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Generate impression based on findings. | Female 35 years old; Reason: rectal IV restage History: none CHEST:LUNGS AND PLEURA: Multiple pulmonary metastasis, with interval resolution of the cavitation. While not significantly changed in size (Reference left lower lobe nodule measures 1.7 x 1.0 cm previously 1.8 x 1 cm (series 4 image 48), the fact that portion... | 1. No significant interval change in size of the numerous pulmonary metastasis, however the lesions have become more solid.2. Interval development of a hypoattenuating lesion within the liver, likely metastatic focus.3. Slight interval increased size of spiculated pelvic mass and increase in size and conspicuity of the... |
Generate impression based on findings. | 45-year-old female concern for psoas abscess with bacteremia and back pain and leg edema. ABDOMEN: Lack of IV contrast limits evaluation of solid organ pathology and vasculature.LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy. Nodular liver morphology, and recanalized umbil... | 1. No loculated fluid collections. Moderate abdominal and pelvic ascites and anasarca, increased from the prior study.2. Cirrhotic liver morphology. |
Generate impression based on findings. | Chest x-ray concern for dissection. Please evaluate. Short of breath. CHEST:LUNGS AND PLEURA: Large left pleural effusion with overlying atelectasis is new since the prior exam.MEDIASTINUM AND HILA: There is massive mediastinal lymphadenopathy. For reference purposes, a left paratracheal conglomeration of lymph nodes m... | 1.No evidence of aortic dissection.2.New massive adenopathy in the mediastinum as described above. Differential diagnosis includes small cell carcinoma and lymphoma. Findings were discussed with Dr. Aronson at the time of dictation.3.New large left pleural effusion with overlying atelectasis.4.Small pericardial effusio... |
Generate impression based on findings. | Worsening IPF. Worsening hypoxemia. Question PE. PULMONARY ARTERIES: Adequate infusion quality. Nonopacification of the lateral segmental pulmonary artery to the right middle lobe.. Additional small filling defects noted in the left lower lobe (7/188) and in the medial segment of the right middle lobe may be artifactua... | 1. Segmental level embolus in the right middle lobe compatible with pulmonary embolus. Eric Brandt (2660) verbally notified of the discrepancy between preliminary and final interpretations at 8:35 a.m. on 10/29/13.2. Unable to exclude nonocclusive small subsegmental emboli elsewhere due to motion artifact. No large cen... |
Generate impression based on findings. | 27-year-old male with pain and fluctuance, evaluate for perianal abscess. PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: Skin thickening and infiltra... | Phlegmonous collection adjacent to the anal canal below the anal sphincter with possible small fluid collection. |
Generate impression based on findings. | 28-year-old female with right lower 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: No significant abnormality notedKIDNEYS, URETERS: A sma... | Normal CT examination of the abdomen and pelvis without finding seen to account for patient's symptomatology. |
Generate impression based on findings. | Female 45 years old; Reason: please evaluate for recurrence or metastasis. History: history of bladder cancer s/p cystectomy, ileal conduit ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Interval development of a hypoattenuating lesion in the hepatic dome measuring 2.7 x 2.4 cm best seen on s... | 1. Interval stability of an hypoattenuating lesion in the liver since 2012, however new since 2011. Metastatic disease cannot entirely be ruled out. MRI may be helpful in characterizing lesion. 2. Postoperative changes of cystectomy and ileal conduit without recurrence or obstruction. |
Generate impression based on findings. | 76-year-old female with bladder cancer and recent cystourethrogram -- now with abdominal/right flank pain. Question of Perinephric abscess ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormalit... | 1. No evidence for perinephric abscess or other upper urinary tract abnormality. 2. No change moderate -sized hiatal hernia. 3 a stability for one year in 1.6-cm unilocular right adnexal cystic lesion -- these characteristics favor benign abnormality.. |
Generate impression based on findings. | Clinical question: Acute onset of headache and right eye pain in setting of metastatic thyroid history. Signs and symptoms: As above Nonenhanced head CT:No acute intracranial process. CT of ovaries insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricul... | No acute intracranial process. |
Generate impression based on findings. | 40 year-old female with headache, papilledema, concern for cerebral edema A catheter extends across the cerebellar hemisphere with the tip in the right prepontine cistern, unchanged. The cerebellar pontine angle arachnoid cyst has not significantly changed in size. The CSF spaces are appropriate for the patient's state... | 1. No acute intracranial abnormalities.2. No significant interval change in catheter position at the right cerebellar pontine angle. |
Generate impression based on findings. | Clinical question: Brain lesion? Signs and symptoms: HIV, limited inflammatory markers and headache. Nonenhanced head CT:No detectable acute intracranial process.Prominence of cortical sulci and ventricular system is us cerebellar/vermian folia the patient stated age of 45 is concerning for underlying parenchymal volum... | No acute intracranial process. |
Generate impression based on findings. | Astrocytoma status post VP shunt with new worsening speech, swallowing, and gait difficulty. There is a heterogeneous but predominantly hyperdense mass within the left basal ganglia with corresponding areas of enhancement as well as cystic and hemorrhagic components that overall measures approximately 4.5 cm, which is ... | 1.No significant interval change in the heterogenous mass with extensive surrounding edema, 12 mm midline shift, as well as subfalcine and uncal herniation, although these findings have gradually progressed over several months.2.No significant change in the partially calcified right thalamic mass.3.Interval decrease in... |
Generate impression based on findings. | 58-year-old female patient with abdominal discomfort and leukocytosis. Evaluate for perinephric or intra-abdominal abscess. ABDOMEN:LUNG BASES: Left basilar scarring versus atelectasis.LIVER, BILIARY TRACT: Heterogeneous liver parenchyma with increased attenuation, consistent with cirrhosis and fatty infiltration. Gall... | 1.No definitive intra-abdominal abscess.2.Numerous hypoattenuating lesions within the spleen are nonspecific and may represent old granulomatous disease or atypical infection. Given lack of primary neoplasm, they are unlikely to be metastatic. |
