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Generate impression based on findings. | Fall. Head: There is a left parietal scalp hematoma that measures up to 10 mm in width. However, there is no evidence of intracranial hemorrhage, mass, cerebral edema, or skull fracture. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The mastoid air cell... | 1. Small left parietal scalp hematoma, but no evidence of acute intracranial hemorrhage or skull fracture.2. No evidence of acute fracture of spondylolisthesis. |
Generate impression based on findings. | Female, 62 years old, right-sided headache and left-sided weakness, now resolved. Areas of encephalomalacia are redemonstrated within the left frontal, parietal and occipital lobes compatible with old strokes appearing similar to the prior exam. Numerous small old strokes are also redemonstrated within the cerebellum.N... | 1. Chronic strokes are redemonstrated appearing unchanged within the left frontal, parietal and occipital lobes. Scattered small strokes are also unchanged in the cerebellum.2. No definite evidence of acute territorial ischemia is seen. However, CT can be insensitive in this regard, and if clinical concern warrants, fu... |
Generate impression based on findings. | 70 year-old female patient with AML status post stem cell transplant and known diagnosis of graft versus host disease presents with worsening nausea, vomiting and diarrhea. Evaluate for bowel wall thickening. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Small hypoattenuating lesion in the ... | 1.Findings consistent with progression of graft versus host disease with near complete involvement of the small and large bowel.2.Increased abdominal ascites.3.Stable distention of the gallbladder with sludge. If there is clinical concern for acute cholecystitis, right upper quadrant ultrasound is recommended. |
Generate impression based on findings. | MVC. Head: There is no evidence of intracranial hemorrhage, mass, cerebral edema, or skull fracture. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are ... | 1. No evidence of acute intracranial hemorrhage or skull fracture.2. No evidence of acute fracture of spondylolisthesis. |
Generate impression based on findings. | Female 21 years old; Reason: diffuse abdominal pain. History: Diffuse abdominal pain with hx of VP shunt ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: The liver has a smooth contour. Subcentimeter hypodense segment 6 lesion is too small to characterize. The hepatic and portal veins are pat... | 1.Subcentimeter right ovarian fat containing lesion. Follow up sonography is suggested.2.Fluid within the pelvis possibly due to the shunt catheter. If patient has peritoneal symptoms, consider sampling the fluid. |
Generate impression based on findings. | Female, 62 years old, transient right arm weakness. Precontrast CT findings are unchanged including evidence of old strokes in the left frontal, parietal and occipital lobes as well as the cerebellum. Small focal hypodensity is also stable in the left thalamus. No CT evidence of acute territorial ischemia is seen. No m... | 1. No evidence of significant vascular stenosis or occlusion.2. Stable 2-mm aneurysm adjacent to the origin of the left PCOM artery. |
Generate impression based on findings. | 39-year-old female with history history of pancreatitis and pseudocyst status post percutaneous drainage now with increased white blood cell count ABDOMEN:LUNG BASES: Left pleural effusion with enhancement of the pleura and adjacent atelectasis decreased in size from the prior study.LIVER, BILIARY TRACT: No significant... | 1. Multiple loculated peripancreatic and abdominopelvic fluid collections as detailed above are decreased in size. Gas in the largest peripancreatic collection likely relates to cystgastrostomy catheters although superimposed infection cannot be excluded. 2. Decrease in size of left pleural effusion with adjacent atele... |
Generate impression based on findings. | Metastatic epithelioid sarcoma evaluate L trapezius mass. There is an ill-defined partially calcified soft tissue mass within the left trapezius at the level of the C7 vertebral body, which measures approximately 13 x 25 mm. There is also an ill-defined left level 5 lymph node that measures up to 6 mm adjacent to the l... | Multiple cervical and upper thoracic lesions, compatible with metastatic epithelioid sarcoma, including a dominant partially calcified left trapezius implant that measures up to approximately 25 mm, left level 5 and supraclavicular lymph nodes, and pulmonary nodules. However, these lesions are more conspicuous on the p... |
Generate impression based on findings. | 27-year-old female patient with a right lower quadrant pain. Evaluate for appendicitis or tubo-ovarian abscess. 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: ... | Retrocecal appendicitis without perforation or abscess. |
Generate impression based on findings. | 26-year-old female patient with right upper quadrant pain. Evaluate for cholecystitis. Note that streak artifact from spinal hardware limits examination.ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No gallbladder distention, radiopaque gallstones or pericholecystic fluid.SPLEEN: No signifi... | No acute intra-abdominal abnormalities identified. |
Generate impression based on findings. | Reason: h/o HNC, s/p CRT, compare to previous measurement History: none CHEST:LUNGS AND PLEURA: Interval appearance of clustered nodules within the right upper lobe adjacent to the major fissure (series 5 image 114/series 4 image 39) with associated mucoid impaction. Localized bronchial wall thickening within the super... | At the base of the left neck, there is an ill-defined, supraclavicular soft tissue mass. It is not included in its entirety in this field of view. Please see CT head in soft tissue neck performed on the same day for complete evaluation.Interval appearance of clustered nodules within the right upper lobe adjacent to the... |
Generate impression based on findings. | Female, 21 years old, headache. Right frontal approach ventricular shunt catheter is in stable position, tip along the body of the left lateral ventricle.Ventricular caliber and morphology are unchanged. The left lateral ventricle is completely decompressed and the right lateral ventricle is small in caliber. The fourt... | 1. Stable positioning of the right frontal approach ventricular shunt catheter. Stable caliber of the ventricular system.2. Stable posterior fossa asymmetry.3. No definite evidence of an acute intracranial abnormality. |
Generate impression based on findings. | Male, 65 years old, left hand weakness. Evaluate intraparenchymal and intraventricular hemorrhage. The right thalamic hematoma is unchanged in size. Also unchanged is the degree of surrounding parenchymal edema. Very mild local mass effect persists.Intraventricular blood clot is also redemonstrated appearing perhaps sl... | No significant interval changes. |
