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Generate impression based on findings. | 69-year-old female with scleroderma and Sjogren's disease -- weight loss and splenomegaly. ABDOMEN:LUNG BASES: Chronic lung disease bases with blebs and fibrous scarring.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS... | 1. No evidence of malignancy seen in abdomen or pelvis. 2. Suggestion of reversal of fold pattern between jejunum and ileum raising question of celiac disease. 3. Suggestion of stasis in distal small bowel with a pseudo-feces sign -- this may relate to patient's existing scleroderma/Sjogren's syndrome. |
Generate impression based on findings. | Transient ischemic attack. Unenhanced/Enhanced CT head: There is motion artifact. There is an unchanged pattern of diffuse patchy hypoattenuation within periventricular and subcortical white matter, in addition to a more focal region of hypoattenuation within the left occipital and temporal lobes closely related to the... | Significant burden of age-indeterminate white matter hypoattenuation, as well as left occipital/temporal lobe infarct most likely chronic, although superimposed more acute changes cannot be entirely excluded1.Dolichoectatic especially proximal to mid basilar artery which demonstrates atherosclerosis and luminal irregul... |
Generate impression based on findings. | 66-year-old male patient with gross hematuria. 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: Hypoattenuatin... | No abnormality seen to account for patient's hematuria. No evidence of solid renal masses or abnormalities within the collecting system. |
Generate impression based on findings. | 56 year old female with history of metastatic renal cell cancer CHEST:LUNGS AND PLEURA: Reference right middle lobe nodule measures 7 mm and previously measured 7 mm (image 59 series 10237). Right apical nodule measures 6 mm and appears to measure 5 mm (image 25 series 10237).MEDIASTINUM AND HILA: Atherosclerotic calci... | Left renal mass and metastatic lesions are not significantly changed. No new sites of disease. |
Generate impression based on findings. | 67-year-old male with CLL on therapy for evaluation. CHEST:LUNGS AND PLEURA: Although the prior reference to right lung base nodule (series 4, image 76) has slightly decreased in size, measuring 1.2 x 1 .0 cm, previously 1.5 x 1 .1 cm, the numerous other nodules have not changed in size or distribution. No new nodules,... | 1. Decreasing size of axillary, abdominal and pelvic lymphadenopathy with reference measurements as above. 2. Bladder calculi. 3. Slight decrease in size of right hilar lymph node -- other small mediastinal lymph nodes some of which are calcified. May be due to granulomatous changes and are unchanged. 4. Numerous paren... |
Generate impression based on findings. | History of metastatic hemangiopericytoma. Recent T5 transpedicular corpectomy and T3 through 7 bilateral posterior instrumented fusion with subsequent leg weakness. Postoperative findings including right lateral extracavitary approach for T5 corpectomy with resected right rib heads, T3-7 laminectomy, and bilateral tran... | 1.Postoperative changes related to the T5 corpectomy and a T3-7 laminectomy/fixation and prior embolization.2.No significant spinal canal stenosis.3.Destructive soft tissue mass centered at the right first rib which results in right-sided neural foraminal stenosis at C7-T1 and T1-2. 4.Degenerative facet changes which r... |
Generate impression based on findings. | 38 year-old male with shortness of breath. Prior CT showed right upper lobe ground glass opacities, please reevaluate prior to treatment. LUNGS AND PLEURA: The previously seen groundglass opacity in the left apex has resolved, however, there is a new peripheral groundglass opacity along the lateral aspect of the right ... | Waxing and waning right upper lobe opacities, which are nonspecific, however, in the context of increasing pleural effusions and ascites these most likely represent atypical shifting edema. Inflammatory or infectious process is considered less likely. |
Generate impression based on findings. | 37-year-old male with a history of fifth metacarpal fracture 6 weeks ago. BONES: None is made of deformity of the base of the fifth metacarpal, likely related to prior remote trauma. No evidence of acute fracture or malalignment. SOFT TISSUES: No significant abnormality noted.ADDITIONAL | Deformity of the base of the fifth metacarpal most consistent with prior remote trauma. No acute fracture or malalignment. |
Generate impression based on findings. | Female 64 years old Reason: Must use water only for oral contrast prep. Must include arterial phase Chest and Upper Abdomen. IRB12-2221, call HIRO for questions 2-9172, re evaluate disease after systemic therapy, compare to previous CT History: stage IV metastatic melanoma CHEST:LUNGS AND PLEURA: Postsurgical changes r... | Increase in size in several index lesions as measured. |
Generate impression based on findings. | 31-year-old male found unresponsive by paramedics, no previous clinical history. There is significant vasogenic edema in the left inferior frontal lobe with mass effect, effacement of the anterior left lateral ventricle, and midline shift of approximately 6 mm from left to right. A small hyperdense focus in the anterio... | 1.Significant area of vasogenic edema in the left anteroinferior frontal lobe with mass-effect, effacement of the left lateral ventricle, and midline shift of approximately 6 mm.2.Small focus of hemorrhage in the anterior left frontal lobe.3.These findings are highly suspicious for possible underlying mass lesion and s... |
Generate impression based on findings. | 63-year-old male patient with history of right renal angiomyolipoma status post embolization. Evaluate occlusion of blood vessels. Note that the lack of intravenous contrast limits evaluation of vasculature, lymph nodes and solid and hollow viscera.ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRA... | 1.Right renal lesion, previous a characterized as angiomyolipoma, is stable to slightly decreased in size compared to prior MR.2.Small left renal exophytic lesion measures water density. However, without intravenous contrast, the lesion cannot be characterized. |
Generate impression based on findings. | 58-year-old male with PTLD Hodgkin lymphoma status post two cycles of chemotherapy and need of restaging. CHEST:LUNGS AND PLEURA: Right apical scarring, unchanged and postop changes from heart and lung transplant again seen. No parenchymal lung nodules seen. No infiltrates, masses, or effusions identified.MEDIASTINUM A... | 1. Marked reduction in lymphadenopathy in chest and abdomen, as measured and reported above. 2. New superior vena cava nonocclusive thrombus in association with Port-A-Cath catheter. 3. No change renal calcifications. 4. solitary gallstone.Findings conveyed to Mary Lappe at 3:45 p.m. |
