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Generate impression based on findings. | Female 79 years old; Reason: 79 y.o. female with hx of appendiceal cancer and resection; please evaluate for changes and or abnormalities History: appendiceal cancer LUNG BASES and lower chest: Nodule in the visualized right lower lobe (series 4 image 10) appears stable to minimally larger from October 2012; continued ... | 1. Stable scarring adjacent to the cecum. No ascites or discrete peritoneal nodularity. 2. Subcentimeter hypodensity in the pancreatic body is unchanged.3. Right lower lobe pulmonary nodule, stable to minimally larger from October 2012; attention on follow up suggested |
Generate impression based on findings. | Female 44 years old; Reason: hematuria, pelvic pain History: pelvic pain ABDOMEN:LUNGS 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.KIDNE... | 1.No CT evidence of patient's hematuria. |
Generate impression based on findings. | Male, 40 years old, history of medullary thyroid cancer, assess for adenopathy and recurrence. Patient is status post thyroidectomy. No enhancing lesions or concerning masses are evident within the thyroidectomy bed. There are small soft tissue densities within the operative bed bilaterally and probable scattered small... | Status post thyroidectomy without evidence of recurrent disease. There are small non-specific soft tissue foci within the resection bed, one of which may correlate with the abnormality suspected on prior sonography. No pathologically enlarged or aggressive appearing lymph nodes are demonstrated. |
Generate impression based on findings. | Reason: h/o pharynx cancer History: r/o lung mets LUNGS AND PLEURA: Apical radiation fibrosis unchanged.There is no evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: Moderate coronary artery calcifications are present.CHEST WALL: Status post tracheostomy and neck dissection.Degenerative abnormalities af... | No change, and no sign of metastases. |
Generate impression based on findings. | Reason: s/p right hepatectomy now with fevers History: as above ABDOMEN:LUNG BASES: Enlarging right-sided pleural effusion with overlying atelectasis which now occupies approximately one half of the right hemithorax. New small left pleural effusion.LIVER, BILIARY TRACT: Status post resection of the right lobe of the li... | 1.Status post resection of the right lobe of the liver. 2.Enlarging perihepatic fluid collection containing air. Plan is for percutaneous drainage.3.Increasing bilateral pleural effusions (right greater than left)4.increasing abdominal and pelvic ascites. |
Generate impression based on findings. | Sarcoma. Three months of therapy. Evaluate response to treatment. CHEST:LUNGS AND PLEURA: Scattered pulmonary nodules redemonstrated. Enlarging left pleural effusion.*Index pleural based nodular opacity (series 4; image 53) measures 2.8 x 2.4 cm, smaller compared to previous.*Index right middle lobe nodule (series 4; i... | No substantial interval change except increasing small left pleural effusion. Measurements are given above. |
Generate impression based on findings. | Female, 64 years old, status post fall with subarachnoid hemorrhage. Evaluate for aneurysm. Non-angiographic findings:Precontrast images of the brain demonstrates infiltration of the scalp and a small subgaleal hematoma at the high vertex. No skull fractures are seen.No evidence of extra axial blood is seen on this exa... | 1. No intracranial aneurysms or other specific vascular abnormalities are detected. 2. No evidence of significant intracranial blood product is seen in this examination. Evidence of scalp injury at the vertex is seen. |
Generate impression based on findings. | Rule out diverticulitis. Left lower quadrant pain. ABDOMEN: Exam is limited in evaluation of solid organ pathology due to lack of IV contrast.LUNG BASES: A trace left pleural effusion similar in size to prior. Minimal subsegmental atelectasis bilaterally again noted also.LIVER, BILIARY TRACT: No significant abnormality... | No substantial interval change and no definite evidence of diverticulitis. Note that early or mild diverticulitis may be occult on imaging. |
Generate impression based on findings. | T1N2b left BOT/vallecula SCC, s/p chemoradiation completed on 2/1/13. There is persistent edema in the oropharynx and partial effacement of the left glossotonsillar sulcus without evidence of discrete mass lesion. There is no residual or recurrent significant cervical lymphadenopathy. For example, a left level 1B lymph... | No evidence of locoregional tumor recurrence or significant cervical lymphadenopathy. |
Generate impression based on findings. | 46-year-old female with hypoxia and dyspnea. LUNGS AND PLEURA: Lungs underinflated with bilateral scattered, patchy areas of air trapping. Superimposed subsegmental consolidation in right upper lobe (series 4, image 25). No pleural effusions. Right upper lobe nodule measures 4 mm (series 4, image 28).MEDIASTINUM AND HI... | 1.Patchy subsegmental consolidation in right upper lobe suspicious for pneumonia. Follow-up PA and lateral chest radiographs are recommended in 6 weeks to confirm resolution.2. Lungs underinflated with bilateral patchy areas of ground glass opacity, which are likely related to combination of underinflation and subsegme... |
Generate impression based on findings. | Ipilimumab for metastatic melanoma - please assess response to therapy and compare to previous imaging CHEST:LUNGS AND PLEURA: Increasing (both in size and number) bilateral ground-glass nodules. *Enlarging left lower lobe pulmonary nodule which appears more solid measures 3.5 x 3.5 cm (image 48; series 9).*Enlarging r... | Interval progression of pulmonary metastases with measurements given above |
Generate impression based on findings. | Right nasopharyngeal carcinoma with recurrence, status re-resection and postoperative chemo re-irradiation completed on 3/14/2012. HEAD: There is no intracranial mass or abnormal enhancement to suggest metastatic disease. There is unchanged hypoattenuation in the right anterior temporal lobe, which is likely related to... | 1. No evidence of locoregional tumor recurrence in the right nasopharynx. No significant cervical lymphadenopathy.2. No evidence of intracranial metastatic disease. |
