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Generate impression based on findings. | 69 year old with malignant melanoma of the skin CHEST:LUNGS AND PLEURA: Emphysematous changes in the lung.Nor pleural effusion. Few micronodules bilaterally.MEDIASTINUM AND HILA: Small to mediastinum, referenced subcarinal lymph node measures 2.2 x 1.4 cm (image 39, 3).CHEST WALL: No significant abnormality notedABDOME... | 1. Mediastinal lymphadenopathy.2. Mesenteric haziness with a discrete mass with punctate calcification suspicious for metastases.3. Indeterminate left adrenal nodule. |
Generate impression based on findings. | Female 27 years old; Reason: assess for source of infection History: abd pain, severe sepsis 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 abn... | 1.Note is made of numerous prior CT exams. No anatomic findings to explain the patient's symptoms. |
Generate impression based on findings. | Febrile neutropenia, recurrent fevers. R/O sinus infection. There is partial opacification of the bilateral anterior ethmoid sinuses and frontoethmoid recesses. There is mild mucosal thickening within the bilateral maxillary sinuses without evidence of air-fluid levels. The frontal and sphenoid sinuses are clear. There... | 1. Mild paranasal sinus opacification in a sporadic pattern with slight interval increased opacification of the right conchae bullosa.2. Partial opacification of the left mastoid air cells, which has increased slightly. |
Generate impression based on findings. | Fungal sinusitis and nasal polyps s/p ESS in Nov 2012. There are interval postoperative findings related to endoscopic sinus surgery for evacuation of fungal debris and removal of sinonasal polyposis, including right uncinectomy, partial right middle turbinectomy, right internal ethmoidectomy, and right sphenoidotomy. ... | Interval endoscopic sinus surgery with mild residual mucosal thickening in the previously affected sites, but no discernable hyperattenuating material to suggest residual fungal debris. |
Generate impression based on findings. | 25-year-old female patient with history of Crohn's disease presents with severe abdominal pain x 4 days and pain with oral intake. Evaluate for abscess, phlegmon or obstruction. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality... | 1.Findings consistent with active Crohn's in the colon. No perirectal involvement or evidence of obstruction, abscesses, sinus tracts or fistulas.2.Intraluminal lesions in the sigmoid colon consistent with postinflammatory pseudopolyps. |
Generate impression based on findings. | Reason: Febrile neutripenia, evaluation for progression of PNA History: PNA progression LUNGS AND PLEURA: Faint residual groundglass opacity in the left upper lobe is stable to decreased. No new pulmonary nodules. Scattered punctate micronodules, some of which are calcified, are stable and presumably benign postinflamm... | Stable to decreased postinfectious findings in the left upper lobe. No new pulmonary nodules or areas of opacity. |
Generate impression based on findings. | Reason: history of pulmonary nocardia and aspergillus, check for resolution. History: history of pulmonary nocardia and aspergillus, check for resolution. LUNGS AND PLEURA: Significant interval improvement, but not complete resolution, of lower lobe predominant centrilobular nodules and tree in bud opacity. Interval de... | Significant interval improvement of findings of infectious bronchiolitis. No new opacities. |
Generate impression based on findings. | 37 year old female with recent gastrostomy tube placement and hemoglobin drop. ABDOMEN:LUNG BASES: Bilateral small effusions and atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality ... | 1. Status post gastrostomy tube placement with large hematoma surrounding the stomach and extending within the gastrohepatic ligament. Hemorrhagic product in the abdominal and pelvic peritoneum is also identified.2. Colonic ileus. |
Generate impression based on findings. | Male 37 years old; Reason: Prior to nephrectomy. For anatomy History: kidney allograft rejection 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... | Rim calcified hypodense structure right lower quadrant probably related to prior surgery possibly representing old hematoma or thrombosed aneurysm. Weak nephrogram without excretion in the renal allograft in the right iliac fossa. Mild fat stranding and fluid near the renal allograft. Correlate clinically.Highly atroph... |
Generate impression based on findings. | 29-year-old female patient with right lower quadrant pain x 3 days. ABDOMEN:LUNG BASES: Trace bilateral dependent atelectasis.LIVER, BILIARY TRACT: Hypoattenuating liver parenchyma, consistent with fatty infiltration. Hepatomegaly, measuring 22 cm in craniocaudal dimension.SPLEEN: No significant abnormality noted.PANCR... | No acute intra-abdominal pathology to account for patient's symptomatology. |