Generate impression based on findings. | Male, 67 years old, history of chronic lymphoid leukemia, on ofatumumab, for reevaluation. Scattered adenopathy seen on the prior examination, involving all spaces of the neck as well as the sub-pectoral and axillary regions, has improved with reference measurements as follows:1. Right submental (image 44 series 6): 9 ... | Improving lymphadenopathy. |
Generate impression based on findings. | 74-year-old male with history of pancreatic carcinoma status post common bile duct stent, evaluate for obstruction or cholangitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Distended gallbladder with wall thickening and edema. There is discontinuity of the enhancing gallbladder mucosa wi... | 1. Findings concerning for gangrenous cholecystitis with breakdown of the gallbladder wall as detailed above, discussed with Dr. Kamm (pager 4495) at the time dictation.2. Poorly enhancing pancreatic head mass consistent with the history of pancreatic carcinoma. |
Generate impression based on findings. | Female 51 years old Reason: Metastatic breast cancer. Restaging. History: Increase in fatigue CHEST:LUNGS AND PLEURA: Multifocal lung nodules redemonstrated. Index nodules measure as follows:Posterior aspect right lung probably lower lobe series 4 image 56 measures 1.2 x 1 cm. Previously 1 x 0.8 cm.Right lower lobe mas... | No new sites of disease. Measurements as above |
Generate impression based on findings. | 38 year-old female with melanoma of skin -- reevaluate disease status following additional systemic therapy. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Small subcentimeter lymph nodes again seen scattered in the mediastinum. The prior reference pretracheal lymph node (series 3 , imag... | 1. No new sites to suggest metastatic disease. 2. Small residual foci in the anterior mediastinum and right axilla previously referenced and measures have remained stable or minimally decreased. 3. No other abnormalities in the chest, abdomen or pelvis. |
Generate impression based on findings. | Male, 6 months old, hearing loss. Right temporal bone:The external auditory canal is hypoplastic. There is an anomalous curving bone which extends inferiorly from the base of the temporal bone which may represent a dysmorphic styloid process. The middle ear cavity is malformed and opacified. The malleus and incus are d... | Highly dysmorphic temporal bone anatomy bilaterally with choanal atresia and brain parenchymal abnormalities as above. Constellation of findings is likely syndromic and most suggestive of CHARGE syndrome. |
Generate impression based on findings. | 71 year old female with 3-day history of headache. There is no evidence of intracranial hemorrhage, mass or edema, however nonenhanced CT is suboptimal for evaluation of acute ischemic stroke. There is a nonspecific punctate calcification of the right putamen.The ventricles and basal cisterns are normal in size and con... | Normal brain CT. |
Generate impression based on findings. | 58 year-old male status post subdural hemorrhage evacuation, evaluate Interval evacuation of a right subdural hematoma with layering residual blood products along the posterior half of the right cerebral hemisphere. Postsurgical changes include a right frontoparietal burr hole, subcutaneous emphysema underlying the rig... | Postsurgical changes of a right frontoparietal subdural hematoma evacuation with slight interval improvement of leftward midline shift. |
Generate impression based on findings. | Clinical question: Rule out subdural. Signs and symptoms: Trauma and headache. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Irregular subcortical low attenuation of white matter representing age indeterminate mild to moderate small vessel i... | 1.No detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.2.Age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | 51-year-old male with esophageal cancer status post 3 cycles of chemotherapy. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules.MEDIASTINUM AND HILA: Previously seen peri-esophageal mass is decreased in size, measuring approximately 1.4 x 2.4 cm, previously measured 1.8 x 4 cm (series 3, image 52). No mediastinal... | Interval decrease in size of GE junction mass, paraesophageal mass, liver lesions, and retroperitoneal lymphadenopathy. |
Generate impression based on findings. | Clinical question: Newly diagnosed lung cancer. Signs and symptoms: Evaluation prior to initiation of therapy. Nonenhanced head CT:The examination demonstrates no evidence of acute intracranial process.The cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter differentiation remains b... | Negative nonenhanced head CT. |
Generate impression based on findings. | Male 48 years old; Reason: assess for ischemic gut History: pain out of proportion to exam, lactate ABDOMEN:LUNGS BASES: No significant abnormality detected.LIVER, BILIARY TRACT: Hypoattenuating lesion in segment 4 A., too small to characterize.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormali... | 1.No evidence of acute intra-abdominal process detected. |
Generate impression based on findings. | Clinical question: Evaluate brain lesion given history of HIV. Signs and symptoms: History of HIV, dizziness and syncope. Nonenhanced head CT:Examination demonstrates extensive regions of cortical low attenuation involving bilateral temporal lobes, bilateral occipital lobes and bilateral high convexity frontal -- parie... | Extensive regions of cortical edema of bilateral cerebral hemispheres, bilateral basal ganglia, thalami and highly suspected extensive edematous changes of bilateral cerebellar hemispheres all suggestive of global ischemic event. No areas of intracranial hemorrhage or midline shift. |
Generate impression based on findings. | Female, 52 years old, pain and numbness along the right mandible, nasal congestion and frontal headaches. There is a small amount of fluid within the left frontal sinus. Frontal sinuses and frontoethmoidal recesses are otherwise clear. The sphenoid sinuses and sphenoethmoidal recesses are clear. The ethmoid air cells a... | Small amount of nonspecific fluid in the left frontal sinus. Otherwise no significant paranasal sinus abnormalities. |
Generate impression based on findings. | Female, 48 years old, headache. 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 normal in si... | No acute intracranial abnormalities. |
