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Generate impression based on findings. | 56-year-old male with chest pain and dysphagia. History of lung cancer. Evaluate for esophageal compression. LUNGS AND PLEURA: Interval decrease in the infiltrative, right paramediastinal mass and associated paramediastinal right upper lobe scarring; the soft tissue mass and the scarred lung currently measures 5.9 x 2.... | 1.Interval decrease in right mediastinal mass as described above.2.Soft tissue surrounding the esophagus causing narrowing of lumen with resultant air fluid level in or proximal esophagus suggestive of stasis. |
Generate impression based on findings. | 53-year-old male with abdominal pain, history of SBO and gastric cancer, ABDOMEN: The lack of IV contrast limits evaluation of solid organ pathology.LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: The patient's known hepatic metastases are poorly visualized due to the lack of IV contrast, but several ... | 1. Gastric distention with wall thickening/adenopathy at the gastric outlet consistent with partial gastric outlet obstruction.2. Limited exam demonstrating metastatic disease as detailed above. |
Generate impression based on findings. | History of renal cell cancer ABDOMEN:LUNG BASES: Bilateral trace pleural effusions, new from previous study.LIVER, BILIARY TRACT: Hypodense lesion in the left lobe of the liver likely a benign lesion, unchanged.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signific... | No evidence of recurrent or metastatic disease.New, trace, bilateral pleural effusions. |
Generate impression based on findings. | 71-year-old female with history of gastric cancer CHEST:LUNGS AND PLEURA: Scarring in the right lung base.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: ... | Postsurgical changes secondary to gastrectomy. CT findings compatible with peritoneal carcinomatosis.Follow-up imaging is recommended for further evaluation of the subcentimeter left renal/perirenal lesion. |
Generate impression based on findings. | Male, 53 years old, nasal obstruction, polyps on exam. Assess for chronic sinusitis and extent of nasal polyposis. The frontal sinuses are clear. Mucosal thickening is seen at the level of the frontoethmoidal recesses, more so on the left. The sphenoid sinuses are clear. The sphenoethmoidal recesses are obscured by mil... | Nasal cavity polyps. No other definite evidence of active sinus disease. |
Generate impression based on findings. | Clinical question: Rule out bleed. Signs and symptoms: Pain. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter diffe... | 1.No active intracranial process.2.Mild chronic left maxillary sinus disease. |
Generate impression based on findings. | Clinical question: Fall, facial laceration. Signs and symptoms: As above. Nonenhanced head CT:No evidence of acute intracranial, calvarial or soft tissues of the scalp findings.There are mild periventricular and subcortical low attenuation a white matter concerning for age indeterminant small vessel ischemic strokes.Un... | 1.No acute post traumatic findings.2.Age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Clinical question: Cerebral edema. Signs and symptoms: Hyponatremia. Nonenhanced head CT:There is no detectable acute intracranial process in particular no evidence of cerebral edema.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation.Unremarkable calv... | No definitive intracranial abnormalities are identified. |
Generate impression based on findings. | Clinical question: Left arm plegia. Signs and symptoms: As above. Unenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute non-hemorrhagic ischemic strokes.Very subtle subcortical and periventricular low attenuation of white matter is concerning for mild age indeterm... | Mild age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | 34-year-old male with tachycardia. PULMONARY ARTERIES: Diagnostic quality exam without evidence of pulmonary embolus.LUNGS AND PLEURA: Bilateral basilar ground glass opacities and minimal subsegmental consolidation in the superior segment of the right lower lobe, not entirely specific but likely represent subsegmental ... | 1.No pulmonary embolus.2.Basilar ground glass opacities and subsegmental consolidation and represent combination of atelectasis and aspiration. |
Generate impression based on findings. | 61-year-old male with chronic driveline leak ABDOMEN: Lack of IV contrast limits evaluation of solid organ pathology and vasculature. Given these limitations the following observations are made.LUNG BASES: Bilateral pleural effusions with consolidation and atelectasis. Cardiac assist device and driveline are noted with... | 1. No evidence of abdominal or superficial fluid collection/abscess.2. Basilar pleural effusions and consolidation, correlate for pneumonia. |
Generate impression based on findings. | Reason: 40M with MDS recent CAP s/p abx with persistent fever History: fever LUNGS AND PLEURA: New nodular and masslike opacities, involving the right upper lobe and both lower lobes, with surrounding groundglass.Small bilateral pleural effusions are present, left larger than right, left larger than on the prior study.... | 1. Multifocal pneumonia, likely fungal in etiology with enlarging left pleural effusion.2. Diffuse esophagitis, opportunistic infection a possible etiology. |
Generate impression based on findings. | Drooling, fever, widened retropharyngeal space of the neck on XR. There is no evidence of retropharyngeal abscess or other neck abscess. No mass lesions are identified. There are secretions within the vallecula. Otherwise, there is no significant narrowing of the airway. The epiglottis does not appear thickened. Likewi... | 1. No evidence of abscess. Otherwise, non-specific secretions within the vallecula and mildly prominent bilateral level 1 lymph nodes may be reactive.2. Partially imaged patchy opacities and lucencies in the lungs may be related to reactive airway disease or pneumonia. Refer to the recent chest radiograph for additiona... |
Generate impression based on findings. | 55-year-old male vomiting blood on heparin ABDOMEN:LUNG BASES: Consolidation at the both lung bases.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Multiple wedge-sha... | 1. Diffuse bowel dilatation with air-fluid levels consistent with ileus.2. Hiatal hernia and mild distal esophageal wall thickening.3. Basilar consolidation suggesting infection/aspiration. |
