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Generate impression based on findings. | CLL, pre-stem cell transplant. There are bubbly secretions within an otherwise almost completely opacified paranasal sinus with fluid attenuation contents and possible underlying air-fluid level. There is sclerosis of the left sphenoid sinus walls as well. The right sphenoid sinus is clear. There is a left lamina papyr... | 1. Scattered paranasal sinus opacification in a sporadic pattern with most notables bubbly secretions and possible air fluid level within the left sphenoid sinus, which raises the possibility of acute sinuitis in the appropriate clinical setting.2. Chronic-appearing left lamina papyracea fracture that bulges into the l... |
Generate impression based on findings. | 54-year-old male with history of bladder cancer status post cystectomy ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffuse hepatic steatosis, mildly improved from the prior study. No focal hepatic lesions. No biliary ductal dilatation. The gallbladder appears unremarkable.SPLEEN: No signif... | 1. Stable exam with no evidence of recurrent or metastatic disease. 2. Diffuse hepatic steatosis, mildly improved from the prior study. |
Generate impression based on findings. | Dizziness, headache and possible SIADH. The pituitary gland is not enlarged. However, assessment of the pituitary gland is limited on non-contrast CT. There is no evidence of intracranial hemorrhage, large mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midli... | The pituitary gland is not enlarged. However, assessment of the pituitary gland is limited on non-contrast CT. A pituitary MRI may be useful for further characterization if clinically warranted and there are no contraindications. |
Generate impression based on findings. | Head injury. There are small bifrontal scalp contusions. However, there is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles are unchanged in size and configuration, reflecting mild cerebral volume loss. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air ... | Small bifrontal scalp contusions, but no evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Syncope. There is no evidence of acute intracranial hemorrhage, mass, or cerebral edema. There is mild patchy cerebral white matter hypoattenuation that likely represents small vessel ischemic disease. The ventricles and sulci are diffusely prominent reflecting cerebral volume loss. There is no midline shift or herniat... | No evidence of acute intracranial hemorrhage, mass, or cerebral edema. Mild patchy cerebral white matter hypoattenuation likely represents small vessel ischemic disease. |
Generate impression based on findings. | Dementia. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is mild cerebral white matter hypoattenuation, which likely represents microangiopathy. The ventricles and sulci are prominent, particularly in the bilateral medial temporal lobes. There is no midline shift or herniation. The imag... | 1. No evidence of acute intracranial hemorrhage, mass, or cerebral edema. However, non-contrast CT is not sensitive for detection of non-hemorrhagic infarction and MRI is recommended if clinically warranted and there are no contraindications.2. Cerebral volume loss that most prominent in the medial temporal lobe may be... |
Generate impression based on findings. | Altered mental status. There is unchanged extensive encephalomalacia in the left anterior cerebral artery territory and mild scattered areas of cerebral white matter hypoattenuation that likely represent microangiopathy. There is no evidence of acute intracranial hemorrhage, mass, or cerebral edema. The ventricles and ... | Chronic left anterior cerebral artery territory infarct, but no evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Non-Hodgkin lymphoma and thrombocytopenia with altered mental status. There is a partially calcified extra-axial mass along the left lesser wing of the sphenoid, which measures up to approximately 7 mm in thickness. There is no evidence of acute intracranial hemorrhage or cerebral edema. The ventricles and basal cister... | 1. No evidence of acute intracranial hemorrhage.2. Small probable meningioma along the left lesser wing of the sphenoid. |
Generate impression based on findings. | Female 57 years old; Reason: Dx Breast Cancer History: Evaluate disease/ check for progression of disease. ABDOMEN:LUNGS BASES: No nodule detected. Reidentified right mastectomy.LIVER, BILIARY TRACT: Numerous new hypodensities are noted throughout the liver, for example, a reference lesion in the inferior right lobe cu... | 1. New hepatic lesions likely represent metastatic disease when compared to 2012. 2. No other sites of abdominal involvement. |
Generate impression based on findings. | Reason: 46-year-old female with metastatic breast CA, new onset shortness of breath, eval for PE History: shortness of breath PULMONARY ARTERIES: Diagnostic quality exam. No evidence of pulmonary embolism.LUNGS AND PLEURA: Multiple, primarily peripherally located parenchymal and pleural based micronodules bilaterally a... | 1.No evidence of pulmonary embolism. No other acute abnormalities.2.Numerous metastatic lesions in the liver and lungs.3.Multiple hypodense lesions in bilateral lobes of the thyroid. |
Generate impression based on findings. | Male 83 years old; Reason: history of bladder cancer post chemo-RT. eval for recurrence or mets History: bladder cancer CHEST: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: Noncalci... | 1. New increased distention of the proximal right ureter with stable increased ureteric wall thickening at the ureto-vesicular junction. While these may be chronic benign findings, a stricture at the distal ureter cannot be excluded. 2. Stable bladder wall thickening and prostatic hypertrophy. 3. Borderline enlarged pe... |
Generate impression based on findings. | 26 year-old female with right superior gluteal fold chronic wound 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: ... | 5-cm perirectal abscess as detailed above |
Generate impression based on findings. | Female 36 years old; Reason: abdominal pain, right lower quadrant, now with leucocytosis History: as above ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signif... | No CT findings to explain patient's acute abdominal pain. |