Generate impression based on findings. | 46 year old female. Gastric cancer, restaging. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules, unchanged.Increasing bilateral areas of groundglass opacity. New 9 x 6 mm right upper lobe nodule (image 22; series 5) and similar but larger irregularly-shaped opacity at the right lung base (image 68) measuring 21... | Progression of disease with increasing ascites, new lymphadenopathy, and progressive osseous metastatic disease. New diffuse scattered groundglass opacities in the lungs which could represent pulmonary metastases. |
Generate impression based on findings. | Female 55 years old; Reason: lung nodule History: SOB and cough. Previously reported history of rheumatoid arthritis, prior wedge resection pulmonary nodule biopsy report demonstrating rheumatoid nodules. LUNGS AND PLEURA: Compared to the outside hospital examination, multiple bilateral subcentimeter pulmonary nodules ... | Interval decrease in the size of the multiple bilateral subcentimeter pulmonary nodules. Previously biopsy proven rheumatoid nodules. No new nodules identified. |
Generate impression based on findings. | Female 78 years old; Reason: history of large hepatic flexure polyp/carcinoma s/p piecemeal resection. Elevated CEA to 34. Evaluate interval change from 5/2013. Cirrhosis/ascites History: ascites CHEST:LUNGS AND PLEURA: No nodule noted. Vascular congestion and diffuse ground glass haziness represents CHF changes. Calci... | 1. Peritoneal nodule adjacent to the hepatic flexure suspicious for disease.2. Findings of advanced cirrhosis with a subcentimeter lesion in segment 6, incompletely characterized. Dedicated liver protocol CT advised for full characterization.3. Unchanged gastroesophageal junction mass. |
Generate impression based on findings. | 39-year-old female with incisional hernia and bulge in abdomen ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy. Pneumobilia and left hepatic atrophy redemonstrated.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No s... | 1. Ventral incisional hernia containing small bowel and mesentery without evidence of obstruction as detailed above.2. Postoperative changes of Roux-en-Y gastric bypass and partial gastrectomy. Stable pneumobilia and atrophy of the left hepatic lobe. |
Generate impression based on findings. | Female, 55 years old, with nausea and vomiting. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No enhancing lesions are detected.No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift. The ventric... | Unremarkable evaluation with no specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Confusion. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | 39-year-old patient with abdominal pain, distention, nausea and vomiting. Evaluate for small bowel obstruction or perforation. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.A... | 1.Progression of severe enteritis in the small bowel is nonspecific and may be secondary to drug toxicity versus an infectious etiology. The bowel is dilated up to 4.0cm and serosal tumor involvement causing bowel obstruction is also a possibility.2.Interval increase in abdominal ascites.3.Soft tissue nodularity is sus... |
Generate impression based on findings. | SDH. There is a large heterogenous caput succedaneum and mild overlap of the calvarial sutures. There is scattered subdural hemorrhage along the left falx cerebri, and bilateral tentorial leaflets, which measure up to 2 mm in thickness. There may also be a punctate focus of extra-axial hemorrhage underlying the left co... | 1. Scattered subdural hemorrhage along the left falx cerebri, and bilateral tentorial leaflets, which measure up to 2 mm in thickness, and possible punctate focus of extra-axial hemorrhage underlying the left coronal suture. 2. Large heterogenous caput succedaneum and mild overlap of the calvarial sutures. |
Generate impression based on findings. | 46-year-old male patient with history of renal cell carcinoma status post left radical nephrectomy. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules, some of which are calcified. Interval resolution of bilateral pleural effusions.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant ... | 1.Status post left nephrectomy without evidence of recurrent or metastatic disease.2.Nonspecific scattered pulmonary micronodules. |
Generate impression based on findings. | Male, 56 years old, tonsil cancer. No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are intact. Left ICA embolization coils are redemonstrated.Extensive post surgical change is redemonstrated compatible with left nec... | An ill-defined hypodense region is seen within the left lateral retropharyngeal space, at the superior margin of the left neck flap. Streak artifact on the present and prior examinations makes this area very difficult to assess. However, this finding was not as conspicuous on the prior examination.Given the extensive d... |
Generate impression based on findings. | VP shunt removal. There has been interval ventricular shunt removal with resultant mild pneumoventricle. The ventricular system has otherwise not significantly changed in size, with persistent dilatation of the lateral ventricles. There is unchanged bifrontal encephalomalacia and mild scattered nonspecific cerebral whi... | Interval ventricular shunt removal with no significant changed in size of the ventricular system, including persistent dilatation of the lateral ventricles. |
Generate impression based on findings. | 29 year-old female with metastatic breast cancer on therapy CHEST:LUNGS AND PLEURA: No pulmonary nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size is normal.CHEST WALL: Interval decrease in axillary lymphadenopathy with reference right axillary lymph node measuring 1.8 x 1.7 cm... | 1. Interval decrease in axillary adenopathy. 2. Diffuse mixed lytic/sclerotic osseous metastatic disease with new pathologic fracture of the right ilium. Multiple vertebral body compression fractures are again noted.3. Hypoattenuating right inferior hepatic lesion too small to characterize. |
Generate impression based on findings. | Male 52 years old; Reason: mets lung cancer, s/p palliative chest RT. Pls c/w previous study and evaluate dz status. History: lung cancer. CHEST:LUNGS AND PLEURA: The previously characterize left apical nodule is no longer discretely measurable. No interval change in the scattered pulmonary nodules elsewhere.MEDIASTINU... | 1.Interval development of multiple liver lesions concerning for metastases. 2.Interval near complete resolution of the previous left apical pulmonary nodule.3.Interval reduction in the size of the left hilar mass. |
