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Generate impression based on findings. | Male 29 years old; Reason: evaluate for infectious processes of lung, abdomen, pelvis in pt w/ AIDS, CD4 = 7, recently treated for PCP and H. flu pna History: cough, SOB, diarrhea, vomiting, abdominal pain CHEST:LUNGS AND PLEURA: Diffuse pulmonary airspace opacities with multiple areas of cavitation predominantly in th... | 1.Progression of airspace opacities in the lungs with multiple cavitary lesions. 2.Air-fluid levels in the small bowel and colon most likely due to small bowel involvement by infection. |
Generate impression based on findings. | Male, 78 years old, neck pain, right arm numbness. There is a grade 1 retrolisthesis of C5 relative to C6, and a grade 1 anterolisthesis of C7 relative to T1.No acute fractures are seen. Degenerative loss of vertebral body height is noted most conspicuously at C6. The intervertebral disk spaces are narrowed at all leve... | 1. No evidence of fracture or acute malalignment.2. Degenerative disk disease at all levels resulting in mild effacement of the bony spinal canal. Please note that MRI would be more sensitive for soft tissue/disk encroachment.3. Moderate narrowing of the bony neural foramina at all levels. |
Generate impression based on findings. | Reason: 49 y/o with CP and elevated d-dimer History: 49 y/o with CP and elevated d-dimer PULMONARY ARTERIES: Limited exam due to suboptimal opacification of the pulmonary arterial tree.No large central pulmonary emboli can be identified.The pulmonary artery is normal caliber.LUNGS AND PLEURA: A right middle lobe calcif... | Limited exam shows no evidence of large central pulmonary emboli. No significant pulmonary or pleural abnormalities identified. |
Generate impression based on findings. | Female 55 years old; Reason: please evaluate etiology of chest pain and tachycardia History: chest pain and tachycardia. PULMONARY ARTERIES: No evidence of pulmonary emboli.LUNGS AND PLEURA: Decreased lung volumes. Bilateral dependent consolidation consistent with atelectasis is visualized. A nodule is visualized in th... | 1.No pulmonary emboli.2.Left lower lobe nodule highly suggestive of primary lung carcinoma. |
Generate impression based on findings. | 65-year-old female patient with a condensation after ERCP. Evaluate for leak. ABDOMEN:LUNG BASES: Bibasilar atelectasis with bilateral pleural effusions, right greater than left.LIVER, BILIARY TRACT: Patchy areas of poor hepatic enhancement in the peripheral liver parenchyma. Periportal edema with patent, attenuated po... | 1.Pancreatitis in the head and uncinate process without evidence of necrosis or pseudocyst formation. 2.Dilated small bowel without transition point, suggesting ileus.3.Ascites and mild peritoneal enhancement consistent with peritonitis.4.Patchy liver enhancement in the peripheral parenchyma consistent with infarctions... |
Generate impression based on findings. | High INR, low platelets, AMS, r/o ICH. History of Sjogren's syndrome, CREST, PBC, CKD, and urothelial cell carcinoma s/p TURB. 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 im... | 1. No evidence of intracranial hemorrhage, mass, or cerebral edema.2. Extensive diffuse soft tissue within the orbital fat bilaterally as well as diffuse enlargement of multiple extraocular muscles likely represents a sclerosing orbital inflammatory process related to the patient's known autoimmune disorders and less l... |
Generate impression based on findings. | 58-year-old male with history of ulcerative colitis status post colectomy with J-pouch and diverting ileostomy presenting with rectal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis. No focal hepatic lesions.SPLEEN: No significant abnormality notedPANCREAS: No significant ... | Fluid-filled J-pouch with enhancing rim with suggestion of fluid tracking inferiorly, if there is concern for perianal fistula MRI is recommended further evaluation. No evidence of loculated fluid within the pelvis. |
Generate impression based on findings. | 31 year-old female with headache, assess for tumor/sinusitis. Small hypoattenuating foci in the subcortical white matter of the bilateral frontal lobes without associated mass effect.The CSF spaces are appropriate for the patient's stated age with no midline shift. No intracranial hemorrhage is identified. No hydroceph... | Small hypoattenuating foci in the subcortical white matter of the bilateral frontal lobes without associated mass effect. These may represent normal variant perivascular spaces. However, MRI is suggested to confirm these findings.These findings were text paged to Dr. Rios-Alba at 10:30 a.m. on 10/21/2013. |
Generate impression based on findings. | 80 year-old male with altered mental status, evaluate for hemorrhage versus other acute changes. Intracranial atherosclerotic vascular calcifications. Enlarged ectatic bilateral intracranial internal carotid arteries.Several punctate mildly hyperdense foci are identified in the right frontal and parietal lobes which ar... | 1. No acute intracranial abnormalities.2. Enlarged ectatic bilateral intracranial internal carotid arteries. Recommend CTA of the head for further characterization of this finding.These findings discussed with Dr. Gibson at 10:15 a.m. on 10/21/2013 |
Generate impression based on findings. | Male, 68 years old, seizure. Periventricular hypoattenuation is a non-specific finding which most commonly represents age-indeterminate small vessel ischemic disease. Hypoattenuation is also evident within the right temporal lobe extending to the level of the cortex, likely representing chronic territorial ischemia. Th... | 1. No acute intracranial abnormality.2. Age indeterminate small vessel ischemic disease.3. Chronic right temporal territorial ischemic change. |
Generate impression based on findings. | Female 65 years old; Reason: PE History: tachy, SOB. PULMONARY ARTERIES: No evidence of pulmonary emboli.LUNGS AND PLEURA: Small bilateral pleural effusions are noted with overlying consolidation and air bronchograms most likely atelectasis, though aspiration or pneumonia should also be considered..MEDIASTINUM AND HILA... | 1.No pulmonary emboli.2.Small bilateral pleural effusions and bibasilar dependent atelectasis. |
Generate impression based on findings. | 39-year-old male with possible new onset seizures, evaluate for mass, hemorrhage, ischemia. Loss of consciousness. 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 ... | No acute intracranial abnormalities. |
