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Generate impression based on findings. | 67-year-old male with renal cell cancer status post partial left nephrectomy 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... | 1. Poorly enhancing right renal mass, highly suspicious for renal cell carcinoma.2. Status post left heminephrectomy with subcentimeter hypoattenuating left lesion too small to characterize. 3. No evidence of metastatic disease. |
Generate impression based on findings. | 28 year-old female patient with history of Gartner's vaginal cyst on the right. Evaluate vaginal cyst and renal collecting system. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality not... | 1.Hypoattenuating focus in the vagina consistent with Gartner's vaginal cyst.2.No significant abnormalities of the kidneys or collecting system. |
Generate impression based on findings. | 68-year-old male with head and neck cancer (tonsil). CT brain:The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, midline shift, intra- or extra-axial fluid collection/acute hemorrhage, or abnormal contrast enhancement.The orbits ... | 1. Bulky right parapharyngeal necrotic mass may show progressive ulceration but otherwise has not significantly changed from the prior examination.2. Necrotic right neck lymph nodes are similar in size to the prior examination. No new sites of disease are identified.3. No evidence of intracranial metastatic disease. |
Generate impression based on findings. | Female 36 years old; Reason: alpha 1 antitrypsin deficiency/evaluate for emphysema or bronchiectasis History: cough. LUNGS AND PLEURA: No evidence of emphysema. Scattered bilateral pulmonary micronodules, which are nonspecific. No suspicious pulmonary nodules or masses. No pleural effusions. No evidence of interstitial... | No evidence of emphysema. No significant pulmonary or pleural abnormalities. |
Generate impression based on findings. | Reason: T1N2A L tonsil SCC s/p excisional biopsy with ECE. Given TFHX completed 4/27/12. please re-eval for recurrent dz History: as above CHEST:LUNGS AND PLEURA: Apical scarring. Calcified granulomas. Linear scarring at left lung base. No new pulmonary nodules.MEDIASTINUM AND HILA: No significant abnormality noted.CHE... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: 62 yo male with h/o cutaneous lymphom on new therapy with new dyspnea on exertion; r/o PE, pneumonitis, ? PNA History: dyspnea PULMONARY ARTERIES: No evidence of PE.LUNGS AND PLEURA: Emphysema. Linear scarring or atelectasis at the lung bases. Mild nonspecific bronchial wall thickening which is nonspecific but ... | 1. No evidence of PE.2. Emphysema.3. Mild nonspecific bronchial wall thickening which is nonspecific but most commonly seen with asthma or bronchitis. |
Generate impression based on findings. | 44-year-old female with foul drainage, evaluate for fistula ABDOMEN:LUNG BASES: Mild basilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Nonspecific hypoattenuating splenic lesion is unchanged.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS... | Healing mid abdominal wall wound with adherent adjacent small bowel loops and two foci of gas. A fistula cannot be excluded, although is not definitively demonstrated. |
Generate impression based on findings. | 49-year-old female with history of breast cancer, baseline exam. CHEST:LUNGS AND PLEURA: Right medial pulmonary mass measures 2.9 x 2.4 cm (image 39, series 5). Multiple additional small bilateral pulmonary nodules are identified, suspicious for metastatic disease.MEDIASTINUM AND HILA: Port catheter extends to the SVC.... | 1. Status post right mastectomy with multiple pulmonary lesions consistent with metastatic disease.2. Post treatment change of the right axilla and chest wall. |
Generate impression based on findings. | Female 67 years old; Reason: rule out PE History: tachycardia. PULMONARY ARTERIES: No evidence of pulmonary emboli.LUNGS AND PLEURA: Small bilateral pleural effusions are seen with overlying consolidation, likely atelectasis. Within the right lung base are mild centrilobular opacities consistent with aspiration. Small ... | 1.No pulmonary emboli2.Bilateral small pleural effusions with atelectasis.3.Free air in the abdomen compatible with recent surgery. |
Generate impression based on findings. | 45-year-old male with history of bladder cancer status post 5 cycles of chemo. CHEST:LUNGS AND PLEURA: 4-mm right upper lobe pulmonary nodule is unchanged.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEE... | Abdominal and pelvic lymphadenopathy as detailed above, not significantly changed from the prior study. Mild decrease in size of pelvic lymphoceles. |
Generate impression based on findings. | Clinical question: Evaluate for mass/CVA. Signs and symptoms: Syncope/periods of unresponsiveness. 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 spaces a... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Evaluate VP shunt, history of migraine headache. Signs and symptoms: Headache and photophobia. Nonenhanced head CT:Images through posterior fossa are unremarkable and is stable since prior exam.Images through supratentorial space demonstrate nearly completely collapsed left lateral ventricle similar ... | No evidence of any new finding since prior exam in particular a stable collapsed left lateral ventricle and normal size of right lateral ventricle as well as right-sided approach ventricular catheter remains stable since prior exam. |
Generate impression based on findings. | Clinical question: Rule out hemorrhage. Signs and symptoms: Syncope with head injury. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Very minimal subtle areas of low attenuation in the periventricular and subcortical white m... | Mild age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Clinical question: History of posterior head injury due to fall. Assess for hemorrhage. Signs and symptoms: Headache and dizziness. Nonenhanced head CT:Examination demonstrate a focus of increased density in the left cerebellopontine angle (axial image 7, coronal reformatted images 51 and sagittal reformatted image 16)... | 1.Extra axial high density lesion measuring at 13.5-mm on coronal reformatted images concerning for an extra axial meningioma and or less likely a posttraumatic extra axial hematoma.2.Unremarkable nonenhanced head CT otherwise. |
Generate impression based on findings. | Clinical question: Rule out hemorrhage. Signs and symptoms: Rule-out hemorrhage. Status post fall. Nonenhanced head CT:Examination demonstrate no detectable acute posttraumatic calvarial or intracranial findings.Extensive left anterior frontal and left basal ganglia encephalomalacia consistent with a chronic ischemic s... | 1.Left supra-and lateral frontal scalp hematoma and edema as detailed.2.Stable extensive chronic ischemic strokes and underlying parenchymal volume loss since prior study from 2008. |
