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Generate impression based on findings. | 28 year-old female patient with abdominal distention. Evaluate for lymph node burden and ascites. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Numerous subcentimeter hypoattenuating lesions in the both lobes of the liver are redemonstrated and consistent with microabscess pattern. Hepatome... | 1.Stable retroperitoneal lymph node burden with scattered necrotic lymph nodes.2.Mucosal fold thickening of the small intestines consistent with MAI enteritis.3.Interval increase in L5 vertebral body lucent lesion. |
Generate impression based on findings. | Reason: assess for ischemic changes/bleed History: L sided paresthesia No evidence of intracranial hemorrhage or extra-axial fluid collection. The ventricles are normal in size and configuration. Slight asymmetric lobular tissue along the superior margin of the body of the left lateral ventricle is nonspecific. No mass... | 1.No evidence of an acute intracranial abnormality, although CT is not sensitive for the detection of acute nonhemorrhagic ischemia.2.Nonspecific lobular tissue adjacent to the left lateral ventricle may represent a focus of heterotopic grey matter, and would be better evaluated by MRI if clinically warranted. |
Generate impression based on findings. | Male, 75 years old, history of hypopharyngeal carcinoma in 1993, now with proven squamous cell carcinoma in the head and neck. Please note comparison is made to a nondiagnostic quality noncontrast CT PET from 2011, as well as the same day CT PET.Extensive postoperative change is demonstrated compatible with left neck s... | 1. Thickened ill-defined enhancing tissue at the left tongue base involving the vallecula, the preepiglottic space and perhaps the base of the epiglottis seems to be a new finding when compared to the prior examination of 2011 and is concerning for recurrent tumor.2. Vague thickening and irregularity of the pharyngeal ... |
Generate impression based on findings. | Reason: r/o mass/ bleed History: new onset intermittent twitching of left arm No evidence of intracranial hemorrhage or extra-axial fluid collection. Focal hypodensity in right parietal lobe adjacent to the falx is nonspecific but may represent a focus of edema, mass lesion, or less likely ischemia. The ventricles and ... | Nonspecific focal hypodensity in the right parietal lobe may represent a focus of edema, mass lesion, or less likely, ischemia and would be better evaluated by MRI.Findings discussed with Dr. Derani at on 11/9/2013 at 10:45 a.m. |
Generate impression based on findings. | 72-year-old male with history of parotid cancer. CHEST:LUNGS AND PLEURA: The tracheobronchial tree is unremarkable. There are innumerable bilateral pulmonary nodules, the largest of which is in the right upper lobe (series 5 Image 50) and measures 19 x 13 mm. There is also a small calcified nodule in the right lung bas... | 1.Innumerable bilateral pulmonary nodules consistent with metastases, the largest of which is a right upper lobe nodule measuring 19 x 13 mm.2.Subcarinal and right hilar lymphadenopathy, some of which is calcified and likely represents prior granulomatous disease.3.Gastric tube with balloon which appears outside of the... |
Generate impression based on findings. | 69-year-old female patient with abdominal pain and nausea. Evaluate for obstruction. Note that the lack of intravenous contrast limits evaluation of vasculature, lymph nodes and solid viscera.ABDOMEN:LUNG BASES: Bilateral ground-glass opacities, consistent with pulmonary edema. Cardiomegaly with pacemaker in place.LIVE... | 1.Bowel is normal in caliber without evidence of obstruction.2.Fat-containing umbilical hernia. |
Generate impression based on findings. | Reason: eval for intracranial lesion, normal pressure hydrocephalus History: AMS, jerking No evidence of intracranial hemorrhage or extra-axial fluid collection. Extensive periventricular white matter hypodensity compatible with small vessel ischemic disease of indeterminate age. Focal hypodensity in the right cerebell... | 1.No evidence of an acute intracranial abnormality, although CT is not sensitive for the detection of acute nonhemorrhagic ischemia.2.Ventricles and sulci are prominent, consistent with parenchymal volume loss, which complicates the evaluation of hydrocephalus. MRI can be performed as clinically warranted.3.Extensive s... |
Generate impression based on findings. | 66-year-old female patient with abdominal pain, nausea, vomiting and history of small bowel obstruction on 7/2013. Evaluate for small bowel obstruction. Note that the lack of intravenous contrast limits evaluation of vasculature, lymph nodes and solid viscera.ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, ... | Findings consistent with chronic partial small bowel obstruction, possibly secondary to adhesions in the right lower abdomen. |
Generate impression based on findings. | Reason: migraines. patient with uterine mass with mets to lungs. please evaluate for metastatic disease History: migraines No intracranial mass or abnormal enhancement. No mass-effect, midline shift or basal cistern effacement. The ventricles and sulci appear normal in size and configuration. The visualized paranasal s... | No intracranial mass or abnormal enhancement. |
Generate impression based on findings. | Female, 84 years old, altered mental status. Subarachnoid hemorrhage. The left temporal parenchymal hematoma has diminished in size and density compatible with interval evolution/resorption. The degree of mass effect is stable to slightly improved.Subarachnoid extension involving the left frontoparietal and left occipi... | Continued expected evolution of left temporal parenchymal and subarachnoid blood product. No evidence of new bleeding is seen.Very mild expansion of bilateral low density subdural hemispheric collections compatible with hygromas. |
Generate impression based on findings. | Motor vehicle collision. Diffuse abdominal tenderness. Lumbar spine pain. ABDOMEN:LUNG BASES: No focal air space opacities or pleural effusions.LIVER, BILIARY TRACT: Normal-appearing liver, without focal lesions or evidence of traumatic injury. Normal appearing gallbladder, without ductal dilatation.SPLEEN: Normal-appe... | Normal examination. No evidence of traumatic injury. |
Generate impression based on findings. | Male 49 years old; Reason: eval rectus sheath hematoma, possibly suprainfected and right psoas hematoma History: purulent discharge ABDOMEN:LUNGS BASES: Bibasilar subsegmental atelectasis and small trace effusions.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: ... | 1.Status post drain placement in the left body wall/rectus abscess. With stable slight decrease in the size of the abscess.2.Right psoas muscle hematoma, decreased in size. |