Generate impression based on findings. | 33-year-old female patient with acute right lower quadrant pain and suprapubic pain radiating to the right flank with history of ovarian cysts and appendectomy. Evaluate for ovarian mass/tubo-ovarian abscess or other right lower quadrant pathology. ABDOMEN:LUNG BASES: Trace bilateral dependent atelectasis. Pulmonary bl... | Cystic lesion in the right adnexa is consistent with physiologic follicle. No CT evidence of tubo-ovarian abscess. If continued clinical concern, recommend transvaginal ultrasound to further evaluate. |
Generate impression based on findings. | 75 year old female with worsening LFTs ABDOMEN:LUNG BASES: Pleural effusions and basilar atelectasis and consolidation.LIVER, BILIARY TRACT: Nodular hepatic contour with hypertrophy of the left hepatic lobe, suggesting cirrhosis. Multiple hypodense lesions, many too small to characterize, likely represent cysts. Cholel... | 1. Cirrhotic hepatic morphology and abdominal and pelvic ascites. Borderline splenomegaly.2. Pleural effusions and basilar atelectasis and consolidation.3. Cholelithiasis without evidence of cholecystitis. |
Generate impression based on findings. | Female 50 years old; Reason: NHL, re-eval and compare to previous History: NHL ABDOMEN:LUNGS BASES: LIVER, BILIARY TRACT: About 17 cm in length coronal image 87. Possible fatty liver. No focal lesions.SPLEEN: No significant abnormality noted..PANCREAS: No significant abnormality noted..ADRENAL GLANDS: No significant a... | Stable small mediastinal nodes. No pathologic size nodes in the abdomen or pelvis. 2.Small areas of groundglass opacity in the right lung of questionable significance. Correlate clinically. 3.Possible fatty liver.4.Small hiatal hernia. |
Generate impression based on findings. | 15-year-old female with a history of squamous cell carcinoma, tongue as primary location. Limited intracranial views are unremarkable. Limited views of the mastoid air cells and paranasal sinuses are clear. Limited views of the orbits are unremarkable.Somewhat ill-defined hyperenhancing right lateral tongue mass which ... | 1. Enhancing right lateral tongue mass which spares the base of the tongue and floor of the mouth.2. Bilateral level 2 and 3 necrotic conglomerate masses of lymphadenopathy. |
Generate impression based on findings. | Lung caner diagnosed in 9/2013, but no therapy yet. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and m... | No evidence of intracranial metastases. |
Generate impression based on findings. | 60 year-old male with history of non-Hodgkin's lymphoma, assess extent of disease. CHEST:LUNGS AND PLEURA: Scattered small cysts are unchanged. No pulmonary nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Reference mediastinal lymph node measures 1.3 x 0.8 cm (image 39 series 3) and pre... | Stable interval exam without evidence of metastatic disease. |
Generate impression based on findings. | 43-year-old female with non-Hodgkin's lymphoma and thyroid cancer, evaluate Limited intracranial views are unremarkable. The visualized mastoid air cells and paranasal sinuses are clear. Limited views of the orbits are unremarkable.No evidence of lymphadenopathy by CT size criteria. No soft tissue masses are identified... | No evidence of local recurrent tumor or cervical lymphadenopathy. |
Generate impression based on findings. | 53-year-old female patient with history of ovarian cancer, currently receiving treatment. Compare to previous examination using measurements if applicable. CHEST:LUNGS AND PLEURA: Scattered micronodules, some of which are calcified. Stable right apical scarring.MEDIASTINUM AND HILA: No significant abnormality notedCHES... | No new lesions to suggest recurrent or metastatic disease. |
Generate impression based on findings. | 42-year-old female patient with non-Hodgkin's lymphoma. Reevaluate compare to prior examination. CHEST:LUNGS AND PLEURA: Left upper lobe calcified granuloma is stable compared to prior examination.MEDIASTINUM AND HILA: No lymphadenopathy.CHEST WALL: Status-post thyroidectomy. Interval removal of right-sided chest port.... | 1.Examination is stable without evidence of lymphadenopathy.2.Pancreatic lesion is stable compared to prior examination and likely represents an IPMN. |
Generate impression based on findings. | 60 year-old male with solitary pulmonary nodule, schizoaffective disorder, confusion, aspiration, evaluate for CVA The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified ... | 1. No acute intracranial abnormalities. Please note, CT is insensitive for the detection of acute ischemia.2. No abnormal intracranial enhancement is present. |
