb... | 1.Negative exam for acute intracranial or calvarial findings. 2.Fibrous dysplasia of the left squamous portion of temporal bone similar to prior exam from 2008. |
Generate impression based on findings. | Clinical question: Is there any evidence of CVA? Signs and symptoms cord left facial heavy sensation. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF space... | Negative nonenhanced head CT. |
Generate impression based on findings. | 54-year-old male with hypertension and blood loss This study is limited due to lack of IV contrastCHEST:LUNGS AND PLEURA: Bilateral pleural effusions and dependent atelectasis. The atelectasis has increased compared to previous study. Tracheostomy tube is in place. There are secretions and mucus in the right main bronc... | Interval development of significant hemopericardium causing constrictive physiology.Generalized anasarca. Bilateral pleural effusions and ascites.Bilateral dependent atelectasis. Superimposed infection cannot be excluded.Extensive atherosclerotic disease. CT findings suggestive of chronic liver disease.Chronic pancreat... |
Generate impression based on findings. | 60 year-old female with elevated d-dimer, shortness of breath and chest pain PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus.LUNGS AND PLEURA: Extensive right upper lobe and perihilar consolidation. No pleural effusions. The left lung is clear.MEDIASTINUM AND HILA: Scattered atheros... | 1. Technically adequate study without evidence of pulmonary embolus.2. Extensive right upper lobe consolidation suspicious for infection although a central obstructing lesion cannot be excluded and follow up imaging to document resolution is recommended. |
Generate impression based on findings. | 78 year-old female with tachycardia and hypotension, evaluate for PE. Exam was terminated following failure of the patient's IV.PULMONARY ARTERIES: Technically inadequate study without opacification of the pulmonary arteries.LUNGS AND PLEURA: Right pleural effusion.MEDIASTINUM AND HILA: Atherosclerotic changes of the t... | Technically inadequate study terminated following the timing bolus due to failure of the patient's IV. Dilated esophagus and right pleural effusion are noted. |
Generate impression based on findings. | Female 63 years old; Reason: ?Metastatic disease History: R leg pain x 5 days. No acute fracture or dislocation. Small focal areas of increased density are seen in the distal femoral diaphysis which may be due to red marrow reconversion. Metastasis is considered less likely since thyroid would more likely be lytic. The... | Small areas of increased density within the intramedullary component of the distal femoral diaphysis which may be due to red marrow reconversion. Metastasis is considered unlikely and bone scanning may be helpful. |
Generate impression based on findings. | Female 65 years old; Reason: evaluate fracture pattern History: L distal femur fracture Comminuted distal femur fractures seen. The fracture extends into the lateral femoral condyle and into the knee joint at the lateral intercondylar notch. There is mild posterior medial displacement by 1 shaft width and anterior angu... | Comminuted distal femur fracture with mild posterior medial displacement and anterior angulation of the largest distal fracture fragment. |
Generate impression based on findings. | 59-year-old female with left upper quadrant abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Left re... | Bilateral focal renal scarring. |
Generate impression based on findings. | 70-year-old male with cough and productive sputum LUNGS AND PLEURA: Calcified nodules compatible with prior granulomatous disease. Right apical scarring. No evidence of infection.MEDIASTINUM AND HILA: Cardiomegaly. Moderate atherosclerotic calcifications of the aortic arch and coronary arteries with coronary stents not... | No evidence of pneumonia. |
Generate impression based on findings. | History of pancreatic cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Multiple hepatic cysts are unchanged.SPLEEN: No significant abnormality notedPANCREAS: Postsurgical changes... | No CT evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 50 year-old female with history of breast cancer CHEST:LUNGS AND PLEURA: Interval increase in the size and number of pleural based and parenchymal lung lesions suspicious for metastatic disease. An index right middle lobe lung nodule measures one .two by 1.1-cm image number 41, series number 4. This lesion was measurin... | Interval progression of disease with interval increase in the size and number of lung and liver lesions and interval worsening of peritoneal carcinomatosis and extensive bone metastases as described above. |
Generate impression based on findings. | 76 year-old male with head and neck cancer, evaluate for lung lesions LUNGS AND PLEURA: Moderate centrilobular emphysema. Mild basilar scarring.MEDIASTINUM AND HILA: Scattered small subcentimeter mediastinal lymph nodes. Moderate atherosclerotic calcifications of the aortic arch and coronary arteries.CHEST WALL: Age in... | 1. No evidence of metastatic disease.2. Age indeterminate T12 and T8 vertebral body compression fractures.3. Moderate centrilobular emphysema. |
Generate impression based on findings. | 63-year-old male with history of chronic pancreatitis ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: Mild fat stranding around the pancreatic head can be compatible with mild focal pancreatitis involving the pan... | CT findings compatible with mild focal pancreatitis involving the pancreatic head. |