Generate impression based on findings. | Evaluation of right upper lobe cavitary lesion. No additional clinical information provided. LUNGS AND PLEURA: Severe centrilobular emphysema.Thick-walled cavitary lesion in the posterior right upper lobe has an inverted U.-shaped configuration, best appreciated on the coronal sequence. Largest dimensions of the lesion... | 1. Thick-walled cavitary mass in the right upper lobe increased in size compared to the previous examination, now contains fluid as well as adjacent small nodules and new nodules within the same lobe. Although worsening over one month is suggestive of active atypical infection such as MTB or atypical mycobacteria, wall... |
Generate impression based on findings. | 79-year-old female. Fall, hit head. Evaluate for SDH, intracranial injury status post fall. There is unchanged periventricular and subcortical white matter hypoattenuation that is most compatible with moderate small vessel ischemic disease of indeterminate age. A small focus of hypodensity within the left external caps... | 1. No evidence of acute intracranial hemorrhage, mass effect, or edema.2. Unchanged moderate small vessel ischemic disease of indeterminate age and left external capsule hypodensity that likely represents a lacunar infarct of indeterminate age. |
Generate impression based on findings. | Reason: carcinoid tumor History: carcinoid tumor s/p sleeve resection CHEST:LUNGS AND PLEURA: Scattered calcified pulmonary micronodules/granulomas are unchanged. Minimal dependent subsegmental atelectasis bilaterally. No pleural effusion no pneumothorax. Post surgical changes in the left lung are unchanged. No new foc... | No evidence of recurrent or metastatic disease in the chest or upper abdomen. |
Generate impression based on findings. | LCH of mandible on therapy. There has been interval resolution of the the soft tissue mass arising from the right body of the mandible and healing of the vast majority of the associated lytic defect with a residual lucent focus with sclerotic margins lateral to the roots of ADA 31 that measures up to 10 mm and residual... | Interval resolution of the the soft tissue mass arising from the right body of the mandible and healing of the vast majority of the associated lytic defect with a residual lucent focus with sclerotic margins lateral to the roots of ADA 31 that measures up to 10 mm and residual thinning the the buccal cortex of the mand... |
Generate impression based on findings. | Male 18 years old; Reason: Please evaluate the sizes of the kidneys. History: H/O ADPKD ABDOMEN: The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:LUNGS BASES: Numerous hypoattenuating lesions are noted thr... | 1.Limited evaluation of the kidneys given lack of IV contrast. Numerous simple and complex hemorrhagic cyst in bilateral kidneys with measurements as provided. |
Generate impression based on findings. | Reason: hx asbestosis--change from earlier CT loaded into system? History: cough LUNGS AND PLEURA: Micronodule in the left upper lobe is unchanged (series 5, image 94). Scattered areas of pleural thickening with calcified plaques bilaterally not significantly changed from prior exam. Small amount of fluid tracking alon... | 1.Bilateral, predominantly basilar, reticular opacities with mild traction bronchiectasis and curvilinear subpleural bands consistent with asbestosis not significantly changed from prior exam.2.Scattered areas of pleural thickening with calcified plaques bilaterally not significantly changed from prior exam.3.New perip... |
Generate impression based on findings. | 47-year-old female with with history of tonsillar neoplasm, CRT, reevaluate. Limited intracranial views are unremarkable. Mild mucosal thickening of the right maxillary sinus, otherwise the visualized paranasal sinuses are clear. The mastoid air cells are clear.Diffuse fat stranding and reticulation compatible with pos... | 1. No significant interval change in asymmetric mucosal thickening within the left aryepiglottic fold resulting in effacement of the left piriform sinus. Given the stability of this finding, it is most likely posttreatment related.2. No cervical lymphadenopathy by CT size criteria. |
Generate impression based on findings. | 59 year old female patient with history of metastatic cholangiocarcinoma status post 3 cycles of chemotherapy. Compared to prior examination. CHEST:LUNGS AND PLEURA: Stable scattered miconodules and nodules bilaterally. Reference left lower lobe nodule measures 3 mm (series 4 image 76), previously 4 mm. MEDIASTINUM AND... | No significant interval change in metastatic disease compared to prior examination. |
Generate impression based on findings. | 18 year-old male with history of autosomal dominant polycystic kidney disease, evaluate size of kidneys. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Multiple hypoattenuating lesions, likely representing cysts.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality note... | Multicystic enlarged kidneys and hepatic cysts, compatible with the history of autosomal dominant polycystic kidney disease. |
Generate impression based on findings. | 43-year-old male with a history of buccal cancer, reevaluate Limited intracranial views are unremarkable. Bilateral mucosal thickening of the maxillary sinuses. The visualized mastoid air cells are clear.Within the preepiglottic space, there is a primarily cystic lesion with some enhancing solid components which measur... | 1. Primarily cystic partially solid preepiglottic space lesion which has not significantly changed in size or appearance from the prior examination and may represent a mucous retention cyst, cystic neoplasm or thyroglossal duct cyst. Recommend clinical correlation and direct visualization for further characterization.2... |
Generate impression based on findings. | Lung C. A. doing well CHEST:LUNGS AND PLEURA: Mass in the left upper lobe containing both groundglass and solid components measures 3.6 x 4.8 cm, previously 3.3 x 4.6 cm. The solid component in its inferior aspect is not significantly changed. Multiple subcentimeter nodules also noted in the left upper lobe, some of wh... | 1. Slight increase in size of left upper and lower lobe lesions.2. Multiple nonindex pulmonary nodules in the left lung have increased in size.3. Subtle enlargement of a non-index subcentimeter mediastinal lymph node.4. Extensive vascular disease detailed in the body of the report. |
Generate impression based on findings. | 69-year-old male with metastatic renal cell cancer, evaluate for growth. CHEST:LUNGS AND PLEURA: Few scattered micronodules some of which are calcified, likely representing prior granulomatous disease.MEDIASTINUM AND HILA: Severe atherosclerotic changes of the coronary arteries. The heart size is normal. No mediastinal... | Interval progression of disease with new and enlarging soft tissue masses in the nephrectomy bed. |