Generate impression based on findings. | Male 59 years old; Reason: Pre-Kidney Transplant evaluation, assess aorta and iliacs vessels for kidney transplant History: Lack of Pedal pulses on evaluation ABDOMEN: Reason: Pre-Kidney Transplant evaluation, assess aorta and iliacs vessels for kidney transplant History: Lack of Pedal pulses on evaluationLUNGS BASES: ... | 1.Calcifications of the abdominal aorta and branch vessels as described above.2.Indeterminant small exophytic lesion off of the inferior pole right kidney given lack of IV contrast. RCC cannot entirely be excluded. |
Generate impression based on findings. | 18 year-old female. Clinically worsening pharyngitis. Rule out abscess. CT head: There is no intracranial mass, fluid collection, hemorrhage, hydrocephalus or CT evidence of acute ischemia. Gray-white matter differentiation is normal bilaterally and the midline is intact. The bones, orbits and mastoid air cells are nor... | Bilateral enlargement of the palatine tonsils as well as pharyngeal mucosal edema and a small improving retropharyngeal effusion all likely secondary to tonsillitis. No retropharyngeal abscess or vascular abnormality. Sphenoid sinus mucosal thickening likely represents sinusitis. |
Generate impression based on findings. | 74-year-old male with intra-abdominal fluid collections status post drainage, evaluate collections ABDOMEN:LUNG BASES: Bilateral pleural effusions with adjacent atelectasis. Necrotic adenopathy within the mediastinum is partially visualized.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant a... | Multiple lower abdominal fluid collections are decreased in size. Collection anterior to the stomach containing contrast and gas suggesting a leaking G-tube has increased in size. Findings discussed with clinical service by ROC at the time of the exam as documented in the Stat Consult. |
Generate impression based on findings. | 65 year-old female with leukocytosis status post ex lap ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy. No focal hepatic lesionsSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS... | 1. Increase in size of fluid collection containing foci of gas adjacent to the terminal ileum consistent with abscess. This finding was discussed with the referring service (pager 2701) at the time of the preliminary read.2. Borderline enlarged retroperitoneal and mesenteric lymph nodes. |
Generate impression based on findings. | 10-year-old male with abdominal pain, emesis. Evaluate for appendicitis. ABDOMEN:LUNG BASES: No focal air space opacities or pleural effusions.LIVER, BILIARY TRACT: The liver is normal in size and attenuation. There is no extrahepatic or intrahepatic biliary ductal dilatation. The gallbladder is distended without evide... | Normal examination. No acute abnormalities to explain the patient's abdominal pain. |
Generate impression based on findings. | 28 year-old male patient with history of renal calculi presents with left flank pain. ABDOMEN:LUNG BASES: Bilateral dependent atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality ... | Cluster of obstructing renal calculi in the mid left ureter, measuring 6 mm in diameter with associated left mild hydronephrosis. |
Generate impression based on findings. | Neutropenic fever, facial pain, please evaluate for infection. The paranasal sinuses and nasal cavity are clear. There is mild nasal septal deviation and leftward spur. The middle ear and mastoid air cells are clear. The imaged intracranial structures and orbits are grossly unremarkable. There are right palatine tonsil... | No evidence of sinusitis. |
Generate impression based on findings. | Syncope/seizure. There is prominence of sulcal and ventricular spaces which is unchanged from previous and is most likely in keeping with atrophic change. Subtle hypoattenuation within the left basal ganglia and corona radiata likely represents sequela of chronic small vessel ischemic disease. There is no intracranial ... | No acute intracranial abnormality demonstrated. |
Generate impression based on findings. | Subdural hematoma. There is no significant interval change in the predominantly hyperattenuating holohemispheric left subdural hematoma tracking along the falx and tentorium that measures up to 10 mm in width. There is no significant interval change in the approximately 10 mm left to right midline shift and left uncal ... | 1. No significant interval change in the predominantly hyperattenuating holohemispheric left subdural hematoma tracking along the falx and tentorium that measures up to 10 mm in width. 2. No significant interval change in the approximately 10 mm left to right midline shift and left uncal herniation, and effacement of t... |
Generate impression based on findings. | Reason: h/o tonsil cancer History: r/o lung mets LUNGS AND PLEURA: Punctate benign-appearing micronodules, with no specific evidence of metastases.MEDIASTINUM AND HILA: There is no mediastinal or hilar lymphadenopathy.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of enteric contrast material marke... | 1. No sign of metastases.2. Large hepatic cavernous hemangioma, unchanged. |
Generate impression based on findings. | 68 year-old female patient with history of bariatric surgery and diverticulosis presents with acute worsening of chronic epigastric abdominal pain. ABDOMEN:LUNG BASES: Bilateral dependent atelectasis.LIVER, BILIARY TRACT: Gallbladder containing dependent, hyperattenuating material, most likely gallbladder gravel. No du... | 1.Mild jejunal wall thickening with mesenteric fluid and small amount of ascites. Patent vasculature without intramural air or lack of enhancement makes ischemia less likely. Bowel thickening is nonspecific and may be secondary to infection or inflammation.2.Colonic diverticulosis without evidence of diverticulitis. |
Generate impression based on findings. | Pharyngitis and left lateral neck mass. Rule out abscess. Deep to the left sternocleidomastoid at level III there is a 1.6 (AP) x 2.1 (trans) x 2.7 (CC) mm thinly rim enhancing hypoattenuating lesion which effaces the left internal jugular vein and exerts mass effect on the overlying SCM . There is intramuscular hypoat... | Hypoattenuating rim enhancing lesion deep to the SCM at level III which most likely represents a suppuritive lymph node. Given the patient's age and symptoms this most likely represents infectious sequela, however this finding should be followed to ensure resolution to exclude other potential etiologies. |