Generate impression based on findings. | 63-year-old female with history of metastatic thyroid cancer presenting with new right thigh pain PELVIS:UTERUS, ADNEXA: There is an ill-defined hypodensity in the uterus. This may represent a fibroid, however, further evaluation with pelvic ultrasound is recommended.BLADDER: No significant abnormality notedLYMPH NODES... | Pelvic ultrasound is recommended for further evaluation of the uterus. No CT findings in the right thigh to explain patient's pain. |
Generate impression based on findings. | 34-year-old female with possible bleeding around the right kidney This study is limited due to lack of IV contrastABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No... | Right sided acute diverticulitis without peridiverticular abscess.Patient's known indeterminate right adrenal mass is unchanged. |
Generate impression based on findings. | 37 year-old female with right-sided flank pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abno... | No CT findings to explain patient's right-sided flank pain. No evidence of nephrolithiasis. |
Generate impression based on findings. | 66-year-old male with history of left lower quadrant pain ABDOMEN:LUNG BASES: Dissection involving the distal descending aorta.LIVER, BILIARY TRACT: Multiple hypodense lesions in the liver likely representing a combination of cysts and hemangiomas.SPLEEN: Hypodense benign splenic lesion is unchanged.PANCREAS: No signif... | Dissection involving the distal descending thoracic aorta extending all the way down to left common femoral artery as described above.Benign appearing lesions within the liver, spleen and adrenal gland are unchanged.New focal lesions in the left kidney likely represent infarcts, however, further evaluation with a dedic... |
Generate impression based on findings. | 66 year old female, evaluate for renal vein thrombosis ABDOMEN:LUNG BASES: Unremarkable.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Again noted several millimeter... | CT findings suggestive of an obstructing stone in the right proximal ureter. |
Generate impression based on findings. | 40 year-old male with HCC, evaluate for SVC syndrome, concern for varices on EGD. LUNGS AND PLEURA: Left lower lobe consolidation/atelectasis. Bilateral small pleural effusions. Right basilar scarring/atelectasis.MEDIASTINUM AND HILA: Patent vasculature without narrowing, dilatation, or evidence of SVC syndrome.CHEST W... | 1. Patent central vasculature without evidence of SVC syndrome.2. Left lower lobe consolidation suspicious for infection or aspiration. |
Generate impression based on findings. | 60 year-old male with base of tongue cancer, reevaluate. CHEST:LUNGS AND PLEURA: Scattered nonspecific pulmonary nodules. No suspicious pulmonary nodules.MEDIASTINUM AND HILA: Right port catheter tip at the SVC/atrial junction. Hypodense right thyroid nodule.CHEST WALL: Mild degenerative changes of the thoracolumbar sp... | No evidence of metastatic disease. |
Generate impression based on findings. | Distal femur fracture A comminuted intra-articular fracture of the distal right femoral diaphysis extending into the metaphysis and epiphysis is identified. Fracture fragment is impacted and significant for extension into the intercondylar notch, allowing the lateral femoral condyles to angulate mildly laterally. The d... | Extensive impacted and angulated comminuted distal femoral fracture with extension to the articular surface and intercondylar notch. Fracture fragments are as described. |
Generate impression based on findings. | 76-year-old male with massive hemoptysis LUNGS AND PLEURA: Severe centrilobular emphysema. Complete filling of the right bronchus extending from the carina to the right lower lobe with debris, which may represent hemorrhage. Bilateral lower lobe masses and left lower lobe consolidation are again noted. Calcified pleura... | 1. Complete filling of the right bronchus extending from the carina to the right lower lobe with debris, which may represent hemorrhage. 2. Bilateral large lower lobe masses and left lower lobe consolidation and hepatic and adrenal metastases appear similar to the prior study.3. Resolution of right pleural effusion. |
Generate impression based on findings. | 86-year-old female, follow up right lower lobe and hilar nodules. CHEST:LUNGS AND PLEURA: Post surgical change and volume loss in the left lung. Mild centrilobular emphysema. Right lower lobe nodule measures 1.4 x 0.7 cm (image 65, series 5), suspicious for primary carcinoma. Additional nonspecific scattered micronodul... | 1. 1.4-cm right right lower lobe nodule suspicious for primary carcinoma, especially when correlated with recent PET/CT.2. Marked soft tissue infiltration extending along the left chest wall has progressed from the prior exam and is suspicious for confluent tumor or possibly infection. Correlation with contrast enhance... |
