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Generate impression based on findings. | 66-year-old male with intracranial hemorrhage Redemonstrated is holohemispheric left subdural hematoma tracking along the falx and tentorium which is unchanged in size or extent, however demonstrates some decreased density in some locations secondary to evolution. As before this effaces the left hemispheric cortical su... | 1.Redemonstrated is holohemispheric left subdural hematoma tracking along the falx and tentorium which is unchanged in size or extent, however demonstrates some decreased density in some locations secondary to evolution. 2.Stable mass effect with 7 mm left to right midline shift. |
Generate impression based on findings. | 57-year-old male with intracranial hemorrhage and extra-axial hygroma, evaluate ventricular sizes. Right frontal soft tissue swelling is again noted. There is interval decrease in size of a low density right-sided subdural fluid collection extending further inferiorly compared to prior exam, now measuring 3 mm (previou... | 1.No significant interval change in the pattern and extent of parenchymal/ventricular hemorrhage with right to left midline shift. 2.Interval decrease in depth of low density right-sided subdural fluid collection. |
Generate impression based on findings. | Microscopy hematuria 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 evidence of nephrolithiasis. No evidence o... | No CT findings to explain patient's hematuria. |
Generate impression based on findings. | 59-year-old male with history of hepatocellular carcinoma benign deficiency anemia ABDOMEN:LUNG BASES: Small left-sided pleural effusionLIVER, BILIARY TRACT: Cirrhotic liver. Post TACE/RFA changes in the liver. Lack of IV contrast limits optimal evaluation of the liver for focal lesions. Cholelithiasis, unchanged.SPLEE... | Limited study due to lack of IV contrast. Cirrhosis, post TACE/RFA changes and evidence of portal hypertension including ascites are stable. |
Generate impression based on findings. | 50 year-old female with nausea and vomiting This study is limited due to lack of IV contrastABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Nodular left adrenal gla... | No CT findings to explain patient's nausea and vomiting. Limited study due to lack of IV contrast.Bilateral renal hypodense lesions cannot be optimally characterized due to lack of intravenous contrast. |
Generate impression based on findings. | Metastatic prostate cancer and bilateral nephrostomy tubes This study is limited due to lack of IV contrastABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Patient's known hepatic metastases lesions cannot be optimally evaluated with this noncontrast CT. However there are multiple small hypoden... | Limited study due to lack of IV contrast. Extensive bone metastases, metastatic adenopathy, unchanged.Interval development of right-sided hydronephrosis despite the right nephrostomy tube.Interval enlargement of left psoas muscle and bilateral iliac is muscles, more prominent on the right . Etiology of these findings i... |
Generate impression based on findings. | History of encephalitis, myelitis. Evaluate for cancer CHEST:LUNGS AND PLEURA: Emphysema. Scattered micronodules, nonspecific.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Diffuse fatty infiltration of the liver.SPLEEN: No significant abn... | Emphysema. Scattered micronodules in the lungs, nonspecific.Infrarenal abdominal aortic aneurysm.Fat infiltration of the liver. |
Generate impression based on findings. | 28 year old female with history of malignant melanoma CHEST:LUNGS AND PLEURA: Bilateral extensive pulmonary parenchymal metastatic disease. Index lesion in the right middle lobe now measures 1.5 x 1.2 cm on image number 35, series number 7. This lesion is smaller compared to previous study. Other pulmonary nodules are ... | Interval increase in the right axillary lymph nodes. Extensive metastatic adenopathy, which is decreased in size compared to previous study.Extensive bilateral pulmonary metastases are decreased as unchanged compared to previous study.Small left-sided pleural effusion.Extensive peritoneal carcinomatosis , retroperitone... |
Generate impression based on findings. | 36-year-old male with periumbilical abdominal pain, history of colon cancer ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Fatty infiltration of the liver. No focal liver lesions.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant a... | Multiple ventral hernias and bilateral inguinal hernias containing fat and nonobstructed bowel loops.Fat infiltration of the liver. |
Generate impression based on findings. | 23 year-old female with right lower quadrant abdominal pain, fever and leukocytosis 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 noted... | Long segment bowel wall thickening associated with stranding of the mesentery and peritoneal fat. These findings can be secondary to inflammation (such as Crohn's disease) or infection. |
Generate impression based on findings. | 68-year-old female with bilateral flank pain Lack of IV contrast limits the evaluation of the abdomen and pelvis.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No ... | No significant change from previous study. Limited study due to lack of intravenous contrast. |
Generate impression based on findings. | 39-year-old female with right upper quadrant pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Distended gallbladder with multiple gallstones, Serratia with gallbladder wall thickening, consistent with acute cholecystitis. No evidence of intra-or extrahepatic biliary dilatation.SPLEEN: No s... | Acute cholecystitis. Cholelithiasis.Leiomyomatous uterus.Left adrenal nodule likely representing an adenoma. |
Generate impression based on findings. | Right lower quadrant pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPER... | No CT findings to explain patient's acute abdominal pain. |
Generate impression based on findings. | 61 year-old female with abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There are multiple subcentimeter hypodense lesions throughout the liver. These cannot be optimally characterized with this single phase CT.In addition there is an ill-defined 3.6 x 2.9 cm hyperdense mass nea... | Possible enhancing left renal mass suspicious for renal cell carcinoma. Further evaluation with a dedicated renal mass CT or MR protocol is recommended.Hyperdense mass within the liver. This lesion cannot the optimally characterized with a single phase CT. Further evaluation with dedicated liver mass protocol CT is rec... |