Generate impression based on findings. | 80 year old female with small cell lung cancer status post 4 cycles of chemotherapy. CHEST:LUNGS AND PLEURA: Right upper lobe paramediastinal mass is decreased in size and measures 7.5 x 6.3 cm in axial dimension, previously measured 9.1 x 6.5 cm (series 80248, image 23); mass currently measures 5.7 cm in craniocaudal ... | 1.Interval decrease in size of right apical lung mass.2.Minimal interval increase in size of right upper lobe nodule.3.No significant change in mediastinal lymphadenopathy and liver metastases.4.There is a ill-defined hypodensity in the left kidney which measures 9 x 12 mm; this was not measurable on prior exam (series... |
Generate impression based on findings. | 85-year-old female patient with history of diverticulosis presents with right-sided abdominal pain. ABDOMEN:LUNG BASES: Bilateral dependent atelectasis.LIVER, BILIARY TRACT: Hypoattenuating, nonenhancing liver lesions in segments 8 and 6 are unchanged compared to prior examination. Hypoattenuating lesion in segment 5b ... | 1.Colonic diverticulosis without evidence of diverticulitis. Bowel normal in caliber.2.Multiple hypoattenuating liver lesions, stable.3.Stable adrenal adenoma.4.Stable prominence of pancreatic duct and hypoattenuating lesion in the body, consistent with an IPMN.5.Multiple hypoattenuating renal lesions, most likely repr... |
Generate impression based on findings. | Reason: lung cancer s/p 2 cycles of chemo. please evaluate and compare with previous scan History: lung cancer CHEST:LUNGS AND PLEURA: Dense consolidation and atelectasis of the left upper lobe with a large peripheral cavity or loculated pleural air collection with a bronchopleural fistula, consistent with radiation re... | 1.Slight interval progression of right lung metastases.2.New thrombus in the left subclavian vein. |
Generate impression based on findings. | 46-year-old male with diffuse large B-cell lymphoma. Chest radiograph concerning for PCP. LUNGS AND PLEURA: Diffuse bilateral groundglass opacities with sparing of the subpleural lung and relative sparing of the lung bases. No consolidation or pleural effusions.MEDIASTINUM AND HILA: Heart size normal. Mildly enlarged c... | 1.Diffuse bilateral ground glass opacities in the lungs, most suspicious for atypical infection such as PCP given patient's immunosuppressed status. 2.Improved significant lymphadenopathy in upper retroperitoneum and mesentery, consistent with known lymphoma. |
Generate impression based on findings. | 39-year-old female patient with history of gestational trophoblastic disease status post hysterectomy, omentectomy and bilateral salpingo-oophorectomy presents with vomiting. Evaluate for small bowel obstruction. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted... | 1.Small bowel dilatation extending to the terminal ileum is consistent with a low-grade obstruction. Associated mesenteric fluid. No definitive transition point identified. No intramural air or free air.2.Small index left pelvic lymph node minimally increased in size. |
Generate impression based on findings. | 68-year-old female with history of appendiceal cancer CHEST:LUNGS AND PLEURA: Stable elevation of the right hemidiaphragm with compressive atelectasis. No new nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.CHEST WALL: Marked thoracic dextroscoliosis and spinal rod, again noted.ABDOMEN:L... | Stable interval exam without evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 66 year old female with thoracic aneurysm, also evaluate iliac vessels CHEST:LUNGS AND PLEURA: Subsegmental atelectasis involving the lingula and lower lobes.MEDIASTINUM AND HILA: There is a partially thrombosed saccular aneurysm arising from the lateral wall of the distal transverse arch, just distal to the origin of ... | 1. Partially thrombosed saccular aneurysm arising from the lateral wall of the distal transverse arch, initiating approximately 4 mm distal to left subclavian artery.2. Extensive atherosclerotic disease of the aorta with ulcerated plaques. Multifocal moderate to severe stenoses involving the common iliac, external ilia... |
Generate impression based on findings. | 56-year-old male patient with history of hepatitis C cirrhosis, carcinoid tumor and significant ascites present with left lower quadrant pain. Evaluate for diverticulitis. ABDOMEN:LUNG BASES: Moderate right-sided pleural effusion with overlying atelectasis.LIVER, BILIARY TRACT: Cirrhotic liver morphology without focal ... | 1.Sigmoid diverticulosis without evidence of diverticulitis. 2.Cirrhotic liver with evidence of portal hypertension.3.Partial thrombus in the portosplenic confluence and superior mesenteric vein, stable.4.Small amount of abdominal ascites.5.Moderate right pleural effusion.6.Umbilical hernia. |
Generate impression based on findings. | Subdural hematoma. There is no significant interval change in the predominantly hyperattenuating holohemispheric left subdural hematoma tracking along the falx and tentorium that measures up to 10 mm in width. There is no significant interval change in the approximately 10 mm left to right midline shift and left uncal ... | 1. No significant interval change in the predominantly hyperattenuating holohemispheric left subdural hematoma tracking along the falx and tentorium that measures up to 10 mm in width. 2. No significant interval change in the approximately 10 mm left to right midline shift and left uncal herniation, and effacement of t... |
Generate impression based on findings. | Persistent fever after treatment for CAP, and nasal/sinus congestion. There is unchanged minimal mucosal thickening and retention cyst formation within the bilateral maxillary sinuses and left frontoethmoid recess. The paranasal sinuses are otherwise clear. The nasal cavity is also clear. There is an unchanged prominen... | No evidence of acute rhinosinusitis. |
Generate impression based on findings. | 90 year-old male patient with history of renal cell carcinoma. Assess for metastatic disease. Note that lack of intravenous contrast limits evaluation of vasculature, lymph nodes, hollow and solid viscera.CHEST:LUNGS AND PLEURA: Scattered pulmonary nodules are unchanged compared to prior examination.MEDIASTINUM AND HIL... | 1.Stable examination given limitations of lack of intravenous contrast.2.Mild mesenteric panniculitis. |
Generate impression based on findings. | Reason: follow-up of BOT SCC T1N2B HPV + no measurable disease s/p LND 5/23/11, s/p CRT 10/2011 History: as above CHEST:LUNGS AND PLEURA: Mild apical scarring. Stable left lower lobe calcified granuloma. The right upper lobe ground glass nodule is not significantly changed (series 4, image 26). Streaky right basilar sc... | No evidence of metastatic disease. Unchanged ground glass nodule in the right upper lobe likely represents atypical adenomatous hyperplasia. Follow up on this patient's routine surveillance is sufficient. |