Generate impression based on findings. | Reason: r/o PE History: SOB and + dimer PULMONARY ARTERIES: Demonstration of acute pulmonary emboli involving the left lower lobe artery extending into segmental branches of the left lower lobe. In addition there is a filling defect in the right lower lobar artery that is more weblike and may represent chronic embolus.... | Demonstration of acute pulmonary emboli within the left lower lobe and probable chronic pulmonary embolus in the right lower lobe. No evidence of pulmonary infarction or hemorrhage. |
Generate impression based on findings. | Worsening IPF. Worsening hypoxemia. Question PE. PULMONARY ARTERIES: Adequate infusion quality. Nonopacification of the lateral segmental pulmonary artery to the right middle lobe.. Additional small filling defects noted in the left lower lobe (7/188) and in the medial segment of the right middle lobe may be artifactua... | 1. Segmental level embolus in the right middle lobe compatible with pulmonary embolus. Eric Brandt (2660) verbally notified of the discrepancy between preliminary and final interpretations at 8:35 a.m. on 10/30/13.2. Unable to exclude nonocclusive small subsegmental emboli elsewhere due to motion artifact. No large cen... |
Generate impression based on findings. | Female, 65 years old, status post subdural hemorrhage evacuation. Two right parietal burr holes have been created. A catheter courses through the more anterior of these burr holes to reside within the right subdural space.The large right hemispheric mixed density subdural collection has largely been evacuated. Only a s... | Interval near complete evacuation of the large right hemispheric subdural hematoma. Minimal residual blood product is seen. Substantial generalized mass effect seen on prior examination has significantly improved. |
Generate impression based on findings. | 67-year-old male with cough and lung cancer. CHEST:LUNGS AND PLEURA: Interval decrease in right upper lobe paramediastinal mass, currently measuring 5.2 x 4 .5 cm, previously measured 6.7 x 5.6 cm (series 5, image 25).Interval decrease in small right pleural effusion and resolution of left pleural effusion. Multiple fo... | 1.Interval decrease in right upper lobe mass and right pleural effusion.2.Mildly decreased mediastinal lymphadenopathy.3.Interval improvement in right upper lobe ground glass opacities, however, new bilateral basilar groundglass opacities, most likely due to chronic/recurrent aspiration. |
Generate impression based on findings. | 24-year-old male patient. Stage for testicular neoplasm. ABDOMEN:LUNG BASES: No nodules or abnormalities noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No ... | Large, heterogeneously enhancing left testicle. Left periaortic lymphadenopathy at level of left kidney. No evidence of disease in liver, lung bases or bones. |
Generate impression based on findings. | Mesenteric ischemia? Abdominal pain, generalized. Myelodysplastic syndrome. Polymyalgia rheumatica. Pain out of proportion elevated lactate. ABDOMEN:LUNG BASES: 6-mm nonspecific micronodule laterally at the left lung base (image 9; series 9).LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant a... | 1. No evidence of bowel infarction. Major mesenteric arteries and veins all appear patent. Collapse of the left colon could reflect early or mild ischemia; consider correlation with colonoscopy as clinically indicated.2. 6-mm micronodule at the left lung base. |
Generate impression based on findings. | Male, 34 years old, hemiplegia, intracerebral hemorrhage. Hyperdense blood product within and around the posterior fossa resection cavity as well as along the midbrain has decreased in conspicuity. No evidence of new hemorrhage is seen.Extensive hypoattenuation persists within the right and to a lesser degree the left ... | 1. Redemonstration of extensive surgical change in the posterior fossa.2. Blood product within and around the resection cavity as well as along the midbrain has decreased in conspicuity. No new hemorrhage is seen. |
Generate impression based on findings. | Male, 57 years old, intracerebral hemorrhage. Right basal ganglia/thalamic hematoma is unchanged in size and extent. The degree of surrounding parenchyma edema has also not substantially changed.Blood seen within the right frontal horn on the prior examination has largely resolved or has redistributed. There remains a ... | 1. Stable right basal ganglia/thalamic parenchymal hemorrhage.2. Persistent intraventricular hemorrhage with some degree of redistribution.3. No definite evidence of new hemorrhage is seen. |
Generate impression based on findings. | Reason: mitral regurgitation History: dyspnea VESSELS:SINUS OF VALSALVA: 3.1 X 3.1X 3.3 cmSINOTUBULAR JUNCTION: 2.6X 2.6 cmASCENDING THORACIC AORTA AT LEVEL OF MAIN PULMONARY ARTERY: 2.7 X 2.9 cmASCENDING THORACIC AORTA IMMEDIATELY PROXIMAL TO THE INNOMINATE ARTERY: 2.7 X 2.7 cmPROXIMAL DESCENDING THORACIC AORTA IMMEDI... | 1.Marked enlargement of pulmonary artery compatible pulmonary arterial hypertension.2.No significant stenosis or obstruction of the femoral or iliac arteries. Somewhat acute angulation of the left common iliac artery if utilized as an access site. 3.No significant abnormalities within the chest, abdomen, or pelvis. |
Generate impression based on findings. | 54-year-old male with history of bladder cancer status post cystectomy ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffuse hepatic steatosis, mildly improved from the prior study. No focal hepatic lesions. No biliary ductal dilatation. The gallbladder appears unremarkable.SPLEEN: No signif... | 1. Stable exam with no evidence of recurrent or metastatic disease. 2. Diffuse hepatic steatosis, mildly improved from the prior study. |
Generate impression based on findings. | 42 year old female with leukemia, pre-chemotherapy. LUNGS AND PLEURA: No consolidation or pleural effusions. Minimal basilar linear opacities most compatible with mild atelectasis.Several small foci of ground glass opacity, largest in right apex measuring 9 mm; these are of unclear etiology or significance, however, ma... | 1.No specific evidence of active infection.2.Several punctate micronodules all measuring less than 4 mm, and likely benign in nature.3.Several foci of groundglass opacity in the right lung; these are not specific and may be inflammatory in nature. |