Generate impression based on findings. | Male 57 years old; Reason: Pt s/p duodenal perf with pancreatitis s/p duodenojejunostomy, panc debridement 10/24 - please evaulate resolution of pancreatitis and fluid collections History: Pancreatitis ABDOMEN:LUNG BASES: Bilateral pleural effusions with compressive atelectasis are stable.LIVER, BILIARY TRACT: No focal... | 1. Mild interval decrease in size in right perinephric fluid collection with stable placement of percutaneous drain.2. Stable size of the heterogeneous collection superior to the drain, and inferior to the liver/gallbladder containing hemorrhage and foci of gas, with interval placement of new pigtail catheter. |
Generate impression based on findings. | 66 year old female. Uterine carcinosarcoma. Reason: assess for etiology severe left flank pain 2 months s/p left radical nephrectomy. ABDOMEN:LUNG BASES: Scattered granulomas. Ill-defined soft tissue nodule anteriorly at the right lung base (image 3; series 5) measures 0.8 x 0.6 cm is stable. New left pleural effusion ... | Status post left nephrectomy and hysterectomy. New left upper quadrant masses extend to the nephrectomy bed, suspicious for recurrence. New left pleural effusion and lower lobe volume loss. Ill-defined subcentimeter pulmonary nodule at the right lung base is stable.Stable sclerotic bone lesions. Stable retroperitoneal ... |
Generate impression based on findings. | Malignant neoplasm of tonsil status post CRT. CHEST:LUNGS AND PLEURA: Left lower lobe nodule inseparable from the inferior pulmonary ligament no longer measurable in the long axis but significantly decreased in size, 3-mm in thickness compared to 10-11 mm previously (5/68). The second nodule in the left lower lobe at a... | Mixed response with interval decrease in size of pulmonary nodules and some of it previously measured lymph nodes. However, new lymph node enlargement in the left hilum, right internal mammary chain and mediastinum are consistent with new nodal metastases. Unchanged appearance of adrenal gland nodules and upper abdomin... |
Generate impression based on findings. | 64-year-old male with of bladder cancer. Undifferentiated carcinoma involving liver. Reason: cholangiocarcinoma s/p chemo then SBRT (done 9-9-13 40Gy). Please evaluate interval change with liver protocol. CHEST:LUNGS AND PLEURA: Stable small nodular density in the right upper lobe on image 35 series 15, unchanged from ... | Small pulmonary nodule which is stable.The large hepatic mass is stable when compared to recent MRI.New masses have developed at the hepatic dome with arterial enhancement. Recommend follow-up. May be due to treatment effect vs. recurrent tumor. |
Generate impression based on findings. | SDH. There are right frontal and parietal burrs holes for decompression of a right cerebral convexity subdural hematoma. There is a residual low to intermediate attenuation right cerebral convexity subdural fluid collection that measures up to 10 mm in width, which is unchanged. There is unchanged associated 3 mm of mi... | No significant interval change in the subacute right cerebral convexity subdural hematoma and associated mild midline shift. |
Generate impression based on findings. | T2N2b SCC L BOT p16+ s/p TFHX and radiation completed in 2/2013. There is considerable streak artifact related to dental amalgam. Within these limitations, there no discernable residual mass within the left tongue base. There is no significant residual cervical lymphadenopathy. For example, a left level 2 lymph node me... | 1. No evidence of locoregional tumor recurrence in the left tongue base and no residual significant cervical lymphadenopathy2. A partially imaged lobulated fluid attenuation lesion in the left lateral subscapular fossa, which may represent a distended bursa or ganglion cyst, for example. This can be further evaluated v... |
Generate impression based on findings. | 75 year old female. Reason: History of bladder cancer s/p cystectomy, please evaluate for recurrent or metastatic disease. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted. Status post cholecystectomy. SPLEEN: No significant abnormality notedPANCREAS: No signifi... | No evidence of recurrence. No measurable metastatic disease. |
Generate impression based on findings. | 47-year-old female. Reason: 47 yo female with renal txp, abdominal pain, pls evaluate for free air. ABDOMEN:LUNG BASES: Cardiomegaly, similar to the prior exam.LIVER, BILIARY TRACT: Few scattered subcentimeter hypoattenuating foci in the liver, which are too small to characterize though likely representing cysts.SPLEEN... | 1. Gaseous distension of bowel, but no free air. 2. Large stool load. Constipation. No evidence of bowel obstruction. |
Generate impression based on findings. | Pituitary adenoma diagnosed in 2005, partial removal in 2006, and gamma knife ablation in July 2013. Left facial pain and burning provoked with facial movement and pressure. There are postoperative findings related to transsphenoidal surgery and probable dacryorhinocystostomy. There is lytic lesion in the right clivus,... | A residual focus of invasive pituitary adenoma involving the right clivus, sella, and cavernous sinus measures approximately 25 mm. An additional lytic lesions involving the left clivus with possible extension into the left cavernous sinus that measures up to approximately 12 mm may also represent recurrent pituitary a... |
Generate impression based on findings. | Reason: evaluate for progression of lung nodule History: none CHEST:LUNGS AND PLEURA: Basilar subsegmental atelectasis.The previous dominant pulmonary nodule within the anterior basal segment of the right lower lobe is no longer present. However, several clustered solid pulmonary nodules remain. There is one new periph... | The previous dominant pulmonary nodule within the anterior basal segment of the right lower lobe is no longer present. Several clustered solid pulmonary nodules remain. There is one new peripheral nodule. In suspicious for postinflammatory origin, continued follow-up to assure resolution is recommended.Ill-defined grou... |
Generate impression based on findings. | 57 year-old male with altered mental status. There appears mild to moderate enlargement of the lateral ventricles (posterior more than anterior) with undulating borders. There appear scattered hypodensity in the periventricular white matter. The third and fourth ventricles, sulci, and cisterns are symmetric and unremar... | 1. No mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. 2. Findings are suggestive of periventricular leukomalacia. Hydrocephalus is also considered but felt less likely. |