Generate impression based on findings. | 84-year-old female with severe left lower pelvic pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Scattered hypoattenuating lesions, likely representing cysts.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality not... | No specific findings to account for the patient's pelvic pain. |
Generate impression based on findings. | Reason: r/o PE History: hypoxia, lung cancer PULMONARY ARTERIES: Diagnostic quality exam. No evidence of pulmonary embolism.LUNGS AND PLEURA: Interval improvement of right-sided malignant pleural effusion with overlying atelectasis/consolidation. Interval placement of right PleurX catheter. No left pleural effusion. La... | 1.No evidence of pulmonary embolism.2.Marked interval increase in size and number of bilateral metastatic pulmonary nodules.3.Interval placement of PleurX catheter with improvement of right-sided malignant pleural effusion.4.New left-sided patchy groundglass opacities may represent edema or atypical infection.5.Interva... |
Generate impression based on findings. | 50 year-old female with metastatic breast cancer, prior liver METs, altered mental status and hypercalcemia evaluate for disease progression. ABDOMEN:LUNG BASES: Basilar atelectasis.LIVER, BILIARY TRACT: Diffuse hepatic metastases persist but with interval increasing capsular retraction and lesion hypoattenuation compa... | Diffuse metastatic disease of the liver, peritoneum, and bones with interval improvement in peritoneal carcinomatosis and treatment effect of liver metastases. |
Generate impression based on findings. | 83 year old female vomiting fecal material Evaluation of solid organ pathology is limited due to lack of IV contrast.ABDOMEN:LUNG BASES: Basilar consolidation, worse on the left. Calcified nodule at the left lung baseLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Small with multiple scattered calcificati... | 1. Interval progression of diffuse abdominal and pelvic carcinomatosis and ascites.2. Diffuse dilatation of the small and large bowel consistent with ileus. |
Generate impression based on findings. | 74-year-old male status post OHT. Assess for possible abscess. There is thickening of the skin along the medial aspect of the leg with reticulation of the subcutaneous fat compatible with edema. This edema becomes confluent as it extends inferiorly down the medial aspect of the leg, but does not have the typical appear... | Skin thickening and confluent subcutaneous edema, as described above, could represent cellulitis. There are no specific imaging findings to suggest abscess formation. |
Generate impression based on findings. | Male 74 years old; Reason: Evaluate for lymphadenopathy or masses causing progressive weight loss. History: Progressive Weight Loss in smoker CHEST:LUNGS AND PLEURA: Emphysematous changes are noted in the lungs. No nodule or mass detected. Pleural spaces are clear.MEDIASTINUM AND HILA: Aberrant right subclavian artery ... | 1.Progression of the innumerable renal lesions when compared to the previous MRI of 2011 and CT of 2008. These lesions are incompletely characterized with single phase of contrast (see above discussion), and dedicated renal CT advised. 2.Moderate to severe atheromatous calcifications in the coronary, aorta, and branch ... |
Generate impression based on findings. | Head injury. Rule out bleed. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is soft tissue stranding, swelling and subcutaneous air overlying the left orbit related to a lace... | 1.No evidence of intracranial hemorrhage or skull fracture.2.Small right parietal scalp hematoma and left periorbital laceration and hematoma without underlying intraorbital abnormality.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Shortness of breath, worsening since yesterday. Evaluate for PE. PULMONARY ARTERIES: Motion artifact limits evaluation. Within these limitations there is no pulmonary artery embolus seen to the level of the segmental branches.LUNGS AND PLEURA: Hypoinflated lungs. Right basilar subsegmental atelectasis.MEDIASTINUM AND H... | No PE. |
Generate impression based on findings. | 49-year-old male with diffuse abdominal pain, evaluate for reaccumulation of fluid. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter left hepatic hypodensities, likely representing cysts.SPLEEN: No significant abnormality notedPANCREAS: Left-sided percutaneous drain extending to t... | 1. Interval decrease in retroperitoneal fluid collection.2. Necrotic pancreatic body and tail without evidence of fluid reaccumulation.3. Hydronephrosis again noted. |
Generate impression based on findings. | Female 67 years old; Reason: Assess ascites, r/o liver pathology, r/o bowel obstruction History: abdominal distention, decreased caliber of BM CHEST:LUNGS AND PLEURA: Small right loculated or organizing pleural effusion extending into thefissures. Ground glass opacities in the right posterior lung likely represent acom... | 1.Cirrhotic morphology without discrete mass although limited given lack of IV contrast. No biliary pathology or ascites detected.2. Cholelithiasis without cholecystitis. |
Generate impression based on findings. | 71 year old female with possible Crohn's flare ABDOMEN:LUNG BASES: Bilateral lower lobe pulmonary arterial filling defect suspicious for pulmonary emboli.LIVER, BILIARY TRACT: Cholelithiasis without evidence of cholecystitis. Small right hepatic cyst is unchanged. Clips are again noted adjacent to the gallbladder.SPLEE... | 1. Filling defects in bilateral lower lobe pulmonary arteries suspicious for pulmonary emboli. This finding was discussed with Dr. Glick (pager 7730) at 9 a.m.2. No acute intra-abdominal or pelvic abnormality.3. Cholelithiasis without evidence of cholecystitis. |
Generate impression based on findings. | Nasopharyngeal cancer with lung, liver mets and retroperitoneal lymph nodes. The examination is limited by lack of intravenous contrast administration. Within these limitations, there is a right nasopharyngeal mass that measures approximately 13 AP x 15 RL x 15 SI mm with mild narrowing of the nasopharyngeal airway. Th... | 1. The examination is limited by lack of intravenous contrast administration. Within these limitations the right nasopharyngeal carcinoma measures approximately 15 mm. No definite evidence of significant cervical lymphadenopathy or skull base invasion. 2. Partially imaged multiple bilateral infiltrative upper lung and ... |