Generate impression based on findings. | 46 your old female status post craniotomy for aneurysm, with small subdural, evaluate for changes. Redemonstrated are changes from previous left-sided craniotomy for drainage of a left-sided subdural hematoma. A left-sided subdural collection has decreased in size now measuring 4 mm (previously 8 mm). As before there i... | 1.A residual left-sided subdural collection has decreased in size, now measuring 4 mm (previously 8 mm).2.Left-to-right midline shift of 5 mm is unchanged. |
Generate impression based on findings. | 37 year old female with unstable hemoglobin, assess for retroperitoneal bleed ABDOMEN:LUNG BASES: Bilateral pleural effusions and atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality... | Large perigastric hematoma and intraperitoneal blood product, unchanged from the prior study. No evidence of active contrast extravasation. |
Generate impression based on findings. | Reason: assess for lung cancer History: history of smoking LUNGS AND PLEURA: Mild predominantly upper lobe centrilobular emphysema, unchanged.Very small nonspecific micronodules some subpleural scars, also unchanged.Small area with nodular and scarlike opacities in the right costophrenic angle laterally, generally unch... | 1.Mild upper zone emphysema and focal right basilar scarring with probable mild bronchiolitis.2. No suspicious nodules. |
Generate impression based on findings. | History of shortness of breath and wheezing. Severe uncontrolled asthma. LUNGS AND PLEURA: Widespread bronchial wall thickening with multiple areas of mucus plugging. Multifocal but upper lobe predominant centrilobular nodules with some areas of tree in bud. 4 mm ground glass nodule in right upper lobe (image 16/90) is... | Widespread bronchial wall thickening with multiple areas of mucus plugging. Multifocal but upper lobe predominant centrilobular nodules with some areas of tree in bud. 4 mm ground glass nodule in right upper lobe is presumably related to the underlying process. Overall the findings could all be related to severe asthma... |
Generate impression based on findings. | 43-year-old male patient with history of renal cell carcinoma status post partial nephrectomy. Evaluate for renal recurrence. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.AD... | Status post partial right nephrectomy without evidence of recurrent disease. |
Generate impression based on findings. | 65-year-old female s/p aneurysm clipping 10/24, post op surveillance Redemonstrated are changes from previous left parietal craniotomy for aneurysm clipping. Interval decrease of subdural hemorrhage and resolution of pneumocephalus, leaving CSF density fluid in it's place. Continued decrease in size of soft tissue swel... | 1.Interval decrease of subdural hemorrhage and resolution of pneumocephalus, leaving CSF density fluid in it's place. 2.Previously noted left frontal lobe area of hypoattenuation is significantly less conspicuous on the current exam.3.Mild left lateral ventricle effacement without midline shift has nearly resolved, alt... |
Generate impression based on findings. | 68-year-old female with discharge and pain per rectum CHEST:LUNGS AND PLEURA: Scattered micronodules some of which are calcified consistent with prior granulomatous disease. Scattered ground glass opacities may represent edema and atelectasis.MEDIASTINUM AND HILA: Atherosclerotic calcifications of the aortic arch and c... | 1. New moderate left hydronephrosis and hydroureter extending to the distal left ureter adjacent to a bowel anastomosis, raising the possibility of stricture. This finding was discussed with Dr. Adamsky (pager 2701) at the time of dictation.2. Extensive postsurgical change with persistent ventral abdominal wall defect ... |
Generate impression based on findings. | 68-year-old male with possibly enlarging lipoma in the right supraclavicular area, evaluate. Limited intracranial views are unremarkable. The visualized paranasal sinuses and mastoid air cells are clear.In the right paraglottic space inferior to the hyoid bone and along the thyrohyoid membrane there is an ovoid well-ci... | 1. No mass is present in the right subclavicular space.2. Small right paraglottic space low density mass as described above is nonspecific but may represent a laryngocele with proteinaceous debris. Additional less likely diagnostic considerations include an atypical thyroglossal duct cyst, submucosal cyst, desmoid and ... |
Generate impression based on findings. | Reason: please compare to outside CT chest 8/2/13 - RLL lung nodule; LAD was biopsied and is non necrotizing granuloma History: cough, dyspnea LUNGS AND PLEURA: 16 x 13 mm irregular pulmonary nodule in right lower lobe (image 75/95) is not significantly changed. There are multiple small satellite nodules surrounding th... | No change in right lower lobe pulmonary nodule. While it is nonspecific and malignancy cannot be definitively excluded, the appearance and small satellite nodules surrounding the lesion may be seen in infectious/inflammatory causes, such as histoplasmosis. No change in intrathoracic lymphadenopathy. |