Generate impression based on findings. | Clinical question: Concern for hemorrhage. Signs and symptoms: New facial droop. Nonenhanced head CT:There is no detectable acute intracranial hemorrhage. CT however is insensitive for detection of acute non-hemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gr... | No acute intracranial process. Unremarkable exam. |
Generate impression based on findings. | Clinical question: Status post left craniotomy for tumor resection. Signs and symptoms: Basketball. Unenhanced head CT:Examination demonstrates post operative changes of a left lateral suboccipital craniotomy.Expected minimal air and serosanguineous fluid under the craniotomy flap. The craniotomy age is posterior to th... | 1.Expected postoperative changes of left lateral suboccipital craniotomy/craniectomy as detailed.2.Postoperative changes with resultant sulcal mass effect on the fourth ventricle and deviation to the right as detailed.3.Unremarkable images through the supratentorial space other than previously known peri-ventricular an... |
Generate impression based on findings. | 58-year-old male, evaluate abdominal wall and peristomal hernia. 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: N... | Status post total proctocolectomy and ileostomy without evidence of parastomal hernia or obstruction. |
Generate impression based on findings. | Female 58 years old; Reason: Pt with h/o relapsed CLL on treatment regimen History: Evaluation of disease status CHEST:LUNGS AND PLEURA: Unchanged scattered micronodules.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion.CHEST WALL: Continued regression of enlarged lymph nodes. Reference left axillary ... | Stable to slightly improved adenopathy with measurements provided above. |
Generate impression based on findings. | 64-year-old male status post left knee amputation for sarcoma. Evaluate for metastatic disease. LUNGS AND PLEURA: Interval resolution of previously seen left perihilar nodules, which were likely inflammatory in nature. No new or suspicious nodules. Mild emphysema.MEDIASTINUM AND HILA: No lymphadenopathy. Mild coronary ... | Interval resolution of previously seen left perihilar nodules. No evidence of metastatic disease. |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: Compared to prior study. Nonenhanced head CT:Examination demonstrates significant interval decreased in mass-effect from patient's large right hemispheric MCA territory ischemic stroke. There is decreased midline shift from approximately 8.3 mm on prior exam and trace residua... | 1.Significant interval decreased mass effect from patient's right hemispheric large ischemic stroke as detailed above. There is only trace leftward midline shift present.2.Diffuse cortical increased density of the region of the stroke in thin linear and punctate pattern consistent with mineralization/petechial hemorrha... |
Generate impression based on findings. | Clinical question: Grade 2 hepatic encephalopathy. Signs and symptoms: Encephalopathy. Nonenhanced head CT:Examination demonstrates bilateral inferior paramedian frontal linear cortical calcification without evidence of any underlying parenchymal edema or parenchymal volume loss/encephalomalacia. The exact etiology of ... | 1.No convincing evidence of increased intracranial pressure/edema. CT is insensitive for detection of subtle cerebral edema.2.There are symmetrical bilateral paramedian inferior frontal cortical calcification of unknown exact etiology. This finding is not associated with any edema or encephalomalacia of the adjacent pa... |
Generate impression based on findings. | Reason: Lung cancer s/p chemo and radiation. Please compare to previous. Thanks. History: Lung cancer CHEST:LUNGS AND PLEURA: Centrilobular emphysema of the upper lung zones. Volume loss and architectural distortion in the right lung consistent with evolving radiation reaction . New solid left lower lobe nodule (series... | 1.Right upper lobe paramediastinal mass is slightly decreased in size.2.Interval improvement of acute postradiation changes and interval decrease in right pleural effusion.3.New left-sided micronodules may represent metastatic disease and continued surveillance is recommended.4.Right hepatic lobe metastasis is increase... |
Generate impression based on findings. | Female, 25 years old, status post catheter placement. Sequelae of right hemispherectomy are redemonstrated. The previously seen right frontal approach ventricular shunt catheter has been removed. The previously seen small caliber right parietal catheter has also been removed. Two new catheters have been placed, one in ... | Interval revision of shunt catheters with removal of the previously seen catheters and placement of two new bilateral parietal approach shunts. The amount of fluid within the right hemispherectomy defect seems to be unchanged. The caliber of the left lateral ventricle has improved. |
Generate impression based on findings. | Male 46 years old; Reason: patient status post cystectomy and ileal conduit for bladder CA in August 2013, with recurrent soft tissue infections at prior SPT site in RLQ History: assess for hernia vs abscess at prior SPT site ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abn... | 1.No evident recurrence or metastatic disease detected. 2. Near water density lesion between duodenum and pancreas of uncertain etiology -- does not appear to be of malignant etiology, but should be followed on subsequent examinations for confirmation. |
Generate impression based on findings. | Male, 66 years old, right hemiparesis, subdural hemorrhage. Redemonstrated is a left holohemispheric mixed density subdural collection which extends around the cerebral hemisphere as well as along the interhemispheric falx and the tentorium. When comparison is made to the prior exam, there has been a mild expansion of ... | Mild expansion of the hypodense component of the pre-existing left hemispheric subdural collection. As there does not appear to be any new hyperdense blood, this change may simply represent redistribution or subdural effusion. However, continued follow up is suggested to exclude the possibility of rebleeding. |
Generate impression based on findings. | 69-year-old male with history of bladder cancer status post cystoprostatectomy CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy. No focal hepatic lesions. No... | 1. Resolution of multiple intra-abdominal fluid collections, sinus tracts and near resolution of anterior abdominal wall phlegmonous collection.2. Status post cystoprostatectomy and neobladder formation without new evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Clinical question: Subdural hematoma, chronic evaluate for change. Signs and symptoms: Three months follow-up. Unenhanced head CT:Interval significant decrease in the size of right anterior frontal subdural. The remaining small subdural demonstrates low attenuation and measures maximum of 4 mm in thickness compared to ... | 1.Interval decreased size of right frontal subdural. Remaining subdural has low attenuation and measures at 4-mm thickness compared to prior study measurements of 11-mm2.unremarkable exam otherwise. |