Generate impression based on findings. | 46-year-old female with history of head and neck cancer. CHEST:LUNGS AND PLEURA: No new or suspicious nodules. Calcified granuloma in left lower lobe. No consolidation or pleural effusions.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Right chest wall port catheter terminates in right atrium.ABDOME... | No specific signs of metastatic disease. Nodularity of the right adrenal gland unlikely to be metastatic in etiology, but can be followed on subsequent exams. |
Generate impression based on findings. | 80 year old female with ovarian cancer status post resection of growing metastasis. Left lower quadrant pain. Assess for disease progression. CHEST:LUNGS AND PLEURA: Scattered punctate micronodules at the left lung apex and right base are unchanged.MEDIASTINUM AND HILA: No significant abnormality CHEST WALL: Right-side... | New adenopathy in the abdomen and pelvis. Left lower quadrant diverticulitis; clinical service was notified of this finding at the time of dictation. Status post left inguinal mass resection. |
Generate impression based on findings. | 70 year-old male status post chest tube placement for pneumothorax. LUNGS AND PLEURA: Large left pneumothorax. Left chest tube terminates in the upper left hemithorax. Severe emphysema affects both lungs, with including large subpleural bullae and left lower lobe subpleural pneumatocele. No pleural effusions. Subsegmen... | 1.Large left pneumothorax with chest tube in place and rightward mediastinal shift. Severe emphysema with subpleural bulla formation and a large left subpleural pneumatocele in addition to evidence of pulmonary fibrosis.2.Extensive subcutaneous emphysema and pneumomediastinum.3.Postsurgical volume loss right lower lung... |
Generate impression based on findings. | Parotid neoplasm of the the for progression of metastatic disease. CHEST:LUNGS AND PLEURA: Scattered bilateral poorly defined pulmonary nodules measuring up to 16 x 12 -mm (5/54, right upper lobe). No pleural fluid.MEDIASTINUM AND HILA: The ascending segment of the aortic arch appears ectatic, measuring 4-cm in oblique... | Bilateral pulmonary nodules and numerous hepatic lesions are most consistent with metastases. Hazy infiltration of the right hemidiaphragm undersurface and adjacent fat, unable to exclude localized soft tissue invasion. Although the patient has extrarenal pelves, areas of possible enhancement and nodularity in the prox... |
Generate impression based on findings. | Male 42 years old; Reason: evaluate abd wall for ventral hernia History: ventral hernia on exam, prev abd surgery ABDOMEN: The absence of intravenous contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:LUNGS BASES: Small right pleural effusion.... | 1.Cirrhotic liver with marked ascites.2.Changes compatible with heart failure and AICD placement3.small umbilical hernia without obstruction in the neck of 1.7 cm. |
Generate impression based on findings. | Male, 44 years old, tongue base cancer, status post CRT. Since the prior examination, extensive mucosal hyperemia and edema has developed involving the pharynx, soft palate, base of tongue and supraglottic larynx. There is a thin retropharyngeal effusion. The subcutaneous fat and fascial planes are infiltrated and the ... | 1. Fairly extensive mucosal edema and hyperemia most likely reflects treatment related mucositis. No definite evidence of recurrent primary tumor.2. Most of the lymph nodes in the neck are stable to slightly smaller. Two level Ia nodes are slightly more prominent, but given the extensive surrounding inflammatory change... |
Generate impression based on findings. | Ovarian cancer. Evaluate for disease response/progression. CHEST:LUNGS AND PLEURA: The referenced right lower lobe nodule measures 6 mm (image 53, series 4), unchanged. MEDIASTINUM AND HILA: Multiple enlarged mediastinal lymph nodes are present with no interval change in size. The reference subcarinal lymph node measur... | Overall no substantial interval change with measurements given above. |
Generate impression based on findings. | 70 year-old female with history of renal cell carcinoma CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary nodules are again identified. Reference left upper lobe nodule measures 6 x 6 mm (image 26 series 11) and previously measured 7 x 6 mm.Reference left lower lobe nodule measures 1.1 x 0.8 cm (image 45 series 11) ... | Interval progression of disease with reference measurements given above. |
Generate impression based on findings. | 39-year-old female patient with history of bilateral orbital swelling times years and recently diagnosed with Castleman's disease from submental node biopsy. CHEST:LUNGS AND PLEURA: Scattered micronodules in the right lung (series 7 image 38, 46, 57).MEDIASTINUM AND HILA: Small scattered lymph nodes.CHEST WALL: Extensi... | 1.Extensive lymphadenopathy in the chest, abdomen and pelvis.2.Scattered pulmonary micronodules in the right lung. 3.Left kidney inferior pole hypoattenuating focus is too small to characterize and likely represents a cyst. |
Generate impression based on findings. | Vomiting. Hemoglobin drop. Rule out hematoma. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: Multiple pancreatic and peripancreatic low density collections probably represent pseudocysts. The largest is located ... | Multiple presumed pancreatic pseudocysts. Gastric and rectal wall edema consider correlation with endoscopy and/or colonoscopy as clinically indicated. Pelvic ascites. No evidence of retroperitoneal hematoma. |
Generate impression based on findings. | 46 showed female with history of pancreatitis, assess the pancreas. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No focal hepatic lesions. Status post cholecystectomy. No intrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality notedPANCREAS:Interval resolution of previous ... | Interval resolution of pancreatitis and pseudocysts with residual atrophy of the distal gland but no additional complication. |
Generate impression based on findings. | 60 year-old female with head and neck cancer. CHEST:LUNGS AND PLEURA: Emphysema. Stable scarlike opacity in superior segment of right lower lobe (series 8, image 43). Scattered punctate calcified and noncalcified micronodules, most compatible with granulomas. No new or suspicious nodules.No consolidation or pleural eff... | Stable exam without evidence of metastatic disease. |