Generate impression based on findings. | Right upper lobe solitary nodule. Remote history of the buccal mucosa neoplasm. LUNGS AND PLEURA: Right lobe groundglass nodule measures 17 mm, unchanged in size (9/78). On the high resolution sequence, there is a very small focus of soft tissue (9/78). This lesion is consistent with a minimally invasive adenocarcinoma... | 1. Right upper lobe groundglass nodule is most consistent with adenocarcinoma in situ or minimally invasive adenocarcinoma. 2. Left lower lobe groundglass density nodule may reflect a benign area of atypical adenomatous hyperplasia but should continue to be monitored to exclude growth from AIS/MIA. This lesion may be f... |
Generate impression based on findings. | Esophageal cancer status post chemo/RT and surgery 3 months ago. CHEST:LUNGS AND PLEURA: Very mild paramediastinal fibrosis likely the result of RT. Linear atelectasis in the right middle lobe terminates in a peripheral area of consolidation, nonspecific. No suspicious pulmonary nodules or masses. Small right pleural f... | 1. Right subscapular fluid collection with a thin hyperattenuating rim could represent hematoma or seroma. This is seen to communicate with the right extrapleural space via a distracted surgical fracture of the right sixth rib. Lack of intercostal or axillary lymphadenopathy makes an abscess less likely but infection s... |
Generate impression based on findings. | Male, 64 years old, seizures. A large region of encephalomalacia is demonstrated within the right MCA distribution involving the right parietal and right temporal lobes compatible with a remote infarct.No CT evidence of acute territorial ischemia is seen. No mass lesion or mass effect is demonstrated. No evidence of in... | 1. Large chronic right MCA stroke.2. No acute intracranial abnormality or other specific findings to account for the patient's symptoms. |
Generate impression based on findings. | 52-year-old male with history of metastatic melanoma CHEST:LUNGS AND PLEURA: No pulmonary nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANC... | Right pelvic adenopathy consistent with metastatic disease. |
Generate impression based on findings. | Female 59 years old; Reason: history of metastatic lung cancer to brain, new lung lesion, SUPER D PROTOCOL History: none. LUNGS AND PLEURA: Scattered pulmonary micronodules and scarring. No suspicious nodules.MEDIASTINUM AND HILA: No significant mediastinal or hilar lymphadenopathy. No cardiomegaly or pericardial effus... | Lungs unremarkable without evidence of a lung primary cancer. Bilateral adrenal nodules, non-specific. |
Generate impression based on findings. | 49-year-old female patient with history of increased white blood cell count, tachycardia, pneumonia on multiple antibiotics. Assess progression of lung infection. CHEST:LUNGS AND PLEURA: Numerous bilateral, diffusely distributed pulmonary nodules, stable compared to prior examination. Interval decrease in left-sided pl... | 1.Persistent right lung consolidation.2.Interval resolution of pelvic fluid collection.3.Interval decrease in abdominal ascites.4.Calcified peritoneal carcinomatosis is stable compared to prior examination and consistent with treated/partially treated disease. |
Generate impression based on findings. | Female 82 years old; Reason: history of metastatic lung cancer of LUL to the chest wall, reimaging after radiation treatment in August History: pain. CHEST:LUNGS AND PLEURA: Moderate apical centrilobular and paraseptal emphysema. Prior left lower lobectomy.Interval reduction in the size of the posterior left upper lobe... | 1.Interval reduction in the biopsy proven left upper lobe chest wall mass and left upper lobe subpleural nodule status post radiation treatment. 2.Bilateral hilar lymphadenopathy again seen with interval slight increase in the size of the left hilar lymph node. |
Generate impression based on findings. | Hodgkin's lymphoma status post autologous transplant. 6 month follow up. CHEST:LUNGS AND PLEURA: Minimal scarring at the right lung apex. Unchanged non-specific micronodules. No new nodules or masses. No pleural effusion.MEDIASTINUM AND HILA: Interval reduction in the size of the anterior mediastinal soft tissue mass, ... | 1.Continued reduction in size of the anterior mediastinal mass.2.Unchanged right hilar lymph node3.No new sites of disease in the chest, abdomen, or pelvis. |
Generate impression based on findings. | 68-year-old male with prostate cancer and rising PSA. ABDOMEN:LUNG BASES: Aortic valvular and coronary arterial calcifications. No pulmonary nodules or masses.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signif... | Findings suggestive of osseous metastatic disease involving the lumbar spine and ribs, correlate with bone scan. |
Generate impression based on findings. | Reason: h/o HNC, CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Right lower lobe calcified granuloma.No sign of pulmonary or pleural metastases.MEDIASTINUM AND HILA: Evidence of healed granulomatous disease, and an upper normal size node may be present now in the AP window region, but ... | No reliable evidence of metastases, although there is some mediastinal nodal prominence and as well as rebound thymic hyperplasia. |
Generate impression based on findings. | Reason: 78 yo M w/ T2 N0 RUL lung cancer treated with SBRT in 3/2013. Please evaluate for interval change History: lung cancer post-treatment surveillance CHEST:LUNGS AND PLEURA: Severe centrilobular and paraseptal emphysema with apical predominance.Right upper lobe nodule and previously measuring 12 x 16 mm now measur... | 1.Stable to mild interval decrease in size of right upper lobe nodule.2.Expected progression of post radiation changes to the right upper lobe.3.Probable debris within the trachea. |
Generate impression based on findings. | Mesothelioma with new onset of pulmonary pneumonitis from chemotherapy. Patient is status post two weeks of steroids. LUNGS AND PLEURA: Near complete resolution of parenchymal ground glass opacities previously seen in the right lung. Minimal residual groundglass opacity is noted in the right lower lobe (5/45) compared ... | Improved groundglass opacities consistent with response to steroid therapy. Minimal residual opacity is seen in the right lung base. Subjective slight worsening of thoracic and abdominal disease which will be quantified on the patient's neck staging study. |
Generate impression based on findings. | Reason: mediastinal mass History: mediastinal mass LUNGS AND PLEURA: Scattered benign appearing micro-nodules, some calcified, but no significant pulmonary or pleural abnormality. MEDIASTINUM AND HILA: Residual soft tissue along the right paraesophageal region is unchanged, where earlier there had been a cystlike abnor... | No evidence of a mediastinal lesion recurrence, or other significant abnormality. |