Generate impression based on findings. | Reason: hemorrhage History: hemorrhage CT head:Large left parenchymal hematoma involving the basal ganglia, insula, and inferior left frontal lobe with intraventricular extension evidenced by blood layering in the occipital horns. There is modest surrounding edema and local mass effect without evidence of herniation. S... | 1.Large left parenchymal hematoma with intraventricular extension and moderate local mass effect.2.Along the medial margin of the hematoma is an enlarged venous structure, which by virtue of its CT density, reflects some degree of arteriovenous shunting. There is an unusual artery arising from the anterior communicatin... |
Generate impression based on findings. | 56 year old female patient with abdominal pain. Evaluate for appendicitis. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Hypoattenuating lesion with peripheral nodular enhancement at the hepatic dome likely represents a hemangioma. There is a subcentimeter hypoattenuating lesion in the righ... | 1.Dilated, fluid-filled appendix without adjacent inflammatory changes, consistent with a mucocele. The appendix is enlarged compared to examination in 2009. Cannot rule out underlying neoplasia in the mucocele.2.Stable left adnexal lesion. |
Generate impression based on findings. | Female 27 years old; Reason: assess edema , inflammation, obstruction History: recurrent gut cramping in setting of GVH 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... | 1.Patchy enhancement of the kidneys most suggestive of an infectious process such as pyelonephritis. No abscess or hydronephrosis.2.Nonspecific thickening of the terminal ileum, distal colon and rectum. |
Generate impression based on findings. | 55-year-old male with history of head and neck cancer. CHEST:LUNGS AND PLEURA: There is a small right tracheal diverticulum at the thoracic inlet, otherwise the tracheobronchial tree is unremarkable. The pleura are unremarkable. There is a stable right middle lobe micronodule. There is nonspecific bronchial wall thicke... | No evidence of metastatic disease. |
Generate impression based on findings. | Female 56 years old; Reason: pancreatitis, masses on left ABDOMEN:LUNGS BASES: Left talar parenchymal opacities, trace pleural effusion and calcified pleural plaque.LIVER, BILIARY TRACT: Subcentimeter hypoattenuating lesion in segment 7 of the liver (image 19/series 3 is too small to characterize. No evident biliary du... | 1.Suboptimal exam without contrast. Findings of neoplastic disease in the chest involving the ribs.2.Hypodense hepatic lesion too small to characterize without contrast.3.Pancreatic ductal dilatation of unclear etiology. Consider M.R.C.P. when able. |
Generate impression based on findings. | Female 40 years old; Reason: Acute RUQ abdominal pain with hx of pancreatitis. Evaluate for cholecystis or pancreatitis. History: RUQ abdominal pain and tenderness ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. Gallbladder contai... | 1.Findings of early cholecystitis with pericholecystic inflammation and gallstones. No evident gallbladder wall thickening, necrosis or fluid collections. |
Generate impression based on findings. | 61-year-old male with history of multiple myeloma prior to stem cell transplant and right mid lung opacity seen on recent radiograph. LUNGS AND PLEURA: There is a focus of apical segment right upper lobe scarring and bronchial wall thickening. There are nodular fissural densities which likely represent intrapulmonary l... | The opacity seen on prior chest radiograph is not seen on CT images and most likely represented resolved atelectasis. There is no evidence of acute pulmonary process or masses.Diffuse heterogeneous bone marrow appearance consistent with patient's known multiple myeloma.Incidentally noted goiter in the left lobe of the ... |
Generate impression based on findings. | Reason: mets? bleed? History: metastatic pancreatic ca, vertigo, falls No evidence of intracranial hemorrhage or extra-axial fluid collection. Evaluation of metastatic disease is limited in the absence of intravenous contrast. The ventricles and sulci appear normal in size and configuration. No mass-effect, midline shi... | 1.No evidence of an acute intracranial abnormality, although CT is not sensitive for the detection of acute nonhemorrhagic ischemia.2.Evaluation for metastatic disease is limited in the absence of intravenous contrast. |
Generate impression based on findings. | 75-year-old male with history of head and neck cancer. LUNGS AND PLEURA: The tracheobronchial tree is unremarkable. The pleura are unremarkable.There are multifocal dependent pulmonary masses with central fat and an irregular rim of soft tissue and centrilobular nodules in the bilateral lower lobes and right middle lob... | 1.Bilateral lipoid pneumonia.2.Enlarged prevascular, right paratracheal, left hilar lymph, and intra-abdominal lymph nodes. |
Generate impression based on findings. | Female 42 years old; Reason: Source of abd pain History: RUQ, RLQ, LLQ abd pain 10 days after EGD and colonoscopy ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver contour is smooth. No suspicious hepatic lesions. Hepatic and portal veins are patent. Status post cholecystectomy. No bilia... | 1.Status post cholecystectomy without biliary ductal dilatation or pancreatitis. 2.No free air or free fluid.3.No bowel obstruction. |
Generate impression based on findings. | 81 year old female with history of head and neck cancer, intubated and with stridor. LUNGS AND PLEURA: The patient is intubated, otherwise the tracheobronchial tree is unremarkable. There are scattered pulmonary micronodules, some of which are calcified. There is pleural-parenchymal scarring at the apices and mild apic... | Increasing consolidation at the right lung base with new consolidation in the left lung base compatible with bilateral atelectasis, suspected aspiration pneumonia. |
Generate impression based on findings. | Female 74 years old; Reason: 74 yo female with multiple myeloma with left hip pain History: hip pain CHEST:LUNGS AND PLEURA: Right lower lobe lung mass extending along the major fissure to the lateral pleural surface measures 4.7 x 3.4 cm (image 61/series 5) . The lesion is mildly hypermetabolic on the corresponding PE... | Right lower lobe lung mass differential considerations include primary lung malignancy. Infectious etiology are a possibility given the calcifications. However lung malignancy must be excluded. |
