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Generate impression based on findings. | Male 68 years old; Reason: metastatic Prostate cancer, evaluation of disease after 13 cycles of investigational therapy. History: metastatic Prostate cancer CHEST:LUNGS AND PLEURA: No significant abnormality noted plaquing with calcification. Mild pleural reticular changes.Nonspecific ground glass opacity in the lingul... | 1.Stable exam with sclerotic metastases to the T9 vertebral body and left proximal humerus. |
Generate impression based on findings. | Male 53 years old; Reason: pancreatic cancer compare to last CT \T\ measure 1)liver met, 2) pancreatic lesion, 3) gastrohepatic node \T\ 4) retroperitoneal node History: post 3 cycles of chemo CHEST:LUNGS AND PLEURA: New hazy ground glass/tree in bud opacity in the left lower lobe (series 5 image 52).MEDIASTINUM AND HI... | 1. Decrease in size of the pancreatic lesion and referenced metastatic disease as described above. Thrombosis of the splenic vein with multiple perigastric collaterals.2. New ground glass opacity in the left lower lobe. Differential considerations include infectious versus inflammatory process. |
Generate impression based on findings. | Germ cell tumor of testicle resected. CHEST:LUNGS AND PLEURA: Focal areas of hyperlucency are noted in the left upper lobe, right lower lobe superior segment, no nodules are identified. and left lower lobe medially.MEDIASTINUM AND HILA: Heart size is normal. Aberrant right subclavian artery is again visualized, normal ... | No evidence of metastatic disease.Scattered air trapping/pulmonary mosaic perfusion.Hepatomegaly.Possible tiny left renal calculi.Bilateral L5 spondylolysis. |
Generate impression based on findings. | Male, 65 years old, intra-cerebral hemorrhage. Since the prior exam, there has been no significant change in the size or shape of a right thalamic parenchymal hematoma. Mild surrounding parenchymal edema is slightly more conspicuous, but still there is no significant generalized mass effect.Extension of blood into the ... | Stable right thalamic and intraventricular hemorrhage allowing for some mild redistribution within the ventricles. No evidence of new intracranial hemorrhage is seen. The ventricles overall remain within normal limits for size. There is at most a mild increase in ventricular caliber at the level of the right atrium and... |
Generate impression based on findings. | Fungal pneumonia status post treatment with vfend reevaluate. Patient has AML and is immunocompromised and neutropenic. LUNGS AND PLEURA: Mixed response compared to the previous examination. Air space opacities with in the left lower lobe have increased in size and density (6/46, 6/67). Faint peripheral opacity in the ... | Mixed response in pulmonary opacities with improvement on the right but worsening on the left. |
Generate impression based on findings. | Thymoma large cell neuroendocrine carcinoma) diagnosed over 1-2 years ago status post chemo and RT. CHEST:LUNGS AND PLEURA: Bilateral pulmonary nodules, one of which in the left upper lobe is calcified. New nodule in the lingula (5/42).Bilateral paramediastinal radiation fibrosis.MEDIASTINUM AND HILA: Surgical clips in... | 1. Unchanged appearance of the mediastinum with no specific signs of localized tumor recurrence.2. New 5-mm nodule in the lingula may be post inflammatory however a metastasis cannot be entirely excluded without CT follow-up which may be performed in 6 weeks.3. Nonspecific mild interval enlargement of a peri-portal reg... |
Generate impression based on findings. | Male 48 years old; Reason: abdominal pain, hematuria, val for renal calculi, pyelonephritis History: belly pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: There is cirrhotic morphology of the liver. This patient is status post cholecystectomy.SPLEEN: Mildly enlarged without focal lesion... | 1.No bowel obstruction, renal calculi or pyelonephritis as clinically questioned. |
Generate impression based on findings. | Female 61 years old; Reason: To restage for appendiceal adenocarcinoma History: Appendiceal adenocarcinoma CHEST:LUNGS AND PLEURA: Stable nonspecific 3-mm left upper lobe pulmonary nodule adjacent to the major fissure may represent an intrapulmonary lymph node (series 5 image 30). Bilateral dependent atelectasis.MEDIAS... | Stable examination with no evident recurrence or metastatic disease detected. |
Generate impression based on findings. | Clinical question: Status post left MCA stroke. Mental status change. Rule out bleed. Signs and symptoms: As above. Unenhanced head CT:There is no evidence of acute intracranial process in particular no evidence of hemorrhage as is questioned clinically. CT however is insensitive for early detection of acute nonhemorrh... | No acute intracranial process. |
Generate impression based on findings. | Lung cancer on Tarceva CHEST:LUNGS AND PLEURA: Left paramediastinal radiation fibrosis. Small left pleural fluid collection similar in size, partially loculated abutting the posterior mediastinum. Minimal paramediastinal atelectasis on the right.Left paramediastinal mass infiltrating the mediastinum between the origin ... | Unchanged appearance of left paramediastinal mass. Chronic mesenteric stranding may be slightly worse with new small lymph node in the gastrohepatic ligament and numerous small mesenteric lymph nodes one of which has mildly enlarged. This may reflect chronic mesenteric panniculitis however lymphoma/lymphoproliferative ... |
Generate impression based on findings. | Reason: endocarditis History: endocarditis LUNGS AND PLEURA: Left basilar pleural and parenchymal scarring.Small bilateral pleural effusions, right greater than left with underlying atelectasis.Mild interlobular septal thickeningBronchiolar wall thickening and groundglass centrilobular nodules in the upper lobes sugges... | 1.Bilateral pleural effusions with scattered areas of interlobular septal thickening suggestive of edema.2.Upper lobe bronchiolar wall thickening and groundglass centrilobular nodules compatible with aspiration bronchiolitis.3.Nonspecific scattered micronodules with a 6-mm right upper lobe nodule. Recommend follow-up e... |
Generate impression based on findings. | Female 63 years old; Reason: restaging scans s/p 8 cycles of investigational agent; please compare to previous scans. History: hx of metastatic bladder cancer CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules have increased in size. The left upper lobe pulmonary nodule measures 3.0 x 2.4 cm (image 17/series 6) previou... | 1.Increase in the size of the metastatic lung deposits and mediastinal lymphadenopathy. |