Generate impression based on findings. | 64-year-old female with shortness of breath. PULMONARY ARTERIES: Diagnostic quality exam with no evidence of pulmonary embolus.LUNGS AND PLEURA: Mild basal atelectasis. Mild pleural thickening in the lung apices and along anterior aspect of right middle lobe. No consolidation or pleural effusions. Scattered bilateral l... | 1.No pulmonary embolus.2.Large hiatal hernia.3.Scattered benign appearing bilateral pulmonary micronodules. |
Generate impression based on findings. | Clinical question: Evaluate for intracranial injury. Signs and symptoms: Intoxication/alteration of mental status. Nonenhanced head CT:No detectable acute posttraumatic intracranial or calvarial/soft tissues of the scalp findings.The ventricle and subcortical low attenuation of white matter is believed to represent age... | 1.No accurate posttraumatic findings.2.Age indeterminate mild small vessel ischemic strokes. |
Generate impression based on findings. | Clinical question: History of pseudotumor cerebri. Signs and symptoms cord headache and double vision. Nonenhanced head CT:Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute non-hemorrhagic ischemic strokes.Paucity of cortical sulci and the small size of ventr... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: 54 year-old female with hyperglycemia and persistent vertigo. Evaluate for any lesions. Signs and symptoms: Vertigo and blurry vision. Nonenhanced head CT:No detectable acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic stroke.Unremarkable cerebral cortex, co... | Negative nonenhanced head CT. |
Generate impression based on findings. | 50 year-old male with nausea and vomiting. History of lung cancer and pericarditis. PULMONARY ARTERIES: Diagnostic quality exam with no evidence of pulmonary embolism.LUNGS AND PLEURA: Postsurgical changes in the left lung with associated pleural thickening and volume loss.Interval improvement in previously seen left l... | 1.No pulmonary embolus.2.Postsurgical changes in the left lung, with interval improvement in left lung consolidation and ground glass opacities.3.No significant change in mediastinal lymphadenopathy.4.No significant change in loculated fluid collections along the left mediastinum and left base.5.Multiple worsening skel... |
Generate impression based on findings. | Clinical question: Rule out metastases. Signs and symptoms: Headache and a taxi a period Nonenhanced head CT: Examination demonstrate a high density/likely hemorrhagic and necrotic mass in the left cerebellum measuring 32 x 22-mm in its transaxial dimensions. There is evidence of surrounding vasogenic edema. Mass-effec... | 1.Hemorrhagic necrotic left cerebellar mass measuring at 22 x 32-mm size and with diffuse surrounding edema.2.Mass-effect in the posterior fossa results in complete effacement of the fourth ventricle and supratentorial acute hydrocephalus with subependymal exudate of CSF. |
Generate impression based on findings. | 58-year-old female, evaluate GI bleed. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Diffuse severe hepatic steatosis, which limits the evaluation for hypervascular liver masses. Nodular cirrhotic liver contour and perihepatic ascites. The hepatic vasculature is patent. Cholelithiasis witho... | 1. No evidence of GI bleed.2. Cirrhotic liver morphology and severe diffuse hepatic steatosis, limiting the evaluation for hypovascular liver masses.3. Mild abdominal and pelvic ascites. |
Generate impression based on findings. | Confusion and difficulty with word finding. There is slight nonspecific prominence of the ventricles. There is no intracranial mass, fluid collection, hemorrhage or CT evidence of acute ischemia. Gray-white matter differentiation is maintained bilaterally and the midline is intact.Bones, orbits and visualized portions ... | No acute intracranial abnormality. |
Generate impression based on findings. | 85 year-old female with lupus, Sjogren's disease, and pulmonary fibrosis, now with dyspnea and are compared LUNGS AND PLEURA: Basilar predominant interstitial fibrosis with honeycombing and traction bronchiectasis, consistent with UIP-like pattern. However, there are ground glass opacities in the lung bases. No superim... | Pulmonary fibrosis in UIP-like pattern, or fibrosing NSIP, likely secondary to known SLE. |
Generate impression based on findings. | 19-year-old female patient with right lower quadrant abdominal pain. Evaluate for appendicitis. ABDOMEN:LUNG BASES: Lung bases and pleural spaces are clear.LIVER, BILIARY TRACT: Predominately hypoattenuating, well circumscribed subcapsular lesion in the posterior right liver that measures 1.2 x 1.9 cm (series 3, image ... | 1.No abnormality seen to account for patient's symptomatology.2.Well-circumscribed lesion within liver with peripheral nodular enhancement most likely represents a hemangioma. |
Generate impression based on findings. | Female, 70 years old, altered mental status, history of MCA rupture status post cranioplasty. Postoperative changes are demonstrated consistent with right pterional craniotomy. There is a surgical clip within the right middle cranial fossa in stable position.Extensive encephalomalacia is identified involving the right ... | 1. Redemonstration of craniotomy change with surgical clip placement in the right middle cranial fossa.2. Stable right MCA distribution encephalomalacia.3. Hypodense foci within the encephalomalacic region have not significantly changed. These are suggestive of areas of dystrophic calcification, though as before, blood... |
Generate impression based on findings. | 80 year-old female with hypoxia and shortness of breath. PULMONARY ARTERIES: No evidence of pulmonary embolus with diagnostic quality exam down to subsegmental pulmonary artery branches.LUNGS AND PLEURA: Mild centrilobular emphysema, predominantly affecting lung apices. No consolidation or pleural effusions. Scattered ... | 1.No pulmonary embolus.2.Pulmonary arteriovenous malformation in left lower lobe.3.Mild emphysema.4.Bilateral benign appearing pulmonary micronodules; in low risk patient, no follow-up is recommended. |
Generate impression based on findings. | Reason: shortness of breath, recent DVT, eval for PE History: shortness of breath PULMONARY ARTERIES: There is no evidence of pulmonary embolus. The pulmonary artery is enlarged measuring 3.4 cm consistent with pulmonary arterial hypertension.LUNGS AND PLEURA: Severe upper lobe predominant fibrosis, traction bronchiect... | 1.No evidence of pulmonary embolus.2.Stable severe upper lobe predominant fibrosis and traction bronchiectasis compatible with known sarcoidosis. |