Generate impression based on findings. | Reason: new leukemia diagnosis, ataxia, LE weakness, syncope History: ataxia, LE weakness, syncope Images are severely degraded by motion artifact. No evidence of large intracranial hematoma or large extra-axial fluid collection. The ventricles and sulci are prominent, compatible with age-related parenchymal loss. No s... | 1.Images degraded by motion artifact. Within this limitation, there is no evidence of an acute intracranial abnormality, although CT is not sensitive for the detection of acute nonhemorrhagic ischemia.2.Sphenoid sinusitis. |
Generate impression based on findings. | 52-year-old male with history of tonsillar cancer and right neck mass. LUNGS AND PLEURA: The tracheobronchial tree is unremarkable. There is apical pleural parenchymal scarring. There are new linear opacities in the inferior lingula which represent scarring and early rounded atelectasis.MEDIASTINUM AND HILA: There is e... | 1.No evidence of metastatic disease.2.Stable multinodular thyroid. |
Generate impression based on findings. | 69-year-old male with history of gastric cancer and now with acute onset shortness of breath. PULMONARY ARTERIES: This study is somewhat limited by respiratory motion but demonstrates embolus the right main pulmonary artery at the bifurcation extending into the truncus anterior and interlobar artery. There are multiple... | 1.Right main pulmonary artery emboli with multiple right-sided lobar, segmental and subsegmental emboli. These findings were relayed to Dr Patel by phone at 11:55 on 11/9/13.2.Bilateral pleural effusions, right greater than left with adjacent atelectasis.3.Soft tissue mass in the anterior epigastrium with mediastinal a... |
Generate impression based on findings. | Male 45 years old; Reason: Hx of Hodgkin's Disease History: Evaluate extent of disease CHEST:LUNGS AND PLEURA: Nodule along the right minor fissure is unchanged and most likely represents an intrapulmonary lymph node. Minimal middle lobe atelectasis.Subtle ground-glass parenchymal opacities worse in the upper lobes wit... | 1.No change in the small lymph nodes in the chest, abdomen and pelvis |
Generate impression based on findings. | Female 53 years old; Reason: adrenal nodule, pls assess for changes History: adrenal nodule ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver contour is smooth. Well marginated hypodense liver lesion in segment 6 measures 11 mm and is unchanged. There is fatty infiltration of the liver.H... | 1.8mm left adrenal lesion most likely an adenoma, unchanged.2.Cholelithiasis.3.Stable right hepatic lobe 11 mm lesion likely representing a cyst.4.Hepatic steatosis |
Generate impression based on findings. | Male, 68 years old, left-sided weakness. No definite CT evidence of acute territorial ischemia. Extensive periventricular hypoattenuation compatible with advanced age indeterminate small vessel ischemic disease.No focal edema or mass effect. No intracranial hemorrhage or abnormal fluid collections. The ventricular syst... | Advanced age indeterminate small vessel ischemic disease. No definite acute intracranial abnormalities are detected. However, if clinical concern persists, follow-up with MRI would be appropriate. |
Generate impression based on findings. | Female 53 years old; Reason: assess for abscess, ruptured bladder History: ams, recent Foley catheterization, firm abd, hypotensive ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in contour. Hyperdense material in than the gallbladder suggests either bile or stones.SPLEEN: N... | 1.No CT evidence intraperitoneal or retroperitoneal hematoma.2.Gas in the bladder and possibly in the wall. Correlate for infection or recent instrumentation.3.Nodular bilateral renal contours, unchanged but further evaluation is suggested.I personally reviewed the Images and/or procedure with the Resident/Fellow and a... |
Generate impression based on findings. | Male 60 years old; Reason: IRB 10-666 Re-evaluate disease status following additional systemic therapy; compare to previous and provide bi-dimensional measurements History: stage IV metastatic melanoma CHEST:LUNGS AND PLEURA: Subcentimeter left lower lobe pulmonary nodule, unchanged. No dominant lung lesion. The pleura... | 1.Stable exam without recurrent lymphadenopathy. |
Generate impression based on findings. | Female 79 years old; Reason: history of microscopic hematuria, please evaluate with CT urogram delayed imaging. History: microscopic hematuria ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: Age related fatty... | 1.Mild renal cortical atrophy. No nephrolithiasis, or focal mass to explain the patient's symptoms. |
Generate impression based on findings. | Female 46 years old; Reason: RLQ pain, h/o NSAID use r/o colitis, chololithiasis. History: Intermittent RLQ pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS... | 1.No colitis or cholelithiasis as clinically questioned.2.Complex right renal lesions. Follow-up renal MRI is suggested. |
Generate impression based on findings. | Male, 57 years old, hydrocephalus, hemiplegia. Interval removal of the right frontal approach ventriculostomy catheter. Procedure related air demonstrated in the ventricles. Small calcific fragment along the shunt tract may reflect small bony fragment from the burr hole. Ventricular caliber is not substantially changed... | 1. Continued resolution of right thalamic/basal ganglia hematoma.2. Interval removal of the right frontal approach into the shunt catheter with stable size of ventricles.3. No new hemorrhage is seen. |
Generate impression based on findings. | Male 54 years old; Reason: Eval for renal/ureteral stones - history of gross hematuria History: gross hematuria, h/o episode of right groin pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: The liver has a smooth contour. The lack of intravenous contrast limits evaluation of the hepatic r... | 1.No evident nephrolithiasis or hydronephrosis. Study is suboptimal to evaluate for solid renal or collecting system masses. |
Generate impression based on findings. | Male 30 years old; Reason: r/o obstruction History: Crohn's s/p ileocecectomy, questionable appendicitis 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 sig... | 1.Findings of slow transit (partial bowel obstruction) involving the ileum most likely due to active Crohn disease and possible stricturing.2.Surrounding small amount of mesenteric ascites and mesentery hypervascularity indicate active inflammation. Ascites may be due to obstruction as well. |
