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Generate impression based on findings. | T4a N2C M0 Larynx SCC s/p carbo/taxol induction f/b TFHX 11/19/10 f/b adjuvant everolimus study (placebo vs everolimus) completed 3/12. There is persistent diffuse oropharyngeal, hypopharyngeal, and laryngeal mucosal edema with mild narrowing of the corresponding airway. There is persistent ill-defined soft tissue in t... | Persistent ill-defined soft tissue in the preepiglottic space, but no definite evidence of laryngeal tumor progression or significant cervical lymphadenopathy. |
Generate impression based on findings. | Reason: SCLC - restaging History: none CHEST:LUNGS AND PLEURA: Scattered punctate micronodules are unchanged. Emphysema.MEDIASTINUM AND HILA: Extensive intrathoracic lymphadenopathy, markedly progressed. For continued reference a low right paratracheal mass measures 43 x 32 mm on image 33/145. A prevascular node measur... | 1. Significant interval increase in intrathoracic lymphadenopathy/masses.2. Osseous metastases. |
Generate impression based on findings. | Reason: Evaluate for infection History: Leukocytosis. WBC 42. LUNGS AND PLEURA: Stable scattered calcified and noncalcified micronodules.Small bilateral pleural effusions with a basilar subsegmental atelectasis and scarring.No suspicious nodules or masses.No specific evidence of acute infection.MEDIASTINUM AND HILA: No... | 1.Small pleural effusions and developing ascites.2.No specific evidence of acute infection.3.Enlarged pulmonary artery compatible with pulmonary arterial hypertension. |
Generate impression based on findings. | Type II or unspecified type diabetes mellitus without mention of complication, not stated as uncontrolled The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within th... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA |
Generate impression based on findings. | HeadacheDisturbance of skin sensationOther specified visual disturbancesIntracranial injury of other and unsEvaluate for evidence of intracranial bleed in patient s/p head on car collisionSigns and Symptoms: worsening headache, right facial numbness , right blurred vision and pecified nature, without mention of open in... | 1.No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Reason: T4a N2C M0 Site Larynx Histology SCC s/p carbo/taxol induction f/b TFHX 11/19/10 f/b adjuvant everolimus study (placebo vs everolimus) completed 3/12. History: Please monitor for recurrence CHEST:LUNGS AND PLEURA: Stable scattered calcified and noncalcified micronodules.Nodular ground glass opacities with bronc... | No evidence of metastatic disease. |
Generate impression based on findings. | Female 57 years old; Reason: Metastatic breast cancer to bones. On continuing systemic therapy. Restaging. History: No new symptoms CHEST:LUNGS AND PLEURA: Left apical posterior pulmonary nodule measures 5-mm (image 17/series 6), unchanged. No new suspicious lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: H... | 1.Osseous metastatic disease to the right posterior acetabulum, left femoral neck and right intertrochanteric region.2.No definite new sites of disease. |
Generate impression based on findings. | 67-year-old male with abdominal pain, leukocytosis, and cloudy urine output. ABDOMEN:LUNG BASES: Basilar atelectasis. Emphysematous changes of the lung bases.LIVER, BILIARY TRACT: Status post cholecystectomy with fluid and nondependent gas in the gallbladder fossa which measures 12.6 x 6.3 cm (image 49, series 3).SPLEE... | Status post Whipple procedure with communicating postoperative fluid collections in the gallbladder and pancreatic fossas containing gas as detailed above, suspicious for early infection. 2.4-cm periportal lymph node is also noted. |
Generate impression based on findings. | Post TPA. There is edema in the superior division of the left MCA territory with regional mild mass effect but no significant midline shift. A left dense MCA sign is less conspicuous. Thre is mild patchy cerebral white matter hypoattenuation elsewhere, which is nonspecific, but likely related to microangiopathy. The ve... | Acute left MCA territory infarct without hemorrhagic transformation or significant midline shift. Neurovascular imaging is recommended.Discussed with Dr. Ardelt at 4:30 PM on 11/4/13. |
Generate impression based on findings. | Female 52 years old; Reason: 52 y/o with lesion in pancreas, recommend dedicated CT pancreas protocol History: pancreatic lesion ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver has a smooth contour. No suspicious hepatic lesions. Hepatic and portal veins are patent. Noncalcified gallst... | 1.Two nonspecific hypodense areas in the pancreas may represent subcentimeter side branch type IPMNs. Follow imaging - M.R.C.P. in 12 months is suggested.2.Cholelithiasis. |
Generate impression based on findings. | Female 63 years old; Reason: evaluate for recurrent abdominal hernias History: abdominal pain,ventral wall hernias on exam Exam is not sensitive for detecting lesions in the solid organs of vasculature. Due to lack of IV contrast. Given those limitations, the following observations medicalABDOMEN:LUNGS BASES: No signif... | 1.Broad-based, nonobstructive ventral hernia in the pelvis. 2.Increased perihepatic near fluid density collection.3.Near complete resolution of perirenal high density foci thought to be calcifications on prior exam.4. Other findings unchanged from prior exam. |
Generate impression based on findings. | Male 38 years old; Reason: CT Abdomen, IV contrast only, evaluate portal vein s/p liver transplant History: CT Abdomen, IV contrast only, evaluate portal vein s/p liver transplant ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Status post liver transplant. The hepatic and portal veins are p... | 1.Stable postoperative appearance of the liver with patent portal vein and hepatic veins.2.Faint enhancement of the hepatic artery in the hilum suggests patency. The enhancement is likely due to the phase of imaging.3.Findings discussed with Dr. Rentz at the time of dictation. |
Generate impression based on findings. | Female 77 years old; Reason: pt is s/p 3 cycles eribulin/herceptin - please assess disease status and compare to previous imaging History: MBC CHEST:LUNGS AND PLEURA: Mild upper lobe emphysema. Few scattered pulmonary nodules including few micronodules along the fissures.Right lung base pleural thickening and areas of ... | 1.Decrease in the size of the reference lesions. |