Generate impression based on findings. | Neck cancer. Lump in the head and neck, check for metastatic disease LUNGS AND PLEURA: Multiple scattered peripheral micronodules of which many are calcified and greater in number within the lung bases. No distinct suspicious larger nodules or masses. No effusions.MEDIASTINUM AND HILA: No definite suspicious lymphadeno... | Scattered granulomatous changes without definite suspicious findings to suggest metastatic disease. Please note that in this background, sensitivity is decreased and serial imaging will be helpful. |
Generate impression based on findings. | Female 52 years old; Reason: 52F with h/o biliary pancreatitis 8/2013, now with multiple pseudocysts, please evaluate for interval change History: abd pain ABDOMEN:LUNG BASES: No nodule detected. LIVER, BILIARY TRACT: Hepatic cyst located in segment 8 and segment 4b of the liver, unchanged.SPLEEN: A small hypodense cys... | 1. Multiple loculated fluid collections located along the anterior surface of the liver, the gastrohepatic ligament, the mesenteric root, and along the pancreas have all decreased in size. 2. 2.5 x 3.0 cm enhancing nodule in the left aspect of the perineum, which is stable since previous exam. Differential consideratio... |
Generate impression based on findings. | Follow-up of groundglass nodule as recommended. S.O.B. with family history of pulmonary fibrosis. LUNGS AND PLEURA: Interval resolution of left upper lobe ground glass nodules, presumably postinflammatory.Moderate to severe circumferential subpleural reticulation in a distribution suggestive of UIP. Mild subpleural emp... | Interval resolution of left upper lobe ground glass nodule, presumably postinflammatory. Moderate subpleural reticulation consistent with early fibrosis, the distribution is most commonly seen with UIP however no bronchiectasis or definite honeycombing is observed. |
Generate impression based on findings. | Thyroid neoplasm CHEST:LUNGS AND PLEURA: Stable scattered mixed calcified and noncalcified pulmonary nodules as prominent a single left lung base. The reference larger lesion the minor fissure remains 6 mm (image 49 series 5). The reference left upper lobe solitary nodule is also unchanged (image 34 series 5). A new sm... | No findings to suggest metastatic disease and minimal changes suggesting aspiration |
Generate impression based on findings. | 745 year-old male with medullary thyroid carcinoma follow-up. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear except for small maxillary sinus retention cysts. Limited view of the intracranial structure is unremarkable. There is redemonstration of a total thyroidectomy with ill-define... | Stable small reference cervical lymph nodes. No convincing evidence of local recurrence. |
Generate impression based on findings. | Status post pleurectomy/decortication for management of pleural mesothelioma. One-month follow-up. CHEST:LUNGS AND PLEURA: Bilateral calcified pleural plaques. Left hemithorax volume loss consistent with history of pleurectomy and mesothelioma. Left diaphragmatic graft.Mild septal thickening at the lung bases. Mild thi... | No measurable pleural disease. Mixed response in lymphadenopathy with interval complete resolution of previously seen lymph node in the region of the aortopulmonary window, new left internal mammary chain lymphadenopathy, a new high left paratracheal lymph node and interval enlargement of lymph nodes in the right parat... |
Generate impression based on findings. | Neoplasm of the cervix and uterus. Shortness of breath and cough LUNGS AND PLEURA: Continued progression of the diffuse bilateral metastatic masses with cavitation. Interval enlargement fullness and confluence is observed. For reference the left lower lobe mass currently measures 11.8 cm x 7.7 cm (image 53 series 5) fr... | 1. Continued progression of metastatic disease with increased size, number and confluence of multiple cavitary masses, reference measurements above. New mediastinal lymphadenopathy.2. Interval clearance of the upper lobe changes suggesting a possible drug reaction. |
Generate impression based on findings. | Female 57 years old; Reason: Pancreatic cancer. Evaluate disease burden. History: NA ABDOMEN:LUNGS BASES: New bilateral lower lobe nodules highly suspicious for metastatic disease to the lungs.LIVER, BILIARY TRACT: The liver is normal in morphology. New segment 7 hypodense lesion measures 1.2 x 1.0 cm (image 29/series ... | 1.New lower lung nodules suspicious for metastatic disease.2.New liver lesion suspicious for metastatic disease.3.Increase in the size of the retroperitoneal and mesenteric lymphadenopathy suspicious for metastatic disease. |
Generate impression based on findings. | Thyroid cancer, check for progression CHEST:LUNGS AND PLEURA: Essentially stable pulmonary appearance with multiple stable bilateral pulmonary nodules including the reference left lower lobe nodule remaining 1.3 x 1.1 cm (image 26 series 4). The reference left lower lobe nodule (image 82 series 4) is also unchanged at ... | Interval stability of multiple pulmonary nodules and known metastatic disease. Reference measurements provided |
Generate impression based on findings. | EKG changes abdominal pain, epigastric rule out PE. PULMONARY ARTERIES: Technically adequate examination without evidence of acute pulmonary embolus.LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Right paratracheal air lucency at the level of the thoracic inlet most consistent with paratrachea... | 1. No evidence of acute pulmonary embolus.2. Distended loops of small bowel and distention of the fluid-filled stomach in a pattern highly suspicious for small bowel obstruction but incompletely included in the scanning range. |
Generate impression based on findings. | 60 year-old male with esophageal cancer, evaluate. CT brain: The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, midline shift, or gross intra- or extra-axial fluid collection/acute hemorrhage, or abnormal contrast enhancement.The... | 1. No definite evidence of metastatic disease in the head or neck.2. Partially visualized left upper lung nodule which was FDG avid on comparison PET examination. Please see dedicated CT of the chest from today's date for further details. |
Generate impression based on findings. | 49-year-old male patient with history of pancreatitis and pancreatic cyst presents with abdominal pain. ABDOMEN:LUNG BASES: Right upper lobe lung nodule measures 4 mm (series 4 image 8), stable compared to examination on 7/25/2013. Right lower lobe pleural-based pulmonary nodule measures 5 mm (4 image 15), stable compa... | Resolution of pancreatitis. No evidence of pancreatic pseudocyst. Pancreatic stent in place without ductal dilatation. |