Generate impression based on findings. | Male 55 years old Reason: eval L periprosthetic fracture Evaluation of the left hip and surrounding soft tissues is limited by metallic streak artifact related to the patient's hip hemiarthroplasty. The stem of the prosthesis traverses an obliquely oriented subtrochanteric fracture. There is approximately 1 cm of later... | Left hip arthroplasty prosthesis stem traversing an oblique subtrochanteric fracture as described above. |
Generate impression based on findings. | Clinical question: Patient with history of head and neck cancer, status post CRT; please evaluate and compare to prior studies. Signs and symptoms: As above. Enhanced CT of soft tissues of neck:Images through the skull base including cavernous sinuses, bilateral petrous bones remains within normal limits.Unremarkable i... | 1.Stable exam and without evidence of local recurrence or cervical adenopathy since prior exam.2.Evidence of congenital fusion of C5 and C6 with resultant significant degenerative disk disease at C6-- C7 and moderate disease at C4 -- C5 and including minimal grade 1 anterolisthesis. |
Generate impression based on findings. | 75-year-old male with lung cancer status post 6 weeks of chemo radiation. CHEST:LUNGS AND PLEURA: Interval decrease in size of right middle lobe mass, currently measuring 4.0 x 2.5 cm, previously measured 4.4 x 3.5 cm (series 4, image 77). Resolution of previously seen cavitation within this mass.Stable subpleural righ... | Interval decrease in right middle lobe mass and mediastinal lymphadenopathy. Stable right lower lobe nodule. |
Generate impression based on findings. | Head neck neoplasm CHEST:LUNGS AND PLEURA: Persistent scattered nonspecific micronodules without suspicious new findings to suggest metastatic disease. There is a focal area of increased tree and bud abnormality in the right upper lobe (image 32 series 4) suggestive of aspiration. No effusions.MEDIASTINUM AND HILA: Rig... | No evidence of suggest metastatic disease and new finding suggesting minimal aspiration |
Generate impression based on findings. | Lung cancer, non-small cell CHEST:LUNGS AND PLEURA: Unchanged appearance including a moderate right pleural effusion and associated volume loss and right apical changes suggesting radiation. Similar small right pleural effusion.Numerous small pulmonary and pleural nodules with surrounding ground glass opacities are all... | Stable reference measurements as provided without new interval findings to suggest disease progression |
Generate impression based on findings. | Metastatic head and neck CA on therapy. CHEST:LUNGS AND PLEURA: Right upper lobe wedge resection. Soft tissue is seen previously adjacent to the fissure lateral to a subsegmental branch of the posterior right upper lobe has resolved.Interval enlargement and increase in density of a right upper lobe nodule, measuring 6-... | Interval mixed response with improvement in lower mediastinal and hilar lymphadenopathy but a subtle increase in size and density of nonindex right paratracheal chain lymph nodes. |
Generate impression based on findings. | 36-year-old male with Crohn's disease, ileocecal resection, sigmoid resection, with large intra-abdominal fluid collection. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter right hypodensity, too small to characterize. The gallbladder appears unremarkable. No biliary ductal dilata... | Mild interval decrease in size of loculated lower abdominal fluid collection with associated partial small bowel obstruction as detailed above. Although there are overlying bowel loops this may be amenable to percutaneous ultrasound-guided aspiration/drainage. |
Generate impression based on findings. | 49-year-old male patient with malignant neoplasm of ampulla of Vater. Evaluate for progression of metastatic disease. CHEST:LUNGS AND PLEURA: Right posterior pleural based mass with internal calcifications measures 1.2 x 3.7 cm (series 3 image 8), previously 3.0 x 1.5 cm. There is a second right posterior pleural based... | Slight interval increase in liver lesions and peritoneal masses. |
Generate impression based on findings. | 77-year-old female patient with history of diffuse large B cell lymphoma status post 6 cycles of chop in 11/09. Restaging scan. Note that the lack of intravenous and oral contrast limits evaluation of lymph nodes, vasculature, hollow and solid viscera.CHEST:LUNGS AND PLEURA: Stable left pleural effusion with adjacent a... | 1.No enlarged lymph nodes. Prior lymph nodes stable.2.Diffuse fatty infiltration of the liver. |
Generate impression based on findings. | Head and neck cancer CHEST:LUNGS AND PLEURA: The reference right upper lobe anterior nodule is currently not appreciated and suspected to have resolved. No new suspicious nodules or masses. No effusions. Scattered emphysematous changes unchangedMEDIASTINUM AND HILA: No lymphadenopathy.Coronary calcifications without ad... | Interval improving reference measurements and/or complete resolution of previously measured lesions. No new abnormalities. |
Generate impression based on findings. | Acute lymphoid loops seen him. Neutropenic fever. Check for cause LUNGS AND PLEURA: Very minimal atelectasis and/or scarring in the right lung base. Lungs are otherwise clearMEDIASTINUM AND HILA: No lymphadenopathyA cardiac and pericardium are within normal limits. Pulmonary arteries remains borderline in size.Small hi... | No suspicious abnormalities to account for patient's fever and symptoms |
Generate impression based on findings. | Lung nodules. Right middle lobe adenocarcinoma history in 2011. LUNGS AND PLEURA: Right middle lobe nodule abutting both fissures increased in both size and density. The overall size of the lesion is now 25 x 16 mm (4/211) compared to 15 x 10 mm previously as measured on the high resolution series. There is an addition... | 1. Interval increase in size and density of the right middle lobe nodule consistent with known adenocarcinoma2. Interval increase in size and density of a second right middle lobe nodule which may be metastasis or a synchronous primary. There is a probable new 5-mm nodule in the adjacent right middle lobe.3. 9-mm right... |