Generate impression based on findings. | 34-year-old female status post duodenal switch with abdominal pain and nausea, evaluate for SBO. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abno... | 1. Postoperative changes consistent with duodenal switch, without evidence of complication or obstruction. |
Generate impression based on findings. | Aneurysm. CT: There are postoperative findings related to left pterional craniotomy for left MCA aneurysm clipping. The aneurysm clip produces considerable streak artifact that obscures surrounding structures. Otherwise, there is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal ... | 1. A 1 mm wide outpouching along the left aspect of the ACOM likely represents an infundibulum rather than a saccular aneurysm. 2. Postoperative findings related to left MCA aneurysm clipping.2. No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Reason: Lung cancer s/p crt. Please re-eval. Thanks. History: Lung cancer CHEST:LUNGS AND PLEURA: Extensive volume loss involving the right upper lobe likely due to a combination of the mass and radiation therapy. Continued decrease in size of index right upper lobe lesion now measuring 29 x 17 mm on image 29/104 (33 x... | 1. Interval decrease in right upper lobe mass.2. Continued increase in left upper lobe pulmonary nodule suggestive of metastatic disease. |
Generate impression based on findings. | 43-year-old male patient with history of renal cell carcinoma status post partial nephrectomy. Evaluate for renal recurrence. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.AD... | Status post partial right nephrectomy without evidence of recurrent disease. |
Generate impression based on findings. | 53 year old male experiencing headache. Redemonstrated are several periventricular and subcortical foci of low attenuation within the white matter without mass effect. The ventricles and sulci remain normal in appearance. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhag... | 1.Nonspecific periventricular and subcortical foci of low attenuation within the white matter without mass effect. Although this most likely represents chronic small vessel ischemic disease, if there is clinical concern for ischemia and/or other pathologies, MRI with gadolinium would be recommended.2.No acute intracran... |
Generate impression based on findings. | Chronic fungal and bacterial sinusitis, immunocompromised. There are postoperative findings related to endoscopic sinus surgery, including bilateral uncinectomy, nasoantral window, and partial ethmoidectomy. There is a 3mm wide right maxillary sinus retention cyst. The remaining paranasal sinuses and nasal cavity are o... | Unremarkable postoperative findings related to endoscopic sinus surgery with small right maxillary sinus retention cyst, but otherwise clear paranasal sinuses and nasal cavity. |
Generate impression based on findings. | 62-year-old history of gastric neuroendocrine tumor status post resection of metastatic lymph node with appearance of new lesions in the liver. Postoperatively. Stable since February 2011. Restaging CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WAL... | No measurable metastatic disease |
Generate impression based on findings. | View ventricular size and communication of ventricles. There is a right transfrontal ventricular catheter that terminates once again in just superior to the right foramen of Monro. There is a small focus of pneumocephalus adjacent to the catheter in the right lateral ventricle. There is also a partially imaged fourth v... | 1. Contrast ventriculography indicates patency of the right transfrontal and fourth ventricle shunt catheters.2. The lateral and third ventricles appear to the stable to minimally increased in size since the prior exam, which may be attributable to technique.3. Stable postoperative findings related to Chiari decompress... |
Generate impression based on findings. | Reason: evaluate ILD History: cough sob fibrosis and DAD on biopsy LUNGS AND PLEURA: Bilateral subpleural and linear interstitial abnormality with areas of traction bronchiectasis. Mild basilar predominance. No significant groundglass opacity or air trapping. Equivocal honeycombing in the periphery of the left upper lo... | Bilateral subpleural and linear interstitial abnormality with areas of traction bronchiectasis. Mild basilar predominance. Equivocal honeycombing in a few locations. The findings most likely represent, though are not diagnostic of, UIP. (More typical findings of diffuse alveolar damage such as consolidation or ground g... |
Generate impression based on findings. | 71 year-old female status post ACOM aneurysm clipping and recent subdural hematoma, 6 month follow-up. No CT findings to suggest interval reaccumulation of left frontoparietal subdural hemorrhage. There is no new intracranial hemorrhage. Again seen is a focus of hypoattenuation in the region of the anterior limb of the... | No CT findings to suggest interval reaccumulation of left frontoparietal subdural hemorrhage. No acute intracranial hemorrhage. |
