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Generate impression based on findings. | Reason: ? PE. SOB X 2 weeks History: SOB PULMONARY ARTERIES: There are bilateral pulmonary emboli. The largest is on the right, within a branch point of several right upper lobe segmental arteries (series 7 image 101). On the left, a nearly occlusive thrombus occupies a left lower lobe are branch (series 7 image 106). ... | 1.Bilateral pulmonary emboli, as described above.2.Diffuse groundglass with tree in the opacities and mild bronchial wall thickening suspicious for aspiration. No specific evidence of pulmonary infarct. |
Generate impression based on findings. | 31-year-old male patient. Assess for potential primary tumor. Note that the lack of intravenous contrast limits evaluation of vasculature, lymph nodes and solid viscera.ABDOMEN:LUNG BASES: Small left pleural effusion. Moderate right pleural effusion with associated atelectasis.LIVER, BILIARY TRACT: No significant abnor... | 1.Small amount of ascites in the lower abdomen and pelvis of unclear etiology.2.Bilateral pleural effusions. |
Generate impression based on findings. | Female, 73 years old, dizziness and gait instability. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift. The ventricles and basal cisterns are p... | Unremarkable evaluation with no specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Female, 50 years old, status post fall, evaluate for bleed, C-spine tenderness. CT head:The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift. The v... | 1. No acute intracranial abnormality.2. No definite cervical spine fracture or acute malalignment is seen, though image quality is slightly degraded by motion artifact.3. Incidentally noted soft tissue nodule at the inferior pole of the left thyroid lobe, unchanged and of uncertain significance. This may represent a ly... |
Generate impression based on findings. | 67-year-old female patient with neutropenia and bacteremia. Assess for source of infection and septic emboli from central venous catheter. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Right chest wall port with catheter tip at the cavoatrial... | 1.No acute intra-abdominal abnormalities.2.No evidence of septic emboli in the lungs. |
Generate impression based on findings. | Valuate for malignancy. Penile bleeding, decreased appetite and weight loss. Elevated PSA level. ABDOMEN:LUNG BASES: Subsegmental atelectasis versus scarring at both lung bases. Coronary artery calcifications. 5-mm nodule at the lateral right lung base (image 5; series 6); consider CT follow-up in 6 to 12 months as cli... | 5 mm pulmonary nodule at the right lung base; consider 6 to 12 month follow up CT. No definite evidence of malignancy in the abdomen or pelvis. |
Generate impression based on findings. | Evaluate for pancreatitis or acute cholecystitis. ABDOMEN:LUNG BASES: Mobile at the right lung base. Equivocal edema.LIVER, BILIARY TRACT: A fatty infiltration of the liver without focal abnormality.SPLEEN: No significant abnormality notedPANCREAS: Pancreas is edematous with a small amount of peripancreatic fluid and i... | Acute pancreatitis without evidence of pancreatic necrosis. May-Thurner syndrome. Fatty liver. |
Generate impression based on findings. | Mixed hearing loss in bilateral ears, left worse than right, with visible left attic cholesteatoma. On the left, there is thickening of the tympanic membrane. There is a sphenoid opacity that measures approximately 5 mm in diameter opacity along the medial aspect of pars flaccida with associated blunting of the scutum.... | 1. Findings of long-standing otomastoiditis with evidence of cholesteatoma formation in the bilateral middle ears, as described in the findings section. In particular, there are findings compatible with bilateral Prussak space and attic cholesteatomas and possible associated dehiscence of the right tegmen tympani for w... |
Generate impression based on findings. | Injury, possible choking. Evaluation of retropharyngeal abscess. LUNGS AND PLEURA: Small anterior right pneumothorax. Right lung apicoposterior and posterior basilar opacities likely represent aspiration and atelectasis. No pleural effusions.MEDIASTINUM AND HILA: Normal sized heart without pericardial effusion. No medi... | 1. Small right pneumothorax. Right chest tube tip in the chest wall soft tissues.2. Subcutaneous and retropharyngeal air about the trachea, as described above. |
Generate impression based on findings. | Abdominal pain and distention. Metastatic melanoma. ABDOMEN:LUNG BASES: Numerous metastases which appear stable. Enlarging left pleural effusion.LIVER, BILIARY TRACT: Hepatic metastases are unchanged.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnor... | Extensive metastatic disease. Increasing left pleural effusion and abdominal and pelvic ascites. Other index lesions appear stable. |
Generate impression based on findings. | 57 year-old male with hemorrhage and hemiparesis. Right basal ganglia/thalamic hematoma is unchanged in size and extent. The degree of surrounding parenchyma edema has also not substantially changed.There remains a small amount of blood at the level of the foramina of Monro and within the third and lateral ventricles, ... | 1. Stable right basal ganglia/thalamic parenchymal hemorrhage.2. Persistent intraventricular hemorrhage with stable mild ventriculomegaly.3. Stable posterior interhemispheric fissure and right tentorium hemorrhage. 4. No definite evidence of new hemorrhage. |
Generate impression based on findings. | Evaluate for intra-abdominal infection. Abdominal pain in the right lower quadrant. ABDOMEN:LUNG BASES: Minimal subsegmental atelectasis at the left lung base.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signif... | Possible gastroenteritis. No evidence of appendicitis. Subsegmental atelectasis at the left lung base. |
Generate impression based on findings. | 37-year-old female patient with right upper quadrant pain, unclear etiology. Abdominal ultrasound suggestive of nephrolithiasis. Elevate for nephrolithiasis. Note that the lack of intravenous contrast limits evaluation of vasculature, lymph nodes and solid viscera.ABDOMEN:LUNG BASES: No significant abnormality noted.LI... | No hydronephrosis or renal calculi. |
