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Generate impression based on findings. | 36 year old female with a history of distal tibial shaft fracture status post ORIF. Evaluate for fracture union. Patient presents with persistent pain. Metal streak artifact somewhat limits evaluation. Note is made of a surgical side plate and screw device affixing the previously described comminuted fracture of the di... | Orthopedic fixation of distal tibial and fibular fractures as above. |
Generate impression based on findings. | Female, 40 years old, syncope, right ear pain for two weeks. Evaluate for mass, acoustic neuroma, bleed. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No pathologic parenchymal or extra-axial enhancement is detected. Please note that this examination is not tailored for... | No definite or significant abnormalities are detected within the limitations discussed above. |
Generate impression based on findings. | Reason: rule out PE History: respiratory insufficiency with known lung cancer PULMONARY ARTERIES: Technically adequate examination. No evidence of pulmonary embolism.LUNGS AND PLEURA: Entire right lung is atelectatic. Interval increase in narrowing of the right mainstem bronchus compared to prior exam. The lobar bronch... | 1.No evidence of pulmonary embolism.2.Interval increase of extensive pleural, lung parenchymal, and mediastinal disease compatible with mesothelioma.3.Complete atelectasis of right lung due to either extrinsic compression or luminal occlusion by tumor. |
Generate impression based on findings. | Pain and swelling to upper mandible post fall. Head: There is a stable region of encephalomalacia spanning the left posterior frontal and anterior parietal lobes underlying the craniotomy. There is ex vacuo dilatation of the underlying left lateral ventricle. There is no intracranial mass, acute hemorrhage, hydrocephal... | 1. Foreign bodies within the right upper lip associated with significant soft tissue swelling. 2. Unchanged encephalomalacia in the left hemisphere, but no evidence of acute intracranial hemorrhage.3. Extensive dental disease. |
Generate impression based on findings. | Female, 69 years old, seizure altered mental status. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. At most, there may be minimal periventricular hypoattenuation compatible with age indeterminate small vessel ischemic disease.No intracranial hemorrhage or abnormal extra-... | No acute intracranial abnormality. |
Generate impression based on findings. | 26 year old female with known pancreatitis, evaluate for severity ABDOMEN:LUNG BASES: Left pleural effusion. Basilar atelectasis.LIVER, BILIARY TRACT: Diffuse hepatic steatosis. SPLEEN: No significant abnormality notedPANCREAS: Diffuse pancreatic enlargement and peripancreatic fluid with stranding of the surrounding fa... | Findings consistent with acute pancreatitis without evidence of necrosis or loculated fluid collection. Peripancreatic and abdominal free fluid and fat infiltration is increased in extent compared to the prior study as detailed above. |
Generate impression based on findings. | Male, 35 years old, altered mental status Image quality is slightly degraded by motion artifact. Within this limitation, the following observations are made.The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection... | No acute intracranial abnormality. |
Generate impression based on findings. | Reason: parathyroid carcinoma History: disease progression? CHEST:LUNGS AND PLEURA: Reference right middle lobe nodule slightly increased to 23 x 15 mm on image 60/102 (20 x 10 mm on previous). The degree of surrounding consolidation and atelectasis has increased. Previously a measurement in craniocaudal dimension of 1... | 1. Intrathoracic lymphadenopathy is stable to marginally in increased.2. Reference right middle lobe pulmonary nodule has slightly increased.3. Multiple new hepatic lesions which are nonspecific. Some of the conspicuity of these lesions may be due to phase of contrast enhancement though review of CTs back to 12/6/2011 ... |
Generate impression based on findings. | 42-year-old male evaluate for known intra-abdominal abscess deep to cecum ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Subcentimeter hypodense hepatic lesions, too small to accurately characterize.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLAN... | Extensive cecal and terminal ileal wall thickening and surrounding fat infiltration with small 2.3-cm loculated fluid collection, likely representing early abscess formation. The appendix is not visualized and may be absent or involved in this process. These findings are consistent with the provided history of inflamma... |
Generate impression based on findings. | T1N1M0 scca BOT with two primary lesions s/p CRT completed treatment in 2008 follow by resection. 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. There is mild left maxillary ... | 1. No evidence of locoregional tumor recurrence of significant cervical lymphadenopathy.2. No evidence of intracranial metastases. |
Generate impression based on findings. | Female 24 years old; Reason: concern for PE History: tachypnea, DVT. PULMONARY ARTERIES: Subsegmental pulmonary emboli in both lower lobes. The main pulmonary artery is normal in caliber.LUNGS AND PLEURA: Small lung volumes. Bilateral patchy and ground glass opacities especially in the dependent portions of the lung wi... | 1.Bilateral lower lobe segmental pulmonary emboli.2.Bilateral patchy and ground glass opacities are seen in the dependent regions with development of septal thickening, bilateral pleural effusions and fluid in the fissures. These findings most likely represent edema.3.Mediastinal adenopathy, likely reactive to the edem... |
Generate impression based on findings. | 34-year-old male with dropping hemoglobin -- rule-out retroperitoneal bleed. Within the limits of a non-IV contrast-enhanced examination which limits the ability to evaluate solid organ parenchyma and vascular structures, the following observations can be made:ABDOMEN: Extensive free intraperitoneal air persists, subje... | 1. Extensive pneumoperitoneum persists, unchanged. In addition, new air fluid level is seen anterior to left lobe of liver and appears to be close to the percutaneous gastrostomy site. 3. No other significant changes or other abnormalities seen. |
Generate impression based on findings. | Female, 73 years old, confusion. Status post fall. The cerebral sulci are prominent, more so in the frontal regions, compatible with volume loss. The supratentorial ventricular system is also prominent but in proportion to the sulci.Periventricular hypoattenuation is seen, a nonspecific finding which probably reflects ... | 1. Parenchymal volume loss with a frontal lobe predominance.2. Age indeterminate small vessel ischemic disease.3. No definite evidence of an acute intracranial abnormality. |