Generate impression based on findings. | Reason: 75Yrs male here for follow-up of T1N2bM0 left SCCA BOT, treated with CRT and completed 12/17/10 ; re-eval for recurrence History: as above CHEST:LUNGS AND PLEURA: Scattered punctate micronodules are stable and presumably benign. No suspicious pulmonary nodules.MEDIASTINUM AND HILA: Scattered small subcentimeter... | No evidence of metastatic disease. |
Generate impression based on findings. | Reason: mets lung cancer, s/p right adrenalectomy for mets, s/p 9 wks of Nivolumab, pls c/w previous study and evaluate tx response. History: mets lung cancer. CHEST:LUNGS AND PLEURA: Reference right apical spiculated nodule has decreased (image 18, series 5) now measuring 14 x 10 mm (previously 20 mm x 17 mm).Scattere... | Interval decrease in right upper lobe nodule and right flank soft tissue metastasis. |
Generate impression based on findings. | Female 68 years old; Reason: newly diagnosed right breast IDC; CT for metastatic work-up History: none CHEST:LUNGS AND PLEURA: Mild right apical subpleural thickening. No suspicious lesions. No pleural effusions.MEDIASTINUM AND HILA: Aberrant right subclavian artery passing posterior to the esophagus.The aorta is tortu... | 1.Right breast mass without evident metastatic disease. |
Generate impression based on findings. | 85 year-old female with chronic cough and postnasal drip. The orbits are unremarkable except for lens prostheses and a punctate hyperdensity in the left preseptal soft tissue or eyelid. The mastoids are clear. Limited view of the intracranial structure is unremarkable. There appears s small inspissated cyst or osteoma ... | No evidence of sinusitis. |
Generate impression based on findings. | T1N2bM0 left SCCA BOT, treated with CRT completed 12/17/10. There are stable post-treatment findings in the region of the oropharynx. There is no evidence of mass lesions to suggest locoregional tumor recurrence. There is no significant cervical lymphadenopathy. Apparent narrowing of the supraglottic airway and cricoph... | Stable post-treatment findings without evidence of locoregional tumor recurrence or significant cervical lymphadenopathy. |
Generate impression based on findings. | Male 84 years old; Reason: Hx of Bladder Cancer s/p cystectomy with ileal conduit. Eval for recurrent/metastatic disease History: See above ABDOMEN:LUNGS BASES: Minimal atelectasis in the right middle lobe.LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. Hepatic and portal veins are p... | 1.Status post right nephrectomy, cystoprostatectomy and ileal conduit creation without evident metastatic disease.2.Calcifications about the gallbladder neck most likely representing stones |
Generate impression based on findings. | Reason: Thymoma or other evdince of malignancy. History: Positive acetyl choline receptor ab, thrombocytopenia, neuropathy LUNGS AND PLEURA: Punctate subpleural micronodule in periphery of right upper lobe (image 34/109) likely postinflammatory.MEDIASTINUM AND HILA: Scattered small nonspecific mediastinal nodes. Corona... | No evidence of thymoma or pulmonary malignancy. |
Generate impression based on findings. | 58-year-old male with perirectal area of fluctuance at 9 o'clock. PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BLADDER: Moderately distended and unremarkable.LYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: The bowel is normal in caliber. No wall thickening or fluid collections.BONES, SOFT... | No specific findings to account for the patient's pain. Specifically, no evidence of perirectal abscess or inflammation. |
Generate impression based on findings. | 52-year-old female malignant neoplasm of the esophagus, unspecified site, loss of weight, status post transhiatal esophagectomy in June 2012 for locally advanced squamous cell carcinoma. Patient received pre-operative chemotherapy and radiation therapy. CHEST:LUNGS AND PLEURA: Small, punctate nodule in the left lower l... | Interval decrease in mediastinal lymph nodesStable normal size retroperitoneal lymph nodes.Stable left lower lobe micronodule. |
Generate impression based on findings. | 63-year-old male with history of hoarseness and cough and nodule seen on radiograph. Evaluate for mass LUNGS AND PLEURA: Innumerable bilateral pulmonary nodules are seen, none of which appear calcified. There is a dominant left upper lobe spiculated mass (series 4 image 28) which measures approximately 2.7 x 1.8 cm. Th... | 1.Innumerable bilateral pulmonary nodules, none of which are calcified. There is a dominant left upper lobe spiculated mass which abuts the mediastinal pleura. This is nonspecific but consistent with lung carcinoma, although it is conceivable that this finding could represent an infectious etiology such as histoplasmos... |