Generate impression based on findings. | ETT in place, no air leak when cuff deflated, evaluate for vocal cord or laryngeal pathology. There is an endotracheal tube and an enteric tube in position, which are partially imaged. There is associated fluid within the nasal cavity, nasopharynx, oropharynx, oral cavity, hypopharynx, and upper trachea. The vocal cord... | Partially imaged endotracheal tube and enteric tubes in position, with associated fluid within the nasal cavity, nasopharynx, oropharynx, oral cavity, hypopharynx, and upper trachea. The vocal cords are difficult to assess in the setting of intraluminal fluid and intubation and underlying edema cannot be excluded, but ... |
Generate impression based on findings. | Clinical question: 47-year-old female with respiratory failure, acute mental status changes. Evaluate for interval change. Signs and symptoms: As above. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral co... | No acute intracranial process. |
Generate impression based on findings. | Clinical question: Signs of intracranial trauma? Signs and symptoms: Head trauma with loss of consciousness. Nonenhanced head CT:Examination demonstrate no detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Evaluate for stroke/bleed. Signs and symptoms: Altered mental status. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for detection of acute non-hemorrhagic ischemic stroke.There are extensive periventricular and subcortical low attenuation white matte... | Extensive age indeterminate small was ischemic strokes. |
Generate impression based on findings. | Clinical question: Left facial droop. Signs and symptoms: Left facial droop. Nonenhanced head CT:No detectable acute intracranial process CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex on the cortical sulci, ventricular system, CSF spaces and gray -- white ... | 1.No acute intracranial findings.2.Acute on chronic left maxillary and mild chronic left ethmoid sinus disease. |
Generate impression based on findings. | 23-year-old male patient with history HIV and abscess. Evaluate for perirectal abscess. 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 abnormali... | 1.Left-sided perianal abscess.2.Right-sided perirectal abscess without extension into surrounding structures. |
Generate impression based on findings. | Clinical question: Subdural hematoma. Signs and symptoms: Subdural hematoma. Nonenhanced head CT:The examination redemonstrates left holohemispheric acute subdural collection. There is a slight interval increased size of subdural in the left occipital and posterior temporal region. The subdural in the left posterior te... | 1.Minimal interval increased size of left posterior temporal -- occipital component of left sided holohemispheric subdural and stable otherwise.2.Suspected right frontal CSF density subdural in size and extent since prior exam.3.Stable normal size of supratentorial ventricular system and the maintained midline. |
Generate impression based on findings. | Clinical question: Follow-up resection. Signs and symptoms: As above. Nonenhanced head CT:Examination demonstrates interval removal of previously placed electrodes from the left side.There is evidence of expected postoperative changes of a large left anterior temporal lobectomy. Air and fluid within the surgical cavity... | 1.Expected postoperative changes of left anterior temporal partial lobectomy as detailed.2.Minimal expected postoperative epidural collection under the craniotomy flap in the left anterior temporal -- frontal region.3.Mass-effect of postoperative changes results in trace midline shift to the left which is not significa... |
Generate impression based on findings. | Pain. Salter-Harris II fracture at the medial aspect of the distal tibia, in near-anatomic alignment. No associated soft tissue hematoma. Overlying cast is noted. | Salter-Harris II fracture of the distal tibia. |
Generate impression based on findings. | Clinical question: Subdural hematoma. Signs and symptoms: Subdural hematoma. Nonenhanced head CT:Examination demonstrate interval left posterior temporal and parietal craniotomy. There is extensive postoperative air within the partially drained left hemispheric subdural. Minimal residual subdural at the surgical site r... | 1.Interval expected postoperative changes of a left temporal -- parietal craniotomy as detailed.2.Interval decreased size of subdural in the left frontal and left anterior/mid temporal and along the interhemispheric fissure.3.No significant change in the size of residual subdural in the left posterior temporal and occi... |
Generate impression based on findings. | 35-year-old female patient with lower back pain and right lower extremity pain. Evaluate for masses. ABDOMEN:LUNG BASES: Bibasilar dependent atelectasis.LIVER, BILIARY TRACT: There is a well-circumscribed, hypoattenuating, nonenhancing lesion in the posterior right liver that measures 0.6 x 0.6 cm (series 3 image 19) a... | 1.Enlarged uterus with multiple noncalcified masses, presumably uterine fibroids.2.Subcentimeter, well circumscribed hypoattenuating lesion within the liver is too small characterize.3.Bartholin's cyst. |
Generate impression based on findings. | 47 year old female with open abdominal wound, hypoxic, respiratory failure ABDOMEN:LUNG BASES: Basilar scarring and atelectasis.LIVER, BILIARY TRACT: Cirrhotic liver morphology. No focal hepatic lesions. Mild perihepatic ascites. The gallbladder is poorly distended, if there is concern for cholecystitis right upper qua... | 1. Large anterior abdominal wound with adherent bowel loops, the known fistula is not demonstrated on this study.2. Edematous small bowel loops in the midabdomen of unclear etiology, possibly infectious, inflammatory, or ischemic.3. Collapsed gallbladder with apparent wall thickening, if there is clinical concern for c... |
Generate impression based on findings. | Chest pain history of breast C. A. currently being treated with daily radiation. Concern for PE versus radiation pericarditis. PULMONARY ARTERIES: Technically adequate study no filling defects to suggest presence of acute pulmonary embolus. Main pulmonary artery is upper limits of normal in size.LUNGS AND PLEURA: 4-mm ... | 1. No evidence of acute pulmonary embolus. No significant pericardial thickening or fluid.2. Multiple ground glass density nodules in the right upper lobe are not in the expected distribution for radiation pneumonitis and do not have the typical appearance of radiation-related lesions. Hematogenous spread of atypical i... |
