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Generate impression based on findings. | Status post grid insertion. There has been interval insertion of bilateral subdural grid electrodes overlying the cerebral hemispheres. Considerable streak artifact related to the hardware obscures surrounding structures. There is a mixed extra-axial collection of fluid, air, and hemostatic material that measures up to... | Limited exam due to metal streak artifacts demonstrates interval bilateral subdural electrode grid insertion with postoperative subdural collections that measure up to 5 mm in width on the right and 15 mm in width on the left with approximately 3 mm of midline shift the the right. |
Generate impression based on findings. | Surgical evaluation for lung cancer. Post chemo/radiation. CHEST:LUNGS AND PLEURA: Significant post therapeutic architectural distortion is present within the posterior segment of the right upper lobe, the posterior aspect of the anterior segment of the right upper lobe and within the medial aspect of the right lower l... | 1. Right lung mass at the level of the minor fissure, probably originating in the superior segment of the right lower lobe measures up to 3.9-cm.2. Ipsilateral inferior interlobar and lobar level lymphadenopathy.3. Left upper lobe ground glass nodule unlikely to be metastatic but is suspicious for adenocarcinoma in sit... |
Generate impression based on findings. | 70 year-old male with abdominal pain and nausea, history of diverticulitis, rule out intra-abdominal abscess. Limited exam due to lack of IV contrast.ABDOMEN:LUNG BASES: Basilar scarring and atelectasis and volume loss on the left. Coronary arterial calcifications.LIVER, BILIARY TRACT: No significant abnormality notedS... | Status post diverting colostomy. Extensive colonic diverticulosis without evidence of inflammation. No loculated fluid collections. |
Generate impression based on findings. | 56 year-old female with lower abdominal pain, rule out abscess. ABDOMEN:LUNG BASES: Small pleural effusions.LIVER, BILIARY TRACT: Cholelithiasis and distended gallbladder. Hypoattenuating lesion with peripheral nodular enhancement along the hepatic dome, likely represents a hemangioma, but is incompletely characterized... | 1. Dilated appendix in the right lower quadrant without significant peri-appendiceal inflammatory change may represent early appendicitis or mucocele.2. Left adnexal fluid collection could represent adnexal cyst or postoperative seroma, correlate with history and follow up imaging.3. Nonspecific hepatic dome lesion whi... |
Generate impression based on findings. | 45-year-old female who presents for follow-up of pulmonary nodule seen on prior CT examination. LUNGS AND PLEURA: There are numerous pulmonary nodules scattered throughout both lungs. Previously noted nodule in the left lower lobe measures approximately 7 mm on the current examination (series 4, image 64), previously m... | 1. Numerous scattered pulmonary nodules throughout both lungs. 2. Mediastinal lymphadenopathy.3. The above findings could represent sarcoidosis. indolent atypical (fungal) infection, but metastatic disease is unlikely given the very indolent course. |
Generate impression based on findings. | Status post chemoradiation for an advanced stage oral squamous cell carcinoma after complex resection. There are postoperative findings related to radiotherapy and complex resection of a left oral cavity tumor and neck dissection. There is persistent gap in the mandible at the parasymphysial surgical margin. There is d... | 1. Stable post-treatment findings for left oral squamous cell carcinoma without evidence of locoregional tumor recurrence of significant cervical lymphadenopathy.2. Interval enlargement of numerous pulmonary metastases and new bilateral pleural effusions are described in more detail in the separate chest CT report. |
Generate impression based on findings. | 75 year-old female with acute right-sided weakness, evaluate Enhancement of the dura, leptomeninges and vasculature is secondary to a recent contrast enhanced examination. On this background of enhancement, no gross evidence of hemorrhage.The CSF spaces are appropriate for the patient's stated age with no midline shift... | No acute intracranial abnormalities.Please note CT is insensitive for the detection of acute ischemia. |
Generate impression based on findings. | 46 year old male patient with ulcerative colitis and Clostridium difficile present with worsening abdominal pain. Concern for pancreatitis or Clostridium difficile complication. ABDOMEN:LUNG BASES: Bilateral dependent atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality ... | 1.No acute intra-abdominal pathology.2.Concentric thickening of the cecum is stable. Colon cancer cannot be ruled out in this high-risk patient. Recommend follow-up colonoscopy.Findings and recommendation for colonoscopy were communicated to Dr. Labis via telephone at 9:50 AM on 11/7/13 by Dr. McCann. |
Generate impression based on findings. | Reason: lung cancer History: s/p lung resection January 2013 LUNGS AND PLEURA: Interval resection of left lower lobe nodule with postsurgical changes and suture lines along the left hilum.Small ground glass opacity in the posterior left lung apex (series 4, image 22) is likely a scar. Mild predominantly apical centrilo... | 1.Interval resection of left lower lobe nodule.2.No evidence of residual or recurrent disease. |
Generate impression based on findings. | 44 year-old female with possible seizure. 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 mastoid air ... | No acute intracranial abnormality. |
Generate impression based on findings. | 71-year-old male with chronic cough and right basilar crackles. Evaluate for interstitial lung disease. LUNGS AND PLEURA: There is a cluster of nodules with an adjacent linear component in the right upper lobe (series 4, image 38). Small region of nodular opacities/groundglass opacities in the right middle lobe (series... | Cluster of nodules, groundglass opacities, and findings suggestive of fibrosis as detailed. Follow-up with ILD protocol (prone and expiratory imaging) is recommended to confirm fibrosis. Differential considerations include mixed connective tissue disease, fibrosing NSIP, and atypical UIP. |
Generate impression based on findings. | Lungs a status post surgery and RT. Follow for recurrent disease. CHEST:LUNGS AND PLEURA: Left hemithorax volume loss with obstruction of the lower lobe bronchus and collapse of the paramediastinal lung. Large left pleural fluid collection is unchanged in size. Patchy micronodule opacities in the aerated portion of the... | 1. Subtle increase in size in a left axillary lymph node of unclear clinical significance. Short-term CT follow-up suggested to assess for resolution. Also suggest correlation with physical examination of the breasts to exclude palpable nodules. Mammography may be performed if clinically warranted.2. Otherwise, no sign... |