Generate impression based on findings. | Male, 57 years old, status-post EVD placement. Right thalamic/basal ganglia hematoma is similar to the immediate prior exam and smaller than on more remote exams. Parenchymal edema and mass effect are similar to prior. Minimal persistent layering blood in the occipital horns. No new hemorrhage detected. Minimal persist... | 1. Right basal ganglia/thalamic hematoma similar to immediate prior but reduced when compared to more remote studies.2. No new hemorrhage detected.3. Findings subsequent to removal of the right frontal approach ventricular catheter. Intraventricular air is slightly reduced. There is a developing thin subgaleal fluid co... |
Generate impression based on findings. | 61-year-old female with abnormal chest radiograph. LUNGS AND PLEURA: The tracheobronchial tree is unremarkable. There are moderate bilateral pleural effusions, right greater than left. There is significant bilateral lower lobe consolidation along with smaller areas of nodular consolidation in the bilateral upper lobes.... | 1.Bilateral lower lobe consolidation along with multifocal upper lobe nodular consolidation suggestive of multifocal pneumonia, possibly fungal in origin.2.Pulmonary edema, ascites, soft tissue swelling, and biatrial enlargement suggestive of fluid overload.3.Asymmetric swelling of the left lateral breast soft tissues ... |
Generate impression based on findings. | Male 84 years old; Reason: assess for systemic malignancy History: weight loss, progressive polyneuropathy CHEST:LUNGS AND PLEURA: Small bilateral pulmonary micronodules. No dominant lung lesion. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. Extensive coronary artery ... | 1.1.9-cm cystic mass in the pancreas most likely representing a side branch type IPMN. This may be further evaluated with M.R.C.P.2.Renal parenchymal scarring.3.Probable biliary hamartomas in the liver. |
Generate impression based on findings. | Male, 60 years old, history of tongue cancer, also with lung cancer, status post CRT. Patchy white matter hypodensities are redemonstrated most likely indicative of small vessel ischemic disease. No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of ... | 1. No evidence of active disease in the neck.2. No intracranial metastatic disease. |
Generate impression based on findings. | Male, 35 years old, syncope, intoxication. Evaluate for fracture/dislocation/intracranial abnormality. 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 midli... | 1. No acute intracranial abnormality.2. No cervical spine fracture or dislocation. |
Generate impression based on findings. | Female, 84 years old, severe headache. Hypertensive urgency. Mild scattered white matter hypodensities are seen, a nonspecific finding which likely reflects age indeterminate small vessel ischemic disease. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect o... | No acute intracranial abnormality. |
Generate impression based on findings. | Female 81 years old; Reason: pe? History: cp, elevated d-dimer. PULMONARY ARTERIES: No pulmonary emboli. Normal caliber to the pulmonary arteryLUNGS AND PLEURA: Moderate apical predominant emphysema. Diffuse nodular pleural thickening in the apical area of the left hemithorax, and to a lesser extent at the left base. T... | 1.No pulmonary emboli.2.Significant improvement in the left-sided pleural effusion.3.Again seen is diffuse pleural thickening in the apical and left medial posterior aspect of the pleura, suspicious for neoplasm.4.Precardiac lymphadenopathy, unchanged. |
Generate impression based on findings. | Female, 60 years old, numbness in fingers. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift. The ventricles and basal cisterns are patent and n... | Unremarkable evaluation. |
Generate impression based on findings. | Female, 23 years old, adult of treatment, head trauma, evaluate for bleed or fracture. Head: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. T... | 1. No acute intracranial abnormality.2. Mild soft tissue swelling of the forehead and left periorbital region. No orbital fractures. No injury to the orbital contents. |
Generate impression based on findings. | Male 53 years old; Reason: please eval R heart mass, pancreas for complications of pancreatitis History: abn cxr, pancreatitis, prior pseudocyst v. abscess CHEST:LUNGS AND PLEURA: Subpleural blebs in the left upper lobe anterior subsegmental. Scattered subsegmental atelectasis.The pleural spaces are clear. No focal con... | 1.Findings compatible with pancreatitis.2.Hypodense pancreatic uncinate process lesion recommend follow-up contrast enhanced MRI for further characterization as pancreatic neoplasm is not excluded.3.No drainable fluid collections. |
Generate impression based on findings. | Female 52 years old; Reason: s/p roux en y gastric bypass with persistent nausea and emesis History: nausea and emesis CHEST:LUNGS AND PLEURA: Calcified left lower pulmonary granulomata and basilar linear atelectasis. No pleural effusions. No pneumothorax.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effus... | 1.Bowel obstruction probably due to edema at the distal anastomotic site in the jejunum. The proximal loops are dilated up to 4 cm with distal loops collapsed. Follow up is suggested. |
Generate impression based on findings. | Male 79 years old; Reason: stone History: hematuria and back pain ABDOMEN:LUNGS BASES: Emphysema with areas of atelectasis. Probable blebs involving the right lung base. No pleural effusions.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormal... | 1.No nephrolithiasis or hydronephrosis as clinically questioned.2.Compression fracture of the L4 vertebral body. |
Generate impression based on findings. | Female, 68 years old, 10 out of 10 headache status post fall with blunt head trauma to the right occiput. Moderate periventricular and subcortical white matter hypoattenuation is seen, a nonspecific finding which likely reflects age indeterminate small vessel ischemic disease. No intracranial hemorrhage or abnormal ext... | 1. No acute intracranial abnormality.2. Right parietal subgaleal hematoma and fairly diffuse soft tissue swelling involving the scalp and right face. |
Generate impression based on findings. | Female 21 years old; Reason: r/o stone, assess for ovarian cyst History: LLQ pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality no... | 1.No distal ureteral or bladder calculi.2.Bilaterally ovarian cysts, possibly physiologic. If patient's symptoms persist, consider pelvic sonography. |