Generate impression based on findings. | 68-year-old male with history of prostate cancer. Status post prostatectomy in 2010 now with hematuria. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: Prominence of the pancreatic duct is of unclear significance... | No nephrolithiasis, ureteral stones or findings to explain the patient's hematuria. |
Generate impression based on findings. | 60 year-old female with lung cancer and lymphoma. CHEST:LUNGS AND PLEURA: Status post left upper lobectomy with resultant volume loss. Mild centrilobular emphysema.No significant change in the left lower lobe ground glass nodule measuring 10 mm, previously measured 12 mm (series 5, image 128).Previously seen groundglas... | 1.Interval increase in size of destructive left chest wall mass, which invades the anterior mediastinum. There is associated increase in left hemidiaphragm elevation, which maybe related to phrenic nerve injury caused by this mass.2.Interval increase in size of left cardiophrenic lymph node.3.New 4-mm punctate micronod... |
Generate impression based on findings. | Posterior mediastinal mass. CHEST:LUNGS AND PLEURA: Subsegmental right lower lobe atelectasis surrounding the posterior mediastinal mass. Small right pleural effusion. No suspicious lung parenchymal nodules or masses are seen. This mass abuts the right upper lobe bronchus and bronchus intermedius, displacing the right ... | 6.0 cm posterior mediastinal mass, suspicious for neuroblastoma. No specific evidence of metastatic disease. |
Generate impression based on findings. | History of metastatic breast cancer, restaging. CHEST:LUNGS AND PLEURA: Minimal bibasilar atelectasis. No suspicious pulmonary nodules or masses. MEDIASTINUM AND HILA: Cardiac size is normal. No pericardial effusion. No mediastinal or hilar lymphadenopathy.CHEST WALL: Right chest port with tip at the cavoatrial junctio... | 1.Interval decrease in size of liver metastases.2.Stable appearance of osseous and splenic metastases. |
Generate impression based on findings. | 76-year-old male with history of bladder cancer. Status post resection. CHEST:LUNGS AND PLEURA: Severe upper lobe predominant centrilobular and paraseptal emphysema. Scattered pulmonary micronodules and small nodules along the pleura and fissures some of which are calcified.MEDIASTINUM AND HILA: Scattered small mediast... | 1. Status post cystectomy with ileal conduit diversion without specific evidence of metastatic disease. Prominent mediastinal and inguinal lymph nodes for which follow up imaging is suggested.2. Severe emphysema with scattered micronodules. |
Generate impression based on findings. | 73-year-old male with shortness of breath and tachycardia. PULMONARY ARTERIES: Diagnostic exam. The there is a filling defect in a segmental branch of the right middle lobe, compatible with pulmonary embolus (series 6, image 142; coronal series image 46). No other pulmonary emboli are identified.LUNGS AND PLEURA: Small... | 1.Small, solitary pulmonary embolus in subsegmental branch of right middle lobe. No evidence of right heart strain.2.Bilateral small pleural effusions with underlying atelectasis/consolidation in the bases.3.Mild ground glass opacity in the right upper lobe, nonspecific but suspected to represent mild focal edema in se... |
Generate impression based on findings. | Reason: h/o lip cancer History: r/o lung mets LUNGS AND PLEURA: There is a calcified granuloma in the right lower lobe (series 5, image 84). MEDIASTINUM AND HILA: Right lower paratracheal lymph node measuring 1.1 cm (series 3, image 28). Minimal atherosclerotic calcification of the coronary arteries and aortic arch. He... | No evidence of metastatic disease. |
Generate impression based on findings. | 74-year-old male with left tongue mass consistent with cancer. LUNGS AND PLEURA: Moderate centrilobular emphysema. No consolidation or pleural effusions. No suspicious nodules or masses. Several punctate calcified granulomas are identified.MEDIASTINUM AND HILA: Enlarged, heterogeneous thyroid gland, with hyperdense nod... | 1.No evidence of intrathoracic metastatic disease. 2.Significant dilation of partially visualized pancreatic duct; advise dedicated abdominal and pelvic CT to exclude a more proximally obstructing pancreatic ductal mass.. 3.Nonspecific gastric wall thickening, which may be due to gastritis, varices or under distention.... |
Generate impression based on findings. | Reason: r/o PE History: sob PULMONARY ARTERIES: No significant abnormality noted. Study is technically adequate. No filling defects.LUNGS AND PLEURA: Bibasilar atelectasis. Bilateral reticular and patchy ground glass opacities, left greater than right, with basilar predominance. There is associated architectural distor... | 1.No evidence of pulmonary embolus.2.Bilateral paraseptal emphysematous changes with patchy groundglass opacities suggestive of prior infection, NSIP or COP. |
Generate impression based on findings. | Lymphosarcoma. Progressive fatigue. Restage. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant adenopathy identified.CHEST WALL: Focal sclerotic area in the lateral right rib (image 43; series 3) is unchanged.ABDOMEN:LIVER, BILIARY TRACT: Hepatomegaly and fatty infiltration of... | Near complete resolution of the abdominopelvic lymph nodes as described above. Subcentimeter exophytic lesion involving the upper pole of the left kidney is unchanged. |
Generate impression based on findings. | 59-year-old female with pancreatic cancer. LUNGS AND PLEURA: Punctate calcified and noncalcified micronodules in both lower lobes, most consistent with prior granulomatous disease. No suspicious nodules or masses identified. Minimal dependent atelectasis. No consolidation or pleural effusions.MEDIASTINUM AND HILA: No s... | 1.No specific evidence of intrathoracic metastatic disease.2.Evidence of prior granulomatous disease. |
Generate impression based on findings. | 59-year-old female assess for disease involvement UTERUS, ADNEXA: Status post hysterectomy. Small cystic structure in the left pelvis likely represents the left ovary.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSU... | No evidence of metastatic disease in the pelvis. |