Generate impression based on findings. | 63-year-old female patient with flank pain. Evaluate for renal stone. Note that lack of intravenous contrast limits evaluation of vasculature, lymph nodes, solid and hollow viscera.ABDOMEN:LUNG BASES: Lung bases and pleural spaces are clear.LIVER, BILIARY TRACT: Diffusely hypoattenuating liver parenchyma is consistent ... | 1.9-mm obstructing renal calculus at the ureteropelvic junction with mild hydronephrosis and perinephric fat stranding.2.Diffuse fatty infiltration of the liver.3.Multiple bilateral adrenal adenomas. |
Generate impression based on findings. | MVC. Head: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are grossly unremark... | 1. No evidence of intracranial hemorrhage, mass, or cerebral edema.2. No evidence of fracture or spondylolisthesis. |
Generate impression based on findings. | 39-year-old male with new onset seizures No abnormal intracranial enhancement is identified. 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 paren... | No acute intracranial abnormalities or abnormal intracranial enhancement. |
Generate impression based on findings. | Female, 64 years old, with stroke. Extensive cortical and subcortical hypoattenuation is demonstrated within the left occipital and temporal regions compatible with chronic territorial infarct. This hypoattenuation extends to some degree into the left parietal lobe where the changes are age indeterminate. Mild cortical... | Evidence of territorial ischemia within the occipital and temporal lobes on the left, most likely chronic. Hypoattenuation also extends into the left parietal region which may also be chronic. However, given the extensive background abnormalities, the possibility of an acute superimposed process cannot be excluded. MRI... |
Generate impression based on findings. | 57-year-old male with intracerebral hemorrhage. There is a large right hemispheric hematoma with intraventricular extension and surrounding edema with right to left midline shift stable to slightly increased, measuring 12 mm. There is a small right uncal herniation which is unchanged from prior study. There is a lacuna... | 1.Large right hemispheric hematoma with right to left midline shift is stable to slightly increased.2.Dilated left lateral ventricle with ventriculostomy tube. The size of the ventricle has slightly increased which may indicate increased ventricular outflow obstruction. |
Generate impression based on findings. | 32-year-old male with dizziness and giddiness, evaluate for intracranial or bony process. Patient experienced a head butt 3 days ago 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 ed... | 1. No acute intracranial abnormalities.2. Probably chronic fracture of the right lamina papyracea given the lack of fluid in the maxillary and ethmoid sinuses and no clinical history of pain at this location. |
Generate impression based on findings. | Motor vehicle traffic accident. Head: There is a 5 mm diameter hyperdense focus in the posterior pituitary. The brain parenchymal otherwise appears unremarkable. There is no evidence intraparenchymal hematoma, subarachnoid hemorrhage, epidural hematoma, or subdural hematoma. The ventricles and basal cisterns are normal... | 1. A 5 mm diameter hyperdense focus in the posterior pituitary, which may represent a Rathke cleft cyst, and less likely pituitary apoplexy. This can be further evaluated via a dedicated pituitary MRI. Otherwise, no evidence of intraparenchymal hematoma, subarachnoid hemorrhage, epidural hematoma, or subdural hematoma.... |
Generate impression based on findings. | Female, 75 years old, palpable mass in the right neck with obstructive symptoms when swallowing for two days. Non-angiographic findings:Within the limitations of an arterial phase study, no mucosal based lesions or pathologic adenopathy is detected. The salivary glands and the thyroid are free of focal lesions. Lung ap... | 1. No masses or pathologic adenopathy in the neck.2. The right brachiocephalic artery is tortuous and the origin of the right common carotid artery is higher than typical. This is an anatomic variation which may account for the patient's palpable abnormality.3. The cervical vessels are otherwise unremarkable.4. The int... |
Generate impression based on findings. | 84-year-old female with fall two days ago now with some confusion. Patchy hypoattenuation in the periventricular and subcortical white matter is nonspecific, but likely represents the sequela of small vessel ischemic disease of indeterminate age.The CSF spaces are appropriate for the patient's stated age with no midlin... | 1. No acute intracranial abnormalities.2. Patchy hypoattenuation in the periventricular and subcortical white matter is nonspecific, but likely represents the sequela of small vessel ischemic disease of indeterminate age. |
Generate impression based on findings. | Male 74 years old; Reason: R/O PE. Also to better characterize previously seen lung nodules History: Hypoxia, tachycardia. PULMONARY ARTERIES: No pulmonary emboli. The main pulmonary artery measures 3.2 cm which is above the upper limit of normal likely consistent with pulmonary hypertension although this has not signi... | 1.No pulmonary emboli.2.Interval resolution of the previously visualized right lower lobe clustered nodules, likely post infectious or inflammatory in etiology. Unchanged basilar scarring. |
Generate impression based on findings. | T4N2b paranasal sinus SCC undergoing chemoradiation. Poor arousability, on anticoagulation, s/p fall several days before. There has been interval resolution of the right parafalcine subdural hematoma. No new intracranial hemorrhage is identified. There is no significant midline shift or herniation. There is unchanged m... | 1. Interval resolution of the right parafalcine subdural hematoma. No new intracranial hemorrhage is identified. 2. A mass within the right retromaxillary fat pad that extends into a widened pterygomaxillary fossa, infraorbital fissure, and foramen rotundum is compatible with residual squamous cell carcinoma. MRI of th... |
Generate impression based on findings. | History head and neck cancer, pulmonary hypertension. Evaluate lung parenchyma. LUNGS AND PLEURA: Multiple bilateral pulmonary nodules have increased in size and number.The reference right lower lobe nodule measures 30 x 20 mm on image 59/95 of soft tissue windows (15 x 13 mm on prior).The reference left upper lobe nod... | 1. Interval increase in size and number of pulmonary metastases.2. New mediastinal lymphadenopathy.3. New presumed post XRT changes involving the right pulmonary parenchyma. |