Generate impression based on findings. | 56-year-old female with history of pneumonia versus vasculitis LUNGS AND PLEURA: Extensive groundglass opacity asymmetrically distributed throughout both lungs, more prominent on the right. Scattered patchy groundglass opacities particularly in the right middle lobe have progressed from the prior study. Multiple small ... | 1. Extensive bilateral groundglass opacities and small cysts with interval progression of groundglass opacities, particularly in the right middle lobe. The differential diagnosis includes atypical infection(pneumocystis), vasculitis with associated hemorrhage, mixed connective tissue disease, and DIP.2. Stable basilar ... |
Generate impression based on findings. | Possible acute cerebrovascular occlusive disease patient with new onset of left-sided numbness and subtle gait instability some suspicious for vertebrobasilar thromboembolic event status post stent-assisted aneurysm coiling Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and caro... | 1.No evidence for cerebrovascular occlusive disease in the neck.2.The intracranial vasculature is partially obscured by artifact. Based on combined assessment of the CTA and MRA, there does not appear to be any convincing evidence for a basilar artery or posterior cerebral artery occlusion. Of note, the posterior commu... |
Generate impression based on findings. | Male 59 years old Reason: metastatic spread? History: lung cancer CHEST:LUNGS AND PLEURA: Multifocal poorly marginated nodular opacities scattered throughout the left lower lobe lobe and several in the upper lobe. For baseline purposes the largest lesion which is located in the left lower lobe series 5 image 57/111 mea... | Multifocal lung masses and mediastinal adenopathy as described. Other findings as above. |
Generate impression based on findings. | Female 67 years old Reason: infectious source in pelvis/abd. History: elevated WBCs ABDOMEN:LUNG BASES: Atherosclerotic calcification coronary arteries. Implant right breast.LIVER, BILIARY TRACT: Status post cholecystectomy. No focal liver lesions. No evidence of vascular thrombus or biliary dilatation.SPLEEN: No signi... | Improvement in appearance of decubitus ulcer and resolution of gas bubbles along the left pelvic sidewall. Diffuse thickening rectum and sigmoid likely radiation colitis. Questionable thickening right and transverse colon correlate for infectious colitis. Other findings as above. No evidence of discrete abscess. |
Generate impression based on findings. | Clinical question: History of hypertension. Signs and symptoms: Headache with elevated blood pressure. Nonenhanced head CT:No detectable acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and g... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Evaluate for intracranial hemorrhage. Signs and symptoms: Fall, on anticoagulation. Nonenhanced head CT: No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.There is a focus of well demarcated low-attenuation in the right paramedi... | 1.No acute intracranial process.2.Age indeterminate small vessel ischemic strokes and a chronic left MCA territory ischemic stroke as detailed. |
Generate impression based on findings. | Male 69 years old Reason: dissection History: aneurysm seen on osh CT. Additional history per emergency room etiology motor vehicle accident. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Minimal atherosclerotic calcifications aorta. Approximately 6 mm thick high density mural thrombus i... | High density mural thrombus involving the thoracic aorta distal to the left subclavian artery. Bovine arch.Fenestrated abdominal aortic dissection with details as described above. Possible fenestration in the superior mesenteric artery. Flow is seen in the major branches of the abdominal aorta.Other findings as describ... |
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 strokes.Extensive periventricular and subcortical low attenuation of white matter concerning for age indeterminate small muscle ischemic ... | 1.No acute intracranial process. 2.Moderate age indeterminate small vessel ischemic strokes and a chronic left posterior temporal -- occipital ischemic stroke as detailed. |
Generate impression based on findings. | 51 year-old male with history of hepatitis B virus. Evaluate for lesions. ABDOMEN:LUNG BASES: Bibasilar atelectasis.LIVER, BILIARY TRACT: Liver contour: The liver contour is nodular..there is no intrahepatic or extra hepatic biliary ductal dilatation. The gallbladder is normal. Portal vein: Patent Hepatic veins: Patent... | Cirrhotic changes of the liver with mild hepatosplenomegaly but with no contrast enhancing masses or lesions. |
Generate impression based on findings. | Clinical question: Rule out infection; left face/neck. Signs and symptoms: Swelling, trauma. Nonenhanced maxillofacial CT:There is no detectable maxillofacial posttraumatic bony fractures of the maxillofacial region.All paranasal sinuses and bilateral mastoid air cells and middle acute cavities are well pneumatized and... | 1.No evidence of maxillofacial fracture.2.Subtle soft tissue edema and subcutaneous fat stranding overlapping in the left zygomatic arch as detailed. |
Generate impression based on findings. | Clinical question: Assess for hemorrhage. Signs and symptoms: Fall, uncoordinated. Nonenhanced head CT:No detectable acute intracranial process CT however is insensitive for detection of acute non-hemorrhagic ischemic strokes.Examination demonstrates extensive periventricular and subcortical low attenuation of white ma... | 1.No acute intracranial process.2.Age indeterminate small vessel ischemic strokes and a chronic right frontal cortical stroke as detailed. |