Generate impression based on findings. | 19 year-old female with Hodgkin's lymphoma. End of therapy evaluation. LUNGS AND PLEURA: No new suspicious pulmonary nodules are masses. No pleural effusions.MEDIASTINUM AND HILA: The confluent anterior mediastinal and prevascular lymphadenopathy appears similar to the prior exam. The right anterior paramediastinal mas... | 1. Minimal changes in the thoracic lymph nodes, as described above.2. No new sites of disease.3. Stable appearance of the hypoattenuating focus at the floor of the right atrium. |
Generate impression based on findings. | Male 30 years old; Reason: evaluate for intraabdominal process History: sudden onset abdominal pain ABDOMEN:LUNGS BASES: Calcified nodes suggest prior healed granulomatous disease.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.A... | 1.No acute intra-abdominal pathology detected. |
Generate impression based on findings. | Female 68 years old; Reason: 68y/oF with a history of multiple myeloma s/p chemo s/p stem cell transplant with diverticulitis. Please reassess for diverticulitis. History: Diverticulitis ABDOMEN:LUNG BASES: Mild dependent atelectasis in bilateral bases.LIVER, BILIARY TRACT: No suspicious focal liver lesions. No intrahe... | 1.Decrease in size of the diverticulitis with intramural abscess and walled off perforation.2.Stable mild ectasia and aneurysmal dilatation of the infrarenal aorta prior to the iliac bifurcation.3.Stable nodular left adrenal gland with slight interval increase in size compared to 2012 CT study. |
Generate impression based on findings. | 72-year-old male with history of urothelial cancer CHEST:LUNGS AND PLEURA: Scattered micronodules are unchanged. Mild subpleural apical scarring.MEDIASTINUM AND HILA: Scattered mediastinal lymph nodes are unchanged. Moderate athero-sclerotic calcification of the coronary arteries and thoracic aorta.CHEST WALL: No signi... | Unchanged reference left pelvic sidewall mass. Moderate fluid collection extending to the base of the penis. |
Generate impression based on findings. | Reason: testicular cancer surveillance History: testicular cancer CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN: Absence of enteric contrast material markedly limits sensitivity for abdominal pathology... | No interval change. No evidence of metastatic disease. |
Generate impression based on findings. | 48-year-old male with history of appendiceal cancer, evaluate for recurrent disease. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Calcified granulomata.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRET... | Stable exam without evidence of metastatic disease. |
Generate impression based on findings. | Hodgkin lymphoma. There is no residual significant lymphadenopathy in the neck. A reference left level IV node now measures 4 x 4 mm (series 6, image 50), previously 4 x 4 mm. There are partially imaged enlarged superior mediastinal lymph nodes. The oral cavity, oropharynx, nasopharynx, hypopharynx, larynx and subglott... | No residual significant lymphadenopathy in the neck, but there are partially imaged enlarged superior mediastinal lymph nodes. Please refer to the separate chest CT dictation for additional details. |
Generate impression based on findings. | 60 year-old male with metastatic melanoma, evaluate for progression. CHEST:LUNGS AND PLEURA: Scattered micronodules are unchanged.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No axillary lymphadenopathy. Reference left axillary lymph node is unchanged and measures 1.3 x 0.6 cm and previously measu... | Stable reference lesions as detailed above without new evidence of metastatic disease. |
Generate impression based on findings. | BOT SCC T1N2B HPV + no measurable disease s/p LND 5/23/1. s/p CRT 10/2011 and thyroid cancer status post CRT. Head: There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma appears unremarkable. There is no evidence of abnormal intracranial enhancement. The ventricles and basal cist... | 1.Stable post-treatment findings in the neck with no evidence of locoregional tumor recurrence in the thyroidectomy bed or tongue base and no significant lymphadenopathy.2.No evidence of intracranial metastatic disease. |
Generate impression based on findings. | Male 32 years old; Reason: H/O Recurrent Hodgkin Lymphoma in need of restaging imaging. History: H/O Recurrent Hodgkin Lymphoma CHEST:LUNGS AND PLEURA: Trace left pleural effusion. Small to moderate right pleural effusion occupies at least 25% of the right hemithorax.Multiple bilateral pleural-based nodules. New left u... | 1.Increase in the size of the lymph nodes.2.New left upper lobe pulmonary lesion.3.New left lower lobe emboli4.Findings discussed with Dr. Smith by telephone by Dr. Thomas |
Generate impression based on findings. | Nasal inverted papilloma excised 6/5/12. There are postoperative findings related to left maxillary antrostomy and uncinectomy, partial resection of the left anterior ethmoid air cells and left middle turbinate, and absence of a part of the posterior left frontal process of the maxilla and lamina papyracea. There has b... | Interval increase in size of a mass within the region of the left medial canthus, middle meatus, and nasolacrimal duct with extension into the inferior meatus, compatible with recurrent inverted papilloma. The precise margins of the mass are difficult to delineate on this non-contrast CT and MRI may be useful for furth... |
Generate impression based on findings. | Clinical question: Evaluate for intracranial injury. Signs and symptoms: Head trauma status post seizure. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- ... | No acute posttraumatic findings. |
Generate impression based on findings. | Chronic myeloid leukemia. There is a new air-fluid level within the left maxillary sinus. The infundibula are patent. There is also opacification of a right ethmoid air cell and a small retention cyst within the right frontoethmoid recess. The remaining paranasal sinuses are otherwise clear. The nasal cavity and mastoi... | New air-fluid level within the left maxillary sinus may indicate acute sinusitis in the appropriate clinical setting. |