Generate impression based on findings. | Right temple skin squamous cell carcinoma. There is skin thickening overlying the right zygomatic arch with associated loss of subcutaneous fat, compatible with scar from prior skin tumor resection. There is no definite nodular component to suggest locoregional tumor recurrence. However, there are ill-defined heterogen... | Interval increase in size of the necrotic metastatic right parotid lymphadenopathy. No definite evidence of locoregional tumor recurrence of the right temporal skin squamous cell carcinoma. |
Generate impression based on findings. | 47 year old female. Reason: History of bladder mass, please evaluate with CT urogram & delayed imaging. McCune-Albright syndrome. Bladder lesions on cystoscopy are suspicious for CIS. ABDOMEN:LUNG BASES: Two Harrington spinal fixation support rods in the thoracic and lumbar spine. Levoscoliosis of the lumbar spine. No ... | Bilateral adnexal cysts. Bony changes due to McCune-Albright syndrome with multiple intact metallic appliances. No measurable metastatic disease. No lymphadenopathy. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Male, 64 years old, lip cancer, evaluate for recurrence. Mild prominence of the tongue base mucosa is seen, a stable finding which likely reflects lymphoid prominence. No suspicious mucosal lesions are demonstrated. No pathologic adenopathy is detected in the neck by size criteria. A pretracheal lymph node in the media... | 1. No definite evidence of mass lesions or pathologic adenopathy in the neck.2. A borderline enlarged mediastinal lymph node is better assessed on the accompanying chest CT. |
Generate impression based on findings. | Male, 74 years old, left tongue mass consistent with cancer. Lack of IV contrast reduces sensitivity for small lesions and for adenopathy in the neck. Given this limitation, the following observations are made.Head CT:Hypoattenuation is present within the right frontal lobe extending to the level of the cortex, most li... | 1. Large left tongue mass as described above compatible with stated history.2. No definite evidence of adenopathy in the neck, though lack of IV contrast reduces sensitivity in this regard.3. Thyroid abnormalities would be better assessed on sonography.4. No evidence of intracranial metastatic disease. Areas of ischemi... |
Generate impression based on findings. | Left parotid adenoid cystic carcinoma which progressed on 2 lines of cytotoxic chemotherapy (carbo/5FU/cetuximab, paclitaxel). There are postoperative findings related to left total parotidectomy and lateral temporal bone resection with flap reconstruction. There is a heterogeneous mass within the left parapharyngeal s... | 1. Slight decrease in size of the recurrent adenoid cystic carcinoma within the left parapharyngeal space adjacent to the medial surgical margin, which now measures up to 22 mm. No significant cervical lymphadenopathy.2. A right apical lung nodule that measures up to 8 mm is consistent with metastatic disease, but is n... |
Generate impression based on findings. | 27 year old male. Reason: evaluate for appendicitis or hernia History: RLQ pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality. Small splenule. PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormali... | Acute appendicitis. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female 85 years old Reason: assess for patellar fx History: questionable fx on XR, point tenderness, inability to bear weight There is a vertically oriented nondisplaced comminuted patellar fracture through the lateral facet. There is an associated moderate-sized lipohemarthrosis within the joint space. There is severe... | Patellar fracture and severe osteoarthritis as above. |
Generate impression based on findings. | 84 year old female. Reason: r/o diverticulitis, left pyelo History: weakness and LLQ pain ABDOMEN:LUNG BASES: Minimal left lower lobe opacities. No acute infiltrate or effusion.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL... | Left adrenal cystic mass. Complex right upper pole renal cyst. No diverticulitis. Dilated rectum, constipation. |
Generate impression based on findings. | 33 year old female. Reason: R/O stone History: flank pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No signi... | No hydronephrosis. Questionable non-obstructing 3 mm calcification at the distal right ureter. Otherwise negative exam. No other abnormality was found to explain flank pain. |
Generate impression based on findings. | 61 year old female. Reason: ascites vs mass. History: abd pain. ABDOMEN:LUNG BASES: Moderate right pleural effusion. Associated compressive atelectasis of the adjacent right middle and lower lobes. Solid 9 mm nodule adjacent to the right lower lung most likely arises from the diaphragmatic pleura but may also be subple... | Fatty infiltration of cirrhotic liver. Ascites. Patent portal vein. Splenomegaly. Right pleural effusion. |
Generate impression based on findings. | 63 year old female. Reason: assess for hematoma, obstruction. History: abd pain, s/p intravaginal laceration, on coumadin ABDOMEN:LUNG BASES: No infiltrates or effusions. Mild pericardial thickening. Normal heart size. LIVER, BILIARY TRACT: Hepatic hypodensities are compatible with simple cysts. SPLEEN: No significant ... | No hematoma. No obstruction. No specific abnormality to explain abdominal pain. |
Generate impression based on findings. | 60 year old female. Reason: evaluate for cholecystitis/ cholelithiasis. History: RUQ pain, n/v ABDOMEN:LUNG BASES: Severe bullous emphysematous changes in a hyperexpanded right lung. Mediastinal shift to the left. LIVER, BILIARY TRACT: No significant abnormality noted. Gallbladder is unremarkable. SPLEEN: No significan... | Normal gallbladder. Possible enteritis in the left upper quadrant. |
Generate impression based on findings. | 53 year old male. Reason: Pt with flank pain with hx of L. nephrostomy tube and pyelo in 9/2013. Please eval for renal abscess. History: flank pain, fever ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hepatic hypodensities are too small to characterize. SPLEEN: No significant abnormality not... | Left ureteral stone is unchanged in position at proximal ureter. Right nephrolithiasis. Status post left nephroureterostomy. No hydronephrosis or pyelonephritis. No renal abscess. |