Generate impression based on findings. | Clinical question: Status post craniotomy. Signs and symptoms: Status post craniotomy. Nonenhanced head CT:Postoperative changes of a wide suboccipital bunionectomy and cranioplasty is noted. Patchy foci of low attenuation in the right medial and posterior cerebellum with minimal internal foci of acute hemorrhage witho... | 1.No detectable acute new findings since prior exam.2.Stable extensive postoperative changes of posterior fossa and a small fluid in result hemorrhage and extensive residual edema and associated mass-effect remains fairly similar to prior study.3.Mild interval decreased size of left lateral ventricle and stable normal ... |
Generate impression based on findings. | Clinical question: Status post craniotomy for posterior fossa hemorrhage. Signs and symptoms: Status post craniotomy. Nonenhanced head CT:Examination he demonstrate a large bilateral suboccipital craniectomy and postoperative cranioplasty despite placement of prostatic device. There is significant widening of the subar... | 1.Interval increased size of hemorrhage in the right cerebellum measuring up 31.5 x 39-mm on the current exam.2.Minimal new hemorrhage in the medial aspect of left cerebellum since prior exam.3.Serosanguineous density of widened subarachnoid space within the posterior fossa consistent with redistribution of blood into ... |
Generate impression based on findings. | Clinical question: Rule out bleed. Signs and symptoms: Headache. Nonenhanced head CT:Examination demonstrates a large focus of low-attenuation in the white matter of left posterior frontal -- parietal region with associated subtle mass effect and effacement of adjacent cortical sulci. Findings views are present in the ... | 1.No acute intracranial process CT however is insensitive for detection of acute non-hemorrhagic ischemic strokes.2.Focus low attenuation in the left hemispheric white matter representing tumor and peritumoral edema of patient's known mass from an outside study.3.Normal-size ventricular system and maintained midline.4.... |
Generate impression based on findings. | Female 23 years old; Reason: right staghorn calculus History: right staghorn calculus Evaluation is slightly limited by streak artifact from spinal fusion instrumentation. The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observa... | 1. Large stone in the right renal pelvis without hydronephrosis or perinephric stranding. The lack of IV contrast limits evaluation of the renal parenchyma, and infection (Xantho Granulomatous Pyelonephritis) cannot entirely be excluded.2. Marked scoliotic changes with spinal fusion rods and retained stool compatible w... |
Generate impression based on findings. | Clinical question: Acute subdural follow. Signs and symptoms: Dysphagia. Nonenhanced head CT:Examination demonstrate a left holohemispheric acute subdural collection. Subdural along the left falx measures approximately 8.8 mm in its thickest portion not significantly changed since prior exam.A smaller component of hemi... | 1.Stable left holohemispheric acute subdural collection in its overall mass effect and midline shift to the right of approximately 4.5 mm. the largest component of subdural is in the sup temporal region and along the left side of falx.2.Stable size of ventricular system. |
Generate impression based on findings. | Clinical question: Acute subdural hematoma follow. signs and symptoms: Dysphasia. Nonenhanced head CT:Examination dose rate a left holohemispheric acute subdural. In high convexity left parietal subdural along the left side of falx measures at 10.2 mm sized. Subdural has a large component in the sup temporal region wit... | Acute left-sided holohemispheric subdural with resultant effacement of left hemispheric cortical sulci and approximately 6 mm midline shift to the right. No prior exams for comparison. |
Generate impression based on findings. | Male 46 years old; Reason: pre-transplant imaging History: pre-renal-transplant ABDOMEN: The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:LUNGS BASES: No significant abnormality noted. Bibasilar atelectasi... | 1.Changes compatible with end-stage renal disease and peritoneal dialysis, without significant arterial calcification as described above. |
Generate impression based on findings. | Female 75 years old Reason: infection History: vomiting The exam is not sensitive for detecting lesions in the solid organs, or vasculature due to lack of intravenous contrast. Given note is that limitation, the following observations are made onABDOMEN:LUNG BASES: Basilar atelectasis. Atherosclerotic calcifications an... | No acute findings to explain vomiting. Severe colonic diverticulosis. Adrenal thickening of the left adrenal nodule, nonspecific. Incidental colonic lipoma |
Generate impression based on findings. | 18 year old female, chest pain, wheezing, rule out pulmonary embolus. PULMONARY ARTERIES: The quality of this examination is adequate for the evaluation of pulmonary embolism to the segmental level. No pulmonary embolus is present.LUNGS AND PLEURA: Mild bronchial wall thickening. No focal lung consolidation. No pleural... | 1.No PE.2.Mild bronchial wall thickening. |