Generate impression based on findings. | Reason: evaluate ILD History: sob cough fibrosis LUNGS AND PLEURA: Mild subpleural reticulation with septal thickening noted throughout both lungs in a uniform distribution. There is no evidence of groundglass opacities or significant architectural distortion. There is the suggestion of minimal basilar honeycombing. Sc... | Mild pulmonary fibrosis in a nonspecific pattern. Scattered areas of very minimal honeycombing may represent early UIP. |
Generate impression based on findings. | Reason: Evaluate for infection. Pt s/p SCT with history of ggo on CT History: Fever LUNGS AND PLEURA: Upper lobe scattered bilateral groundglass opacities have not significantly changed when compared to the prior study. Resolution of the left lower lobe groundglass, consistent with slowlyresolving infection. Bilateral ... | Upper lobe scattered bilateral groundglass opacities have not significantly changed when compared to the prior study. Resolution of the left lower lobe groundglass, consistent with slowlyresolving infection. |
Generate impression based on findings. | Neck pain. There is straightening of the physiologic lordosis and subtle kyphosis at the most superior aspect of the cervical spine. There is multilevel spondylosis including posterior osteophytes at C4-5, C5-6, C6-7 and T1-2. Anterior osteophytes are most prominent at C5-6 and to a lesser extent C4-5, C7-T1, and T1-2.... | Multilevel degenerative spondylosis most prominent at C3-4 and C4-5, where there is up to moderate to severe spinal canal and bilateral neural foraminal stenosis. There are milder degenerative changes at C5-6 and C6-7. These findings are better delineated on the prior MRI.I personally reviewed the Images and/or procedu... |
Generate impression based on findings. | Female, 2 months old, mandibular hypoplasia status post mandibular distraction. Evidence of bilateral mandibular osteotomy is seen with advancement of the anterior mandible by several millimeters. Bilateral distraction hardware is in place. The degree of mandibular hypoplasia is mildly improved relative to the prior ex... | Evidence of interval mandibular distraction as above. |
Generate impression based on findings. | Reason: 75 yo F with T4N0 NSCLC on 4.5 year post adjuvant therapy surveillance History: none CHEST:LUNGS AND PLEURA: Postsurgical findings consistent with left lower lobectomy.Bilateral pulmonary micronodules are stable. Calcified nodules within the peripheral right middle lobe again identified. Subpleural scar like op... | No evidence of metastatic disease. |
Generate impression based on findings. | Female 68 years old; Reason: pancreatic cancer restaging History: pancreatic cancer restaging CHEST:LUNGS AND PLEURA: Scattered micronodules. The right lower lobe pulmonary nodule measures 0.6 x 0.3 cm (image 61/series 5) and is unchanged.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion.Right chest w... | 1.Near stable size measurements of the primary pancreatic lesion and lymph nodes.2.Transverse colonic wall thickening of unclear etiology.3.No definite evidence of hepatic metastases. |
Generate impression based on findings. | Reason: eval for metastatic disease History: none LUNGS AND PLEURA: No pulmonary or pleural metastases noted.Minimal scarring right middle lobe.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Aberrant origin of the left vertebral artery directly from the arch, a normal variant.CHEST WALL: Mild degenerativ... | No sign of metastases, or other significant abnormality. |
Generate impression based on findings. | Male 71 years old; Reason: assess for metastatic extent of prostate cancer History: assess for metastatic extent of prostate cancer CHEST:LUNGS AND PLEURA: Scattered pulmonary granulomata. No dominant lung lesion. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. Extensiv... | 1.Osseous metastatic disease.2.Findings highly suspicious for a right renal cystic renal cell carcinoma the imaging features of a Bosniak 4 lesion.3.Right adrenal myelolipoma. |
Generate impression based on findings. | Clinical question: Suspected small nasal septal perforation. Signs and symptoms: Sinus pressure. Maxillofacial CT:Frontal sinuses are well pneumatized and without evidence of disease.Ethmoid sinuses are well pneumatized and without evidence of disease.Sphenoid sinus demonstrate a small focus of frothy contents in its a... | 1.Small focus of frothy material in the anterior right chamber of sphenoid sinus may represent minimal acute sinusitis. Occluded bilateral sphenoethmoidal recess secondary to mucosal thickening in the superior nasal cavity and along the anterior sphenoid wall.2.Unremarkable paranasal sinuses otherwise.3.Anterior nasal ... |
Generate impression based on findings. | Prenatal ultrasound showing CPAM LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedUPPER ABDOMEN: No significant abnormality noted. | Normal examination. |
Generate impression based on findings. | Female 48 years old; Reason: evaluate tumor burden History: s/p laryngectomy, head/neck ca CHEST:LUNGS AND PLEURA: Right lower lobe subsegmental atelectasis. Complete atelectasis of the left lung. Large left effusion occupying most of the left hemithorax. Trace right effusion.MEDIASTINUM AND HILA: Heart size is normal.... | 1.Enlarged upper mediastinal lymphadenopathy and bilateral axillary lymphadenopathy.2.Enlarged gastrohepatic lymph node.3.Complete collapse of the left lung with a large effusion.4.Cholelithiasis. |
Generate impression based on findings. | 54-year-old male with Crohn's disease and abdominal pain, rule out extramural abscess or tumor. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: The spleen is somewhat small for age.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significa... | Findings suggesting acute on chronic disease involvement of the descending colon with small fluid collection noted within the transversalis fascia. |
Generate impression based on findings. | Reason: follow-up RUL nodule History: none LUNGS AND PLEURA: Solid nodule with spiculated margins measures 5 mm and is unchanged in size. Ground glass micronodule in the left upper lobe is unchanged (series 5, image 8). Left medial lower lobe scar-like opacity in measures 9 x 5 mm and is not significantly changed in si... | Stable solid nodule in the right upper lobe. If the patient is low risk, no further follow-up is recommended. If the patient is high risk, such as smoking or malignancy history, follow up is recommended another 6 to 12 months. |
Generate impression based on findings. | Female 85 years old Reason: preop evaluation TSA . Please include entire scapula There are multiple subchondral cysts in the glenoid and superior femoral head as well is associated subchondral sclerosis, osteophytosis and severe glenohumeral joint space narrowing compatible with severe osteoarthritis. No definite fatty... | Severe glenohumeral osteoarthritis as described above. |