Generate impression based on findings. | 34-year-old male with intracranial hemorrhage. There is hemorrhage within and along the margins of the surgical cavity, including within presumably residual tumor, although noncontrast CT is limited for the evaluation of residual tumor. There are multiple surgical clips in the surgical bed. There is slight interval dec... | Expected interval evolution of postoperative findings in the posterior fossa with mild interval decrease in hemorrhage, edema, and pneumocephalus. |
Generate impression based on findings. | History of head and neck cancer. LUNGS AND PLEURA: Stable 5-mm pulmonary micronodule in left lower lobe (series 5 image 118). Scattered punctate micronodules, some of which are calcified, are stable and presumably postinflammatory. No new pulmonary nodules.MEDIASTINUM AND HILA: Atherosclerotic calcification of the aort... | Stable small left lower lobe 5-mm micronodule which is much more likely to represent a post inflammatory nodule than metastatic disease, however continued follow-up is recommended. |
Generate impression based on findings. | Female 59 years old; Reason: lung cancer s/p 6 cycles of chemo. please evaluate for disease adn compare with previous scans History: lung cancer. CHEST:LUNGS AND PLEURA: There has been continued interval decrease in the size of the right lower lobe mass which now measures 3.5 x 4.4 cm (series 5, image 62), previously 3... | 1.Continued reduction in the right lower lobe mass, left upper lobe reference lesion, and mediastinal lymphadenopathy.2.Interval near resolution of the right middle lobe ground glass/airspace opacities, likely from infection. |
Generate impression based on findings. | Reason: ground glass opacities seen on previous CT, recovery from sepsis History: ground glass opacities on prior CT LUNGS AND PLEURA: Significant interval increase in nodular and groundglass opacities in both lungs with new bilateral pleural effusions. Marked increase in interlobular septal thickening as well as new l... | 1.Significant interval increase in nodular and groundglass opacities in both lungs , interlobular septal thickening, and new left upper lobe consolidation with bilateral pleural effusions. Findings are consistent with infection which may be atypical in origin. 2.Probable concomitant CHF/volume overload. |
Generate impression based on findings. | Chronic lymphoid leukemia without mention of having achieved admission CHEST:LUNGS AND PLEURA: Stable 11-mm peripherally calcified apical nodule (image 33, 6). Adjacent cystic apical lesion with some layering debris may represent a bronchocele and is unchanged. Few small subpleural nodules grossly unchanged. No new nod... | Interval decrease in mediastinal, abdominal and pelvic lymphadenopathy.Stable partially calcified left apical lung nodule.No new sites of disease |
Generate impression based on findings. | 66-year-old male with history of subdural hemorrhage. There is an unchanged holohemispheric left subdural collection tracking along the falx and tentorium measuring up to 10 mm in thickness. There is unchanged effacement of the left hemispheric cortical sulci and mild left to right midline shift. There is effacement of... | Unchanged holohemispheric left subdural collection with associated midline shift and effacement of the cortical sulci. |
Generate impression based on findings. | History of recurrent laryngeal cancer. Evaluate for distant metastases. CHEST:LUNGS AND PLEURA: Minimal scarring or atelectasis in the right middle lobe. This could also be the result of aspiration. The appearance is not typical of metastatic disease. Minimal emphysema.MEDIASTINUM AND HILA: Coronary calcification, stat... | No evidence of metastatic disease. |
Generate impression based on findings. | 39-year-old male with pancreatic cancer, restaging exam. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Right port catheter extends to the SVC. No mediastinal adenopathy.CHEST WALL: Right chest wall port.ABDOMEN:LIVER, BILIARY TRACT: Diffuse hepatic steatosis. Segment 4 hypoattenuating le... | Mild interval decrease in size of locally invasive pancreatic mass as detailed above. |
Generate impression based on findings. | Laryngeal cancer s/p surgical excision and PORT completed on 10/2012. There is a right transglottic mass that measures approximately 30 AP x 21 RL x 30 SI mm. The mass extends to the anterior commissure and along the inferior aspect of the right aryepiglottic fold, which otherwise appears swollen with edema. There is s... | 1. The recurrent right transglottic squamous cell carcinoma measures approximately 30 AP x 21 RL x 30 SI mm. The mass extends to the anterior commissure and along the inferior aspect of the right aryepiglottic fold with sclerosis of the right arytenoid cartilage and mild widening of the right thyroarytenoid space, but ... |
Generate impression based on findings. | 78-year-old male with acute mental status changes. There are mild scattered white matter hypodensities and a hypodense lesion of the left caudate nucleus which is consistent with a lacunar infarct of indeterminate age. There is no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are... | 1. Lacunar infarct of the left caudate nucleus of indeterminate age. Dedicated MR imaging could be considered if clinically relevant.2. No evidence of intracranial hemorrhage or mass lesions. |
Generate impression based on findings. | 9-year-old female with female with VP shunt who presents with status epilepticus Motion artifacts degrades images at the vertex.No evidence of acute intracranial hemorrhage, edema or mass. Redemonstrated are nonspecific punctate calcifications in the right frontal lobe.Stable left posterior parietal VP shunt catheter w... | No significant interval change with stable left posterior parietal shunt catheter and ventricular system. |
Generate impression based on findings. | 54-year-old female patient with non-Hodgkin's lymphoma. Evaluation for interval change. CHEST:LUNGS AND PLEURA: No lung nodules or effusions.MEDIASTINUM AND HILA: No pathologically enlarged lymph nodes. Interval removal of central venous catheter.CHEST WALL: Interval removal of Port-A-Cath in left chest wall. No signif... | 1.No pathologically enlarged lymph nodes. Stable examination.2.Fatty, enlarged liver. |