Generate impression based on findings. | Reason: PE History: SOB, CP PULMONARY ARTERIES: No filling defect to suggest pulmonary embolus. The main pulmonary artery is normal in size.LUNGS AND PLEURA: Small right pleural effusion has not significantly changed.Progressive coarse groundglass patchy consolidation in the lower lobes, concentrated within the left lo... | 1.No pulmonary embolus.2.Shifting groundglass opacities, increased within the left lower lobe, raising a question of ongoing pulmonary hemorrhage and possible infection. Severe cardiomegaly with right atrial and left ventricular chamber dilation, small right pleural effusion consistent with a component of edema.3.Media... |
Generate impression based on findings. | Facial trauma from fall. There is patchy periventricular and subcortical hypoattenuation most prominent in the right parietal region where there has been interval development of a hypoattenuating focus since the prior MRI examination. There is no evidence of acute ischemia, intracranial mass, fluid collection or hemorr... | 1.No acute intracranial hemorrhage.2.Patchy white matter hypoattenuation consistent with minimal chronic small vessel ischemic disease, with interval development of findings in the right parietal region which are age-indeterminate. |
Generate impression based on findings. | 67 -year-old female with with tachycardia and abdominal pain -- rule-out infection. Reported history of colon resection 4 days prior with colocolonic anastomosis and diverting loop ileostomy. ABDOMEN:LUNG BASES: Bibasilar pleural effusions and right basilar atelectasis.LIVER, BILIARY TRACT: Liver parenchyma appears hom... | 1. Interval left lower quadrant ileostomy and colocolonic sigmoid anastomosis. 2. Free mesenteric fluid seen scattered throughout the abdomen, but 3 collections of which are loculated in the pelvis in general vicinity of recent surgery with debris and air-fluid levels. Four days postoperative air can appear in these co... |
Generate impression based on findings. | Male, 42 years old, with backache, evaluate for spinal metastases. Thoracic:Alignment is anatomic. Vertebral body heights are preserved. No fractures are detected. Bone mineral density is preserved. No concerning focally destructive lesions are seen to suggest the presence of metastatic disease.The bony spinal canal is... | 1. No evidence of destructive osseous lesions to suggest the presence of metastatic disease. Please note that in some instances, bony metastatic disease can be occult on CT. MRI would provide a more sensitive evaluation if clinically warranted.2. Incidental note is made of free fluid within the peritoneum and apparent ... |
Generate impression based on findings. | 36 year old female with history of colonic Crohn's disease presenting with pain, nausea and vomiting. ABDOMEN: Exam limited by limited oral contrast intake.LUNG BASES: Mild basilar scarring/atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant... | Evidence of chronic distal/terminal ileal and cecal inflammation as detailed above with tethering of bowel loops in the right lower quadrant, incompletely evaluated due to limited oral contrast intake. No evidence of active right lower quadrant inflammation or loculated collection. |
Generate impression based on findings. | 28-year-old female, evaluate for signs of pancreatitis ABDOMEN: Exam limited due to lack of IV and oral contrast.LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: Atrophic native pancreas. Right lower quadrant pancreatic t... | 1. Pancreatic transplant remains thickened without evidence of associated fluid collection or surrounding inflammation.2. Abdominopelvic ascites again noted. |
Generate impression based on findings. | Reason: respirophasic chest pain History: chest pain respirophasic PULMONARY ARTERIES: The pulmonary arterial tree is adequately opacified to the segmental level. No pulmonary embolus can be identified. There is no evidence of enlargement of the pulmonary artery.LUNGS AND PLEURA: No significant abnormality noted.MEDIAS... | No evidence of a pulmonary embolus to the segmental level. No significant pulmonary or pleural abnormalities. |
Generate impression based on findings. | 54-year-old female with question of intracranial hemorrhage. There is no evidence of extra-axial fluid collection or intracranial bleeding.There are postoperative changes of right parietal craniotomy with hypodensity representing encephalomalacia of the right temporal lobe which has slightly increased from prior study.... | 1. No evidence of intracranial bleeding.2. Expected postsurgical changes with slightly increased encephalomalacia in the right temporal lobe.3. Hypoattenuating lesion in the posterior right thalamus correlating with an enhancing focus on prior MR. |
Generate impression based on findings. | Blunt trauma. Evaluate left orbit. There is soft tissue density associated with the left sided ethmoid and maxillary sinuses as well as overlying cortical irregularity consistent with left medial and orbital floor blow out fractures. There is no significant displacement of ossific fragments comprising the medial wall w... | 1.Left orbital blowout fractures of the medial and inferior walls. The medial wall is nondisplaced while there are displaced fragments associated with a defect of the orbital floor. Entrapment of the inferior oblique muscle cannot be excluded and should be assessed clinically.2.Nondisplaced fracture of the left nasal b... |
Generate impression based on findings. | Reason: s/p thoracentesis; Loculated left hydropneumothorax on xray History: fever, sob CHEST:LUNGS AND PLEURA: Interval removal of a left chest tube. Large left hydropneumothorax with moderate amount of pleural fluid and mild thickening of the visceral pleura. In the superior left hemithorax (series 5 image 28), a com... | 1.Moderate left hydropneumothorax following removal of a chest tube. A loculated component is suspected superiorly. While there is minimal enhancement of the parietal pleura posteriorly, no significant visceral pleural enhancement is identified.2.Clustered nodules are noted throughout the right lung which are suspected... |
Generate impression based on findings. | Female 36 years old; Reason: history of breast cancer, starting new treatment regimen - baseline scan required. Please use measurements if applicable History: see above CHEST:LUNGS AND PLEURA: There is new scarring and parenchymal nodules involving the right lung. A right upper lobe mass measures 2.8 x 1.7 cm (image 52... | 1.Multiple pulmonary lesions and mediastinal lymphadenopathy suspicious for metastatic disease. |