Generate impression based on findings. | 55-year-old male presenting with hematuria ABDOMEN:LUNG BASES: Nonspecific micronodules predominantly in the left lower lobe. Chest CT may be helpful for further evaluation.LIVER, BILIARY TRACT: There are multiple, scattered hypodense lesions in the liver. Some of the lesions are too small to accurately characterize. H... | Retroperitoneal and pelvic adenopathy suspicious for metastatic disease. Primary cancer is unknown but prostate or rectal cancer is suspected.Bilateral small renal cysts. No evidence of stones or solid renal lesions.Hepatic subcentimeter lesions suspicious for metastatic disease. Other small lesions are too small to ac... |
Generate impression based on findings. | Malignant melanoma CHEST:LUNGS AND PLEURA: Index right lower lobe pulmonary nodule measures 5 mm on image number 73, series number 4, unchanged. Second peripheral right lower lobe nodule measures 6 mm on image number 82, series number 4, not significantly changed from previous study.MEDIASTINUM AND HILA: No significant... | Slight interval increase in the size of the index right axillary lymph node. No other significant change from previous study. |
Generate impression based on findings. | 28 year old female with superficial mass and induration in the left upper medial thigh. No acute fracture or dislocation in the visualized osseous structures. There is a peripherally enhancing fluid collection which measures 2.4 x 1.8 cm in the superficial soft tissues of the upper medial thigh (series 80936, image 79)... | Peripherally enhancing fluid collection in upper medial thigh with surrounding fat stranding, suspicious for abscess versus metastatic lesion. |
Generate impression based on findings. | 79-year-old male with desaturation and hypotension. PULMONARY ARTERIES: Diagnostic quality exam without evidence of pulmonary embolus.LUNGS AND PLEURA: Surgical changes in the right hemithorax, with right lung wedge resection and resection of posterior chest wall. Interval increase in right apical consolidation and cav... | 1.No pulmonary embolus.2.Interval increase in cavitation of right upper lobe consolidation with associated increase in air and loculated right pleural effusion, suspicious for progression of infection and development of empyema. Suspected development of bronchopleural fistula given increase in pleural space gas and adj... |
Generate impression based on findings. | 66-year-old male with intracranial hemorrhage experiencing altered mental status Redemonstrated is holohemispheric left subdural hematoma tracking along the falx and tentorium which is unchanged in size, extent, or or density. As before this effaces the left hemispheric cortical sulci and left lateral ventricle and res... | Redemonstrated is holohemispheric left subdural hematoma tracking along the falx and tentorium which is unchanged. |
Generate impression based on findings. | 45 year-old female with shortness of breath. PULMONARY ARTERIES: Diagnostic exam without evidence of pulmonary embolus.LUNGS AND PLEURA: Upper lobe predominant architectural distortion, honeycombing, and traction bronchiectasis as well as scattered foci of peripheral consolidation are not significantly changed and comp... | 1.Diagnostic exam without evidence of pulmonary embolus.2.Findings compatible with known diagnosis of UIP although the distribution is atypical, without significant interval change. |
Generate impression based on findings. | 66-year-old male with intracranial hemorrhage experiencing continued altered mental status Redemonstrated is holohemispheric left subdural hematoma tracking along the falx and tentorium which is unchanged in size, extent, or or density. As before this effaces the left hemispheric cortical sulci and left lateral ventric... | Redemonstrated is holohemispheric left subdural hematoma tracking along the falx and tentorium which is unchanged. |
Generate impression based on findings. | 57-year-old male with intracranial hemorrhage and extra-axial hygroma, now obtunded. Right frontal soft tissue swelling has decreased. There is near resolution of the previously demonstrated low density right-sided subdural fluid collection extending further inferiorly compared to prior exam.Right-sided parenchymal hem... | 1.No significant interval change in the pattern and extent of parenchymal/ventricular hemorrhage although there is decreased right to left midline shift. 2.Interval near resolution of previously described low density right-sided subdural fluid collection. |
Generate impression based on findings. | Reason: Pt with history of lung transplant now with SOB. Please evaluate for PE History: SOB, tachypnea Technically adequate exam.PULMONARY ARTERIES: Filling defects are seen in bilateral segmental arteries compatible with bilateral pulmonary emboli. LUNGS AND PLEURA: There has been an interval lung transplant since pr... | 1. Bilateral pulmonary emboli in the segmental arteries.2. Left moderate pleural effusion with overlying atelectasis as seen on prior chest radiographs.Findings discussed with Dr. Kallepalli in the ED at 9:10p.m. on 10/27/2013 over phone by Dr. Vasnani. |
Generate impression based on findings. | 61-year-old female with diarrhea, concern for graft-versus-host disease. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Cholelithiasis without evidence of cholecystitis. No focal hepatic lesions.SPLEEN: No significant abnormality notedPANCREAS: Small cystic lesions in the pancreatic head and... | 1. Nonspecific mild distal small bowel wall thickening which may be infectious/inflammatory or represent graft-versus-host disease.2. Nondisplaced fractures of the pubic rami adjacent to the pubic symphysis as well as multifocal lucent osseous lesions, which may represent disease involvement.3. Nonspecific small cystic... |
Generate impression based on findings. | 52-year-old female patient with history of left flank pain. Evaluate for nephrolithiasis. ABDOMEN:LUNG BASES: Trace bilateral atelectasis. Multiple bilateral pulmonary micronodules (series 4; images 1, 12, 20).LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Multiple punctate calcifications in the splenic... | 1.No obstructing renal calculi or specific findings to account for patient's symptomatology.2.Posterior ninth rib sclerotic lesion, most likely benign.3.Multiple bilateral pulmonary micronodules. Suggest dedicated CT chest. |