Generate impression based on findings. | 18 year old female. Reason: r/o acute appendicitis History: RLQ pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETER... | No specific abnormality to explain the RLQ pain. |
Generate impression based on findings. | 31 year old female. Reason: eval for kidney stone History: right flank pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS,... | No specific abnormality to explain right flank pain. No hydronephrosis. No renal stones. Normal appendix. |
Generate impression based on findings. | 74-year-old male with history of bladder cancer, liver mass seen on prior CT. Reason: Assess for worsening of seroma. ABDOMEN:LUNG BASES: Right lower lobe subpleural reticulations and minimal bibasilar atelectasis, similar to prior exam.LIVER, BILIARY TRACT: The liver is normal in morphology. The segment IVb hepatic le... | Segment IVb hepatic hemangioma is stable. Atrophic kidneys with dilated ureters that terminate at the pelvic inlet. Pelvic seroma has resolved. Large amount of residual stool in the rectum, compatible with constipation. |
Generate impression based on findings. | 19 year old male. Reason: 19 yo male with abd pain and weight loss, rule out SB inflammation, Crohn's disease. History: abd pain and weight loss ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abno... | Terminal ileum and ascending colon inflammatory changes compatible with active Crohn's disease. |
Generate impression based on findings. | 25 year old female. Reason: evaluate for peri-rectal abscess or fluid collection. History: prev pilonidal cyst i \T\D w/ purulent drainage, lower back pain UTERUS, ADNEXA: Radiodense IUD is in the expected position. BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: ... | Abscess in midline soft tissues dorsal to the sacrum containing debris. Constipation in rectum and sigmoid. |
Generate impression based on findings. | 63 year old female. Endometrial cancer. SOB, on oxygen. PULMONARY ARTERIES: Technically adequate examination for pulmonary embolism to the segmental level. No pulmonary embolism is seen. LUNGS AND PLEURA: Trace right pleural effusion. Mild bibasilar dependent atelectasis. Scattered calcified and noncalcified micronodul... | 1. No evidence of pulmonary embolism.2. Trace right pleural effusion and mild bibasilar atelectasis.3. Peritoneal carcinomatosis. |
Generate impression based on findings. | Reason: r/o bleed History: AMS Although the study is without contrast, there is residual contrast within the vessels and the venous sinuses from prior abdominal contrast enhanced study.The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracrania... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | 80-year-old male. Chest pain, right-sided, posterior. LUNGS AND PLEURA: Multifocal ill-defined, nodular airspace opacities scattered throughout both lungs, some with surrounding ground-glass opacities. The appearance of these nodular opacities is most consistent with an infectious process. Mild centrilobular emphysema.... | 1. Multiple nodular opacities scattered throughout the lung, most likely represent an opportunistic infection given patient's immunocompromised state, consider fungal etiologies. 2. Mild centrilobular emphysema. |
Generate impression based on findings. | 19 year-old male with history of neuroblastoma presents with right flank abdominal pain, evaluate for kidney stone. ABDOMEN:LUNG BASES: No focal air space opacities or pleural effusions.LIVER, BILIARY TRACT: No focal hepatic lesions. No biliary ductal dilatation.SPLEEN: Normal in size and attenuation.PANCREAS: Normal i... | 1.Multiple obstructing calculi in the right collecting system measuring up to 7 mm with associated right-sided hydronephrosis.2.Right-sided paraspinal masses compatible with neuroblastoma appear similar to the prior study. |
Generate impression based on findings. | Reason: eval for hydrocephalus History: headache and vp shunt The CSF spaces are nondilated and unchanged. Stable right frontal approach VP shunt with tip in the third ventricle. Hypoattenuation of the parenchyma surrounding the course of the VP shunt without mass effect suggestive of focal encephalomalacia.No abnormal... | Stable right frontal approach VP shunt with no evidence of hydrocephalus. |
Generate impression based on findings. | 37-year-old female. Hypercoagulable patient. Tachycardia. Evaluate for PE. PULMONARY ARTERIES: Technically adequate examination. No pulmonary embolism is evident.LUNGS AND PLEURA: Mild bibasilar dependent atelectasis. Mild lower lobe bronchial wall thickening, suggests bronchitis/asthma. No pleural effusion. Calcified ... | 1. No evidence of pulmonary embolism. 2. Mild bronchial wall thickening and bibasilar subsegmental atelectasis, of uncertain etiology.3. Higher than expected location of IVC filter, which is suprarenal in position. |
Generate impression based on findings. | 69 year-old female. Lung transplant evaluation. IPF. LUNGS AND PLEURA: Diffuse reticular and groundglass opacities with traction bronchiectasis. Subpleural mild microcystic honeycombing is seen in the in the lung bases and upper lobes. Small lung volumes. Marked interval progression of disease when compared to 2011 CT.... | 1. Interstitial changes compatible with UIP pattern, markedly progressed from 2011 exam. 2. No suspicious pulmonary nodules or masses. |
Generate impression based on findings. | Reason: 84M, acutely altered mental status for one day, please eval for bleed or other abnormality History: AMS Hypodense area in in the right occipital lobe without significant mass effect or sulcal effacement represents a chronic infarct. An additional larger hypodense area in the left parietal lobe with preservation... | 1.Right occipital and left parietal hypodensities represent chronic infarcts.2.Mild periventricular white matter hypoattenuation suggestive of age indeterminant small vessel ischemic disease.3.Near total opacification the right mastoid air cells. |
Generate impression based on findings. | 13-year-old male with right lower quadrant pain. Evaluate for appendicitis or other acute abdominal process. ABDOMEN:LUNG BASES: No focal air space opacities or pleural effusions.LIVER, BILIARY TRACT: The liver is normal in size and attenuation. No extrahepatic or intrahepatic delayed ductal dilatation is present. The ... | Normal appendix. Mildly enlarged nonspecific mesenteric lymph nodes without acute abnormality present to explain the patient's right lower quadrant pain. |