Generate impression based on findings. | Male, 71 years old, with lower back pain and weakness, and confusion, history of stroke. Head:Encephalomalacia is redemonstrated in the left MCA territory consistent with chronic infarct. The geographic extent of this abnormality has very slightly increased from the prior exam.Extensive periventricular hypoattenuation ... | 1. Evidence of chronic left MCA distribution stroke.2. Extensive age indeterminate small vessel ischemic disease.3. No concerning or focally destructive osseous lesions are seen in the lumbar spine.4. Disk bulging and posterior element hypertrophy contribute to a narrowing of the spinal canal L4-5.5. Significant bony e... |
Generate impression based on findings. | 66-year-old male patient with obstipation. Evaluate for obstruction. Note that the lack of intravenous contrast limits evaluation of the vasculature, lymph nodes, solid and hollow viscera.ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Moderately enlar... | 1.Bulky lymphadenopathy in the retroperitoneal region and right iliac chain likely contributing to patient's right-sided hydronephrosis.2.Moderate stool burden in sigmoid colon and rectum without evidence of obstruction.Finding of lymphadenopathy and hydronephrosis communicated to Dr. Floyd via telephone at 8:20 AM on ... |
Generate impression based on findings. | Reason: HNC History: HNC CHEST:LUNGS AND PLEURA: Multiple scattered calcified granulomata. Right apical post radiation fibrosis unchanged.No suspicious pulmonary nodules or interval pleural effusion.MEDIASTINUM AND HILA: The heart remains normal size. No interval pericardial effusion. Several calcified lymph nodes are ... | No evidence of metastases. |
Generate impression based on findings. | Reason: interstitial lung disease? will need high res scan History: crackles on exam, persistent despite diuresis. pulmonary hypertension patient who may have some component of interstitial disease that is worsening? LUNGS AND PLEURA: Interval increase in the diffuse groundglass opacities and mosaic attenuation particu... | 1.Evidence of pulmonary arterial hypertension with interval increase in size of the central pulmonary artery.2.Increasing diffuse groundglass opacities and mosaic attenuation without evidence of septal lines or pleural effusions compatible small vessel and or small airways disease.3.Bronchial and bronchiolar wall thick... |
Generate impression based on findings. | Male, 29 years old, motor vehicle accident. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift. The ventricles and basal cisterns are patent and ... | 1. No acute intracranial abnormality.2. No cervical spine fracture or acute dislocation. |
Generate impression based on findings. | Fall and pain. This examination confirms the presence of an L1 vertebral body fracture with the fracture line extending from the anterior vertebral body wall through the superior endplate with minimal inferior/anterior displacement of the fracture fragment. There is no definite involvement of the posterior cortex or ca... | 1.Fracture of the anterior aspect of L1 with minimal displacement of the fracture fragment and no definite involvement of the posterior cortex. Mild associated compression deformity of the superior endplate.2.Multilevel degenerative disease most prominent at L4-5. |
Generate impression based on findings. | Reason: heart transplant workup - crackles on exam, ILD? History: crackles LUNGS AND PLEURA: Predominantly paraseptal with associated centrilobular emphysema.Moderate right pleural effusion. With prone inspiratory imaging, the displaced pleural fluid reveals a posterior pleural based focus of consolidation (series 10 i... | 1. Moderate right pleural effusion. With prone inspiratory imaging, the displaced pleural fluid reveals a posterior pleural based focus of consolidation. Considerations include early rounded atelectasis; however, focus of consolidation (infection) is a consideration. As this is a baseline examination, adenocarcinoma ca... |
Generate impression based on findings. | 39-year-old male with malignant neoplasm of the spinal cord, grade 1 astrocytoma and CSF dissemination to the meninges now unresponsive with right eye deviation Interval increase in size of the ventricular system with interval increase in amount of extensive periventricular and subcortical white matter hypoattenuation,... | Interval increase in ventricular size, increase in periventricular and subcortical white matter hypoattenuation and development of effacement of cortical sulci. This constellation of findings may be secondary to increased intracranial pressure or progression of leptomeningeal carcinomatosis.These findings were discusse... |
Generate impression based on findings. | 60 year-old male with metastatic melanoma and treatment, evaluate for disease progression. CHEST:LUNGS AND PLEURA: Tiny right upper lobe ground glass nodular opacity, unchanged (image 32, series 5).MEDIASTINUM AND HILA: Scattered small mediastinal lymph nodes are unchanged. No lymphadenopathy.CHEST WALL: No significant... | No interval change in reference lesions or new evidence of metastatic disease. |
Generate impression based on findings. | Female, 31 years old, hoarseness of voice, no mass is palpated, no history of neck surgery. CT head:The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline ... | 1. Unremarkable noncontrast CT of the head.2. Asymmetric prominence of the right laryngeal ventricle is a nonspecific finding and can be normal. However, it may also be a secondary sign of vocal cord dysfunction. If clinical concern persists, direct visualization of the cords would be able to confirm this possibility.3... |
Generate impression based on findings. | 51-year-old male with head and neck cancer The visualized portions of the intracranial fossa are unremarkable. The skull base is unremarkable including the frontal sinuses, paranasal sinuses, and ethmoid air cells. The orbits are unremarkable.The soft tissues of the pharynx are unremarkable. The larynx is unremarkable.... | Expected posttreatment changes without evidence of recurrent disease. |
Generate impression based on findings. | 54-year-old female patient with left lower quadrant abdominal pain and blood in stool. Evaluate for diverticula. ABDOMEN:LUNG BASES: Minimal subsegmental atelectasis versus scarring in the bilateral lung bases.LIVER, BILIARY TRACT: Prominence of intrahepatic biliary ducts. Status post cholecystectomy.SPLEEN: No signifi... | 1.Diffuse pancreatic parenchymal calcifications without pancreatic duct dilatation and prominent intrahepatic bile ducts. Findings consistent with chronic pancreatitis.2.No diverticulosis.3.Diffuse edema. |