Generate impression based on findings. | Worst headache of life. Unenhanced head: There is no intracranial mass, fluid collection, hemorrhage, hydrocephalus or CT evidence of acute ischemia. Gray-white matter differentiation is maintained bilaterally and the midline is intact. Bony structures, mastoid air cells and orbits are unremarkable. There is a round so... | No intracranial pathology demonstrated including subarachnoid hemorrhage, aneurysm or steno-occlusive lesion. Incidental note of basilar artery fenestration and fetal origin left PCA. A verbal report was given to Dr. Checkett (ERP) at the time of reporting (8:50 a.m.) |
Generate impression based on findings. | 57-year-old male with intracranial bleed. There is an unchanged large right hemispheric hematoma with intraventricular extension and surrounding edema. The right to left midline shift is stable, measuring 12 mm. There is an unchanged lacunar infarct in left corona radiata. There are there is a left ventriculostomy cath... | Unchanged large right hemispheric hematoma with stable right to left midline shift. Dilated left lateral ventricle ventriculostomy tube, stable in appearance. |
Generate impression based on findings. | 51-year-old male patient with history of IBD, 5 days postop from end ileostomy and J-pouch excision presents with decreased ileostomy output. Evaluate for obstruction. ABDOMEN:LUNG BASES: Multiple scattered subcentimeter blebs with peripheral distribution. Otherwise, no parenchymal abnormalities.LIVER, BILIARY TRACT: N... | 1.Findings consistent with obstruction at ileostomy.2.Fluid collection at excised J-pouch and intraperitoneal air likely secondary to postsurgical changes. |
Generate impression based on findings. | Headache. There has been continued interval improvement in dimensions of the left occipital subgaleal hematoma and the 8mm focus of intraparenchymal left occipital blood . The associated intraparenchymal edema is slightly more prominent on today's exam. There is no new intracranial hemorrhage. There is no intracranial ... | Some interval improvement in the appearance of the left right occipital subgaleal hematoma and intracranial focus of hemorrhage likely representing sequela of contusion. |
Generate impression based on findings. | S.O.B. and cancer question PE. PULMONARY ARTERIES: Technically adequate study. No evidence of acute pulmonary embolus. Very small eccentric filling defect within a subsegmental branch of the posterior right lower lobe (8/151) is suspicious for a chronic, recanalized thrombus, new from previous. Main pulmonary artery mi... | 1. Very small chronic recanalized thrombus in a subsegmental branch of the posterior right lower lobe, unlikely to be clinically significant. No evidence of acute pulmonary embolus.2. Increase in small volume of heterogeneous pleural fluid on the right more likely to be post inflammatory than metastatic. 3. Increased p... |
Generate impression based on findings. | Status post fall. Rule out fracture. There is normal overall lordosis of the cervical spine with very slight (2 mm) of retrolisthesis of C4 on C5. There is minimal disk height loss at C5-6 and C6-7. Cerebellar tonsils are in appropriate position. There are no fractures. Prevertebral soft tissues are normal.C2-3: There ... | Spondylosis including multilevel disk osteophyte complexes resulting in bilateral neural foraminal stenosis at each level from C3-4 through C6-7. No fracture. |
Generate impression based on findings. | Reason: 47 yo F with Acute hypoxic RF, know DVTs, assess for PE History: as above PULMONARY ARTERIES: There is adequate opacification of the pulmonary arterial tree to the segmental level. No pulmonary embolus can be identified.The pulmonary arteries normal caliber.LUNGS AND PLEURA: Bilateral basilar subsegmental atele... | 1.No evidence of a pulmonary embolus to the segmental level.2.Debris in the central airways and bilateral basilar subsegmental atelectasis suggestive of aspiration. |
Generate impression based on findings. | 40 year-old male with history of HBV, MDS, w/ fever of unknown origin ABDOMEN:LUNG BASES: Bilateral pleural effusions with associated compressive atelectasis and consolidation.LIVER, BILIARY TRACT: Hypodense segment 5 lesion compatible with treated HCC. No new focal hepatic lesion.SPLEEN: Wedge shaped splenic hypodensi... | 1. Distal esophageal wall thickening suggestive of esophagitis, correlation with EGD is suggested if clinically warranted.2. Findings suggesting evolving splenic infarctions.3. Bilateral pleural effusions with compressive atelectasis and consolidation.4. Unchanged treated HCC lesion. |
Generate impression based on findings. | 77 -year-old male with a history of pneumonia versus mass at outside hospital. LUNGS AND PLEURA: Since the 5/2012 exam, there is new centrally necrotic mass in the left upper lobe, which is located along the major fissure and extends into the superior aspect of the left lower lobe; this mass measures approximately 4.8 ... | 1.Large necrotic mass centered in the left upper lobe with invasion of superior aspect of left lower lobe through the major fissure as well is abutment of the pulmonary artery, presumably neoplastic in nature. 2.Several mildly enlarged mediastinal lymph nodes, which may be better characterized with PET/CT. |
Generate impression based on findings. | Reason: eval for PE, patient s/p PEA arrest History: PEA arrest PULMONARY ARTERIES: The exam was terminated following extravasation of saline into the left forearm. The patient was evaluated by Dr. McCann with appropriate discharge instructions given.LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HI... | Exam was terminated prior to the intravenous administration of contrast due to extravasation of saline. |
Generate impression based on findings. | 61 year-old male with hematemesis, possible mass in abdomen. CHEST:LUNGS AND PLEURA: Scattered punctate micronodules bilaterally.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Dextroscoliosis.ABDOMEN: Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. LIVER, BI... | Necrotic mass arising from the gastric cardia is suspicious for gastrointestinal stromal tumor (GIST); differential also includes gastric carcinoma. Follow-up with endoscopy is recommended. Nonspecific hypodensity in right lobe of liver can be better assessed with MRI if indicated. |
Generate impression based on findings. | Left preauricular cyst. Neck: There is a heterogeneous soft tissue attenuation mass in the left preauricular subcutaneous tissues that contacts the epidermis and extends to the squamous portion of the temporal bone, which measures 20 AP X 9 RL X 20 SI mm. There is no evidence of erosion into the skull. The mass is sepa... | Heterogeneous soft tissue mass in the left preauricular subcutaneous tissues that contacts the epidermis and extends to the squamous portion of the temporal bone, which measures up to 20 mm. Differential considerations include a chronically infected first branchial apparatus anomaly, a vascular tumor, as well as benign... |