Generate impression based on findings. | Reason: Patient with acute pancreatitis, now with tachypnea and tachycardia; please evaluate for PE. History: Tachycardia, tachypnea PULMONARY ARTERIES: No evidence of PE.LUNGS AND PLEURA: Small - moderate left pleural effusion with left lower lobe atelectasis and consolidation. Minimal right basilar atelectasis.MEDIAS... | 1. No evidence of PE.2. Small - moderate left pleural effusion with nonspecific left lower lobe atelectasis and consolidation. |
Generate impression based on findings. | Male 57 years old; Reason: pt with esophageal ca s/p neo-adjuvant chemo and rt ended 9/27/13 History: doing well now needs disease evaluation piror to resection CHEST:LUNGS AND PLEURA: Mild diffuse ground-glass parenchymal changes in the lung. The ground-glass changes centered adjacent to the paramediastinal borders mo... | 1.Decrease in the size of the distal esophagus mass.2.Resolution of the left paraesophageal lymph node and decrease in the size of the gastrohepatic lymph node.3.Pulmonary ground-glass opacities some of which are likely due to radiation. The peripheral ground-glass nodules may be infectious or post treatment related. |
Generate impression based on findings. | Unspecified cerebral artery occlusion with cerebral infarction 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 identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is 50% sten... | 1.50% stenosis at the origin of the left internal carotid artery.2.High-grade stenosis at the origin of the right vertebral artery with tandem intracranial RVA stenoses.3.There is encephalomalacia present along the left middle cerebral artery territory involving left temporal lobe and the left parietal lobe as well as ... |
Generate impression based on findings. | Male 72 years old; Reason: evaluate for scrotal/pelvic abscess s/p complex inguinal hernia repair 9/2013 History: persistent scrotal swelling and pain PELVIS:PROSTATE/SEMINAL VESICLES: Coarse calcifications in the prostate.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, ME... | 1.Extensive inflammation involving the left scrotum and soft tissues with intrapelvic extension of inflammation. No intrapelvic drainable fluid collections. |
Generate impression based on findings. | Female 38 years old; Reason: immunocompromised w abd pain and leukocytosis History: see above ABDOMEN:LUNGS BASES: Post operative changes of median sternotomy.LIVER, BILIARY TRACT: Liver contour is smooth. No suspicious hepatic lesions. Hepatic and portal veins are patent. No intra-or extrahepatic biliary ductal dilata... | 1.No bowel obstruction or intra-abdominal fluid collections.2.Left adnexal cyst. Clinical correlation and if needed, pelvic sonography is suggested. |
Generate impression based on findings. | Clinical question: One out bleed or other intracranial process. Signs and symptoms: alteration of mental status x 1 week. History of encephalopathy and hepatocellular carcinoma. Nonenhanced head CT:No evidence of acute intracranial process CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes... | Nonspecific mild subcortical and periventricular low attenuation of white matter as detailed. |
Generate impression based on findings. | Unspecified cerebral artery occlusion with cerebral infarctionUnspecified cerebral artery occlusion with cerebral infarction The patient is status-post right-sided craniotomy. A small focus of encephalomalacia is present along the right middle frontal gyrus underneath the craniotomy site predated the craniotomy based o... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Since the prior examination the patient's right-sided dural hematoma has decreased in thickness and visibility3.multiple foci of encephalomalacia are present in the occipital lobes, and right temporal lobe and right frontal lobe compatible with prio... |
Generate impression based on findings. | 43 year-old female patient with abdominal pain. Evaluate for obstruction. Note that the lack of intravenous contrast limits evaluation of vasculature, lymph nodes and solid organs.ABDOMEN:LUNG BASES: Trace bilateral dependent atelectasis.LIVER, BILIARY TRACT: Liver parenchyma less dense than expected and is suggestive ... | 1.Bowel normal in caliber without evidence of obstruction.2.Collapsed rectum and sigmoid colon with possible wall thickening. Findings may be secondary to adherent stool, however cannot rule out colitis. Recommend correlation with patient's symptoms.3.Hypoattenuating liver parenchyma suggestive of steatosis. |
Generate impression based on findings. | Male 55 years old; Reason: r/o PE History: cp, sob. PULMONARY ARTERIES: Significant pulmonary emboli burden including the distal right main pulmonary artery with pulmonary emboli extending into the interlobar descending pulmonary artery and involving multiple segmental and subsegmental branches on the right. No pulmona... | 1.Multiple pulmonary emboli within the right main pulmonary artery and its distal branches.2.Small right sided pleural effusion with overlying consolidation which can also be seen in pulmonary infarct. |
Generate impression based on findings. | Reason: evaluate for PE History: chest pain, SOB PULMONARY ARTERIES: Technically adequate examination. No evidence of pulmonary embolism. Main pulmonary artery caliber is within normal limits. No evidence of right heart strain.LUNGS AND PLEURA: Small micronodule along the minor fissure is smaller compared to prior exam... | 1.No evidence of pulmonary embolism.2.No other acute cardiopulmonary abnormality. |
Generate impression based on findings. | Female, 53 years old, headache. 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 si... | No acute intracranial abnormality. |
Generate impression based on findings. | 70 year-old female with nausea, vomiting, and lower abdominal pain, assess for change in left ovarian mass, abscess, or SBO ABDOMEN:LUNG BASES: Severe emphysematous changes of the lung bases. Right basilar subpleural nodularity/scarring.LIVER, BILIARY TRACT: Diffuse hepatic steatosis. Unchanged hepatic cysts.SPLEEN: No... | 1. No acute abdominal or pelvic abnormality. 2. Interval decrease in size of a unilocular left adnexal cyst, most likely benign in etiology.3. Diffuse hepatic steatosis. |