Generate impression based on findings. | 83 year-old woman with pelvic fracture. Concern for persistent pelvic hematoma or bleed. Please evaluate. ABDOMEN:LUNG BASES: Slight interval enlargement of right and left pleural effusions. Overlying compressive atelectasis is noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormal... | 1. Comminuted mildly displaced right pubic rami fractures unchanged.2. Pelvic hematomas appear similar in size to minimally larger. 3. Bilateral renal cysts, some of which do not meet the criteria for simple cysts, are incompletely evaluated on this study and described in detail previously.4. Slight interval enlargemen... |
Generate impression based on findings. | Male 75 years old Reason: evaluate for fracture History: pain, fall, neg OSH xray No fracture is evident and the bony alignment is within normal limits. Mild osteoarthritis affects the glenohumeral and acromioclavicular joints, and no frank joint effusion is evident. The rotator cuff musculature appears slightly atroph... | Degenerative changes as described above, but no fracture is evident. |
Generate impression based on findings. | 49 year-old male with lytic lesion seen on the prior CT. There is a small area of encephalomalacia in the right parietal cortex. There is a focus of hypoattenuation in the right caudate head, consistent with a chronic lacunar infarct. The ventricles, sulci, and cisterns are symmetric and diffusely prominent, consistent... | 1. Stable intracranial findings. 2. Stable multiple lytic lesions in the calvarium, which are nonspecific and can be seen in multiple myeloma, lytic metastases, hyperparathyroidism and hemangiomas. |
Generate impression based on findings. | Male 53 years old; Reason: lung Ca, no known abdominal involvement. Intermittent abdominal pain and distention, and mesenteric panniculitis possibly found on prior CT's. Eval for mesenteric abnormality, other. History: intermittent abdominal pain and distention ABDOMEN:LUNGS BASES: There is interval resolution of the l... | 1.No evident metastatic disease in the abdomen or pelvis.2.Stable pulmonary findings on this limited view of the lung bases.3.Increasing inflammatory process that affects the pancreatic head/duodenal sweep, and should be further evaluated with upper endoscopy. |
Generate impression based on findings. | End-stage renal disease on peritoneal dialysis. Abdominal pain. Peritoneal fluid. Rule-out intra-abdominal process. The following observations are made given the limitations of an unenhanced study.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significan... | Small amount of free air which may reflect recent peritoneal dialysis catheter intervention. No intra-abdominal fluid collection. Endstage kidneys. |
Generate impression based on findings. | Recent intra-abdominal infected fluid collection. Status post drain removal with recent fever. Evaluate for recurrent collection. ABDOMEN:LUNG BASES: Subsegmental atelectasis at the left lung base. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abn... | Appendix remains enlarged and inflamed but there is no evidence of a recurrent or residual periappendiceal fluid collection. |
Generate impression based on findings. | Male 59 years old; Reason: CRC history Stage II resected 2/2011. Restaging CT surveillance. History: none CHEST:LUNGS AND PLEURA: Right middle lobe granulomata. No dominant lung lesion. The pleural spaces are clear. MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediastinal lymphadenopathy. Cal... | 1.Stable exam without evidence of metastatic disease. 2.Interval resolution of the right ureteral stone. |
Generate impression based on findings. | Male 48 years old; Reason: Pre-renal transplant; assess calcification in the iliac vessels History: ESRD on dialysis ABDOMEN: The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given its, the following observations were made:LUNGS BASES: No significant abnormality note... | 1.End stage renal failure with shrunken calcified prior renal transplant and calcifications of the vessels as described above. |
Generate impression based on findings. | 65-year-old female with history of subdural hemorrhage evacuation. Redemonstration of two right parietal burr holes. Similar to the prior, catheter courses through the more anterior of these burr holes and resides within the right subdural space, unchanged.Interval decrease in right pneumocephalus with interval increas... | Postsurgical changes of a right subdural hematoma evacuation with decreasing mass effect and improving midline shift. |
Generate impression based on findings. | Female, 76 years old, history of an external auditory canal lesion on the right which on pathology was a paraganglioma. Head:The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No pathologic parenchymal or extra-axial enhancement is seen.No intracranial hemorrhage or abnormal... | 1. Mild peripheral soft tissue thickening along the right external auditory canal. Complete opacification of the right middle ear cavity and mastoid air cells. The nature of these findings cannot be accurately assessed on CT. IAC protocol MRI with contrast may provide more information.2. Asymmetric effacement of the le... |
Generate impression based on findings. | 51-year-old female patient with nausea, vomiting and lactate of 12. Evaluate for intra-abdominal pathology. ABDOMEN:LUNG BASES: Bilateral dependent atelectasis.LIVER, BILIARY TRACT: Hypoattenuating lesion adjacent to the middle portal vein (series 3 image 35) is too small to characterize.SPLEEN: No significant abnormal... | Mildly dilated loops of jejunum with collapsed small bowel distally suggestive of partial small bowel obstruction. |
Generate impression based on findings. | 55-year-old male with SIADH, assessment of cerebral edema Redemonstration of postsurgical changes of a large right hemispheric MCA territory ischemic stroke. Trace leftward midline shift, unchanged. No significant interval change in the size of the supratentorial ventricular system. Subtle ex vacuo dilatation of the ri... | No significant interval change in trace leftward midline shift and appearance of the ventricular system. |
Generate impression based on findings. | Evaluate for obstruction or colitis. Nausea and vomiting ABDOMEN:LUNG BASES: Small bulla at the right lung base. No effusions. Motion artifact.LIVER, BILIARY TRACT: Unchanged hypodense nodule in segment 7. Additional smaller near anechoic nodules in the liver are also stable.SPLEEN: Hypodense nodule the spleen describe... | No specific abnormalities on CT to account for the patient's symptoms. |