Generate impression based on findings. | 48-year-old male with history of rectal cancer CHEST:LUNGS AND PLEURA: Calcified nodules and micronodules some calcified and consistent with prior granulomatous disease are unchanged.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: N... | 1. Post surgical and treatment changes in the pelvis appear similar to the prior study without evidence of metastatic disease. |
Generate impression based on findings. | 73-year-old male with abdominal bleeding -- drop in hemoglobin. Within the limits of an IV contrast enhanced examination limiting evaluation of solid parenchymal organs and vascular structures. The following observations can be made:ABDOMEN:LUNG BASES: Left pleural effusion and bibasilar atelectasis.LIVER, BILIARY TRAC... | 1. Postop changes at L2 lytic lesion vertebral body with metallic rods in posterior elements and internal fixation screws. 2. Adjacent mass/collection consistent with contained hematoma. 3. Left pleural effusion. |
Generate impression based on findings. | 72 year old female with laryngeal cancer. LUNGS AND PLEURA: Stable scarring in both lung apices and centrilobular emphysema.Sub-solid left lower lobe nodule not significantly changed, measuring 5 mm, previously measured 4 mm (series 4, image 68). Sub solid nodule in the right lung base is also unchanged (series 4, imag... | 1.No evidence of metastases.2.Stable bilateral lower lobe sub-solid nodules. Continued annual follow-up is recommended. |
Generate impression based on findings. | 63-year-old male with history of appendiceal cancer CHEST:LUNGS AND PLEURA: Pleural thickening at the right lung base. A subpleural nodule measures 8 mm (image 66, series 5), appearing similar to the prior study. Additional nodularity is noted along the pleura and fissures not visualized on the prior body CT.MEDIASTINU... | 1. Findings consistent with diffuse peritoneal carcinomatosis, appearing similar to the prior study.2. Diffuse hepatic steatosis, limiting evaluation for focal lesions. Hypodense liver lesion appears similar to the prior study. |
Generate impression based on findings. | Clinical question: 52-year-old male with history of lymphoma, pre-stem cell transplant evaluation. Signs and symptoms: Evaluate sinuses. Non-enhanced maxillofacial CT:Frontal sinuses.Normal anatomical variation of small bilateral frontal sinuses however without evidence of sinusitis.Ethmoid sinuses.No additional sinusi... | Extensive bilateral maxillary chronic sinusitis (left greater than right) and unremarkable other paranasal sinuses. Please see above comments. |
Generate impression based on findings. | 55 year-old female with rectal cancer resected in 2009. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN: Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. LIVER, B... | Stable exam without evidence of metastases. |
Generate impression based on findings. | 52-year-old female with history of CHF, DM, peripheral arterial disease, acute kidney injury -- leukocytosis -- evaluate for source of leukocytosis. CHEST:LUNGS AND PLEURA: Bilateral small pleural effusions and basilar atelectasis. No parenchymal masses, nodules, or air space consolidation.MEDIASTINUM AND HILA: No sign... | 1. New since 8/18/13 there is extensive infiltration into the pre-sacrum/coccyx fat up to and abutting the levator ani, but not extending into the perirectal region - decubitus ulcer with deep extension. 2. Extension of inflammatory changes with necrosis laterally into the right gluteus muscle with necrotic air debris.... |
Generate impression based on findings. | Female 52 years old; Reason: history of scalp melanoma, s/p surgical excision and history of hepatitis. Status post liver transplant History: scalp melanoma CHEST:LUNGS AND PLEURA: No dominant lung lesions. The pleural spaces are clear. The central airways are patent.MEDIASTINUM AND HILA: No significant abnormality not... | 1.Findings suggestive of chronic liver disease. Follow up is suggested.2.Status post splenectomy and distal pancreatectomy.3.No evident findings of metastatic disease.4.Poorly enhancing area in the posterior aspect of the interpolar region of the right kidney of unclear etiology but unchanged |
Generate impression based on findings. | Clinical question: Stroke. Signs and symptoms: Hemiplegia. Nonenhanced head CT:The examination redemonstrates previously known subacute right MCA territory of right parietal lobe without evidence of hemorrhagic conversion since prior exam. The lesion similar to prior exam results in subtle regional mass-effect/effaceme... | 1.Stable right parietal subacute nonhemorrhagic ischemic stroke in extent, size and overall regional mass effect.2.Grossly stable age indeterminate extensive small vessel ischemic strokes. |
Generate impression based on findings. | Reason: eval for metastatic disease; h/o tongue cancer History: none LUNGS AND PLEURA: Severe centrilobular and paraseptal emphysema. The nodular opacity in the left lower lobe is not significantly changed in size, again measuring 4 x 7 mm (series 5 image 75), compared to 4 x 8 mm. This is most likely due to scarring. ... | Stable nodularity within the left lower lobe, likely related to scarring. No specific evidence of metastatic disease. |
Generate impression based on findings. | 57-year-old female patient with pancreatic neuroendocrine tumor on octreotide Holliday. Evaluate for interval tumor progression. CHEST:LUNGS AND PLEURA: Right lung pulmonary micronodules identified. MEDIASTINUM AND HILA: Left supraclavicular lymph node measures 1.1 by 2.1 cm (series 10 image 8), previously 2.1 x 1.2 cm... | 1.Stable hypervascular hepatic metastases.2.Stable lymphadenopathy. |
Generate impression based on findings. | Clinical question: Chronic sinusitis right maxillary sinus. Signs and symptoms: Chronic right maxillary sinusitis. Medtronic fusion sinus CT:Frontal sinuses are well pneumatized and unremarkable.Sphenoid sinus is well pneumatized and unremarkable.Ethmoid sinuses are well pneumatized and unremarkable.Right maxillary sin... | 1.Extensive residual mucosal thickening in the right maxillary sinus with resultant compromise right ostiomeatal unit. There is interval improvement since prior exam. There is suggestion of air-fluid level present.2.Minimal focal mucosal thickening in the left maxillary sinus and with resultant left ostiomeatal unit co... |