Generate impression based on findings. | Fall. There is normal alignment. The vertebral body and intervertebral disc heights maintained. There is no fracture or dislocation and the odontoid is normal. There is no prevertebral soft tissue swelling. There is incomplete fusion of the posterior arch of C1, which is a normal variant. There is also enlargement of t... | No evidence of fracture or dislocation.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | trisomy 21, fever, and abdominal pain. Evaluate for appendicitis. ABDOMEN:LUNG BASES: Minimal atelectasis left lower lobe.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETE... | Normal-appearing appendix. |
Generate impression based on findings. | Reason: 59 yo F history of non-hodgkins lymphoma with shortness of breath, ? hemoptysis, interstitial opacities on CXR, eval infection versus hemorrhage History: shortness of breath, ? hemoptysis LUNGS AND PLEURA: There appears to be an interval decrease in number of bilateral ground glass pulmonary nodules although th... | 1.Extensive pulmonary opacities, now more reticulonodular than ground-glass, but still consistent with lymphoma.2.New right-sided moderate sized pleural effusion. |
Generate impression based on findings. | Head injury. Rule out intracranial bleed or facial fracture. The images are somewhat degraded by motion.Head CT: There is no intracranial hemorrhage, hydrocephalus, or mass effect. There is no depressed skull fracture. The orbits and mastoid air cells are unremarkable.Maxillofacial CT: There is prominent swelling and e... | 1.Displaced and comminuted mandibular fractures involving the right mandibular body and angle with a 10 mm posteriorly displaced mandibular body fragment and associated extensive regional soft tissue injury and apparent loosening of ADA#32.2.Minimally displaced right nasal bone fracture of indeterminate age.3.A metalli... |
Generate impression based on findings. | New diagnosis of RLL adenocarcinoma needs staging imaging. Head: There is a 5 mm wide partially calcified extra-axial lesion in the left frontal convexity that may represent a meningioma. Otherwise, there is no evidence of abnormal intraparenchymal enhancement. There is no evidence of intracranial hemorrhage or cerebra... | 1. An ill-defined lobulated mass within the isthmus and left thyroid lobe that measures up to approximately 35 mm with corresponding marked hypermetabolism on the prior PET and possible invasion of the overlying strap muscles may represent a primary thyroid malignancy or metastases.2. A right nasal mass that measures u... |
Generate impression based on findings. | Reason: SOB, hypoxia r/o PE History: SOB, hypoxia PULMONARY ARTERIES: Diagnostic quality exam. No evidence of pulmonary embolism.LUNGS AND PLEURA: Bilateral apical scarring unchanged. Moderate, apical predominant centrilobular emphysema. There is bronchial wall thickening. There has been interval partial resolution of ... | 1.No evidence of pulmonary embolism.2.Interval partial resolution of the lower lobe atelectasis/consolidation. |
Generate impression based on findings. | 66 years old. Acute mental status change. There are postoperative changes related to the recent left hemicraniectomy and hematoma evacuation. There is no significant interval change in the residual evolving subdural hematoma along the left tentorium and left parafalcine regions. There is persistent associated mild mass... | Stable postoperative changes related to left hemicraniectomy without significant change in the residual left hemispheric subdural hematoma and associated mass effect and midline shift.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | ALL with altered mental status and dilated right pupil. There is a large intraparenchymal hematoma that measures up to approximately 7 cm with extensive surrounding edema centered in the right temporal lobe with associated subarachnoid and possibly intraventricular extension. There are also several subcentimeter hemorr... | Bilateral parieto-occipital predominant vasogenic cerebral edema with multifocal intracerebral hemorrhages, including a dominant hemorrhagic focus centered in the right temporal lobe with associated 14 mm of midline shift, uncal and subfalcine herniation, and probable early entrapment of the left lateral ventricle. The... |
Generate impression based on findings. | Reason: Lung cancer re-staging. Thanks History: Lung cancer CHEST:LUNGS AND PLEURA: Large, heterogeneously enhancing right lung mass measuring 8.8 x 6.0 x 8.4 cm (AP x TV x CC) which cannot be identified as separate from the pleura (series 1201, image 65 and series 1202, image 40). There is no adjacent bony destruction... | 1.Large heterogeneously enhancing right lung mass highly suspicious for primary malignancy. Bilateral hilar and multiple ipsilateral pulmonary nodules are consistent for metastatic disease.2.Few hyperdense lesions in the thyroid. Dedicated sonographic examination is recommended for characterization. |
Generate impression based on findings. | 57 year-old female evaluate for CVA, altered mental status. There are postsurgical findings related to left frontoparietal craniotomy with underlying encephalomalacia, which is unchanged. There is no definite evidence of tumor recurrence, although assessment is limited with intravenous contrast. Otherwise, there is min... | No evidence of acute intracranial hemorrhage, mass, or cerebral edema. Please note CT is insensitive for the detection of ischemia. |
Generate impression based on findings. | Headache. History of clip and coils. CT: There are postoperative findings related to left frontal burr hole with underlying encephalomalacia likely from prior ventriculostomy and pterional craniotomy approach for left paraclinoid ICA aneurysm clipping. The aneurysm clip produces considerable streak artifact, which limi... | 1. Sequela of left paraclinoid ICA aneurysm clipping without definite residual or new aneurysm, although assessment is limited due to streak artifact. 2. No intracranial hemorrhage, but mild disproportionate prominence of the ventricular system, which may represent residual hydrocephalus. |
Generate impression based on findings. | Female 52 years old; Reason: 52 yr old female with recurrent stage IIIC ovarian ca, 1/12 TAH/BSO, 5 cycles Taxol/Carbo, 4/4/13 secondary debulking, currently s/p 8 cycles Bevacizumab. Measure para-aortic LN, R hemipelvic LN. Compare with previous scans.i History: Occ low back pain and L hip pain CHEST:LUNGS AND PLEURA:... | 1. No evidence of metastatic disease in the chest. 2. Stable retroperitoneal and pelvic lymph nodes. |