Generate impression based on findings. | Pre-chemo, baseline CT for AML patient. The paranasal sinuses and mastoid air cells are clear. There is pneumatization of the right anterior clinoid process and probable dehiscence of the right optic nerve canal. The carotid grooves are covered by bone. The left fovea ethmoidalis is slightly lower than the right, but a... | No evidence of acute sinusitis. |
Generate impression based on findings. | Lung nodule LUNGS AND PLEURA: Moderate central lobular emphysema with a mixed groundglass and semisolid focal opacity in the right upper lobe peripherally (image 27 series 6). This focus abuts the pleura and measures approximately 3 cm in diameter. Immediately adjacent pleural thickeningMinimal basilar atelectasis or s... | A large focal right upper lobe abnormality suspicious for leak density and a probable adenocarcinoma given the history and appearance. Correlation with prior outside imaging would be helpful if available to determine chronicity. |
Generate impression based on findings. | Female, 84 years old, delirium, subarachnoid hemorrhage. There has been no significant change in the size of a left temporal lobe parenchymal hematoma. Also unchanged is extensive subarachnoid extension involving the sylvian fissure and the sulci of the left frontal and left occipitotemporal regions. Subarachnoid blood... | 1. No significant interval change in the left temporal parenchymal hematoma or of the scattered subarachnoid blood product.2. No evidence of new intracranial hemorrhage is seen. |
Generate impression based on findings. | 63-year-old male with COPD and dyspnea. LUNGS AND PLEURA: Mild centrilobular emphysema, unchanged. Mild increase in bilateral lower lobe paramediastinal linear opacities, compatible with scarring. Stable right upper lobe nodules, largest measuring 5-mm (series 5, image 36). Calcified granuloma in left lower lobe. No ne... | Stable mild emphysema. Mildly increased basilar scarring. No acute intrathoracic abnormality. |
Generate impression based on findings. | Colon cancer restaging CHEST:LUNGS AND PLEURA: Left upper lobe nodule measures 5 mm (image 55; series 6), stable to equivocally larger than previous. Right upper lobe irregular nodule measures 6 mm (image 61; series 6), unchanged.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size is normal withou... | No substantial interval change. Equivocal lymph node enlargement with measurements given above. |
Generate impression based on findings. | 39 year-old male with Hodgkin's disease, status post 6 cycles of chemotherapy. CHEST:LUNGS AND PLEURA: Right lower lobe pulmonary micronodule (series 5, image 51) is unchanged in size or appearance. No new nodules or effusions are seen.There are multiple new focal areas of groundglass infiltrates, see for example (seri... | 1. No evidence of significant lymph node enlargement, stable appearance to visualize, lymph nodes from prior examination. 2. Scattered no peripheral-based ground glass infiltrates -- nonspecific in appearance -- follow-up may help discern the etiology of these. |
Generate impression based on findings. | Fall. 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 and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable, without... | No evidence of intracranial hemorrhage, skull fracture, mass, or cerebral edema. |
Generate impression based on findings. | Lethargy. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is mild cerebral white matter hypoattenuation, which likely represent microangiopathy. The ventricles and basal cisterns are normal are mildly prominent diffusely, reflecting cerebral volume loss. There is no midline shift or hern... | No evidence of intracranial hemorrhage, mass, or cerebral edema. However, non-contrast CT is relatively insensitive for detection of brain metastases and a contrast-enhanced CT or MRI is recommended for further evaluation. |
Generate impression based on findings. | ALL, neutropenic fever and concern for right periorbital cellulitis. There is perhaps minimal subcutaneous fat stranding in the region of the right temporal fossa and lateral orbital rim. There is no evidence of postseptal cellulitis. The bilateral globes are intact. The optic nerves and extraocular muscles are unremar... | Perhaps minimal subcutaneous fat stranding in the region of the right temporal fossa and lateral orbital rim, which may represent cellulitis, but no evidence of drainable fluid collections or postseptal cellulitis, although the exam is limited by lack of intravenous contrast. |
Generate impression based on findings. | Male 64 years old; Reason: esophagogastric cancer (HER2+) with liver mets, s/p 1.5 months of chemo - evaluate interval change History: none CHEST:LUNGS AND PLEURA: No a new pulmonary lesions. Calcified granulomata in the left lower lobe. No pleural effusions.MEDIASTINUM AND HILA: Heart size is normal. No pericardial ef... | Stable to slight interval progression of disease with reference measurements given above. New abdominal and pelvic ascites. |
Generate impression based on findings. | NSCLC status post RT in 2011. New RML consolidation with focal pleural reaction on last CT, patient is asymptomatic. CHEST:LUNGS AND PLEURA: Metallic artifact from fiducial markers in the right middle lobe. Surrounding the markers, there is an increase in consolidation which is predominantly in the lateral segment of t... | 1. Although the radiographic appearance of masslike lesion in the right middle lobe and adjacent lung have an appearance suggestive of organizing pneumonia related to evolving radiation fibrosis which may sometimes appear without preceding pneumonitis, this pattern is typically seen in the first 12 months post RT. Give... |
Generate impression based on findings. | Breast cancer follow up CHEST:LUNGS AND PLEURA: Persistent scattered bilateral nonspecific micronodules with calcified granulomas in the mid right lung unchanged. No suspicious new pulmonary nodules or masses. No effusions.Mild left apical and left chest anterior wall post radiation changes.MEDIASTINUM AND HILA: The re... | 1. Stable reference measurements without evidence of intra-pulmonary acute malignant abnormality. Post radiation changes observed.2. Presumed postsurgical scarring versus chest wall soft tissue abnormality in the area of recent surgery, consider dedicated imaging and correlation with physical exam. |
Generate impression based on findings. | Male, 61 years old, unresponsive, status post EVD. Right frontal approach ventriculostomy catheter is in stable position, tip at the base of the right lateral ventricle. Caliber of the lateral ventricles remains prominent with no significant interval change. The third ventricle remains similarly dilated. Layering blood... | 1. Stable cerebellar hematoma and associated mass effect.2. Stable degree of intraventricular hemorrhage with stable prominence of the lateral and third ventricles. |