Generate impression based on findings. | 54 year-old male with parapharyngeal space tumor. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear except for minimal maxillary sinus mucosal thickening. Limited view of the intracranial structure is unremarkable. The previously seen lesion within the right parapharyngeal space has mil... | Mild interval increase in size of a right parapharyngeal space soft tissue lesion. The differential diagnosis for the lesion in this location includes a lymph node, nerve sheath tumor, ectopic salivary gland tissue / tumor or a minor salivary gland lesion. |
Generate impression based on findings. | 60 year-old female patient with metastatic colon cancer (peritoneal disease only), please evaluate for interval change. CHEST:LUNGS AND PLEURA: Scattered micronodules, stable compared to prior examination on 1/10/2013.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Right chest port with catheter tip ... | 1.Progression of disease with new lesion in the segment II liver parenchyma and interval increase metastatic disease involving the lesser sac. Reference lesions are stable. |
Generate impression based on findings. | 62 year-old female with asymmetrically cool lower extremities. Evaluate for dissection. ANGIOGRAPHY:Variant aortic arch anatomy with the left common carotid arising from the right brachiocephalic artery. The aorta is normal in size. No filling defect to indicate dissection. Mild atherosclerotic calcification affects th... | 1. No aortic dissection or aneurysm.2. Bibasilar airspace consolidation suggestive of aspiration/pneumonia. Additional diffuse groundglass opacities may reflect infectious sequela or superimposed edema.3. Enlarged heterogeneous uterus as described. This can be further evaluated with pelvic ultrasound or MRI. |
Generate impression based on findings. | Female 77 years old; Reason: DUODENAL CANCER RESTAGING History: DUODENAL CANCER CHEST:LUNGS AND PLEURA: Scattered granulomata and micro-nodules redemonstrated.MEDIASTINUM AND HILA: Calcified right hilar and subcarinal nodes. Trace pericardial fluid stable. Stable previously provided reference noted high right paratrach... | Stable size of peri-duodenal lymph nodes in the mesenteric root just anterior to the stented primary neoplasm. |
Generate impression based on findings. | Lung nodules. LUNGS AND PLEURA: Subpleural honeycombing and traction bronchiectasis consistent with pulmonary fibrosis. Right upper lobe nodule measures 8 x 5 mm (4/73) unchanged compared to the most recent prior examination but larger when comparing back to remote earlier scans.Flat angular lesion along the right mino... | 1. Indeterminate 8 x 5 mm right upper lobe nodule unchanged compared to the most recent previous study.2. Subpleural 9-mm groundglass nodular opacity in association with the right minor fissure has slowly increased in size over the last two studies and is of unclear clinical significance. It is mildly suspicious for ad... |
Generate impression based on findings. | 88-year-old male with right flank pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Nonobstructive right nephro... | 1. Unchanged 5-mm nonobstructive right nephrolithiasis. No hydronephrosis or ureteral stones.2. Stable extensive atherosclerotic calcification of the aorta and its branches and right internal iliac artery aneurysm.3. Multiple bilateral hyperdense renal lesions appearing similar to the prior study but incompletely evalu... |
Generate impression based on findings. | 64-year-old male patient with history of prostate cancer status post 59 months of oral investigation and agent. CHEST:LUNGS AND PLEURA: Upper lobe subpleural and scattered cysts and bullae, stable compared to prior examination. Scattered pulmonary nodules, some of which are calcified, stable.MEDIASTINUM AND HILA: No si... | 1.Stable examination without new lymphadenopathy.2.Stable sclerotic lesions within the ribs, spine and pelvis. |
Generate impression based on findings. | 61 year old female evaluate for retroperitoneal bleed This study is limited due to lack of IV contrastABDOMEN:LUNG BASES: Bilateral pleural effusions and dependent atelectasis. Cardiomegaly. Artifacts from LVAD limits optimal evaluation of the upper abdomen.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: ... | Interval development of high density material within the ascites which most like represents hemorrhage given the patient's drop in hemoglobin. Another diagnostic possibility is dextroposition of oral contrast which is less likely given the lack of free air. Possible right adnexal cystic lesion. Further evaluation with ... |
Generate impression based on findings. | 84-year-old male with colon cancer, restaging. Lack of intravenous contrast limits the evaluation of solid organ pathology and vasculature.CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary nodules, some of which are mildly increased in size. The reference nodule in the left upper lobe measures 6 mm and previously me... | Multiple pulmonary nodules, some of which are increased in size. No new evidence of metastatic disease. |
Generate impression based on findings. | Neuroendocrine carcinoma Sensitivity limited due to noncontrast examinationABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Probable progression both with respect to size and number of hepatic metastatic lesions. A segment 6 lesion best seen on image 57 of series 3, now measures 1.6 x 1.4 cm; t... | Probable progression both with respect to size and number of hepatic metastatic lesions. |
Generate impression based on findings. | Male 73 years old; Reason: 73 M with colon and rectal cancer s/p surgical resection, now with rising CEA concerning for disease recurrence. History: none CHEST:LUNGS AND PLEURA: Interval resolution of the large bilateral pleural effusions. No nodule or mass detected.MEDIASTINUM AND HILA: No significant abnormality note... | 1.Interval resolution of the moderate pleural effusions. 2.Progression of metastatic lesions in the liver and retroperitoneum. |
Generate impression based on findings. | 48-year-old male with history of rectal cancer status post Hartmann's pouch for sigmoid perforation, evaluate for abnormalities. ABDOMEN:LUNG BASES: Small left pleural effusion and basilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Left heterogeneous enhancing metastatic lesion posterior ... | 1. Increase in size of the left lower quadrant metastatic lesion. Metastatic lesion posterior spleen appears similar to the prior study. Resolution of multiple abdominal fluid collections with mild residual fluid adjacent to the peri-splenic metastasis.2. Small left pleural effusion. |