Generate impression based on findings. | 62-year-old male. Screening for lung cancer. LUNGS AND PLEURA: Mild dependent atelectasis. No new or suspicious nodules. Several scattered bilateral calcified and noncalcified punctate nodules are unchanged, likely due to prior granulomatous infection. No consolidation or pleural effusions.MEDIASTINUM AND HILA: Soft ti... | 1.No suspicious pulmonary nodules.2.Nodularity in distal trachea which appears associated with mild tracheal wall thickening; since this may represent underlying tracheal lesion, either short term follow-up CT in approximately 3 months or bronchoscopy is recommended. Findings were discussed with Dr. Todd Stern 10/22/20... |
Generate impression based on findings. | Reason: question of ild, other infiltrative disease History: left sided crackles, sob LUNGS AND PLEURA: Moderate basilar predominant subpleural reticular opacities and mild groundglass opacification.Moderate traction bronchiectasis is present.Only minimal honeycombing is seen.There is no evidence of air trapping on exp... | Moderate interstitial lung disease, possible UIP pattern. |
Generate impression based on findings. | Reason: Metastatic breast cancer, receiving chemotherapy, restaging. History: n/a CHEST:LUNGS AND PLEURA: Progressive decrease size of previously described right middlelobe nodular opacities with mild residual ground glass opacities and a more nodular focussuperiorly (series 4, image 42). Interval resolution of right b... | 1. Progressive decrease size of pulmonary metastasis.2. Previously identified hepatic lesion is not well visualized on this examination.3. Stable osseous metastases. |
Generate impression based on findings. | 73 year old female with history of larynx cancer. No intracranial abnormalities are identified on limited intracranial views. Limited views of the paranasal sinuses are clear. The mastoid air cells are clear.Redemonstration of postsurgical changes including a laryngectomy and tracheostomy with placement of a tracheoeso... | No evidence of recurrent neck mass or cervical lymphadenopathy on a background of treatment-related changes. |
Generate impression based on findings. | 69 year old female with non-Hodgkin's lymphoma and history of bladder cancer. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Small hypoattenuating right hepatic lesion, likely representing a cyst.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS:... | Stable reference lesions without evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 53-year-old female patient with history of hepatitis C virus and small echogenic peripheral mass seen on ultrasound. ABDOMEN:LUNG BASES: Bibasilar atelectasis.LIVER, BILIARY TRACT: Liver with smooth contour. Small hypoattenuating lesion seen on portal venous phase imaging in the posterior right liver measures 7 x 9 mm ... | Nonspecific hypodensity within the posterior right liver is nonspecific and may represent atypical hemangioma versus cyst. |
Generate impression based on findings. | 51 year-old male with epidural abscess. There is unchanged anterior wedge deformity of the C6 vertebral body with approximately 50% height loss. The C6 and C7 vertebral bodies are sclerotic without evidence of edema. There is complete loss of the C6/C7 intravertebral disk space and both anterior and posterior aspects o... | 1.Unchanged wedge deformity of the C6 vertebral body with fusion of the C6 and C7 vertebral bodies.2.Unchanged retropulsion of the C6 vertebral body with central spinal canal narrowing.3.No evidence of soft tissue, intravertebral disk, or vertebral body enhancement. |
Generate impression based on findings. | 60 year-old male in with history of GIST, evaluate for progression CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Unchanged small hypodense lesion along the dome of the liver measures... | Unchanged reference measurements without new lesion identified. |
Generate impression based on findings. | Female, 55 years old, recurrent sinusitis, nasal congestion. The frontal sinuses and frontoethmoidal recesses are clear. The sphenoid sinuses and sphenoethmoidal recesses are clear. The ethmoid air cells show very mild scattered mucosal thickening.The maxillary sinuses are free of significant mucosal thickening and deb... | No evidence of active sinusitis. |
Generate impression based on findings. | 74 year-old female with metastatic colon cancer, restaging and chemo. CHEST:LUNGS AND PLEURA:. Reference right lower lobe nodule measures 8 mm and previously measured 4 mm (image 36, series 5), suspicious for metastatic disease. Scattered nonspecific pulmonary micronodules are again noted.MEDIASTINUM AND HILA: Hypodens... | 1. Wall thickening of transverse colon with extensive adjacent soft tissue infiltration, sinus tracts and possibly fistulization to adjacent small bowel. These findings were discussed with Dr. Racette (pager 6881) at the time of dictation. 2. Multiple liver metastases with interval treatment change.3. Enlarging right l... |
Generate impression based on findings. | 83-year-old male with history bladder cancer. Status post cystectomy, ileal conduit. Evaluate for recurrent/metastatic disease. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Scattered, benign hepatic cyst seen unchanged. Liver parenchyma otherwise appears homogeneous and normal. Portal and h... | Stable examination post cystoprostatectomy and ileal loop conduit bladder. No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Male, 22 years old, disk degeneration, 6 month follow-up. Since the prior examination, posterior fusion hardware has been placed at L5 and S1. Bilateral transpedicular screws are well positioned. No evidence of loosening or other hardware complication is seen. An intervertebral device has been placed in the L5-S1 disk ... | 1. Interval posterior fusion of L5-S1. No evidence of hardware complication is seen.2. Grade 1 anterolisthesis of L5 relative to S1, similar to prior. Bilateral L5 pars interarticularis defects are redemonstrated.3. Stable mild narrowing of the neural foramina at L5-S1. |
Generate impression based on findings. | 41 year old female with ASD referred to evaluate coronary anatomy prior to possible ASD repair.CPT Code: 75574 Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of valsalva and bifurcates into the left anterior descending and left circumflex coronary arteries. There are no signifi... | 1.There is a <20% stenosis in the left main coronary artery. 2.There is a 40-60% stenosis in the mid LAD; however, image interpretation is challenging due to the presence of motion artifact. 3.There is a secundum type atrial septal defect associated with significant dilation of the right atrium, right ventricle, and ma... |