Generate impression based on findings. | Laryngeal cancer CHEST:LUNGS AND PLEURA: Extensive emphysematous changes with left apical fibrosis unchanged. Persistent mild to moderate volume loss with scarring more pronounced in the right extending toward the hilum and apex. Soft tissue thickening and surgical staples remains unchanged in appearance measuring 1.7 ... | Stable exam with reference measured provided. |
Generate impression based on findings. | Female 65 years old; Reason: Stage IV endometrial cancer, currently receiving chemotherapy. Restaging. History: n/a CHEST:LUNGS AND PLEURA: Loculated left pleural effusion is essentially unchaged. Percutaneous drainage catheter in the left anterior chest wall is located within the loculated effusion. Compressive left l... | 1. Interval decrease in the hepatic, and pulmonary metastatic disease. Moderate ascites and loculated left pleural effusion stable. Percutaneous drain in left thorax fluid collection. |
Generate impression based on findings. | Male 40 years old; Reason: 40 male with MDS, neutropenic fever. Concern for splenic infarct on prior CT, r/o evolution. Aware that study will be suboptimal without contrast History: Neutropenic fever ABDOMEN: The absence of intravenous contrast limits evaluation of the solid organs and of the bowels. Given these limita... | 1. Distal esophageal wall thickening suggestive of esophagitis, correlation with EGD is suggested if clinically warranted.2. New right lower lobe consolidation which is concerning for pneumonic infiltrate.3. Bilateral pleural effusions with compressive atelectasis and consolidation.4. Unchanged treated HCC lesion. |
Generate impression based on findings. | 25-year-old male with hemoptysis status post lung transplant. LUNGS AND PLEURA: No significant change in small bilateral pleural effusions. On the left the fluid appears to be circumferential and intraparenchymal/subpleural in location. There is diffuse septal thickening, pulmonary venous distention, and axial intersti... | 1.New occlusion of the left mainstem bronchus and left bronchial stent with fluid/mucus material, with possible occlusion of lingular bronchus by distal aspect of stent.2.Postobstructive consolidation/pneumonia of the lingula and left lower lobe.3.Persistent severe interstitial edema, left subpleural edema and small pl... |
Generate impression based on findings. | Female, 80 years old, altered mental status, history of colon cancer. Patchy 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 evidence of mass ... | Age indeterminate small vessel ischemic disease without evidence of an acute intracranial process. |
Generate impression based on findings. | Reason: h/o recurrent head and neck cancer, compare to previous, measurements pls History: Severe pain LUNGS AND PLEURA: Large benign-appearing calcified nodule in the right upper lobe is unchanged. Calcified right hilar and mediastinal lymph nodes are unchanged. Mild centrilobular emphysema primarily in the apices is ... | No evidence of metastatic disease. |
Generate impression based on findings. | 24 year-old female evaluate for abdominal source of fevers status post colectomy and ileostomy following a sigmoid perforation during colonoscopy. CHEST:LUNGS AND PLEURA: Bilateral pleural effusions, larger on the left with associated compressive atelectasisMEDIASTINUM AND HILA: Multiple large superior mediastinal, tho... | 1. Status post total colectomy and end ileostomy with large amount of abdominal ascites and hyperenhancement of the peritoneum indicating inflammation/infection.2. Bilateral pleural effusions, larger on the left.3. Nonspecific mediastinal and thoracic inlet adenopathy. |
Generate impression based on findings. | Benign Thymoma s/p 6 months. History of thyroid and breast cancer. CHEST:LUNGS AND PLEURA: No new nodules or masses. Scattered micronodules, subpleural/intrapulmonary lymph nodes and in scarlike lesions are unchanged.Chronic atelectasis of the right middle lobe with persistent masslike appearance at the apex of the ate... | 1. Mild thickening of the distal esophagus and GE junction, nonspecific by CT. Suggest correlation with endoscopy.2. Chronic obstruction of the right middle lobe segmental bronchus with no significant change in underlying lesion which produces mass effect on adjacent parenchyma. Endobronchial hamartoma is a possibility... |
Generate impression based on findings. | 48 year-old female with right tonsillar mass. LUNGS AND PLEURA: No consolidation, pleural effusions, or suspicious nodules.MEDIASTINUM AND HILA: No lymphadenopathy. The heart is normal in size without pericardial effusion.CHEST WALL: Punctate sclerotic focus in T4 vertebral body and left transverse process of T5 most c... | No evidence of metastatic disease. |
Generate impression based on findings. | 43 year-old female with active malignancy, tachycardia, and hemoptysis. PULMONARY ARTERIES: Diagnostic quality exam without evidence of pulmonary embolus.LUNGS AND PLEURA: Stable bilateral small pleural effusions, right more than left, with overlying subsegmental consolidation/atelectasis in the bases, likely not signi... | 1.No pulmonary embolus or other source for patient's hemoptysis.2.Small bilateral pleural effusions with overlying subsegmental consolidation/atelectasis.3.New small pericardial effusion. |
Generate impression based on findings. | 73-year-old male patient with basal cell carcinoma of the skin. Evaluate for progression of metastatic disease. CHEST:LUNGS AND PLEURA: Stable right suprahilar and left infrahilar scar-like opacities and volume loss. Calcified and noncalcified micronodules are unchanged compared to prior examination. No new or suspicio... | Stable examination. No significant interval change in reference left infrahilar lymph node. |
Generate impression based on findings. | Metastatic PTC on clinical trial (IRB 10-182) with cediranib+lenalidomide. Head CT: There is no evidence of intracranial mass, hemorrhage, or infarction. There is no abnormal intracranial enhancement. The ventricles are stable in size and configuration. The right mastoid air cell is under-pneumatized and the left masto... | 1. Continued interval decrease in size of the cystic metastatic cervical lymphadenopathy.2. No evidence of intracranial metastatic disease.3. Increased air fluid levels within the maxillary sinuses, which may reflect acute sinusitis in the appropriate clinical setting. |