Generate impression based on findings. | 58-year-old male with hypoxia, tachycardia, dyspnea. Evaluate for PE. PULMONARY ARTERIES: Multiple small segmental and subsegmental pulmonary artery emboli are seen involving the left upper, and left lower lobe branches. The main pulmonary artery is mildly enlarged, compatible with pulmonary artery hypertension.LUNGS A... | 1.Multiple small segmental and subsegmental pulmonary emboli on the left as detailed above.2.Right upper lobe necrotizing consolidation in multifocal airspace opacities, which remain suspicious for pneumonia, tumor considered less likely, appearing similar to prior exam.3.Left upper lobe nodule and right perihilar necr... |
Generate impression based on findings. | Clinical question: Stroke. Signs and symptoms: Stroke. Nonenhanced head CT:No detectable acute intracranial hemorrhage, mass effect, midline shift or hydrocephalus. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.There are extensive periventricular and subcortical low attenuation white ... | 1.Nonenhanced head CT demonstrates extensive age indeterminate small vessel ischemic stroke and a small chronic left pica territory stroke. Mild ex vacuo dilatation of lateral ventricles. No acute intracranial hemorrhage, mass-effect or midline shift or hydrocephalus.2.Unremarkable CTA of intracranial circulation with ... |
Generate impression based on findings. | Female 83 years old Reason: eval for intraabd process History: LLQ pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Granuloma posterior aspect liver unchanged. No definite focal lesions. Perihepatic fluid consistent with a small amount of ascites.SPLEEN: No significant abnormality notedPAN... | Large high density collection seen along the left pelvic sidewall and anteriorly underneath the right and left rectus muscles could represent hematoma or a combination of hematoma and unopacified bowel. It should be clarified with follow-up CT pelvis with good bowel opacification. Correlate for signs of bleeding. These... |
Generate impression based on findings. | Female 52 years old; Reason: pt is s/p 2 cycles chemotherapy please assess response to therapy and compare to previous imaging History: met melanoma CHEST:LUNGS AND PLEURA: Again noted are multiple pulmonary masses, which are slightly smaller in size since the prior exam. The index mass in the right lower lobe now meas... | 1.Stable to slightly smaller appearing lung masses, compatible with metastatic disease.2.Stable to slightly smaller mediastinal and mesenteric adenopathy.3.Numerous subcutaneous nodules, with interval decrease in size of the reference pelvic nodule.4.Cholelithiasis. |
Generate impression based on findings. | Female 65 years old Reason: pelvic abscess, head thrombus? History: AMS, increased WBCs"Diagnosis: Backache, unspecified Hypoxemia Bacteremia Malignant neoplasm of corpus uteri, except isthmus Tachycardia, unspecified Shortness of breath Backache, unspecified Hypoxemia Bacteremia Malignant neoplasm of corpus uteri, exc... | Decrease in ascites and carcinomatosis. Redemonstration bilateral adnexal masses. Lymphadenopathy. Anasarca.Bilateral groundglass opacities, nodules and pleural effusions. Correlate or infection or drug reaction superimposed on possible metastatic disease. |
Generate impression based on findings. | 48 year old female, bleeding from tracheostomy site, assess for pulmonary hemorrhage. LUNGS AND PLEURA: Chronic elevation of the left hemidiaphragm with associated left basilar atelectasis/consolidation, which is increased from prior exam with new small left pleural effusion. Right basilar subsegmental atelectasis. Cen... | 1.Chronic elevation of left hemidiaphragm with increased left basilar atelectasis/consolidation, and new small left pleural effusion, overall concerning for developing infection.2.Narrowing of the trachea, distal to the tracheostomy tube. While abscess cannot be entirely excluded, but we suspect enlarged lymph nodes ar... |
Generate impression based on findings. | Female 52 years old; Reason: asess for metasttaic leioyosarcoma uterus History: chest discomfort, enlarged lymph ndoes neck CHEST:ABDOMEN:LUNG BASES: No significant abnormality detected. LIVER, BILIARY TRACT: Normal hepatic contour, without evident suspicious lesion. Stable subcentimeter hepatic hypodensities too small... | 1.Stable postsurgical changes of hysterectomy; unchanged thickened appearance of the vaginal cuff on the left.2.No definite evidence of metastatic disease in the chest, abdomen, or pelvis. Stable borderline-enlarged retroperitoneal lymph nodes.3.Mild residual dilatation of the proximal and mid left ureter. |
Generate impression based on findings. | 78-year-old male, desaturation, and hypoxemia. Evaluate for PE. PULMONARY ARTERIES: Tiny possible filling defects in subsegmental right lower lobe pulmonary arteries (series 8 image 255), which most likely are artifactual in nature, but may represent nonocclusive pulmonary emboli of questionable clinical significance. ... | 1.Possible tiny filling defects in right lower lobe pulmonary artery subsegmental branches, most likely artifactual, but could represent nonocclusive pulmonary emboli of questionable clinical significance.2.Mild centrilobular emphysema.3.Hyperdense left renal lesion is incompletely characterized. Recommend further eval... |
Generate impression based on findings. | Female 55 years old; Reason: metastatic carcinoid to liver on treatment History: none CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Hypodense nodule in the right thyroid lobe, unchanged.ABDOMEN:LIVER, BILIARY TRACT: Examination is limited due... | 1.No interval change in patient's known hepatic lesions, as evaluated on portal venous phase. 2.No new sites of disease. |