Generate impression based on findings. | 75-year-old female with shortness of breath. Evaluate for pulmonary embolus. PULMONARY ARTERIES: No evidence of a pulmonary embolus.LUNGS AND PLEURA: Multiple bilateral micronodules with the largest nodule in the right upper lobe measuring under 0.4 cm in diameter. Bilateral small pleural effusions with underlying atel... | 1. No evidence of a pulmonary embolus. 2. Moderate nonspecific lymphadenopathy, most likely reactive or secondary to sarcoid in absence of known malignancy. 3. Abnormal air collections in the mediastinum and the chest wall, likely related to prior intervention. 4. Findings suggestive of pulmonary hypertension.5. Bilate... |
Generate impression based on findings. | Clinical question: Hemorrhage. Signs and symptoms: Altered, on Coumadin. Unenhanced head CT:There is no evidence of an acute intracranial process CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.There are diffuse bilateral subcortical and periventricular confluence of white matter ... | Extensive age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | S.O.B. and known pulmonary fibrosis. LUNGS AND PLEURA: Severe bilateral interstitial lung disease, predominantly in a subpleural and basilar distribution comprised of honeycombing, traction bronchiectasis and dependent basilar ground glass opacities. Areas of focal lobular sparing are noted in the lower lobes bilateral... | Interval progression of interstitial lung disease in a pattern most consistent with UIP. New nodular density in the right upper lobe for which 3 month CT follow-up is recommended to assess for growth or resolution. |
Generate impression based on findings. | E. coli meningitis and right subdural empyema. There has been recent interval insertion of a drainage catheter within the right subdural collection with expected foci subdural pneumocephalus. The right frontoparietal subdural collection measures approximately up to 15 mm in width, which is not significantly changed. Th... | Recent interval insertion of a drainage catheter within the right subdural collection that measures approximately up to 15 mm in width, which is not significantly changed. No significant interval change in the prominent left subarachnoid spaces, which may represent external hydrocephalus and no evidence of acute intrac... |
Generate impression based on findings. | Male 63 years old; Reason: PANCREATIC protocol please // pt with documented severe acute pancreatitis please r/o pancreatic tumor; cyst; fluid collection History: pt with documented severe acute pancreatitis please r/o pancreatic tumor; cyst; fluid collection ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER,... | 1.Pancreatitis with necrosis and pseudocyst as described above. |
Generate impression based on findings. | Ear discomfort. The bilateral Eustachian tubes do not appear patulous. The middle ear cavities are pneumatized and clear. There are bilateral tonsilloliths, left greater than right. The nasopharynx appears unremarkable. There is partial effacement of the left piriform sinus related to mild supraglottic edema. There is ... | 1. Unremarkable bilateral Eustachian tubes and middle ear cavities. 2. Partial effacement of the left piriform sinus related to mild supraglottic edema may be related to the clinically-suspected GERD-related laryngopharyngitis.3. Bilateral tonsilloliths, left greater than right, may represent sequelae of prior tonsilli... |
Generate impression based on findings. | New onset atrial fibrillation and desats postop day two status post parathyroidectomy rule out pulmonary embolus. PULMONARY ARTERIES: A filling defect in the anterior segmental branch of the right upper lobe extending into a subsegmental branch, consistent with pulmonary embolus. The main pulmonary artery is normal in ... | Acute segmental level pulmonary embolus right upper lobe without signs of right heart strain. Mild interstitial edema with basal atelectasis and possible signs of prior aspiration event. Nonspecific hypoattenuating nodules in the thyroid gland may be accessed by nuclear scintigraphy if clinically warranted. Dr. Jose (a... |
Generate impression based on findings. | Female 32 years old; Reason: pancreatitis vs CBD inflam vs appendicitis vs gastroenteritis History: nausea, vomiting, diarrhea, RUQ/epigastric abd pain ABDOMEN: Exam is somewhat limited by patient body habitus.LUNGS BASES: No focal lesion detected. Patient status post cholecystectomy.LIVER, BILIARY TRACT: No significan... | 1.No acute intra-abdominal pathology detected. |
Generate impression based on findings. | Left nasal congestion and facial pain. The maxillary sinuses are hypopneumatized and contain minimal mucosal thickening. The infundibula are patent. The ethmoid sinuses are clear. There is no significant pneumatization of the sphenoid sinuses. There is a small amount of bubbly secretions within the left frontoethmoid r... | Mild bubbly secretions within the left frontoethmoid recess with hypopneumatized maxillary sinuses and no significant pneumatization of the sphenoid sinuses. Unremarkable nasal cavity contents. |
Generate impression based on findings. | Renal carcinoma status post left partial nephrectomy ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Stable subcentimeter segment two low-attenuation focus is seen on image 32 of series 4; favor benign etiologySPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedAD... | Status post partial left nephrectomy and resection of superior pole left renal mass. Interval appearance of left suprarenal soft tissue focus; a metastatic lesion cannot be excluded. |
Generate impression based on findings. | Optic neuritis, evaluate for sarcoidosis. LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No focal air space opacities or pleural fluid. The airways are patent bilaterally. No signs of pulmonary fibrosis. The expiration sequence is unremarkable.MEDIASTINUM AND HILA: Normal heart size. No pericardial fluid.... | No evidence of intrathoracic sarcoidosis or other acute pulmonary abnormality. Mild bilateral axillary and sub-pectoral lymph node enlargement is a nonspecific finding but may be seen in patients with SLE. |
Generate impression based on findings. | Female 55 years old; 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: Evaluation of the chest limited by respiratory motion.LUNGS AND PLEURA: Severe emphys... | 1. interval progression of the sclerotic lesions in the left sacrum compared to CT dated 7/25/2011. These changes are stable compared to immediately Previous CT. Metastatic lesions in the left sacrum cannot be excluded. |