Generate impression based on findings. | Post trauma. Head: There is no intracranial mass, hemorrhage, hydrocephalus or CT evidence of acute ischemia. Incidental note is made of a well-defined CSF density at the straight sinus best seen on sagittal images which likely represents a small arachnoid cyst or granulation. The midline is intact. Orbits, sinuses and... | No abnormality including traumatic sequela. |
Generate impression based on findings. | Clinical question: Patient with history of repair of abdominal aortic aneurysm, with a rate that she has a brain aneurysm. Doesn't currently have any symptoms. Nonenhanced head CT:The examination demonstrates unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter differe... | 1.Negative nonenhanced head CT.2.CTA of intracranial circulation demonstrate a wide neck aneurysm measuring at 1.4 mm in length and 2.3 mm at the base/neck at the junction of anterior communicating artery and left A1.3.Unremarkable intracranial CTA otherwise. |
Generate impression based on findings. | Lung CA CHEST:LUNGS AND PLEURA: Right hemithorax volume loss with right paramediastinal radiation fibrosis. Cavitary mass measures 2.5 x 5.4-cm (5/23), previously 2.8 x 5.3 cm.Left upper lobe lobulated nodule measures 11 x 11 mm (5/60), previously 8 x 8 mm.Left apical nodule measures 7 x 10 mm (5/12), previously 4 x 4 ... | 1. Interval increase in size of pulmonary metastases.2. Cavitary mass in the right upper lobe not significantly changed.3. Increase in size of the non-index necrotic right paratracheal soft tissue nodule. 4. Chronic thrombus in the superior vena cava. |
Generate impression based on findings. | 59-year-old male with painful palpable 1 x 1 cm mass in the left paratracheal region, evaluate for malignancy. Limited intracranial views are unremarkable. The visualized paranasal sinuses and mastoid air cells are clear.No soft tissue masses are identified in the neck. No cervical lymphadenopathy by CT size criteria. ... | 1. No soft tissue masses in the neck or evidence of cervical lymphadenopathy by CT size criteria.2. Severe degenerative changes of the upper cervical spine compatible with the patient's history of rheumatoid arthritis. If clinically warranted, MRI may be obtained for further characterization of these findings. |
Generate impression based on findings. | 52-year-old male with history of pancreatitis, evaluate fluid collection ABDOMEN:LUNG BASES: No significant abnormality noted. Small fat containing lesion in the left ventricular wall is noted, nonspecific. ICD leads partially visualized.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Small residual soft ... | 1. Small soft tissue density collection posterior to the spleen without evidence of additional complication.2. Mild enlargement of the pancreas suggesting residual edema.3. Malrotation of the spleen. |
Generate impression based on findings. | 71-year-old female patient with cryptogenic cirrhosis. Evaluate for hepatocellular carcinoma. ABDOMEN:LUNG BASES: Small right-sided pleural effusion, decreased compared to prior examination.LIVER, BILIARY TRACT: Nodular liver contour, consistent with cirrhosis. Scattered punctate calcifications consistent with prior gr... | Cirrhotic liver without suspicious enhancing lesions. |
Generate impression based on findings. | Male 60 years old; Reason: 60 yo male with squamous cell cancer of cervical esophagus w new pulmonary metastases on carbo taxol History: n/a. CHEST:LUNGS AND PLEURA: Chronic lung changes with architectural distortion and traction bronchiectasis are seen in the medial upper lobes bilaterally consistent with prior radiat... | 1.Apical medial bilateral lung fibrosis consistent with prior radiation for esophageal cancer.2.Multiple bilateral predominantly subpleural nodules and masses concerning for pulmonary metastases.3.Mediastinal and hilar lymphadenopathy.4.Ill-defined hypodensity in the posterior right lobe of the liver concerning for met... |
Generate impression based on findings. | Clinical question: Parkinsonism, more on the right side. Signs and symptoms: As mentioned above. Nonenhanced head CT:Examination demonstrates focus of encephalomalacia in the right occipital lobe consistent with a chronic ischemic stroke.Subtle periventricular low-attenuation white matter is nonspecific however conside... | 1.No acute intracranial process.2.Suspected mild age indeterminate small vessel ischemic strokes.3.Chronic right occipital cortical stroke. 4.Unremarkable exam otherwise. |
Generate impression based on findings. | 61-year-old female with rectal cancer and rising CEA CHEST:LUNGS AND PLEURA: Unchanged bilateral pulmonary nodules.MEDIASTINUM AND HILA: Right port catheter extends to the SVC. No mediastinal or hilar lymphadenopathy. The heart size is normal.CHEST WALL: Right chest wall port.ABDOMEN:LIVER, BILIARY TRACT: Status post r... | 1. Unchanged reference lymph nodes without new metastatic lesions.2. Left hydro-ureteral nephrosis with transition point in the mid left ureter and associated polypoid soft tissue mass filling the ureter concerning for primary TCC. Further follow up is suggested. |
Generate impression based on findings. | Reason: metastatic lung cancer History: FTT CHEST:LUNGS AND PLEURA: Interval increase in size and number of multiple bilateral nodules. A reference right mass measures 38 x 23 mm (series 4, image 63), previously measuring 32 x 18 mm.Right upper lobe subpleural consolidation and cavitation is unchanged. New bilateral sm... | Interval progression of metastatic disease in the lungs, mediastinum and abdomen. |
Generate impression based on findings. | Reason: Does the patient have actinomyces lung infection History: Positive culture LUNGS AND PLEURA: There are moderate-sized bilateral pleural effusions with overlying basilar atelectasis.No significant pulmonary edema or focal air space opacities.Marked upper lobe predominant centrilobular emphysema.MEDIASTINUM AND H... | 1.Bilateral pleural effusions with accompanying basilar atelectasis.2.Moderate upper lobe predominant centrilobular emphysema. 3.No specific evidence of infection. |
Generate impression based on findings. | Malignant neoplasm of the rib. Check for progression of known chondrosarcoma CHEST:LUNGS AND PLEURA: Extensive postsurgical abnormality in the right apex with scarring and volume loss again not changed. Nodular scar opacity in the right costophrenic angle is also unchanged.Suspicious nodules or masses. No effusions. Pe... | Postsurgical rib and right upper lung changes without evidence of recurrent tumor |
Generate impression based on findings. | 72-year-old male with hematuria and hematospermia ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis. Mild diffuse hepatic steatosis. No focal hepatic lesions.SPLEEN: No significant abnormality notedPANCREAS: Fatty atrophy of the pancreas, appropriate for age.ADRENAL GLANDS: No sig... | 1. No findings to account for the patient's hematuria. Hemorrhagic left renal cyst. Air in the bladder, correlate for recent instrumentation.2. Cholelithiasis without evidence of cholecystitis. Narrowing of the mid gallbladder with wall thickening, correlate with ultrasound if clinically warranted.3. Mild diffuse hepat... |