Generate impression based on findings. | 84-year-old female with abdominal pain and vomiting, rule obstruction versus ileus. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Several subcentimeter hypodensities, too small to characterize.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: N... | High-grade bowel obstruction due to circumferential sigmoid colon wall thickening and narrowing. Annular adenocarcinoma is the diagnosis of exclusion. No evidence of metastatic disease. |
Generate impression based on findings. | Reason: Further definine left pleural effusion vs. collapse History: Further definine left pleural effusion vs. collapse Limited examination due to difficulty in patient positioning and patient motion.LUNGS AND PLEURA: There is complete obstruction of the left mainstem bronchus approximately 2 cm from its origin. There... | 1.There is complete obstruction of the right mainstem bronchus approximately 2 cm from its origin. This may represent endobronchial obstruction by mucous plugging. However , an obstructing mass cannot be excluded.2.Bilateral pleural effusions left greater than right with the mild amount of edema within the right lung.3... |
Generate impression based on findings. | Female, 56 years old, dizziness. 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 patent and normal in s... | No acute intracranial abnormality. |
Generate impression based on findings. | Reason: evaluate for cause of hypoxemia and RML collapse History: hypoxemia LUNGS AND PLEURA: No evidence of right middle lobe collapse as clinically queried. There is a moderate right pleural effusion with compressive right lower lobe atelectasis. Scarlike opacity in the left lower lobe (image 59/89) is unchanged. 6-m... | 1. No evidence of right middle lobe collapse.2. Moderate right pleural effusion with compressive right lower lobe atelectasis.3. Scattered small subcentimeter pulmonary nodules which are likely inflammatory/infectious though follow up CT in 12 months is recommended to confirm stability as some are new versus 2009 CT.4.... |
Generate impression based on findings. | Female; 53 years old. Reason: SCC of nasal cavity s/p surgery and induction chemo. Please assess for any other disease. History: Facial and neck pain. CHEST:LUNGS AND PLEURA: Centrilobular emphysema.MEDIASTINUM AND HILA: Coronary calcifications. Normal sized precarinal lymph node.CHEST WALL: No significant abnormality ... | No evidence of metastatic disease in the chest, abdomen, or pelvis. Please see separate report for CT of the neck performed on the same day. |
Generate impression based on findings. | Female, 53 years old, history of nasal squamous cell carcinoma status post surgical resection and induction chemotherapy. Extensive postsurgical changes are demonstrated in the face including resection of the left globe, partial left maxillectomy with resection of the nasal bones and soft tissue flap reconstruction. A ... | Since the prior examination, there has been a mild increase in size of the patient's large heterogeneously enhancing left facial tumor. This change results in subtle increased tumor incursion into the left ethmoid and nasal cavity regions.More significantly, however, is progressive tumor erosion through the left bony o... |
Generate impression based on findings. | 70 year-old male with dissection of aorta treated at outside institution, with continued sepsis despite antibiotic coverage CHEST:LUNGS AND PLEURA: Extensive anterior pneumothorax across right and left anterior thorax loculated and not being served by the right posterior chest tube. Resultant loss of volume in both rig... | 1. Extensive postoperative changes about the aorta and mediastinum from interval surgery since 10/2/13 examination. 2. Extensive anterior pneumothorax and pneumomediastinum -- the right dorsal chest tube in position but not believing pneumothorax. 3. Diffuse ascites and subcutaneous anasarca without a loculated collect... |
Generate impression based on findings. | 77-year-old male with history of all colitis status post total abdominal proctocolectomy with diffuse abdominal pain. ABDOMEN:LUNG BASES: Mild basilar scarring/atelectasis.LIVER, BILIARY TRACT: Unchanged left hepatic cyst and right subcentimeter hypodensity.SPLEEN: No significant abnormality notedPANCREAS: No significa... | Several angulated loops of small bowel indicating low-grade adhesions without evidence of frank obstruction or acute intra-abdominal abnormality. |
Generate impression based on findings. | Neoplasm of unspecified nature of endocrine glands and other parts of nervous system. Eval for fusion Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The patient is status post laminectomies at L3, L2 and L1 and posterior fusion with pedicle screws and... | 1.Status post recent spinal surgery with removal of mass within the spinal canal and posterior element pathology with attendant postsurgical changes.2.Sclerotic change at L1-2 and S1 posterior elements is suspected to be related to metastatic disease.3.Cholelithiasis , retroperitoneal adenopathy and prior gastric surge... |
Generate impression based on findings. | Reason: mets lung cancer. S/p chemo and pleurectomy and proton beam RT, now with recurrence disease. Pls compare w/ outside August PET/CT . History: mets lung ca CHEST:LUNGS AND PLEURA: Postop change from right pneumonectomy and pleurectomy with minimal residual thickening along the chest wall which correlates with the... | 1. The areas of increased activity on 8/27/2013 PET CT correlate with supraclavicular nodes and soft tissue thickening along the medial and lateral aspects of the right hemithorax, suspicious for residual disease. There is no significant change in size, however, and no new sites of disease are seen.2. New heterogeneous... |
Generate impression based on findings. | Reason: evaluate for infection History: fever, tachycardia Motion limits sensitivity.LUNGS AND PLEURA: Significant interval increase in bilateral lower lobe and dependent multifocal areas of consolidation/atelectasis compatible with aspiration pneumonia.Increasing nodular and tree in bud opacities bilaterally with bron... | Significant interval development of multifocal areas of consolidation/atelectasis with nodular and tree in bud opacities associated with bronchial/bronchiolar wall thickening compatible with recurrent infection and aspiration. |
Generate impression based on findings. | 42 year-old female with abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality ... | Severe sigmoid diverticulitis with walled off microperforation. No mature abscess or free intraperitoneal air. Loss of the fat plane between the sigmoid and bladder, correlate for symptoms of enterovesicular fistula. |