Generate impression based on findings. | Female 59 years old; Reason: Evaluate bilateral hypodense renal cysts, evaluate for malignancy; patient with ESRD History: CT scan from 10/26 CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIAR... | 1. Bilateral renal hypodense lesions likely simple cysts. Other lesions are too small to reliably characterize.2. Stable bilateral adrenal nodules, likely adenomas. |
Generate impression based on findings. | Nasopharyngeal cancer diagnosed in 2007 with relapse in 2011 (nonkeratinizing nasopharyngeal carcinoma), s/p chemoradiation, currently in remission. Head: There is no evidence of intracranial mass or abnormal enhancment. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift o... | 1. Stable post-treatment findings without evidence of locoregional tumor recurrence or significant cervical lymphadenopathy. 2. No evidence of intracranial metastasis. |
Generate impression based on findings. | Reason: h/o HNC, s/p CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: No evidence of pleural or pulmonary metastases.MEDIASTINUM AND HILA: Heart size remains normal. No interval pericardial effusion.CHEST WALL: No axillary lymphadenopathy.ABDOMEN: Absence of enteric contrast material mar... | No evidence of pulmonary metastases. |
Generate impression based on findings. | Reason: Chest NODULE//PPD + History: NONE LUNGS AND PLEURA: Multiple bilateral micronodules compatible with previous infection, unchanged.Focal streaky opacity laterally in the right middle lobe compatible with atelectasis and scarring, unchanged.Sharply defined pulmonary nodule in the right lower lobe measuring 13 mm ... | 1. New small cluster of nodular opacities anteriorly in the right lower lobe, suggestive of infection. 2. Multiple other findings as previously described, including mediastinal lymphadenopathy, without significant change. |
Generate impression based on findings. | Male 71 years old; Reason: 71M s/p OHT and ex-lap p/w abdominal wound infection History: see above CHEST:LUNGS AND PLEURA: There is a loculated left pleural effusion measuring 11.3 x 2.4 cm on image number 84, series number 3, unchanged from previous study. which appears stable since prior examination with associated b... | 1.Interval removal of the drain within the intrapancreatic fluid collection, with interval resolution of the collection.2.Stable anterior mediastinal and loculated left pleural fluid collections3.Interval stability of the fluid collection superficial to the superior sternum.4.No new evidence of intra-peritoneal fluid c... |
Generate impression based on findings. | Post inflammatory pulmonary fibrosis. S.O.B. Lung transplant evaluation. LUNGS AND PLEURA: Suture line from a left lower lobe wedge resection. Anterior bowing of the posterior tracheal membrane and mild to moderate attenuation of the mainstem bronchi and distal airways suggesting that scanning was done during mid expir... | 1. Although the lung volumes appear to be diminished compared to the prior examination, this could be artifactual as the patient appears to have been scanned during the mid-expiration. 2. Partial collapse of the airways is consistent with tracheobronchomalacia.3. Suspect growth of a left upper lobe micronodule which is... |
Generate impression based on findings. | Male 45 years old; Reason: H/o SMV and splenic vein thrombosis in 2011, eval for current clot burdon and hepatosplenomegally History: thrombosis history ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Heterogeneity of the liver is noted with peripheral wedge shaped hyper enhancing areas, non... | 1. Heterogenity of the liver which can be further evaluated with MRI.1.Thrombosis of the portal vein, SMV, and splenic veins. |
Generate impression based on findings. | Reason: rule out lung disease History: decreased breath sounds diffusely, h/o tobacco use +30 pack-years LUNGS AND PLEURA: Stable pulmonary micronodule superior segment left lower lobe since 2006. No pleural effusion.No suspicious pulmonary nodule or mass.MEDIASTINUM AND HILA: Heart size remains stable. No interval per... | Stable pulmonary micronodule superior segment left lower lobe since 2006. |
Generate impression based on findings. | Clinical question: History of recurrent meningioma. Signs and symptoms: New complaints of confusion and increased behavior problem. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for very detection of acute non-hemorrhagic ischemic strokes.A previously known extra-axial... | 1.No evidence of acute intracranial process.2.No convincing evidence of any change in constellation of intracranial findings of extensive right anterior frontal encephalomalacia, left medial temporal encephalomalacia, large residual meningioma of basal cistern and its associated mass effect, unremarkable size of shunte... |
Generate impression based on findings. | Radiation therapy completed in 2009 for T1N1 squamous cell carcinoma of the right tonsil. There are post-treatment findings related to radiation therapy to the upper neck with diffuse fat stranding, heterogeneity of the submandibular glands, and mucosal edema. There is no discernable tonsillar mass. However, there is a... | 1. No evidence of locoregional tonsillar squamous cell carcinoma recurrence, but an enlarged right level 2 lymph node may represent metastasis.2. Left thyroid nodule that measures up to 30 mm. Ultrasound is recommended for further evaluation.3. Extensive pulmonary emphysema and scattered subcentimeter pulmonary nodules... |
Generate impression based on findings. | Male 45 years old; Reason: assess for stone History: hematiria ABDOMEN:LUNGS BASES: Status post cholecystectomy. No liver lesion detected.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality ... | 1.Large right renal lesion suspicious for renal cell carcinoma. Dedicated renal CT advised. |
Generate impression based on findings. | Metastatic T4N0 cervical esophageal SCC, currently progressing on 4th line chemotherapy. There is a heterogeneous mass in the mid esophagus, centered just inferior to the cricoid, which obliterates the lumen and measures approximately 19 AP x 20 RL x 23 SI mm. There are obstructed secretions as well as diffuse hyperenh... | 1. Mid esophageal mass, centered just inferior to the cricoid, which obliterates the lumen and measures approximately up to 23 mm is compatible with recurrent squamous cell carcinoma. 2. Small, but hyperattenuating bilateral level 4 and 6 lymph nodes are not enlarged by CT size criteria and may be inflammatory or neopl... |