Generate impression based on findings. | 65 year-old female with right lower quadrant pain ABDOMEN:LUNG BASES: No significant abnormality noted.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: No signific... | 1. No specific findings to account for the patient's pain. 2. Collapsed segment of transverse colon which is incompletely evaluated but could be correlated with colonoscopy if clinically warranted.3. Hiatal hernia. |
Generate impression based on findings. | History of metastatic thyroid cancer. CHEST:LUNGS AND PLEURA: Multiple subcentimeter bilateral pulmonary nodules are not significantly change. The reference left upper lobe nodule measures 7 x 7 mm on image 64/102 (8 x 7 mm on prior). Emphysema. Postop change from left lower lobectomy.Bronchial wall thickening with clu... | Stable pulmonary metastases. New opacities in the right lower lobe suggestive of aspiration bronchiolitis, continued follow up is recommend |
Generate impression based on findings. | 43-year-old male with 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: No significant abnormality no... | No specific findings to account for the patient's abdominal pain. No evidence of inflammation. |
Generate impression based on findings. | Female 74 years old; Reason: 74F w/ h/o intraabdominal abscess, likely perforated appendicitis, s/p IR drain placement; please assess resolution of abscess History: intraabdominal abscess, IR drain in place ABDOMEN:LUNGS BASES: Bibasilar atelectasis noted. Coronary artery calcifications.LIVER, BILIARY TRACT: The liver ... | 1. Interval placement of a right lower quadrant drain with no measurable fluid collection.. 2. Interval resolution of the previously noted ileus. |
Generate impression based on findings. | 54-year-old male patient with history of renal cell cancer status post right partial nephrectomy. Evaluate for recurrence of renal cancer. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnorma... | Status post right partial nephrectomy without evidence of residual lesion. |
Generate impression based on findings. | 67-year-old male with neurologic symptoms, assess for aortic dissection. CHEST:LUNGS AND PLEURA: Calcified nodules compatible with prior granulomatous disease. Cluster of left lower lobe cysts is unchanged since 2009.MEDIASTINUM AND HILA: Moderate atherosclerotic calcification of the aortic arch. No evidence of aortic ... | 1. No evidence of aortic aneurysm or dissection. Moderate atherosclerotic calcification and plaque of the thoracic and abdominal aorta as detailed above.2. Severe coronary artery disease, status post CABG.3. Cholelithiasis. |
Generate impression based on findings. | Sarcoidosis and dizziness. 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. There is thinning and perhaps dehiscen... | 1. No evidence of intracranial hemorrhage, mass, or cerebral edema. However, MRI with contrast is more sensitive for subtle manifestations of neurosarcoidosis.2. Unremarkable temporal bones.3. Mild scattered paranasal sinus opacification in a sporadic pattern. |
Generate impression based on findings. | 68 year-old female patient with history of renal cell carcinoma status post partial nephrectomy with pseudoaneurysm and embolization. Evaluate for recurrence of RCC. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Hepatomegaly with hypoattenuating parenchyma. There is a subcentimeter hypoatte... | 1.Status post left partial nephrectomy and embolization coil placement without definite evidence of residual renal mass.2.Hypoattenuating focus within the liver that is too small to characterize.3.Fatty, enlarged liver. |
Generate impression based on findings. | CLL s/p MUD. There are a few scattered mildly prominent cervical lymph noes with effacement of the fatty hila. For example, a left level 2B lymph node measures 12 x 12 mm (image 39, series 8) and a right level 5 lymph node measures 11 x 9 mm (image 51, series 8). Thre is also prominence of several bilateral axillary ly... | 1. Several scattered mildly prominent cervical and axillary lymph nodes suggest residual involvement with leukemia or perhaps graft versus host disease.2. Partially calcified left apical nodule that measures up to 11 mm. Refer to the separate chest CT report for additional details. |
Generate impression based on findings. | 24 year-old male, non-Hodgkin's lymphoma. Restaging. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Index paratracheal lymph node measures 1.1 x 0.5 cm (image 27, series 3) and previously measured 1.1 x 0.5 cm, unchanged. Additional scattered small mediastinal lymph nodes are unchanged. A... | 1. No evidence of new lymphadenopathy with unchanged reference measurements as detailed above.2. Hepatic steatosis. |
Generate impression based on findings. | 39-year-old female, evaluate for kidney stones. ABDOMEN:LUNG BASES: No significant abnormality noted.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: Bilateral nep... | Bilateral nephrolithiasis and nephrocalcinosis, with increase in stone burden on the right and persistent gas within the collecting system. |
Generate impression based on findings. | DLBCL s/p R-CHOP. There are stable postoperative findings related to left lateral 5 neck dissection with an unchanged 4 mm soft tissue nodule adjacent to the surgical clips. Otherwise, there is no significant lymphadenopathy by size criteria. The Waldeyer ring structures are not significantly enlarged. No mass lesions ... | No evidence of recurrent mass lesions or significant cervical lymphadenopathy by CT size criteria. |
Generate impression based on findings. | Reason: mesothelioma, s/p 2 cycles of immunotherapy. please evaluate for disease and compare with previous scans History: mesothelioma CHEST:LUNGS AND PLEURA: Significant interval increase in the pleural and pulmonary nodules throughout both lungs.Left lower lobe nodule (image 46 series 4) now measuring 14 mm x 14 mm p... | 1.Interval increase in size and number of multiple pulmonary nodules with increasing right pleural nodularity/thickening compatible with progression of metastatic disease.2.Stable increase in mediastinal and hilar lymphadenopathy.3.Increasing right chest wall, extrathoracic metastases.4.Loculated right hydropneumothora... |
Generate impression based on findings. | Reason: mesothelioma, s/p 2 cycles of chemo. please evaluate and compare with outside scan. History: mesothelioma CHEST:LUNGS AND PLEURA: Lobulated right sided enhancing pleural thickening consistent with known mesothelioma, compressing the right lung particularly in the basilar region. A right pleural effusion is pres... | Right-sided mesothelioma with measurements provided above. |