Generate impression based on findings. | encephalopathy, unresponsiveness The CSF spaces are appropriate for the patient's stated age with no midline shift. There is redemonstration of a small skin lesion measuring 10 x 6 mm sagittal dimensions with Hounsfield units approximate 118 which was also identified on the prior exam and is not substantially changed e... | 1.Periventricular and subcortical white matter changes of a mild degree are nonspecific. Differential considerations include vascular related lesions as well as neurodegenerative or related to prior treatment.2.CT is insensitive for the early detection of nonhemorrhagic CVA.3.There is a scalp lesion present along the m... |
Generate impression based on findings. | Female, 55 years old, C-spine tenderness after MVC. Alignment is anatomic. Vertebral body heights are preserved. No fracture or acute dislocation is demonstrated.At C3-4, there is right-sided uncovertebral hypertrophy which narrows the right neural foramen.At C5-6, there is a posterior disk osteophyte complex which ind... | No fracture or acute dislocation. |
Generate impression based on findings. | 78 year old female with hypotension, tachycardia, evaluate for retroperitoneal bleeding. ABDOMEN:LUNG BASES: Basilar pleural effusions and atelectasis. Calcified granuloma in the right lung base.LIVER, BILIARY TRACT: Few scattered hepatic calcifications. Dilatation of hepatic veins, IVC and periportal cuffing indicatin... | No evidence of hematoma. Interval increase in anasarca and ascites with persistent pleural effusions, indicating volume overload. |
Generate impression based on findings. | 62-year-old female patient with abdominal pain and back pain. Evaluate for aortic dissection. CHEST:LUNGS AND PLEURA: Spiculated lung nodule in the right lower lobe (series 8 image 42), measuring 0.7 x 1.2 cm. Scarring versus atelectasis in the right lung base.MEDIASTINUM AND HILA: There is redemonstration of a type B ... | 1.Stable type B aortic dissection.2.Right renal mass suspicious for renal cell carcinoma.3.Right lower lobe spiculated nodule.4.Hypoattenuating lesion in the spleen consistent with prior infarct.Findings of renal mass and lung nodule communicated to Dr. Kim via telephone at 9:56 AM on 11/5/2013 by Dr. Stephanie McCann. |
Generate impression based on findings. | Male 38 years old; Reason: further characterize the patchy infiltrates seen on CXR History: cough, night sweats, fever. LUNGS AND PLEURA: Diffuse bilateral patchy semi-solid and groundglass opacities with sparing of the lung bases. No bronchiectasis or honeycombing is noted. Scattered bilateral lucencies may represent ... | 1.Diffuse bilateral patchy and groundglass opacities which spare the lung bases. The pattern is highly consistent with pneumocystic pneumonia, but other differential considerations include other atypical infection including fungal or viral etiologies as well as hypersensitivity pneumonitis, pulmonary hemorrhage or drug... |
Generate impression based on findings. | s/p meningioma resection. There are postoperative findings related to left temporal convexity meningioma resection. There is no significant interval change in the amount of intraparenchymal hemorrhage along the margins of the resection cavity and within the resection cavity. The associated edema surrounding the resecti... | No significant interval change in the amount of intraparenchymal hemorrhage along the margins of the resection cavity and within the resection cavity, although the associated edema appears better defined and appears to extend slightly farther superiorly into the frontal and parietal lobes. However, MRI is more sensitiv... |
Generate impression based on findings. | Painless hematuria 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 noted. Specifically,... | Negative for acute, inflammatory, or neoplastic process. Specifically, unremarkable kidneys and collecting system, without evidence for neoplasm, stone, or obstruction. |
Generate impression based on findings. | 29 year-old female with nausea, vomiting, abdominal pain and Crohn's disease. 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 notedKIDNEY... | Distal and terminal ileal inflammatory skip lesions and inflammation of the entire ascending and transverse colon with more focal narrowing and wall thickening at the mid transverse colon causing proximal fecal distention, as detailed above. No evidence of abscess or fistula. |
Generate impression based on findings. | 55-year-old female with abdominal tenderness after motor vehicle collision. 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,... | 1. Large anterior wall ventral hernia with stomach, small bowel, and colon, unchanged and without obstruction. 2. No evidence of acute traumatic abnormality. |
Generate impression based on findings. | 47-year-old female with history of vesicovaginal fistula repair, please perform CT cystogram. ABDOMEN: Evaluation of solid organ pathology and vasculature is limited due to lack of IV contrast.LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy. The liver appears unremarkable o... | Findings consistent with persistent vesicovaginal fistula. |
Generate impression based on findings. | Reason: widely metastatic non small cell lung cancer acute tachycardia with relative hypoxia rule out PE History: tachycardia, relative hypoxia PULMONARY ARTERIES: Technically adequate examination. No evidence of pulmonary embolism.LUNGS AND PLEURA: Interval development of near complete collapse of the right upper lobe... | 1.No evidence of pulmonary embolism.2.Interval development of near complete collapse of the right upper lobe secondary to occlusion of right upper lobe bronchus secondary to secretions and/or tumoral invasion.3.Redemonstration of bilateral lung metastases, mediastinal adenopathy, and supraclavicular lymphadenopathy.The... |
Generate impression based on findings. | 3-year-old female with increased oxygen requirements, neutropenia. Evaluate for fungal or anaerobic infection. Respiratory motion artifact limits evaluation. LUNGS AND PLEURA: No focal air space opacities or pleural effusions are present.There is a small wedge-shaped area of low-attenuation in the right apex (coronal s... | 1. No evidence of infection as clinically questioned.2. Large amount of debris in the esophagus and proximal trachea suggestive of aspiration.3. Small wedge-shaped area of low-attenuation in the right apex which may represent mosaic perfusion, air trapping, or a small bulla or pneumatocele, and is not felt to be of cur... |