Generate impression based on findings. | Female 77 years old; Reason: please characterize cervical and axillary lymphadenopathy for possible malignancy History: cervical and axillary lymphadenopathy seen on neck CT could LUNGS AND PLEURA: Centrilobular emphysema is seen. Bibasilar dependent atelectasis. Scattered bilateral pulmonary micronodules. No suspiciou... | 1.Interval reduction in the size of the cystic appearing fluid attenuating right thyroid lesion, status post fine needle aspiration.2.No change in size of the large left predominately hyperattenuating thyroid nodule with peripheral calcification.3.No significant change in the right supraclavicular, axillary, and right ... |
Generate impression based on findings. | Reason: 48 y/o malae with HNC s/p March 2013, Completed 7 cycles of CRT History: as above CHEST:LUNGS AND PLEURA: No evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Mild degenerative abnormalities affect the thoracic spine.ABDOMEN: Absence of enteric contra... | No sign of metastases, or other significant abnormality. |
Generate impression based on findings. | 85 year old female with Reason: unintentional weight loss, fatigue. evaluate for cancer. Increased bloating / belching. History: weight loss CHEST:LUNGS AND PLEURA: There is mild diffuse emphysematous change. No concerning parenchymal nodular masses were identified.MEDIASTINUM AND HILA: Few tiny hilar and mediastinal l... | 1) Stable examination since 2009.2) Diffuse emphysematous changes seen in the lung. 3) Colonic diverticulosis.4) No specific abnormality to explain weight loss. |
Generate impression based on findings. | 42-year-old female patient with history of soft tissue sarcoma with new abnormality in the liver. Please evaluate for metastases. CHEST:LUNGS AND PLEURA: Reconstruction of right upper lobe lung nodule (series 11 image 48), stable.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormal... | Two hypoattenuating, nonenhancing lesions in the liver most likely represent cysts. |
Generate impression based on findings. | Reason: evaluate ILD History: soboe LUNGS AND PLEURA: Apical scar like abnormalities unchanged.Lower lung zone predominant moderate to severe interstitial lung disease, not significantly changed, characterized by subpleural reticular opacities, honeycombing, scattered regions of traction bronchiectasis but no significa... | 1. Moderate interstitial lung disease. Although there is apical fibrosis this may be a separate process as often seen in the apices, rendering this a UIP pattern.2. Questionable left atrial appendage hypodensity/thrombus, for which a cardiac echo is recommended. This is unchanged since 9/17/2013, however. |
Generate impression based on findings. | Left pneumonectomy and right upper lobectomy for lung cancer. LUNGS AND PLEURA: Left pneumonectomy. The right upper lobe is present. Numerous ground glass density lesions in the right lung.Mixed density lesion in the right upper lobe (4/51) contains internal solid components, currently measuring 17 x 16 mm, previously ... | 1. Two mixed density nodules (groundglass with semi-solid to solid components) in the right upper lobe are compatible with indolent adenocarcinoma such as minimally invasive or invasive adenocarcinoma.2. Lymphadenopathy in the mediastinum and left chest wall is mild but now suspicious for nodal metastases given growth ... |
Generate impression based on findings. | 49-year-old male with vocal cord cancer status post 7 cycles CRT. Brain:Redemonstration of a 7-mm extra-axial enhancing mass in the left frontal region, unchanged. Favor a benign meningioma over metastatic disease. Elsewhere, no suspicious enhancing parenchymal or extra-axial lesions are identified. No focal edema or m... | 1. Interval decrease in thickening and hyperemia at the base of the tongue as well as the epiglottis and aryepiglottic folds. Distortion of the glottic and supraglottic space is unchanged.2. No evidence of pathologic adenopathy in the neck.3. Stable small left frontal enhancing lesion which is likely an incidental meni... |
Generate impression based on findings. | 72-year-old male with history of CLL on treatment CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: . Marked interval decrease in mediastinal lymphadenopathy. Reference subcarinal lymph node measures 3.7 x 1.1 cm and previously measured 3.7 x 2.4 cm (image 54, series 3). Multiple additional ... | Marked interval decrease in lymphadenopathy and all reference lesions as detailed above |
Generate impression based on findings. | Male 56 years old; Reason: uncontrollable cough History: uncontrollable cough. LUNGS AND PLEURA: No focal opacities, pleural effusions or pneumothorax. Dependent atelectasis in the lung bases. Central airways are clear. Right lung base predominant bronchial wall thickening is present. Scattered pulmonary micronodules. ... | Basilar bronchial wall thickening, suggest of chronic aspiration or other cause of inflammation. |
Generate impression based on findings. | Malignant fibrous histiocytoma metastatic to lung with left upper lobe resection. Presented with infected port, persistent bacteremia, but worsening productive cough. Evaluate for pneumonia, septic emboli or other pathology. LUNGS AND PLEURA: Small pleural fluid collections. Left hilar mass smaller, approximately 3.7 x... | 1. Diffuse peribronchial and groundglass opacities consistent with pneumonia. No specific signs of septic emboli at this time.2. Thrombosis of the right jugular vein with clot extending into the superior vena cava and right subclavian vein. Peripheral enhancement may be a sign of infected thrombus.3. Interval developme... |
Generate impression based on findings. | Male, 57 years old, base of tongue tumor, with dysphagia. No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are intact. Fluid levels and mucosal thickening are demonstrated in the bilateral maxillary sinuses.Asymmetri... | Left base of tongue/tonsillar tumor with left level 2 adenopathy. |
Generate impression based on findings. | 72-year-old male with history of CLL on treatment, evaluate Limited intracranial views are unremarkable. Mild mucosal thickening of the left maxillary sinus and anterior right ethmoid air cells, the remainder of the visualized paranasal sinuses are clear. The mastoid air cells are clear.Interval resolution of cervical ... | 1. Interval resolution of cervical lymphadenopathy by CT size criteria.2. Prominent superior mediastinal lymph nodes. Please see dedicated chest CT from today's date for further details. |
Generate impression based on findings. | Male 79 years old; Reason: Hx of Relapsed Large Cell NHL History: s/p 5 cycles of chemotherapy CHEST:LUNGS AND PLEURA: The previously seen ground-glass opacities involving the upper lobes and lower lobes have resolved. No focal consolidation. There is mild lower lobe bronchiectasis. No parenchymal volume loss or fibros... | 1.Decrease in the size of the upper abdominal retroperitoneal lymph node. No new lymphadenopathy.2.Resolution of the previously noted ground glass pulmonary opacities. |