Generate impression based on findings. | Reason: Evaluate for progression of metastatic disease; compare to previous scan. History: none CHEST:LUNGS AND PLEURA: Previously noted focal groundglass opacity in the superior segment of the left lower lobe (image 50/109) is now relatively solid and measures 11 mm. A similar appearing nodule is also noted in the sup... | Two ground glass nodules in the left lower lobe from 7/2/2013 scan have become solid and are suspicious for metastatic disease. |
Generate impression based on findings. | Female 59 years old; Reason: pt with metastatic breast cancer History: pt with metastatic breast cancer CHEST:LUNGS AND PLEURA: Bilateral pleural effusions have resolved. The pleural nodularity representing metastatic disease to the pleura has improved. No dominant parenchymal lung lesion with the nodularity predominat... | 1.Resolution of the pleural effusions with multiple areas of pleural nodularity suspicious for metastatic disease.2.Osseous metastatic disease. |
Generate impression based on findings. | Reason: History of metastatic breast cancer on treatment. Evaluate for response and extent of disease. History: History of metastatic breast cancer on treatment. Evaluate for response and extent of disease. CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary metastases are stable. The previously referenced left lower ... | Stable pulmonary, hepatic and osseous metastases. |
Generate impression based on findings. | 33-year-old malignant lymphomas unspecified site, external, and solid organ sites. Large diffuse B-cell lymphoma staging examination CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Referenced pretracheal lymph node measures 0.9 x 1 cm (image 33, 3), previously measured 1 x 1.1 cm, was unch... | No evidence of mediastinal or abdominal lymphadenopathy. No new sites of disease. |
Generate impression based on findings. | Male 70 years old; Reason: bladder cancer- s/p cystectomy f/u from September 2013 CT scans- pelvic fluid collection History: bladder cancer- s/p cystectomy CHEST:LUNGS AND PLEURA: Calcific pleural plaques are unchanged. No suspicious pulmonary lesion.MEDIASTINUM AND HILA: Patulous esophagus.CHEST WALL: No significant a... | 1.Decrease in the body wall and pelvic fluid collections. |
Generate impression based on findings. | Male 77 years old; Reason: 77M s/p cystectomy and ileal conduit, transferred from OSH with abscess adjacent to bowel anastomosis in distal ileum, r/o bowel leak History: para-anastomotic abscess ABDOMEN:LUNGS BASES: Bibasilar atelectasis noted. Small bilateral pleural effusions, left greater than right.LIVER, BILIARY T... | 1. Inflammatory changes with foci of gas at the bowel-bowel anastomosis site without extravasation of oral contrast. Adjacent findings are concerning for small bowel leak.2. Wound dehiscence in the midline abdominal wound.3. Left common iliac chain node as described above. |
Generate impression based on findings. | Reason: pt with mesothelioma s/p chemo and resection > 6 months ago History: doing well now needs disease evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Postop change in the left hemithorax with volume loss and leftward mediastinal shift. Minimal residual left-sided pleural fluid with a small ... | Postop change but no evidence of measurable disease. |
Generate impression based on findings. | Malignant neoplasm of upper lobe lobe, bronchus or lung CHEST:LUNGS AND PLEURA: Referenced right upper lobe solid nodule but typically margins measures 9 x 8 mm (image 148, 5), previously measured 13 x 10 mm, minimally reduced in size from prior study. Small metallic clip identified within the nodule. Stable apical and... | Interval decrease in right upper lobe spiculated mass.Stable left adrenal lung nodule, previously, thought to be an adenoma.Extensive atherosclerotic changes in thoracic or abdominal aorta and its branches |
Generate impression based on findings. | Reason: mesothelioma s/p 2 cycles of chemo. please evaluate for disease and compare with previous scans using the same target lesions History: mesothelioms CHEST:LUNGS AND PLEURA: Left hemithorax volume loss. Circumferential left pleural nodular thickening, more extensive at the lung base.Reference measurements are as ... | Stable reference measurements. Interval decrease in left pleural effusion. |
Generate impression based on findings. | Patient with cognitive decline. History of diabetes and hypertension. Assess for cerebrovascular disease. There is prominent sulcal and ventricular spaces in keeping with global atrophic change. There is no intracranial mass, fluid collection, hemorrhage, hydrocephalus or CT evidence of acute ischemia. Gray-white matte... | Atrophic change without any focal lesion or abnormality. |
Generate impression based on findings. | Reason: f/u LLL nodule in pt w/ tobacco use history History: dyspnea on exertion LUNGS AND PLEURA: 5-mm smoothly marginated solid subpleural nodule in the left lower lobe (series 4 image 49), unchanged since the previous scan and also since an earlier scan of 2006. Additional subpleural micronodules and scarlike opacit... | Stable very small pulmonary nodules consistent with previous infection. No suspicious nodules. |
Generate impression based on findings. | Nasal congestion, h/o polyps s/p sinus surgery. The paranasal sinuses are clear. There is evidence of prior right concha bullosa decompression. The nasal cavity is clear. There is mild nasal septal deviation to the right. The right ethmoid roof is 3 mm lower than the left ethmoid roof. The optic canals and carotid groo... | Clear paranasal sinuses and nasal cavity. |
Generate impression based on findings. | Reason: r/o growth of lesions History: h/o thyroid cancer with small mets to lung LUNGS AND PLEURA: Innumerable very small nodules are present bilaterally. The reference nodules are stable measuring 6 mm in the right lower lobe (series 5 image 80) and 7 mm in the left lower lobe (series 5 image 73). No new pulmonary no... | Stable pulmonary metastases. |
Generate impression based on findings. | NHL intermediate between HL and large B cell lymphoma, stage IIIA, IPI2,refractory to upfront chemotherapy, then treated with BEAM +autologous SCT (day0=7/23/12) and consolidative radiation to the R neck to 46 Gy in 2Gy fxs completed on 10/11/12. There are numerous abnormal cervical lymph nodes, which are stable to sli... | Numerous abnormal cervical lymph nodes related to NHL are overall stable to slightly decreased in size. |