Generate impression based on findings. | Obstructive hydrocephalus. preop planning The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized portions of the paranasal sinu... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.The lateral ventricles appear similar in size when compared to prior exam and nondilated. |
Generate impression based on findings. | 46 year old female with right-sided abdominal pain/flank pain with 3+ blood on urinalysis. Within the limits of a non-IV contrast-enhanced examination which limits ability to evaluate solid parenchymal organs and vascular structures the following observations can be made:ABDOMEN:LUNG BASES: No significant abnormality n... | 1. Punctate, nonobstructing left lower pole calyceal kidney calculus. 2. No evidence of urinary tract obstruction. 3. Fibroid uterus, unchanged. |
Generate impression based on findings. | Male 67 years old; Reason: evaluate for progression. History: kaposi's sarcoma. CHEST:LUNGS AND PLEURA: Slight increase in the moderate left pleural effusion which obscures evaluation of the left lower lobe. Left basilar consolidation/atelectasis. Narrowed appearance of left lower lobe bronchus is questioned. Interval ... | 1. Slight increase in the moderate left pleural effusion. Left basilar consolidation/atelectasis remains however underlying neoplasm/infectious etiology cannot entirely be ruled out.2. Stable thoracic and pelvic lymphadenopathy.3. Retroperitoneal fluid/soft tissue without measurable lymphadenopathy4. Mesenteric nodular... |
Generate impression based on findings. | Chronic sinusitis. There are postoperative findings related to left uncinectomy and partial left internal ethmoidectomy. There is mild opacification of the posterior left maxillary sinus with bubbly secretions. In addition, there is lateralization of the left middle turbinate, which partially obstructs the left neo-inf... | 1. Postoperative findings related to left uncinectomy and partial left internal ethmoidectomy with mild opacification of the posterior left maxillary sinus, lateralization of the left middle turbinate, which partially obstructs the left neo-infundibulum, and mild opacification and neo-osteogenesis in the left ethmoid s... |
Generate impression based on findings. | 19 year-old male with Crohn's disease on mercaptopurine, presenting with abdominal pain and obstipation, rule out intestinal etiology. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality no... | No evidence of active inflammation, fistula or loculated fluid collection. Fibrofatty proliferation of the mesentery and submucosal fat deposition within the rectosigmoid colon consistent with the stated history of inflammatory bowel disease. |
Generate impression based on findings. | 46-year-old male with abdominal pain, elevated white blood cell count and elevated lipase. History of ulcerative colitis; abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: Parenchyma enhances normal... | 1. No CT evidence of pancreatic abnormality. 2. Changes in descending/sigmoid colon, compatible with history of ulcerative colitis, but without evidence of acute inflammatory disease. |
Generate impression based on findings. | Altered mental status. eval sdh, prior to anticoagulation The CSF spaces are appropriate for the patient's stated age with no midline shift. The patient is status post burr holes along the right frontal and parietal calvarium.There is redemonstration of an extra-axial collection adjacent to the right hemisphere which i... | 1.Stable right-sided subacute subdural hematoma associated with midline shift |
Generate impression based on findings. | Reason: History of metastatic breast cancer on treatment. Evaluate for response and extent of disease. History: History of metastatic breast cancer on treatment. Evaluate for response and extent of disease. CHEST:LUNGS AND PLEURA: Interval appearance of a left apical nodule measuring 8 x 11 mm (series 4 image 7). Progr... | Progressive disease with a new pulmonary nodule at the left apex. New aortopulmonary window and enlarging left hilar and axillary lymphadenopathy. Left anterior pleural nodular thickening suspicious for metastasis. |
Generate impression based on findings. | 24-year-old female patient with fevers. CHEST:LUNGS AND PLEURA: Right lung base scarring versus atelectasis. Interval resolution of right-sided pleural effusion. Moderate left-sided pleural effusion with associated atelectasis and volume loss, decreased compared to prior examination.MEDIASTINUM AND HILA: Multiple large... | 1.Stable ascites and peritoneal enhancement in the abdomen and pelvis with interval placement of pigtail drain in right hemiabdomen.2.Multiple scattered loops of small bowel with wall thickening suggests possible inflammation versus infection. |
Generate impression based on findings. | Abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis without acute inflammation or ductal dilatation.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnor... | Cholelithiasis without acute inflammation or ductal dilatation. Otherwise, negative examination. |
Generate impression based on findings. | Female 82 years old; Reason: 82 year old female with AML and fungal infection on chemotnic antifungal therapy. Please evaluate status of fungal disease. History: asymptomatic LUNGS AND PLEURA: No focal opacities in the lungs. Scant dependent atelectasis in the left lung base. The previously described left upper lobe pa... | Interval near complete resolution of the previous left upper lobe opacities, presumably representing fungal infection. |
Generate impression based on findings. | new AM headache rule out mass The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized portions of the paranasal sinuses are clea... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Female 63 years old; Reason: 63yo F with SLE presenting with hypoxia, respiratory distress, recurrent pneumonias, eval for etiology History: hypoxia. LUNGS AND PLEURA: There is pronounced predominantly basilar tree in bud opacities bilaterally, greater in the left lung base consistent with aspiration bronchiolitis. Wit... | 1.Pronounced tree in bud opacities in the lung bases bilaterally greater on the left. Findings are consistent with aspiration bronchiolitis. The peripheral patchy ground glass opacities may be pneumonitis related to the patient's SLE. |