Generate impression based on findings. | Reason: Evaluate for septic emboli History: staph bacteremia and septic joints CHEST:LUNGS AND PLEURA: New bilateral lower lobe groundglass opacities with septal thickening and linear consolidation main edema and atelectasis. No specific evidence of septic emboli. No pleural effusions.MEDIASTINUM AND HILA: Mild mediast... | 1.Interval increase in size of left breast mass and left axillary lymphadenopathy.2.New bilateral lower lobe atelectasis. No evidence of septic emboli.3.New hyperdense lesions in bilateral kidneys may represent infarction from septic emboli. |
Generate impression based on findings. | Reason: CT PE protocol - rule out PE History: Sinus tachycardia, Motion decreased the quality of the exam.PULMONARY ARTERIES: Technically adequate examination. No evidence of pulmonary embolism. Pulmonary artery caliber is normal. No evidence of right heart strain.LUNGS AND PLEURA: There is mild bronchial wall thickeni... | 1.No evidence of pulmonary embolism.2.New right lower lobe nodule. Follow-up CT examination in 3 months is recommended.3.Hypodense lesion in the isthmus of thyroid. |
Generate impression based on findings. | Reason: concern for PE History: tachycardia, new o2 requirement PULMONARY ARTERIES: Technically adequate study, without evidence of pulmonary embolism or right heart strain. The pulmonary artery caliber is near upper normal. LUNGS AND PLEURA: Left hemithorax volume loss likely is secondary to chronic-appearing left hem... | 1. No evidence of pulmonary embolism.2. Right lower lobe consolidation suggestive of aspiration or pneumonia. |
Generate impression based on findings. | 88 year-old male assess for mass, intracerebral hemorrhage, first-time seizure. The bilateral subdural collections are stable in size and unchanged in density characteristics without interval new hemorrhage. There is no midline shift. There is unchanged patchy cerebral white matter hypoattenuation suggestive of age ind... | The bilateral subdural collections have not significantly changed in size and attenuation characteristics. |
Generate impression based on findings. | 77-year-old male with altered mental status, unwitnessed fall, evaluate for hemorrhage. There is patchy hypoattenuation in the periventricular and subcortical white matter most like represents small vessel ischemic disease of indeterminate age. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. T... | No evidence of intracranial hemorrhage, mass, or cerebral edema.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 72-year-old patient. Evaluation for dementia. There is mild diffuse cerebral and cerebellar vermian volume loss, In particular the mamillary bodies appear small. There is no intracranial mass, hemorrhage, hydrocephalus or midline shift. There is atherosclerotic calcification of vertebral and internal carotid arteries b... | Mild diffuse cerebral and cerebellar vermian volume loss that is most pronounced in the mamillary bodies, which may be related to alcohol abuse.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Metastatic breast cancer. There is overall interval increase in size of cervical metastatic lymphadenopathy. For example, a right level 1 lymph node measures 8 x 10 mm (image 36, series 9), previously 5 x 7 mm, a right level 2 lymph node measures 12 x 16 mm (image 29, series 9), previously 9 x 12 mm, a right level 3 ly... | 1. Overall interval increase in size of cervical metastatic lymphadenopathy and C3 vertebral metastasis along with new metastatic involvement of the C2 and C4 posterior elements. 2. Interval increased sclerosis of the right clavicular head metastatic lesion with decreased conspicuity of the pathological fracture, but n... |
Generate impression based on findings. | 36-year-old male with stage IV melanoma status post left occipital lesion resection and ipilimumab/IDOi phase I trial. The limited intracranial images are unremarkable. There is mild mucosal thickening of the left ethmoid air cells, otherwise the imaged paranasal sinuses are clear. The imaged mastoid air cells are clea... | 1. Stable to slightly decreased non-pathologically enlarged reference cervical lymph nodes. 2. No definite locoregional tumor recurrence at the left occipital skin graft site. |
Generate impression based on findings. | SDH. There has been interval removal of the right subdural collection drainage catheter. The heterogeneous right cerebral convexity subdural collection is slightly small, now measuring up to 10 mm in width, previously 12 mm. Likewise, there has been continued slight interval decrease in the degree of midline shift to t... | Slight interval decrease in size of the heterogenous right cerebral convexity subdural hematoma and associated midline shift. |
Generate impression based on findings. | 60 year old patient with history of metastatic lung CA and CVA. CT: There is subtle hypoattenuation within the right paracentral lobule corresponding to the area of restricted diffusion on the recent MRI. There is otherwise unchanged encephalomalacia within the right posterior temporal lobe and superior frontal lobe. T... | 1.Evolving small right paracentral lobule infarct.2.Chronic right MCA watershed infarcts.3.Minimal vascular calcification without aneurysm, stenosis or vessel occlusion within the head neck vasculature. 4.Small intracranial metastases, which are more conspicuous on the recent brain MRI.I personally reviewed the Images ... |
Generate impression based on findings. | Reason: PE? History: SOB, desats PULMONARY ARTERIES: No evidence of PE.LUNGS AND PLEURA: Necrotic left upper lobe mass extending into the superior aspect of the left lobe abutting the left pulmonary artery stable to marginally increased in the short interval. Basilar edema and atelectasis. Severe emphysema. Aspirated d... | 1. No evidence of PE.2. Left upper lobe cavitary mass highly suggestive of neoplasm. Necrotizing/cavitary infection is considered less likely. |
Generate impression based on findings. | Asthma and allergic rhinitis presenting with prolonged congestion. There is mild mucosal thickening within the bilateral maxillary and ethmoid sinuses. There is opacification of the right infundibulum. The frontal and sphenoid sinuses are clear. The left ethmoid roof is slightly lower than the left. The carotid grooves... | Mild paranasal sinus opacification in a sporadic distribution. |