Generate impression based on findings. | Male 52 years old; Reason: metastatic/recurrent head and neck ca, on therapy, eval for progression with measurements History: as above CHEST:LUNGS AND PLEURA: Postoperative changes from a right middle lobectomy and right lower lobe wedge resection. There are multiple metastasis to the lungs and pleura, many of which ar... | Increasing size and number of the pulmonary and pleural metastases. Left renal lesion measures larger. |
Generate impression based on findings. | T2N0 laryngeal squamous cell carcinoma treated with 70 Gy to the larynx and 56 Gy to the cervical nodes through January 2009. The cancer recurred, and hemilaryngectomy was performed in September 2009 followed by total laryngectomy in February 2010 for another recurrence. In August 2010 he was found to have a 4.7 x 4.7 ... | Extensive post-treatment findings without definite evidence of locoregional tumor recurrence or significant cervical lymphadenopathy. |
Generate impression based on findings. | Female 70 years old; Reason: Left lower quadrant abdominal pain History: Pain for 3 weeks 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 abnorm... | 1.Mild distention of the small bowel with small bowel feces sign and mesenteric stranding, correlate for chronic low-grade obstruction.2.Findings compatible with pelvic congestion syndrome |
Generate impression based on findings. | Female, 45 years old, with right ear canal stenosis, right ear infection. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift. The ventricles and ... | 1. No intracranial abnormalities.2. Nonspecific soft tissue thickening along the right external auditory canal is demonstrated. The right middle ear cavity is normally aerated as visualized on this nondedicated exam. |
Generate impression based on findings. | Reason: Left Tonsil SCCA, pretreatment scan History: Left Tonsil SCCA CHEST:LUNGS AND PLEURA: Multiple small calcified granulomas and few micronodules bilaterally. No suspicious focal nodules or masses. No pleural effusion or pneumothorax. Mild paraseptal emphysema with apical predominance.MEDIASTINUM AND HILA: Heart s... | 1.Mild apical predominant paraseptal emphysema.2.No focal suspicious pulmonary nodules or masses.3.Bilateral, right greater than left, adrenal nodules. |
Generate impression based on findings. | 34 year old female, pre kidney transplant surveillance. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Extremely dense breast tissue with multiple soft tissue masses and several coarse calcifications incompletely characterized by CT.ABDOMEN:LI... | Atrophic native kidneys and right iliac fossa transplant kidney. No significant atherosclerotic calcification of the abdominal aorta or its branches. |
Generate impression based on findings. | Female, 57 years old, right mandibular swelling. The soft tissues of the right mandibular region are unremarkable. In particular, no evidence of skin thickening, subcutaneous infiltration or fluid collection is seen. The parotid and submandibular glands are normal. The musculature of the masticator space is unremarkabl... | No specific findings are seen to account for the patient's symptoms. |
Generate impression based on findings. | Head and neck cancer status post CRT CHEST:LUNGS AND PLEURA: Majority of the pulmonary nodules in micronodules are unchanged. New small nodular focus of consolidation with extension to the pleural surface in the left lower lobe measuring 9-mm in thickness could reflect a small subsegmental infarct or postinflammatory l... | 1. New 18-mm lesion in the right hepatic lobe suspicious for a metastasis. Recommend correlation CT for further characterization.2. New nodular focus of consolidation in the left lower lobe unlikely to represent a metastasis given its configuration but could reflect a small subsegmental infarct or a postinflammatory le... |
Generate impression based on findings. | Female 68 years old; Reason: on an OSH CT scan of teh abd/pelcis, pt was found to a 2 mm RLL nodule; needs a dedicated chest CT; h/o smoking History: none. LUNGS AND PLEURA: Apical predominant emphysema is noted. There are multiple bilateral pulmonary micronodules most prominent in the lung bases. Reference right lower... | Multiple bilateral pulmonary micronodules, predominately in the lung bases. These are nonspecific and OSH imaging is not available for comparison at this time. Follow-up is CT recommended in 3 months given the patients age, distrubution and lack of signs of granulomatous disease to exclude metastatic lesions from an oc... |
Generate impression based on findings. | Metastatic follicular thyroid carcinoma. CHEST:LUNGS AND PLEURA: Numerous pulmonary nodules consistent with metastases. Postobstructive consolidation in the right lower lobe suspicious for infection. Index metastatic lesions as follows:Index lesion in the left upper lobe centrally cavitary and less dense compared to th... | 1. Overall improvement in size and density of pulmonary metastases. 2. New area of postobstructive consolidation in the right lower lobe could represent pneumonia; pulmonary infarction secondary to extrinsic compression of the pulmonary artery is considered less likely based on the appearance the cannot be entirely exc... |
Generate impression based on findings. | Male 59 years old; Reason: Head and neck screening evaluation. History: as above. CHEST:LUNGS AND PLEURA: Scattered bilateral pulmonary micronodules. No suspicious nodules. MEDIASTINUM AND HILA: Few mildly enlarged lymph nodes are seen in the lower mediastinum. No cardiomegaly or pericardial effusion.CHEST WALL: Right-... | No specific evidence of metastasis. Mildly enlarged lower mediastinal lymph nodes should be monitored on subsequent exams but are atypical in distribution for nodal metastases without more cranially located lesions. |
Generate impression based on findings. | 23-year-old female with right-sided abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No focal hepatic lesions. The gallbladder appears unremarkable.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKI... | No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Reason: evaluate lung mass History: cough LUNGS AND PLEURA: New large right upper lobe a solid appearing mass with spiculated margins measuring 28 x 23 mm (series 4, image 30). Portions of the mass stretch out to the pleura. There is a large bulla medial to this lesion.Ground glass opacity in the posterior left upper l... | 1.Right upper lobe solid appearing mass with spiculated margins highly suspicious for malignancy.2.Few groundglass opacities in the left lung with interval growth as noted above may also represent malignancy.. |