Generate impression based on findings. | Esophageal cancer. Chemotherapy follow-up examination, evaluate for metastatic disease. CHEST:LUNGS AND PLEURA: Suture line presumably from a wedge resection of the right apex. Surrounding the suture line is a soft tissue mass consistent with a recurrent tumor which is inseparable from the right major fissure and right... | Multiple bilateral pulmonary masses consistent with metastases. Apparent mass in the cervical esophagus, please refer to separately reported neck CT. Numerous small lymph nodes in the mediastinum and hila; the enlarged left hilar lymph node has an attenuation pattern similar to the primary tumor and pulmonary metastati... |
Generate impression based on findings. | 64 year old female with right upper quadrant abdominal pain, nausea and vomiting 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 notedKID... | Normal study. |
Generate impression based on findings. | 81-year-old male with history of prostate cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Ascending aorta is ectatic measuring 4.7-cm in diameter.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormal... | Metastatic pelvic adenopathy. Enlarged prostate with heterogeneous mass on the right side.Ectatic ascending thoracic aorta and infrarenal abdominal aortic aneurysm. |
Generate impression based on findings. | 63 year-old female wtih AML, to rule out baseline sinusitis. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. There is small amount of foamy materials and mucosal thickening in the sphenoid sinus. The sphenoethmoidal recesses are obstructed. The frontal si... | Small amount of foamy materials and mucosal thickening in the sphenoid sinus is suggestive of acute sinusitis and inflammatory disease. |
Generate impression based on findings. | ICH and IVH. There is no significant interval change in size of the intraparenchymal hematoma centred in the right thalamus that measures up to 35 mm with intraventricular extension and surrounding vasogenic edema. However, there has been interval increase in size of the lateral ventricles, despite the presence of a ri... | Interval increased dilatation of the lateral ventricles despite a right transfrontal ventricular shunt, but no significant interval change in size of the intraparenchymal hematoma centered in the right thalamus and associated intraventricular extension and surrounding vasogenic edema. |
Generate impression based on findings. | 33-year-old female patient with history of refractory Hodgkin's lymphoma status post GVD chemotherapy. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are stable compared to prior examination. Left upper lobe subpleural nodule measures 7 mm (series 6 image 38), stable.MEDIASTINUM AND HILA: Prevascular cluster ... | Stable mediastinal lymphadenopathy and left upper lobe pulmonary nodule. |
Generate impression based on findings. | 75 year old female with CLL CHEST:LUNGS AND PLEURA: Scattered ground glass opacity/atelectasis. Calcified nodules likely representing prior granulomatous disease. MEDIASTINUM AND HILA: Unchanged reference paratracheal lymph node measures 8 mm and previously measured 5 mm (image 13, series 3). Central venous catheter ex... | 1. Interval increase in size of enhancing left renal mass.2. Reference lymphadenopathy is not significantly changed. |
Generate impression based on findings. | Reason: 63 female with AML, r/o baseline infiltrate History: AML LUNGS AND PLEURA: Diffuse bronchial wall thickening and mild bronchiectasis, most prominent within the right lower lobe. Associated scattered ground glass opacities with patchy consolidation in the lower lobes, largest in the lateral basal segment right l... | Diffuse bronchial wall thickening and mild bronchiectasis, most prominent within the right lower lobe. Associated scattered ground glass opacities with patchy consolidation in the lower lobes, largest in the lateral basal segment right lower lobe. Findings are suspicious for aspiration bronchiolitis with lower lobe pne... |
Generate impression based on findings. | Male 67 years old Reason: extent of HO History: hip HO Mature bone extends from the superior acetabulum and ilium to the greater trochanter measuring at least 5.0 cm thick. The joint capsule is calcified. There is a deep ulcer adjacent to the greater trochanter with thickening of the soft tissues but no underlying cort... | Extensive bridging heterotopic bone formation extending across the joint causing fusion. |
Generate impression based on findings. | 7-year-old male with cyclic neutropenia, recurrent abdominal/pelvic pain and fevers. ABDOMEN:LUNG BASES: Minimal dependent atelectasis. No focal air space opacities or pleural effusions.LIVER, BILIARY TRACT: The liver is normal in attenuation. No focal hepatic lesions are identified. There is no intrahepatic or extrahe... | 1. No acute abnormalities in the abdomen or pelvis to explain the patient's fevers and pelvic pain. 2. Subcentimeter splenic hypodensity may reflect phase of contrast or possibly represent a small nonspecific focal lesion. A repeat ultrasound examination may be considered for follow up as clinically indicated. |
Generate impression based on findings. | CLL on clinical trial. There is no significant cervical lymphadenopathy. The Waldeyer ring structures are not enlarged. The thyroid gland and major salivary glands are unremarkable. The airway appears patent. The major cervical flow voids are intact. The imaged intracranial structures are grossly unremarkable. The imag... | No evidence of significant cervical lymphadenopathy. |
Generate impression based on findings. | 56 year-old male with hepatitis C cirrhosis, pre-liver transplant evaluation. Evaluate questionable punctate micronodules and compare to previous. Evaluate for coronary calcifications, reported history of carcinoid with plan for hemicolectomy. LUNGS AND PLEURA: Previously identified micronodule in the right upper lobe ... | 1. Multiple nodules extending from the trachea into the right mainstem bronchus and right lower lobe bronchi. Given multiplicity, papillomatosis may be considered. Although the patient has a history of GI carcinoid, this is atypical for the appearance of multiple endobronchial carcinoid tumors. Bronchoscopy and biopsy ... |
Generate impression based on findings. | 63 year old female with history of partial nephrectomy 2002 for renal cell carcinoma ABDOMEN:LUNG BASES: Multiple basilar pulmonary cysts are again identified. Mild coronary arterial calcifications.LIVER, BILIARY TRACT: Status post cholecystectomy. Diffuse hepatic steatosis. No focal hepatic lesions.SPLEEN: No signific... | 1. Stable interval exam with no evidence of recurrent or metastatic disease.2. Diffuse hepatic steatosis. |