Generate impression based on findings. | Reason: progression of bronchiectasis, nodules History: cough LUNGS AND PLEURA: Interval increase in the bronchiectasis and bronchiolitis in the right middle lobe with partial atelectasis and consolidation.Multiple small smoothly marginated pulmonary nodules measuring up to 8 mm, unchanged and presumably benign common.... | Interval increase in extent of bronchiectasis and bronchiolitis in the right middle lobe.Mild traction bronchiectasis in the lingula, unchanged. |
Generate impression based on findings. | Headache and blurred vision following motor vehicle accident on 9/19/2013. There is no evidence of intracranial hemorrhage, mass, or hydrocephalus. The ventricles are stable in size and configuration. The imaged paranasal sinuses and mastoid air cells are clear. There is an unchanged linear focus of subcutaneous soft t... | No evidence of intracranial hemorrhage, mass, or hydrocephalus. No cerebral perfusion deficits.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Male 79 years old; Reason: prostate cancer, evaluation of disease after 54 days of investigational drug History: prostate cancer, ABDOMEN:LUNGS BASES: No pleural effusions. Lung bases are clear.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnor... | 1.Sclerotic metastases to the left superior pubic ramus without evident change.. |
Generate impression based on findings. | Male 40 years old; Reason: evaluate hernia versus seroma History: inguinal bulge PELVIS:PROSTATE/SEMINAL VESICLES: ProstatectomyBLADDER: CystectomyLYMPH NODES: No evident pelvic lymphadenopathy. BOWEL, MESENTERY: Post operative changes in the ileum.BONES, SOFT TISSUES: Small amount of fluid in the right inguinal area t... | 1.No evident lymphadenopathy. Post operative changes and fluid along the right inguinal region without herniation that extends to the neobladder and is likely part of the neobladder. |
Generate impression based on findings. | Reason: mesothelioma s/p chemotherapy on observation since 2010, eval EOD, compare to previous History: none CHEST:LUNGS AND PLEURA: Scarring and bronchiectasis at the right lateral lung base is unchanged. Scattered punctate micronodules are also unchanged. Emphysema. Minimal perifissural thickening or scarring on the ... | Stable CT with no definitive evidence of recurrent pleural disease. Stable adenopathy. |
Generate impression based on findings. | Reason: 75 yo M w/ T2a N3 M0 RML lung adenocarcinoma s/p chemoRT with completion in 11/2012 with hsitory of post-treatment radiation pneumonitis. Please compre to prior scans for disease status and signs fo pneumonitis History: lung cancer post-treatment surveillance CHEST:LUNGS AND PLEURA: Dense right perihilar and pa... | Radiation reaction with extensive scarring and consolidation. No measurable tumor. |
Generate impression based on findings. | Reason: evidence of hypoxia History: hypoxia LUNGS AND PLEURA: Motion limits the study. Groundglass opacities identified in both lungs compatible with edema.No focal areas of consolidation.Basilar scarring and atelectasis was present on a remote exam dated 11/28/08.No pleural effusions.MEDIASTINUM AND HILA: Severe card... | 1.Severe cardiac enlargement and marked enlargement of the pulmonary artery compatible with pulmonary arterial hypertension.2.Groundglass opacities compatible with edema. Accentuated by the exam being obtained in expiration.3.Extensive venous chest wall, mediastinal, and abdominal collateral circulation with subcutaneo... |
Generate impression based on findings. | Female, 16 years old, fever, increased oxygen requirement. Evaluate for infection in the sinuses. The frontal sinuses and frontoethmoidal recesses are clear. The sphenoid sinuses and the sphenoethmoidal recesses are clear. Opacification of one of the right-sided ethmoid air cells is demonstrated, stable.Mild peripheral... | Mild sinus mucosal thickening, similar to the prior examination. No evidence of active sinus infection. |
Generate impression based on findings. | 32-year-old male patient status post laparoscopic total abdominal colectomy with end ileostomy 9/2013 with history of rectal stump leak on CT status post IR drainage 10/7/2013. Please evaluate resolution of the collection and if drain can be removed. ABDOMEN:LUNG BASES: Trace left pleural effusion and associated basila... | Near complete resolution of loculated fluid collection within the pelvic mesentery.Findings needed to Dr. Michelle Rubin via telephone at 2:55 p.m.. on 10/21/2013 by Dr. Stephanie McCann. |
Generate impression based on findings. | 54-year-old female with gait instability, history of alcohol abuse, evaluate for intracranial abnormality. The CSF spaces are appropriate for the patient's stated age with no midline shift. Slightly asymmetric cerebellar atrophy.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is iden... | 1. No acute intracranial abnormalities.2. Slightly asymmetric cerebellar atrophy. |
Generate impression based on findings. | Reason: assess pleural effusion, r/o infiltrate History: pt s/p Bilateral lung tranpslant July 2013 and recent MVR LUNGS AND PLEURA: Diffuse pulmonary edema with scattered ground glass opacity and bilateral pleural effusions. Fluid extends into both fissures.MEDIASTINUM AND HILA: Collapse posterior wall of trachea cons... | Pulmonary edema and pleural effusions consistent with CHF. |
Generate impression based on findings. | 16 year old female with daily fever, increasing oxygen requirement, increasing cough. CHEST:LUNGS AND PLEURA: Multiple ground opacities in all lung lobes, particularly increased in the left lung apex and base. The bibasilar ground glass opacities and patchy consolidations likely represent aspiration/infection. Scattere... | 1. Increasing pulmonary opacities throughout the left lung, likely representing worsening infection. 2. New moderate-sized pericardial effusion. 3. Slightly increased size of the small left pleural effusion.4. No acute intra-abdominal process evident. |
Generate impression based on findings. | Persistent cough and post-nasal drip. There are postoperative findings related to bilateral uncinectomy and partial ethmoidectomy with moderate bilateral maxillary sinus mucosal thickening , which largely obstruct the neo-infundibula. There is also moderate opacification of the remaining bilateral ethmoid air cells. Th... | Status post endoscopic sinus surgery with persistent moderate maxillary and ethmoid sinus opacification. |