Generate impression based on findings. | 21-year-old male with septicemia -- evaluate pyelo versus osteo- ABDOMEN:LUNG BASES: Bibasilar atelectasis, left greater than right.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDN... | 1. Bilateral, nonobstructing renal calculi -- no CT evidence for findings to suggest pyelonephritis or perinephric abscess. 2. Foley catheter balloon in proximal urethra. |
Generate impression based on findings. | Fall. There is straightening of the cervical spine alignment in the sagittal plane, which is most likely related to muscle spasm and/or neck brace. There are multilevel degenerative changes, including posterior and uncovertebral joint osteophytes at C3-4, C4-5 and C5-6. There is no evidence of fracture or loss of verte... | Multilevel degenerative changes most prominent at C3-4 through C5-6 without fracture or spondylolisthesis. |
Generate impression based on findings. | Reason: h/o parotid cancer History: r/o chest mets LUNGS AND PLEURA: No pulmonary or pleural metastases.Dependent atelectasis and residual scarlike opacities in the right middle lobe are present.MEDIASTINUM AND HILA: Scattered thyroid cysts.Stable 12-mm right hilar lymph node image 35 series 3.No other evidence of medi... | No sign of metastases, or other significant abnormality. |
Generate impression based on findings. | 16-year-old female with intracranial hemorrhage and altered mental status, placement of ICP device There has been interval placement of a right frontal intracranial pressure monitoring device with a small amount of associated subarachnoid hemorrhage underlying the insertion site. Redemonstrated are postoperative findin... | 1.There has been interval placement of a right frontal intracranial pressure monitoring device with a small amount of associated subarachnoid hemorrhage underlying the insertion site. 2.Midline shift now measuring 12 mm, previously 10 mm 3.Remaining abnormalities including hemorrhage, edema, and herniation are stable. |
Generate impression based on findings. | Reason: evaluate for metastatic cancer History: s/p thyroidectomy for poorly differentiated thyroid cancer LUNGS AND PLEURA: Basilar atelectasis.Interval increase in size of subpleural nodule in right lower lobe now measuring 10 mm on image 66/94 (8 mm on prior). No new pulmonary nodules. Scattered punctate micronodule... | Slight increase in size of right lower lobe nodule suspicious for metastatic disease. |
Generate impression based on findings. | 20 year-old male status post firearm accident, abdominal pain, rule out anastomotic leak. 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... | 1. Bullet wound with multiple associated fragments entering the right flank and fracturing the right iliac bone with a large fragment lodged within the left rectus abdominis muscle. 2. Fluid collection adjacent to the right psoas muscle may represent hematoma or abscess. The small bowel anastomosis is intact. 3. Metall... |
Generate impression based on findings. | Reason: h/o of both breast and ovarian cancer now with pneumonia that is not resolving. R/o mass/obstruction History: h/o of both breast and ovarian cancer now with pneumonia that is not resolving. R/o mass/obstruction LUNGS AND PLEURA: Large right perihilar mass measuring approximately 6 cm by 3.6 cm (image 67 series ... | 1.Development of multiple necrotic appearing primarily central nodules and masses within the right upper, middle, and lower lobes compatible with metastatic disease.2.New small right pleural effusion.3.Interval development of multiple hepatic hypodense lesions compatible with metastatic disease.4.Multiple vertebral scl... |
Generate impression based on findings. | Reason: TXN2B salivary adenocarcinoma (tongue) s/p resection 9/30/09 F/B TFHX completed 12/16/09. please re-eval for recurrence History: as above CHEST:LUNGS AND PLEURA: Multifocal pulmonary nodules, some of which are calcified, are unchanged and presumably postinflammatory. Focal left lower lobe bronchiectasis is unch... | Stable CT with no evidence of measurable metastatic disease. |
Generate impression based on findings. | 72-year-old female exhibiting new onset delusions The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. The vis... | Negative nonenhanced head CT. |
Generate impression based on findings. | Male; 75 years. Reason: eval for rectal cancer, interval exam, also please perform CT without contrast to eval for kidney stone, possible stone distal right ureter on prev History: bladder spasm; pain, urinary symptoms CHEST:LUNGS AND PLEURA: 4-mm nodule in the left upper lobe, near the major fissure (series 7, image 1... | 1. No interval change or conclusive evidence of malignancy. Small bowel loops and fluid occupy the rectal space without conclusive evidence of local recurrence2. 3 mm stone at the left uretero vesicular junction causing mild hydroureter, unchanged. 3. Dilatation of the ascending thoracic aorta, follow-up is suggested. |
Generate impression based on findings. | Reason: Pt with hx of Tonsil cancer completed FHX 8/2009. please re-eval for recurrence of dz History: as above CHEST:LUNGS AND PLEURA: Scattered, calcified and noncalcified pulmonary nodules are again noted throughout the lungs, unchanged. Mild peripheral reticulation in the subpleural lung bases, likely dependent ede... | No evidence of metastatic disease. |
Generate impression based on findings. | 33-year-old male with metastatic melanoma on treatment -- assess response to therapy. CHEST:LUNGS AND PLEURA: Left upper lobe, lateral, subpleural micronodule, unchanged dating back to 6/14/12. A more inferior 4-mm nodule in the left lower lobe (series 4, image 47) is unchanged from most recent several CT examinations,... | 1. Stable chest examination since 9/26/13 with several micronodules. Left lower lobe nodule while stable over last several examinations it is new since June/2012, and is, therefore still worrisome for metastatic lesion. 2. Stable appearance to mediastinum, which does not definitely show evidence of metastatic disease. ... |
Generate impression based on findings. | Afib and slurred speech. There is no evidence of acute intracranial hemorrhage or mass. There is unchanged mild nonspecific cerebral white matter hypoattenuation that likely represents microangiopathy. The ventricles and basal cisterns are stable in size and configuration. There is no midline shift or herniation. The i... | No evidence of acute intracranial hemorrhage or mass. However, non-contrast CT is not sensitive for acute non-hemorrhagic stroke and MRI should be considered for further evaluation if there are no contraindications. |