Generate impression based on findings. | 76-year-old male. Right buccal cancer. Worsening pain. LUNGS AND PLEURA: Biapical scarring from prior radiation. Mild linear scarring in the right lower lobe. Calcified granulomas and scattered micronodules, similar to prior exam. No suspicious pulmonary nodules.MEDIASTINUM AND HILA: Tracheostomy is noted with small am... | 1. Mild interval increased size of mediastinal lymph nodes, which is nonspecific. No specific findings to account for the patient's symptoms.2. No suspicious pulmonary nodules. |
Generate impression based on findings. | Reason: Assess for mass, sign of infarct History: Persistent headache, poor balance, unsteady gait The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain... | No evidence for acute intracranial hemorrhage, mass effect, or edema. |
Generate impression based on findings. | 74 year-old female. Possible history of COPD/CHF presenting with dyspnea, ? fibrosis on CXR. Evaluate for pulmonary disease. LUNGS AND PLEURA: Moderate right and small left pleural effusions with compressive atelectasis in the lung bases. Moderately severe upper lobe predominant centrilobular emphysema. Right middle lo... | 1. Right middle lobe mass is highly suspicious for a primary lung malignancy. Multiple bilateral pulmonary nodules, the largest in the left lower lobe, likely represent intrapulmonary metastasis.2. Mildly enlarged superior mediastinal lymph node.3. Bilateral pleural effusions, moderate on the right and small on the lef... |
Generate impression based on findings. | Reason: assess for mass, bleed History: seizure, hx radiation necrosis, brain tumor Right frontal craniotomy defect with underlying right frontal encephalomalacia from prior tumor resection as previously noted. Previously noted focus in the right frontal lobe measures 1.2 x 0.8 cm and is not significantly changed in si... | 1.Hyperdense lesion of uncertain etiology in the right frontal lobe again noted which is increased in density but unchanged in size or shape.2.Suggestion of interval increase in surrounding edema along the posterior aspect of the right frontal lobe hypodense abnormality. MRI with contrast is recommended for better char... |
Generate impression based on findings. | 57 year-old female. Cough, fever, SOB. Evaluate for septic emboli. LUNGS AND PLEURA: Moderate bilateral upper lobe fibrosis, right greater than left, with architectural distortion and traction bronchiectasis consistent with sarcoidosis. Chronic appearing reticulonodular ground glass opacities in the lower lobes are lik... | 1. Upper lobe predominant chronic interstitial lung disease consistent with sarcoidosis.2. No acute signs of infection. |
Generate impression based on findings. | Reason: mass, bleed? History: atypical HA The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized portions of the paranasal sinu... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Reason: evaluate for bleed History: headache after head injury HEAD:The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized port... | No evidence for acute intracranial hemorrhage, mass effect, or edema. No evidence of fracture or subluxation of the cervical spine. |
Generate impression based on findings. | Male 81 years old Reason: severe arthritis UPPER EXTREMITY: There is a high riding humeral head compatible with a chronic rotator cuff tear.There are numerous subchondral cysts of the glenoid and femoral head as well as diffuse moderate osteophytosis of the femoral head, scapula, acromion and clavicle. This findings ar... | 1. Degenerative changes as described above.2. Findings compatible with a chronic rotator cuff tear.3. 8mm pulmonary nodule in the right middle lobe, if the patient is at high risk for lung cancer, follow up CT in 3 to 6 months is recommended. |
Generate impression based on findings. | Reason: r/o bleed History: fall, AMS HEAD:The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Mild mucosal thickening of the right maxillar... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.No cervical spine fracture.3.Ossification of the posterior longitudinal ligament with narrowing of the spinal canal at C2-C3. |
Generate impression based on findings. | 51 year old female. Reason: non-Hodgkins lymphoma. please assess for progression of disease or other abnormality. History: history of NHL, recent hip fracture CHEST: LUNGS AND PLEURA: Dependent atelectasis. MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER... | Hepatomegaly. Large right pelvic lytic lesion with associated soft tissue mass. Intramedullary right proximal femur mass is not completely evaluated. Right groin mass extends from inguinal canal to labia. |
Generate impression based on findings. | 74 year old female. Colon carcinoma. Reason: intermediate attenuation focus IN LOWER RIGHT POLE OF KIDNEY ON 10/17/13 CT. DR. CHANG RECOMMENDED DEDICATED RENAL PROTOCOL CT History: RENAL LESION CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No... | Atypical cyst in right lower pole is Bosniak 2, benign. No abnormal enhancement. No renal mass. Other findings are stable since 10/17/2013. |
Generate impression based on findings. | 24 year old female. Reason: evaluate for intraabdominal process History: severe abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnorm... | Moderately large fecal load in the ascending and transverse colon, without obstructing lesion. Findings compatible with constipation. |
Generate impression based on findings. | 68 year-old female. Nodules on last CT. Reevaluate. LUNGS AND PLEURA: Scattered calcified and noncalcified micronodules, most likely post-infectious in etiology. 5 mm subpleural nodule with a pleural tail (series 5, image 142) is unchanged, most likely representing an intrapulmonary lymph node. Large calcified granulom... | Stable 5 mm nodule in the left lung base, most likely a benign intrapulmonary lymph node. Post-infectious micronodules, unchanged. No further imaging follow-up for these findings is recommended. |