Generate impression based on findings. | 39-year-old female with end-stage renal disease and MSSA bacteremia from recurrent post-permacath removal, altered mental status, concern for endocarditis, septic emboli. Nonspecific region of subtle hypoattenuation in the posterior left parietal white matter.The CSF spaces are appropriate for the patient's stated age ... | No acute intracranial hemorrhage. Nonspecific region of subtle hypoattenuation in the posterior left parietal region. If clinically desired, this finding may be further characterized with contrast enhanced MRI of the brain.These findings were discussed with Dr. Reid at 8:30 a.m. on 10/28/2013 |
Generate impression based on findings. | 41-year-old female with pain, rule out stone. ABDOMEN:LUNG BASES: Trace pericardial effusion.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No hydronephrosis, hydrou... | 1. Foci of gas extending along the bladder wall, suspicious for emphysematous cystitis. This finding was discussed with Dr. Bassi (covering pager 4367) at the time of dictation. 2. No nephrolithiasis, ureteral stones or hydronephrosis. |
Generate impression based on findings. | Male 53 years old; Reason: evaluate for infection/obstruction History: tachycardia, vomiting CHEST:LUNGS AND PLEURA: Interval increase in bilateral pulmonary nodules. Reference right lower lobe nodule best seen on image 46 of series 5 measures 1.1 x 0.9 cm previously 1 x 0.7 cm. Reference pleural-based right anterior m... | 1. Interval increase in size and confluence of extensive bilobar hepatic metastatic disease associated with interval increase in degree of ascites and increase in size of mesenteric metastatic lesions and omental nodularity.2. Central filling defect and expansion of the left common femoral vein concerning for DVT, alth... |
Generate impression based on findings. | 53 year old female with chest pain, left facial droop, left arm weakness, differential blood pressures. CHEST:LUNGS AND PLEURA: 6-mm right middle lobe nodule. Basilar atelectasis.MEDIASTINUM AND HILA: Normal caliber aorta without evidence of dissection. Scattered atherosclerotic calcifications of the coronary arteries ... | 1. No evidence of aortic dissection or aneurysm.2. 6-mm right middle lobe nodule, for which 6 month follow-up is suggested. |
Generate impression based on findings. | 45-year-old male with history of cholangiocarcinoma CHEST:LUNGS AND PLEURA: 6-mm subpleural nodule in the right lower lobe on image number 44, series number 11. Follow-up CT is recommended.There is a new 1.2 by 0.9-cm nodule in the right lower lobe image number 67, series number 11. This lesion is suspicious for metast... | No significant change in the dominant left lobe liver lesion and satellite liver lesions consistent with patient's known history of cholangiocarcinoma. Evaluation of the liver is limited due to multiple metallic foci within the liver and there associated artifacts.Interval development of a right lower lobe pulmonary no... |
Generate impression based on findings. | 49 year-old female with headache, hemoglobin 5.4, evaluate for bleeding, anemia, shortness of breath Mild hypoattenuation in the periventricular white matter is nonspecific and may represent small vessel ischemic disease of indeterminate age.The CSF spaces are appropriate for the patient's stated age with no midline sh... | 1. No acute intracranial abnormalities.2. Mild hypoattenuation in the periventricular white matter is nonspecific and may represent the sequela of small vessel ischemic disease of indeterminate age. |
Generate impression based on findings. | 45-year-old male with peritoneal signs, lactic acidosis. ABDOMEN:LUNG BASES: Moderate pleural effusions, larger on the right with associated consolidation and atelectasis. Cardiomegaly. Nodular opacity at the right lung base.LIVER, BILIARY TRACT: Calcified granuloma.SPLEEN: No significant abnormality notedPANCREAS: No ... | 1. No specific evidence of bowel ischemia or abdominal aortic abnormality.2. Moderate pleural effusions, abdominal and pelvic ascites and cardiomegaly, suggesting heart failure.3. Multiple renal lesions some likely representing complex cysts for which follow up dedicated imaging (MRI or CT) in one year is recommended. |
Generate impression based on findings. | 37-year-old male patient with history of HIV and abdominal pain. Evaluate for acute intra-abdominal process. ABDOMEN:LUNG BASES: Bilateral dependent atelectasis. Pulmonary micronodule in the left lower lobe (series 4 image 9).LIVER, BILIARY TRACT: No significant abnormality noted. No visualized cholelithiasis.SPLEEN: N... | 1.No findings to account for patient's symptomatology.2.Pulmonary micronodule in left lower lobe. |
Generate impression based on findings. | 54-year-old female with nausea and vomiting ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Nonspecific, punctate hypodensities in the liver are too small to accurately characterize.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant... | Unremarkable study. |
Generate impression based on findings. | Female, 66 years old, altered mental status. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. At most, there may be minimal periventricular hypoattenuation which is nonspecific but could represent underlying age indeterminate small vessel ischemic disease.No intracranial h... | No acute intracranial abnormality. |
Generate impression based on findings. | Reason: what is the exte t of intrinsic lung disease? History: SOB LUNGS AND PLEURA: Emphysema. Extensive scarring, volume loss, and bronchiectasis involving the right upper lobe. Nonspecific 7-mm nodule in medial right lower lobe. Diffuse bronchial wall thickening. Bibasal atelectasis. Very small right pleural effusio... | 1. Emphysema. 2. Extensive scarring, volume loss, and bronchiectasis involving the right upper lobe. The findings appear chronic though superimposed infection cannot be excluded.3. Nonspecific 7-mm nodule in medial right lower lobe. Follow up CT in 3 - 6 months is recommended to excluded growth/malignancy.4. Diffuse br... |
Generate impression based on findings. | Male, 76 years old, pinpoint pupils, new right-sided weakness, delirium, tremors, altered mental status. Periventricular hypoattenuation is a non-specific finding which most commonly represents age-indeterminate small vessel ischemic disease. This finding is unchanged.No intracranial hemorrhage or abnormal extra-axial ... | No acute intracranial abnormality. |
Generate impression based on findings. | Female, 49 years old, status post GI bleed with elevated INR and altered mental status. Mild periventricular hypoattenuation is a non-specific finding which most commonly represents age-indeterminate small vessel ischemic disease.No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no e... | No acute intracranial abnormalities. |