Generate impression based on findings. | Male 50 years old; Reason: evaluate for HCC History: Cirrhosis ABDOMEN:LUNGS BASES: Calcification noted along the pericardium, correlate for prior history oftrauma, previous pericarditis, or infection.LIVER, BILIARY TRACT: Liver contour: The liver contour is nodular..The gallbladder is normal without evidence of intrah... | 1.Cirrhotic morphology without evidence of HCC.2.Severe pancreatic atrophy. No evident mass. |
Generate impression based on findings. | 49-year-old female with malignant neoplasm at the base of the tongue, reevaluate. Limited intracranial views are unremarkable. Limited views of the orbits are unremarkable. Interval development of bilateral air fluid levels in the maxillary sinuses as well as near complete opacification of the right sphenoid sinus and ... | 1. Interval progression of disease in the neck with significant interval increase in size of a necrotic soft tissue lesion adjacent to the tongue flap which nearly completely effaces the oropharyngeal tract.2. Interval development of bilateral supraclavicular lymphadenopathy. |
Generate impression based on findings. | 82-year-old male status post endoscopic ampullectomy with pancreatic mass seen on EUS. ABDOMEN:LUNG BASES: Basilar scarring/atelectasis, and paraseptal emphysema.LIVER, BILIARY TRACT: Air in the gallbladder likely relates to reflux. No focal hepatic lesions. SPLEEN: No significant abnormality notedPANCREAS: Infiltratio... | Infiltration of the fat surrounding the pancreatic head and uncinate process compatible with acute pancreatitis. No evidence of pancreatic mass, pseudocyst or additional complication. |
Generate impression based on findings. | 49 year-old female with known pulmonary artery aneurysm. Interval follow-up. PULMONARY ARTERY ANGIOGRAPHY: No filling defects are present to the level of the subsegmental pulmonary arteries to indicate pulmonary emboli.There is a stable bilobed left pulmonary artery aneurysm. The transverse dimension of the proximal le... | Bilobed left pulmonary artery aneurysm without significant interval change. |
Generate impression based on findings. | Clinical question: History of subdural hematoma and status post bilateral goals. Signs and symptoms: Surveillance. Unenhanced head CT:Examination demonstrate no areas of new hemorrhage since prior exam.Examination he demonstrate low-density bilateral anterior frontal subdurals. Multiple measurements of the larger left ... | 1.No evidence of acute new findings since prior exam.2.Stable to possibly minimally smaller size of low-attenuation bilateral frontal subdural collections as detailed/measured above.3.Left hemispheric foci of encephalomalacia consistent with a chronic left MCA territory stroke similar to prior exam. |
Generate impression based on findings. | 23-year-old female patient status post right percutaneous nephrolithotomy CHEST:LUNGS AND PLEURA: Large right pleural effusion with associated atelectasis and volume loss. Left lung base scarring versus atelectasis.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOM... | 1.No obvious acute intra-abdominal pathology.2.Large amount of peritoneal and retroperitoneal fluid.3.Large amount of impacted feces in the rectum, which may lead to stercoral colitis.4.Large right pleural effusion.Findings discussing with Dr. Andrew Cohen via telephone at 3:45 PM on 11/6/13 by Dr. Stephanie McCann. |
Generate impression based on findings. | 58-year-old female with history of known mitral valve disease presenting with shortness of breath. VESSELS:Conventional aortic arch anatomy. The thoracic and abdominal aorta is normal in size with a smooth luminal contour. No filling defect to indicate a dissection. The origins of the celiac axis, superior mesenteric a... | 1.Normal caliber aorta and iliac arteries without dissection or luminal irregularity.2.Extensive mitral valve annular calcifications and associated left atrial enlargement.3.Left adrenal nodule which is incompletely evaluated on this single phase exam as described. If clinically warranted this can be evaluated with a m... |
Generate impression based on findings. | Reason: mets lung cancer, s/p 2 cycles of chemo, pls c/w previous study and evaluate tx response. History: lung cancer. CHEST:LUNGS AND PLEURA: Significant interval reduction in the right hilar mass (image 45 series 3) now measuring 2.5 cm x 2.9 cm previously measuring 3.6 cm by 4.3 cm.Focal peripheral opacity peripher... | 1.Significant interval reduction in size of known right hilar mass.2.Interval decrease in mediastinal and right hilar lymphadenopathy.3.Interval decrease in size of hepatic, adrenal, and left sixth rib metastatic foci.4.Stable right shoulder intramuscular mass with decreasing internal attenuation suggesting fat and flu... |
Generate impression based on findings. | Female 67 years old; Reason: 67 yo female with h/o lymphoma, s/p MUD SCT, day 180 evaluation History: re-stage CHEST:LUNGS AND PLEURA: Bibasilar atelectasis. Biapical scarring/atelectasis.MEDIASTINUM AND HILA: Vascular calcifications of the aorta.CHEST WALL: Right-sided chest port terminates in the cavoatrial junction.... | Stable examination. No lymphadenopathy in the chest, abdomen or pelvis. |
Generate impression based on findings. | 48 year old male. Reason: CAD History: chest pain. Liver disease, cryptogenic cirrhosis, bilateral flank pain, on transplant list. No known cardiac risk factors. Height: 71 in. Weight: 190 lbs. BSA: 2.1 m^2BMI: 26.5 kg/m^2Calcium Score:LM: 0LAD: 40LCx: 35RCA: 0Total: 36.2 , This represents the 85% for this patient's ag... | 1.Normal left ventricular shape with mildly dilated LV and RV. Dominant left circumflex coronary artery. Small RCA. Multifocal calcification in the LCx and LAD with minimal associated stenoses (~20%). 2.Total Calcium score was 36.2; 85% for age and gender.3.No critical coronary stenoses. |
Generate impression based on findings. | Male 83 years old; Reason: metastatic and recurrent head and neck ca, on therapy, eval for progressive dz with measurements History: as above. CHEST:LUNGS AND PLEURA: Centrilobular and paraseptal emphysema again seen. Again seen is Underinflated lungs. The previously described nodules are not visible for the last two e... | 1.Previously seen metastases are again not visible. No new metastases elsewhere.2.Bibasilar fibrosis/atelectasis again seen.3.Esophageal stasis again seen which places the patient at risk for aspiration. |