Generate impression based on findings. | 37-year-old female with dyspnea, evaluate for soft tissue swelling. The visualized intracranial contents are unremarkable. The visualized paranasal sinuses and mastoid air cells are clear. The visualized orbits are unremarkable.The airway is patent. The epiglottis is within normal limits. No exophytic mass or focal eff... | No specific CT findings to account for the patient's presenting symptoms. |
Generate impression based on findings. | Metastatic thyroid cancer on treatment. HEAD: There is no mass, edema, midline shift, acute hemorrhage, or abnormal contrast enhancement. The ventricles, sulci, and cisterns are stable in size and configuration. The skull and regional extracranial soft tissues are unremarkable. NECK: There are postoperative findings re... | 1.Stable postsurgical findings related to total thyroidectomy without evidence of locoregional tumor recurrence.2.No pathologically enlarged cervical lymph nodes.3.No evidence of intracranial metastases.4.Please refer to the separately dictated CT chest report regarding mediastinal adenopathy and pulmonary metastases. |
Generate impression based on findings. | T1N2b SCC left tonsil, p16+, enrolled in clinical trial (IRB 10-069) with IC cis/paclitaxel/cetux. Head: There is no evidence of abnormal intracranial enhancement or mass lesions. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuse... | Interval resolution of the left palatine tonsil squamous cell carcinoma without residual measurable disease and interval decrease in the cervical lymphadenopathy. |
Generate impression based on findings. | Benign neoplasm of cerebral meninges The patient has undergone right-sided craniotomy for removal of a right sided extra-axial mass. There is now a CSF space where the mass was adjacent to the right frontal lobe. There is associated intracranial air and a soft tissue swelling superficial to the craniotomy sitePeriventr... | 1.The patient is status post right-sided craniotomy with removal of a previously noted extra-axial mass. There are attendant and expected postsurgical changes present Please note that CT is less sensitive in detecting residual tumor than MRI with contrast.2.Periventricular and subcortical white matter changes of a mild... |
Generate impression based on findings. | 1mm slices - history of malignant meningioma, now with recurrence including bony involvement - 1mm slices for preop planning for cranial implantSigns and Symptoms: radiographic progression The patient has undergone left-sided craniotomy previously. On the prior MRI there are foci of enhancement along the cortical surfa... | 1.The patient is status post left-sided craniotomy. Previously identified enhancing lesion in the left frontal lobe cannot be identified on the current exam most likely because of the decrease sensitivity of CT relative to contrast enhanced MRI. The extent of vasogenic edema however is similar to the prior MRI exam.2.A... |
Generate impression based on findings. | Large cell non-Hodgkin's lymphoma status post 5 cycles of chemotherapy. The palatine tonsils appear unchanged and not significantly enlarged. The cervical lymph nodes are stable to slightly decrease in size. A reference left level 2 lymph node measures 4 x 5 mm (image 41, series 6), previously 5 x 6 mm. A right level 2... | Stable size and appearance of the palatine tonsils and stable to slightly decreased cervical lymph nodes without significant cervical lymphadenopathy by size criteria. |
Generate impression based on findings. | Male, 55 years old, left base of tongue squamous cell carcinoma. No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are intact. Mucosal thickening at the base of the tongue which projects into the vallecula is less con... | Response to therapy with reduction in size of a left level 2 lymph node. Nonspecific mucosal thickening at the tongue base has also improved. No evidence of intracranial disease. |
Generate impression based on findings. | Male, 79 years old, altered mental status. Images are degraded by motion artifact. Within this limitation, the following observations are made.No definite evidence of acute territorial ischemia is seen by CT. No acute intracranial hemorrhage or abnormal extra-axial fluid collections are detected.Ventricles and sulci re... | No definite acute abnormalities or other specific findings to account for the patient's symptoms. |
Generate impression based on findings. | 74-year-old male with history of right-sided chest pain and previous history of right lung adenocarcinoma. PULMONARY ARTERIES: Technically adequate study with no evidence of pulmonary embolism to the subsegmental level. The main pulmonary artery is unremarkable and there is no evidence of right heart strain.LUNGS AND P... | 1.No evidence of pulmonary embolus.2.Unchanged right middle lobe nodule which remains suspicious for indolent malignancy.3.Increased groundglass opacity surrounding right middle lobe nodule with airway debris, findings which suggest aspiration.4.Mildly enlarged right paratracheal and right hilar lymph nodes. |
Generate impression based on findings. | 56-year-old male patient with tense abdomen and abdominal pain. Evaluate for perforation. ABDOMEN:LUNG BASES: Redemonstration of marked emphysematous changes with bulla in the bilateral lung fields.LIVER, BILIARY TRACT: Hyperattenuating material layering in the gallbladder consistent with sludge. No ductal dilatation o... | 1.No pneumoperitoneum or evidence of bowel obstruction.2.Redemonstration of hypoattenuating lesion in the tail of the pancreas, which may represent an IPMN. |
Generate impression based on findings. | Dizziness and giddiness No evidence of intracranial hemorrhage or extra-axial fluid collection. Extensive periventricular and subcortical white matter, cerebellar, and basal ganglia hypodensities compatible with small vessel ischemic disease of indeterminate age. Vague hyperdensity along the anterior midbrain/pons junc... | 1.No evidence of an acute intracranial abnormality, although CT is not sensitive for the detection of acute nonhemorrhagic ischemia.2.Vague hyperdensity along the anterior midbrain/pons junction is nonspecific and would be better evaluated by MRI if clinically warranted.3.Extensive small vessel ischemic disease. |
Generate impression based on findings. | Abnormal coagulation profile, evaluate for intracranial hemorrhage No evidence of intracranial hemorrhage or extra-axial fluid collection. The ventricles and sulci appear normal in size and configuration. No mass-effect, midline shift or basal cistern effacement. The visualized paranasal sinuses and mastoid air cells a... | No evidence of an acute intracranial abnormality, although CT is not sensitive for the detection of acute nonhemorrhagic ischemia. |
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