Generate impression based on findings. | 64 year old female with history of head and neck cancer, neoplasm of the larynx, status post chemo radiation therapy, reevaluate Limited intracranial views and views of the orbits are unremarkable. Right maxillary mucous retention cyst. The mastoid air cells are clear.Post therapy changes include edema of the pharyngea... | 1. Mild mucosal irregularity of the left vocal fold without discrete identification of a measurable mass at this location. Redemonstration of distortion of the left cricoid cartilage and arytenoid cartilage again suggestive of invasion.2. No CT evidence of lymphadenopathy by size criteria. |
Generate impression based on findings. | 63-year-old female patient with likely pancreaticobiliary malignancy presents with ascites, nausea and vomiting. Evaluate for cause of SBO and primary malignancy of unknown etiology. CHEST:LUNGS AND PLEURA: Bilateral moderate pleural effusions, left greater than right.MEDIASTINUM AND HILA: No significant abnormality no... | 1.Ill-defined gallbladder fundus wall with equivocal invasion into the liver parenchyma. This region is poorly demonstrated on this examination secondary to patient motion and large body habitus.2.Redemonstration of multiple loculated fluid collections and nodularity in the omentum and mesentery, consistent with known ... |
Generate impression based on findings. | Male, 90 years old, orthostatic generalized weakness. Moderately advanced 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 eff... | No acute intracranial abnormalities. |
Generate impression based on findings. | 55 year old male with prostate cancer, rising PSA. Please evaluate. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Coronary artery calcifications.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality no... | Enlarged left adrenal. Status post prostatectomy. Borderline enlarged retroperitoneal nodes probably haven't changed substantially since the prior exam. |
Generate impression based on findings. | 52-year-old male with malignant neoplasm anterior two thirds of the time, status post chemoradiation therapy, evaluate Limited intracranial views are unremarkable. Limited views of the orbits are unremarkable. Partial opacification of the left posterior ethmoid air cells and maxillary sinuses. The mastoid air cells are... | Stable postsurgical/post treatment changes without evidence of cervical lymphadenopathy or recurrent neck mass. |
Generate impression based on findings. | Male 19 years old; Reason: diffuse lymphadenopathy History: diffuse lymphadenopathy. LUNGS AND PLEURA: Scattered micronodules bilaterally. No focal pulmonary opacities or pleural effusions.MEDIASTINUM AND HILA: Scattered nonenlarged mediastinal and hilar lymph nodes. No cardiomegaly or pericardial effusion.CHEST WALL: ... | No findings to indicate lymphadenopathy, likely resolved. |
Generate impression based on findings. | Reason: h/o HNC, s/p CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Benign-appearing pulmonary micronodules are stable.Mild dependent linear atelectasis is present.There is no evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: There is no mediastinal or hilar lymphadenop... | No sign of metastases, or other significant abnormality. |
Generate impression based on findings. | 59-year-old male patient with metastatic non-small cell lung cancer presents with bacteroides bacteremia of unclear source. Acute bilateral lower quadrant abdominal pain. Evaluate for infectious source in the abdomen. CHEST:LUNGS AND PLEURA: Marked interval progression of lung lesions with numerous new sites of disease... | 1.Marked progression of metastatic disease in the chest, abdomen and pelvis.2.Metastatic disease to bowel and mesentery with aneurysmal dilatation of loops of small bowel. No evidence of obstruction.3.Moderate abdominal and pelvic fluid. |
Generate impression based on findings. | Reason: ho hnc, s/p crt, compare to previous measurements pls History: none CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Mild to moderate coronary calcifications are present.There is no evidence of mediastinal or hilar lymphadenopathy.CHEST WALL: Degenerative abnormalities affect the t... | No evidence for metastases, or other significant abnormality. |
Generate impression based on findings. | 68-year-old male with rectal cancer follow-up. Stage II colorectal cancer. Routine surveillance. CHEST:LUNGS AND PLEURA: Centrilobular emphysema. Scarring/atelectasis in the left lung base.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Hypodense nodule in the right lobe of the thyroid described previous... | Presumed metastatic implant in the region of the right paracolic gutter as described. Findings discussed with Dr. Catenacci at the time of dictation. |
Generate impression based on findings. | Male 66 years old; Reason: mets lung cancer, s/p resection for early lung cancer in the past. S/p cycle 16 of Nivolumab, pls c/w previous study and evaluate tx response. History: lung cancer. LUNGS AND PLEURA: Again seen are postoperative changes involving the left lung with a small amount of thickening involving the s... | Stable to improved lymphadenopathy. No new suspicious lesions. |
Generate impression based on findings. | 68-year-old female patient with abdominal pain and left lower quadrant pain. Evaluate for etiology. 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: Homogeneously hypoattenuating liv... | Diverticulosis without CT evidence of diverticulitis. Note that early or mild diverticulitis may be occult on CT examination. |
Generate impression based on findings. | 55-year-old male patient. Rectal cancer, recurrent locally. Chemo holiday. CHEST:LUNGS AND PLEURA: Calcified granuloma within the right middle lobe and cluster of nodular opacities within the right lower lobe are stable from the prior exam. Right middle lobe micronodules are unchanged.MEDIASTINUM AND HILA: Calcificatio... | No substantial interval change. Equivocal enlargement of one of the presacral nodules described previously. Measurements are given above. |
Generate impression based on findings. | Male 61 years old; Reason: prior pna, eval resolution History: pna, septic shock, ards. LUNGS AND PLEURA: Persistent right upper lobe ground glass opacities and adjacent bronchiolectasis consistent with chronic lung changes suspicious for recurrent aspiration. There is diffuse persistent bilateral lower lobe bronchiola... | 1.Interval increase in the size of the pleural effusions, right greater than left.2.Bilateral lower lobe ground glass and tree in bud opacities consistent with bronchiolitis. Fluid and mucus in the left main bronchus. Persistence of the right upper lobe ground glass opacities with bronchiolectasis suggestive of recurre... |
