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Generate impression based on findings. | Pt with encephalopathy, poss cerebritis;Signs and Symptoms: Intraprocedural stroke; giving tPA There is redemonstration of encephalomalacia involving the right middle cerebral artery territory which is stable compared to prior examThere is intravascular contrast presentThe visualized portions of the paranasal sinuses a... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA.3.Findings are compatible with encephalomalacia related to an old infarction in the right middle cerebral artery territory.4.MRI findings of PRES are not readily identified on the curre... |
Generate impression based on findings. | 24-year-old male with idiopathic pulmonary fibrosis on steroids and tacrolimus. Concern for pneumonia. LUNGS AND PLEURA: Combined emphysematous and fibrotic changes with architectural distortion and honeycombing, left worse than right; no significant change since prior exam. No superimposed areas of consolidation. The ... | Stable findings compatible with a combined pulmonary fibrosis and emphysema, without superimposed consolidation to suggest pneumonia. Interval resolution of small left pleural effusion. |
Generate impression based on findings. | Reason: evaluate for PE History: pleuritic chest pain PULMONARY ARTERIES: Technically adequate study. No pulmonary embolism.LUNGS AND PLEURA: Bibasilar dependent atelectasis. There is mild paraseptal emphysema. Mild bronchial thickening compatible with bronchitis. Small area of tree-in-bud opacity in the right middle l... | No evidence of pulmonary embolus. No other acute abnormalities. |
Generate impression based on findings. | Male 59 years old Reason: Pt is a 59 y/o male with prostate cancer, rising PSA, evaluate for recurrence History: prostate cancer ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADR... | Nonobstructive trans-omental hernia containing nearly the entire small intestine.Incidental findings of the small ileal diverticulum, periampullary diverticulum and sliding hiatal hernia.No evidence of metastatic disease. |
Generate impression based on findings. | 57-year-old male kidney donor. 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: The right kidney measures 11.8 x 6.... | 1. Single accessory left renal artery with otherwise normal vascular anatomy. Punctate distal vascular calcifications in the right kidney.2. Normal renal size and parenchyma without lesion/mass identified as described above.3. Normal collecting system anatomy without evidence of duplication.4. Scattered atherosclerotic... |
Generate impression based on findings. | 24 year-old female with leukocytosis, assess for abscess/infection. CHEST:LUNGS AND PLEURA: Patchy basilar atelectasis/consolidation and bilateral pleural effusions, which appear loculated, mildly improved from the prior study.MEDIASTINUM AND HILA: Left central venous catheter tip extends to the cavoatrial junction. Se... | 1. Interval improvement in multiple intra-abdominal loculated fluid collections, as well as sacral ulcer. Fluid collection in the soft tissues dorsal to the spine with percutaneous drain appears unchanged.2. Bilateral loculated pleural effusions with adjacent atelectasis/consolidation, mildly improved from the prior st... |
Generate impression based on findings. | Reason: evaluate ILD History: sob LUNGS AND PLEURA: Severe basilar predominant interstitial lung disease characterized by reticular opacities, traction bronchiectasis, some honeycombing are also groundglass opacities.Although there are a few hyperlucent lobules, there is no significant air trapping on the expiration se... | 1. Severe interstitial lung disease with a possible UIP pattern, although the differential diagnosis includes an NSIP and chronic hypersensitivity pneumonitis.2. Left renal lesion likely a cyst but confirmation by a dedicated renal protocol abdomen CT or renal ultrasound is recommended. |
Generate impression based on findings. | Headache. Rule out cellulitis. Orbits: The exam is limited by lack of intravenous contrast. Nevertheless, there appears to be minimal preseptal fat stranding of the right upper eyelid. There is no postseptal involvement. There is no evidence of drainable fluid collections. The globe, lacrimal gland, and extraocular mus... | 1. Apparent minimal preseptal stranding of the right upper eyelid. There is no postseptal involvement, which may represent an infectious or inflammatory cellulitis or in the appropriate clinical setting, which can be further evaluated via ophthalmological examination. 2. An air-fluid level within the right maxillary si... |
Generate impression based on findings. | Female 40 years old; Reason: Pt with mets TNBC on PD-1 inhibitor (immune therapy). Now with progression of skin mets concerning for tumor flare vs POD. Evaluate new diffuse lung infiltrates--?pneumonitis vs lymphangitic spread vs edema? History: Pt reports mild orthopnea, no DOE. CXR with diffuse infiltrates of unclear... | 1. Increase in size of the reference and non-reference hilar and mediastinal lymphadenopathy. Increase in size and number of the numerous pulmonary nodules - these findings are most consistent with progressive metastatic disease.2. New right pleural effusion with diffuse bilateral ground glass nodularity in the lungs -... |
Generate impression based on findings. | Posterior cervical pain r/o fracture The cervical vertebral bodies are appropriate in overall height. No fractures are identified in the cervical spine.At C2-3 there is no significant compromise to the spinal canal or neural foramina. There is right-sided facet hypertrophy present at this level with narrowing at the fa... | 1.There is no evidence for cervical spine fracture.2.There are multilevel degenerative changes present in the cervical spine which appear to be worse along the posterior elements C3-4 and the disk of C6-7. There is mild anterior subluxation of C6 on C73.mild hypodense focus in the right thyroid gland lobe is nonspecifi... |
Generate impression based on findings. | 51-year-old male patient with abdominal pain. Evaluate for appendicitis. ABDOMEN:LUNG BASES: Diffuse nodular pleural thickening in the right lung base with loculated fluid collections, pleural calcifications and intralobular septal thickening are stable compared to prior examination.LIVER, BILIARY TRACT: No significant... | 1.Dilated loops of small bowel with transition point in the distal ileum, consistent with small bowel obstruction. 2.Small amount of abdominal ascites. |
Generate impression based on findings. | 69 year old female with dull right-sided lower pain ABDOMEN: Lack of IV contrast limits evaluation of solid organ pathology and vasculature.LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Small left hepatic cysts are unchanged. No biliary ductal dilatation. The gallbladder appears unremarkable.SPLEEN:... | Nonobstructive right nephrolithiasis with the largest stone measuring 1.5 cm, unchanged. No hydronephrosis, hydroureter or ureteral stones. |