Generate impression based on findings. | Female 46 years old; Reason: eval adrenal lesion History: incidentally found adrenal lesions ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Patient status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Bilateral fat c... | 1.Two myelolipomas, and one lesion which is compatible with an adenoma on the left lateral limb of the adrenal gland. |
Generate impression based on findings. | Reason: s/p R lower lobe resection, hx blastomycosis History: s/p R lower lobe resection, hx blastomycosis CHEST:LUNGS AND PLEURA:Post op change right lower lobe with pleural thickening and a small amount of loculated pleural fluid. Right middle lobe pleural retraction and interstitial opacities suggestive of scarring.... | 1.Post op change right lower lobe with pleural thickening and small loculated effusion.2.New scattered ground glass nodules measuring up to 7 mm which are nonspecific but suggestive of infection. Continued follow up is recommended. |
Generate impression based on findings. | 24-year-old female patient with Crohn's disease, now postoperative day 15 from TAC and end ileostomy with persistent fevers and malaise. ABDOMEN:LUNG BASES: Interval increase in moderate left-sided pleural effusion with associated atelectasis and volume loss. Right lung base scarring versus atelectasis.LIVER, BILIARY T... | 1.Interval placement of two pigtail drains in the pelvis with decrease in size of pelvic fluid collections.2.Skin breakdown along the suture margin. |
Generate impression based on findings. | T3N2bM0 left tonsil cancer, who completed induction carbo taxol and TFHX on 12/14/12. Head: There is no abnormal intracranial enhancement. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are stable in size and configuration. There is no midline shift or hernia... | 1. Stable post-treatment findings without evidence of locoregional tumor recurrence or cervical lymphadenopathy. 2. No evidence of intracranial metastases. |
Generate impression based on findings. | 55-year-old female with refractory diffuse large B cell lymphoma status post stem cell transplant in need of reimaging CHEST:LUNGS AND PLEURA: Mild basilar scarring/atelectasis.MEDIASTINUM AND HILA: Reference mediastinal lymph node measures 1.8 x 1.6 cm and previously measured 1.6 x 1.4 cm (image 38, series 401). No ne... | Unchanged reference lymphadenopathy. |
Generate impression based on findings. | Reason: Pt with HNC s/p CRT . please re-eval for recurrent dz and compare to prior exams History: as above CHEST:LUNGS AND PLEURA: Aspiration bronchiolitis in the right middle and right lower lobes, with a new area of subsegmental atelectasis and focal consolidation in the right middle lobe.Focal ground glass opacity i... | 1.Aspiration bronchiolitis in the right middle and right lower lobe with focal right middle lobe subsegmental atelectasis.2. No sign of metastatic disease. |
Generate impression based on findings. | Reason: History of metastatic breast cancer on treatment, evaluate for response and extent of disease. History: History of metastatic breast cancer on treatment, evaluate for response and extent of disease. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Left supraclavicular reference lym... | Metastatic breast cancer with stable reference measurements as above. |
Generate impression based on findings. | Squamous cell carcinoma. LUNGS AND PLEURA: No nodules or masses. No focal air space opacities or pleural effusions.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Normal sized heart without pericardial effusion.CHEST WALL: No axillary lymphadenopathy.UPPER ABDOMEN: Normal appearance of the upper abdomen. | Normal examination. No evidence of metastatic disease. |
Generate impression based on findings. | Female 51 years old; Reason: Right Locally advanced Breast cancer with probable lymph node involvement. C/o Right rib abd back pain, evaluate for metastatic disease. History: Right Locally advanced Breast cancer with probable lymph node involvement. C/o Right rib abd back pain, evaluate for metastatic disease. CHEST:LU... | 1.Right breast mass with extension to the skin and malignant appearing right axillary adenopathy.2.Nonspecific right lower lobe 5-mm ground glass nodule, follow up is suggested3.Diffuse sclerosis of the L1 vertebral body, unchanged for two years.4.New lytic lesion in the T12 vertebral body.5.Consider dedicated spine im... |
Generate impression based on findings. | 63-year-old male with history of metastatic thyroid cancer, compare with previous. CHEST:LUNGS AND PLEURA: Calcified right lower lobe granuloma. No new pulmonary nodules or masses.MEDIASTINUM AND HILA: Unchanged reference left supraclavicular (level 4) lymph node measures 1.0 x 0.7 cm (image 9 series 16) and previously... | Unchanged reference lesions and osseous metastases. |