Generate impression based on findings. | Female, 58 years old, breast cancer, growing right supraclavicular mass, evaluate for recurrence. A large enhancing mass is evident within the right supraclavicular fossa measuring 4.6 x 3.8 cm transaxial (image 38 series 7) and 5.0 cm in the coronal plane (image 32 series 80646). It is likely that this lesion develope... | Since the prior neck CT from 2012, a large enhancing mass has developed in the right supraclavicular fossa consistent with recurrence of disease. Scattered additional pathologic nodules are also seen spanning levels 2 through 4 on the right, potentially involving the right jugulodigastric node. |
Generate impression based on findings. | Metastatic lung CA (adenocarcinoma) status post chemo and brain RT. doing well. CHEST:LUNGS AND PLEURA: Spiculated mass in the left lower lobe measures 2.3 x 1.6 cm (4/74), previously 2.5 x 1.6 cm.Scattered subs select and groundglass micronodules not significantly changed. Moderate centrilobular emphysema. No pleural ... | No significant change in left lower lobe mass or in reference nodal metastases. Diaphragmatic hiatus mass is unchanged. |
Generate impression based on findings. | Female 46 years old; Reason: 46 year old female with large B cell lymphoma in remission after chemotherapy. Compare to prior scan. History: none CHEST:LUNGS AND PLEURA: Scattered linear and ground glass opacities; atelectasis is favored.MEDIASTINUM AND HILA: Mild cardiomegaly. Engorged pulmonary venous system suggestiv... | 1. No enlarged lymph nodes in the chest, abdomen, or pelvis. Stable index aortocaval lymph nodes.2. Stable hypodensity upper pole right kidney; continued attention on follow-up is suggested.Mild congestive heart failure. |
Generate impression based on findings. | Reason: Hx of kidney cancer s/p right nephrectomy. Eval for recurrent or metastatic disease History: See above CHEST:LUNGS AND PLEURA: Scattered benign-appearing micronodules and right basilar scarring are unchanged.Right pleural lipoma is stable.Moderate upper lobe centrilobular emphysema stable.No sign of pulmonary o... | 1. No sign of metastases.2. Right nephrectomy and probable adrenalectomy.3. Centrilobular emphysema.4. Severe coronary artery calcifications. |
Generate impression based on findings. | Reason: s/p 8 mo after robotic assisted, VATS left upper lobectomy for management of a T3N0M0 stage IIB small cell cancer History: 3 mo f/u LUNGS AND PLEURA: Interval resection of posterior left upper lobe nodule with postoperative changes noted. No evidence of residual or new suspicious nodules or masses.Severe centri... | 1.Severe centrilobular and paraseptal emphysema without interval change.2.Postoperative changes from left upper lobectomy without evidence of residual or new suspicious nodules or masses. |
Generate impression based on findings. | Female 59 years old; Reason: COLON CANCER S/P LEFT LATERAL HEPATECTOMY IN OCTOBER 2013. POST OPERATIVE BASELINE History: COLON CANCER ABDOMEN:LUNGS BASES: Extensive mediastinal and hilar adenopathycompatible with patient's known history of sarcoidosis is incompletely evaluated.LIVER, BILIARY TRACT: Patient is status po... | 1. Residual low attenuating lesion in the site of hepatectomy with a focus of gas likely postoperative in nature. |
Generate impression based on findings. | History of invasive thymoma status post chemo. CHEST:LUNGS AND PLEURA: Post therapeutic changes in the right lung consistent with radiation fibrosis. No new or suspicious pulmonary nodules. MEDIASTINUM AND HILA: Mediastinal surgical clips. Anterior mediastinal soft tissue stranding unchanged over multiple previous stud... | New expansile lytic lesion in the L3 vertebral body with breakthrough of the cortex is suspicious for a metastasis as it is larger than typically seen for a Schmorl's node and occurred rapidly without pre-existing lesion. Further characterization with MRI is recommended. If the lesion has characteristics consistent wit... |
Generate impression based on findings. | 51 year-old female with right thyroid nodules, evaluate. Limited intracranial views are unremarkable. Limited views of the orbits are unremarkable. The visualized paranasal sinuses are clear.No soft tissue masses are identified. Bilateral small nonspecific hypodense thyroid nodules.No pathologic lymphadenopathy by CT s... | 1. Small bilateral hypodense thyroid nodules.2. No cervical lymphadenopathy or suspicious mucosal or soft tissue lesions of the neck. |
Generate impression based on findings. | Female, 6 years old, with left-sided polyp on anterior rhinoscopy. The visualized paranasal sinuses, including frontal, ethmoidal, sphenoidal and maxillary, are completely opacified with mixed hyper and hypoattenuating material. The walls of the maxillary sinus are thinned and expanded as a result.The nasal cavity is a... | The paranasal sinuses and nasal cavity are filled with mixed hypo- and hyperdense material which results in expansion of the sinus walls. These findings can be seen in allergic fungal sinusitis. Alternately, it is possible that these findings represent a diffuse polyposis with entrapped hyperdense secretions. |
Generate impression based on findings. | Breast cancer and growing right supraclavicular mass. CHEST:LUNGS AND PLEURA: Radiation fibrosis at the lung apices and anterior lung fields. Right apical bronchiectasis. Nonspecific pulmonary micronodules, not appreciably changed. Small but poorly defined subpleural lymph nodes in the right major fissure (4/34) unchan... | 1. Right supraclavicular fossa lesion appears larger however please refer to dedicated neck CT for measurements as it is incompletely included in the scanning range. 2. Unchanged small mediastinal lymph nodes.3. Subcutaneous soft tissue metastases right chest wall.4. Although no intra-abdominal metastases are appreciat... |
Generate impression based on findings. | Reason: s/p almost 2 yrs after RML and RLL for two T1N0M0 Stage IA typical carcinoid tumors History: f/u LUNGS AND PLEURA: A 6 x 6 mm nodule has enlarged, along the right mediastinal pleura adjacent to the ascending aorta. This most likely is a node in the adjacent mediastinum, and although present since 2009 has sudde... | Enlarging right paramediastinal nodule or lymph node, unlikely to be a metastasis from the patient's carcinoid but continued follow-up within 6 months is recommended. |
Generate impression based on findings. | Male, 29 years old, left ear pain and tinnitus, allergic rhinitis. MAXILLOFACIAL | 1. No evidence of active sinus inflammatory disease.2. No specific temporal bone abnormalities are detected to account for the patient's symptoms. |