Generate impression based on findings. | assessment of shift from left hemisphere The patient is status post left-sided MA craniectomy. There is a left parafalcine hyperdense subdural collection measuring approximately 9 mm in thickness on the current exam and similar dimension on the prior exam. It extends along the left tentorial lesion.There is redemonstra... | 1.A left-sided subdural hematoma is stable when compared to prior exam.2.Status post left craniectomy3.Midline shift and dilation of the right lateral ventricle associated with subfalcine herniation and mild uncal herniation are stable when compared to the prior exam. |
Generate impression based on findings. | 65-year-old male with decreasing hemoglobin -- rule-out bleed. Within the limits of a non-IV contrast enhanced examination which limits the ability to evaluate solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: Left pleural effusion and bibasilar atelectasis -- ... | No significant abnormality seen in the abdomen and pelvis -- specifically no source of hemorrhage identified. |
Generate impression based on findings. | Intracerebral hemorrhageUnspecified essential hypertension The patient has undergone left-sided MA craniectomy since the prior exam. There is associated postsurgical changeA left-sided subdural hematoma adjacent to the left hemisphere has been evacuated since the prior exam.There is a left parafalcine hyperdense subdur... | 1.Since the prior exam the patient has undergone left-sided craniectomy and partial evacuation of a left-sided subdural hematoma. There is less midline shift on the current exam when compared to the prior exam |
Generate impression based on findings. | Altered mental status. There is no evidence of acute intracranial hemorrhage, mass, or cerebral edema. There is unchanged extensive cerebral white matter hypoattenuation that likely represents microangiopathy and unchanged encephalomalacia in the left MCA-PCA borderzone, consistent with a chronic watershed infarct. The... | 1. No evidence of acute intracranial hemorrhage, mass, or cerebral edema. Otherwise, unchanged extensive cerebral white matter hypoattenuation that likely represents microangiopathy and unchanged encephalomalacia in the left MCA-PCA borderzone, consistent with a chronic watershed infarct. 2. Suggestion of an air-fluid ... |
Generate impression based on findings. | Diagnosis: Unspecified sinusitis (chronic)Other polyp of sinusPolypoid sinus degenerationClinical question: chronic polypoid sinusitisSigns and Symptoms: chronic polypoid sinusi9tis Postsurgical changes are present including ethmoidectomy and uncinate process resection. There continues to be residual mucosal thickening... | 1.Since the previous exam there has been progression of a opacification and hyperdensity within the ethmoid air cells, sphenoid sinuses and right sphenoethmoid recess This is concerning for polyposis and/or recurrent fungal sinusitis. Please correlate with clinical findings2.there is dehiscence and distortion of the me... |
Generate impression based on findings. | 86-year-old female with non-small cell lung cancer history of radiation. Pulmonary edema seen on chest radiograph. CHEST:LUNGS AND PLEURA: New moderate right pleural effusion with overlying consolidation/atelectasis in the right lower lobe and inferior aspect of the right upper lobe; given right basilar consolidation a... | 1.New moderate right pleural effusion and overlying right base consolidation/atelectasis; given right basilar consolidation and lack of IV contrast, evaluation for underlying progression of neoplastic disease is difficult however suspected given new pleural effusion. . 2.Increasing right perihilar consolidation, likely... |
Generate impression based on findings. | pre-op planning for VPS placementSigns and Symptoms: vps placement There is redemonstration of the hyperdense focus along the right deep gray nuclei associated with surrounding hypodensity related to a recently documented large right basal ganglia hematoma.A small amount of intraventricular blood is redemonstrated. Mid... | 1.Examination is essentially stable when compared to prior exam. There is redemonstration of a sequela of right hemispheric hematoma with associated midline shift and mild ventriculomegaly2.the exam is performed for the purpose of stereotactic guidance for ventricular drain placement3.There are extensive periapical luc... |
Generate impression based on findings. | Clinical motion: Evaluate atrophy. Signs and symptoms: Memory impairment. Nonenhanced head CT:Examination demonstrates no evidence of acute intracranial process CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.There is diffuse subcortical and periventricular low-attenuation all bilateral... | 1.No acute intracranial process.2.Extensive and primarily subcortical/periventricular low-attenuation old white matter consistent with age indeterminate small vessel ischemic strokes. Findings results in very subtle enlargement of supratentorial ventricular system. Minimal similar findings are also noted in the right b... |
Generate impression based on findings. | 57 year-old female with breast cancer on chemotherapy. CHEST:LUNGS AND PLEURA: Stable 9-mm nodule in right upper lobe (series 6, image 37). Several ill-defined linear and nodular opacities in the left base are unchanged and may be related to aspiration and/or scarring. Several other punctate micronodules are unchanged.... | 1.Significant interval decrease in left breast lesion and left axillary lymphadenopathy.2.No significant change in mediastinal lymphadenopathy.3.Stable lung nodules; largest nodule located in right upper lobe has benign morphology. No new suspicious nodules.4.Stable nonspecific left adrenal nodule. |
Generate impression based on findings. | 54-year-old male patient with history of metastatic renal cancer, on pazopanib. Evaluate for progression. CHEST:LUNGS AND PLEURA: Redemonstration of multiple bilateral pulmonary lesions. Reference left upper lobe pulmonary lesion measures 1.6 x 1.1 cm (series 6 image 34), previously 1.2 x 1.0 cm. The remaining numerous... | Slight interval increase in some reference lesions. See index measurements. |
Generate impression based on findings. | 61-year-old male with metastatic renal cell cancer -- evaluate for progression of disease CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary nodules continued to enlarge. The. Reference left lower lobe nodule (series 4, image 84) now measures 1.4 x 1 .0 cm, previously 1.2 x 0.7. Similarly, the nodularity along the le... | 1. Continued enlargement of multiple pulmonary nodules. 2. Increasing size of mediastinal lymphadenopathy. 3. Stable appearance to musculoskeletal metastases in the chest, abdomen, and pelvis. 4. Increasing retroperitoneal lymphadenopathy and mass in left nephrectomy bed. |