Generate impression based on findings. | Reason: CVA History: CVA Large hyperdense lesion with a halo of hypodensity in the right cerebellum compatible with a hemorrhagic infarct with surrounding edema. There is blood in the fourth ventricle tracking up through the cerebral aqueduct and into the third and lateral ventricles. The CSF spaces are nondilated. The... | Acute intraparenchymal hemorrhage involving the right cerebellum with effacement of the surrounding cisterns raising concern for upwards transtentorial herniation. There is also blood within the CSF spaces. There is no midline shift.Findings were discussed with Dr. Demeter at 0200 on 10/26/2013 over the phone by Dr. Ba... |
Generate impression based on findings. | Reason: AMS, febrile neutropenia, r/o mass/bleed The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. Minimal periventricular white matter ... | No evidence for acute intracranial hemorrhage, mass effect, or edema. |
Generate impression based on findings. | Reason: Change in ventricles/extraventricular CSF History: External ventricular drain Right frontal soft tissue swelling is unchanged. There is mild interval increase in size of a low density right-sided subdural fluid collection extending further inferiorly compared to prior exam. The maximal thickness measures 7 mm.E... | 1.No significant change in the size of the CSF spaces.2.No significant interval change in the pattern and extent of parenchymal/ventricular hemorrhage. 3.Minimal interval increase in low density right-sided subdural fluid collection. |
Generate impression based on findings. | Reason: ich History: ich Right basal ganglia hemorrhage causing effacement of the right lateral ventricle remains relatively stable in size. There is a redistribution of intraventricular blood in the right ventricle to the posterior horn. There is effacement of the third ventricle. Persistence of blood in the cerebral ... | No significant change in the size and appearance of the right basal ganglia hemorrhage. |
Generate impression based on findings. | Reason: stroke follow-up History: hemiplegia Extensive right MCA distribution ischemia with effacement of the sulci and right lateral ventricle is again demonstrated without increasing size. The remainder of the CSF space are nondilated. There is a slight interval increase in midline shift now measuring 4 mm, previousl... | 1.Stable large right-sided ischemic infarct along the MCA distribution with mild interval increase in midline shift to the left.2.Interval extension of geographical territory of left frontal lobe ischemic infarct. |
Generate impression based on findings. | Reason: edema? History: large right middle cerebral artery stroke and Patchy hypoattenuation in the right MCA distribution is again seen primarily involving the frontoparietal junction and temporo-occipital junction. The appearance in geographic extent of these abnormalities have not significantly changed compared to t... | Right MCA territory ischemic infarct with mild local mass effect is unchanged compared to prior exam. |
Generate impression based on findings. | Reason: s/p A1 aneurysm clipping History: cerebral aneurysm clipping Status post left parietal craniotomy. Interval decrease of subdural pneumocephalus and subcutaneous air associated with the craniotomy. Interval decrease in size of soft tissue swelling/fluid collection around the craniotomy site. Interval decrease in... | 1.Expected evolution of postsurgical findings related to recent craniotomy and aneurysm clipping. Interval decrease in size of extra-axial hyperdense collection deep to the craniotomy site.2.Frontal hypodense area is stable in size.3.Interval decrease in soft tissue swelling/fluid collection around the craniotomy site. |
Generate impression based on findings. | 84-year-old female with subarachnoid hemorrhage. There is a hyperdense intraparenchymal focus suggestive of a hemorrhagic contusion in the left temporal lobe measuring 2.8 x 2.9 x 2.4 cm (AP x transverse x CC) with blood tracking along the sulci giving it a subarachnoid component. There is associated local mass effect ... | Constellation of findings suggest head trauma resulting in left temporal hemorrhagic contusion and subarachnoid hemorrhage.1.New hyperdense intraparenchymal hemorrhage, likely hemorrhagic contusion, in the left temporal lobe with a subarachnoid component. There is local mass effect without midline shift.2.New smaller h... |
Generate impression based on findings. | 37 year-old female with history of middle cerebral artery infarction, experiencing seizure and altered mental status. There has been expected evolution of the patient's large right MCA distribution infarct which now approaches encephalomalacia with gliosis. There has been interval resolution of mass effect, now demonst... | 1.Expected evolution of patient's previously demonstrated large right MCA distribution infarct.2.No acute intracranial hemorrhage.3.No CT evidence of new acute territorial, cortical infarct.4.The findings consistent with Wallerian degeneration involving the right cerebral peduncle. |
Generate impression based on findings. | 51-year-old female with history of right jaw cancer, evaluate for recurrence. Redemonstrated is surgical change consistent with right hemi-mandibulectomy. Bone graft material affixed to the native mandible by a plate and screw device demonstrates new osseous bridging across the edges of the graft material and the nativ... | 1. Redemonstrated is surgical change consistent with right hemi-mandibulectomy. Bone graft material affixed to the native mandible by a plate and screw device demonstrates new osseous bridging across the edges of the graft material and the native mandible suggesting interval healing.2. No evidence of recurrent disease ... |
Generate impression based on findings. | Reason: evaluate for intracranial bleed History: altered mental status Additional history from prior reports: metastatic breast cancer with brain metastases. Patchy hypodense area in the right hypothalamus correlates with known metastatic lesion seen on prior MR. The known right cerebellar and vermian metastatic lesion... | No evidence for acute intracranial hemorrhage, mass effect, or edema. |