Generate impression based on findings. | Male, 68 years old, history of Parkinson's disease, presurgical planning for deep brain stimulator placement. Imaging is performed with a stereotactic frame in place. The ventricles and sulci are prominent compatible with generalized parenchymal volume loss. No mass effect, acute intracranial hemorrhage or abnormal flu... | Presurgical planning CT for deep brain stimulator placement. |
Generate impression based on findings. | Reason: Etiology/nature of mass in R-lung space History: SOB LUNGS AND PLEURA: Demonstration of moderate sized bilateral pleural effusions, right greater than left, with basilar atelectasis.There is narrowing of the right lower lobe bronchus at the segmental level with subsequent atelectasis.However, no definite mass l... | 1.Severe cardiomegaly with small pericardial effusion and enlargement of the pulmonary artery.2.Bilateral pleural effusions with mild interstitial edema.3.Basilar atelectasis with some narrowing of the right lower lobe bronchus at the segmental level. No definite mass lesion identified.4.Severe anasarca.5.Hypoattenuati... |
Generate impression based on findings. | T4aN2c SCC left retromolar trigone s/p EPIC trial cis/cetuximab/RT, completed in June 2009. Head CT: There is minimal residual hypoattenuation within the anterior left temporal lobe and no residual abnormal enhancement, suggests evolution of radiation necrosis. There is no evidence of additional intracranial lesions. T... | 1. Stable posttreatment change in the left retromolar trigone region with no definite evidence of locoregional tumor recurrence or significant cervical lymphadenopathy, although evaluation is limited by artifact related to dental amalgam.2. Evolution of mild radiation necrosis in the left anterior temporal lobe without... |
Generate impression based on findings. | Male 85 years old; Reason: Pt with hs of Thyroid Ca. Please re-eval and compare History: as above. CHEST:LUNGS AND PLEURA: Multiple micro-nodules, some of which are calcified, compatible with previous infection. Apical scarring and calcification, unchanged. No suspicious nodules.MEDIASTINUM AND HILA: Postsurgical chang... | No evidence of metastatic disease and no significant change. |
Generate impression based on findings. | Reason: 58M, immunosuppressed, multifocal opacities on CXR, please further characterize History: productive cough LUNGS AND PLEURA: Development of a multiple cavitating nodules and masses in both lungs with surrounding groundglass. The largest of these lesions are noted in the right upper lobe (image 45 series 5) measu... | Interval development of multiple cavitating nodules with surrounding ground glass throughout both lungs compatible with opportunistic infections including fungal and atypical etiologies. |
Generate impression based on findings. | Female 56 years old; Reason: Pt with hx of HNC s/p EPic trial in 2009 and CRT 1/12. please re-eval for recurrence History: as above. CHEST:LUNGS AND PLEURA: Postradiation fibrosis in the lung apex. Apical predominant mild centrilobular emphysema. Interval resolution of the previous right upper lobe opacity which was ju... | 1.No evidence of metastases. 2.Interval resolution of the previous right upper lobe opacity.3.Interval new development of mild left lower lobe aspiration. |
Generate impression based on findings. | 47-year-old female with metastatic melanoma, evaluate for progression. CHEST:LUNGS AND PLEURA: Unchanged micronodule and subpleural nodular opacity.MEDIASTINUM AND HILA: Central venous catheter extends to the right SVC. Reference mediastinal lymph node measures 1.7 x 0.9 cm (image 32 series 3) and previously measured 1... | 1. Mildly increased abdominal lymphadenopathy and soft tissue encasing the left ureter and extending along the psoas muscle. |
Generate impression based on findings. | Male 50 years old; Reason: GI Malignancy please compare to previous scan and provide index lesion measurements for RECIST History: As above CHEST:LUNGS AND PLEURA: Scattered micronodules are stable. Mild bibasilar dependent atelectasis.MEDIASTINUM AND HILA: Decreasing size of the mediastinal lymph nodes including a ref... | 1. Stable gallbladder enhancing focus of unclear etiology. Given its stable nature, this likely represents benign etiology.2. Mixed response of the adenopathy. While reference retroperitoneal paraaortic lesions have slightly decreased in size, numerous non-referenced mesenteric, and pelvic lymph nodes have markedly inc... |
Generate impression based on findings. | 57-year-old female with bladder cancer -- restaging status post 6 cycles of chemotherapy. CHEST:LUNGS AND PLEURA: Scattered micronodules unchanged. No new nodules, infiltrates or effusions.MEDIASTINUM AND HILA: No, adenopathy or masses.CHEST WALL: Stable appearance to the scattered small nonspecific sclerotic foci in t... | 1. Stable right external iliac/femoral lymph nodes with reference measurements above. No other foci of enlarged lymph nodes identified. 2. Stable nonspecific pulmonary, parenchymal micro-lung nodules. 3. Stable scattered nonspecific small sclerotic foci in the skeletal system. |
Generate impression based on findings. | 76-year-old male history of prostate cancer status post 3 cycles of chemotherapy, evaluate for progression. CHEST:LUNGS AND PLEURA: Scattered micronodules are unchanged.MEDIASTINUM AND HILA: Reference benign-appearing paratracheal lymph node measures 1.2 x 1.1 cm and previously measured 1.6 x 1.4 cm (image 33 series 3)... | No new lesions or significant interval change from the prior study. Metastatic disease appears limited to skeletal system. |
Generate impression based on findings. | 73-year-old male patient with renal cancer. Assess for disease progression. CHEST:LUNGS AND PLEURA: Right lower lobe micronodule along the fissure is stable compared to prior examination (series 6 image 262).MEDIASTINUM AND HILA: Redemonstration of hypoattenuating right lesion, stable. Enlarged subcarinal lymph node me... | 1.Minimally enlarged mediastinal lymph node.2.Status post right nephrectomy without evidence of local recurrence.3.Stable right lower lobe micronodule. |