Generate impression based on findings. | 36 year-old female with septal deviation, recurring sinusitis, and Afrin abuse. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structures is unremarkable. There remains mild mucosal thickening and retention cysts in the bilateral maxillary and ethmoid sinuses, right more than left... | 1.There remains mild mucosal thickening and retention cysts in the bilateral maxillary and ethmoid sinuses, right more than left. The right maxillary infundibulum demonstrates patency, previously obstructed. 2.Increased soft tissue density within the right nasal vault, interposed between the middle and inferior turbina... |
Generate impression based on findings. | Male 74 years old; Reason: w abd fluid collection s/p IR drain, rising WBC - eval fluid collection size, eval pna History: w abd fluid collection s/p IR drain, rising WBC - eval fluid collection size, eval pna CHEST:LUNGS AND PLEURA: Small left pleural effusion. Left basilar atelectasis. Trace right pleural effusion an... | 1.Large loculated fluid collections in the lower abdomen and pelvis with fistulous tracts to the body wall.2.Gas fluid collection in the left upper abdomen connects with the pelvic fluid collection. A drain is present in the right abdominal fluid collection.3.Necrotic lymphadenopathy in the mediastinum suspicious for m... |
Generate impression based on findings. | 71-year-old female patient with high-grade ovarian cancer status post chemotherapy presents with rising CA-125. Evaluate for disease. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No pathologically enlarged lymph nodes.CHEST WALL: Redemonstration of right chest port with catheter tip in... | 1.Enlarged right inguinal lymph node concerning for recurrent disease.2.Stable postsurgical changes in the pelvis. |
Generate impression based on findings. | Late stage MS with gross intention tremor treated via bilateral basal ganglia stimulators. There are bilateral deep brain electrodes that traverse the lateral ventricles and basal ganglia. There is mild cerebral white matter hypoattenuation and encephalomalacia in the left frontal lobe. There is no evidence of acute in... | 1. Bilateral deep brain electrodes that traverse the lateral ventricles and basal ganglia. 2. Left frontal lobe encephalomalacia and scattered cerebral whiter matter hypodensities, but no evidence of acute intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Male 60 years old; Reason: right lung mass and mediastinal lymphadenopathy were noted on a recent cardiac CT; suspect primary lung carcinoma History: cough, dyspnea. LUNGS AND PLEURA: Moderate to severe centrilobular and paraseptal emphysema. The pleural-based nodule in the anterior aspect of the right middle lobe meas... | Right middle lobe nodule is unchanged in size over three months and biopsy was indeterminate. However, malignancy is still possible and bland are infarct is unlikely given the high FDG activity on the recent previous PET/CT. The differential diagnosis includes low grade primary malignancy, histoplasmosis, lymphoma, and... |
Generate impression based on findings. | Nasal congestion and discharge. There are air fluid-levels in the bilateral maxillary sinuses, left greater than right, with bubbly secretions. There is also a 9 mm wide left maxillary sinus retention cyst. There is otherwise mild right maxillary sinus mucosal thickening and a 6 mm wide retention cyst in the right sphe... | Scattered paranasal sinus opacification in a sporadic pattern with air-fluid levels in the maxillary sinuses that may indicate acute sinusitis in the appropriate clinical setting. |
Generate impression based on findings. | 22-year-old male status post IR drainage. Multiple fluid collections, open abdomen ABDOMEN:LUNG BASES: Left pleural effusion and adjacent atelectasis, mildly decreased from the prior study.LIVER, BILIARY TRACT: Mosaic attenuation of the liver is again noted. The hepatic vasculature appears patent. No biliary ductal dil... | 1. Interval decrease in size of perisplenic, pelvic and lower abdominal fluid collections.2. Large ventral abdominal wound with overlying wound VAC communicating with the small bowel.3. Hepatic steatosis. |
Generate impression based on findings. | Reason: Evaluate for progression of metastatic disease; compare to previous scan History: none CHEST:LUNGS AND PLEURA: Interval increase in right upper lobe mass and satellite nodules. Right upper lobe mass measures 49 x 40 mm on image 40/105 (35 x 26 mm previously). The previously referenced 5 mm satellite nodule cran... | 1. Interval increase in pulmonary mass and nodules.2. Increased and new osseous metastases.3. Increased and new adrenal metastases.4. Increased and new hepatic metastases.5. New soft tissue metastasis right shoulder.6. Equivocal subcentimeter hypodensity in the intrahepatic IVC which may represent a small intrahepatic ... |
Generate impression based on findings. | 44-year-old malignant neoplasm of anus CHEST:LUNGS AND PLEURA: Multiple small calcified granulomas, with the largest in the left upper lobe.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Splenule not... | No evidence of metastatic disease |
Generate impression based on findings. | 37-year-old female patient with left flank pain. Evaluate for renal calculi. Note that the lack of intravenous contrast limits evaluation of vasculature, solid and hollow viscera.ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Gallbladder with sludge. No cholelithiasis.SPLEEN: No significant ... | No renal calculi or evidence of inflammatory changes in the kidneys. |
Generate impression based on findings. | 29-year-old male with Hodgkin's lymphoma, restaging. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Right port catheter extends to the cavoatrial junction. No mediastinal or hilar lymphadenopathy.CHEST WALL: Right chest wall port.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality no... | Lymphadenopathy in the abdomen and pelvis with increase in size of periaortic lymph nodes from the prior study. |
Generate impression based on findings. | 46 year old female with elevated white blood cell count and altered mental status CHEST:LUNGS AND PLEURA: Small right pleural effusion and multifocal basilar consolidation and atelectasis.MEDIASTINUM AND HILA: Endotracheal tube, left central venous catheter and enteric tube extending to stomach. Gas is again noted in t... | 1. Lower lobe consolidation, atelectasis and small right pleural effusion.2. Large volume abdominal and pelvic ascites appearing similar to the prior study without evidence of loculation. |