Generate impression based on findings. | 72 year-old male with mesothelioma. CHEST:LUNGS AND PLEURA: Again seen is diffuse pleural thickening in the right hemithorax with associated volume loss.Reference pleural measurements appear similar to prior study:1.Adjacent to T4 vertebral body at the 4 clock position measures 17 mm, previously measured 18 mm (series ... | 1.No significant change in right thoracic mesothelioma. 2.Irregularly marginated nodular opacity in left lower lobe is unchanged since CT from 9/2013; however, while not specific, the morphology is compatible with primary lung carcinoma and continued follow-up is recommended. |
Generate impression based on findings. | Status post tonsillectomy, neck dissection followed by radiation for a T2N1 cancer of the right tonsil. There are postoperative findings related to right tonsillectomy and neck dissection. There has been interval decrease in the degree of supraglottic edema related to radiation therapy as well as decreased effacement o... | 1.Interval evolution of post-treatment findings for right tonsillar squamous cell carcinoma without evidence of locoregional tumor recurrence.2.No evidence of significant cervical lymphadenopathy. |
Generate impression based on findings. | Reason: assess for causes of worsening shortness of breath, recent h/o pulmonary hemorrhage at OSH History: worsening SOB since 8/13 LUNGS AND PLEURA: Scattered groundglass opacities are similar to the prior exam and are suggestive of edema. Increased interlobular septal thickening compare to the prior exam compatible ... | 1.Marked enlargement of pulmonary artery compatible with pulmonary hypertension.2.Scattered groundglass opacities with interval increase in interlobular septal thickening compatible with pulmonary edema. No evidence of pleural effusions.3.Pericardial effusion is increased in size since the prior exam.4.Subpleural nodul... |
Generate impression based on findings. | Left upper quadrant abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: 1.2 by 0.9-cm left adrenal nodular focus best seen on image 49 of series 4KIDNEYS... | Left adrenal nodular focus incompletely characterized on this portal venous study. Dedicated adrenal CT or MR would be helpful for further characterization. Otherwise, no acute, inflammatory, or neoplastic process. Extensive vascular calcification. |
Generate impression based on findings. | Reason: PE History: SOB PULMONARY ARTERIES: Technically adequate study. There is a small filling defect in the left lower lobe segmental artery consistent with pulmonary embolus.LUNGS AND PLEURA: Marked improvement of left upper lobe consolidation with residual groundglass opacities. Residual fine groundglass opacities... | 1.Small left lower lobe segmental artery pulmonary embolus.2.Marked improvement of left upper lobe consolidation with residual groundglass opacities that may represent recurrent infection.3.Small to moderate circumferential pericardial effusion.4.Right small pleural effusion.Findings discussed with ER physician over th... |
Generate impression based on findings. | 69-year-old female with history of bladder cancer ABDOMEN:LUNG BASES: Calcified left lower lobe granuloma.LIVER, BILIARY TRACT: Stable left hepatic cyst and subcentimeter hypodensities.SPLEEN: Splenic granulomas.PANCREAS: No significant abnormality notedADRENAL GLANDS: Unchanged left adrenal adenoma.KIDNEYS, URETERS: R... | 1. New large complex enhancing lesion posterior right kidney most suspicious for tumor recurrence unless there are clinical signs of infection. Additional reference lesions are unchanged.2. Extensive atherosclerotic calcification and plaque of the abdominal aorta and its branches, with multiple ulcerated plaques, appea... |
Generate impression based on findings. | 36-year-old female patient with history of abdominal desmoid tumor status post chemotherapy, surgery and radiation therapy. Finished therapy one month ago. Evaluate for recurrence. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Right chest wal... | Interval surgery with removal of greater omental mass. No evidence of new disease. |
Generate impression based on findings. | SCC of the head and neck with recurrent fevers and hypotension despite broad antibiotic coverage and no clear source. CT head: There is a newly apparent focus of hypoattenuation in the left basal ganglia. Hyperattenuation within the globus pallidi bilaterally most likely represents mineralization. Otherwise, no intracr... | 1.Extensive confluent necrotic nodal masses throughout the neck related to metastatic squamous cell carcinoma of the tongue virtually throughout all nodal levels of the neck with evidence of extracapsular spread. Some of the necrotic areas now appear smaller, while some of the more solid components appear larger.2.Flui... |
Generate impression based on findings. | 52-year-old male status post thigh sarcoma resection. Evaluate for metastatic disease LUNGS AND PLEURA: New punctate nodule in left lower lobe measuring 3 mm (series 10355, image 86). Punctate calcified granuloma again noted in right apex. No other nodules identified. No consolidation or pleural effusions. MEDIASTINUM ... | New micronodule in left lower lobe measures 3 mm; although this may be due to infection rather than metastatic disease, continued follow-up is recommended. No other findings of metastatic disease. |
Generate impression based on findings. | 36-year-old male with mild chronic nonproductive cough, history of lymphoma. Evaluate for radiation fibrosis or postchemotherapy effect. LUNGS AND PLEURA: Mild left lung volume loss with linear left apex opacities most consistent with scarring, possibly due to prior infection or radiation. Minimal left basilar ground-g... | 1.Mild left lung volume loss with mild scarring in left apex and mild ground glass opacities in left base; findings not specific but likely chronic and could be related to prior radiation and/or infection. 2.Several punctate micronodules all measuring less than 4 mm, likely benign in nature. |
Generate impression based on findings. | 16 year old female with history of leukemia, intubated. Evaluate lung fields, specifically pulmonary nodules and pleural effusions. LUNGS AND PLEURA: Bibasilar areas of consolidation are noted with surrounding nodular airspace and ground glass opacities compatible with atelectasis and likely superimposed pneumonia. The... | 1. Bibasilar airspace opacities/consolidation compatible with atelectasis and likely superimposed pneumonia. Interval decrease in size of scattered nodular and groundglass opacities suggests overall improvement compared to the prior study from October 21, 2013.2. Interval resolution of small bilateral pleural effusions... |