Generate impression based on findings. | 87 year old male with worsening white blood cell count and pneumonia. CHEST:LUNGS AND PLEURA: Bilateral moderate pleural effusions with associated basilar subsegmental consolidation/atelectasis. Scattered ground glass opacities are most compatible with mild edema. Mild centrilobular emphysema predominantly affecting up... | 1.No specific findings to suggest source of infection.2.Moderate bilateral pleural effusions with associated basilar consolidation/atelectasis, pericardial effusion, and diffuse haziness of abdominal mesentery; findings are suggestive of generalized hypervolemia/CHF.3.Compression fracture of L1. |
Generate impression based on findings. | Reason: intubated with history of bilateral pneumothoracies with bilateral chest tubes in place History: intubated with history of bilateral pneumothoracies with bilateral chest tubes in place LUNGS AND PLEURA: Right chest tube directed towards posterior-superior apex. Left chest tube directed anteromedially. No eviden... | No evidence of significant pneumothorax. Upper lobe predominant ground glass, interstitial and air space abnormality which is nonspecific but suggestive of pneumonia though there are some findings such as bronchiectasis which imply a degree of chronicity. |
Generate impression based on findings. | Male, 72 years old, pinpoint pupils, new right-sided weakness, altered mental status. Areas of encephalomalacia consistent with chronic infarct are seen within the right posterior frontal and left posterior parietal/occipital regions, unchanged. No CT evidence of acute territorial ischemia is seen.No intracranial hemor... | 1. Stable areas of chronic ischemia.2. No definite CT evidence of acute territorial ischemia or other acute findings. |
Generate impression based on findings. | 28-year-old male patient with left flank pain. Evaluate for stone or other intra-abdominal pathology. ABDOMEN:LUNG BASES: Trace bilateral dependent atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted. Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormalit... | 1.Left nephroureteral stent in place with mild caliectasis. No renal calculi.2.Retrocardiac and retroperitoneal lymphadenopathy. Chest CT is recommended for further evaluation. |
Generate impression based on findings. | Male 57 years old; Reason: evidence of renal pathology in post renal transplant patient History: nausea, anorexia, renal failure by labs ABDOMEN: The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:LUNGS BASE... | 1. Focal exophytic soft tissue attenuating lesion off the superior pole right kidney, incompletely characterized given lack of IV contrast. Further evaluation with ultrasound advised to rule out RCC.2. No evidence of focal lesion, hydronephrosis, or perinephric fluid collections around the transplanted right iliac foss... |
Generate impression based on findings. | 56-year-old female status post endoscopic sinus surgery for removal of left-sided inverted papilloma. There has been interval removal of the previously demonstrated soft tissue mass that was present within the left nasal passage incorporating the left inferior turbinate. The left ostiomeatal complex and medial maxillar... | 1.Interval resection of left-sided inverted papilloma. Although there is some mild mucosal thickening within the left maxillary sinus, there are no residual soft tissue masses. Elevation of the inferior left orbital floor is no longer conspicuous.2.There is new, minimal mucosal thickening within the inferior right maxi... |
Generate impression based on findings. | Female, 84 years old, status post trauma. Maxillofacial:Bilateral peri-zygomatic/periorbital soft tissue hematomas are demonstrated, similar to what was seen on prior head CT. The right-sided hematoma is more infra-orbital while the left-sided hematomas are more peri-zygomatic. Mild soft tissue swelling seems to extend... | 1. Bilateral peri-zygomatic and periorbital soft tissue hematomas without underlying maxillofacial fracture or injury to the orbital structures. 2. No cervical spine fracture or acute dislocation. Advanced degenerative disk disease is seen at multiple levels resulting in at least some degree of spinal canal encroachmen... |
Generate impression based on findings. | 58 year-old male with new leukemia. LUNGS AND PLEURA: Linear opacity in the right apex most compatible with scar. Mild upper lobe predominant centrilobular emphysema. No consolidation or pleural effusions.Scattered punctate calcified and non-calcified micronodules bilaterally all measuring approximately 1 to 2 mm; whil... | 1.Nonspecific punctate calcified and noncalcified micronodules bilaterally, which are most likely the result of prior granulomatous infection.2.No specific findings to suggest active infection.3.Emphysema. |
Generate impression based on findings. | Reason: palate cancer History: r/o chest mets LUNGS AND PLEURA: Minimal amount of aspirated debris on the left. Two small subpleural less than 4-mm nodules in the left lower lobe (series 4, image 114 and 181).MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.UPPER ABDOM... | Two punctate micronodules on the left which are much more suggestive of postinflammatory nodules than metastases. However, continued follow-up is recommended to exclude any growth. |
Generate impression based on findings. | 37-year-old male patient with history of ulcerative colitis presents with flare. Evaluate for inflammatory process. ABDOMEN:LUNG BASES: Bilateral dependent atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLAND... | 1.No evidence of acute inflammatory bowel disease.2.Stable hypoattenuating focus in the left kidney is stable and mostly represents a simple cyst. |
Generate impression based on findings. | 74-year-old male with esophageal cancer. CHEST:LUNGS AND PLEURA: Innumerable pulmonary nodules are stable to slightly decreased in size. Reference right upper lobe and nodule is difficult to measure however measures approximately 8 mm, previously measured 7 mm (series 5, image 30). Reference left basilar nodule measure... | 1.Mild improvement in supraclavicular and mediastinal lymphadenopathy.2.Stable to slightly decreased size of innumerable bilateral lung nodules. 3.Stable right basilar consolidation, compatible with lymphangitic spread of disease.4.Apparent mild increase in size of reference metastatic liver lesion, which may be partia... |