Generate impression based on findings. | Female 50 years old Reason: Rule out diverticulitis History: Rectal bleed ABDOMEN:LUNG BASES: Somewhat wedge shaped area of fluid density in the right cardiophrenic angle Series III image #1 measuring 4.8 x 2.2 cm. I am uncertain if this represents focal fluid or low density adenopathy. Other possibilities include a pe... | Sigmoid thickening with associated fat stranding. Favor diverticulitis. Should be followed to resolution.Fluid versus adenopathy versus pericardial cyst right cardiophrenic region. |
Generate impression based on findings. | Male 27 years old; Reason: evaluate for abscess History: IBD with fevers ABDOMEN:LUNGS BASES: Wedge-shaped opacification noted in the left lower lobe, correlate for pneumonia.LIVER, BILIARY TRACT: Liver contour is normal. No herpetic or extra hepatic biliary ductal dilatation noted. Gallbladder is normal.SPLEEN: No sig... | 1.Changes compatible with Crohn's disease extending from the rectum to the splenic flexure. No fistula, abscess, or obstruction noted. 2. Opacification in the left lower lobe which could represent pneumonia.Dr. Saunders was notified of the findings at 9:45 am on 10/20/13 |
Generate impression based on findings. | Female 70 years old Reason: infection vs abscess in setting of known GVHD History: abd pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: A single small none specific hypodensity likely cyst in the lateral segment left lobe. No other focal lesions.SPLEEN: No significant abnormality notedPANC... | Marked thickening mostly in the small intestine consistent with versus host disease. Less likely infectious etiology.Main duct type pancreatic IPMNs.. |
Generate impression based on findings. | Female 79 years old Reason: nephrolithiaisis History: L flank pain and hematurea Exam is not sensitive for detecting lesions in the bowel, solid organs of vasculature due to lack of oral or intravenous contrast. Given nodes that limitation, the following observations are made:ABDOMEN:LUNG BASES: No significant abnormal... | No evidence of nephrolithiasis. No specific findings to explain left flank pain. Uterine masses likely fibroids. Questionable small hypodensities pancreas. |
Generate impression based on findings. | Male 80 years old Reason: please perform a CT UROGRAM to evaluate the etiology of hematuria History: hematuria. Exam is not sensitive for detecting lesions in the bowel to the lack of oral contrast. Given that limitation, the following observations are made:ABDOMEN:LUNG BASES: Small lipoma right chest wall. Basilar ate... | Nonobstructive bilateral renal calculi and a bladder calculus. Markedly enlarged prostate massively distended urinary bladder with associated hydronephrosis likely related to the distended bladder. Baseline ultrasound may be obtained the bladder and a collapsed state after voiding replacement of Foley catheter. Atheros... |
Generate impression based on findings. | Clinical question: Cerebral infarct. Signs and symptoms: Speaking disorder. 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 spaces and gray -- whit... | No acute intracranial process. |
Generate impression based on findings. | 31-year-old evaluate for progression of cerebral edema When compared to the prior exam, the cytotoxic edema involving the gray and white matter in both cerebral hemispheres and in the distribution of the anterior and posterior circulation is more visually apparent, consistent with normal progression of a subacute infar... | Progression and as expected better delineation of subacute infarctions in the distribution of the anterior and posterior circulation bilaterally. No midline shift. |
Generate impression based on findings. | Male 47 years old; Reason: markedly dilated bowel loops an xray. compare to CT 10/15/13 - assess for progression of SBO History: increased abdominal pain / retching ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCR... | Postsurgical changes with some areas of chronic mild to moderate dilatation of small bowel likely minimally obstructive adhesions. No free or loculated intraperitoneal fluid.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female 56 years old; Reason: eval for necrotizing pancreas resolution History: abd pain, vomiting, weight loss ABDOMEN:LUNG BASES: Interval resolution of the bilateral pleural effusions. Stable bibasilar atelectasis.LIVER, BILIARY TRACT: There is no evidence of focal mass lesion within the hepatic parenchyma or intrahe... | 1.Findings consistent with necrotizing pancreatitis, decreasing since previous exam, with less than 25% necrosis of the pancreatic parenchyma. No hemorrhage or calcifications noted on the precontrast noted. 2.No evidence of drainable peripancreatic fluid collection. Small residual pseudocyst at the tail.3.Subtle narrow... |
Generate impression based on findings. | 59 year old male, follow-up from previous CT angiography with concern for SVC thrombus. Chest pain. LUNGS AND PLEURA: Bilateral, multifocal patchy air space opacities, increased from prior exam.MEDIASTINUM AND HILA: Cardiac size is normal. No pericardial effusion. Mild to moderately large mediastinal lymph nodes are un... | 1.No evidence of SVC thrombus, prior findings most likely due to mixing of contrast.2.Increasing bilateral multi-focal patchy air space opacities, compatible with infection. |