Generate impression based on findings. | Resolution of IVH Since the prior exam the intraventricular blood and periventricular blood is no longer visible.The visualized portions of the paranasal sinuses demonstrates some opacification at the right maxillary sinus and ethmoid air cells which is stable. The visualized portions of the mastoid air cells are clear... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Since the prior exam intraventricular blood is no longer visible. |
Generate impression based on findings. | 63-year-old male with abdominal pain and tachycardia ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Evaluation of the hepatic parenchyma is limited due to the contrast phase. Multiple foci of arterial enhancement are nonspecific. No biliary ductal dilatation. The gallbladder is unremarkable.S... | 1. Focal circumferential sigmoid colon wall thickening/mass with associated colonic obstruction. Multiple prominent pelvic and abdominal lymph nodes.2. No evidence of abdominal aortic aneurysm or dissection or bowel ischemia. |
Generate impression based on findings. | Male 64 years old; Reason: anal cancer restaging History: anal cancer restaging CHEST:LUNGS AND PLEURA: 10 x 7 millimeter nodule in the right middle lobe (image 56; series 6) should be followed.MEDIASTINUM AND HILA: Subcentimeter lymph nodes in the mediastinum are stable. Coronary artery calcifications are noted.CHEST ... | Small right middle lobe pulmonary nodule which is unchanged in size. Scattered small lymph nodes in the pelvis, smaller since previous exam. |
Generate impression based on findings. | Clinical question: Progression of pituitary adenoma. Signs and symptoms: Evaluate change and growth of mass from prior scan/surgery planned. Medtronic fusion sinus CT:All paranasal sinuses are well pneumatized and without evidence of acute sinusitis.The right maxillary sinus is slightly hypoplastic and unremarkable oth... | 1.No evidence of acute sinusitis.2.Small retention cyst in the left maxillary sinus and unremarkable paranasal sinuses for disease otherwise.3.Sphenoid sinus is well pneumatized and demonstrate a midline thin vertically oriented bony septation.4.Images through nasal passage are unremarkable and with midline position of... |
Generate impression based on findings. | 24-year-old male patient with suspected carcinoid tumor. Evaluate for carcinoid tumor and cholelithiasis. ABDOMEN:LUNG BASES: Stable left lower lobe pleural-based micronodule.LIVER, BILIARY TRACT: No significant abnormality noted. No hyperattenuating gallstones identified.SPLEEN: No significant abnormality noted.PANCRE... | 1.No acute abdominal abnormalities. No liver lesions or hyperdense gallstones identified.2.Stable left lower lobe pleural-based micronodule. |
Generate impression based on findings. | 18 year-old female patient with thigh abscess. PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: Right inguinal lymphadenopathy, likely reactive.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: 2.1 x 2.9 cm mass with rim enhancement and... | Findings consistent with right inguinal crease severe phlegmon versus early necrosis/liquefaction with associated cellulitis and edema. No involvement of deep soft tissue. |
Generate impression based on findings. | Reason: rule out CAD History: SOB, previously reported history of cirrhosis and portal hypertension Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and bifurcates into the left anterior descending and left circumflex coronary arteries. Approximately 1.3 cm from the o... | One whole Diffuse coronary artery disease which is most severe at the LAD and diagonal branches, as above. |
Generate impression based on findings. | Reason: Attention to right medial clavicle to evaluate for growth. Also has periodic dyspnea. History: right clavicle end enlarging and periodic dyspnea. LUNGS AND PLEURA: Large left pleural effusion with underlying compressive atelectasis.Diffuse nodular pleural thickening in the apical area of the left hemithorax, an... | Large left pleural effusion with diffuse nodular pleural thickening highly suspicious for metastatic neoplasm or primary mesothelioma.The findings were discussed with Dr. Blackman at the time of reporting. |
Generate impression based on findings. | blunt head trauma CT head:The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a hypodense focus present at the right centrum semiovale extending towards the right internal capsule associated with adjacent ex vacuo effect on the right lateral ventricle.There is a hypodense focus p... | 1.No evidence for cervical spine fracture2.No evidence for acute intracranial hemorrhage mass effect or edema.3.A small lesion in the right centrum semiovale is suspicious for old lacunar infarct. 4.A left caudate nucleus lesion most likely represents lacunar infarct age indeterminant. This can be confirmed with MRI.5.... |
Generate impression based on findings. | Reason: DILD RLD DERMATOMYOSITIS History: SWEAT COUGH SOB LUNGS AND PLEURA: Nonspecific basilar coarse reticular opacities and some ground glass disease left greater than right common slightly progressed since the prior study, consistent with the patient's known interstitial lung disease.Benign-appearing micronodules a... | Slight progression of basilar interstitial lung disease consistent with the provided history of rheumatoid and dermatomyositis related interstitial lung disease. |
Generate impression based on findings. | Reason: LUL nodule, please compare to previous outside CT scan History: none LUNGS AND PLEURA: Focal irregularly marginated subpleural nodular opacity in the posterior segment of the left upper lobe, with internal bronchiectasis and architectural distortion, measuring approximately 17 x 11 mm in axial dimensions, uncha... | Nodular opacity in the posterior left upper lobe with morphological features that favor post infectious scarring, without appreciable change. However because of the lower quality of the outside scans I cannot exclude some degree of interval change and therefore an additional follow-up scan in approximately 8 months is ... |
Generate impression based on findings. | Reason: evaluate for eventration of left hemi-diaphragm, vs hiatal hernia, deviation of mediastinum History: sob, abdominal pain CHEST:LUNGS AND PLEURA: Few nonspecific micronodules in the left lung. There is pleural thickening at the left lung base. Bibasilar dependent atelectasis. Bilateral parenchymal bands suggesti... | 1.Marked elevation of the left hemidiaphragm causing rightward mediastinal shift without evidence of herniation possibly representing phrenic nerve paralysis.2.Multiple renal, hepatic, and the pancreatic cysts compatible with patient's history of polycystic kidney disease.3.Left thyroid lobe nodule. |