Generate impression based on findings. | History rectal cancer. LUNGS AND PLEURA: Emphysema. Bronchial wall thickening, nonspecific but most likely seen with asthma or bronchitis. There is aspirated debris noted in the central airways. Linear scar or atelectasis at the lung bases.Punctate micronodule in lingula (image 62/116) unchanged. Other scattered puncta... | No definitive evidence of metastatic disease. Stable borderline mediastinal lymph nodes which are more likely inflammatory than metastatic. A few small punctate pulmonary micronodules are also stable and most likely post inflammatory. Continued CT follow is recommended. |
Generate impression based on findings. | 68-year-old female with history of breast and renal cell cancer, assess for disease progression. CHEST:LUNGS AND PLEURA: Left apical paramediastinal mass invading the mediastinum measures 4.8 x 2.7 cm (image 13, series 4) and previously measured 3.3 x 2.0 cm, increased in size and now closer to the trachea and compress... | 1. Increase in size of left apical mass invading the mediastinum mediastinum.2. Unchanged hepatic and left renal angiomyolipomas. |
Generate impression based on findings. | Reason: baseline prior to starting new systemic therapy; please give bi-dimensional measurements History: hx of metastatic head and neck cancer CHEST:LUNGS AND PLEURA: Densely calcified pulmonary nodule in the left upper lobe is presumably a healed granuloma. Punctate micronodules in the periphery of the right middle l... | No definitive evidence of metastatic disease to the chest or upper abdomen. |
Generate impression based on findings. | Reason: hx of pulm mets, sp resection of LLL pls eval for growth. Please compare to may and feb 2013 films for measurments - only chest and abd, recent HN scans are stable. History: none CHEST:LUNGS AND PLEURA: There is minimal resection of this patient's previously noted left upper lobe nodule. Post surgical changes a... | 1.Interval resection of a left lower lobe metastasis.2.Interval increase in size of scattered pulmonary nodules.3.Stable to slight decrease in mediastinal lymphadenopathy.4.No new sites of disease identified. |
Generate impression based on findings. | Reason: evaluate for bronchiectasis - History: Immunoglobulin deficiency and productive cough LUNGS AND PLEURA: Mild cylindrical right middle and bilateral lower lobe bronchiectasis with mild bronchial wall thickening.Multiple pulmonary nodules are present and were described in detail on 10/30/2013 study.MEDIASTINUM AN... | 1. Mild cylindrical right middle and bilateral lower lobe bronchiectasis with mild bronchial wall thickening.2. Multiple pulmonary nodules are present and were described in detail on 10/30/2013 study. The right lower lobe nodule has increased size and neoplasm cannot be excluded. Follow up with PET/CT should be conside... |
Generate impression based on findings. | Reason: Pt with hx of Recur HNC 1020 s/p CRT; Please re-eval and compare to prior exams History: as above CHEST:LUNGS AND PLEURA: Right upper lobe groundglass nodules are new, unlikely to represent tumor most likely a site of aspiration. Otherwise, lungs are unremarkable.MEDIASTINUM AND HILA: No significant abnormality... | No sign of metastases, or other significant abnormality. |
Generate impression based on findings. | T4 N1 oral tongue cancer treated with carbo-taxol induction chemotherapy then 5/5 cycles of TFHX chemoradiotherapy completed in 7/16/2010, as well as a history of a T1 oral tongue tumor that was previously excised. There are unchanged post-treatment findings with persistent supraglottic edema. There is no evidence of t... | 1. No evidence of locoregional tumor recurrence or significant cervical lymphadenopathy. 2. Secretions within the lower trachea. 3. Multiple periodontal lucencies. |
Generate impression based on findings. | Male 49 years old; Reason: Patient with History of Semi-solid nodules History: cough. LUNGS AND PLEURA: Interval resolution of the multiple mixed groundglass and semi-solid attenuation nodules as well as previously seen tree in bud opacities. No focal opacities or pleural effusions.MEDIASTINUM AND HILA: No significant ... | Interval resolution of the previously described pulmonary opacities. |
Generate impression based on findings. | 39-year-old male status post right radical nephrectomy and adrenalectomy for clear cell carcinoma with invasion into the renal sinus adipose tissue and right adrenal gland. CHEST:LUNGS AND PLEURA: Scattered micronodules some of which are calcified consistent with prior granulomatous disease. Nodular opacity adjacent to... | 1. Status post right nephrectomy without evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Male 58 years old; Reason: Pt with hx of tonuge ca. s/p CRT; please re-eval and compare History: as above. CHEST:LUNGS AND PLEURA: Micronodules compatible with previous infection and intrapulmonary lymph nodes, unchanged.Mild mosaic attenuation in the lower lobes, possibly secondary to small airways disease, also uncha... | No evidence of metastases. |
Generate impression based on findings. | Malignant neoplasm of other specified sites of pleura. localized new back pain w/ hx of bone mets Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. There is a heterogeneous lesion present in the right anterolateral aspect of the L1 vertebral body with mi... | 1.There is a new mixed sclerotic lytic lesion present at the L1 suspicious for metastatic disease 2.there is a new right iliac bone lytic lesion suspicious for metastatic disease .3.The there degenerative changes present in the lumbar spine worse at L3-4 with a disk bulge resulting in a mild to moderate degree of spina... |
Generate impression based on findings. | T4AN2BM0 oral tongue SCC --> TPF --> TFHX 5/10/13. Betel nut exposure. There are stable posttreatment findings in the region of the oral tongue with mild heterogeneous patchy enhancement in the right oral tongue and persistent hyperemia of the base of tongue and submandibular glands, but no evidence of recurrent tumor ... | Stable post-treatment findings without evidence of locoregional oral tongue squamous cell carcinoma recurrence or significant cervical lymphadenopathy. |
Generate impression based on findings. | Reason: Patient with history RUL consoldation/mass- interval follow up History: Shortness of breath LUNGS AND PLEURA: Continued increase in size and density of focal consolidation in the right upper lobe now with extension into the right third rib (image 22/113) with cortical destruction. New 7-mm nodule in right upper... | Continued increase in size and density of right upper lobe mass/consolidatoin now with extension into the right third rib consistent with malignancy. New 7-mm nodule in right upper lobe suggestive of metastatic disease. |