Generate impression based on findings. | Reason: f/u of lung nodules History: cough LUNGS AND PLEURA: Severe emphysema, likely centrilobular that extends to the bases. No interval pneumothorax or pleural effusion.Upper lobe pulmonary nodules have remained stable in a size (series 6 image 30). On the right, the reference nodule measures 11 x 11 mm. The referen... | 1. Interval stability or decrease size of multiple pulmonary nodules. Although these remain of indeterminate etiology, benignity is favored.2. Stable or reduced size of mediastinal lymph nodes. |
Generate impression based on findings. | Female 75 years old; Reason: 75 yr old patient with a hx of cervical and uterine cancer. hx of radiation, surg, and chemo. S/P 3 cycles of Doxil eval disease process compare to 7-29-13 scan please History: vag bleeding NECK BASE: Enlarged heterogeneous thyroid nodule appears stable since previous exam although incomple... | 1. Numerous new pulmonary nodules with index nodes as above.2. Interval stability/slight enlargement of AP window lymph node.3. Soft tissue thickening of the vaginal cuff, not significantly changed. |
Generate impression based on findings. | Male 67 years old; Reason: prostate cancer newly diagnosed. needs staging History: prostate cancer ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver has a smooth contour. No suspicious hepatic lesions.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADR... | 1.Small pelvic and retroperitoneal lymph nodes.2.Trabecular coarsening of the left femoral head and neck suggestive of Paget's. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 77-year-old male. Gastric cancer, restaging. CHEST:LUNGS AND PLEURA: Right lower lobe granulomas are unchanged. No new suspicious pulmonary nodules. Calcified pleural plaques are again noted. MEDIASTINUM AND HILA: Cardiac size is normal. No pericardial effusion. Atherosclerotic calcification of the coronary arteries. N... | Unchanged appearance of the mass in the gastric antrum/pylorus with probable invasion into the liver and colon. No specific evidence of metastatic disease. |
Generate impression based on findings. | COPD. Questionable lung mass. Long history of constipation and diarrhea with new rectal prolapse. CHEST:LUNGS AND PLEURA: Epicenters changes and central lobular emphysema noted bilaterally. Ground glass opacity anteriorly in the left upper lobe (image 25; series 4). Scattered subpleural micronodules are nonspecific. Mi... | 1. No definite evidence of bowel obstruction although the entire colon is mildly dilated and filled with feces.2. Mild biliary ductal dilatation and possible duodenal diverticulum. Status post cholecystectomy3. Jejunojejunal intussusception; this is not appear to be obstructive and may be a transient phenomenon. Correl... |
Generate impression based on findings. | Male, 80 years old, subdural hemorrhage, history of VP shunt/normal pressure hydrocephalus. Right frontal approach ventricular shunt catheter is in stable position, tip situated at the level of the septum pellucidum. Bilateral parietal burr holes are redemonstrated.Previous very thin left parietal region subdural colle... | 1. Continued improvement in the caliber of a right hemispheric subdural collection. A left sided subdural collection seen on prior exams has resolved. No new hemorrhage or extra-axial collections are seen.2. Stable positioning of the shunt catheter. Mild increase in the caliber of the supratentorial ventricles. This ch... |
Generate impression based on findings. | Reason: h/o HNC, s/p CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Left jugular catheter, tip in SVC/RA junction region.There is no mediastinal or hilar lymphadenopathy.CHEST WALL: No significant abnormality noted.ABDOMEN: Absence... | No evidence of metastases. Nonobstructing right renal calculus unchanged. No other significant abnormality. |
Generate impression based on findings. | Lung nodule follow-up. Cough. LUNGS AND PLEURA: Left upper lobe nodule appears spiculated on the high resolution series, now measuring 16 x 13 mm, previously 15 x 13 mm (5/76). There is adjacent atelectasis and several small airways distal to the lesion contain endobronchial debris. There is a somewhat nodular thickeni... | 1. Spherical ground glass lesion in the right upper lobe has a configuration and growth rate most consistent with an indolent adenocarcinoma, possibly AIS or MIA.2. Left upper lobe spiculated nodule may have minimally increased in size however differences could be due to variability in slice selection. Thickening of th... |
Generate impression based on findings. | Male 80 years old; Reason: metastatic rectal cancer (liver and bone mets) currently on chemotherapy, re-evaluate disease History: rectal pain CHEST:LUNGS AND PLEURA: Nonspecific nodular thickening along the left major fissure (image 58 series 6) scattered micronodules (image 58/series 6, image 64). The pleural spaces a... | 1.Decrease in the size of the reference lesions.2.Thrombus in the right jugular vein superior to the catheter. |
Generate impression based on findings. | 42-year-old male pre-renal transplant. Evaluate vasculature. ABDOMEN:LUNG BASES: Coronary artery calcification.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Renal v... | Vascular calcification as noted. |
Generate impression based on findings. | Right chest pain. CXR suggestive of right PE. Rule out pulmonary embolism. Patient is status post cystectomy and ileal conduit. PULMONARY ARTERIES: Technically adequate infusion quality with no pulmonary arterial filling defects to suggest acute pulmonary embolus. Main pulmonary artery is normal in caliber.LUNGS AND PL... | 1. Technically adequate study with no evidence of acute pulmonary embolus.2. Diffuse bronchial wall thickening with enlargement of the peri-bronchovascular lymph nodes in and surrounding the hila may be postinflammatory however the distribution is atypical for aspiration unless the patient was positioned both supine an... |
Generate impression based on findings. | 61-year-old male with history of left MCA stroke and right upper extremity weakness No evidence of hemorrhagic transformation of the patient's known left basal ganglia/MCA distribution infarct. No evidence of midline shift or herniation. The ventricles are stable in size and configuration. Partial opacification of the ... | No evidence of hemorrhagic transformation of the patient's known left basal ganglia/MCA distribution infarct. |