Generate impression based on findings. | 42 year-old female with dyspnea. Evaluate right upper lobe lesion. LUNGS AND PLEURA: Severe, upper lobe predominant emphysema. Bilateral upper lobe linear opacities most compatible with scarring. In the right upper lobe there is a solid, nodular component which is continuous with scarring; this measures 12 mm, previous... | 1.Bilateral upper lobe scarring, right more than left, with associated nodular components, largest located in right upper lobe and measuring 12 mm. These may represent confluent fibrosis, however, primary lung neoplasm is also a consideration and continued follow-up is recommended.2.Severe upper lobe predominant emphys... |
Generate impression based on findings. | 76-year-old male with history of renal cell carcinoma -- please assess for disease progression. CHEST:LUNGS AND PLEURA: No significant nodules, masses, infiltrates or effusions.MEDIASTINUM AND HILA: No lymphadenopathy. Coronary artery calcification again seen. No change in the prior noted pericardial cyst in right card... | 1. Status post left nephrectomy without evidence of recurrent, residual or metastatic disease. 2. Near water density well circumscribed lesion in the distal insertion of the right psoas muscle anterior to right hip of uncertain significance -- most likely inflammatory. See above discussion. |
Generate impression based on findings. | 23 year-old female with Crohn's disease and 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: No sign... | No specific findings to account for the patient's abdominal pain. No evidence of inflammatory bowel disease. |
Generate impression based on findings. | 87-year-old male patient with history of hypertension, gout, acute kidney injury and prostate cancer presented with abdominal pain. Note that the of intravenous and oral contrast limits evaluation of vasculature, lymph nodes, hollow and solid viscera.CHEST:LUNGS AND PLEURA: Bilateral moderate pleural effusions with ass... | 1.No evidence of acute intra-abdominal process.2.Stable bilateral pleural effusions. |
Generate impression based on findings. | 65-year-old female with history of RCC, assess for progression of disease. CHEST:LUNGS AND PLEURA: Left upper lobe metastatic lesion measures 1.3 x 1.1 cm (image 19, series 6) and previously measured 1.5 x 1.1 cm. Reference right lower lobe pulmonary nodule measures 5 x 4 mm and previously measured 6 x 5 mm (image 60 s... | 1. Multiple unchanged metastatic pulmonary nodules.2. Stable gastrohepatic lymphadenopathy.3. Unchanged clusters of nodular opacities in the right lung which may be inflammatory or possibly represent low-grade adenocarcinoma.4. Stable left pulmonary AVMs. |
Generate impression based on findings. | Reason: 50yo female with incidental lung nodule on CXR History: cough LUNGS AND PLEURA: Multiple he clustered groundglass nodular opacities in both upper lobes with associated bronchial bronchiolar wall thickening with centrilobular nodules, suggesting tree in bud opacities suggestive of bronchiolitis.No suspicious pul... | Bronchial/bronchiolar wall thickening with bilateral upper lobe clustered groundglass nodular opacities compatible with infectious bronchiolitis. |
Generate impression based on findings. | 67-year-old male with a history of metastatic renal cancer -- assess disease status on treatment. CHEST:LUNGS AND PLEURA: Again seen are innumerable bilateral pulmonary nodules and masses consistent with metastatic disease. No new nodules are seen and the prior referenced left upper lobe nodule (series 6, image 36) is ... | 1. Left renal cell carcinoma, minimally decreased in size with left renal vein. Thrombus, unchanged. 2. Slight decrease in referenced, pulmonary nodule with subjectively, similar slight decrease in other parenchymal lung metastases. 3. Multiple hepatic metastases with slight decrease in reference lesion. 4. No change a... |
Generate impression based on findings. | 14-year-old male with history of pain. Evaluate for fracture nonunion.EXAMINATION: CT left femur without IV contrast 10/31/13 at 944. A side plate and screw device is partially visualized affixing the left femur with associated streak artifact. An osteotomy site is noted in the left proximal femur as was seen on prior ... | Nonunion of proximal left femoral osteotomy as described above. |
Generate impression based on findings. | Clinical impression: Evaluate for fracture or entrapment. Signs and symptoms: Left facial pain after fall. Maxillofacial CT:Examination demonstrates no detectable osseous fracture of the maxillofacial region as is questioned clinically. Images through the orbits are within normal limits and without evidence of fracture... | 1.No evidence of osseous fractures of the maxillofacial region.2.Minimal soft tissue thickening/subcutaneous fat stranding of the left cheek as detailed.3.Unremarkable orbits, paranasal sinuses, mastoid air cells and middle ear cavities.4.Mild nasal septum deviation to the left and a bony septal spur measuring 7-mm in ... |
Generate impression based on findings. | Cervical lymphadenopathy. There is considerable motion artifact at the level of the oropharynx, which may be responsible for the prominent appearance of the Waldeyer ring structures. The cervical lymph nodes are not enlarged by size criteria. For example, a level 1A lymph node measures 6 x 9 mm (image 102, series 7), a... | 1. No significant cervical lymphadenopathy by size criteria and this may represent a resolving reactive process, given the reported prior cervical lymphadenopathy. 2. Considerable motion artifact at the level of the oropharynx, which may be responsible for the prominent appearance of the Waldeyer ring structures. Never... |
Generate impression based on findings. | 82 year-old female with lower abdominal pain and blood in stool. 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... | 1. No specific findings to account for patient's abdominal pain. 2. Hiatal hernia. |
Generate impression based on findings. | Neurofibromatosis, unspecified(237.70)Atherosclerosis of renal arteryUnspecified essential hypertension Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No aneurysms or intracranial stenosis is appr... | 1.No evidence for aneurysm.2.No evidence for cerebral vascular occlusive disease.3.Chiari one malformation with asymmetric tonsil ectopia left more than right. |
Generate impression based on findings. | 74-year-old male patient with renal mass. ABDOMEN:LUNG BASES: Bilateral pleural effusions, left greater than right. Interval decrease compared to prior examination.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: Diffuse fatty replacement.ADRENAL GLANDS: No signi... | 1.Stable right renal mass without new sites of disease.2.Interval decrease in bilateral pleural effusions. |