Generate impression based on findings. | Seizure. Rule out vasculitis. Unenhanced CT Head: There are small areas of subtle hypoattenuation demonstrated within the right paramedian parietal lobe (axial series 3 image 39) and within the right precentral gyrus (image 41). There is no associated hemorrhage, mass or fluid collection. The midline is intact. Bones a... | 1.Subtle areas of parenchymal hypoattenuation as above. This most likely represents edema. An MRI was subsequently performed, refer to that report for further detail.2.No specific vascular abnormalities in the head or neck.3.No CTA evidence of vasculitis. |
Generate impression based on findings. | Reason: 52M w R neck mass, c/f head and neck cancer, please evaluate for possible mets History: R neck mass LUNGS AND PLEURA: Benign-appearing pulmonary micronodules, intrapulmonary lymph nodes and scarring is present.No specific evidence of pulmonary or pleural metastases, although continued monitoring is recommended.... | No evidence of pulmonary or pleural metastases. Benign appearing micronodules should be monitored on continued follow-up as part of the patient's cancer surveillance. |
Generate impression based on findings. | Male, 33 years old, throat and neck pain which worsens through the day. Assess for mass. The oral tongue and floor of mouth are unremarkable. Mild mucosal irregularity at the level of the base of tongue likely reflects the presence of lymphoid tissue. The nasopharyngeal and palatine tonsils are mildly prominent but wit... | 1. No concerning mass lesions or pathologic adenopathy.2. Mild lymphoid prominence is likely reactive. |
Generate impression based on findings. | 73-year-old male with tachycardia and shortness of breath PULMONARY ARTERIES: Diagnostic quality exam. Again seen is small filling defect within a segmental branch of the right middle lobe, compatible with pulmonary embolus and not significantly changed (series 8, image 146). No other filling defects to suggest additio... | 1.Stable appearance of small, solitary pulmonary embolus in segmental branch of right middle lobe. No evidence of right heart strain.2.Stable bilateral pleural effusions and small amount of ascites fluid.3.Mild increase in ground glass opacity in right upper lobe, suspected to represent mild focal edema, less likely th... |
Generate impression based on findings. | 52-year-old male with a heavy smoking history, right neck mass, swelling, evaluate. Multiple enlarged lymph nodes forming a conglomerate right neck mass which measures 3.4 x 4.0 x 5.3 cm (series 6 image 39 and series 80481 image 53). The lesion extends from the right infrahyoid neck inferiorly to the level of the right... | Extensive right neck lymphadenopathy without identification of a soft tissue mass or discrete focus of enhancement to suggest the location of a primary neoplasm. |
Generate impression based on findings. | Reason: pt with h/o lung ca s/p resection History: now needs follow up evaluation compare to previous scans and comment CHEST:LUNGS AND PLEURA: Stable post surgical changes in the right lung involving the right upper lobe resection with partial atelectasis/consolidation of the right lower lobe and paramediastinal fibro... | No interval change. No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 50 year-old male with metastatic gastroesophageal junction adenocarcinoma. CHEST:LUNGS AND PLEURA: Paraseptal emphysema. No nodules or masses. Tiny micronodule in the superior right upper lobe is unchanged. Right middle lobe ground glass nodule measures 7 mm (image 25, series 4) and and previously measured 7 mm.MEDIAST... | Interval decrease in size of multiple reference lesions which demonstrate treatment effect as detailed above. No new lesions. |
Generate impression based on findings. | Reason: right jaw cancer History: r/o lung mets LUNGS AND PLEURA: Stable scattered micronodules.No new suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy.Stable mild cardiac enlargement without evidence of a pericardial effusion.Left central venous ... | No interval change. No evidence of metastatic disease. |
Generate impression based on findings. | 69-year-old female patient with history of frank hematuria. Evaluate for upper urinary tract lesions. 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 signifi... | 1.No suspicious renal masses, renal calculi or filling defects in the collecting system.2.Left intrapolar region exophytic simple cyst.3.Multiple bilateral subcentimeter hypoattenuating foci are too small to characterize and likely represent cysts. |
Generate impression based on findings. | Reason: re0eval met ACC History: see above CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules consistent with metastases. The right upper lobe nodule now measures 14 x 12 mm (image 48, series 6) compared to 14 x 12 mm previously. The right lower lobe nodule contiguous with the right pulmonary artery measures 18 x 15 mm... | Grossly stable to marginally increased reference measurements with no new sites of disease. |
Generate impression based on findings. | Male 61 years old; Reason: staging workup History: prostate cancer recently diagnosed 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 abnormalit... | 1.No evident metastatic disease detected. |
Generate impression based on findings. | Reason: History of metastatic breast cancer on treatment, evaluate for response and extent of disease. History: History of metastatic breast cancer on treatment, evaluate for response and extent of disease. CHEST:LUNGS AND PLEURA: Bilateral nonspecific pulmonary micronodules are stable in size and number. MEDIASTINUM A... | 1.Nonspecific pulmonary micronodules are stable in size and number.2.Sclerotic skeletal metastasis are grossly unchanged compared to prior exam.3.Increase in enhancing masses and nodules in the right breast. Left breast enhancing nodularity is relatively stable compared to prior exam.4.Bilateral axillary and subpectora... |
Generate impression based on findings. | 47 year old female with follicular non-Hodgkin's lymphoma, evaluate extent of disease. CHEST:LUNGS AND PLEURA: Few scattered pulmonary micronodules are unchanged.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality n... | Mild increased size of left inguinal lymph nodes without new lesion identified. |