Generate impression based on findings. | Reason: evidence of PE? History: SOB, tachypnea, tachycardia PULMONARY ARTERIES: No evidence of pulmonary embolus.LUNGS AND PLEURA: Previous basilar groundglass opacities near completely resolved. Bronchial wall thickening in several areas of mucoid impaction remain. There are groundglass opacities with areas of septal... | Multifocal areas of groundglass opacity with diffuse bronchial wall thickening suspicious for recurrent aspiration and infection. Consider underlying asthma or reactive airway disease. |
Generate impression based on findings. | 68-year-old female patient with cholangiocarcinoma. Please assess response to therapy and provide index lesion measurements. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Right cardiophrenic lymph node is stable compared to prior examination.CHEST WALL: Right Port-A-Cath with catheter ti... | 1.Numerous liver lesions, grossly stable in size. No evidence of new sites of disease. Recommend continued follow up with arterial and portal venous phase CT scans.2.Soft tissue density in subcutaneous fat in right lateral abdominal wall is new compared to prior examination and may represent injection site versus new s... |
Generate impression based on findings. | 81 year old patient with advanced dementia and hallucinations. There is unchanged diffuse mild prominence of CSF spaces in keeping with atrophic change most prominent over the frontal lobes bilaterally. There is no evidence of intracranial mass, hemorrhage, hydrocephalus or cerebral edema. There is mild nonspecific cer... | 1. Mild cerebral volume loss, but no evidence of acute intracranial hemorrhage, mass, or cerebral edema.2. Partial opacification of the right mastoid air cells, which may represent mastoiditis in the appropriate clinical setting. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with ... |
Generate impression based on findings. | Clinical question: Evaluate for chronic sinusitis. Signs and symptoms: History of previous sinus surgery now having frequent sinusitis treated medically without resolution. Medtronic fusion sinus CT:Frontal sinuses are well pneumatized and without evidence of disease. Improvement since prior exam.Ethmoid sinuses. There... | 1.No detectable acute or chronic sinusitis. Interval complete resolution of previously noted sinusitis.2.Expected postoperative changes of endoscopic functional sinus surgery as detailed above. |
Generate impression based on findings. | Male 25 years old; Reason: kidney stone History: low back pain with groin pain, history of 5 stones in the past 5 years 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... | 1.Small nonobstructing nephrolith in the mid pole left kidney. Otherwise, no acute intra-abdominal pathology detected. |
Generate impression based on findings. | Male 65 years old; Reason: mets lung cancer, s/p chemo and RT, pls c/w previous study and evaluate dz status and tx response. History: lung ca CHEST:LUNGS AND PLEURA: Unchanged moderate sized right pleural effusion and right basilar atelectasis obscuring right lower lobe nodule . Volume loss in the right middle lobe wi... | 1.Overall stable to slightly improved metastatic disease. |
Generate impression based on findings. | 69-year-old female status post fall, evaluate for bleed. CT brain:Soft tissue injury to the left posterior parietal scalp.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 iden... | 1. No acute intracranial abnormalities.2. Multilevel degenerative changes of the cervical spine without evidence of fracture or malalignment.If clinical desire to further evaluate degenerative changes exists, MRI of the cervical spine may be obtained. |
Generate impression based on findings. | Male 72 years old; Reason: history of progressive prostate cancer History: prostate cancer ABDOMEN:LUNGS BASES: Bibasilar atelectasis noted. No nodule or mass detected.LIVER, BILIARY TRACT: Subcentimeter hypoattenuating lesion in segment V too small to reliably characterize, however stable. Liver morphology is normal. ... | Interval decrease in the significant bilateral hydronephrosis and hydroureter with mild to moderate residual. Multiple bladder stones with a significantly enlarged prostate is also stable. |
Generate impression based on findings. | 74 year-old male with laryngeal cancer and emphysema. CT chest on 8/8/2013 showed new nodular opacity. LUNGS AND PLEURA: Severe centrilobular emphysema. Interval decrease in previously seen posterior right lung opacities and right lower lobe nodularity, which may have been due to aspiration, especially given patient's ... | 1.Interval decrease in right lung opacities, which may have been due to aspiration. Persistent small opacities seen in the superior segment of the right lower lobe and inferior aspect of right upper lobe may post-inflammatory although continued follow up is recommended.2.No convincing evidence of metastatic disease. |
Generate impression based on findings. | 59-year-old male patient with pre-kidney transplant assessment of vasculature. History of advanced peripheral vascular disease. Note that the lack of intravenous and oral contrast limits evaluation of the vasculature, lymph nodes, hollow and solid viscera.ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILI... | Significant calcifications in the common and internal iliac arteries with scattered calcifications in the external iliac arteries. |
Generate impression based on findings. | 62 year-old female with shortness of breath and increased work of breathing. Evaluate pleural effusion and mass. LUNGS AND PLEURA: Significant interval increase in previously seen centrally necrotic left lung mass; the mass is difficult to measure due to lack of IV contrast and difficulty differentiating from underlyin... | 1.Interval increase in large left lung mass which now causes complete obstruction of left mainstem bronchus and resultant complete collapse of left lung. There is associated large, loculated left pleural effusion. 2.Interval development of small right pleural effusion and right basilar consolidation/atelectasis.3.Multi... |