Generate impression based on findings. | Arachnoid cyst, preoperative planning. There is a stereotactic frame in position, which produces extensive streak artifact that obscures surrounding structures. Within this limitation, there is a small amount of subcutaneous emphysema in the left frontal scalp adjacent to the device screw. there is a right posterior fo... | 1. Stereotactic frame in position, which produces extensive streak artifact that obscures surrounding structures. Within this limitation, there is a small amount of subcutaneous emphysema in the left frontal scalp adjacent to the device screw. 2. A right posterior fossa shunt catheter that terminates in the right cereb... |
Generate impression based on findings. | 68-year-old male with history of tongue cancer, evaluate for right mandibular infection Limited intracranial views demonstrate no gross abnormalities. The visualized paranasal sinuses and mastoid air cells are clear. Visualized orbits are unremarkable.Chronic appearing fracture at the right mandibular body with mixed f... | 1. Slight interval increase in cortical bone loss suggested along the anterior aspect of the chronic appearing right mandibular fracture which in the appropriate clinical setting may represent changes relating to osteomyelitis. No associated soft tissue abnormality. 2. No soft tissue masses or cervical lymphadenopathy ... |
Generate impression based on findings. | New lung mass concerning for malignancy. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is mild scattered cerebral white matter hypoattenuation that likely represents microangiopathy. The ventricles are normal in size and configuration. There is a prominent retrocerebellar cistern, whic... | 1. No evidence of acute intracranial hemorrhage, mass, or cerebral edema. However, non-contrast CT is insensitive for detection of metastases and if there is persistent clinical concern for this, MRI is recommended, assuming there are no contraindications for this modality. 2. Opacification of the right sphenoid sinus ... |
Generate impression based on findings. | Female 31 years old; Reason: mets lung cancer, s/p chemo, pls c/w previous study and evaluate tx response . History: lung ca CHEST:LUNGS AND PLEURA: Right upper lobe apical nodule (series 5, image 15) measures 1.0 x 0.5 cm, unchanged from previous.Second right upper lobe nodule (series 5 come image 23) measures 1.3 x 1... | 1. Minimal change in two right lung nodules as measured and reported above. 2. Scattered small mediastinal lymph nodes again seen -- referenced lymph node, without significant change. 3. Decreasing tumor burden seen diffusely in liver with lesions too small to accurately measure. 4. Postsurgical changes in the spine wi... |
Generate impression based on findings. | 66-year-old male with prostate cancer and rising PSA ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significan... | 1. Abnormally enlarged distal left periaortic lymph nodes as reported above, worrisome for metastatic disease. 2. Sclerotic foci in left iliac bone worrisome for metastatic disease but will be better evaluated by bone scan.. |
Generate impression based on findings. | Breast cancer CHEST:LUNGS: Left lower lobe nodule is unchanged measuring 1 x 1.2 cm on image number 79, series number 5. Peripheral scarring is again noted in the left lung.MEDIASTINUM: Stable appearance of the descending aortic aneurysm measuring 5-cm on image number 36, series number 3. Index left paratracheal lymph ... | No significant change from previous study. |
Generate impression based on findings. | Female 54 years old; Reason: r/o metastases in pt with h/o triple negative br ca and endometrial ca with bone lesions History: back pain CHEST:Neck base: Numerous supraclavicular and neck base lymph nodes are noted not completely visualized on this examination.LUNGS AND PLEURA: Numerous pulmonary nodules are noted thro... | 1. Numerous pulmonary nodules and mediastinal lymphadenopathy compatible with metastatic disease.2. Mottled mixed lytic and sclerotic appearance of L2 worrisome for metastatic disease.3. No metastatic disease to the abdomen or pelvis4. cholelithiasis |
Generate impression based on findings. | speech disturbance The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a moderate degree are present. These have only mildly progressed since the prior examNo abnormal mass lesions are appreciated intracranially. No intracrania... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA3.Periventricular and subcortical white matter changes of a moderate degree are nonspecific. At this age they are most likely vascular related. These have only mildly progressed since th... |
Generate impression based on findings. | History of bladder cancer This study is limited due to lack of IV contrast.CHEST:LUNGS AND PLEURA: Emphysematous changes are stable. Calcified right lung nodules are stable. A new subcentimeter nodule adjacent to the fissure of the left upper lobe on image number 15, series number 7, nonspecific. New somewhat nodular a... | Limited study to lack of IV contrast. No significant change from previous study. |
Generate impression based on findings. | Reason: 46M with history of buccal scc, osteoradionecrosis, recurrent carcinoma in situ, eval for lung mets History: head and neck ca LUNGS AND PLEURA: Apical radiation fibrosis.There is no evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: Common origin right brachiocephalic and left carotid artery, a n... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | 45 year-old female with elevated CPK CHEST:LUNGS AND PLEURA: No significant abnormality noted.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: No significa... | Unremarkable study. |
Generate impression based on findings. | SCC buccal mucosal, s/p mandibulectomy for ORN, now with recurrent mucosal carcinoma in situ. Evaluate for extent of disease. There are postoperative findings related to left segmental mandibulectomy with temporomandibular joint disarticulation with hemimandibular prosthesis and graft reconstruction. There is no eviden... | Postoperative findings related to left segmental mandibulectomy with temporomandibular joint disarticulation with hemimandibular prosthesis and graft reconstruction for treatment of buccal squamous cell carcinoma. No evidence significant cervical lymphadenopathy or discernable locoregional tumor, although assessment is... |
Generate impression based on findings. | History of metastatic cancer 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: Status post resection of patient's kn... | Postoperative changes involving the left kidney. Follow-up imaging is recommended to exclude recurrence.Metastatic left para-aortic adenopathy. |
Generate impression based on findings. | Testicular cancer ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM,... | No significant change from previous study. |