Generate impression based on findings. | Reason: r/o PE History: SOB, tachy PULMONARY ARTERIES: Motion degrades quality of the exam. No evidence of pulmonary embolism. Main pulmonary artery caliber is within normal limits.LUNGS AND PLEURA: Small nodule in the anterior right upper lobe is probably an intrapulmonary lymph node. Few nonspecific micronodules are ... | 1.No evidence of pulmonary embolism.2.Right upper quadrant fluid attenuating lesion in a represent and incompletely visualized a fluid-filled loop of bowel versus a subcapsular lesion in the right lobe of the liver such as an old subcapsular hematoma, cyst or abscess. Ultrasound may be considered for further evaluation... |
Generate impression based on findings. | Tongue cancer CHEST:LUNGS AND PLEURA: Minimal basilar atelectasis. No discrete nodules or masses. No effusionsMEDIASTINUM AND HILA: On the superior images, multiple heterogeneous nodular masses are observed bilaterally. The largest is on the right measuring 5.0 x 4.0 cm of Frances image 4 series 4). Smaller subcentimet... | Interval lower neck masses scalp please correlate with dedicated pending neck CT giving greater sensitivity. Centrally however a borderline subcarinal lymph node is observed. Otherwise no intra-pulmonary abnormalities |
Generate impression based on findings. | Mesothelioma post 3 cycles of chemo. CHEST:LUNGS AND PLEURA: Right hemithorax pleural thickening and volume loss consistent provided clinical history of mesothelioma. Reference measurements on the right as follows:Level of the left brachiocephalic vein at the 4 o'clock position (3/32) 11-mm compared to 8mm.Level of the... | Extensive disease in the chest and abdomen as detailed in body of the report with slight increase in reference measurements. MRI of the spine may be considered if the patient is having symptoms of cord compression. Right lower lobe consolidation likely combination of tumor and infarcted lung. |
Generate impression based on findings. | 70-year-old male patient with right hydrocele and testicular retraction. Please evaluate for etiology and evaluate anatomy along the right gonadal vein. ABDOMEN:LUNG BASES: Bilateral lung base atelectasis versus scarring.LIVER, BILIARY TRACT: Hypoattenuating lesion in the right liver near the porta hepatis demonstrates... | 1.Right testicle smaller than left testicle located most superiorly. Scrotal sonography for an intrinsic testicular process should be considered.2.No soft tissue masses in the path of the right gonadal vein, no retroperitoneal lymphadenopathy or fibrosis.3.Hepatic hemangioma and cyst. |
Generate impression based on findings. | Floor of mouth cancer LUNGS AND PLEURA: Multiple interval continued progression of numerous bilateral spiculated and cavitary pulmonary nodules and masses.Left upper lobe reference nodule (image 42 series 4) currently measures 2.6 by 2.2 cm, previously 2.6 x 1.8 cm. Increased is adjacent pleural thickening is also obse... | Marked interval progression of multiple pulmonary cavitary lesions and known metastatic disease. Additional new effusions and concerning lesions in the liver and kidneys, of which the latter are both only partially evaluated. Reference measurements provided. |
Generate impression based on findings. | 26-year-old female with pain, evaluate for stone. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hyperdense bile.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No nephrolithiasis, hydronephros... | No nephrolithiasis, hydronephrosis or hydroureter. Bilateral adnexal cysts, which may be physiologic. |
Generate impression based on findings. | Female 56 years old; Reason: PT with complicated renal cyst. Follow up. History: none ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormalit... | 1.No change in the complex enhancing lesion in the right kidney since 2002, which favors benign complex cyst, however; consider follow exam as an MRI which may be able to better classify the lesion. |
Generate impression based on findings. | 79-year-old female patient with microscopic hematuria. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Multiple well circumscribed hypoattenuating, nonenhancing lesions in the liver most likely represent cysts.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted... | 1.Bilateral renal cysts with left-sided non obstructing renal calculus. No suspicious masses or filling defects.2.Hepatic cysts. |
Generate impression based on findings. | 42 year-old female with elevated white blood cell count evaluate diverticulitis ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hyperdense bile in a nondistended gallbladder.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnorma... | Severe sigmoid diverticulitis with localized microperforation, appearing similar to prior study. No mature abscess. |
Generate impression based on findings. | Reason: evaluate for changes in ILD History: cough sob LUNGS AND PLEURA: No interval change in the basilar predominant honeycombing and subpleural cyst formation.Groundglass opacity posteriorly in the superior segment of the right lower lobe slightly improved.No evidence of air trapping.No pleural effusion.Stable calci... | No interval change in the UIP pattern of interstitial fibrosis compatible with underlying scleroderma. |
Generate impression based on findings. | Male, 56 years old, left-sided weakness for 4 months. Fairly extensive patchy areas of subcortical hypodensity are demonstrated. In some places, these lesions are focal and discretely marginated while in other places the abnormality is ill-defined. Involved regions include the periventricular white matter, corpus callo... | Extensive scattered areas of hypoattenuation are demonstrated bilaterally. The pattern and morphology of these lesions are atypical for small vessel ischemic disease. Other etiologies including demyelination, infection and noninfectious inflammatory processes should be considered. Further evaluation with contrast-enhan... |
Generate impression based on findings. | Male 48 years old; Reason: abdominal pain History: abdominal pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS:... | 1.Large subcapsular hematoma involving the pelvic transplant kidney.2.Findings discussed with the surgical ICU resident at the time of the dictation by telephone. |
Generate impression based on findings. | Effusion pain with inspiration. Question PE. PULMONARY ARTERIES: Technically adequate study without evidence of filling defects to the segmental level. Small subsegmental emboli cannot be excluded. The main pulmonary artery is normal in caliber.LUNGS AND PLEURA: Small right pleural fluid collection.Right middle and low... | 1. No evidence of acute pulmonary embolus to the segmental level. Small subsegmental emboli cannot be excluded. No signs of right heart strain.2. Air space opacities in the right lower and middle lobes most consistent with infection and/or acute chest syndrome depending upon the clinical scenario.3. Small right pleural... |