Generate impression based on findings. | 55 year old female with weight loss, decreased functional status, evaluate for CHEST:LUNGS AND PLEURA: Interval development of pleural effusions, larger on the right. Multiple pulmonary nodules and micronodules with the largest nodule in the left lower lobe measuring 8 mm (image 39, series 5) suspicious for metastatic ... | 1. New pulmonary nodules consistent with progression of metastatic disease2. Right cystic solid renal cell carcinoma and thoracoabdominal lymphadenopathy, poorly evaluated due to lack of IV contrast, but not significantly changed. If further characterization is clinically warranted, MRI may be considered. |
Generate impression based on findings. | 72 year old female with history of lung cancer now off therapy. Evaluate status of disease, especially retrocrural lymph nodes. CHEST:LUNGS AND PLEURA: Right upper lobe nodule measures 5 x 7 mm, unchanged (series 5, image 13). No new suspicious nodules.Status post left upper lobectomy with associated volume loss. Stabl... | 1.Stable posttreatment changes in the lungs and stable retrocrural lymphadenopathy.2.Persistent dilation of multiple small bowl loops, diffuse pneumatosis, and small amount of pneumoperitoneum. |
Generate impression based on findings. | 79 year-old female with headache, rule out bleed. CT head: Redemonstration of a left frontal dural-based mass and a right temporal dural based mass which are better demonstrated on the comparison study and likely represent meningiomas.Small space occupying process along the anterior left frontal lobe (series 4 image 19... | 1. No acute intracranial abnormalities or fractures.2. Redemonstration of dural-based lesions likely representing meningiomas.3. Small space occupying lesion along the left frontal lobe may represent a developmental cyst and is unlikely to be of current clinical significance. |
Generate impression based on findings. | 17-year-old male with history of GCT, status post orchiectomy. Evaluate for recurrence. CHEST:LUNGS AND PLEURA: Micronodules in the fissures bilaterally likely represent lymph nodes. Subcentimeter ground glass opacity abutting the pleura in the right lower lobe is unchanged since 5/24/13 (series 4, image 69). No pleura... | Stable right lower lobe opacity. No specific evidence of metastatic disease in the chest, abdomen, or pelvis. |
Generate impression based on findings. | Recurrent sinus infections. There is a 4 mm wide left maxillary sinus retention cyst. The paranasal sinuses are otherwise clear. The nasal cavity is also clear. There is no significant nasal septal deviation. The ethmoid roofs are nearly symmetric and intact. The carotid grooves and optic canals are covered by bone. Th... | No evidence of sinusitis. |
Generate impression based on findings. | 43 old male status post heart transplant. Evaluate for groundglass opacity is seen in bronchiolitis changes. LUNGS AND PLEURA: Interval decrease in previously seen bilateral upper lobe predominant centrilobular groundglass opacities/nodularity, with mild persistent nodularity, predominately in the left upper lobe, with... | Interval improvement in upper lobe predominant bronchiolitic pattern. |
Generate impression based on findings. | Male, 72 years old, ischemic stroke. Redemonstrated is a large subacute stroke involving much of the right MCA territory. The geographic extent of the abnormality is similar to what was seen on the prior examination. The degree of parenchymal hypodensity is also not substantially changed. The zone of infarct includes p... | No significant interval change in the appearance of a large right MCA distribution infarct. |
Generate impression based on findings. | 85 year-old female patient with history of CLL on ibrutinib and lymphadenopathy. Please restage. CHEST:LUNGS AND PLEURA: Redemonstrated is a right lower lobe bronchial wall thickening and bronchiectasis.Right middle lobe lesion measures 2.7 x 1.1 cm (series 6 image 209), previously 2.1 x 1.1 cm.Left upper lobe nodule i... | 1.Minor decrease in hepatomegaly and splenomegaly compared to prior.2.Slightly increased right middle lobe pulmonary lesion, most likely drug related versus chronic infectious, as opposed to neoplastic.3.Stable mediastinal, axillary, retroperitoneal and pelvic lymphadenopathy.4.Stable mild aneurysmal dilatation of the ... |
Generate impression based on findings. | 74-year-old male with history of renal cell carcinoma status post partial right nephrectomy ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Distal gallbladder wall thickening, with sparing of proximal wall, suggesting adenomyomatosis although correlation with ultrasound may be considered if cl... | 1. Interval right upper pole partial nephrectomy without evidence of recurrent or metastatic disease. Small exophytic solid left renal mass is unchanged from the prior MR.2. Thickening of the distal gallbladder wall, likely representing adenomyomatosis, although correlation with ultrasound may be considered if clinical... |
Generate impression based on findings. | 62-year-old male with squamous cell carcinoma of the skin. LUNGS AND PLEURA: Scattered punctate calcified and noncalcified micronodules. Stable apical scarring. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Left-sided port catheter tip at SVC/RA junction. Heart size normal. No lymphadenopathy. Scatter... | No evidence of metastatic disease. No interval change. |
Generate impression based on findings. | 74-year-old male with history of metastatic prostate cancer status post 3 cycles of therapy. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Cholelithiasis without evidence of inflamma... | Unchanged reference retroperitoneal lymph nodes as detailed above without new lesion identified. |
Generate impression based on findings. | Thymic CA status post chemo since 2012. CHEST:LUNGS AND PLEURA: Right paramediastinal traction bronchiectasis and consolidation consistent with evolving radiation fibrosis. Scattered subpleural micronodules less than 3-mm in size are unchanged in appearance, favoring benign lesions over metastases. Previously seen micr... | 1. Slight decrease in measurement of the anterior mediastinal mass. 2. Right supraclavicular index lymph node is now inseparable from the adjacent mass, please refer to separately reported CT neck for measurements.3. Right adrenal gland metastasis measures larger.4. New asymmetric endplate depression of the T11 vertebr... |