Generate impression based on findings. | RE-OP parathyroidectomy Please help to localize There are several nodules present in the soft tissues of the lower neck . Their locations and serial Hounsfield units on dynamic CT or listed below along with some density units of normal structures:Houndsfield units through nodules (0seconds, 25 seconds, 55 seconds, 85 s... | 1.There is a tiny nodule present just above and behind the left clavicle which is suspicious for parathyroid adenoma.2.There is a tiny nodule anterior to the left thyroid gland which is suspicious for parathyroid adenoma.3.There is a tiny right intrathyroidal lesions suspicious for parathyroid adenoma. |
Generate impression based on findings. | Reason: lung cancer, s/p 6 cycles of chemo. please evaluate for disease and copmare with previous scans using the same target lesions History: lung cancer CHEST:LUNGS AND PLEURA: Unchanged architectural distortion of the left upper lobe with fibrosis and bronchiectasis. Small left pleural effusion stable. Multiple pulm... | Stable metastases. No new sites of disease. |
Generate impression based on findings. | 56-year-old male with metastatic medullary thyroid cancer. CHEST:LUNGS AND PLEURA: Radiation change. Again seen at both apices. The prior noted. New lesion along the superior major fissure has now dramatically increased in size (series 5, image 30), and measures 5.1 x 4.2 cm. It is characterized by predominantly centra... | 1. Marked increase in size of right necrotic lung mass -- the rapid progression would suggest atypical fungal infection or TB, however, aggressive primary lung cancer cannot be excluded. 2. No change in the biliary and pancreatic duct dilatation extending to head of pancreas, but obstructing at different levels, making... |
Generate impression based on findings. | Sensorineural hearing loss status post right cochlear implantation and bilateral T-tube insertion. Right temporal bone: There right cochlear implant in position with at least 360 degree turns formed within the cochlea. There is also a T-tube spanning the tympanic membrane. The external auditory canal and auricle are un... | Unremarkable right cochlear implant and bilateral T-tubes with clear middle ear cavities. Stable left canal wall up mastoidectomy with unchanged non-specific partial opacification. |
Generate impression based on findings. | 48-year-old female with ampullary cancer, restaging. 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: The previous identified hypoattenuating hepatic lesions are not visualized. The ... | Previously noted low-attenuation liver metastases are not visualized on the current CT but were much better visualized on the prior MRI. No new metastatic lesions. If evaluation of the hepatic metastases is required, MRI is recommended. |
Generate impression based on findings. | Female, 68 years old, history of aneurysm, now confused. Non-angiographic findings:Periventricular and patchy subcortical 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. ... | 1. A 4-mm aneurysm of the right M2 segment is unchanged in size.2. Questionable small aneurysms versus infundibula are also unchanged as discussed above.3. Mild atherosclerotic disease affects the vessels of the neck. |
Generate impression based on findings. | Reason: Pt with oral tongue ca; s/p CRT in 6/2013. please re eval to scans and PET History: as above CHEST:LUNGS AND PLEURA: Scattered punctate micronodules are stable and presumably postinflammatory.MEDIASTINUM AND HILA: Port tip at RA/SVC junction. Minimal debris in central airways consistent with aspiration.CHEST WA... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: h/o HNC, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: No sign of pulmonary or pleural metastases.Groundglass opacities adjacent to the minor fissure hand in the left lung base most likely is from chronic aspiration.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL:... | No sign of metastases. Patchy ground glass opacities are suggestive of chronic aspiration. |
Generate impression based on findings. | 74-year-old female with history of abdominal aortic aneurysm status post EVAR, evaluate for endoleak. ABDOMEN:LUNG BASES: Small opacity along the right minor fissure is only partially visualized, but likely represents an intrapulmonary lymph node. Coronary arterial calcification. Basilar scarring/atelectasis.LIVER, BIL... | 1. Intact abdominal aortobiiliac endograft without evidence of leak or complication. Mild interval decrease in size of thrombosed infrarenal abdominal aortic aneurysm. |
Generate impression based on findings. | Metastatic medullary thyroid cancer with brain mets s/p WBRT who progressed on sunitinib, on cabozantinib since 02/13. There are post-treatment findings relate to total thyroidectomy and neck dissection. There is no evidence of recurrence tumor in the thyroidectomy bed. There is an unchanged inferior right tracheoesoph... | 1. Stable post-treatment findings in the neck without evidence of locoregional tumor recurrence or significant cervical lymphadenopathy.2. Unchanged diffuse heterogeneity of the osseous structures, which likely represents metastatic involvement.3. The partially imaged cavitary right lung mass has increased in size. Ref... |
Generate impression based on findings. | Reason: evaluate for metastasis. History: ewing sarcoma. LUNGS AND PLEURA: Post op change. No new pulmonary nodules.MEDIASTINUM AND HILA: Port tip at RA/SVC junction.CHEST WALL: Extensive postop change on the left with residual pleural and chest wall thickening (image 39/109). This is presumably postoperative scarring ... | 1. No evidence of pulmonary metastases.2. Extensive postop change on the left with residual pleural/chest wall thickening. This is presumably postoperative scarring and fibrosis and it appears stable though close attention to this area is necessary on follow up to exclude residual disease. A PET/CT may also provide bet... |
Generate impression based on findings. | Female 27 years old; Reason: To r/o PE. Patient w/ recent h/o OCP's History: SOB PULMONARY ARTERIES: At the evaluation of the pulmonary arteries. No pulmonary emboli. Normal caliber of the main pulmonary artery.LUNGS AND PLEURA: Multiple non-solid opacities in a centrilobular distribution in the left upper lobe likely ... | 1.No pulmonary emboli.2.Multiple non-solid opacities in a centrilobular distribution in the left upper lobe likely represents bronchiolitis, aspiration or an early infectious process. |
Generate impression based on findings. | Reason: baseline prior to starting new systemic therapy History: hx of metastatic head and neck cancer CHEST:LUNGS AND PLEURA: Subsegmental atelectasis or scarring in the left lower lobe. Linear scarring and atelectasis at the right base. Scattered punctate calcifications. No suspicious nodules.MEDIASTINUM AND HILA: Po... | No evidence of metastatic disease. |