Generate impression based on findings. | Sharp left-sided chest pain history of breast cancer, no known metastases. Evaluate for PE. PULMONARY ARTERIES: Technically adequate examination without evidence of acute pulmonary embolus. Differential fluid opacification in the proximal right upper lobe pulmonary artery secondary to contrast mixing and motion artifac... | 1. No evidence of acute pulmonary embolus.2. Nodular soft tissue lesion contained within a surgical scar along the anterior chest wall is of unclear etiology without comparison to prior examinations. This may represent a focal area of recurrence, organizing hematoma or complex seroma. Recommend further characterization... |
Generate impression based on findings. | Clinical question: Evaluate multiple myeloma metastases. Signs and symptoms: Progressive right hand weakness. Unenhanced head CT:Examination demonstrate a well demarcated high density extra axial mass in the left posterior frontal -- parietal convexity measuring at 32 x 44-mm in size axial and 30-mm in cranial cephalad... | 1.Well-demarcated loculated hyperdense mass in the left posterior frontal -- parietal convexity measuring at 32 x 44 x 30 mm sized and with resultant regional mass-effect as detailed.2.Unremarkable exam otherwise.3.Unremarkable calvarium, paranasal sinuses and orbits. |
Generate impression based on findings. | Clinical question: Hemorrhage. Signs and symptoms: Fat. Nonenhanced head CT:No detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Unremarkable cerebral cortex, vertebral sulci, ventricular system, CSF spaces and gray -- white matter differentiation.Unremarkable orbits, visualiz... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Altered mental status. Signs and symptoms: Altered mental status. Unenhanced head CT: No detectable acute intracranial process.CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Prominence of cortical sulci and ventricular system is noted. Minimal periventricular a... | No acute intracranial process. |
Generate impression based on findings. | Shortness of breath, tachycardia, fever. Tachypnea. Rule out PE. PULMONARY ARTERIES: Adequate infusion quality without evidence of pulmonary embolus. Main pulmonary arteries normal in caliber.LUNGS AND PLEURA: Numerous calcified nodules with scarring in the left upper lobe and lung apices consistent with history of pri... | No evidence of acute pulmonary embolus. Moderate bronchial wall thickening suggestive of bronchitis, of unclear chronicity. This may be infectious or post inflammatory. The margin of the left atrium and dilatation of the left atrial appendage suspicious for underlying mitral valve disease. Please refer to separately re... |
Generate impression based on findings. | Clinical question: Evaluate for disease progression prior to new systemic therapy. Signs and symptoms : Stage IV metastatic melanoma. Unenhanced head CT:There is no detectable abnormal parenchymal or leptomeningeal enhancement to suggest metastatic disease.Unremarkable cerebral cortex, cortical sulci, ventricular syste... | Negative nonenhanced head CT. |
Generate impression based on findings. | 36 year old female patient with abdominal pain and vomiting. Evaluate for obstruction. 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 abnormalit... | Small bowel obstruction with multiple possible transition points noted in the left hemiabdomen. |
Generate impression based on findings. | Clinical question:status post biopsy. Signs and symptoms: brain mass. Nonenhanced head CT:Examination demonstrate a tiny focus of hyperdensity measuring 2.7 mm size in the left frontal lobe lesion which could represent a small punctate acute hemorrhage (axial image 19).Stable diffuse focus of low-attenuation all left f... | 1.Status post left frontal burr hole approach for left frontal lobe tumor biopsy.2.2.7-mm focus of increased density within left frontal lesion could represent a tiny focus of postbiopsy hemorrhage.3.Unremarkable and stable exam otherwise. |
Generate impression based on findings. | Clinical question: Patient with confusion, abdominal mass. Signs and symptoms: Confusion. Nonenhanced head CT:There is no detectable acute intracranial process. CT Homer is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spac... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Concern for CVA, diabetes, hyperosmolar state, altered mental status and focal deficit. Signs and symptoms: Left upper extremity weakness and pain. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of a nonhemorrhagic acute ischemic s... | Stable and unremarkable nonenhanced head CT since prior study from 11 -- 4 -- 2013. |
Generate impression based on findings. | Reason: 51 yo F w sickle cell disease and beta thal pw hypoxia and negative CXR. Eval for PE History: hypoxia, dyspnea, chest pain PULMONARY ARTERIES: Technically adequate examination. No evidence of pulmonary embolism. Main pulmonary artery caliber is high-normal. LUNGS AND PLEURA: Bilateral low lobe scarring and/or l... | 1.No evidence of pulmonary embolism.2.Bibasilar scarring and/or linear atelectasis probably chronic in nature. |
Generate impression based on findings. | Clinical question: 79 year old male with 10 days of pounding headaches associated with BP up to 180/90 and blurry vision. Rule out bleed and structural pathology. Signs and symptoms: As detailed. Unenhanced head CT: No detectable acute intracranial process. CT is however insensitive for early detection of acute nonhemo... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Male 73 years old; Reason: Sessile nodular large renal pelvic mass on the left highly suspicious for high grave invasive urothelial carcinoma History: as above ABDOMEN: The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observatio... | 1.Findings worrisome for urothelial neoplasm in the left renal pelvis, although incompletely evaluated given lack of IV contrast.2.Exophytic soft tissue lesion off the lower pole left kidney worrisome for neoplasm, although incompletely evaluated given no IV contrast. |
Generate impression based on findings. | 44-year-old female patient with left lower quadrant abdominal pain. Note that the lack of intravenous contrast limits evaluation of vasculature, lymph nodes and solid viscera.ABDOMEN:LUNG BASES: Bilateral dependent atelectasis.LIVER, BILIARY TRACT: Cholelithiasis without CT evidence of cholecystitis.SPLEEN: No signific... | Colonic diverticulosis with CT evidence of diverticulitis in the proximal sigmoid colon. Adjacent hypoattenuating lesion likely represents an ovarian cyst, however cannot exclude peridiverticular abscess in this noncontrast study. Cannot exclude underlying colon cancer and would recommend colonoscopy after acute phase ... |