Generate impression based on findings. | Altered mental status. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. There is unchanged deformity of the right lamina... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | 16 year female with headache, evaluate for hemorrhage status post craniotomy There are interval postsurgical findings from right frontotemporoparietal craniotomy with interval decrease in midline shift now measuring approximately 9 mm, previously measured 15 mm and interval decrease in the size of intraparenchymal hema... | Interval right frontotemporoparietal craniotomy for evacuation of the right temporal hematoma with resultant interval decrease in midline shift, now measuring approximately 9 mm, previously measured 15 mm, but interval development of remote cerebellar hemorrhage and acute infarcts in the bilateral thalamic perforator t... |
Generate impression based on findings. | 18 year-old female with metastatic lung cancer, supraclavicular lymphadenopathy, reevaluate There are partially imaged postsurgical findings from right pneumonectomy and supraclavicular lymph node dissection. There is no significant cervical lymphadenopathy. For example, a right supraclavicular lymph node that 6 x 7 mm... | Partially imaged postoperative findings related to right pneumonectomy and supraclavicular lymph node dissection without evidence significant cervical lymphadenopathy. Please refer to the dedicated chest report for further details. |
Generate impression based on findings. | Metastatic medullary thyroid carcinoma (RET germline mutation negative) involving the lung and liver and neck nodes. Head: There is no evidence of intracranial metastases. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. Th... | 1. No significant interval change in the extensive cervical lymph node metastases 2. No evidence of osseous or intracranial metastatic disease. Refer to the separate chest CT report regarding the mediastinal lymphadenopathy. |
Generate impression based on findings. | Status post surgery and radiotherapy for left carotid cancer (carcinoma ex pleomorphic adenoma with perineural invasion). There are posttreatment changes related to the left parotidectomy and radiotherapy. There are no new soft tissue masses in this region suggestive of residual/recurrent disease. There is no associate... | Stable post-treatment findings related to left parotidectomy and radiation with no evidence of locoregional tumor recurrence of significant cervical lymphadenopathy.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Assessment of left MCA aneurysm. CT: There is no intracranial hemorrhage, hydrocephalus, cerebral edema, or midline shift. The ventricles and basal cisterns are normal in size and configuration. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. CTA: ... | Wide neck 3 mm right MCA insular bifurcation saccular aneurysm. No other aneurysms or significant steno-occlusive lesions are identified. |
Generate impression based on findings. | Metastatic renal cancer on axitinib. The heterogeneous left thyroid mass measures approximately 45 x 51 x 72 mm, previously 38 x 48 x 62 mm. The mass appears to invade the left strap and sternocleidomastoid muscles and left lateral wall of the upper trachea and is indistinct from the esophageal wall. The mass also enca... | 1. Interval increase in size of the left thyroid mass with apparent invasion of the lateral wall of the trachea, surrounding musculature and perhaps the esophageal wall, as well as encasement of the left common carotid artery without significant narrowing of the vessel.2. Interval increase in size of extensive metastat... |
Generate impression based on findings. | Stroke. CT: There is patchy hypoattenuation in the left corona radiata corresponding to the recent infarct without evidence of hemorrhagic transformation. Otherwise, there are scattered areas of cerebral white matter hypoattenuation that likely represent microangiopathy. The ventricles and basal cisterns are stable in ... | 1. Recent left corona radiata infarct without evidence of hemorrhagic transformation or midline shift.2. Absent opacification throughout left internal carotid artery beyond its origin secondary to predominantly low attenuation plaque at the carotid bulb suggest occlusive disease. A Doppler ultrasound exam may be useful... |
Generate impression based on findings. | Altered mental status. There is moderate nonspecific cerebral white matter hypoattenuation. There is no evidence of intracranial hemorrhage or mass. The ventricles and sulci are mildly prominent, indicating brain parenchymal volume loss. There is no midline shift or herniation. The mastoid air cells are clear. There is... | 1. Moderate nonspecific cerebral white matter hypoattenuation may represent small vessels ischemic disease, but no evidence of acute intracranial hemorrhage or mass. However, noncontrast head CT is not sensitive for acute nonhemorrhagic infarct and MRI should be considered for further evaluation assuming there are no c... |
Generate impression based on findings. | Trauma. There is no evidence of acute fracture. There is mild inferior bowing of the right orbital wall. The orbital contents are unremarkable. There is mild scattered paranasal sinus mucosal thickening without air-fluid levels. There are multiple carious teeth. The facial soft tissues are unremarkable. The imaged intr... | 1. No evidence of acute maxillofacial fracture.2. Multiple carious teeth. |
Generate impression based on findings. | Confused speech. There are postoperative findings related to left temporal convexity meningioma resection. There is interval increase in the amount of intraparenchymal hemorrhage along the margins of the resection cavity and within the resection cavity. There is also more pronounced edema surrounding the resection cavi... | Interval increase in the amount of intraparenchymal hemorrhage along the margins of the resection cavity and within the resection cavity as well as more pronounced edema surrounding the resection cavity, including within the inferior frontal gyrus and Heschl's gyrus. |
Generate impression based on findings. | AMS. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Male 74 years old; Reason: 74 yo M with hx of known Gtube leak, concern for infectious fluid collection, and hypoxia, tachycardia, hypoxia History: hypoxia, tachycardia, hypoxia CHEST:LUNGS AND PLEURA: Stable bilateral moderate pleural effusions. Associated compressive atelectasis appears similar to previous exams.MEDI... | 1. Multiple lower abdominal fluid collections are decreased in size. 2. Interval insertion of a pigtail catheter in the left upper quadrant, with decrease in size of the previously noted abscess collection. |