Generate impression based on findings. | History of fall x 2 on coumadin. There is a left frontal scalp hematoma that measures 4 mm in width, without underlying calvarial fracture. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is mild patchy cerebral white matter hypoattenuation that may represent microangiopathy. The ventric... | Small left frontal scalp hematoma, but no evidence of acute intracranial hemorrhage or calvarial fracture. |
Generate impression based on findings. | Right lung mass follow up. LUNGS AND PLEURA: 28 x 16mm nodular opacity in the medial right lower lobe abutting the spine and left atrium (image 53/90). Scattered right-sided pulmonary nodules measuring up to 6 mm (image 18/90 in the right upper lobe). Emphysema.MEDIASTINUM AND HILA: Scattered small subcentimeter nodes.... | Roughly 3 cm nodular opacity in medial right lower lobe suspicious for malignancy. Additional scattered pulmonary nodules measure up to 6 mm but are nonspecific. |
Generate impression based on findings. | 65-year-old female with right upper ache -- history of gallstone pancreatitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Liver enhances homogeneously and shows normal vasculature. Gallbladder is normal in appearance with no evidence of gallstones. CT fails to detect approximately 25% of ... | 1. No evidence for pancreatitis. 2. No gallstones seen with normal-appearing gallbladder (should be noted, CT fails to detect approximately 25% of gallstones.). 3. No evidence of biliary tract obstruction. 4. Enlarged gastrohepatic ligament lymph node of uncertain significance. |
Generate impression based on findings. | Male 33 years old; Reason: r/o abscess vs obstruction History: abd pain, epigastric. Crohn's dx with ileostomy ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver contour is normal. No focal hepatic lesions are evident. Hepatic and portal veins are patent. No biliary ductal dilatation.SPLE... | 1.Post operative changes from colectomy and left lower abdominal ileostomy without bowel obstruction. Mild hyperenhancement of the tunneled portion of small bowel , suboptimally evaluated due to poor bowel distention.2.Nonobstructive left renal calcification. |
Generate impression based on findings. | Unknown primary, s/p CRT, last treatment 2010, and tonsillectomy/adenoidectomy. There is persistent supraglottic mucosal edema and hyperemia of the submandibular glands, which is likely treatment related. There is no evidence of tumor or significant cervical lymphadenopathy. The major salivary glands are unchanged. The... | Stable post-treatment findings without evidence of tumor recurrence or significant cervical lymphadenopathy. |
Generate impression based on findings. | Female 88 years old; Reason: 88 yo female ESRD, AV fistula, pls evaluate for abdominal aortic aneurysm History: hypotension, tachycardia, abdominal pain ABDOMEN:LUNGS BASES: Minimal subsegmental atelectasis in the lung bases. Nodularity with subpleural reticulations involving the lingula, suboptimally evaluated.Heart s... | 1.Extensive free intraperitoneal air with inflammation adjacent to the hepatic flexure and right upper abdomen. Differential considerations include perforated hollow viscus with the colon at the hepatic flexure or the stomach / duodenal bulb. Cholecystitis is a possibility but considered less likely given the extensive... |
Generate impression based on findings. | Multiple, recurrent SCC of skin and CLL. Head: There is no 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 herniation. The imaged paranasal sinuses and mastoi... | 1. Postoperative findings related to left parotidectomy and neck dissection with flap reconstruction with an ill-defined lesion in the left supraclavicular lesion that likely corresponds to the treated tumor recurrence. Ill-defined diffuse heterogeneous enhancement with blurring of the fat planes along the left paraver... |
Generate impression based on findings. | Reason: assess atelectasis History: sob LUNGS AND PLEURA: Left chest tube unchanged in position. Stable to marginally increased small left pleural effusion with basilar atelectasis. Left ground glass opacity has improved.Right chest tube directed towards postero-medial lung apex. Trace right pneumothorax and pleural fl... | New near complete atelectasis of right upper and lower lobes with extensive debris in the right mainstem bronchus, presumably mucus plugging due to the rapid onset. |
Generate impression based on findings. | Reason: Patient s/p cardiac arrest. Evaluate for anomalous coronary arteries. History: s/p cardiac arrest Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and bifurcates into the left anterior descending and left circumflex coronary arteries. There are no significant ... | 1. Normal origins of the coronary arteries.2. Limited visualization beyond the proximal coronary arteries, secondary to respiratory motion artifact. No significant stenoses of the entire left main, proximal first centimeter of the right, proximal 4 cm of the LAD, proximal 4 cm of the circumflex coronary arteries. |
Generate impression based on findings. | Female 49 years old; Reason: metastatic breast cancer - evaluate response to treatment, compare with previous History: known mets - left hip pain CHEST:LUNGS AND PLEURA: Right upper lobe pulmonary nodule measures 0.8 cm (image 42/series 5) previously, 0.4 cm. Paramediastinal fibrotic changes persist.Soft tissue masses ... | 1.Increase in the size of the reference lesions with new liver lesion.2.Pathologic fractures through the right ilium and right sacrum. |
Generate impression based on findings. | Reason: pt withHNC. PLEASE RE EVAL ndcompare to prior scans History: as above CHEST:LUNGS AND PLEURA: Emphysema. No new pulmonary nodules. Minimal right base scarring or atelectasis.MEDIASTINUM AND HILA: Coronary calcification. Trace pericardial fluid unchanged. Scattered small mediastinal lymph nodes unchanged.CHEST W... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: staging for hysterctomy for endometrial sarcoma History: sarcoma found incidentally on D and C LUNGS AND PLEURA: Scattered nonspecific micronodules are identified in both lungs.A well -defined 6 mm nodule is noted in the right upper lobe (image 37 series 4). Left upper lobe 5-mm nodule is also noted (image 37 s... | Demonstration of bilateral solitary upper lobe well-defined pulmonary nodules that are nonspecific. These may be inflammatory in origin, however metastatic disease cannot be excluded. Follow-up examination in 6 to 12 weeks is recommended . |