Generate impression based on findings. | 87-year-old female patient with acute drop in hemoglobin overnight after a fall and tachycardia. Concern for retroperitoneal hematoma. Note that the left of intravenous contrast limits evaluation of vasculature, lymph nodes and solid viscera.ABDOMEN:LUNG BASES: Interval increase in left-sided pleural effusion with asso... | 1.No CT evidence of retroperitoneal hematoma.2.Interval increase in abdominal ascites.3.Interval increase in left-sided pleural effusion.4.Slight interval increase in pericardial effusion. |
Generate impression based on findings. | Nasal polyposis. There is mild rightward nasal septal deviation and spur. The nasal cavity is clear. There are postoperative findings related to bilateral uncinectomy and internal ethmoidectomy. There is mid scattered opacification of the remaining ethmoid air cells. There is mild mucosal thickening within the posterio... | Postoperative findings related to endoscopic sinus surgery with mild scattered paranasal sinus opacification and mild rightward nasal septal deviation, but on evidence of residual sinonasal polyposis. |
Generate impression based on findings. | Almost 6 months after right lower lobectomy for management of T1 A. N0 stage I A. adenocarcinoma. LUNGS AND PLEURA: Postoperative changes of right lower lobectomy with small volume of residual pleural fluid or, appearing partially loculated medially. Improved appearance of the lung adjacent to the suture line compared ... | No specific evidence of localized recurrence or of pulmonary metastases. The reference precarinal lymph node is minimally larger than the preoperative study and should continue to be monitored. |
Generate impression based on findings. | 39-year-old male with history of Hodgkin's lymphoma, restaging study. CHEST:LUNGS AND PLEURA: No nodules or masses.MEDIASTINUM AND HILA: Unchanged reference mediastinal lymph nodes. Left supraclavicular nodular density measures 1.0 x 0.4 cm and previously measured 1.0 x 0.6 cm (image 7, series 3).Reference right paratr... | Stable reference lesions without new adenopathy. |
Generate impression based on findings. | Female 43 years old; Reason: Stage IV pancreas cancer please compare to previous scan and provide measurements for RECIST History: As above CHEST:LUNGS AND PLEURA: No significant change in the micronodules.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER,... | 1. Interval decrease in the size of the hepatic metastatic lesions and retroperitoneal adenopathy |
Generate impression based on findings. | Known type B dissection CHEST:LUNGS AND PLEURA: Emphysema and bilateral scapula and dependent atelectasis are unchanged.MEDIASTINUM AND HILA: Again identified are type B aortic dissection beginning just distal to the origin of the left subclavian artery. At the level of the right main pulmonary artery it measures4.9 by... | Interval increase in the size of the infrarenal abdominal aortic aneurysm. Type B dissection extending from the level of the arch to the level of the left external iliac artery, unchanged. |
Generate impression based on findings. | Reason: Hx of Hodgkin's Lymphoma History: s/p 5 cycles of chemotherapy There is no residual significant cervical lymphadenopathy. The Waldeyer ring structures are unremarkable. The thyroid gland and major salivary glands are unremarkable. The airway appears patent. The imaged intracranial structures are grossly unremar... | No significant residual cervical lymphadenopathy. |
Generate impression based on findings. | Hodgkin's lymphoma, HIV. LUNGS AND PLEURA: Bilateral peripheral ground glass and mixed density lesions with focal internal consolidation in some of the lesions, increased in density and size compared to the previous examination, though not in number.MEDIASTINUM AND HILA: Mildly enlarged left low cervical lymph node mea... | Interval progression in size and density of bilateral pulmonary opacities. Differential diagnosis includes eosinophilic or multi-focal cryptogenic organizing pneumonia or evolving pulmonary infarcts. Lack of peribronchial or perivascular nodularity argues against Kaposi's sarcoma and the appearance is atypical for pulm... |
Generate impression based on findings. | Female 69 years old Reason: pre op planning for R TSA, assess bone stock History: R shoulder pain BONES, SOFT TISSUES: There are subchondral cysts in the humeral head and glenoid with associated subchondral sclerosis, bone-on-bone apposition and osteophytosis of the humeral head and anterior glenoid compatible with sev... | Moderate/severe osteoarthritis of the glenohumeral joint and high riding humeral head suggesting a rotator cuff tear. |
Generate impression based on findings. | 68-year-old female with history of pancreatic cancer CHEST:LUNGS AND PLEURA: No new nodules or masses. Scattered micronodules are unchanged.MEDIASTINUM AND HILA: No new mediastinal or hilar adenopathy.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Multiple hepatic metastases have increased i... | Progression of pancreatic mass and multiple hepatic and gastrohepatic metastases as detailed above. |
Generate impression based on findings. | AMS. There is no evidence of acute intracranial hemorrhage, mass, or cerebral edema. There is unchanged mild nonspecific cerebral white matter hypoattenuation. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There are partially imaged endotracheal and ent... | No evidence of acute intracranial hemorrhage, mass, or cerebral edema. However, non-contrast CT is not sensitive for acute non-hemorrhagic stroke. |
Generate impression based on findings. | Reason: PE protocol with and without contrast; has mild allergy History: dyspnea at rest. PULMONARY ARTERIES: Motion and body habitus degrades the quality of the exam. No evidence of pulmonary embolism. Main pulmonary artery caliber is high-normal.LUNGS AND PLEURA: Interval increase in reticulonodular component of prev... | 1.No evidence of pulmonary embolism.2.Progression of bilateral peribronchial opacities with increased reticulonodular component and decreased ground glass component suggestive of chronic hypersensitivity pneumonitis. |
Generate impression based on findings. | Female 69 years old; Reason: 69F with Stage IIIC peritoneal cancer presenting for survelleince image History: peritoneal cancer LUNGS AND PLEURA: Unchanged moderate sized right pleural effusion with associated atelectasis and consolidation. No suspicious nodules or masses.MEDIASTINUM AND HILA: The reference right preva... | 1. Stable to decrease in lymph nodes and peritoneal thickening.2. Decreased ascites.3. Interval surgical revision of the previously seen ventral hernia without obstruction, or free air. |