Generate impression based on findings. | Reason: Patient with a h/o swcca pyriform sinus s/p CRT at OSH. Please evaluate. History: SCCA pyriform sinus LUNGS AND PLEURA: Motion limits sensitivity. Mild apical and basilar scarring.Bronchial wall thickening. No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: No mediastinal or hi... | No evidence of metastatic disease. |
Generate impression based on findings. | Clinical question: Gait disorder. Signs and symptoms: Gait disorder. Unenhanced head CT:There is no detectable acute intracranial process CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes. There is mild to moderate primarily periventricular foci of low-attenuation a white matter consisten... | 1.No acute intracranial process.2.Age indeterminate small vessel ischemic strokes with resultant ex vacuo dilatation of supratentorial ventricular system.3.No convincing evidence of any abnormality in the posterior fossa. |
Generate impression based on findings. | Male, 74 years old, larynx cancer who failed radiation therapy, status post total laryngectomy. Since the prior examination, the patient has undergone total laryngectomy and tracheostomy. There is a voice prosthesis in place. Within the surgical bed, no definite evidence of recurrent disease is seen. There is smooth so... | 1. Expected changes status post laryngectomy and tracheostomy. No evidence of recurrent disease in the resection bed.2. No pathologic adenopathy in the neck. |
Generate impression based on findings. | Recurrent sinusitis, 3 prior sinus surgeries. There are postoperative findings related to bilateral uncinectomy, partial middle turbinectomy ,and partial ethmoidectomy. There is near complete opacification of the right maxillary sinus with hyperdense secretions (~90 HU) and diffuse mucosal thickening. There is an air-f... | Diffuse paranasal sinus opacification with evidence of acute upon chronic sinusitis, perhaps with a component of allergic fungal sinusitis. |
Generate impression based on findings. | 41-year-old male with head and neck cancer. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted. Interval removal of central venous catheter. CHEST WALL: Right clavicular fixation device.ABDOMEN: Absence of enteric contrast material markedly limits sensitivity... | No evidence of metastases. |
Generate impression based on findings. | 76-year-old male patient with history of resection of sigmoid, rectum and anus and exlap for obstruction presents with prolonged ileus. Assess for bowel obstruction/fluid collection. ABDOMEN:LUNG BASES: Interval increase in bilateral pleural effusions with associated atelectasis, right greater than left.LIVER, BILIARY ... | 1.Loculated fluid collections in the abdomen and pelvis. Largest fluid collection extending from the left pericolic gutter into the pelvis contains air, which may or present infection versus communication with loop of bowel.2.Slight interval decrease in presacral collection with drain in place.3.Persistently dilated lo... |
Generate impression based on findings. | Male 34 years old; Reason: perforation? History: pneumoperitoneum ABDOMEN:Extensive free intraperitoneal air is noted.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: N... | 1.Extensive free intraperitoneal air, likely from prior G-tube placement. No extravasation of enteric contrast.2.Rectal wall thickening with presacral space inflammation, correlate for stercoral colitis |
Generate impression based on findings. | 41-year-old male with right lower lobe lung nodule. LUNGS AND PLEURA: Moderate emphysema predominantly affecting the lung apices. Scattered punctate micronodules all measuring approximately 1 to 2 mm, likely benign in nature. No suspicious nodules identified.Mild basilar scarring/atelectasis.MEDIASTINUM AND HILA: Heart... | No suspicious nodules identified, specifically no nodules in right lower lobe. |
Generate impression based on findings. | Male, 41 years old, squamous cell cancer of the tongue status post CRT. Surgical deformity of the tongue is again seen with volume loss on the right appearing similar to the prior exam. Additional radiation related changes are also seen including mild infiltration and blurring of the fascial planes. This has improved f... | Redemonstration of postsurgical and treatment related change in the neck. No evidence of recurrent tumor or pathologic adenopathy. |
Generate impression based on findings. | Female 45 years old Reason: concern for abscess or tracking of infection History: leg pain, edema, induration, persistent bacteremia The study is limited by the lack of IV contrast.RIGHT THIGH: There is a large wound with complete loss of the subcutaneous fat along the anteromedial aspect of the right thigh musculature... | 1.Large right thigh wound with intra- and intermuscular edema as well as surrounding subcutaneous edema and skin thickening. We see no discrete abscess although we cannot exclude necrotizing fasciitis on the basis of this examination.2.Diffuse subcutaneous edema and skin thickening of the left thigh.3.Degenerative chan... |
Generate impression based on findings. | Fall on coumadin. There is no evidence of acute intracranial hemorrhage, mass, or edema. There is unchanged patchy hypoattenuation in the cerebral white matter, which likely represents small vessel ischemic disease. The ventricles and basal cisterns are stable in size and configuration. There is an unchanged 5 mm diame... | 1. No evidence of acute intracranial hemorrhage, fracture, mass, or edema. 2. Unchanged moderate patchy periventricular white matter hypoattenuation likely represents small vessel ischemic disease. |
Generate impression based on findings. | Head trauma. There is a right parieto-occipital subgaleal hematoma that measures up to 6 mm in width. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses an... | Small right parieto-occipital subgaleal hematoma. No evidence of intracranial hemorrhage, depressed skull fracture, mass, or cerebral edema. |
Generate impression based on findings. | Reason: 77F w/ end stage COPD w/ subacute worsening shortness of breath and dyspnea on exertion, evaluate for PE History: Shortness of breath, dyspnea on exertion PULMONARY ARTERIES: Technically adequate study. Very small nonocclusive linear filling defect in the proximal left apicoposterior segmental pulmonary artery.... | 1.Filling defect in the left upper segmental pulmonary artery consistent with acute pulmonary embolus.2.New small left pleural effusion and pericardial effusion.3.New 6mm left lower lobe nodule. Follow-up is recommended in 6 months if the patient is a smoker or otherwise at high risk for malignancy. 12 months CT follow... |
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