Generate impression based on findings. | Male 26 years old; Reason: ileus, obstrution, colitis History: pain, generalized ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality not... | 1.No acute intra-abdominal pathology detected. |
Generate impression based on findings. | Male 36 years old; Reason: re evaluate disease status following additional systemic therapy, please provide bidimensional measurements for adrenal mass, as it is being followed, and compare to previous History: stage IV metastatic melanoma CHEST:LUNGS AND PLEURA: Previously noted subcentimeter nodules are stable. No ne... | 1. Stable bilateral lung nodules. 2. Left adrenal nodule is unchanged. |
Generate impression based on findings. | Female 69 years old; Reason: r/o recurrent ovarian cancer History: pleural effusions, LE edema CHEST:LUNGS AND PLEURA: Biapical scarring unchanged. Nodular septal thickening has progressed in bilateral midlung zones, non specific. No evidence of pleural effusions. No new nodules or masses detected.MEDIASTINUM AND HILA:... | 1. Interval resolution of the left sided pelvic lymphocele.2. No evident metastatic disease in the chest, abdomen or pelvis. 3. Gallbladder wall edema and periportal edema, nonspecific. |
Generate impression based on findings. | Female 62 years old; Reason: History metastatic renal cancer, on therapy, assess for progression History: none CHEST:LUNGS AND PLEURA: There is increase in the size of the numerous nodules throughout the lung fields, for instance, a reference nodule measuring 1.8 cm in the left lower lobe (series 7 image 58), previousl... | 1.slight interval increase in size of the lung nodules and renal lesions. Close follow-up is recommended.2. Stable thyroid lesion and bone metastatic disease. |
Generate impression based on findings. | Male 28 years old; Reason: eval for recurrence History: hx testicular cancer ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No focal hepatic lesions or biliary ductal dilatation. SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant a... | No CT evidence of metastatic disease in the abdomen or pelvis. |
Generate impression based on findings. | Female 31 years old; Reason: assess for intra-abd process, abscess History: abd pain, 3 months s/p c-section ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signific... | 1. Interval decrease in size of the postpartum uterus with resolution of the previously noted pelvic abscess and anterior abdominal fluid collection. |
Generate impression based on findings. | Female 34 years old; Reason: stone? hydronephrosis? History: L flank pain, hysterectomy, recurrent pyelo 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 no... | 1.No renal/ureteral calculi, hydronephrosis or perinephric fluid collections identified.2.Post surgical changes in the small bowel without obstruction. |
Generate impression based on findings. | History of OHT, patient with multiple skin abscesses concerning for possible systemic infection. Please assess for possible fungal/acute infectious emboli source. LUNGS AND PLEURA: There is a subcentimeter subpleural nodular opacity in the left lower lobe (image 68, series 4), which is grossly unchanged in appearance c... | No specific evidence of infection. |
Generate impression based on findings. | Female 69 years old; Reason: eval acute intraabd process History: persistent n/v, constipation, low bp, transjugular liver bx 3 days ago ABDOMEN:LUNGS BASES: No significant abnormality noted. Bibasilar atelectasis identified.LIVER, BILIARY TRACT: The liver is normal in morphology. No fluid collection, mass, or lesion d... | 1.No hemorrhage, or complication from transjugular liver biopsy detected.2.Nonspecific fluid in the porta hepatis, correlate clinically., |
Generate impression based on findings. | Fall. Head: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The mastoid air cells are clear. There is a small right maxillary sinus retention cyst. There is no evidence of calvarial... | 1. Small apical scalp hematoma, but no evidence of acute intracranial hemorrhage or calvarial fracture.2. No evidence of fracture or spondylolysis. |
Generate impression based on findings. | Questionable PE seen on CT of the abdomen. Question of PE. PULMONARY ARTERIES: There is a saddle pulmonary embolus extending into bilateral lobar and segmental artery branches. The pulmonary artery diameter is within normal limits.LUNGS AND PLEURA: There is a 8 mm nodular opacity within the right middle lobe which was ... | 1. Saddle pulmonary embolus with mild interventricular septal straightening.2. Large soft tissue mass extending from the thyroid to the mediastinum; this is poorly evaluated with PE protocol CT. Consider clinical correlation for history of goiter, further evaluation with ultrasound may be considered. 3. Ill defined sub... |
Generate impression based on findings. | Status post fall. Thoracic compression deformity. There is diffuse osteopenia and degenerative spondylosis and mild apex right kyphoscoliosis. The degenerative change is most prominent within the partially visualized lower cervical spine, including disc-osteophytes posteriorly at C5-T2 and 4 mm anterolisthesis of T1 on... | 1. Diffuse osteopenia and degenerative change without evidence of vertebral fracture.2. Small amount of residual pneumothorax. There is right lower lobe atelectasis and a small pleural effusion and left subsegmental atelectasis, more so in the lower than upper lobe. If clinically warranted, designated imaging of the ch... |
Generate impression based on findings. | Female 67 years old; Reason: cause of LLQ and RLQ abdominal pain and n/v? History: LLQ and RLQ abdominal pain and n/v. known diverticulosis, pt has liver tx 2000 without rejection, still has appendix. ABDOMEN:The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given the... | 1.Distal small bowel/ileal wall thickening, which could be related to enteritis versus ischemia. Correlate clinically.2.Numerous renal lesions incompletely characterized given the single noncontrast examination. Dedicated renal CT examination or MRI advised.3.Large left inguinal region incompletely characterized on thi... |
Generate impression based on findings. | Seizure and fall. Head: There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unr... | 1. No evidence of acute intracranial hemorrhage or fracture. Non-contrast CT is relatively insensitive for detection of seizure foci and MRI is recommended if clinically warranted.2. Degenerative spondylosis at C5-C7 without evidence of cervical spine fracture or spondylolysis. |