Generate impression based on findings. | 64-year-old male patient with pancreatic cancer. Restaging. CHEST:LUNGS AND PLEURA: Diffuse severe centrilobular emphysema.Redemonstration of several clustered, well-defined smoothly marginated right middle lobe subpleural nodules measuring up to 5 mm (series 5 image 64), stable.Interval resolution of left-sided pleura... | 1.No CT evidence of recurrent disease or suspicious lymphadenopathy.2.Interval resolution of intra-abdominal fluid.3.Resolution of left pleural effusion. |
Generate impression based on findings. | 34 year-old male with AML and neutropenic fevers. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. There is mild mucosal thickening within the dependent portions of the bilateral maxillary sinuses, unchanged. The mucosal thickening within the bilateral sph... | No evidence of acute sinusitis. Improvement of paranasal sinus mucosal disease. |
Generate impression based on findings. | 70 year-old male with asymmetric pupils. There is postsurgical change of a left sided craniotomy. There are multiple metallic foreign bodies in the left temporal squamous bone. There is a large area of encephalomalacia in the left MCA territory. There is mild periventricular white matter hypodensity. The ventricles, su... | Large area of encephalomalacia in the left MCA territory. Small vessel ischemic disease of indeterminate age. In this background, no mass effect, midline shift, intra- or extra-axial fluid collection/acute hemorrhage is seen. However, CT is insensitive to early detection of CVA. MRI should be considered if clinical sus... |
Generate impression based on findings. | 56 year-old male with history of seizure disorder. 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 par... | No acute intracranial abnormality. |
Generate impression based on findings. | Chest pain rule out PE PULMONARY ARTERIES: Adequate infusion quality however examination is limited by motion artifact, especially in the lung bases. Small filling defect in a proximal segmental artery to the right lower lobe is very poorly seen due to motion artifact but confirmed on the reconstruction sequences. LUNG... | 1. Proximal segmental level embolus in a right lower lobe pulmonary artery. No signs of pulmonary infarct or right heart strain.2. Tiny subpleural nodules bilaterally are too small to accurately characterize. If the patient has a history of smoking or high risk for malignancy 6 month CT follow-up may be obtained. |
Generate impression based on findings. | 73-year-old female with advanced endometrial cancer and new left leg swelling, evaluate for obstructive lymphadenopathy or thrombus in the left common iliac or IVC. ABDOMEN:LUNG BASES: Right lower lobe nodule is again noted.LIVER, BILIARY TRACT: Dilatation of the common bile duct and intrahepatic ducts mildly progresse... | 1. Soft tissue swelling/edema of the visualized proximal left upper extremity with associated lymph node/soft tissue mass encasing the left iliac vasculature.2. New bilateral hydronephrosis and hydroureter secondary to soft tissue/tumor encasing the mid ureters.3. Progression of pelvic lymphadenopathy and extensive new... |
Generate impression based on findings. | Female 58 years old; Reason: colon cancer s/p surgery,chemotherapy and now abdominal pain History: abdominal pain CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules.MEDIASTINUM AND HILA: Borderline mediastinal or hilar lymphadenopathy.CHEST WALL: Interval removal of right chest wall Port-A-Cath with scarring at pr... | No evidence of metastatic disease in the chest, abdomen or pelvis. |
Generate impression based on findings. | AML and recurrent neutropenic fever. LUNGS AND PLEURA: Interval development of diffuse extensive peribronchial opacities, centrilobular nodules and peripheral areas of tree-in-bud opacity. Motion artifact limits assessment for detail. Probable pseudo-cavitation in the right upper lobe (5/111). Peribronchial ground glas... | Interval development of diffuse peribronchial opacities, centrilobular nodules and distal endobronchial filling compatible with opportunistic infection. Although bacterial infection is most likely, this pattern is nonspecific and can also be seen in mycobacterial, viral and fungal pneumonias. |
Generate impression based on findings. | 55-year-old female with history of pain and dark stools, status post polypectomy 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 notedKID... | Limited study due to lack of IV contrast. No CT findings to explain patient's abdominal pain. |
Generate impression based on findings. | 51-year-old female with history of pancreas cancer CHEST:LUNGS AND PLEURA: Bilateral scattered micronodules, unchanged.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Patient's known metastatic lesion near the caudate lobe of the liver me... | Interval decrease in the size of the pancreatic body mass and retroperitoneal adenopathy and some of the peritoneal nodules. Extensive carcinomatosis, again noted. |
Generate impression based on findings. | 68 year old female with history of pancreatic cancer CHEST:LUNGS AND PLEURA: Bilateral upper lobe scarring, more prominent on the left compared to the right. Follow-up imaging with chest CT is recommended to exclude the possibility of neoplasm.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No signif... | Large locally aggressive mass involving the pancreatic body consistent with pancreatic adenocarcinoma.Large complex multiloculated cystic mass involving the right kidney suspicious for multilocular cystic nephroma. Cystic renal cell carcinomas are much less likely diagnostic possibility.Bilateral scarring in upper lobe... |
Generate impression based on findings. | 40 year-old female with tachycardia and low oxygen saturations. Evaluate for pulmonary embolus PULMONARY ARTERIES: Adequate opacification with no evidence of pulmonary embolus.LUNGS AND PLEURA: No pulmonary opacities to suggest infection. Small bilateral pleural effusions with underlying atelectasis. There is a nonspec... | 1. No evidence of pulmonary embolus. 2. Small bilateral pleural effusions with underlying atelectasis. 3. Trace pericardial effusion. |
Generate impression based on findings. | Pneumonia, COPD. Emphysema. Question pulmonary abnormality. LUNGS AND PLEURA: Lobular groundglass opacities in the lung apices and bases with geographic areas of sparing. Within the areas of groundglass, severe intralobular septal thickening and thickening of the bronchial walls is present. Trace pleural fluid bilatera... | Mixed response of extensive lobular groundglass opacities with clearing in some areas and worsening in others, such as development of focal peripheral consolidation in the right lower lobe. Severe bronchial wall thickening. Reticulation and subpleural cyst formation in the anterior lung fields is suspicious for develop... |