Generate impression based on findings. | Endometrial cancer ABDOMEN:LUNG BASES: There is 6-mm nodule in the right middle lobe image number 8, series number 3. Further evaluation of the chest with chest CT may be helpful..LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRE... | Pelvic metastatic adenopathy.Chest CT is recommended for further evaluation of the lungs for nodules. Indeterminate right middle lobe nodule.Indeterminate left adrenal nodule. |
Generate impression based on findings. | Clinical question: Rule out hemorrhage. Signs and symptoms: AMS. Nonenhanced head CT:There is extensive encephalomalacia of left cerebellum and with resultant ex vacuo dilatation of the fourth ventricle without significant change since prior exam. There is a evidence of very significant interval increased size of previ... | 1.Significant interval increased patient's previously known left sided extra-axial mass since 2010 exam as detailed above. Recurrent mass extends from left upper cerebellopontine angle superiorly and with significant invagination into the left hemisphere and measuring at least 65 x 81 mm in size.2.Midline shift to the ... |
Generate impression based on findings. | 77-year-old female patient with flank pain. Evaluate for right-sided nephrolithiasis. Note the lack of intravenous contrast limits evaluation of the vasculature, lymph nodes and solid viscera.ABDOMEN:LUNG BASES: Bilateral scarring versus atelectasis, left greater than right.LIVER, BILIARY TRACT: Scattered punctate calc... | 1.Bilateral nonobstructing renal calculi without evidence of obstruction. 2.Small hypoattenuating lesions in the renal parenchyma bilaterally are too small to characterize and are stable compared to prior examination. |
Generate impression based on findings. | 65 year-old female status post fall. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The paranasal sinuses and mastoid air cells are clear. There i... | 1. No acute intracranial abnormality. 2. No evidence of cervical spine fracture or subluxation, if spinal cord or ligamentous injury is suspected MRI is recommended.3. Mild degenerative disc disease of the cervical spine. 4. Focal lucency in the clivus is of uncertain etiology. |
Generate impression based on findings. | Pleural mesothelioma on the vorinostat/paclitaxel phase I trial. There has been interval increase in size of an infiltrating mass that extends from the right apical pleural surface into the right axilla, supraclavicular fossa, right lower neck, including the right tracheoesophageal groove, retrovisceral space, preverte... | Interval enlargement of the large right apical pleural mesothelioma that invades the right supraclavicular fossa, right tracheoesophageal groove, with extension across the midline and associated encasement of critical neurovascular structures, as described in the findings section. Also refer to the separately dictated ... |
Generate impression based on findings. | 84 year old status-post valvuloplasty undergoing preparation for TAVR VESSELS:Conventional 3 vessel arch anatomy. The ascending aorta is borderline ectatic. Mild atherosclerotic calcification affects the arch and branch vessels. No filling defect to indicate a dissection.The abdominal aorta is normal in size. A focal a... | 1.Small thrombosed saccular infrarenal aortic aneurysm as described. Moderate to severe atherosclerotic calcifications affecting tortuous iliac arteries and severe atherosclerotic calcification affecting the common femoral arteries bilaterally. The dilated renal transplant collecting system abuts and displaces the left... |
Generate impression based on findings. | Female 19 years old; Reason: evaluate for appendicitis History: diarrhea, RLQ pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality n... | 1.No evidence of appendicitis. 2.Right corpus luteal cyst which could be the cause of patients right lower quadrant pain. |
Generate impression based on findings. | Caseating granulomas on porta hepatis mass. Biopsy showed granulomatous disease. Technique CT chest to rule out evidence of old or active TB. CHEST: Please note the motion artifact degrades image quality, limiting evaluation.LUNGS AND PLEURA: Calcified nodules left upper lobe (6/73) is consistent with a granuloma. A se... | Calcified granulomas in the left lung and faintly calcified ipsilateral hilar region lymph nodes are most consistent with healed granulomatous disease. Significant atelectasis in the lung bases limit assessment of the lower lung fields, but there is no evidence of active pulmonary disease elsewhere. Moderate pneumoperi... |
Generate impression based on findings. | 65-year-old male with abdominal pain, nausea, evaluate for sequela of Crohn's disease. ABDOMEN:LUNG BASES: Basilar scarring or atelectasis.LIVER, BILIARY TRACT: Status post cholecystectomy with stable prominence of the common bile duct and pancreatic duct. No focal hepatic lesions.SPLEEN: No significant abnormality not... | 1. Extensive postsurgical change with chronic small bowel dilatation and change in caliber in the distal ileum, unchanged from prior studies. 2. Polypoid opacity in the distal ileum which may represent oral contrast, however, a small polyp cannot be excluded. |
Generate impression based on findings. | 60 year-old female with altered mental status. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The paranas... | No acute intracranial abnormality. |
Generate impression based on findings. | Female 54 years old; Reason: 54 yo female with hx roux-en-y and hx SBO, please evaluate for abscess/ progression of obstruction History: LLQ abdominal pain and vomiting ABDOMEN:LUNGS BASES: A hypoattenuating lesion in the left lateral lobe with peripheral discontinuous nodular enhancement most compatible with a hemangi... | 1.Oral contrast progressing into the colon ruling against obstruction. No free air or loculated abscess detected. Filling of the excluded portion of the stomach and duodenum noted.2.Mild dilation of the jejunal loops with associated jejunal and ileal wall thickening. This of unclear etiology and should be correlated cl... |
Generate impression based on findings. | 42 year-old female status post BMT and with frontal headache, congestion and rhinorrhea. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. There is mild polypoid mucosal thickening in the dependent portions of the bilateral maxillary sinuses, unchanged from... | No evidence of acute sinusitis. Stable mild maxillary sinus mucosal disease. |