Generate impression based on findings. | Worsening pulmonary fluid with frothy pink fluid and requiring reintubation LUNGS AND PLEURA: There is bibasilar consolidation/atelectasis but improved when compared to the prior study. The patchy areas of groundglass opacities are noted within the aerated portions of both lungs which are nonspecific but likely represe... | Multifocal bilateral ground glass opacities improved in the interval which are nonspecific but likely representing areas of pulmonary hemorrhage. An underlying superimposed infection cannot be excluded. Bilateral small pleural effusions have improved. |
Generate impression based on findings. | Motor vehicle collision. There is encephalomalacia in the right middle frontal gyrus, likely related to a chronic infarct. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is calcification of the intradural vertebral ... | 1. No evidence of intracranial hemorrhage, mass, or cerebral edema. 2. Encephalomalacia in the right middle frontal gyrus, likely related to a chronic infarct. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 50 year-old female with syncope, tachycardia and new oxygen requirement. Question of PE. PULMONARY ARTERIES: Technically adequate study without evidence of acute pulmonary embolus. The main pulmonary artery is enlarged compatible with pulmonary hypertension. Small foci of air in main PA from power injection.LUNGS AND P... | 1. No evidence of acute pulmonary embolus.2. Diffuse bronchial wall thickening with areas of mucus plugging consistent with bronchiolitis.3. Left adrenal nodule is incompletely characterized on this study but may represent a benign adrenal adenoma. |
Generate impression based on findings. | Male 68 years old; Reason: please evaluate etiology of fever History: 38.3C fever in spite of broad spectrum abx. s/p cystectomy and ileal conduit 2 weeks ago. ABDOMEN:LUNGS BASES: Dense calcifications in the dome of the liver probably granulomatous. Two punctate hypodensity scattered in the liver are nonspecific and u... | 1.Multiple fluid collections as detailed above some concerning for abscess particularly air fluid collection extending from the surgical bed. 2.Mesenteric fluid collections consistent with seroma hematoma or less likely abscess. 3.Bilateral iliac distribution fluid collections most likely lymphoceles or seromas. 4.Bila... |
Generate impression based on findings. | MVA. There is no evidence of fracture or spondylolisthesis. There is 3 mm anterolisthesis of C4 on 5 and 3 mm retrolisthesis of C5 on 6, as a result of multilevel spondylosis. There are disk osteophyte complexes at C4-5 through C6-7 and uncovertebral/facet joint arthropathy bilaterally at C3 through T1 resulting in mul... | 1. No evidence of fracture or spondylolisthesis.2. Multilevel degenerative spondylosis resulting in multilevel neural foraminal and canal stenosis. These findings could be better delineated with MRI if clnically warranted. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this re... |
Generate impression based on findings. | Reason: assess aortic disection anf flow throug peripheral vessels. History: aortic dissection VESSELS: Ascending thoracic aortic dissection beginning at the supravalvular descending aorta. The dissection propagates into the right brachial cephalic artery, and right subclavian artery. In addition, the dissection extend... | 1.Type A dissection as described above with decreased perfusion to the left kidney relative to the right. Correlate for ischemic perfusional state. |
Generate impression based on findings. | Abnormal involuntary movement/tremor. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft t... | No evidence of intracranial hemorrhage, mass, or cerebral edema.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Altered mental status. There is stable moderate patchy periventricular and subcortical white matter hypoattenuation most likely due to sequela of chronic small vessel ischemic disease. There are also unchanged subcentimeter hypodensities in the bilateral thalami, which are compatible with chronic lacunar infarcts. Ther... | Stable white matter hypoattenuation most likely representing sequela of chronic small vessel ischemic disease and chronic bilateral thalamic lacunar infarcts. No evidence of intracranial hemorrhage, mass, or cerebral edema. However, non-contrast CT is not sensitive for acute non-hemorrhagic infarct.I personally reviewe... |
Generate impression based on findings. | Female 37 years old; Reason: neoplasm History: altered mental status ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, ... | 1. Dilated rectum with asymmetric wall thickening in presacral space edema, correlate for stercoral colitis |
Generate impression based on findings. | Altered mental status. There is left temporal and parietal lobes representing encephalomalacia related to prior infarct with ex-vacuo dilatation of the left lateral ventricle. There is also extensive diffuse periventricular and subcortical white matter hypoattenuation, which likely represents sequela of chronic small v... | 1. Chronic left MCA territory infarct and bilateral basal ganglia, thalamus, and right pontine lacunar infarcts of indeterminate age. However, CT is insensitive in the detection of acute nonhemorrhagic stroke and MRI is recommended for further evaluation.2. Multiple dental caries. |
Generate impression based on findings. | Male 28 years old; Reason: Evaluate for resolution of fluid collection and if drain can be removed, 28 y/o s/p ileoanal pouch procedure, loop ileostomy, drain in for pelvic abscess History: drain in see last CT of drain placement ABDOMEN:LUNG BASES: Basilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality n... | 1.Interval resolution of the bowel obstruction, pneumoperitoneum and trace residual pelvic free fluid. |
Generate impression based on findings. | Headache. CT: There is no evidence of acute intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremar... | 1. No evidence of evidence of acute intracranial hemorrhage, mass, or cerebral edema.2. Mild smooth long-segment narrowing of the M1 segment of the right MCA, which may represent developmental dysplasia, residual or new vasospasm, or a mild manifestation of reversible cerebral vasoconstriction syndrome. No evidence of ... |