Generate impression based on findings. | Male 43 years old; Reason: inflammatory bowel disease, continued abdominal pain History: severe abdominal pain after colonoscopy ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: Pancreatic duct is dilated meas... | 1.Right hemicolectomy and ileo-colonic anastomosis in the right midabdomen with mucosal edema and wall thickening involving the colon (transverse colon) without evident findings of perforation or abscess formation.Differential considerations include inflammation from inflammatory bowel disease, infection. Ischemia is c... |
Generate impression based on findings. | Female 40 years old; Reason: ?etiology of sob History: active cancer. PULMONARY ARTERIES: No pulmonary emboli. Normal caliber of the main pulmonary artery. No right heart strain.LUNGS AND PLEURA: Interval development of a small right pleural effusion with overlying atelectasis. Stable left apical nodule which measures ... | 1.No pulmonary emboli.2.Interval development of a small right pleural effusion with overlying atelectasis.3.Stable pulmonary nodules and pleural thickening. 4.Continued interval increase in the mediastinal and left hilar lymphadenopathy.5.Interval increase in the size of the small right chest wall fluid collection with... |
Generate impression based on findings. | Female 87 years old; Reason: Hemothorax - assess vascular etiology History: Hemothorax - assess vascular etiology CHEST:LUNGS AND PLEURA: The right middle pulmonary nodule has resolved. Moderate emphysematous changes and right dependent pulmonary consolidation.Left basilar and right paramediastinal upper lobe atelectat... | 1.Chronic lung changes without evident source for a hemothorax. |
Generate impression based on findings. | Female 20 years old; Reason: infiltrate History: fever, cough, sob, abnormal cxr. LUNGS AND PLEURA: Multiple scattered bilateral pulmonary micronodules. Left lingular consolidation consistent with pneumonia.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Mild cardiomegaly without pericardial effusion.CHE... | 1.Left lingular consolidation consistent with pneumonia.2.Incompletely visualized soft tissue or high fluid attenuation masses in the expected regions of the adrenal glands of uncertain etiology. Abdominal CT or ultrasound may be considered for further evaluation. |
Generate impression based on findings. | Cellulitis, check for abscess Exam limited without intravenous or bowel contrast. Within this limitation, the lower pelvis and contents are unremarkable and symmetric.Starting soft tissues of the pelvis and upper limbs demonstrate a focal area of induration and possible small focus of fluid subcutaneously overlying the... | Small questionable subcutaneous focal fluid collection and/or changes representing a questionable early abscess overlying the right hip anteriorly. Please correlate with physical exam and consider ultrasound imaging |
Generate impression based on findings. | Female 64 years old; Reason: Evaluate for renal or bladder mass or nephrolithiasis as source of painless hematuria History: Hematuria ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver has a smooth contour. Status post cholecystectomy. No intra-or extrahepatic biliary ductal dilatation. T... | 1.No nephrolithiasis or hydronephrosis.2.No evident focal renal mass or collecting system mass.3.Duplication of the left renal collecting system up to the level of the pelvis where there is a single entry into the bladder. No hydronephrosis or obstruction. While this is a normal variant, it may account for the patient'... |
Generate impression based on findings. | Male 73 years old; Reason: Cirrhosis, liver masses reported on CT 8/2013. reported negative on biopsy, but persistent RUQ pain. Evaluate for HCC History: RUQ pain, anorexia CHEST:LUNGS AND PLEURA: Minimal atelectasis at the lung bases. The pleural space are clear. No dominant lesion.MEDIASTINUM AND HILA: Heart size is ... | 1.Extensive hepatic metastases with almost entire replacement of the right hepatic lobe with tumor. The dominant tumor size is provided.2.Extensive peripancreatic and periceliac lymphadenopathy.3.The findings are compatible with a metastatic process of unknown primary. Given the cirrhosis, primary hepatocellular carcin... |
Generate impression based on findings. | Female, 48 years old, fever of unknown origin. The maxillary sinuses are small and completely opacified. The medial sinus walls are very thin to almost imperceptible and they seem to be retracting laterally. The ostiomeatal units are obstructed.There is compensatory expansion of the nasal cavity which is otherwise unre... | Opacified and apparently involuting maxillary sinuses compatible with long-standing outlet obstruction (silent sinus syndrome). Opacification of the right frontal sinus is also demonstrated. |
Generate impression based on findings. | Decreased range of motion and skin breakdown. Check for soft tissue infection versus osteomyelitis. Left ankle: Mild to moderate diffuse soft tissue swelling with questionable shallow ulceration along the medial aspect of the ankle. No discrete abnormal fluid collections or other findings to suggest deep soft tissue in... | Bilateral mild to moderate soft tissue changes suggesting diffuse induration and questionable shallow ulceration more pronounced the left. No underlying osseous abnormalities suggesting osteomyelitis or discrete abscess. |
Generate impression based on findings. | Male, 69 years old, paralysis agitans, status post deep brain stimulator placement with altered mental status. Assess for hemorrhage. Bilateral parietal approach deep brain stimulator leads are identified in stable position. Postoperative pneumocephalus has almost completely resolved.No evidence of acute intracranial h... | Expected postoperative findings status post deep brain stimulator placement. No acute abnormalities are seen. |
Generate impression based on findings. | Female, 86 years old, shortness of breath, wheezing, deviation of the trachea consistent with a large right-sided goiter. There is a homogeneous, soft tissue attenuation mass in the right paratracheal upper mediastinum measuring 4.8 x 4.0 cm transaxial and slightly greater than 5 cm craniocaudal. This lesion displaces ... | Large homogeneous soft tissue mass occupying the anterior and middle compartments of the upper mediastinum on the right. This results in leftward deviation and narrowing of the trachea.The lesion is in contact with the lower margin of the right thyroid lobe and may therefore be thyroid in origin. Other possible etiolog... |