Generate impression based on findings. | Male, 62 years old, squamous cell carcinoma, status post CRT. Postsurgical changes are demonstrated compatible with prior right parotidectomy. There is soft tissue volume loss in this region of the face, similar to the prior exam. Enhancing nodules which were newly seen on the prior examination within and around the re... | 1. Previously seen enhancing nodules within and around the right parotidectomy bed are no longer clearly demonstrated. No new masses or pathologic adenopathy is detected.2. Otherwise, surgical and treatment related findings in the neck have not substantially changed. |
Generate impression based on findings. | 54-year-old female patient with history of polycystic kidneys. Evaluate kidneys for surgical consideration. Exam is not sensitive for detecting lesions in the bowel and solid organs due to the lack of oral and intravenous contrast. There is also limited evaluation of vasculature. Given those limitations, the following ... | 1.Bilateral renal parenchyma nearly completely replaced by cysts. Note that renal vasculature cannot be evaluated without intravenous contrast.2.Near complete replacement of liver parenchyma with numerous cysts.3.Moderate abdominal ascites and free fluid. |
Generate impression based on findings. | 72-year-old female with malignant neoplasm of the thymus status post chemotherapy in 2012, reevaluate Interval increase in size of a right supraclavicular mass measuring approximately 3.5 x 2.4 x 2.5 cm (series 6 image 54, series 8020 image 35), previously measured 3.2 x 1.8 by 1.8 cm. Soft tissue density is identified... | 1. Interval increase in size of reference right supraclavicular conglomerate mass.2. No new sites of disease are identified. |
Generate impression based on findings. | Breast cancer, follow-up CHEST:LUNGS AND PLEURA: Small trace loculated pleural effusion again on the right unchanged. The multiple inferior pleural modules are also again identified and grossly unchanged given differences in breathing however mild interval improvement is suggested it difficult to measure. The reference... | 1. Moderate interval improvement of the visceral and parietal pleural metastatic disease previously described. Reference measurements provided.2. Interval improvement and near resolution of the nonspecific intrapulmonary groundglass changes suggesting edema and or drug reaction. |
Generate impression based on findings. | 81 year-old female with history of lung cancer status post right lower lobectomy 5 years ago. LUNGS AND PLEURA: Status post right lower lobectomy. Moderate emphysema.No consolidation or pleural effusions. Stable calcified and noncalcified bilateral micronodules, likely due to prior granulomatous infection. No new nodul... | Postsurgical changes in right lung without specific evidence of recurrence or metastatic disease. |
Generate impression based on findings. | Pulmonary hypertension assess for lung disease. LUNGS AND PLEURA: Motion artifact the degrades image quality. Small left pleural fluid collection with associated compressive atelectasis. No septal thickening, pulmonary fibrosis or emphysema.7 x 6 mm solid nodule in the left lower lobe hazy appearance to the adjacent me... | 1. Indeterminate 7mm left lower lobe nodule. If the referring clinical service is able to obtain and submit remote outside CT scans to prove stability of this lesion, an addendum to this report can be provided. Otherwise, a 3-month CT follow-up is recommended if the patient is a smoker or otherwise at high risk for mal... |
Generate impression based on findings. | 58-year-old male with esophageal cancer status post resection one year ago, concern for recurrence and new adenopathy. CHEST:LUNGS AND PLEURA: Moderate right pleural effusion with right lower lobe pleural thickening.MEDIASTINUM AND HILA: Postsurgical change consistent with a esophagectomy and gastric pull up. Right cen... | 1. Status post esophagectomy and gastric pull-up without lymphadenopathy. Two nonspecific sclerotic osseous lesions adjacent to the right SI joint are noted.2. Moderate right pleural effusion.3. Pancreatic cystic collection with adjacent surgical clips may be postoperative in etiology, possibly a pseudocyst or seroma. |
Generate impression based on findings. | Male 69 years old Reason: prostate cancer, baseline scan for initiation of investigational therapy. History: prostate cancer, CHEST:LUNGS AND PLEURA: Apical scarring and right lower lobe postsurgical scarring redemonstrated. No effusions. Pleural based micronodule right lower lobe mid image 35, unchanged.MEDIASTINUM AN... | No evidence of recurrent disease. |
Generate impression based on findings. | Female 54 years old Reason: history of ovarian cancer, currenlty receiving treatment. eval for progression response using measurements if applicable. pls compare with previous History: see above CHEST:LUNGS AND PLEURA: Index right lower lobe mass series 5 image 72 lung windows, 2.9 x 2 cm. Previously 3.2 x 2.2 cm.No ne... | Decrease in size of index lesions. No new sites of disease. |
Generate impression based on findings. | Alcoholic cirrhotic liver. Please check right basilar lung nodule LUNGS AND PLEURA: Stable appearing discrete peripheral right lower lobe nodule (image 44 series 4) still measuring 8 x 8 mm. Surrounding lung and remaining lungs other than diffuse mild emphysematous changes are otherwise unremarkable. No distinct additi... | A solitary right lower lobe pulmonary nodule which is uncertain significance. Its size allows imaging is suspicious high for malignancy otherwise serial CT imaging can be performed at 3, 9 and 24 months from discovery if the patient is at high risk for pulmonary malignancy. |
Generate impression based on findings. | Male 71 years old Reason: patient with a history of prostate cancer, most recently treated with xtandi. please assess for disease progression History: prostate cancer CHEST:LUNGS AND PLEURA: Micronodules unchanged.MEDIASTINUM AND HILA: Index AP window node series 2 image 33 measures 1.5 x 1.1 cm. Previously 1.1 by 0.9-... | Stable. |
Generate impression based on findings. | Female, 83 years old, contusion of the face and neck, fell and hit head this weekend, INR 8.4, evaluate for bleed. CT head:Left parietal scalp swelling/hematoma is demonstrated. No skull fracture is demonstrated.A small area of encephalomalacia within the right post central gyrus is compatible with chronic stroke. Peri... | 1. No acute intracranial abnormality, and in particular, no intracranial hemorrhage. There is evidence of chronic territorial ischemia and age indeterminate small vessel ischemia.2. No large or space occupying hematoma is demonstrated in the neck. No evidence of vascular disruption is seen. Note is made of cutaneous th... |