Generate impression based on findings. | Anaplastic carcinoma of the thyroid status post thyroidectomy and neck dissection. There are postoperative findings related to recent thyroidectomy and bilateral neck dissection with drainage tubing remaining within the surgical bed and an enteric tube within the esophagus. There is stranding of the regional fat planes... | Expected postoperative findings related to recent thyroidectomy and bilateral neck dissection without definite evidence of residual tumor or cervical lymphadenopathy. |
Generate impression based on findings. | Intracranial hemorrhage and altered mental status. There are recent postoperative findings related to right hemicraniotomy for evacuation of a large right temporal lobe hematoma with minimal extra-axial fluid deep to the craniotomy. There is residual hemorrhage within the right temporal lobe within and along the margin... | 1. Slight interval evolution of the acute infarct in the right thalamus and thalamocapsular junction in a thalamoperforator artery distribution.2. No significant interval change in the multifocal cerebral hemisphere intraparenchymal hematomas, including the partially evacuated large right temporal lobe hematoma, superi... |
Generate impression based on findings. | Intracranial hemorrhage and altered mental status. There are recent postoperative findings related to right hemicraniotomy for evacuation of a large right temporal lobe hematoma with minimal extra-axial fluid deep to the craniotomy. There is residual hemorrhage within the right temporal lobe within and along the margin... | 1. Interval evolution of the acute infarct in the right thalamus and thalamocapsular junction in a thalamoperforator artery distribution without hemorrhagic transformation, but increased swelling with resultant increased effacement of the third ventricle and increase in dilatation of the lateral ventricles and 10 mm of... |
Generate impression based on findings. | Base of tongue adenocarcinoma s/p resection and chemoradiation in 2009. Head: There is no evidence of abnormal intracranial enhancement. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniati... | 1. No evidence of locoregional tumor recurrence or significant cervical lymphadenopathy. 2. No evidence of intracranial metastases. |
Generate impression based on findings. | Neck stiffness, HA. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull appears unremarkable. There is a metallic... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Goiter. There is a partially imaged diffusely and massively enlarged thyroid gland, inc which the left lobe extends superiorly to the level of the angle of the mandible and the right lobe extends superiorly nearly to the level of the hyoid bone. Inferiorly there is incompletely depicted retrosternal extension. The thyr... | 1. Partially imaged massive thyroid goiter with multiple nodular components and with severe narrowing of the trachea at the level of the thyroid, measuring 4 mm in traverse width. 2. Dental caries in ADA 5 and 12. |
Generate impression based on findings. | Postop. There are postoperative findings including transpedicular screws at L3 and L4 with a fixation rod and bone grafting at this level and there is partial bony fusion. There has been interval recent intervertebral spacer device insertion at L1-2, L2-3, L3-4 and L4-5 with associated foci of air and fat stranding wit... | Postoperative findings including partial right L3-4 fusion and interval spacer insertion within intervertebral spaces of L1-2 through L4-5. The cage at L4-5 is positioned anterolaterally, extending partially into the adjacent paraspinal soft tissues. I personally reviewed the Images and/or procedure with the Resident/F... |
Generate impression based on findings. | Left T3N0 tonsil cancer status post tonsillectomy and chemo RT in September 2009. Head: There is no abnormal intracranial enhancement. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. Thre is an unchanged punctate hypodensity in the left basal ganglia, which may represent a chronic lacunar infa... | 1. No evidence of locoregional tumor recurrence or significant cervical lymphadenopathy. 2. No evidence of intracranial metastases. |
Generate impression based on findings. | 84 year-old female with intracranial hemorrhage. There has been no significant change in the size of a left temporal lobe parenchymal hematoma, however there has been a decrease in density consistent with aging. Previously demonstrated subarachnoid extension involving the sylvian fissure and the sulci of the left front... | 1. No significant interval change in size of a left temporal parenchymal hematoma or of the scattered subarachnoid blood product, although there has been a decrease in density.2. No evidence of new intracranial hemorrhage is seen.3.Small bilateral subdural hygromas without associated mass effect. |
Generate impression based on findings. | Female 28 years old; Reason: pulmonary hemorrhage? History: persistent RML RLL infiltrate despite therapy for CAP and HCAP. LUNGS AND PLEURA: Bilateral patchy and ground glass opacities some of which are confluent, especially in the right middle lobe. The patchy opacity in the right middle lobe also contains air bronch... | 1.Bilateral nodular, patchy and ground glass opacities upper and mid lung predominant distribution, especially the right middle lobe. Differential considerations are hemorrage, atypical edema or atypical infection.2.Cardiomegaly with pericardial effusion. |
Generate impression based on findings. | Malignant neoplasm of thyroid gland. Examination of participant in clinical trial. Baseline prior to starting new systemic therapy; please give bi-dimensional measurements. Hx of head and neck cancer CT neck:The patient is s/p thyroidectomy. Surgical clips are present along the thyroid bed. There is soft tissue thicken... | 1.No evidence for neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.the patient is status endarterectomy which is associated infiltration within the soft tissues of the neck. Please correlate with timing of recent surgery and clinical exam findings. Differential considerations include post surg... |
Generate impression based on findings. | 35-year-old female with presence of cerebrospinal fluid drainage device -- rule-out pseudocyst at the distal shunt catheter. Patient has abdominal pain. Within the limits of a non-IV contrast enhanced examination which limits evaluation of solid parenchymal organs and vascular structures, the following observations can... | 1. CSF shunt catheter coursing through the abdomen without discontinuity seen. 2. No evidence of pseudocyst about catheter tip. |
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