Generate impression based on findings. | 81 year-old female with fevers and tachypnea, evaluate for cervical cancer, disease progression. ABDOMEN:LUNG BASES: Right lower lobe calcified granuloma is unchanged.LIVER, BILIARY TRACT: Status post cholecystectomy. Hypoattenuating hepatic lesions, likely representing cysts, are unchanged.SPLEEN: No significant abnor... | Diffuse wall thickening of the right hemicolon, which may be infectious, inflammatory or ischemic in etiology. This finding was discussed with Dr. Goodenow (3082) at the time of dictation. |
Generate impression based on findings. | Clinical question: IPH. Signs and symptoms: IPH Nonenhanced head CT:Examination demonstrates no convincing evidence of further increased hemorrhage since prior exam.A large dissecting right posterior temporal, occipital and history of parietal and hemorrhage remains similar to prior study in size and extent. Residual r... | 1.No convincing evidence of any new or increased hemorrhage since prior study.2.Stable large dissecting right hemispheric hemorrhagic stroke since prior exam.3.Stable intraventricular and subarachnoid hemorrhage since prior study.4.Stable normal size of ventricular system patent with maintained midline. |
Generate impression based on findings. | Male 56 years old; Reason: evaluate for intraabdominal pathology History: abdominal pain, nausea/vomiting ABDOMEN:LUNGS BASES: Marked emphysematous changes with bullae are seen in bilateral lung fields. No nodule or mass is detected.LIVER, BILIARY TRACT: Fatty infiltration of the liver is seen without focal lesion. Gal... | 1.Emphysematous changes of the lungs and fatty liver. No acute intra-abdominal pathology to suggest the patient's pain.2.Hypoattenuating lesion in the distal pancreatic tail, which should be further characterized with MRI M.R.C.P.3.Findings discussed with Reginald Saint-Hailare at 9:56 on 11/7/13 |
Generate impression based on findings. | Chromophobe renal cell carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnorm... | Stable examination without acute, inflammatory, or neoplastic process. No metastatic disease. |
Generate impression based on findings. | Female 97 years old; Reason: renal stone protocol-evaluate for evidence of urinary obstruction History: abdominal pain, urinary retention 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:ABDOMEN:LUNG BASES... | 1. Distal left ureteral calculus with subtle inflammation and stable left hydronephrosis.2. Bilateral renal calculi with mild chronic appearing right sided hydronephrosis.3. Large right inguinal hernia containing mesenteric fat and small bowel without obstruction or strangulation.4. No significant interval change in ab... |
Generate impression based on findings. | 84-year-old female past medical history of spinal stenosis, hypertension, admitted for right pleuritic pain. Concern for infection. Evaluate for infection and LAD. LUNGS AND PLEURA: Multiple scattered pulmonary nodules, some of which are calcified. No pulmonary mass identified. No pulmonary opacities to suggest infecti... | No findings to suggest infection as clinically questioned. |
Generate impression based on findings. | 23 year-old female with abdominal pain, rule out SBO. 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 significa... | Unchanged bowel dilatation proximal to the anal anastomosis suggesting an anastomotic stricture. |
Generate impression based on findings. | 15-year-old male with abdominal distention. Evaluate for mass. CHEST:LUNGS AND PLEURA: No pulmonary masses or focal airspace opacities are identified. No pleural effusions are present.MEDIASTINUM AND HILA: There is no mediastinal or hilar lymphadenopathy. The esophagus contains oral contrast material.The heart size is ... | 1. Two large intraabdominal masses as described above. Given the patient's history of abdominal trauma two months prior, pancreatic enlargement, and the location and attenuation of these masses, pancreatic pseudocysts are possible with a malignant lesion such as a sarcoma considered less likely but also possible. 2. Fl... |
Generate impression based on findings. | 19 year-old female with general abdominal discomfort and nausea, evaluate for ventriculoperitoneal pseudocyst. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No si... | VP catheter with mild associated free fluid in the abdomen and pelvis. No evidence of loculated fluid collection/pseudocyst. No acute abdominal or pelvic abnormality. |
Generate impression based on findings. | Newly diagnosed gastric cancer with possible perforation outside CT scan CHEST:LUNGS AND PLEURA: Bilateral large pleural effusions. Bilateral dependent atelectasis.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Subcentimeter hypodense lesi... | Very large infiltrating mass involving the gastric antrum and invading the transverse colon consistent with patient's known gastric cancer.. Extensive peritoneal carcinomatosis. Gastric outlet obstruction.Retroperitoneal and mesenteric adenopathy.Bilateral large pleural effusions. |
Generate impression based on findings. | 65 years old male intra-cerebral hemorrhage. Since the prior exam, there has been no significant change in the size or shape of a right thalamic parenchymal hematoma. Mild surrounding parenchymal edema is unchanged, there is no significant generalized mass effect.Extension of blood into the ventricular system is also r... | Stable right thalamic and intraventricular hemorrhage and ventricular size. No evidence of new intracranial hemorrhage is seen. |
Generate impression based on findings. | 32-year-old male with history of pulmonary hypertension. Evaluate for lung abnormality. LUNGS AND PLEURA: There is a pulmonary opacity in the right upper lobe measuring approximately 2.0 x 1.8 cm (series 4, image 34) that is new compared to the previous examination. There is marked mosaic perfusion through both lungs, ... | 1. Findings compatible with pulmonary hypertension, and marked pulmonary mosaic perfusion with likely an infarct in the right upper lobe.2. Interval development of right small pleural effusion. 3. Severe right sided cardiomegaly with moderately large pericardial effusion. 4. Edematous hepatic parenchyma and small amoun... |
Generate impression based on findings. | 75-year-old female presenting with back pain. Evaluate for dissection. ANGIOGRAPHY:Conventional 3-vessel arch anatomy. Severe atherosclerotic calcification affects the aortic arch. The aorta is normal in size. No luminal contour abnormality. No filling defects to indicate a dissection flap.Focal atherosclerotic calcifi... | 1. No evidence of aortic dissection or aneurysm.2. Multiple bilateral peripheral nodules highly suspicious for septic emboli.3. Small focus of subcutaneous emphysema in the left breast with associated overlying skin thickening; correlate for recent instrumentation or superficial infection.4. Hypodense focus in the panc... |
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