Generate impression based on findings. | Male 63 years old; Reason: mets lung cancer. s/p 2 cycles of Irinotecan, pls c/w previous study to evaluate tx response, Pls comment on the left supraclavicular/retroclavicular LAD as well. History: lung ca CHEST:LUNGS AND PLEURA: Paramediastinal fibrotic changes from radiation. Left pleural effusion appears decreased ... | 1. Mixed response of the reference a non-reference adenopathy. While the reference nodes have decreased in size, non-reference retroperitoneal adenopathy has increased in size as referenced above. 2. Bilateral pulmonary ground glass opacities of and right lobe centrilobular micronodule changes unclear - while nonspecif... |
Generate impression based on findings. | History of neuroblastoma status post chemotherapy, surgery, radiation. CHEST: LUNGS AND PLEURA: Unchanged 3-mm right upper lobe nodule (series 4, image 21). No new nodules identified. MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Normal sized heart without pericardial effusion. CHEST WALL: No axillary ... | Unchanged appearance of the right upper lobe micronodule and left-sided retroperitoneal soft tissue. |
Generate impression based on findings. | 59-year-old male patient with pancreatic cancer. Evaluate for disease progression. CHEST:LUNGS AND PLEURA: Right lower lobe pulmonary micronodule (series 4 image 106), new since CT chest 6/11/2013.MEDIASTINUM AND HILA: Right chest port with catheter tip at the cavoatrial junction.CHEST WALL: No significant abnormality ... | 1.Interval increase in the size of the pancreatic mass.2.Stable vascular involvement and attenuation by pancreatic tumor. |
Generate impression based on findings. | 57-year-old male with history of testis cancer, status post retroperitoneal lymph node dissection. CHEST:LUNGS AND PLEURA: No new nodules, infiltrates or effusions. Left lower lobe micro-nodule previously referenced (series 5, image 77) is ill-defined and barely visible on today's examination.MEDIASTINUM AND HILA: No m... | Stable examination with no evidence for recurrent cancer. |
Generate impression based on findings. | Obesity with recurrent ventral hernia ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Subcentimeter left renal cys... | At least 6 ventral hernias. Two of the inferior ventral hernias contain small bowel loops within the hernia sac without evidence for bowel wall edema or bowel obstruction. |
Generate impression based on findings. | Patient with ampullary cancer and pancreatitis with necrosis of the ERCP. Status post IR drainage. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: There is a metallic stent in the common bile duct. Pneumobilia is... | Interval resolution of the fluid collections near the tail and body of the pancreas.Peritoneal soft tissue densities, prick carcinomatosis cannot be excluded. |
Generate impression based on findings. | Reason: History of mesothelioma - restaging CT History: History of mesothelioma - restaging CT CHEST:LUNGS AND PLEURA: Surgical changes at the right lung base with a mesh graft is unchanged. Increased right medial lower lobe atelectasis. Diffuse, nodular right hemithorax pleural thickening mildly improved compared to p... | Overall stable exam with mixed response demonstrating interval decrease in the right lung hemithorax pleural disease and minimal interval increase in mediastinal lymphadenopathy. Left lung nodules are not significantly changed. |
Generate impression based on findings. | History of renal cell carcinoma, status post left partial nephrectomy ABDOMEN:LUNG BASES: Pleural-based nodular densities in the lung bases bilaterally are stable.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Left ... | Interval resection of patient's known left lower pole renal mass. New, left adrenal nodule. Further evaluation with adrenal MRI may be helpful. |
Generate impression based on findings. | AMS r/o acute changes. There is an apparent subtle area of hypoattenuation in the right medial temporal lobe without associated mass effect. There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged parana... | No evidence of intracranial hemorrhage. An apparent subtle area of hypoattenuation in the medial temporal lobe without associated mass effect may be artifactual or represent an ischemic process, among other possibilities. Further characterization via MRI is recommended if there are no contraindications. |
Generate impression based on findings. | Reason: eval for metastaic disease. h/o recurretn basal and scc History: none LUNGS AND PLEURA: Stable scattered nonspecific micronodules.No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy.Cardiac size is normal without evidence of a pericardial effusion.CHEST WALL: ... | No evidence of metastatic disease. |
Generate impression based on findings. | Male 63 years old; Reason: please evaluate for recurrence of bladder cancer History: bladder cancer s/p cystectomy and orthotopic neobladder. 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... | 1.No evident metastatic or recurrent disease although limited given lack of IV contrast. For full characterization of the ureters, CT urography is recommended.2.Numerous calcifications in the pancreatic head, most often associated with chronic pancreatitis.3. Diffuse hepatic steatosis. |
Generate impression based on findings. | 63 year-old male with history of tonsil cancer and status post CRT. The orbits are unremarkable. The mastoid air cells are clear. Limited view of the intracranial structure is unremarkable. Posttreatment findings, including loss of normal fat planes in the right parapharyngeal and perivascular space, are again noted. N... | Stable posttreatment findings, with no evidence of recurrent/residual disease or cervical lymphadenopathy. |
Generate impression based on findings. | Metastatic thyroid cancer and squamous cell carcinoma of larynx. There are extensive post-treatment findings related to thyroidectomy, pharyngolaryngectomy with flap reconstruction, tracheostomy and voice prosthesis insertion, neck dissection, and radiation therapy. No recurrent mass is identified. There is no evidence... | Interval evolution of extensive post-treatment findings without definite evidence of locoregional tumor recurrence of significant cervical lymphadenopathy. |