Generate impression based on findings. | 74-year-old male patient with history of renal cell carcinoma status post left radical nephrectomy. Evaluate for tumor recurrence or metastases. ABDOMEN:LUNG BASES: Trace bilateral dependent atelectasis.LIVER, BILIARY TRACT: Hypoattenuating lesion in the left lobe of the liver demonstrates peripheral nodular enhancemen... | 1.Hypoattenuating, nonenhancing focus in the surgical bed is nonenhancing and likely represents postsurgical fluid collection. Recommend continued surveillance.2.Ill-defined hyperattenuation of the left iliac wing is stable compared to prior examination, this of uncertain etiology and is most likely benign.3.Multiple l... |
Generate impression based on findings. | 43 year-old female with metastatic breast cancer CHEST:LUNGS AND PLEURA: Unchanged mild left paramediastinal scarring/radiation change.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Left lumpectomy changes with associated surgical clips. Status post left axillary lymph node dissection. Stable sclero... | Stable interval exam without new metastatic lesions. Unchanged sclerotic thoracic vertebral body foci. |
Generate impression based on findings. | 62-year-old male with AML. Evaluate for infection. LUNGS AND PLEURA: No consolidation or pleural effusions. Scattered linear opacities, including in the right apex, right middle lobe, right base, and lingula, are most compatible with scarring.No specific evidence of infection.Scattered bilateral micronodules; largest o... | 1.No evidence of active infection.2.Scattered lung micronodules, likely benign in etiology. |
Generate impression based on findings. | 65 year old male with right apical and right middle lobe nodules. Please evaluate. LUNGS AND PLEURA: Linear opacities with associated calcification and bronchiectasis in right apex, most compatible with scarring, appear unchanged. Previously measured right apical pleural based nodule is mildly decreased and measures 14... | 1.Continued improvement in previously seen ground glass opacities, consistent with clinical diagnosis of subacute hypersensitivity pneumonitis. Mild persistent reticulation in lung bases, right more than left, suspected to represent mild fibrosis. 2.Stable right middle lobe nodule measuring 7 mm; continued follow-up in... |
Generate impression based on findings. | Reason: evaluate mediastinal lymphadenopathy History: patient has history of breast cancer and recent enlarged paratrach node noted on outside CT LUNGS AND PLEURA: Postop change right upper lobe.MEDIASTINUM AND HILA: Interval increase in right lower paratracheal lymph node now measuring 16 mm in short axis. No signific... | 1. Interval increase in nonspecific right lower paratracheal lymphadenopathy. No significant left-sided mediastinal or hilar lymphadenopathy.2. Small right axillary lymph nodes unchanged. |
Generate impression based on findings. | 65-year-old female evaluate kidneys for returned renal mass ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hemangioma in the right lobe of the liver and subcentimeter lesion in the dome of the liver are stable.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedA... | Interval resection of the left renal mass. No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Male, 57 years old, larynx cancer. The previously seen small exophytic mass arising from the left vocal cord with subglottic extension is no longer discretely identified. The vocal cords demonstrate a mildly undulating contour but are free of focal masses. No evidence of paraglottic disease. No invasion of the thyroid ... | 1. A small mass previously seen arising from the left vocal cord is no longer clearly identified. 2. No evidence of pathologic adenopathy is seen. |
Generate impression based on findings. | 63 year old male. Reason: cad History: chest pain Height: 73 in Weight: 210 lbs BSA: 2.2 m^2BMI: 27.7 kg/m^2Calcium Score:LM: 0LAD: 28LCx: 0RCA: 0Total: 28, This represents the 41% for this patient's age and gender.Cardiac Morphology:Left Ventricle:EDV: 134 ml The left ventricle is normal in size, shape, wall thickness... | 1. Normal ventricular volume and morphology.2. Coronary artery calcification with Agatston Score 28, 41st percentile for a 63 year old male. Calcifications are in the proximal LAD. Very short left main coronary artery. |
Generate impression based on findings. | Reason: re evaluation for post treatment for larynx cancer History: hoarse LUNGS AND PLEURA: Apical scarring and paraseptal emphysema is present.Scattered punctate benign-appearing micronodules are seen but there is no evidence of pulmonary or pleural metastases.Mild bronchial wall thickening seen in both lower lung zo... | Paraseptal emphysema. No sign of metastases. |
Generate impression based on findings. | Female 75 years old; right lower quadrant pain ABDOMEN:LUNGS BASES: No nodule or mass detected. Numerous nodules with dystrophic calcifications noted in the bilateral breasts.LIVER, BILIARY TRACT: No focal mass detected. The gallbladder is contracted. Mild intra-and extrahepatic biliary ductal dilatation noted.SPLEEN: ... | 1.Apparent thickening of the terminal ileum although suboptimally evaluated given lack of distention. No intra-abdominal inflammatory reaction noted. |
Generate impression based on findings. | Male 64 years old; Reason: pancreatic cancer restaging History: pancreatic cancer restaging CHEST:LUNGS AND PLEURA: Nonspecific micronodule in the right upper lobe on image 31/series 5.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediastinal adenopathy.Right chest wall port terminates at the ... | 1.Slight decrease in the size of the liver lesions.2.Decrease in the size of the para-aortic lymphadenopathy. |
Generate impression based on findings. | Reason: PE History: CP PULMONARY ARTERIES: No evidence of PE.LUNGS AND PLEURA: Large right-sided pleural effusion with compressive atelectasis. Moderate left pleural effusion with compressive atelectasis. Mild pulmonary edema. Nonspecific 9-mm pulmonary nodule in the right middle lobe (image 104/149).MEDIASTINUM AND HI... | 1. No evidence of PE.2. Moderate pericardial effusion.2. Bilateral pleural effusions, right greater than left; pulmonary edema. 3. Nonspecific 9-mm pulmonary nodule right middle lobe. Follow up CT in 3 - 6 months is recommended to exclude growth/malignancy. |
Generate impression based on findings. | Reason: tongue cancer History: r/o chest mets LUNGS AND PLEURA: Linear atelectasis and scarring at lung bases, right greater than left. No evidence of pulmonary metastases. Small 6-mm nonspecific groundglass nodules in the left upper lobe (image 19/97) are unchanged. Scattered punctate calcified and noncalcified micron... | Stable CT with no evidence of metastatic disease. Stable ground glass nodules in left upper lobe which may be due to atypical adenomatous hyperplasia or adenocarcinoma in situ. Continued follow up is recommended. |