Generate impression based on findings. | SCC of the left tonsil s/p cis-RT with lung metastases, followed by chemotherapy with carbo/taxol/cetux. There are post-treatment findings related to radiation therapy and probable left neck dissection with effacement of the fat planes. There is mild asymmetry of the glossotonsillar sulci. However, there is no evidence... | Interval increase in size of right lower paratracheal lymphadenopathy suggest progressive disease. Otherwise, no evidence of locoregional tumor recurrence in the left tonsillar region or significant suprahyoid lymphadenopathy. Refer to the separate chest CT report for additional findings. |
Generate impression based on findings. | 65-year-old male with pancreas cancer and history of prior Whipple surgical procedure. Surveillance imaging. CHEST:LUNGS AND PLEURA: No new pulmonary nodules, infiltrates or masses. Prior reported Index lesions as reported below: Right lower lobe (series 5, image 65) 1.1 x 0.9 cm, previously 1.0 x 0.8 cmLeft upper lobe... | 1. Stable postsurgical appearance to pancreas with no evidence of recurrent tumor in surgical bed. 2. Minimal increase in size of two lung nodules. No new nodules identified. 3. Scattered, nonspecific liver hypodensities less than 5 mm in diameter, too small to characterize and stable in appearance. |
Generate impression based on findings. | 64-year-old male with history of lung cancer status post chemo radiation. CHEST:LUNGS AND PLEURA: Stable appearing consolidation with cavitation in right upper lobe. No significant change in moderate to large left pleural effusion. Mild right pleural thickening unchanged.Mild left upper lobe paramediastinal scarring ap... | 1.No significant change in right upper lobe consolidation and pleural effusions.2.Mild interval increase in density of left paramediastinal scarring; continued follow-up recommended. |
Generate impression based on findings. | 4-year-old female with left upper lobe pneumonia, persistent fever. LUNGS AND PLEURA: Left lingular segment upper lobe consolidation is present which appears similar to the chest radiograph from the same day and is compatible with pneumonia. No cavitation or decreased enhancement is present within this consolidation to... | Left upper lobe pneumonia. |
Generate impression based on findings. | 51-year-old female patient with recurrent breast cancer (right), evaluate for distant metastases to bone. CHEST:LUNGS AND PLEURA: No lesions or suspicious nodules.MEDIASTINUM AND HILA: No suspicious mediastinal lymphadenopathy.CHEST WALL: Soft tissue density mass in right breast with surgical clips corresponding to are... | No evidence of metastatic disease. |
Generate impression based on findings. | Male, 6 months old, scalp bump, skull lesion. Evaluate for changes. Adjacent to skin marker placed in the high left parietal region, there is a very subtle, relatively focal convex outward bulging of the calvarium. The bone may be mildly thinned in this location but it is intact, and no osseous lesions are seen. This i... | At the area of concern, only a very subtle focal convex outward bulging of the calvarium is seen. The bone is perhaps mildly thinned but intact. No osseous lesions are seen. No lesions are detected in the subjacent extra-axial space or brain parenchyma. |
Generate impression based on findings. | 72-year-old male with malignant neoplasm of the anterior wall of urinary bladder. Status post cystoprostatectomy with neobladder. Please evaluate for metastases with CT urogram. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality n... | 1. Prior cystoprostatectomy with continent neobladder without evidence of recurrent tumor. 2. No evidence of metastatic disease identified. 3. Stable examination with no other significant abnormality seen. |
Generate impression based on findings. | 64 year old female with lung cancer. CHEST:LUNGS AND PLEURA: Left upper lobe nodule stable and measures 5 mm (series 4, image 31).No significant change in severe chronic interstitial disease in the lung bases with multiple large cysts and trace pleural effusions/pleural thickening.Reference superior anterior mediastina... | 1.Stable to mildly increased reference soft tissue lesions in thorax. No new lesions identified.2.No significant change in basilar lung fibrosis.3.Persistent dilation of multiple small bowel loops, with new intramural foci of gas suspicious for pneumatosis; this is of unclear etiology but may be result of ischemia. Fin... |
Generate impression based on findings. | Cough and S.O.B.. Post inflammatory pulmonary fibrosis. LUNGS AND PLEURA: Mild centrilobular emphysema, predominantly in the left upper lobe and seen to a lesser extent at the right apex. Mild bronchial wall thickening involving the lower lobes, right middle lobe and lingula. Nodularity of the bronchial wall suggestive... | Interval resolution of the diffuse interstitial abnormality without signs of pulmonary fibrosis or bronchiectasis. Mild centrilobular emphysema and mild bronchial wall thickening. |
Generate impression based on findings. | Syncope, head trauma. There is moderate cerebral white matter hypoattenuation, which is likely related to small vessel ischemic disease. There are also unchanged foci of hypoattenuation within the bilateral thalami and basal ganglia, consistent with chronic lacunar infarctions. There is no evidence of intracranial hemo... | 1. Moderate chronic small vessel ischemic changes and lacunar infarcts. However, CT is insensitive for evaluation of acute infarcts and if this remains a clinical concern, MRI can be considered.2. No evidence of intracranial hemorrhage or mass. |
Generate impression based on findings. | 71-year-old female with history of Crohn's disease that has been inactive, osteoporosis, history of right inguinal hernia repair, now with inguinal and back pain. ABDOMEN: Lack of IV contrast limits evaluation of solid organ pathology and vasculature.LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cho... | 1. No evidence of recurrent hernia. Marked degenerative changes at L5/S1, as detailed above.2. Cholelithiasis without evidence of inflammation. |
Generate impression based on findings. | Reason: 59 yo F w/ bronchiectasis. eval for progression of disease History: SOB LUNGS AND PLEURA: Multiple micronodules and nodules, largest measuring 12 x 9 mm (series 5, image 63). It has increased in size from 2008 examination where it measured 6 mm x 6 mm. In Reference nodule in the left lung remains unchanged in s... | Interval increase in the right lower lobe nodule suspicious for neoplasm. Recommend PET scan for further evaluation. Remainder of nodules have benign appearance. |