Generate impression based on findings. | Male 52 years old; Reason: History of renal cell cancer s/p Robotic-assisted laparoscopic right partial nephrectomy; Evaluate for metastases History: none CHEST:LUNGS AND PLEURA: No significant abnormality noted. Oozing noted right lower lobe consolidation has resolved in the interim. No new nodule or mass detected.MED... | 1. Resolution of the right lower lobe consolidation. 2. Decrease in size and morphology of the fluid in partial nephrectomy surgical bed suggesting continued healing. Resolution of the previously noted hemoperitoneum. |
Generate impression based on findings. | Clinical question: Status post craniotomy for posterior fossa hemorrhage. Signs and symptoms: Status post craniotomy. Nonenhanced head CT:Examination demonstrates interval decreased density of widened CSF space between the cerebellar hemispheres at the site of surgery representing decreased blood product within the CSF... | 1.Significant interval decreased size of acute hematoma in the posterior fossa since prior exam.2.Significant interval the crease in hemorrhage in the fourth ventricle and decreased density of widened CSF spaces as well representing decreased intracranial blood.3.Tiny focus of right paramedian cerebellar hemorrhage.4.S... |
Generate impression based on findings. | Clinical question: Dizzy, in balance. Signs and symptoms: As above. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.There is paucity of cortical sulci in supratentorial space which is nearly identical to prior exam. The ventr... | No acute intracranial process. Please see above comments. |
Generate impression based on findings. | Melanoma, patient has had chemotherapy. Follow-up Numerous soft tissue nodules throughout the left upper extremity are all unchanged and remain compatible with known metastatic disease from underlying melanoma. Beginning distally the multiple reference nodules.Reference measurements: Along the radial aspect of the dist... | Interval stability in the numerous left arm metastatic foci. Reference measurements above and mild differences are thought to represent differences in patient positioning |
Generate impression based on findings. | Male 61 years old. Reason: post-op fever History: Malignant neoplasm bilateral. Malignant neoplasm of rectum. Postop fever. CHEST:LUNGS AND PLEURA: Bilateral pleural effusions, moderate in size. Associated bibasilar atelectasis. No lung nodules.MEDIASTINUM AND HILA: Coronary artery calcifications. Postsurgical changes ... | Postsurgical changes. Nonobstructive left inguinal hernia. No evidence of bowel obstruction or abscess. |
Generate impression based on findings. | Check for osteomyelitis. Extensive deformity of the distal tibia with severe degenerative changes of the distal mortise. Appearance similar to the plain film with the associated discrete lucent area in what represents the metaphysis. Sclerotic margins are partially observed with a questionable sequestrum like density i... | Overall nonspecific appearance and extreme difficulty to identify an acute process superimposed upon extensive deformities from a prior remote injury. Overall appearance suggests a previous IM rod is fixed distally with screws traversing the medial cortical margin. No overt findings to suggest an acute process, however... |
Generate impression based on findings. | Female 54 years old; Reason: Please eval for colitis History: BRBPR ABDOMEN: The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:LUNGS BASES: A significant abnormality detected.LIVER, BILIARY TRACT: No signif... | 1.No acute inflammatory process detected. Previous surgical site in the sigmoid colon with sutures suggesting an end to side anastomosis noted. |
Generate impression based on findings. | Clinical question: Rule-out pharyngeal abscess. Signs and symptoms: Stridor and drooling. Enhanced neck CT:No detectable partially visualized intracranial space abnormalities.Unremarkable images through the skull base and including cavernous sinuses and bilateral petrous bone.Unremarkable nasopharynx, nasal cavity, oro... | 1.No detectable findings to suggest an infectious process and in particular no evidence of plain gel, retropharyngeal or peritonsillar abscess formation. No detectable fashion a plain edematous changes a/effacement.2.Enlarged air space in the hypopharynx and supraglottic region of unknown exact etiology. This appearanc... |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: CVA. Nonenhanced head CT:No evidence of acute intracranial process CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Examination demonstrate periventricular and subcortical low attenuation white matter consistent with age indeterminate mild smal... | 1.No evidence of acute intracranial process CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.2.Mild age indeterminate small vessel ischemic strokes.3.Large chronic right PCA territory ischemic stroke in the right temporal and occipital lobe.4.Coils within a previously embolized basilar t... |