Generate impression based on findings. | Reason: r/o PE, hx of eosinophilic colitis, pericardial effusion/pleural effusion History: pleuritic CP, SOB PULMONARY ARTERIES: Diagnostic quality exam. No evidence of pulmonary embolism.LUNGS AND PLEURA: Extensive, left greater than right, calcified and smoothly thickened pleura, correlate for prior empyema or pleuro... | 1.No evidence of pulmonary embolism.2.Extensive, right greater than left, calcified pleural thickening.3.Loculated small subpleural collection of fluid in the right lung.4.Groundglass opacities with mild septal thickening and fluid tracking along the fissure may be due to chronic passive congestion.5.Chronic appearing ... |
Generate impression based on findings. | Female, 64 years old, metastatic thyroid cancer. No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. Bilateral prominence of the superior ophthalmic veins is unchanged. The bones of the calvarium and skull base are intact. Postsurgical change compatible with th... | 1. Stable appearance of the thyroidectomy bed.2. Inferior to the thyroidectomy, within the upper mediastinum, paratracheal and pretracheal soft tissue continues to increase slowly in thickness. This remains concerning for slow progression of disease.3. No mass or pathologic adenopathy is detected elsewhere in the neck.... |
Generate impression based on findings. | Male 67 years old; Reason: metastatic small cell lung cancer completed induction chemotherapy and evaluating response with re-imaging History: none CHEST:LUNGS AND PLEURA: Mild emphysematous change. Spiculated, solid mass in the left upper lobe (on image 49/105) measuring 1.2 x 1.2 cm previously 2.4 x 2.9 cm has marked... | 1. Interval decrease in size of primary lung neoplasm and associated mediastinal adenopathy.2. Mild biliary tract dilatation of uncertain etiology. If liver function is abnormal, MRCP may be useful. |
Generate impression based on findings. | Female 64 years old; Reason: h/o met thyroid ca, compare to previous, measurements pls History: none. CHEST:LUNGS AND PLEURA: Again seen are multiple pulmonary metastases bilaterally. Reference left upper lobe nodule measures 1.1 x 1.3 cm (series 5, image 26), previously measured 1.2 x 1.4 cm. And additional nodule in ... | 1.Subtle slight increase in size of all measured bilateral pulmonary metastases. 2.Overall increase in the lymphadenopathy, especially at the right medial costophrenic angle. |
Generate impression based on findings. | 39-year-old male patient with history of diffuse large B-cell lymphoma stage IA/E involving the left maxillary sinus and orbit status post 6 cycles of R CHOP chemotherapy. Please compare to prior examination. ABDOMEN:LUNG BASES: Stable pulmonary micronodules. LIVER, BILIARY TRACT: No significant abnormality noted.SPLEE... | No lymphadenopathy or evidence of metastatic disease. |
Generate impression based on findings. | Female 66 years old; Reason: evaluate for diverticulitis History: RLQ pain, history of diverticulitis ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Numerous low attenuating lesions in the liver are presumed cyst the largest measures 5.7 cm.SPLEEN: No significant abnormality noted.PANCREAS:... | 1.No acute intra abdominal pathology detected. |
Generate impression based on findings. | Esophageal reflux with abdominal pain. Left lower quadrant and pelvic pain for 3 months. ABDOMEN:LUNG BASES: No significant abnormality noteddLIVER, BILIARY TRACT: Status post cholecystectomy. SPLEEN: No significant abnormality noteddPANCREAS: Cyst in the pancreas described previously is resolved.ADRENAL GLANDS: No sig... | No findings to explain left lower quadrant abdominal pain. Large left renal cyst. |
Generate impression based on findings. | Clinical information LUNGS AND PLEURA: The left lower lobe nodule measures 0.3 x 0.5 cm (series 5, image to 31), previously measured 0.4 x 0.6 cm and is therefore not significantly changed. Scattered bilateral calcified and noncalcified micronodules in what are nonspecific and unchanged. Centrilobular emphysema.MEDIAST... | Unchanged left lower lobe nodule. No new lesions. Followed up CT recommended in 6-12 months. |
Generate impression based on findings. | Malignant neoplasm of the pharynx and larynx with secondary malignant neoplasm of the lung. CHEST:LUNGS AND PLEURA: Index left lower lobe nodule 1 mm, previously 2-mm (5/63). Index right lower lobe nodule is not conclusively identified. Left upper lobe nodule (5/30) is unchanged.Interval decrease in size in poorly defi... | 1. Stable to improved pulmonary nodules.2. Parenchymal lesion adjacent to the right middle lobe suture line is smaller.3. Diminished size of right hilar lymph node.4. Mildly enlarged right pericaval lymph node in the abdomen slightly increased in size.5. Gastrostomy tube retention device is partially buried in the soft... |
Generate impression based on findings. | Two year old patient with sensorineural hearing loss. The examination is significantly limited by motion artifact which obscures assessment of small structures, despite repeated imaging.Right temporal bone: There has been interval placement of a right cochlear implant, with likely partial mastoid septae resection. Lead... | 1.Significant motion artifact limiting sensitivity. In addition, the appropriate reformats were not provided despite repeated requests.2.New right cochlear implant and bilateral T. tubes. Sequela of recent left mastoid surgery.3.A questionable area of intermediate attenuation overlying the left anterior oval window/sta... |
Generate impression based on findings. | 61-year-old male patient with history of metastatic small cell prostate cancer to the brain, currently receiving treatment with etoposide/temozolomide. Please assess for disease progression. CHEST:LUNGS AND PLEURA: Multiple micronodules, decreased in size. Previously measured left upper lobe nodule is no longer visuali... | Interval regression of lung lesions, liver lesions and lymphadenopathy. |
Generate impression based on findings. | 78 year-old male with laryngeal squamous cell carcinoma and infiltrating hypodensity in the right larynx on prior CT, evaluate Limited intracranial views are unremarkable. Limited views of the orbits are unremarkable. The visualized paranasal sinuses and mastoid air cells are clear. Secretions are identified in the pos... | 1. Diffuse edema of the neck including the superficial and deep spaces completely effacing the airway above the level of the tracheostomy tube. These findings are nonspecific with differential considerations including angioedema/autoimmune hypersensitivity response, infection and less likely radiation changes.2. Tree i... |