Generate impression based on findings. | Male, 54 years old, tonsil cancer status post CRT. Multiple postsurgical/treatment related findings are again seen including asymmetry and a probable defect at the level of the left soft palate, infiltration of the fascial planes in the left neck, and atrophy of the left sternocleidomastoid muscle. Within this backgrou... | No evidence of recurrent tumor or pathologic adenopathy. |
Generate impression based on findings. | Reason: Pt with hx of BOT Ca. Please re-eval and compare to previous scans History: as above CHEST:LUNGS AND PLEURA: Punctate micronodules, some which are calcified, are unchanged. No evidence of metastases.MEDIASTINUM AND HILA: Reference AP window lymph node measures 7 mm (image 38/155), unchanged. CHEST WALL: Degener... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: pulmonary embolism History: shortness of breath PULMONARY ARTERIES: There is no evidence of pulmonary emboli. The pulmonary artery is markedly enlarged (4.7 cm) compatible with pulmonary arterial hypertension. LUNGS AND PLEURA: Mild basilar scarring/discoid atelectasis.No suspicious pulmonary nodules or masses.... | 1.No evidence of pulmonary emboli.2.Marked enlargement of pulmonary artery compatible with pulmonary to hypertension.3.Cardiomegaly with right ventricular enlargement. |
Generate impression based on findings. | Peripheral T-cell lymphoma CHEST:LUNGS AND PLEURA: Changes secondary to left pneumonectomy.MEDIASTINUM AND HILA: Index mediastinal lymph node is smaller measuring 1.5 by 0.9-cm image number 27, series number 401.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Choleithiasis, unchangedSPLEEN: N... | Slight interval decrease in the size of the mediastinal lymph node |
Generate impression based on findings. | Reason: NSCLC s/p maintainence chemo, restaging scans History: cough CHEST:LUNGS AND PLEURA: Reference left upper lobe mass measures 34 x 10 mm on image 42/110, unchanged.Reference subpleural nodule at left base measures 4 mm on image 77/110, 5 mm previously.New nonspecific 5-mm and smaller pulmonary nodules are noted ... | 1. New nonspecific 5-mm and smaller pulmonary nodules in the right middle and upper lobes in a predominantly perifissural location. The location and relatively clustered nature of the nodules makes infectious or aspiration related etiologies leading considerations though a follow-up CT is recommended in 3 - 6 mo to exc... |
Generate impression based on findings. | Female 78 years old; Reason: Hx of Bladder and Kidney cancer s/p right partial nephrectomy and cystectomy with ileal conduit. Eval for recurrent/metastatic disease History: See above CHEST:LUNGS AND PLEURA: Basilar fibrotic changes. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial... | 1.Stable exam.2.Oral contrast containing structure in the right midabdomen may represent a dilated loop of small bowel.3.Low lobe predominant pulmonary fibrosis.4.Partial right nephrectomy.5.Small tracts extend from the skin surface to the fascial plane further evaluation with a fistulogram can be performed if needed.6... |
Generate impression based on findings. | Reason: evaluate ILD History: cough sob LUNGS AND PLEURA: Bilateral, right greater than left, diffuse interstitial without significant ground glass opacities, with traction bronchiectasis and architectural distortion. There is a diffuse honeycombing and small patchy areas of consolidation. There is mild bronchial wall ... | Bilateral, right greater than left, diffuse interstitial without ground glass opacities, with patchy areas of consolidation and associated honeycombing, traction bronchiectasis, and architectural distortion. These findings suggest possible UIP, fibrosing NSIP or chronic hypersensitivity pneumonitis. |
Generate impression based on findings. | 42-year-old female with previous history of abdominal pain and kidney stone This study is limited to the lack of IV contrastABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis. Pneumobilia.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLAN... | Left renal stoneWall thickening of the proximal ascending colon. Further evaluation with colonoscopy very helpful. |
Generate impression based on findings. | 48-year-old female patient with possible MEN syndrome. Evaluate for possible adrenal mass. 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: Bilateral adrenal gla... | 1.No adrenal abnormalities.2.No acute intra-abdominal abnormalities. |
Generate impression based on findings. | Reason: evaluate ILD History: cough sob LUNGS AND PLEURA: Mild subpleural reticulation is identified in the upper and lower lung zones bilaterally.There is no evidence of architectural distortion, groundglass opacities, or honeycombing.No evidence of air trapping on the expiratory images.No suspicious pulmonary nodules... | Very mild nonspecific subpleural fibrosis which may be post inflammatory in origin. No evidence of architectural distortion, honeycombing, or groundglass opacities. |
Generate impression based on findings. | 54-year-old male with head and neck cancer. CHEST:LUNGS AND PLEURA: Stable scattered pulmonary micronodules. No new or suspicious nodules.MEDIASTINUM AND HILA: No lymphadenopathy. Heart size normal. Borderline right hilar node is unchanged.CHEST WALL: No significant abnormality noted.ABDOMEN: Absence of enteric contras... | No evidence of metastatic disease. |
Generate impression based on findings. | 50 year-old man with history of sarcoma, status post resection CHEST:LUNGS AND PLEURA: Again noted bilateral multiple metastatic lesions which are increased in size compared to previous study. Right lower lobe index nodule now measures two .8 by 2.1-cm in image number 61, series number 4. Small amount of bilateral effu... | Interval increase in the size of the metastatic lung lesions.Destructive lesion involving the sacrum.Indeterminate right renal lesion. Further evaluation with mass protocol renal MRI is recommended. |
Generate impression based on findings. | Reason: thymoma, please evaluate for disease and compare with previous scans History: thymoma CHEST:LUNGS AND PLEURA: Reference posterior right upper lobe nodule is largely obscured by surrounding consolidation. It measures 20 x 11 mm on image 34/98. The surrounding ground glass and interstitial abnormalities associate... | 1. Continued decrease in anterior mediastinal mass.2. Right upper lobe pulmonary nodule is grossly stable though difficult to evaluate due to new surrounding opacity which is presumably related to XRT. |