Generate impression based on findings. | Right tonsil SCC T2N2b (HPV+) s/p C5/5 TFHX 7/22/123 per IRB 10-069. Head: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged ... | 1. No evidence of locoregional tumor recurrence of significant cervical lymphadenopathy.2. No evidence of intracranial metastases. |
Generate impression based on findings. | Male 84 years old; Reason: hematuria History: hematuria ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver contour is smooth. No suspicious hepatic lesions. The hepatic and portal veins are patent.SPLEEN: There are multiple subcentimeter hypodense splenic lesions including a subtle ring e... | 1.No nephrolithiasis or solid renal mass.2.Renal cysts3.Enlarged prostate4.Focal enhancement in the tail of the pancreas may represent focal non atrophic pancreas, intra-pancreatic accessory spleen or a small pancreatic mass. Follow up suggested.5.Nonspecific splenic lesions. |
Generate impression based on findings. | Failed newborn hearing screen and recurrent otitis media status post bilateral myringotomy and tympanostomy tube placement. On the right, the modiolus and interscalar septum are deficient with fewer than 2 cochlear turns. There is also a markedly enlarged and dysplastic vestibule and an enlarged vestibular aqueduct. In... | 1. Bilateral congenital inner ear malformations suggestive of incomplete partition type 2 with associated lateral semicircular canal-vestibule dysplasia, more severe on the right, as well as severe left internal auditory canal stenosis.2. Bilateral partial tympanomastoid opacification with tympanostomy tubes in positio... |
Generate impression based on findings. | Male, 61 years old, right-sided weakness. Very subtle scattered areas of white matter hypoattenuation is compatible with age indeterminate small vessel ischemic disease, not substantially changed. No CT evidence of acute territorial ischemia is demonstrated. No intracranial hemorrhage or abnormal extra-axial fluid coll... | No acute intracranial abnormality. |
Generate impression based on findings. | 52-year-old female patient with right lower back pain, hematuria and history of renal stones. Evaluate for renal stone. Exam is not sensitive for detecting lesions in the bowel and solid organs due to the lack of oral intravenous contrast. Given those limitations, the following observations are made:ABDOMEN:LUNG BASES:... | 1.No hydronephrosis or evidence of obstructing renal calculi.2.Stable punctate calcifications within the left kidney. 3.Stable renal contour. Note evaluation for renal masses is limited secondary to lack of intravenous contrast. |
Generate impression based on findings. | 69-year-old female with lupus and aortic root dilation. LUNGS AND PLEURA: No consolidation or pleural effusions. Linear opacities in right apex is new, however, most compatible post inflammatory scar (series 6, image 53). No evidence of fibrosis or interstitial lung disease.Several bilateral lung nodules; largest of th... | Stable moderate dilation of the ascending aorta. |
Generate impression based on findings. | Female 58 years old Reason: H/O DLBC Lymphoma s/p 3 cycles of DA EPOCH R in need of restaging scans. Please compare to prior History: DLBCL CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Central venous access device tip in the region of the SVC right atrial junction.CHEST WALL: Bilateral... | Dramatic decrease in all sites of disease. |
Generate impression based on findings. | 61-year-old male with history of relapsed CLL and treatment regimen, reevaluate Limited intracranial views are grossly unremarkable. The mastoid air cells are clear. Polypoid mucosal thickening of the maxillary sinuses, similar to prior.The aerodigestive tract and mucosal spaces are without focal lesions. The salivary ... | No evidence of a cervical mass or lymphadenopathy by CT size criteria. |
Generate impression based on findings. | 55-year-old male with pancreatic neuroendocrine tumor, evaluate for interval change. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffuse hepatic steatosis with peripheral sparing. No focal abnormality suspicious for metastasis. Cholelithiasis without evidence of cholecystitis.SPLEEN: Statu... | No significant interval change in pancreatic mass involving the celiac axis and hepatic artery. |
Generate impression based on findings. | 72-year-old male with head and neck cancer. CHEST:LUNGS AND PLEURA: Interval improvement in previously seen basilar consolidation and tree in bud opacities. Mild basilar centrilobular and tree in opacities as well as new ground glass opacity in anterior left upper lobe. Findings are most consistent with recurrent aspir... | 1.Improved basilar consolidation with residual basilar clusters of centrilobular nodules and tree and opacities. New ground glass opacities in left upper lobe and ill-defined opacity in right lower lobe are most compatible with recurrent aspiration, however, continued follow-up is recommended. 2.Partially visualized in... |
Generate impression based on findings. | Reason: mets lung cancer, s/p chemo, pls c/w previous study and evaluate tx response. History: lung ca CHEST:LUNGS AND PLEURA: Mild centrilobular emphysema.Sharply defined the 11-mm nodule in the superior segment of the left lower lobe, increased from 7 mm on the previous scan. Tubular opacity and distal to the nodule ... | Enlarging nodule in the superior segment of the left lower lobe with associated bronchial obstruction, suspicious for metastatic disease. |
Generate impression based on findings. | Clinical question:H/O sdh s/p bilateral burr holes. Signs and symptoms: Surveillance: Nonenhanced head CT:There is interval complete resolution of previously noted large amount of subdural air since prior exam.There is evidence of residual low attenuation bilateral frontal subdurals (left greater than right). The remai... | 1.No evidence of new hemorrhage since prior consent.2.Residual bilateral frontal (left greater than right) low attenuation subdurals measuring at 14.2 Mm at this on the left and 11.4 mm on the right.3.Interval complete resolution of previously noted postoperative subdural air.4.Stable normal size of ventricular system ... |
Generate impression based on findings. | 8-year-old female with history of intubation, blood per endotracheal tube. Evaluate for recurrent pulmonary hemorrhage. LUNGS AND PLEURA: There is bibasilar consolidation/atelectasis and small bilateral pleural effusions with fluid tracking along the fissures.Patchy areas of groundglass opacity are noted within the aer... | 1. Multifocal bilateral ground glass opacities which are nonspecific but suggestive of pulmonary hemorrhage in the clinical setting of blood per endotracheal tube. Other differential considerations for this appearance include atypical edema, drug reaction, and infection which are considered less likely.2. Bibasilar ate... |