Generate impression based on findings. | Vomiting and decreased bowel movements This study is limited due to lack of IV contrast.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality n... | Very limited study due to lack of intravenous contrast, lack of intra-abdominal fat and suboptimal opacification of the small bowel loops due to distal small bowel obstruction. Transition point is likely to be in the right lower quadrant.Postsurgical changes in the left thigh |
Generate impression based on findings. | 70 year-old male with history of empyema. Evaluate for resolution. LUNGS AND PLEURA: Bilateral postsurgical changes. Interval decrease in the left posterior upper lobe consolidation and adjacent loculated fluid collection. There is still a small amount of the fluid with small pockets of air and overlying consolidation.... | 1.Interval decrease in left posterior upper lobe consolidation and adjacent fluid collection. Small residual amount of fluid with small pockets of air and overlying consolidation compatible with resolving empyema or parapneumonic effusion.2.Interval resolution of left basilar atelectasis and subpulmonic effusion. |
Generate impression based on findings. | 56 year old female with metastatic breast cancer. Evaluate for pulmonary embolus. PULMONARY ARTERIES: Diagnostic quality exam with extensive bilateral pulmonary emboli involving lobar, segmental, and subsegmental pulmonary artery branches (series 12, images 145, 160, 167, 126).LUNGS AND PLEURA: Small bilateral pleural ... | 1.Multiple bilateral pulmonary emboli, as described above, without evidence of right heart strain.2.Bilateral small pleural effusions, with pleural-based soft tissue nodules bilaterally suspicious for metastatic deposits.3.Diffuse heterogeneity of bone marrow compatible with metastatic disease. 4.Heterogeneous attenuat... |
Generate impression based on findings. | 57-year-old male evaluated fluid collections after drain placement. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No focal hepatic lesions. Pneumobilia is again noted. A biliary stent is unchanged in position, extending to the duodenum. Air is again noted within the gallbladder.SPLEEN: No si... | 1. Mild interval decrease in size in right perinephric fluid collection containing a new percutaneous drain.2. New, heterogeneous collection superior to the drain, and inferior to the liver/gallbladder containing hemorrhage with foci of gas which may be post procedural in etiology, although perforation of a viscus cann... |
Generate impression based on findings. | 84-year-old female patient with copious feculent material from old fistula tract and two recent subcutaneous abscesses. Assess for fluid collections in pelvis and abdomen. ABDOMEN:LUNG BASES: Resolution of bilateral pleural effusions.LIVER, BILIARY TRACT: Liver morphology within normal limits. Hypoattenuating lesion in... | Left iliac fossa collection with rim enhancement containing debris and air is enlarged and has increased wall enhancement compared to examinations from 8/26 and 7/29/2013. New involvement in the subcutaneous tissue of pannus.Finding of enlarging, wall enhancing collection communicated to Dr. David via telephone at 2:59... |
Generate impression based on findings. | 55 year-old male with chronic hepatitis C and HCC -- restaging status post Therasphere treatment CHEST:LUNGS AND PLEURA: Emphysematous changes are again seen. The focal right upper lobe focal pleural thickening appears stable. Scattered small micronodules are stable and unchanged.MEDIASTINUM AND HILA: No significant me... | 1. Overall decreased liver tumor burden as demonstrated by decrease in size of most reference lesions and other small enhancing nodules throughout liver. 2. Stable right adrenal mass without change. 3. No evidence metastatic disease in the chest. |
Generate impression based on findings. | Dizziness. There is a isodense left paraclinoid mass with peripheral, calcification that measures up to approximately 2.5 cm with mild mass effect upon the adjacent brain parenchyma. There is mild cerebral white matter hypoattenuation, which likely represents microangiopathy. There is no evidence of intracranial hemorr... | 1. Left paraclinoid meningioma, which may have gradually increased in size over the course of several years, now measuring up to approximately 2.5 cm, although the lesion is difficult to delineate on non-contrast CT. A brain MRI with contrast may be useful for further delineate assuming there are no contraindications f... |
Generate impression based on findings. | 78-year-old female with vomiting, evaluate for SBO. ABDOMEN:LUNG BASES: Mild basilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Atrophic native kidne... | 1. No evidence of bowel obstruction or specific findings to account for the patient's vomiting.2. 4.8-cm nonspecific left cystic adnexal lesion for which further evaluation is recommended as this is larger than can be normally expected for age and a neoplasm cannot be excluded. |
Generate impression based on findings. | Reason: h/o HNC, compare to previous, measurements pls History: none LUNGS AND PLEURA: Mild apical scarring with emphysema is stable.There is no evidence of pulmonary or pleural metastases.Scattered calcified benign appearing micronodules are unchanged.MEDIASTINUM AND HILA: Aortic root calcifications are stable. There ... | No change, and no evidence of metastases or other significant findings. |
Generate impression based on findings. | 56 year old female with metastatic breast cancer, evaluate for progression ABDOMEN:LUNG BASES: Bilateral pleural effusions and adjacent atelectasis. Refer to CT chest report for further detail.LIVER, BILIARY TRACT: Hypoattenuating right hepatic lesion. Diminutive left hepatic lobe portal vein.SPLEEN: No significant abn... | 1. High-grade small bowel obstruction with hyperenhancing bowel wall indicating ischemia.2. Marked abdominal and pelvic ascites. While this in part may relate to the patient's known metastatic disease, ischemia is also suspected.3. Widespread abdominal/peritoneal and osseous metastatic disease.These findings were discu... |
Generate impression based on findings. | 62-year-old male patient with prostate cancer. Evaluate for lymphadenopathy. Note that the lack of intravenous contrast limits evaluation of lymph nodes, vasculature and solid viscera.ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnor... | 1.No new lymphadenopathy or signs of metastatic disease.2.Adrenal adenoma. |
Generate impression based on findings. | Male 66 years old; Reason: r/o appy History: anorexia and abd pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No focal lesions detected. Pneumobilia and mild intrahepatic ductal dilation is seen.Distal Common bile duct is dilated measuring 12 mm. Suggestion of a hepaticojejunostomy anas... | 1.No evidence of appendicitis2.S/P Hepaticojejunostomy with pneumobilia |