Generate impression based on findings. | Female, 71 years old, anosmia and history of recurrent sinusitis. The frontal sinuses and frontoethmoidal recesses are clear. The sphenoid sinuses are clear. The sphenoethmoidal recesses are not well visualized which is likely technical. The ethmoid air cells are clear.The maxillary sinuses are free of mucosal thickeni... | No evidence of active sinusitis. No definite sequelae of prior chronic sinusitis. |
Generate impression based on findings. | Reason: h/o HNC, CRT, compare to previous, measurements pls History: none LUNGS AND PLEURA: Scattered punctate micronodules are stable and presumably post inflammatory. No suspicious pulmonary nodules.MEDIASTINUM AND HILA: Borderline right hilar lymph node is unchanged. Port tip in SVC.CHEST WALL: Right chest wall port... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: Head and neck cancer. Baseline evaluation. History: as above CHEST:LUNGS AND PLEURA: Centrilobular nodules and tree in bud opacities, most pronounced in the right lower lobe. Associated bronchiectasis and debris within the subsegmental bronchi of the right lower lobe. These findings are most consistent with the... | Chronic aspiration but no evidence of metastases. |
Generate impression based on findings. | Weakness. There are postoperative findings related to right pterional craniotomy and right MCA aneurysm clipping. There is extensive encephalomalacia in the right MCA territory with ex vacuo dilatation of the left lateal ventricle. There are new punctate hyperdense foci within the area of encephalomalacia, which may re... | Postoperative findings related to right pterional craniotomy and right MCA aneurysm clipping. with extensive encephalomalacia in the right MCA territory with ex vacuo dilatation of the left lateal ventricle. New punctate hyperdense foci within the area of encephalomalacia may represent hemorrhage. |
Generate impression based on findings. | 54-year-old female patient with history of endometrial cancer presents with right upper quadrant abdominal pain. Evaluate for liver metastases. ABDOMEN:LUNG BASES: Trace right pleural effusion with basilar atelectasis, new compared to prior. Multiple scattered tiny subpleural nodules.LIVER, BILIARY TRACT: Hepatomegaly,... | 1.Hepatomegaly with diffuse studding of the liver parenchyma with hypoattenuating lesions. Findings concerning for metastatic disease given patient's history and less likely microabscesses.2.Large uterine mass with bladder invasion consistent with history of endometrial cancer.3.Trace right pleural effusion.Finding of ... |
Generate impression based on findings. | Malignant neoplasm of bladder status post cystoprostatectomy, neobladder in 2007 ABDOMEN:LUNG BASES: Calcified left lower lobe nodule is stableLIVER, BILIARY TRACT: Fatty infiltration of the liver. Small, hypodense lesion in the dome of the right lobe of liver is unchanged. No focal lesion. Cholelithiasis. Hepatic vess... | 1. Interval increase in a right renal hypodense lesion with an enhancing mural nodule consistent with Bosniak type IV lesion.2. Stable left adrenal masses3. Hepatic steatosisFindings conveyed to Dr. Norm Smith pager 6709 at 4:50 pm |
Generate impression based on findings. | Female, 51 years old, left parotid mass. A well marginated, lobular and uniformly enhancing mass is present within the superficial lobe of the left parotid gland. This lesion measures 1.7 x 1.6 cm transaxial and 2.0 cm craniocaudal. This lesion is positioned relatively low and posteriorly within the gland. It abuts the... | There is an enhancing, well marginated lobular mass within the superficial lobe of the left parotid gland. At least one if not several smaller, similar appearing lesions are also present in the right parotid gland. The differential diagnosis for these findings is broad and includes benign etiologies, such as Warthin's ... |
Generate impression based on findings. | T1N2A left tonsil SCC s/p excisional biopsy and TFHX completed 4/27/12. Head: There is an unchanged avidly enhancing dural based mass along the planum sphenoidale that measures 20 AP x 19 RL x 8 SI mm. There are unchanged mild cerebral white matter hypoattenuating foci that likely represent microangiopathy. Otherwise, ... | 1. No evidence of locoregional tonsillar squamous cell carcinoma recurrence or significant cervical lymphadenopathy.2. Unchanged presumed planum sphenoidale meningioma that measures up to 20 mm without evidence of brain metastases. |
Generate impression based on findings. | Reason: R/o PE History: R-sided CP, tachycardic, hx cancer on chemo/radiation PULMONARY ARTERIES: The multiple small pulmonary emboli are identified in the arterial tree of the right lung involving the right main pulmonary artery as well as lower lobar and segmental branches. The pulmonary artery is normal caliber. The... | 1.Multiple small pulmonary emboli within the right pulmonary artery and lobar and segmental arteries of the right lower lobe.2.Small right pleural effusion and associated right basilar subsegmental atelectasis.3. Numerous pulmonary subcentimeter nodules many which are associated with the fissures and may represent intr... |
Generate impression based on findings. | Reason: Dx Breast Cancer History: Evaluate disease s/p 3 months on faslodex CHEST:LUNGS AND PLEURA: 5-mm nodule in the right major fissure which may represent an intrapulmonary lymph node.An additional smaller nodule is present in the minor fissure (series 7 image 42).Approximately 5 mm subpleural or pleural nodule at ... | Marked interval improvement in metastatic disease since the previous scan. Very small nonspecific pulmonary and pleural nodules remain in addition to a right breast mass and enlarged right axillary lymph node. |
Generate impression based on findings. | Male 64 years old; Reason: cholangiocarcinoma History: cholangiocarcinoma restaging CHEST:LUNGS AND PLEURA: Right upper lobe subcentimeter pulmonary nodule is grossly unchanged from the prior exam (image 39, series 5).MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: There is repositioning of the Port-A... | 1. The hepatic lesion and index lymph node appear larger when compared to the prior exam. Interval increase in size and conspicuity of the non reference satellite lesions.2. Interval repositioning of the Port-A-Cath with the tip in the cavoatrial junction. |
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