Generate impression based on findings. | 51-year-old female patient with hemoglobin dropped from 8 to 6.5 without evidence of small cyst. Evaluate for possible bleeding source. Note that the lack of intravenous and oral contrast limits evaluation of vasculature, lymph nodes and solid viscera.ABDOMEN:LUNG BASES: Bilateral pleural effusions, left greater than r... | 1.No evidence of retroperitoneal bleed.2.Bilateral pleural effusions.3.Abdominal ascites.4.Exophytic uterine fibroid versus adnexal mass. Recommend further evaluation with pelvic ultrasound.5.Fibroid uterus. |
Generate impression based on findings. | 71 -year-old status post mitral and tricuspid valve repairs with a ventricular septal defect identified on echocardiogram. Evaluate size and location of VSD. ANGIOGRAPHY: Conventional three vessel arch anatomy. The thoracic aorta is normal in size. No focal aortic luminal defect and dissection flap. Multifocal atherosc... | 1. Triangular defect in the basal membranous septum measuring 8mm in greatest apical-basal dimension and extending approximately 6mm in cranial-caudal dimension.2. Postoperative changes from mitral and tricuspid valve replacements.3. Congestive heart failure with pulmonary edema and bilateral pleural effusions. |
Generate impression based on findings. | Hypoxia, evaluate for pulmonary AVM. Artifact from patient motion limits assessment for fine detail.LUNGS AND PLEURA: No pulmonary arteriovenous malformations are identified. Mild basilar atelectasis or scarring. No focal air space opacities or suspicious pulmonary nodules. Moderate centrilobular and paraseptal emphyse... | Moderate emphysema and mild atelectasis and/or scarring, but no visible pulmonary arterial venous malformation or other acute abnormality to account for the patient's hypoxia. |
Generate impression based on findings. | Clinical question: rule out hemorrhage. Signs and symptoms: altered mental status. Nonenhanced head CT:No detectable acute intracranial process CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Moderate periventricular and subcortical low attenuation of white matter consistent with age in... | 1.No acute intracranial process.2.Indeterminate small vessel ischemic strokes and a chronic left MCA parietal cortical stroke. |
Generate impression based on findings. | Clinical question: Lung cancer with brain metastases. Signs and symptoms: As above. Nonenhanced head CT:There is significant interval decrease in the extent of right parietal vasogenic edema since prior exam. Residual edema at this site however this is still present.No evidence of acute intracranial process CT however ... | No acute intracranial process. Noticeable decrease in right parietal vasogenic edema since prior exam. |
Generate impression based on findings. | Clinical question: CVA/bleed? Signs and symptoms: Headache and prior history of CVA. Nonenhanced head CT:No acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Small focus of low attenuation in the right basal ganglia is consistent with a chronic lacunar in... | 1.No acute intracranial process.2.Evolution of previously noted right MCA territory strokes to chronic phase as detailed. |
Generate impression based on findings. | Clinical question:concern for hemorrhage. Signs and symptoms: Septic emboli. Nonenhanced head CT:Examination demonstrates multiple tiny foci of acute hemorrhage likely at the site of patient's previously known septic emboli. The largest focus off hemorrhage measures approximately 5 x5 mm sized and is located in the rig... | Multiple very small foci of hemorrhage likely at the site of patient's known septic emboli as detailed above. |
Generate impression based on findings. | 45-year-old male patient with hematuria and renal mass. ABDOMEN:LUNG BASES: Trace bilateral dependent atelectasis.LIVER, BILIARY TRACT: Status-post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right... | Right renal mass highly suspicious for renal cell carcinoma. No evidence of vascular invasion or lymphadenopathy. |
Generate impression based on findings. | Reason: possible PE; lung abnormality History: acute respiratory distress LUNGS AND PLEURA: Acquisition of images at a later phase of contrast limits evaluation for pulmonary embolism, and within this limitation no large filling defect is seen within the main pulmonary arteries.Extensive bilateral, right greater than l... | 1. Bilateral extensive peribronchial ground glass and solid airspace opacities most suggestive of acute pulmonary edema and infection. Diffuse pulmonary hemorrhage or drug reaction can be considered in the appropriate clinical context. 2. New hypodense hepatic lesion with possible peripheral enhancement. CT abdomen wit... |
Generate impression based on findings. | Male 30 years old; Reason: r/o colitis, mass History: wt loss, n/v ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver has a smooth contour. Hepatic and portal veins are patent. The gallbladder is present without intra-or extrahepatic periductal location it no definite focal hepatic lesion... | 1.Focally of gastric wall thickening with mild edema and mucosal edema about the pylorus further evaluation with endoscopy is suggested.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 37-year-old male with fever, rectal discomfort ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: The gallbladder is poorly distended. No focal hepatic lesions.SPLEEN: Splenomegaly.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No signi... | 1. Diffuse wall thickening of the neorectal pouch, consistent with pouchitis. No evidence of abscess or obstruction.2. Splenomegaly. |
Generate impression based on findings. | 77-year-old male with newly diagnosed neuroendocrine tumor, needs CT for staging. CHEST:LUNGS AND PLEURA: Calcified left apical nodule, likely representing prior granulomatous disease. No evidence of metastatic disease.MEDIASTINUM AND HILA: Severe atherosclerotic calcification of the coronary arteries. Small calcified ... | 1. Gastric mass and multiple hepatic metastases as detailed above.2. Diffuse hepatic steatosis. |
Generate impression based on findings. | Female 61 years old; Reason: SBO vs herniation vs pancreatitis? History: N/V, abd distention, h/o SBO ABDOMEN:LUNGS BASES: Cardiomegaly. No basilar atelectasis or consolidation.LIVER, BILIARY TRACT: Liver has a smooth contour. No intra-or extrahepatic ductal dilatation. Hepatic and portal veins are patent.SPLEEN: No si... | 1.Small bowel obstruction at the level of the stoma with a proximal small bowel feces sign and mesenteric edema indicating obstruction is severe.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
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