Generate impression based on findings. | History of hemorrhagic telangiectasia, lung AVMs. Follow up LUNGS AND PLEURA: Numerous pulmonary AVMs are identified without interval change in number or size. Two reference lesions in the superior segment of the left lower lobe and right middle lobe respectively have been embolized with coils. No superimposed addition... | Multiple stable appearing pulmonary AVMs without interval new superimposed abnormality. Appearance remains consistent with patient's history of Osler Webber Rendu/HHT |
Generate impression based on findings. | Reason: lung CA s/p XRT History: as above CHEST:LUNGS AND PLEURA: Status post left upper lobectomy with postsurgical changes and volume loss similar appearance to prior exam.Redemonstration of paramediastinal fibrosis compatible with radiation reaction.Interval clearing of the airspace consolidation in the superior seg... | 1.Interval clearing of the right lower lobe airspace consolidation and improvement in left lower lobe groundglass opacities. Tree in bud opacities at the left lung base compatible aspiration bronchiolitis.2.Interval decrease in the reference right hilar lymph node.3.Stable small pericardial effusion.4.No evidence of re... |
Generate impression based on findings. | History of pulmonary MAI for follow-up. Cough and weight loss. LUNGS AND PLEURA: Groundglass and solid opacities in the inferior lingula along with tree in bud appearance. Within the right middle lobe chronic appearing bronchiectasis and volume loss is noted in the medial segment while in the lateral segment, tree in b... | New areas of groundglass opacity, consolidation and bronchiolitis consistent with active infection such as MAI or other mycobacterial infection, progressed since the previous examination. |
Generate impression based on findings. | 63 yo male with history of T4N2c SCC of the base of tongue), HPV+, completed TFHX on 9/16/11. Extensive streak artifact related to dental amalgam obscures much of the oral cavity. Nevertheless, there is mild asymmetry of the tongue base without evidence of discrete mass lesions. There is overall deceased mucosal edema ... | Interval evolution of post-treatment findings without evidence of locoregional tumor recurrence or significant cervical lymphadenopathy. |
Generate impression based on findings. | Breast cancer with rising tumor markers. CHEST:LUNGS AND PLEURA: Bilateral scattered micronodules without new suspicious intrapulmonary abnormalities. No effusions.MEDIASTINUM AND HILA: A large mass along the anterior aspect of the chest wall superiorly is unchanged again measuring 9.8 x 4.4 cm (image 10 series 3). The... | Interval enlarging hepatic lesions suspected represent metastatic disease. No new pulmonary involvement and stable reference lymph nodes. Measurements provided |
Generate impression based on findings. | 72-year-old female with cough and hemoptysis. History of COPD. LUNGS AND PLEURA: Severe emphysema. New solid nodule with spiculated margins is located in the superior segment of right lower lobe and is adjacent to bronchus; this nodule measures 16 mm in greatest dimension (series 5, image 46). Linear opacities are pres... | 1.New solid nodule measuring 16 mm nodular opacity in superior segment of right lower lobe; morphology is compatible with but not specific for neoplasm. 2.Linear, scar-like opacities in both apices and left mid lung. 3.Severe emphysema. |
Generate impression based on findings. | Clinical question: Rule out mass or lesion. Signs and symptoms: New onset of right-sided headache, not responding to medical management. Nonenhanced head CT:There is no evidence of an acute intracranial process CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex... | 1.Negative nonenhanced head CT.2.All paranasal sinuses and mastoid air cells/middle ear cavities remain well pneumatized |
Generate impression based on findings. | 69-year-old male with malignant neoplasm of the thyroid gland, neck mass, pain. Limited intracranial views are grossly unremarkable.Extensive conglomerate right neck mass, invading and expanding the right sternocleidomastoid muscle, with hypoattenuating central portions measuring approximately 7.1 x 8.4 by 10.1 cm (ser... | 1. Extensive right neck mass as detailed above which extends from the thoracic inlet to the level of the submandibular gland.2. Cervical lymphadenopathy of the right neck. |
Generate impression based on findings. | 83-year-old male with history of non-Hodgkin's lymphoma, restaging. CHEST:LUNGS AND PLEURA: 5-mm left lower lobe micronodule.MEDIASTINUM AND HILA: Nonspecific left thyroid mass measures 3.6 x 2.2 cm and previously measured 3.9 x 2.3 cm (image 15, series 3). Mediastinal adenopathy with one retroesophageal lymph node mea... | Thoracic and extensive abdominal lymphadenopathy with reference measurements as detailed above, consistent with the history of lymphoma. |
Generate impression based on findings. | Male 66 years old Reason: Metastatic prostate cancer on abiraterone with rising PSA, assess for disease burden History: chronic leg weakness. Additional history of the pathology report indicates history of rectal cancer and colocolic anastomosis. ABDOMEN:LUNG BASES: Redemonstration of calcified pleural plaques and post... | Increasing soft tissue density around the Hartmann's pouch but without discrete abscess. Correlate clinically. Stable osseous metastases. |
Generate impression based on findings. | 70 year-old male with history of follicular lymphoma in need of restaging The exam is limited by lack of IV contrast in the evaluation of solid organ pathology.CHEST: LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Reference mediastinal lymph node measures 7 mm (image 20, series 6 to 9) and prev... | No significant interval change or new lymphadenopathy. Interval increase in bilateral hydronephrosis, this finding was discussed with doctor Thirman (pager 3753) at the time of dictation. |
Generate impression based on findings. | 17 month female with history of abdominal mass. Evaluate for metastatic lesions. LUNGS AND PLEURA: No pulmonary nodules or masses are present to suggest metastatic disease. There are no focal air space opacities or pleural effusions.MEDIASTINUM AND HILA: An enlarged lymph node is noted in the right hilum which measures... | 1.Enlarged right hilar lymph node which is nonspecific. Follow up is recommended to confirm stability. 2.No evidence of pulmonary metastatic disease. 3.Redemonstration of large left renal mass for which differential considerations include Wilms tumor, clear cell sarcoma, or less likely rhabdoid tumor. |
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