Generate impression based on findings. | Male, 57 years old, history of left neck squamous cell carcinoma status post CRT. Postsurgical findings are redemonstrated in the left neck compatible with a resection of the parotid gland, left neck dissection and soft tissue flap reconstruction. The appearance of these findings is not significantly changed. Within th... | Post surgical and post treatment findings are redemonstrated with no evidence of recurrent disease or pathologic adenopathy. |
Generate impression based on findings. | 78-year-old male with history of urothelial cancer CHEST:LUNGS AND PLEURA: Paraseptal emphysema and basilar predominant reticular interstitial opacities, similar to the prior study. Scattered micronodules are unchanged. Calcified left pleural plaque is unchanged.MEDIASTINUM AND HILA: Interval increase in the size of th... | Interval development of right axillary, mediastinal, retroperitoneal and mesenteric adenopathy. |
Generate impression based on findings. | HPT PLEASE DO A 4D CT SCAN Re-op parathyroid Recurrence Sesta scan U of C s/o inferior pole of the leftt Please look for parathyroid adenomas 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 ... | 1.There is a small nodule inferior to the left thyroid gland which is suspicious for parathyroid adenoma2.multiple lesions in the thyroid gland are non-specific. Please refer to ultrasound study for further comments. |
Generate impression based on findings. | 83-year-old male with a thoracic aneurysm repaired in past. CHEST:LUNGS AND PLEURA: Diffuse emphysematous changes are again seen with scattered micronodules similar in appearance. No new nodules, masses, infiltrates or effusions seen. MEDIASTINUM AND HILA: Atherosclerotic calcification again seen diffusely in the aorta... | 1. No change descending thoracic saccular aneurysm as measured and described above. 2. Abdominal aortic aneurysm with graft and aneurysm sac unchanged. 3. Gallstones unchanged without complication. 4. Left inguinal hernia containing only mesenteric fat. |
Generate impression based on findings. | Pre-kidney transplant evaluation ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Right kidney is not visualized. There is a large a... | Limited study to the lack of IV contrast. Extensive atherosclerotic changes. Cholelithiasis. Right kidney is not visualized. |
Generate impression based on findings. | Unresectable carcinoid tumor CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Index pretracheal lymph node measures 1.4 x 1.3 cm image number 43, series number 7 , not significantly changed from previous study.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Choleli... | No significant change from previous study. |
Generate impression based on findings. | Right sided headache, hx of craniotomy. There is a left suboccipital post craniotomy with underlying encephalomalacia. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are stable in size and configuration. Linear calcifications within the left lateral ventricle... | No evidence of acute intracranial hemorrhage, mass, or cerebral edema. However, CT is insensitive for the early detection of nonhemorrhagic stroke, |
Generate impression based on findings. | 47-year-old male with history of renal skull carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Diffuse fatty infiltration of the liver.SPLEEN: No significant abnormality notedP... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Peripheral T-cell lymphoma s/p autologous stem cell transplant (4/29/2013). There has been continued marked interval decrease in the bilateral cervical lymphadenopathy. For example, a right level 5 lymph node now measures 6 x 5 mm, previously 10 x 8 mm. Likewise, a left level 2 lymph node now measures 7 x 3 mm, previou... | 1. Continued marked interval decrease in the bilateral cervical lymphadenopathy related to lymphoma, indicating treatment response. 2. Partially imaged extensive pulmonary opacities related to lymphoma. |
Generate impression based on findings. | Female 44 years old; Reason: 44 yr old patient with ovarian cancer s/p18 cycles of Avastin. eval disease process compare to 8-16-13 scan History: none CHEST:LUNGS AND PLEURA: Unchanged micronodules.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: A right chest wall Port-A-Cath terminates in the right ... | 1. Stable left adnexal cyst and interval resolution of previous midline pelvic and right adnexal cysts.2. Stable mild right pelvocaliectasis. |
Generate impression based on findings. | 58 year old female with history of urothelial cancer CHEST:LUNGS AND PLEURA: Right lower lobe micronodules unchanged.MEDIASTINUM AND HILA: Small mediastinal lymph nodes are unchanged.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Patient's No hypodense lesion in the liver is unchanged measur... | No significant change from previous study. |
Generate impression based on findings. | Reason: 36 yo female, morbidly obese, tachycardia, tachypneic History: tachycardia, tachypnea, sob PULMONARY ARTERIES: Extremely limited technique secondary to body habitus and imaging noise. Due to poor opacification of the segmental and subsegmental branches, this examination is diagnostic to the lobar level. No fill... | 1. limited examination secondary to body habitus and image noise. No pulmonary embolus is detected to the lobar level.2. Extrahepatic nodule adjacent to caudate lobe is slightly larger, 19 x 27 mm. Considerations include lymphadenopathy or exophytic nodule emanating from the liver. |
Generate impression based on findings. | Male, 69 years old, history of tonsil cancer status post CRT. No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are intact. The lateral axillary sinus mucus retention cysts are again seen.Mild treatement related findi... | 1. No evidence of disease recurrence in the neck.2. No intracranial metastatic disease. |
Generate impression based on findings. | Kidney cancer status post nephrectomy --? Metastatic disease. CHEST:LUNGS AND PLEURA: No masses, nodules, airspace consolidation or effusion seen.MEDIASTINUM AND HILA: No lymphadenopathy. Arterial calcifications seen in the aorta and coronary arteries.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY ... | 1. Interval left nephrectomy without evidence of residual, recurrent or metastatic tumor seen. |