Generate impression based on findings. | Male 50 years old; Reason: re-evaluate patient with Stage IV NED CRC s/p perioperative chemotherapy CHEST:LUNGS AND PLEURA: No suspicious lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediastinal lymphadenopathy. Left chest wall port terminates at the cavo... | 1.Stable exam without evident metastatic disease. |
Generate impression based on findings. | Clinical question: Evaluate for subdural hematoma. Signs and symptoms: Alteration of mental status. Nonenhanced head CT:Examination demonstrate an acute mixed density left hemispheric subdural hematoma in the left temporal lobe, left occipital and parietal region and within the distal extension of subdural along the le... | 1.Left total hemispheric acute subdural measuring maximum of 12-mm in the left posterior temporal region. There is associated effacement of adjacent cortical sulci however no midline shift is present.2.There is also highly suspected chronic/subacute right frontal subdural collection measuring maximum of 6.7-mm in size.... |
Generate impression based on findings. | 62-year-old male with history of prior leiomyosarcoma resected in August, 2010. Evaluate for recurrence. CHEST:LUNGS AND PLEURA: Nonspecific pulmonary micronodules are again seen, unchanged in the right upper and lower lobes. No new nodules, infiltrates, masses, or effusions are seen.MEDIASTINUM AND HILA: No significan... | 1. Postoperative changes along the retroperitoneum, and adjacent to inferior vena cava, unchanged. 2. No evidence of recurrent, residual or metastatic disease. Subcentimeter aortocaval reference node, unchanged in size. |
Generate impression based on findings. | Clinical question:Status post stroke. Signs and symptoms: As above. Unenhanced head CT:The examination redemonstrates a very large nearly involving the entire right MCA territory subacute nonhemorrhagic ischemic stroke. There is significant effacement of cortical sulci at the site of subacute stroke. There is also mass... | 1.Revisualization of a large subacute nonhemorrhagic right MCA territory stroke without the meniscal hemorrhagic conversion. This stroke however is better delineated and applies more mass effect (however trace midline shift to the left) since prior exam indicating its progression to subacute phase.2.Artifact and less l... |
Generate impression based on findings. | Male 72 years old; Reason: hematuria History: hematuria 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.LIVER, BILIARY TRACT: No significant abnormal... | 1.No hydronephrosis, or renal stone to suggest hematuria.2.Indeterminate hyperattenuating exophytic lesion of the midpole left kidney, follow up suggested.3.Enlarged prostate |
Generate impression based on findings. | Reason: eval for metastatic disease History: none LUNGS AND PLEURA: Paraseptal emphysema. Calcified granuloma right middle lobe. Basilar subsegmental atelectasis. Interval resolution of tree in the opacities left lower lobe.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediastinal or hilar lym... | No specific evidence of metastatic disease. |
Generate impression based on findings. | Female, 53 years old, fibrous dysplasia and orbital mass. Redemonstrated is ground glass bony expansion affecting the left greater and lesser sphenoid wings, the left squamous temporal bone and the floor of the left middle cranial fossa. Bony expansion may be very slightly increased, by at most 1 or 2 mm.The optic cana... | 1. Redemonstration of findings compatible with fibrous dysplasia affecting the greater and lesser sphenoid wings and the squamous temporal bone on the left. It is possible the bony expansion has increased in the interval, but no more than 1 or 2 mm.2. Bony expansion results in left-sided proptosis, narrowing of the sup... |
Generate impression based on findings. | 72-year-old male with history of metastatic kidney cancer on therapy. CHEST:LUNGS AND PLEURA: Again, multiple pulmonary, parenchymal metastatic lesions are seen with the distribution size, predominantly, unchanged. The reference right lower lobe lesion (series 4, image 67) is slightly smaller 1.6 x 1 .3 cm, previously ... | 1. Numerous new and enlarging lytic bone lesions indicative of progressive metastatic disease. 2. Minimal decrease in size of reference right lower lobe lung nodule, but no change in the numerous other smaller nodules in the lungs. 3. Slight increase in size and left periaortic adenopathy. 4. Apparent decrease in size ... |
Generate impression based on findings. | Female 66 years old Reason: RCC History: surveillance. CHEST:LUNGS AND PLEURA: Non-index right upper lobe nodule series 5 image 28 increased somewhat in size. Index 4-mm nodule in the middle lobe is unchanged series 5 image 47.Scattered granulomata. Few other scattered micronodules are probably unchanged one minimally ... | Probably stable disease but some of the lung lesions more conspicuous and minimally changed in size. Index liver lesion not measurable. Diffuse fatty liver with areas of focal sparing. Other findings as above. |
Generate impression based on findings. | Clinical question: Rule out chronic sinusitis. Signs and symptoms: Nasal structure, rhinorrhea, PND; cannot see left OMU on exam. Medtronic fusion sinus CT:Maxillary sinuses demonstrate very minimal mucosal thickening (right greater than left). No evidence of acute sinusitis.There is complete occlusion of right ostiome... | 1.Minimal bilateral maxillary mucosal thickening (right greater than left). Occluded right ostiomeatal unit and compromised left.2.Very minimal mucosal thickening at the level of bilateral sphenoethmoidal recess with resultant occlusion.3.Mild to moderate nasal septum deviation to the left which is in contact with the ... |
Generate impression based on findings. | Male, 60 years old, history of tonsil cancer status post surgery. The aerodigestive tract is within normal limits. No masses or pathologic lymph nodes are detected. Reference left level 2 node measures 10 x 6 mm (image 26 series 5), previously 8 x 6 mm.The salivary glands and the thyroid and free of focal lesions. The ... | No evidence of active disease in the neck. |
Generate impression based on findings. | Reason: recent cxr showed Ill-defined 1.5-cm left lower lung zone nodule which may be an artifact of a rib or met. Please evaluate History: none LUNGS AND PLEURA: There is a micronodule within the superior segment left lower lobe (series 5 image 45) measuring 3 x 4 mm. This is smaller than the identified abnormality on... | Pulmonary micronodule superior segment left lower lobe 3 x 4 mm. If the patient is at high risk, such as having as smoking or malignancy history, follow up in one year is recommended.Nodular opacity previously noted on the radiograph is not identified on this examination.Right cardiophrenic tissue density may represent... |