Generate impression based on findings. | Female 41 years old Reason: Evaluate for septic joint vs soft tissue infection History: right wrist pain and swelling There is diffuse soft tissue swelling and fat stranding extending from the dorsal distal forearm to the dorsal aspect right hand. There is an area of low density (image 20, series 4) just superficial to... | 1. Diffuse soft tissue swelling of the dorsum of the hand and proximal wrist with possible small loculated fluid collection.2. Scaphoid fracture as above. |
Generate impression based on findings. | 24-year-old male with testicular cancer. LUNGS AND PLEURA: Several punctate micronodules that have morphology suggestive of intrapulmonary lymph nodes (series 5, images 70, 59). No consolidation or pleural effusions.MEDIASTINUM AND HILA: No significant abnormality noted. Residual thyroid tissue noted in anterior medias... | Several punctate micronodules which are most likely benign, perhaps intrapulmonary lymph nodes; however, given the history of testicular cancer, follow-up CT in about 3 months is recommended to confirm stability. |
Generate impression based on findings. | 81-year-old female with abdominal aortic aneurysm. Within the limitations of a non-IV contrast enhanced examination limiting the evaluation of solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No change in a... | 1. Stable aortic aneurysm. 2. Stable splenic artery aneurysms. 3. Left adrenal adenoma, stable. |
Generate impression based on findings. | Clinical question: Follow-up right PCA occlusion. Signs and symptoms: As above. Nonenhanced head CT:Termination demonstrate no detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic stroke.Chronic changes of a right MCA territory frontal, temporal and right basal... | 1.No detectable acute intracranial process.2.Large region of encephalomalacia in the right MCA territory involving the right frontal, right anterior temporal and right basal ganglia with resultant ex acute dilatation of right lateral ventricle unchanged since prior exam. |
Generate impression based on findings. | 61-year-old male unable to forward, follow commands. There is no evidence of hemorrhagic transformation of the patient's known left basal ganglia infarct. The hyperdense left MCA is no longer identified. There is no evidence of midline shift or herniation. The ventricles are stable in size and configuration. There is p... | No evidence of hemorrhagic transformation of the known left basal ganglia infarct. |
Generate impression based on findings. | 79-year-old male with history of severe weight loss and positive interferon, evaluate for TB. CHEST:LUNGS AND PLEURA: Left basilar scarring. No nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: No mediastinal lymphadenopathy. The heart size is normal.CHEST WALL: No significant abnormality notedABDOMEN:LIVER... | No evidence of tuberculosis or significant interval change from the prior study. |
Generate impression based on findings. | Reason: chest pain History: chest pain, lupus, fibromyalgia, diabetes, hypertension, morbid obesity, obstructive sleep apnea, asthma Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and bifurcates into the left anterior descending and left circumflex coronary arteries... | There are no significant coronary artery stenoses present. |
Generate impression based on findings. | Clinical question: Rule-out leak. Signs and symptoms: Loss of consciousness. Unenhanced head CT:No detectable acute intracranial hemorrhage, edema, mass effect, midline shift or hydrocephalus.CT is insensitive for the detection of acute nonhemorrhagic ischemic stroke.Unremarkable cerebral cortex, cortical sulci, ventri... | Unremarkable exam and without evidence of an acute intracranial findings. |
Generate impression based on findings. | 65-year-old male with gross hematuria -- rule-out renal/ureteral/bladder mass or urolithiasis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Punctate calcified granulomas. No significant mass lesions otherwise seen. Vasculature appears normal. Gallbladder and biliary tract appears normal.SPL... | 1. 8 x 4 mm left renal nonobstructing calyceal calculus. 2. No other significant urinary tract abnormality seen. 3. No other significant abnormality seen in the abdomen or pelvis. |
Generate impression based on findings. | 63 year-old female with pancreatic adenocarcinoma CHEST:LUNGS AND PLEURA: Redemonstration of postoperative changes in the right upper lobe. Scarlike opacities are again noted in the right lower lobe measuring 1.3 x 1.1 cm number 62, series number 9.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No s... | Postoperative changes in the right upper lobe and scarlike opacity in the right lower lobe, unchanged.Large pancreatic head mass without any vascular invasion or hepatic metastases. Borderline enlarged peripancreatic lymph nodes are present. |
Generate impression based on findings. | Clinical question: Operative planning for ESS. Signs and symptoms: Recurrent orbital cellulitis; chronic sinusitis; chronic nasal obstruction. Medtronic fusion sinus CT:Frontal sinuses are pneumatized and without evidence of disease. Stable since prior exam.Ethmoid sinuses demonstrate left-sided chronic ethmoid sinusit... | 1.Compromised bilateral ostiomeatal units of maxillary sinuses secondary to regional mucosal thickening and unremarkable otherwise.2.Chronic mucosal thickening of left chamber of the sphenoid sinus with resultant occlusion of left sphenoethmoidal recess.3.Mild left ethmoid chronic sinusitis. |
Generate impression based on findings. | 27 year-old female with left-sided abdominal pain ABDOMEN:LUNG BASES: Nonspecific somewhat nodular air space opacities in the left lower lobe, suspicious for pneumonia. Clinical correlation is recommended.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No signific... | Possible left lower lobe pneumonia. Clinical correlation and if necessary further evaluation with chest CT may be helpful. |
Generate impression based on findings. | 77-year-old male with history of monoclonal gammopathy and worsening anemia ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cirrhotic liver. No focal liver lesion suspicious for hepatocellular carcinoma. SPLEEN: Splenomegaly.PANCREAS: There is a new hypodense lesion in the body of the pancreas... | Findings consistent with cirrhosis and portal hypertension.Small amount of ascites. Interval increase in the size of the retroperitoneal and pelvic adenopathy.Interval development of a small pancreatic body cystic lesion. Further evaluation with M.R.C.P. may be helpful. |