Generate impression based on findings. | Male 42 years old; Reason: 11/7 CXR c/f ascending thoracic aorta ectasia/dilation, recommended CT Thorax History: no chest pain or SOB, possibly increasing dilation in CXR, no prior CTs in Epic CHEST:LUNGS AND PLEURA: Ground glass opacities in the apical posterior segment of the right upper lobe and scattered ground gl... | 1.No aortic aneurysm as clinically questioned.2.Groundglass opacities possibly due to infectious, inflammatory or related to sickle cell. |
Generate impression based on findings. | Female, 63 years old, non-Hodgkin's lymphoma, now neutropenic with fever. Evaluate for infectious source. The visualized intracranial contents are unremarkable. The soft tissues of the maxillofacial region are free of infiltration, pathologic enhancement and fluid collections.There is mild soft tissue fullness in the l... | 1. Vague soft tissue fullness is noted within the left orbital apex. This may be artifactual. However, further evaluation with dedicated orbital MRI is suggested.2. Relatively mild peripheral mucosal thickening is evident within the left maxillary sinus. There are no fluid levels or frothy debris to suggest an active i... |
Generate impression based on findings. | Female 63 years old; Reason: assess for infxn vs disease recurrence History: hx oh nhl, now neutropenic CHEST:LUNGS AND PLEURA: Subpleural reticulations and mild pleural thickening and nodularity. The subcentimeter pulmonary nodule has resolved. Scattered pulmonary micronodules for example, image 47/series 4 involving ... | 1.Stable exam without recurrent lymphadenopathy in the chest, abdomen or pelvis. |
Generate impression based on findings. | Female 38 years old; Reason: intraabd abn? History: writhing in pain, tympanic to percussion on L abd, TTP on RUQ/RLQ ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver has a smooth contour. No suspicious hepatic lesions. Hepatic and portal veins are patent. Status post cholecystectomy. B... | 1.Configuration suggests a duodenal switch procedure. Dilatation of the biliary limb and alimentary limb to the level of the distal anastomosis where there is a complete small bowel obstruction. Ascites indicates the obstruction is severe.2.Findings discussed with surgery team in person. |
Generate impression based on findings. | Male 69 years old; Reason: diverticulitis? History: intermittent LLQ pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver contour is smooth. Nonspecific subcentimeter hypodense hepatic lesions. Hepatic and portal veins are patent. No biliary ductal dilatation is evident.SPLEEN: No sign... | 1.3 mm calculus at the left UVJ with mild left hydronephrosis.2.Pelvic ascites possibly due to the ureteral stone. Follow up is suggested. |
Generate impression based on findings. | Female 32 years old; Reason: work up for sarcoidosis due to MRI brain findings History: left arm twitching and numbness CHEST:LUNGS AND PLEURA: No suspicious pulmonary lesions. The pleural spaces are clear. Minimal left basilar atelectasis. Possible atelectasis in the lingula..MEDIASTINUM AND HILA: Heart is severely en... | 1.Severe cardiomegaly.2.Findings suggestive of hepatomegaly.3.No specific findings of sarcoid. |
Generate impression based on findings. | Male 57 years old; Reason: metastatic melanoma, on dacarbazine, please eval for progression History: melanoma CHEST:LUNGS AND PLEURA: Bilateral pulmonary metastatic deposits. Right lower lobe pulmonary lesion measures 1.2 x 1.0 cm (image 86/series 5) previously, 1.0 x 0.9 cm.Left lung base lesion measures 0.6 x 0.6 cm ... | 1.Near stable size measurements of the reference lesions. No definite new lesions. |
Generate impression based on findings. | Male, 57 years old, status-post EVD placement. Postop change demonstrated consistent with placement and removal of a right frontal approach ventricular shunt. Procedure-related air within the ventricles persists with some redistribution. Air within the right parietal subcutaneous space is reduced and there is a small a... | 1. Right basal ganglia/thalamic hematoma appearing similar in size to the prior exam.2. No new hemorrhage is detected.3. Very slight interval increase in the caliber of the lateral ventricles. |
Generate impression based on findings. | Male, 57 years old, history of metastatic melanoma. 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. Stable left maxillary sinus mucous retention cyst.Aerodigestive tract is unremarkable. No soft tissue m... | No evidence of active disease in the neck. |
Generate impression based on findings. | Female 57 years old; Reason: baseline study for new leukemia patient History: new leukemia diagnosis. LUNGS AND PLEURA: Apical centrilobular emphysema. Bilateral streaky opacities in the dependent distribution represent atelectasis. No focal consolidation or pleural effusion.MEDIASTINUM AND HILA: Right-sided central ve... | No lymphadenopathy, suspicious lesions or evidence of metastasis. |
Generate impression based on findings. | Male 72 years old; Reason: 72yo M with pulmonary fibrosis, persistent pneumothorax s/p chest tube, eval prior to endobronchial valve placement History: persistent pneumothorax. LUNGS AND PLEURA: Again seen is a moderate right pneumothorax and known chest tube, unchanged in position. Underlying diffuse groundglass opaci... | 1.Right-sided pneumothorax and severe subcutaneous emphysema status post right-sided chest tube placement.2.Acute edema or atypical infection superimposed on chronic interstitial and fibrotic lung changes. |
Generate impression based on findings. | Female, 68 years old, status post fall. Headache. Neck pain. Straightening of the cervical lordosis is likely positional. No acute malalignment seen.There is degenerative type loss of vertebral body height secondary to endplate irregularity and Schmorl's node deformities. No evidence of traumatic fracture is seen.Disk ... | 1. No cervical spine fracture or acute malalignment.2. Fairly extensive degenerative disk disease, most severe at C4-5 where there is a large posterior disk-osteophyte complex likely resulting in spinal canal stenosis. |
Generate impression based on findings. | Male, 74 years old, status-post fall. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift. The ventricles and basal cisterns are patent and normal... | No acute intracranial abnormality. |
Generate impression based on findings. | Male, 11 years old, history of head trauma presenting with worsening headache for the last month. 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 sh... | Unremarkable evaluation. |