Generate impression based on findings. | Male 62 years old; Reason: left pleural effusion, bile leak, pelvic fluid collection History: left pleural effusion, bile leak, pelvic fluid collection CHEST:LUNGS AND PLEURA: Ill-defined area of ground glass opacity involving the right upper lobe (image 45 series 5). Subcentimeter solid nodule on the right minor fissu... | 1.Decrease in the size of the perihepatic, splenic and pelvic collections.2.Decrease in the pleural effusions and basilar atelectasis/consolidation. |
Generate impression based on findings. | 69-year-old male -- reevaluation of GIST, currently on treatment. CHEST:LUNGS AND PLEURA: Dense right lung micronodule (series 9, image 36), most likely old inflammatory. No other nodules, masses, infiltrates or effusions.MEDIASTINUM AND HILA: Scattered, subcentimeter lymph nodes in the anterior mediastinum and pretrac... | 1. Postoperative changes about stomach. 2. Solitary, solid liver mass unchanged in size since 7/22/13, but decreased in size since 4/10/13. 3. Large anterior mesenteric mass, predominantly necrotic, but with enhancing portions, peripherally, which is increased in size since 7/22/13. 4. Nonspecific findings in the chest... |
Generate impression based on findings. | Headache, seizure. There are postoperative changes including suboccipital midline craniotomy and C1 posterior arch resection related to the patient's known Chiari malformation. There is a low-density fluid collection which is extradural, extending along the surgical site, beyond the visualized field caudally, measuring... | Postoperative changes related to Chiari decompression including a nonspecific extradural fluid collection without acute intracranial abnormality demonstrated. Please correlate with physical exam to exclude a developing pseudomeningocele. |
Generate impression based on findings. | 90 year-old male with left facial skin cancer. LUNGS AND PLEURA: Mild subpleural reticular opacities with atelectasis or scarring. No suspicious nodules. No lung consolidation or pleural effusions.MEDIASTINUM AND HILA: Moderate to severe atherosclerotic calcifications affect the coronary arteries and to a lesser extent... | No evidence of metastatic disease. |
Generate impression based on findings. | 73-year-old male with melanoma. CHEST:LUNGS AND PLEURA: Scattered areas of focal ground glass opacities are seen throughout the left lung and to a much lesser degree in the right lung without solid components, new since outside CT examination 6/14/13.. These areas show increased activity on the PET scan today. These wo... | 1. Two foci of tumor masses in the ileum, consistent with metastatic melanoma. 2. Abnormal enhancing lymph node about right hip, most likely, metastatic melanoma. 3. Scattered bilateral pulmonary foci of groundglass disease -- these do not have an appearance typical of metastatic melanoma and most likely represent infl... |
Generate impression based on findings. | 53-year-old female patient with history of relapsed Hodgkin's disease status post 11 cycles of chemotherapy. Pre-transplant evaluation. CHEST:LUNGS AND PLEURA: Bibasilar dependent atelectasis. No pleural effusions.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Redemonstrated are post surgical change... | 1.Stable right axillary and chest lymph nodes with slight interval decrease in periaortic lymph node.2.Fatty liver. |
Generate impression based on findings. | 67-year-old male status post cystectomy with ileal conduit, evaluate left hydro-ureteral nephrosis. 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: Right adrena... | Status post cystoprostatectomy and ileal conduit urinary diversion without evidence of recurrent or metastatic disease. Mild left hydronephrosis. |
Generate impression based on findings. | 53-year-old male with history of relapsed Hodgkin's disease, status post 11 cycles. Redemonstration of scattered small lymph nodes within the neck including some in the right subpectoral space and in the partially visualized right axilla. None of these meets the imaging criteria for pathologic enlargement. Previously r... | No pathologic adenopathy in the neck by size criteria. No other significant abnormalities or interval changes. |
Generate impression based on findings. | Reason: right lung nodule History: h/o recurrent pleomorphic adenoma of the parotid LUNGS AND PLEURA: There is a 3-mm micronodule in the left lower lobe(series 5, image 44), new since prior exam. Stable 4-mm micronodule in the left lower lobe (series 5, image 45). Interval increase in size of right lower lobe micronodu... | Interval increase in size of previously noted micronodule and appearance of new micronodule may represent metastatic or inflammatory disease. Follow-up is recommended in 3 months. |
Generate impression based on findings. | 90 year-old male with left face squamous cell carcinoma, status post surgery, rule out recurrence. Skin thickening with induration of the subcutaneous fat along the left preauricular face and posterior auricular scalp is non-specific but likely postsurgical given history of interval surgery. Surgical clips are noted al... | 1. Skin thickening with induration of the subcutaneous fat along the left preauricular face and posterior auricular scalp is likely postsurgical given history of interval surgery. 2. No cervical lymphadenopathy by CT size criteria. |
Generate impression based on findings. | 46-year-old female with acute mental status change. There is no evidence of intracranial hemorrhage, mass or edema. However, a nonenhanced CT is suboptimal for evaluation of acute ischemic stroke.There are prominent cortical sulci, ventricles, and cerebellar folia which suggestive of diffuse volume loss disproportionat... | 1.No evidence of intracranial hemorrhage, mass, or edema, however acute ischemic stroke cannot be completely excluded based on CT imaging.2.Diffuse volume loss disproportionate to the patient's age suggestive of underlying chronic disease. |
Generate impression based on findings. | 55-year-old male, colorectal cancer restaging. CHEST:LUNGS AND PLEURA: Right upper lobe nodule measures 1.2 x 0.9 cm (image 36, series 5), and previously measured 1.2 x 0.7 cm. Additional nodules along the fissures are unchanged.MEDIASTINUM AND HILA: A large heterogeneous left thyroid nodule is not significantly change... | No significant interval change in reference lesions as detailed above. No new lesions. |
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