Generate impression based on findings. | Male 79 years old; Reason: rising WBC s/p chest wall reconstruction History: rising WBC s/p chest wall. Per Epic history there is extensive angiosarcoma the right posterior chest wall status post excision of lung wedge resection, scapula/removal, reconstruction with the pedicled serratus latissimus muscle flaps on 10/1... | 1.Post surgical changes from a recent right lung wedge resection and posterior chest wall resection with flap reconstruction.2.Consolidation in the superior aspect of the right lobe of with air bronchograms suspicious for pneumonia. Bronchial/bronchiolar wall thickening with tree in bud opacities in the left lower lobe... |
Generate impression based on findings. | Malignant neoplasm of the colon CHEST:LUNGS AND PLEURA: Multiple micronodules bilaterally, largest measuring 5 mm in the right lower lobe (image 84, 5) . No pleural effusion.MEDIASTINUM AND HILA: Few calcified right hilar lymph nodes identified.CHEST WALL: Tip of a left-sided Port-A-Cath at the junction of right atrium... | 1. Multiple micronodules, largest measuring 5 mm in right lower lobe. Continued surveillance is recommended.2. Multiple hypodense bilobar liver lesions consistent with metastatic disease.3. Hypodensity in the upper pole of the right kidney most likely representing a cyst.4. No evidence of bowel obstruction |
Generate impression based on findings. | 62 year old female with known CNS mass. CHEST:LUNGS AND PLEURA: Small calcified nodules consistent with prior granulomatous disease.MEDIASTINUM AND HILA: Calcified mediastinal and hilar lymph nodes consistent with prior granulomatous disease.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No ... | 1. Nonspecific subcutaneous soft tissue nodule in the left mons pubis, correlate clinically. No evident primary or metastatic neoplasm. |
Generate impression based on findings. | 74-year-old female patient with flank pain. Evaluate for kidney stone. Note that lack of intravenous contrast limits visualization of vasculature, lymph nodes and solid organs.ABDOMEN:LUNG BASES: Trace bibasilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.... | 1.No hydronephrosis or evidence of renal calculi.2.Incidental presacral soft tissue mass posterior to the rectum suspicious for malignancy. Recommend further evaluation with MRI.Finding of presacral mass was communicated to Dr. Eric Shappell via telephone at 9:35 AM on 10/21/13 by Dr. Stephanie McCann. |
Generate impression based on findings. | 83-year-old female concern for hematoma versus fluid collection in the right abdomen, pelvis. ABDOMEN:LUNG BASES: Right pleural effusion and bilateral basilar consolidation and atelectasis as well as bronchial wall thickening.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality note... | 1. Comminuted mildly displaced right pubic rami fractures with large associated pelvic hematomas tracking superiorly into the abdomen.2. Bilateral renal cysts, some of which do not meet the criteria for simple cysts, are incompletely evaluated on this study.3. Basilar consolidation and atelectasis. |
Generate impression based on findings. | 79-year-old female with multiple strokes on heparin status post fall, evaluate for hemorrhage Very subtle mild hyperattenuation in the interhemispheric aspect of the left frontoparietal region corresponding to the evolving subacute hemorrhagic infarct seen on the same day MRI. No interval foci of new hemorrhage are evi... | 1. No new interval hemorrhagic foci are identified.2. Expected evolution of left temporal-occipital region cortical stroke.3. Very subtle mild hyperattenuation in the interhemispheric aspect of the left frontoparietal region corresponds to the evolving subacute hemorrhagic infarct seen on the same day MRI. |
Generate impression based on findings. | Fever, headache, HIV patient. 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 tis... | 1. No evidence of intracranial hemorrhage, mass, or cerebral edema.2. No evidence of sinusitis. |
Generate impression based on findings. | Male 65 years old; Reason: assess for obstruction History: vomiting, abd pain, distention, constipation. ABDOMEN:LUNGS BASES: Left lower lobe pulmonary nodule measures 8-mm (image 3 series 4), unchanged.LIVER, BILIARY TRACT: Diffuse fatty infiltration of the liver. Hypodense lesion near segment one has increased in siz... | 1.Findings of chronic colitis changes involving the colon, colonoscopy is suggested2.The nonspecific hypodensity in the liver adjacent to the caudate, follow-up MRI is suggested.3.Fatty infiltration of the liver.4.Nonspecific left lower lobe pulmonary nodule, unchanged. |
Generate impression based on findings. | 38-year-old female with abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Left hypoattenuating hepatic lesion, likely representing a cyst is unchanged.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality n... | No specific findings to account for the patient's pain. |
Generate impression based on findings. | 75 year-old female with altered mental status CHEST:LUNGS AND PLEURA: Pleural effusions, larger on the right, with associated basilar atelectasis and consolidation. A cystic lesion. in the left lower lobe with associated nodule is unchanged.MEDIASTINUM AND HILA: Right central venous catheter. Thrombus is again noted in... | 1. Multiple small abdominal and pelvic fluid collections consistent with abscesses, similar to the prior study.2. Right IJ thrombus and anterior chest wall fluid collection are again noted.3. Nonspecific mediastinal adenopathy.4. Basilar atelectasis and consolidation with pleural effusions.5. Left upper pole renal lesi... |
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