Generate impression based on findings. | Female 86 years old; Reason: Assess for tracheal narrowing. History: Wheezing, shortness of breath, deviation of the trachea the thoracic inlet level consistent with a large right-sided goiter. LUNGS AND PLEURA: No focal consolidation, pleural effusion or pneumothorax. Small left pleural effusion and atelectasis is not... | Right upper mediastinal soft tissue mass causing leftward deviation of the trachea but no significant narrowing.MEDIASTINUM AND HILA: Within the right upper mediastinum is a well-defined trauma rounded, 3.9 x 4.4 cm mass which causes leftward deviation of the trachea and esophagus by 22 cm. The left mass diameter is is... |
Generate impression based on findings. | to eval if any acute change from previous stroke There is redemonstration of a left sided intraparenchymal hematoma involving the left caudate nucleus and adjacent basal ganglia and internal capsule measuring approximately 38 x 32 mm axial dimensions which is unchanged since prior exams and associated with a mild to mi... | 1.Stable left basal ganglia and adjacent to white matter hematoma associated with intraventricular and subarachnoid blood. The lateral ventricle size and the mass effect are stable. |
Generate impression based on findings. | to eval if any acute change from previous stroke There is redemonstration of a left sided intraparenchymal hematoma involving the left caudate nucleus and adjacent basal ganglia and internal capsule measuring approximately 38 x 32 mm axial dimensions which is unchanged since prior exams and associated with a mild to mi... | 1.Stable left basal ganglia and adjacent to white matter hematoma associated with intraventricular and subarachnoid blood. The lateral ventricle size and the mass effect are stable. |
Generate impression based on findings. | 41 year old female patient with right flank pain and history of kidney stones. Evaluate for renal calculi. Note that the lack of intravenous contrast limits evaluation of vasculature, lymph nodes and solid viscera.ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Hepatomegaly, measuring 22 cm i... | Mild right hydronephrosis with dilatation of the proximal two thirds of the right ureter. 4 mm calcification in the area of the right UVJ suspicious for renal calculus versus phlebolith. |
Generate impression based on findings. | Reason: known UE DVT, please assess for PE History: hypoxia PULMONARY ARTERIES: Technically adequate examination. New equivocal filling defect in segmental right pulmonary artery extending into the proximal upper lobe pulmonary artery (image 80/308) which may represent an embolus versus a web. It does appear new versus... | 1.New equivocal filling defect in segmental right pulmonary artery extending into the proximal upper lobe pulmonary artery which may represent an embolus versus a web. It does appear new versus prior study. The clinical significance of such a finding is unknown. 2.New complete left lower lobe atelectasis with presumed ... |
Generate impression based on findings. | 51 old female with history of tachycardia and tachypnea with hypoxemia, evaluate for PE. PULMONARY ARTERIES: No pulmonary embolus.LUNGS AND PLEURA: Diffuse, sharply demarcated areas of groundglass opacities are seen in all lobes in a predominantly central distribution with sparing of the CP angles. No pleural effusions... | 1.No pulmonary embolus.2.Parenchymal findings are nonspecific but may represent acute noncardiogenic pulmonary edema secondary to an acute drug or transfusion reaction. Atypical infection or pulmonary hemorrhage are considered less likely given the distribution and clinical context. |
Generate impression based on findings. | 68 year-old male with hemorrhagic stroke A right parenchymal hemorrhage has slightly decreased in size over the interim. Residual subarachnoid hemorrhage remains similar to prior study although there has been some redistribution. Blood within the occipital horns is stable. The ventricular system remain within normal si... | 1.No interval new hemorrhage.2.Slight decrease in size of right hemispheric hemorrhagic stroke.3.Essentially stable intraventricular and subarachnoid hemorrhage given some interval redistribution.4.Stable normal size of ventricular system. |
Generate impression based on findings. | 62-year-old male with sharp pain in back and site of CT guided biopsy. History of a metastatic urothelial carcinoma with sarcomatoid differentiation. CHEST:LUNGS AND PLEURA: Interval development of large loculated fluid collections involving the left lung pleura. Multiple left pleural and pulmonary nodules are also ide... | 1. Interval development of multiple loculated fluid collections involving the left lung/pleura suspicious for empyema, correlate for fever and white blood cell count.2. Interval decrease in pelvic and lower abdominal fluid collections.3. Redemonstration of diffuse metastatic pulmonary and pleural disease.4. Unchanged p... |
Generate impression based on findings. | Abdominal pain and vomiting. Evaluate for appendicitis. ABDOMEN:LUNG BASES: No air space opacities or pleural effusions.LIVER, BILIARY TRACT: Normal appearance of the liver, without focal lesions or ductal dilatation. Normal appearance of the gallbladder.SPLEEN: Normal in appearance.PANCREAS: Normal in appearance.ADREN... | 5-mm obstructing stone in the distal right ureter, with mild hydroureter and hydronephrosis. |
Generate impression based on findings. | Fall. There is no evidence of acute 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 appears unremarkable, without evidence of displac... | Small left frontal scalp hematoma, but no evidence of intracranial hemorrhage or displaced calvarial fracture. |
Generate impression based on findings. | Right cheek melanoma. Left cheek biopsy: Solar damaged skin with rare reactive changes, no melanocytic lesion. Right cheek biopsy: solar elastosis, no melanocytic lesion, and cavernous hemangioma in the dermis. Head: There is no evidence of abnormal intracranial enhancement, mass, intracranial hemorrhage, or cerebral e... | Multiple bilateral cheek skin lesions with associated biopsy changes. Otherwise, no deep neck space masses or significant cervical lymphadenopathy. |
Generate impression based on findings. | Reason: 59-year-old male with history of head and neck cancer status post CRT 2/2011;developed lung primary and is now s/p right lower lobectomy for a T1aN0M0 stage IA adenocarcinoma History: as above CHEST:LUNGS AND PLEURA: Post op change on the right. Stable scarring and scattered micronodules which are presumably po... | No evidence of metastatic disease. |