Generate impression based on findings. | 61-year-old male with history of left MCA stroke. No evidence of hemorrhagic transformation of the patient's known left MCA distribution infarct. No evidence of midline shift or herniation. The ventricles are stable in size and configuration. Partial opacification of the right maxillary sinus, otherwise the visualized ... | No evidence of hemorrhagic transformation of the patient's known left MCA distribution infarct. No significant interval change. |
Generate impression based on findings. | Reason: h/o HNC, s/p induction, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Mild apical centrilobular and paraseptal emphysema. Scattered small 1-2 mm micronodules in the lung periphery, nonspecific. Interval near complete resolution of previously described ground glass and tree-in-bud o... | 1.No evidence of pulmonary metastases.2.Although there is near complete resolution of the previous ground glass opacities within the right lower lobe, new tree in bud opacities are now noted in the right middle lobe with bronchial wall thickening. This is suggestive of recurrent aspiration and bronchiolitis.3.Decreased... |
Generate impression based on findings. | Reason: 56Yrs male here for follow-up of Tx N3 HNSCC s/p TFHX chemoradiotherapy completed 9/2010; please re-eval for recurrence History: as above CHEST:LUNGS AND PLEURA: Scattered benign appearing micronodules are unchanged.There is no evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: There is no medias... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | Male 49 years old; Reason: eval GT abscess History: erythema and induration ABDOMEN:LUNGS BASES: Stable bibasilar consolidation with air bronchograms left greater than right concerning for aspiration/pneumonia. There is also centrilobular nodules superior to the left basilar consolidation, consistent with bronchiolitis... | 1.Unchanged left rectus hematoma and gas in the left rectus extending to the left body wall. This originates adjacent to the percutaneous gastrostomy catheter. Imaging features of hematoma and possible infection.2.New large right psoas hematoma which measures 5.7 x 6.9 cm. A3. apparent filling defect in the IVC, and ri... |
Generate impression based on findings. | 56 year-old female with vulvar cancer. Status post chemotherapy CHEST:LUNGS AND PLEURA: No parenchymal nodules or masses seen. No air space consolidation or effusions.MEDIASTINUM AND HILA: No adenopathy or other abnormalities. In the liver. Prior cholecystectomy without other biliary tract abnormality.CHEST WALL: Port-... | 1. No significant abnormality seen in the chest. 2. Increasing size of lymph node in the left external lymph node chains as measured above. 3. Postoperative edema in the left pelvis and presacral space. |
Generate impression based on findings. | Reason: metastatic lung Ca, on chemo. followup. Can we compare to the CT component of the August PET? History: cough CHEST:LUNGS AND PLEURA: Redemonstration of a dense consolidated mass posteriorly in the left lower lobe slightly increased in size from the prior exam. Representative measurement (image 54 series 3) 2.6 ... | 1.Mild interval increase in the left lower lobe mass compatible with primary neoplasm.2.Interval increase in number and size of multiple small pulmonary mixed solid and nonsolid pulmonary nodules compared to the previous dedicated CT dated 4/3/13. Accurate comparison to the PET/CT dated 8/26/13 cannot be made however, ... |
Generate impression based on findings. | Poor dentition w/ facial swelling. There is a rim enhancing fluid collection that measures 8 AP x 12 RL x 14 SI mm adjacent to the left maxillary alveolus where there is dehiscence of the buccal cortex overlying ADA 12 and extensive overlying inflammatory changes that extend into the left lower eyelid. There are cariou... | 1. Left facial abscess measuring up to 14 mm adjacent to dehiscence of the buccal cortex overlying ADA 12 and associated with carious ADA 12 though 15. Associated cellulitis extends into the left lower eyelid without a post-septal component.2. Left antrochoanal polyp.Discussed with Dr. White at 2:10 PM on 11/5/13, |
Generate impression based on findings. | Male 53 years old; Reason: mets lung cancer, s/p chemo and RT, pls c/w previous study and evaluate dz status. History: lung ca. CHEST:LUNGS AND PLEURA: Centrilobular and paraseptal emphysema in the apices. Interval increase in the size of the dense left perihilar mass like opacity, especially anteriorly. The width of t... | Slight further increase in the size of the left suprahilar masslike opacity, which continues to be suspicious for local tumor recurrence. |
Generate impression based on findings. | Reason: PT with HNC s/p CRT +4.5 yr ago. please re-eval History: as above CHEST:LUNGS AND PLEURA: No evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: Severe aortic and coronary artery calcifications are present.There is no significant mediastinal or hilar lymphadenopathy.CHEST WALL: No significant abno... | No change, and no sign of metastases. |
Generate impression based on findings. | Reason: Pt with hx of Tonsil Ca. s/p CRT 2010. please re-eval for recurrence History: as above CHEST:LUNGS AND PLEURA: Postradiation fibrosis in the apices, right greater than left. Groundglass opacities in the anterior right upper lobe with architectural distortion and bronchiolectasis suggestive of scarring. There is... | 1.No specific evidence of metastatic disease.2.Bronchiolitis related to aspiration. |
Generate impression based on findings. | 74-year-old male patient with chronic abdominal pain, weight loss and malignant neoplasm of the prostate. ABDOMEN:LUNG BASES: Trace bilateral dependent atelectasis.LIVER, BILIARY TRACT: Subcentimeter hypoattenuating liver lesion is stable compared to prior examination (series 5 image 14) and is too small to characteriz... | 1.No evidence of recurrent metastatic disease.2.No abnormality seen to account for patient's symptomatology. |
Generate impression based on findings. | 34-year-old male with metastatic non-small cell lung cancer, worsening renal and liver function. ABDOMEN: Evaluation of solid organ pathology and vasculature is limited due to lack of IV contrast.LUNG BASES: Left pleural effusion and atelectasis/consolidation. Central venous catheter.LIVER, BILIARY TRACT: Innumerable h... | Large amount of abdominal and pelvic ascites as well as extensive metastatic disease. No hydronephrosis. |
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