Generate impression based on findings. | Male, 50 years old, tonsil cancer status post CRT. Previously seen right palatine tonsillar mass has substantially decreased in size and is no longer discretely visualized.No pathologic adenopathy is detected by size criteria. A reference right level 3 node measures 3 mm short axis (image 53 series 8), previously 10 mm... | 1. Right palatine tonsillar mass has substantially decreased in size and is no longer discretely visualized.2. No pathologic adenopathy is detected in the neck by size criteria. |
Generate impression based on findings. | Male 85 years old; Reason: further evaluation of lung nodule on CXR in patient with dementia, ESRD, and prostate ca History: see above. LUNGS AND PLEURA: Bilateral pleural effusions are noted with overlying atelectasis. The questionable pulmonary nodule seen on recent previous chest radiograph is not definitely visuali... | 1.Bilateral pleural effusions with overlying atelectasis. 2.The questionable pulmonary nodule seen on recent previous chest radiograph is not definitely seen on this chest CT which is likely obscured by the pleural effusions.3.Postsurgical changes from a recent coronary revascularization procedure with moderate cardiom... |
Generate impression based on findings. | Malignant neoplasm the cardia. Adenocarcinoma of the esophagus, stage IV, type 2/3. CHEST:LUNGS AND PLEURA: Scarring at the left lung apex and by basilar bronchiectasis with scarring noted at both lung bases medially.MEDIASTINUM AND HILA: Subcentimeter mediastinal lymph nodes appear stable. Coronary artery calcificatio... | No substantial interval change compared to prior outside exam. Multiple presacral implants versus lymph nodes with measurements given above. Enlarged left adrenal gland. Multiple compression fractures in the spine. |
Generate impression based on findings. | Male 49 years old; Reason: Rule out PE History: tachycardia w/ known DVT. PULMONARY ARTERIES: Adequate evaluation of the pulmonary arteries. No pulmonary emboli. Nonenlarged main pulmonary artery.LUNGS AND PLEURA: Interval development of bibasilar consolidation with air bronchograms left greater than right concerning f... | 1.No pulmonary emboli.2.Bibasilar consolidation with air bronchograms especially in the left and centrilobular nodular opacities concerning for aspiration/aspiration pneumonia.3.Patulous fluid filled esophagus with mucous secretions adjacent to the tracheostomy tube which heighten the risk of aspiration. |
Generate impression based on findings. | Female 62 years old; Reason: rt kidney mass History: ABDOMEN: The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No focal liver lesion dete... | 1.Low attenuating lesion in the right kidney is most likely a cyst, although for full characterization, enhanced and unenhanced renal CT or MRI is advised.2.Cholelithiasis |
Generate impression based on findings. | Male, 53 years old, history of pharyngeal cancer. Extensive post surgical findings are redemonstrated including laryngectomy with tracheostomy, soft tissue flap construction, and scarring through the bilateral fascial planes. The appearance of the surgically altered anatomy is stable and there is no evidence of disease... | Stable postsurgical findings with no evidence of recurrent disease or pathologic adenopathy. |
Generate impression based on findings. | Male 42 years old Reason: is medial malleolus healed? History: loose hardware Again seen is a side plate and screw device affixing an intra-articular malleolus fracture. Metallic streak artifact from the orthopedic device limits evaluation of the ankle joint. There is a patent cleft between the distal fracture fragment... | Findings compatible with nonunion of a transverse fibular and medial malleolar fracture. |
Generate impression based on findings. | Male 70 years old; Reason: pe History: chest pain. PULMONARY ARTERIES: Adequate evaluation of the pulmonary arteries. No evidence of pulmonary emboli. Enlarged main pulmonary artery.LUNGS AND PLEURA: Mild apical septal emphysema. Bibasilar atelectasis. Possible left lung base aspiration. Calcified granulomata are prese... | No pulmonary emboli.Bibasilar atelectasis. No focal consolidations or pleural effusions.Left ventricular hypertrophy and enlarged main pulmonary artery. |
Generate impression based on findings. | 64-year-old female patient with history of nephrectomy, now with carcinoma in situ of bladder. Please evaluate with delayed imaging. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality n... | 1.Irregular thickening and enhancement of the bladder, consistent with bladder cancer history.2.L2 vertebral body sclerotic lesion.3.Native left kidney without abnormalities. |
Generate impression based on findings. | Reason: s/p right lung resection for lung cancer History: follow up LUNGS AND PLEURA: Postsurgical changes in the right lung. Numerous nodules, predominantly in the left lung. Interval increase in size and number of nodules in the left lower lobe. Bronchiectasis in the right lung. No pleural effusion. There is bilatera... | 1.Interval increase in size and number of nodules in the left lower lobe. Metastatic disease remains the most likely etiology especially given skeletal lesions. However, the peribronchial location and asymmetric distribution raises the possibility of atypical mycobacterial infection in the appropriate clinical context.... |
Generate impression based on findings. | Male 49 years old; Reason: abdominal wall tenderness and induration, ? abdominal wall hematoma vs abscess History: as above ABDOMEN:LUNGS BASES: Please refer to chest CT for the lung base information.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant... | 1.Left rectus hematoma and gas in the left rectus extending to the left body wall. This originates adjacent to the percutaneous gastrostomy catheter. Imaging features of hematoma and possible infection.2. If inflammation increases, consider CT angiogram to evaluate for a bleeding vessel.Findings discussed with ICU phys... |
Generate impression based on findings. | Headache. History of subdural hematoma. Exam is slightly limited by Stealth technique as ordered, which results in beam hardening artifact along the calvarium. There has been interval resolution of the previously described subdural hematoma. There is no new intracranial fluid collection, mass, hydrocephalus or CT evide... | Interval resolution of previously described subdural hematoma with no new intracranial fluid collection or abnormality demonstrated. |