Generate impression based on findings. | Locally recurrent head and neck squamous cell carcinoma originating in the nasopharyngeal area with poorly differentiated squamous cell histology. Started treatment on MK3475. There is a partially imaged heterogenously enhancing mass centered within the clivus, extending into the sella, planum sphenoidal, sphenoid sinu... | Partially imaged recurrent tumor centered within the clivus, extending into the sella, planum sphenoidal, sphenoid sinuses, right posterior ethmoid sinuses, bilateral cavernous sinuses, left orbital apex, left anterior clinoid process, left pterygoid plate, and left petrous apex. No evidence of significant cervical lym... |
Generate impression based on findings. | Nine month old male with history of plagiocephaly and developmental delay, evaluate for craniosynostosis and underlying brain abnormalities There is mild flattening of the left parieto-occipital skull as compared to right. However, there are no findings of craniosynostosis. Specifically, there is no early closing of th... | 1.There is mild flattening of the left parieto-occipital skull as compared to right. However, there are no CT findings of craniosynostosis.2.Mild benign enlargement of the subarachnoid spaces of infancy, which usually resolves by two years of age. |
Generate impression based on findings. | Right middle ear s/p stapedotomy 10/2012. Right: There are postoperative findings related to stapedectomy with stapes prosthesis insertion. The tip of the prosthesis is appropriately seated at the footplate, without protrusion into the vestibule. The head of the prothesis appropriately attaches to the lenticular proces... | 1. The right stapes prosthesis is in satisfactory position. However, the focus of fenestral otospongiosis appears to encroach upon the anterior aspect of the footplate.2. Left fenestral otospongiosis. |
Generate impression based on findings. | Reason: ro sarcoid History: pulmonary nodules LUNGS AND PLEURA: Bilateral upper lobe predominant ground glass and interstitial abnormality with some areas of traction bronchiectasis and architectural distortion. Patchy density nodular opacities are present but difficult to evaluate at due to respiratory motion. They ap... | 1. Severe multifocal pulmonary opacities. No significant lymphadenopathy. While there is a suggestion of chronicity to some of the findings much of the opacity is likely new versus 10/21/2013 chest radiograph. While sarcoidosis is a consideration, it is less likely that this degree of opacity would develop so rapidly e... |
Generate impression based on findings. | Cerebral aneurysm, nonruptured Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No aneurysms or intracranial stenosis is appreciated.The anterior communicating artery and the posterior communicating... | 1.Hyperdense opacification of the right ethmoid air cells, right maxillary sinus and left frontal sinus which has progressed since the prior exam is suggestive of progression of the patient's known allergic fungal sinusitis. There is change in character of opacification of the right frontal sinus which is nonspecific.2... |
Generate impression based on findings. | Reason: History of metastatic high-grade myxofibrosarcoma on treatment. Evaluate for response and extent of disease. History: History of metastatic high-grade myxofibrosarcoma on treatment. Evaluate for response and extent of disease. LUNGS AND PLEURA: Interval right upper lobectomy. New right moderate pleural effusion... | Multiple right sided masses which are new and increased versus 8/26/2013 PET/CT consistent with metastases. |
Generate impression based on findings. | Male 62 years old; Reason: Esophageal cancer, r/o invasion of adjacent structures History: esophageal cancer. CHEST:LUNGS AND PLEURA: No focal opacities or pleural effusions. Scattered punctate micronodules are presumably postinflammatory.MEDIASTINUM AND HILA: There is asymmetric thickening of the distal esophagus corr... | 1.Asymmetric thickening of the distal esophagus consistent with the patient's diagnosis of esophageal cancer. There does not appear to be CT evidence of invasion of adjacent structures.2.Borderline enlarged paraesophageal/high right paratracheal lymph node which showed increased activity on recent PET |
Generate impression based on findings. | 56-year-old female with pain and a history of distal radius fracture. Presents for surgical planning. Note is made of comminuted and diffusely impacted distal radius fracture with distinct intra-articular extension. There is 3 mm of depression of the distal fracture fragment (32 :series 80353) adjacent to the ulnar asp... | Intraarticular comminuted distal radius and ulnar styloid fractures. |
Generate impression based on findings. | 70 year-old male with history of pancreatic cancer, with nausea, vomiting, and leukocytosis. ABDOMEN: Evaluation of solid or pathology and vasculature is limited due to lack of IV contrast.LUNG BASES: Basilar tree in bud opacities and consolidation may relate to aspiration/infection.LIVER, BILIARY TRACT: Expected pneum... | Marked gastric dilatation indicating obstruction at the level of the gastric anastomosis. New soft tissue lesions abutting the SMV and gastric anastomosis suspicious for recurrent tumor, likely causing the obstruction. |
Generate impression based on findings. | 65-year-old male with history of type B aortic dissection presenting with back pain. VESSELS:Variant aortic arch anatomy with the left common carotid arising from the proximal brachiocephalic artery. Type B aortic dissection flap arises from the descending thoracic aorta distal to the origin of the left subclavian arte... | 1.Type B aortic dissection extending from the origin of the left subclavian to the level of the celiac axis. There is interval enlargement of both the true lumen and overall diameter of the descending thoracic aorta. There has been no additional propagation of the dissection flap.2.Large heterogeneous nodule arising fr... |
Generate impression based on findings. | 60 year-old female with microscopic hematuria -- rule-out upper urinary tract lesions and stones. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Liver is diffusely of low attenuation indicative of hepatic steatosis. No focal parenchymal lesions are seen on any phase of imaging. Hepatic vascul... | 1. Punctate calcification in the left lower pole kidney -- vascular calcification versus punctate calyceal calculus without obstruction. 2. Three to 4-mm potential bladder polypoid lesion in the posterior inferior bladder. 3. Diffuse hepatic steatosis. |
Generate impression based on findings. | Reason: smoker greater 30 pack year History: none LUNGS AND PLEURA: Scattered nonspecific micronodules.Pleural-based 9 mm x 4 mm nodule medially and posteriorly in the right lower lobe (image 52 series 5) may be postinflammatory in origin.No suspicious pulmonary nodules or masses.Mild upper lobe predominant centrilobul... | 1.Scattered nonspecific micronodules. Small right-sided pleural-based nodules which may be postinflammatory in origin. Follow-up examination in one year is recommended.2.No suspicious pulmonary nodules or masses. |