Generate impression based on findings. | 35-year-old female with history of metastatic melanoma, evaluate for disease progression. Redemonstrated enlarged bilateral cervical and supraclavicular lymph nodes as seen on the prior study. Reference measurements are given below.Left level 2 lymph node which measures 10.7 mm (series 7 image 15) previously 12 x 9 mm.... | Interval decrease in size of all reference lymph nodes as described in detail above. |
Generate impression based on findings. | Reason: 80M h/o head and neck CA s/p surgical resection and reconstruction, presents with acute altered mental status, please evaluate for acute intracranial processes/bleed History: altered mental status Two small hypodense lesions in the left basal ganglia likely represents an old lacunar infarct. No abnormal mass le... | No evidence for acute intracranial hemorrhage, mass effect, or edema. |
Generate impression based on findings. | Reason: encephalopathy, hemorrhage History: tremors, waxing and waning of mental status Bilateral subdural collections are decreased in size although there is increase in density of the collections, right greater than left. This represents an interval small bleed, however without overt clot formation. Given this, the s... | Bilateral subdural hematomas showing slight increase in density indicative of small interval bleed since prior exam. However, both collections are smaller in size resulting decreased effacement of the lateral ventricles. |
Generate impression based on findings. | 54 year old female with history of multiple sclerosis presenting with ataxia and left-sided weakness No evidence of acute intracranial hemorrhage, edema, mass effect, midline shift or hydrocephalus. Extensive than ventricle and subcortical low attenuation white matter is highly suspected of advanced small vessel ischem... | 1.Advanced small vessel ischemic strokes of indeterminate age versus multiple sclerosis.2.No detectable acute intracranial findings. |
Generate impression based on findings. | Female; 26 years old. Reason: evaluate for PE History: history of clot in PICC line. PULMONARY ARTERIES: Incomplete study due to contrast extravasation event as described above. | Incomplete study due to contrast extravasation event with details above. |
Generate impression based on findings. | Female; 26 years old. Reason: assess for pe, please extend to abdomen History: chest and back pain, concern for clot of PICC. PULMONARY ARTERIES: Technically inadequate study secondary to suboptimal contrast opacification of the pulmonary arteries. Given this limitation no large saddle embolus is identified.LUNGS AND P... | Markedly limited exam but no evidence of large saddle embolus. |
Generate impression based on findings. | Female; 28 years old. Reason: Concern for PE History: chest pain. PULMONARY ARTERIES: No evidence of pulmonary embolism to the first segmental level. Upper normal pulmonary trunk diameter.LUNGS AND PLEURA: Mild basilar scarring/atelectasis. No focal consolidation, pleural effusion, or pneumothorax.MEDIASTINUM AND HILA:... | 1.No evidence of pulmonary embolism to the first segmental level. 2.No additional acute cardiopulmonary abnormality identified. |
Generate impression based on findings. | 64-year-old female status post seizure in setting of known infarction, evaluate for changes in ischemic territory Extensive right MCA distribution ischemia with effacement of the sulci and right lateral ventricle is again demonstrated without significant interval change. There is stable midline shift now measuring 4 mm... | 1.Stable large right-sided ischemic infarct along the MCA distribution.2.Slight interval increase in size of left frontal lobe ischemic infarct.3.No hemorrhagic transformation.4.Stable midline shift, right to left. |
Generate impression based on findings. | Vomiting and abdominal pain This study is limited fetal echo of IV contrastABDOMEN:LUNG BASES: Large lateral hernia. There is soft tissue density lesion at the junction of the esophagus and stomach. Lack of intravenous and oral contrast limits optimal location of this lesion. A neoplasm in this location cannot be exclu... | Limited study due to lack of IV contrast. Large lateral hernia with a soft tissue density lesion at the junction of the stomach and esophagus. A distal esophageal neoplasm cannot be excluded. Further evaluation with endoscopy is recommended.Bilateral nephrolithiasis without evidence of hydronephrosis. |
Generate impression based on findings. | 64-year-old female with bilateral infarctions, evaluate for progression. Extensive right MCA distribution ischemia with effacement of the sulci and right lateral ventricle is redemonstrated without significant interval change. There is stable midline shift measuring 4 mm. The infarct region remains uniformly hypodense ... | 1.Stable large right-sided ischemic infarct along the MCA distribution.2.Stable left frontal lobe ischemic infarct.3.No hemorrhagic transformation.4.Stable midline shift, right to left. |
Generate impression based on findings. | 22-year-old female with history of flank pain This study is limited due to lack of IV contrast.ABDOMEN:LUNG BASES: Cardiomegaly.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS,... | Limited study due to lack of IV contrast.Cardiomegaly. Slightly enlarged right kidney with mild caliectasis. Pyelonephritis cannot excluded. No evidence of nephrolithiasis. |
Generate impression based on findings. | Small bowel obstruction, nausea vomiting ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hepatic cysts and right lobe hemangioma, unchanged.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Bilate... | Interval development of significant distal small bowel obstruction likely secondary to radiation changes. Due to lack of ossification of the distal small bowel loops and rectosigmoid, extraluminal fluid collection(s) in pelvis cannot be excluded.Bilateral hydronephrosis, more prominent on the right compared to left.Ret... |
Generate impression based on findings. | 88 year old male with subdural hygromas, evaluate progression, patient experiencing altered mental status. Bilateral subdural collections are stable in size and unchanged in density characteristics without interval new hemorrhage. There is no midline shift.Patchy periventricular white matter hypoattenuation suggestive ... | Bilateral subdural collections are stable in size and unchanged in density characteristics without interval new hemorrhage. |
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