Generate impression based on findings. | Clinical question: Rule-out intracranial bleed or other pathology to explain AMS. Signs and symptoms: AMS Nonenhanced head CT:There is no acute intracranial findings. CT however is insensitive for early detection of acute nonhemorrhagic ischemic stroke. Unremarkable central cortex, cortical sulci, ventricular system, C... | 1.No acute intracranial process.2.Right maxillary and bilateral ethmoid sinusitis. |
Generate impression based on findings. | 55-year-old female with tongue cancer status post chemo and radiation, reevaluate. The paranasal sinuses and mastoid air cells are clear. Limited views of the intracranial structures are unremarkable.Redemonstration of extensive postsurgical changes including a partial glossectomy, unchanged. Multiple surgical clips in... | Stable postsurgical changes without evidence of tumor recurrence or lymphadenopathy by CT criteria. |
Generate impression based on findings. | Clinical question: Evidence of hemorrhage? Signs and symptoms: Patient reportedly fell at home yesterday, down on ground overnight, today does not remember events. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp the findings.CT is insensitive for early... | No acute intracranial findings. Stable extensive findings of small vessel ischemic strokes of indeterminate age and a chronic right occipital and right cerebellar chronic ischemic strokes. |
Generate impression based on findings. | Right abdominal pain ABDOMEN:LUNG BASES: Hiatal hernia.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: N... | No evidence of renal stones. No evidence of appendicitis. No CT findings to explain patient's acute right-sided abdominal pain.Large lateral hernia. |
Generate impression based on findings. | 84 year old female with shortness of breath and history of pulmonary embolus. PULMONARY ARTERIES: Suboptimal study due to incomplete opacification of pulmonary artery branches. The study is diagnostic down to the segmental level, without evidence of acute pulmonary embolus.LUNGS AND PLEURA: Lungs underinflated with dep... | 1.Suboptimal study without evidence of acute pulmonary embolus down to the segmental level.2.No significant change in bilateral basilar atelectasis. |
Generate impression based on findings. | 26-year-old female patient with a liver lesion seen on ultrasound. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Hypoattenuating liver lesion in the left lobe of the liver measures 5.7 x 5.4 cm (series 9 image 15). This lesion has soft tissue density and demonstrates minimal peripheral nodu... | Two atypical liver lesions without characteristic enhancement patterns. Dominant lesion in left lobe likely represents a hemangioma. Recommend correlation with prior ultrasound study. If ultrasound study is unavailable, recommend further characterization with MRI. |
Generate impression based on findings. | Female 99 years old Reason: concern for fx within R knee. History: Fell at home yesterday, R knee pain today, radiology was unsure based on X ray and recommended CT There is severe tricompartmental osteoarthritis, but no fracture is evident. There is a moderate-sized joint effusion which extends posteriorly to a Baker'... | Degenerative changes, joint effusion and other findings as described above. No fracture is evident. |
Generate impression based on findings. | Female 40 years old; Reason: pulmonary embolism History: SOB, chest pain. PULMONARY ARTERIES: Suboptimal study for the evaluation of the pulmonary arteries secondary to under opacification of the pulmonary arteries and increased noise signal secondary to body habitus. Within these limitations, no evidence of pulmonary ... | 1.Suboptimal evaluation of the pulmonary arteries. Within these limitations no pulmonary emboli to the lobar level.2.Right upper lobe lesion could represent atypical infection such as fungal pneumonia in the appropriate clinical context however given the extent of lymphadenopathy it is suspicious for malignancy. Recomm... |
Generate impression based on findings. | 69-year-old female patient with abdominal pain and is unable to tolerate oral. Evaluate for small bowel obstruction. ABDOMEN:LUNG BASES: Trace bilateral dependent atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENA... | 1.Bowel normal in caliber without evidence of obstruction.2.Thickened endometrium. Suggest further evaluation with gynecologic ultrasound.Findings discussed with Dr. Mo via telephone at 9:27AM on 11/1/2013 by Dr. Stephanie McCann. |
Generate impression based on findings. | Reason: 51 yo male with HOCM and endocarditis with acute onset sob and hypoxia History: sob, hypoxia PULMONARY ARTERIES: Technically adequate examination. No evidence of pulmonary embolism.LUNGS AND PLEURA: Interval increase of bilateral diffuse groundglass opacities. Interval increase in bronchial wall thickening and ... | 1.No evidence of pulmonary embolism.2.Interval increase in bilateral diffuse groundglass opacities, bronchial wall thickening and septal thickening consistent with worsening pulmonary edema.3.Given the history of endocarditis, there are no foci of septic emboli identified. Edema may obscure the identification of septic... |
Generate impression based on findings. | Abdominal pain in the left lower quadrant. Assess for diverticulitis. Bloating. ABDOMEN:LUNG BASES: Minimal subsegmental atelectasis or scarring at the lung bases.LIVER, BILIARY TRACT: Trace perihepatic ascites. Cirrhotic appearing liver. Portal vein is patent.SPLEEN: No significant abnormality notedPANCREAS: No signif... | Peritoneal carcinomatosis; ovarian carcinoma would be the diagnosis of exclusion although views of the pelvis are limited secondary to streak artifact from the patient's hip replacements. Cirrhosis. Ascites.Findings were communicated by telephone to Dr. Harper's nurse (2-1217)at the time of dictation.PWR |
Generate impression based on findings. | Male, 75 years old, ataxia, unspecified fall, evaluate for stroke. Bilateral parietal burr holes are again seen. No calvarial fracture is demonstrated.Periventricular hypoattenuation has progressed, a nonspecific finding most likely representing age indeterminate small vessel ischemic disease. No CT evidence of acute t... | 1. Age indeterminate small vessel ischemic disease.2. No acute intracranial abnormality. |
Generate impression based on findings. | Chest pain. Rule out aortic dissection. CHEST:LUNGS AND PLEURA: Mild upper lobe predominant emphysema. New moderate right pleural effusion with multiple pulmonary emboli to both upper lobes.MEDIASTINUM AND HILA: No dissection. Cardiomegaly, and postsurgical changes of CABG. Extensive atherosclerotic disease. Bowing of ... | Bilateral pulmonary emboli with possible right heart failure. Hypoperfusion of the kidneys and bowel which may reflect underlying shock and nonocclusive mesenteric ischemia. Findings discussed with the clinical service by the radiology resident on-call. |
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