Generate impression based on findings. | HCC last TACE 9/2012. Evaluate interval change from 1/2013, right upper quadrant pain Limited study, intravenous contrast was not administered. This limits the sensitivity to detect small lesions in solid organs and bowel.Suboptimal study due to breathing artifact.CHEST:LUNGS AND PLEURA: No significant abnormality note... | Limited study due to lack of IV contrast and breathing artifact in mid abdomen.Cirrhotic morphology of the liver. Interval increase in left hepatic dome lesions.New minimal fluid within the pelvis. |
Generate impression based on findings. | 36 year old female with history of painful respiration, tachycardia, shortness of breath, lupus and recent estrogen. PULMONARY ARTERIES: No pulmonary embolus to the segmental level.LUNGS AND PLEURA: Bibasilar atelectasis/scarring, with a mild bronchiolar wall thickening. The previously described right lower lobe nodule... | 1.No pulmonary embolus.2.Marked mediastinal and hilar lymphadenopathy, nonspecific, but in this age group most commonly due to sarcoidosis.3.Bibasilar atelectasis or scarring with mild bronchial wall thickening. |
Generate impression based on findings. | Reason: pt with lung ca s/p multiple chemo/rt History: Lung cancer-questionable disease CHEST:LUNGS AND PLEURA: Reference right apex/paratracheal mass measures 3.5 x 2.4 cm on image 37/150, slightly decreased versus 3.9 x 2.7 cm on prior. Small right pleural effusion as grossly stable. There is extensive pleural thicke... | 1. Reference left lower lobe nodule has decreased, though surrounding nodularity throughout the left lung has increased. The appearance and distribution of the nodule is nonspecific but more typical of bronchiolitis than metastases. Endobronchial spread of tumor can appear similarly, however, and continued follow up is... |
Generate impression based on findings. | 49-year-old male status post orthotopic heart transplant ABDOMEN: Exam is limited in the evaluation of solid organ pathology and vasculature due to lack of IV contrast.LUNG BASES: Small pleural effusions with associated atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality... | 1. Diffuse abdominal and pelvic ascites and multiple small prominent mesenteric lymph nodes which may be reactive in etiology. Carcinomatosis would be unlikely but cannot be excluded, correlate clinically.2. Normal appendix. |
Generate impression based on findings. | 22-year-old male needs CT of left wrist prior to surgery this a.m. Left wrist pain. TENDONS: No significant abnormality noted within the limitations of CT technique.BONES: Note is made of an impacted comminuted distal radius fracture with intra-articular extension involving the radiocarpal joint and dorsal displacement... | Comminuted distal radial and ulnar styloid fractures. |
Generate impression based on findings. | 57 years old male status-post EVD placement. Postop change demonstrated consistent with removal of a right frontal approach ventricular shunt. Procedure-related air within the ventricles has been less. Air within the right parietal subcutaneous space is reduced and there is a small amount of extracranial scalp fluid no... | 1. Right basal ganglia/thalamic hematoma appearing similar in size to the prior exam.2. No new hemorrhage is detected.3. Stable ventricular size. |
Generate impression based on findings. | 19 year-old female with right lower quadrant tenderness, evaluate for appendicitis ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis. No focal hepatic lesionsSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormalit... | 1. No specific findings to account for patient's symptoms.2. Cholelithiasis without evidence of cholecystitis. |
Generate impression based on findings. | 36-year-old male patient with history of type 2 diabetes, hypertriglyceridemia with recurrent pancreatitis. Please evaluate for pseudocysts, abscess or necrosis. ABDOMEN:LUNG BASES: Bilateral dependent atelectasis versus scarring.LIVER, BILIARY TRACT: Hypoattenuating liver parenchyma is consistent with fatty infiltrati... | Extensive peripancreatic fat stranding and fluid without evidence of pseudocyst, pseudoaneurysm, abscess or necrosis. |
Generate impression based on findings. | Reason: h/o recurrent larynx cancer History: r/o chest mets LUNGS AND PLEURA: New 46 x 25 mm mass in right lower lobe (image 48/96). Emphysema. Bronchial wall thickening.MEDIASTINUM AND HILA: New right hilar lymphadenopathy. Right paratracheal lymph nodes are stable. Atherosclerotic calcification of the aorta and its b... | Lower lobe mass with right hilar lymphadenopathy highly suggestive of malignancy. The appearance is more typical of primary lung carcinoma than metastatic disease. |
Generate impression based on findings. | AML, neutropenic fever. r/o sinusitis vs. left upper molar dental infection. There is dental amalgam within multiple teeth, including the left maxillary molars. There is periodontal lucency surrounding ADA 13. There is also periodontal lucency surrounding ADA 28, which also contains dental amalgam. There is moderate mu... | 1. Periodontal lucency surrounding ADA 13 and 28, which contain dental amalgam. 2. Moderate retention cyst formation within the left maxillary sinus, which is new since September 2013. |
Generate impression based on findings. | Reason: 68 female with relapsed AML, neutropenic fever. r/o infiltrate History: Neutropenic fever LUNGS AND PLEURA: New bilateral pleural effusions with mild compressive basal atelectasis. New faint upper lobe predominant patchy ground glass opacities which are nonspecific but can be seen with pneumonia or edema. New 1... | New bilateral pleural effusions with new ground glass opacities and right lower lobe nodule suggestive of infection, possibly fungal. There may be associated pulmonary edema.Findings communicated to Dr. King via text paging tool at the time of report. |
Generate impression based on findings. | Reason: 54 male with AML in remission receiving consolidation chemotherapy. Recurrent fevers with prior probable fungal pneumonia per CT, has been on treatment. Assess for interval change. History: AML with fever LUNGS AND PLEURA: Widespread multifocal bilateral nodular opacities highly suggestive of fungal pneumonia. ... | Widespread multifocal bilateral nodular opacities highly suggestive of fungal pneumonia. Overall the majority of the opacities show no significant change. While the two largest areas have decreased in size, a small subcentimeter nodule in the superior left lower lobe is equivocally new, but definitely increased. |
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