Generate impression based on findings. | NSCLC. Assess for recurrent or metastatic disease. CHEST:LUNGS AND PLEURA: Severe emphysema. Multiple pulmonary lesions as follows:Left upper lobe nodule measures 7 x 4 mm, previously 8 x 5 mm. This is surrounded by a large region of groundglass opacity containing at least one additional solid component centrally, prev... | No significant change in pulmonary lesions consistent with neoplasm. No conclusive change in distal esophageal mass, correlate for symptoms of obstruction. Possible ileus versus distal small bowel obstruction incompletely assessed. Dr. MALIK verbally notified at 4:18 p.m. on 11/1/13. |
Generate impression based on findings. | Male 60 years old; Reason: Assess vasculature prior to kidney transplant History: Absent DP pulses bilaterally ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: ... | 1.Abdomen aortic aneurysm with moderate to severe calcific arteriosclerotic disease.2.Nonspecific sclerotic lesions in the spine. The lesions are more linear morphology suggestive of a benign etiology. However, given the patient is for a transplant, further work up is suggested. |
Generate impression based on findings. | Follow up for lung nodule LUNGS AND PLEURA: New 6-mm groundglass nodule left upper lobe abutting the fissure (4/57).5-mm groundglass nodule left upper lobe at the level of the aortic arch (4/82), previously 4-mm. Both may reflect areas of atypical adenomatous hyperplasia but should continue to be monitored to exclude A... | Pulmonary nodules are too small to characterize, one of which is new. These may represent areas of atypical adenomatous hyperplasia or small indolent adenocarcinoma such as adenocarcinoma in situ or less likely minimally invasive adenocarcinoma. One year CT follow-up recommended. |
Generate impression based on findings. | Reason: metastatic breast cancer CHEST:LUNGS AND PLEURA: Left apical and anterior parenchymal scarring with pleural thickening compatible with radiation reaction. Unchanged left basilar pleural thickening with consolidation/atelectasis. Mild enhancement of the pleura may be due to metastases or infection in the pleural... | Interval worsening of numerous bony metastases. Appearance of the hepatic parenchyma is most suggestive of retraction due to treated underlying metastases. Recommend baseline dedicated hepatic CT when feasible for further characterization if diagnosis would alter clinical management. |
Generate impression based on findings. | Evaluate right lower lobe nodule history of left breast cancer status post lumpectomy with new RLL nodule and persistent cough LUNGS AND PLEURA: Numerous solid and sub solid pulmonary nodules and micronodules similar in number. Right lower lobe nodule seen previously has significantly decreased in density, now with a s... | Significant interval improvement in lower lobe nodules are disfavoring postinflammatory or postinfectious lesions. Recommend 6 week follow up CT to assess for complete resolution. The previously seen nodules are unchanged and likely benign. |
Generate impression based on findings. | Female 73 years old; Reason: gallbladder cancer restaging on chemo History: gallbladder cancer restaging on chemo CHEST:LUNGS AND PLEURA: Few subcentimeter poorly-circumscribed pulmonary nodules. A right upper lobe nodule measures 0.5 mm (5/21). Bibasilar subsegmental atelectasis without pleural effusions.MEDIASTINUM A... | 1. Stable soft tissue in the surgical bed and lymphadenopathy in the adjacent mesentery, likely related to prior gallbladder carcinoma and recent surgery.2. Stable enlarged retroperitoneal and pelvic lymph nodes, which are atypical for gallbladder carcinoma, suggestive of a second genitourinary or pelvic malignancy.3. ... |
Generate impression based on findings. | Malignant neoplasm of the nasopharynx, unspecified site. Pre-chemo. The following observations are made given the limitations of an unenhanced study.CHEST:LUNGS AND PLEURA: Widespread pulmonary metastases. For reference purposes, a mass in the left lower lobe at the level of the confluence of pulmonary veins measures 2... | Widespread metastases with measurements given above. |
Generate impression based on findings. | 70 year-old female with confusion. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses a... | No acute intracranial abnormality. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. |
Generate impression based on findings. | Male 62 years old; Reason: h/o RLQ infected fluid collection, s/p drain placement. Completed antibiotic course, but still + for bacteria. Please eval if adequately drained with current drain. History: +culture from current drain after completion of antibiotic course. ABDOMEN:LUNGS BASES: Diffuse left basilar pleural th... | 1.Progression of disease at the lung base with extensive pleural based disease and pulmonary nodules.2.1.3cm hypodense hepatic lesion.3.Pelvic nodule suspicious for metastatic disease.4.Decrease in the size of the pelvic abscess.5.Mild to moderate left hydronephrosis. |
Generate impression based on findings. | 69-year-old female patient with history of ovarian cancer, currently receiving treatment. Please evaluate for disease progression/response. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No mediastinal lymphadenopathy the reference right hilar lymph node measures 1.0 x 1.0 cm (s... | Stable examination with no significant interval change in reference nodes. |
Generate impression based on findings. | Reason: 57 yr old male with h/o CLL, pre-stem cell transplant evaluation History: evaluate LUNGS AND PLEURA: Subpleural focal consolidation is nonspecific. In addition, there are scattered regions of pleural thickening especially in the left paraspinous region of unknown etiology.No specific evidence of infection or fa... | Left subpleural focal consolidation could be organizing pneumonia or prior infarct. Nonspecific left pleural thickening may be related to a prior hemothorax especially if the patient's spleen was removed as a result of trauma. PET may be helpful for this. |
Generate impression based on findings. | 39 year old patient with history of DLBCL (stage IA/E) involving left maxillary sinus and orbit. Status post 6 cycles of R-CHOP chemotherapy. Please compare to prior. There are postoperative changes of the left maxillary sinus which has undergone antrectomy and partial resection of the inferior turbinate. There is nons... | Postoperative changes and lobulated soft tissue within the left maxillary sinus which has slightly increased since previous. This is nonspecific but most likely represent sequela of inflammation. |
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