Generate impression based on findings. | ILD, SLE evaluate for interval change. Post inflammatory pulmonary fibrosis. LUNGS AND PLEURA: Suture lines from prior biopsies in the right lung. Trace volume of pleural fluid, right greater than left.Patchy areas of groundglass opacity associated with scattered cysts and minimal honeycombing as well as minimal intern... | 1. Atypical pattern of pulmonary fibrosis consisting of patchy areas of chronic inflammatory change containing scattered cysts and groundglass opacity but only minimal bronchiectasis and honeycombing. Although the appearance is not typical, cystic disease in conjunction with septal thickening and groundglass opacity ma... |
Generate impression based on findings. | Reason: Patient with lung lesions and request by Kyle Hogarth for "superdimension protocol" History: cough with lung mass LUNGS AND PLEURA: Left upper lobe/mediastinal mass (image 31 series 4) now measures 3.2 cm x 7 cm previously measuring 2.7 cm x 6.8 cm.No other suspicious pulmonary nodules.No pleural effusions.MEDI... | 1.Left upper lobe mediastinal/paramediastinal mass with apparent extension into the the adjacent lung demonstrates minimal interval increase compared to the prior exam. This mass is suspicious for chronic indolent infection including tuberculosis, however malignancy cannot be excluded.2.Stable mediastinal and hilar lym... |
Generate impression based on findings. | Malignant neoplasm of the supraglottis CHEST:LUNGS AND PLEURA: The index spiculated nodule in the right lower lobe peripherally appears unchanged, again measuring 1.8 cm when measured in a similar fashion (image 58 series 5). The relatively adjacent nodular densities also stable in size measuring 7 mm (image 54 series ... | 1. Similar scattered intrapulmonary nodules and semisolid nodular opacities.2. Stable left renal mass3. Pulmonary fibrosis and emphysema with scarring. |
Generate impression based on findings. | 67-year-old female reached aging after gastrectomy for gastric cancer. CHEST:LUNGS AND PLEURA: Small left lung base nodule (series 5, image 64) measuring 5 x 3 mm. This was not definitely present on prior examinations and should be followed up. No other nodules, infiltrates, masses, or effusions are seen.MEDIASTINUM AN... | 1. Marked increase in metastatic disease to the, mesentery and omentum diffusely. 2. Presumed new metastasis to the right ovary. 3. New small parenchymal lung nodule. 4. New slightly enlarged mediastinal lymph node worrisome for metastasis. 5. Enlarging and new liver metastases. |
Generate impression based on findings. | Dizziness and congestion. The paranasal sinuses and nasal cavity are clear. There is mild nasal septal deviation and leftward spur. The mastoid air cells are clear. The imaged intracranial structures and orbits are grossly unremarkable. | No evidence of sinusitis. |
Generate impression based on findings. | 36 year old female patient with right lower quadrant pain, nausea and anorexia. ABDOMEN:LUNG BASES: Trace dependent atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDN... | Acute appendicitis without perforation or abscess formation.Findings of acute appendicitis discussed with Dr. Steinman via telephone at 4:30 p.m. on 10/30/2013 by Dr. Blaschke. |
Generate impression based on findings. | Chronic sinusitis, assess extent of nasal polyposis. There is complete opacification of the maxillary, ethmoid, and sphenoid sinuses. The frontal sinuses are not pneumatized. There are hyperdense secretions that measure up to 65 HU within the maxillary sinuses. There are polypoid opacities within the nasal cavity, righ... | Pansinus opacification and polypoid opacities in the nasal cavity are compatible with chronic sinusitis and nasal polyposis, perhaps with a component of allergic fungal sinusitis. |
Generate impression based on findings. | Headache on heparin drip. 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 and mastoid air cells are clear. The skull and extracranial soft tissues are u... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Hemiplegia, unspecified, affecting unspecified side. thalamic hemorrhage There is a 35 x 23 mm axial dimension hyperdense focus in the right thalamus associated with third ventricular blood and lateral ventricular blood and fourth ventricular blood which is unchanged in dimensions when compared to the prior exam.A vent... | 1.Redemonstration and no change of right thalamic hemorrhage associated with intraventricular blood2.the lateral ventricles are slightly smaller on the current exam when compared to the prior |
Generate impression based on findings. | Clinical question: Rule out intracranial hemorrhage. Signs and symptoms: Right-sided headache with off-balance feeling. Nonenhanced head CT:Examination demonstrate no detectable abnormal parenchymal or leptomeningeal enhancement.No detectable acute intracranial process CT however is insensitive for detection of acute n... | Negative unenhanced head CT. |
Generate impression based on findings. | Clinical question: Signs of stroke? Signs and symptoms: AMS. Nonenhanced head CT:No detectable acute intracranial process. CT is insensitive for detection of acute nonhemorrhagic ischemic strokes.Examination redemonstrates an extensive subcortical and periventricular low attenuation white matter remaining grossly simil... | Extensive age indeterminate small vessel ischemic strokes grossly similar to prior study. |
Generate impression based on findings. | Clinical question:? Hemorrhage signs and symptoms: AMS. Nonenhanced head CT:There is no detectable acute intracranial process in particular no evidence of hemorrhage. CT ovaries insensitive for the junction of nonhemorrhagic acute ischemic strokes.Examination demonstrates fairly extensive periventricular and subcortica... | Extensive age indeterminate small vessel ischemic strokes but |
Generate impression based on findings. | Clinical question: Bleed? Signs and symptoms: Blunt head trauma and syncope. Unenhanced head CT:There is no detectable acute posttraumatic intracranial or calvarial findings.Small focus of subgaleal increased density measuring at 3-mm thickness and with slight subcutaneous fat stranding in right posterior parietal like... | Age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Reason: Evaluate regions of possible pulmonary infarcts History: SOB LUNGS AND PLEURA: Moderate to large pleural effusions right larger than left, with adjacent atelectasis probably compressive in nature.No specific evidence of pulmonary infarct in the aerated portions of the lungs, as questioned in the clinical histor... | 1. Moderate to large bilateral pleural effusions with adjacent atelectasis probably from compression. No specific evidence of pulmonary infarct as questioned in the clinical history provided.2. Pericardial effusion and ascites. |
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