Generate impression based on findings. | Male 89 years old; Reason: 89yo M BPH, COPD and 40 pk year history with multiple nodules increasing in size. History: hypoxia, SOB. LUNGS AND PLEURA: Diffuse severe emphysema is again seen in the centrilobular and paraseptal distribution. The previously seen scattered peribronchial vascular nodules in the right lung ha... | 1.Severe emphysema.2.Stable to marginally increased borderline enlarged intrathoracic lymph nodes. 3.Interval resolution of the previously described scattered peribronchial and prevascular nodules likely due to prior infection. 4.New single non-solid opacity measuring slightly larger than 1 cm in the right middle lobe,... |
Generate impression based on findings. | 71 year-old female with a history of metastatic breast cancer. Status post chemoradiation therapy. Evaluate for healing or new fracture. UTERUS, ADNEXA: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality note... | Findings consistent with multiple osseous metastases as described above. |
Generate impression based on findings. | Reason: lung nodule History: none LUNGS AND PLEURA: Stable lingular scar like opacity.Small right micronodule in the right upper lobe (image 46 series 5) smaller than prior exams and most likely postinflammatory.Scattered nonspecific micronodules similar appearance the prior exam.No suspicious pulmonary nodules or mass... | 1.Stable scarlike opacity in the lingula and benign right upper lobe micronodule.2.No suspicious pulmonary nodules or masses. |
Generate impression based on findings. | 74-year-old female with mantle cell lymphoma -- restaging. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Reference mediastinal, pretracheal lymph node (series 4, image 36) measures 1.4 x 0 .9 cm, previously 1.4 x 0.6 cm. reference right hilar lymph node (series 4, image 42) measures 1.3... | No significant change in scattered mildly prominent lymph nodes in the chest, abdomen, and pelvis. No new foci of lymph node enlargement. |
Generate impression based on findings. | 80 year-old female with abdominal pain and diarrhea ABDOMEN:LUNG BASES: Right basilar consolidation and extensive cardiophrenic and posterior mediastinal lymphadenopathy only partially visualized on this study. Diffuse pleural thickening and nodularity, inseparable from the diaphragm. Right pleural effusion. The possib... | Right basilar consolidation and pleural effusion with extensive cardiophrenic and posterior mediastinal lymphadenopathy and diffuse thickening and nodularity of the pleura only partially visualized on this abdominal CT. The possibility of a proximal obstructing mass cannot be excluded. No acute abnormality in the upper... |
Generate impression based on findings. | Chronic sinusitis. There is minimal mucosal thickening within the bilateral maxillary sinuses. There is mild scattered opacification of the ethmoid air cells. The frontal and sphenoid sinuses are clear. There are bubbly secretions and air-fluid levels within the bilateral conchae bullosa. There is mucosal thickening al... | Findings suggestive of acute rhinitis. |
Generate impression based on findings. | 70 year-old male with left renal mass, assess and characterize. ABDOMEN:LUNG 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, URETER... | 1. Enhancing left renal mass consistent with renal cell carcinoma.2. Extensive soft tissue infiltrating the renal hila and encasing the aorta, IVC, celiac axis, SMA, left renal artery, renal veins and extending along the mesenteric vessels and within the mesentery of unclear etiology, but consider lymphoma given the la... |
Generate impression based on findings. | 36 year-old female with melanoma -- status post 4 cycles of treatment -- assess response to therapy CHEST:LUNGS AND PLEURA: Enlarging and multiple new nodules throughout both lungs. The prior reference left peri-fissural nodule (series 10, image 50) has markedly increased in size and now measures 5.0 by 4.0 cm, compare... | 1. Marked increase in pulmonary, parenchymal metastases and increased mediastinal lymphadenopathy. 2. Marked increase in diffuse liver metastatic lesions. |
Generate impression based on findings. | Reason: 69yo female with history of multiple malignancies and recent hospitalization presenting with acute onset shortness of breath. History: shortness of breath PULMONARY ARTERIES: Motion limits sensitivity. No evidence of pulmonary embolism. Mild main pulmonary artery dilation suggestive of pulmonary hypertension. N... | 1.No evidence of pulmonary embolism.2.Interval placement of a right pleural catheter with subsequent decrease of right pleural effusion. |
Generate impression based on findings. | Male 66 years old; Evaluate right upper lung nodule seen on OSH radiograph in September 2013. LUNGS AND PLEURA: Diffuse centrilobular emphysema. Single round well defined hyperattenuating nodule in the right upper lobe lung measures 7 mm (series 4, image 26). No pleural effusions.MEDIASTINUM AND HILA: Borderline cardio... | 7 mm nodule in right upper lobe is nonspecific; malignancy cannot be excluded, especially in a high risk patient. Typically nodules of this size are followed at 3-6 months with CT to confirm stability. The nodule may be too small for reliable PET/CT though this is an alternative consideration. |
Generate impression based on findings. | Clinical question: aneurysm? sah? mass? vertebral insufficiency?Signs and Symptoms: headache, neuro findings, DM/HTN/HLD/smoking. HeadacheChest pain, unspecified Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis iden... | 1.No evidence for intracranial aneurysm.2.No evidence for cervicocerebral occlusive disease.3.Multilevel degenerative changes are present in the cervical spine.4.Opacification of the paranasal sinuses. Findings are suspicious for chronic sinusitis5.multiple periapical lucencies along left maxillary dentition are suspic... |
Generate impression based on findings. | Hearing loss. Right: There is a diplastic, severely deficient auricle. The external auditory canal is absent, obliterated by a predominantly osseous atresia plate, and there is no distinct tympanic membrane. The malleus and incus are dysmorphic and form an malleus-incus complex with fixation to the atresia plate. The i... | 1. Right congenital aural atresia with the constellation of associated anomalies described in the findings section, including inner ear abnormalities.2. Bilateral lateralized internal carotid arteries. |
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