Generate impression based on findings. | Reason: eval lung nodule History: f/u LUNGS AND PLEURA: Left lower lobe nodular opacity with surrounding groundglass (image 62 series 6) is more solid in appearance compared to the exam dated 3/5/12. However, is not significantly changed compared to the most recent exam dated 4/30/13Minimal scarring/discoid atelectasis... | 1.Left basilar nodular opacity with surrounding groundglass is unchanged compared to the most recent exam dated 4/30/13. However, when comparison is made to the exam dated 3/5/12 the solid component has increased. This does raise the concern for an indolent neoplasm. Continued follow-up examination in 6 months is recom... |
Generate impression based on findings. | 75-year-old male patient with increased left upper abdominal quadrant. CHEST:LUNGS AND PLEURA: Stable emphysematous changes in the apices bilaterally. Bilateral dependent atelectasis. Stable calcified granulomas. Stable bilateral micronodules.MEDIASTINUM AND HILA: Stable small mediastinal lymph nodes.CHEST WALL: No sig... | Stable CT scan of the chest, abdomen and pelvis without acute pathology. |
Generate impression based on findings. | Female, 50 years old, lumbago. Alignment is anatomic. There is degenerative endplate irregularity at the L4-5 disk space which results in mild loss of vertebral body height. Otherwise, the vertebral bodies are morphologically normal. No fractures are seen.Loss of disk height with extensive endplate irregularity and scl... | Advanced degenerative disk disease at L4-5 with disk bulging and ligamentum flavum hypertrophy, both of which contribute to a moderate spinal canal stenosis. Accounting for differences in technique, the degree of canal stenosis appears similar to that seen on the prior MRI. |
Generate impression based on findings. | 34-year-old male patient with abdominal pain. Evaluate for small bowel abnormality. ABDOMEN:LUNG BASES: Trace bilateral dependent atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormal... | 1.Mild thickening of distal sigmoid colon, consistent with residual inflammation.2.Colonic diverticulosis without evidence of diverticulitis. |
Generate impression based on findings. | 61 year old male. Reason: Evaluate for thrombus in or around LVAD / kink in graft. History: S/P L MCA embolic stroke Cardiac Morphology:Left Ventricle:Left ventricular enlargement and wall thickening with LVAD cannula at the apex. The left ventricle has an LVAD input cannula at the apex that is in close apposition to t... | 1. LVAD input cannula is closely apposed and partially obstructed by ventricular free wall.2. LVAD output cannula has diffuse eccentric thrombus along its length.3. LAD multifocal coronary calcification. The results were discussed with the clinical service at the time of the examination. |
Generate impression based on findings. | 67 year old patient with history of cancer at base of tongue. Please re-evaluate and compare to previous scans. CT head: The 2.9 x 1.6 cm partially calcified ovoid lesion at the anterior aspect of the right middle cranial fossa is unchanged and most likely represents a meningioma. There is no intracranial mass, fluid c... | Stable post-treatment changes including asymmetry the base the tongue without mass or enhancement pattern suggesting residual/recurrent tumor. |
Generate impression based on findings. | Female, 77 years old, unstable gait. No CT evidence of acute territorial ischemia is demonstrated. No intracranial hemorrhage is seen.The lateral and third ventricles are prominent in relation to the sulci. No periventricular hypodensity is seen. Otherwise, no abnormal extra-axial fluid collections are detected. There ... | 1. No CT evidence of acute territorial ischemia or acute intracranial hemorrhage.2. Prominence of the supratentorial ventricles, out of proportion to the sulci, could be normal variation or reflective of an unusual pattern of central atrophy. However, given the clinical history, the possibility of normal pressure hydro... |
Generate impression based on findings. | Flank pain, blood in urine Limited study due to lack of IV contrast.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... | Right punctate nephrolithiasis without evidence of hydronephrosis. |
Generate impression based on findings. | 55-year-old female patient with metastatic large cell neuroendocrine lung cancer, status post chemotherapy. Please compare with prior examination to evaluate disease status. CHEST:LUNGS AND PLEURA: Bilateral prominently upper lobe moderate centrilobular emphysematous changes, stable. Scattered mild atelectasis. Pleural... | 1.Unchanged chest, abdominal, pelvic and bone metastatic disease.2.New posterior left lower lung micronodule is nonspecific. |
Generate impression based on findings. | 66-year-old female with recent history of splenic artery embolism. Presenting with diffuse abdominal pain ABDOMEN:LUNG BASES: Dependent atelectasis and trace pleural effusion on the right side.LIVER, BILIARY TRACT: Postsurgical changes secondary to liver transplant.SPLEEN: Interval embolization of patient's known splen... | Interval embolization of patient's known splenic artery aneurysm with interval development of infarct or more than 50% of the spleen. |
Generate impression based on findings. | Evaluate for neoplastic process on a patient with paraneoplastic syndrome CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: There are some supraclavicular and superior mediastinal enlarged lymph nodes. Index superior mediastinal node measures 1.5 by 1.1 centimeter in image number 10, series... | Supraclavicular, retroperitoneal and pelvic borderline enlarged enlarged lymph nodes. Their etiology and significance is unknown.Fatty infiltration of the liver.Cholelithiasis. |
Generate impression based on findings. | 64-year-old female with change in neurological examination, generalized muscle weakness, evaluate for edema Redemonstration of right MCA distribution ischemia with a significant interval increase in associated cytotoxic edema and increasing leftward midline shift now measuring approximately 12 mm, previously measured 4... | 1. Interval increase in right-sided cytotoxic edema with significant interval increase in mass effect and leftward midline shift which now measures approximately 12 mm. Slight interval posterior progression of large territory infarct.2. Interval development/progression of a primarily left frontal lobe cortical stroke.3... |
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