Generate impression based on findings. | 31-year-old male patient with testicular cancer. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: ... | Two enlarged retroperitoneal lymph nodes with measurements provided. |
Generate impression based on findings. | DLBCL status post R-CHOP x 6 was completed on 4/2009. There is no significant cervical lymphadenopathy by CT size criteria. The Waldeyer structures are unremarkable. The airways are patent. The salivary glands and thyroid are unchanged. The major cervical vessels are patent. The imaged lung apices are clear. The osseou... | No significant cervical lymphadenopathy to suggest recurrent lymphoma. |
Generate impression based on findings. | 41 year-old female with worst headache of life. There is a 7 x 7-mm pineal cyst. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous struct... | No acute intracranial abnormality. Small pineal cyst. |
Generate impression based on findings. | unspecified sinusitis, nasopharyngeal globus sensation, nasopharyngeal globus sensation The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated. The nasal septum is mildly deviated towards the right.The frontal sinuses are clear.Maxillary sinuses are clear. E... | No evidence for paranasal sinus outlet obstruction. |
Generate impression based on findings. | 56-year-old female with Crohn's disease status post completion proctectomy in October 2013 now with resolving SBO with persistent abdominal pain. Assess for mesenteric or portal vein thrombosis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No signific... | 1. Findings consistent with partial small bowel obstruction involving the jejunal and distal ileal loops with transition point in mid abdomen; most likely etiology being postoperative adhesions. SMV, portal vein and SMA are patent.Fluid noted within the pelvis, with soft tissue in the presacral space, which could be po... |
Generate impression based on findings. | 61-year-old female with headache and blurred vision Redemonstrated are patchy foci of low attenuation with the periventricular white matter without associated mass effect. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is maintained. There is no mass effect, ed... | Small vessel ischemic disease of indeterminate age. |
Generate impression based on findings. | 84-year-old male with mantle cell non-Hodgkin's lymphoma and status post 13 cycles of chemotherapy. There has been stable in size of the reference lymphadenopathy. No new lymphadenopathy noted. Reference measurements are as follows: 1. Right level 2 lymph node measures 7 x 5 mm (image 103, series 5), previously 7 x 5 m... | No cervical lymphadenopathy. Stable reference lymph nodes. |
Generate impression based on findings. | right MCA aneurysm on MRA; further delineate with CTA Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No aneurysms or intracranial stenosis is appreciated.The anterior communicating artery and the ... | 1.There is a 3.5 mm right carotid terminus aneurysm present with a small neck. 2.There is a 5mm left ICA opthalmic segment aneurysm present.3.There is a 1mm wide neck left MCA aneurysm4.There is a 1.2-mm left cavernous carotid aneurysm present |
Generate impression based on findings. | 78-year-old female with right lower extremity weakness, pathology positive history of lung adenocarcinoma There is a large new region of hypodensity containing an ill-defined cystic portion involving primarily posterior left frontal brain with partial effacement of the adjacent sulcus. On the comparison exam, there wer... | There is a large new region of hypodensity containing an ill-defined cystic portion involving primarily posterior left frontal brain with partial effacement of the adjacent sulcus. Given the patient's known lung adenocarcinoma, this is presumed metastasis until proven otherwise. Recommendation is made for brain MRI wit... |
Generate impression based on findings. | 35-year-old female, pre-kidney transplant evaluation Limited exam due to the lack of IV and oral contrast in the evaluation of solid organ pathology and vasculature.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS:... | 1. Few scattered iliac atherosclerotic calcifications.2. Atrophic native kidneys and old infarcted right iliac fossa allograft.3. Status post laparoscopic gastric banding without evidence of complication or malfunction. |
Generate impression based on findings. | Male 84 years old; Reason: History of Mantle Cell NHL History: s/p 13 cycles of chemotherapy CHEST:LUNGS AND PLEURA: Right apical and left basilar atelectasis. Calcified granuloma in the right lower lobe.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. Post operative changes of median sternotomy and... | 1.Stable exam without recurrent lymphadenopathy in the chest, abdomen or pelvis.2.Findings suggestive of chronic colitis. |
Generate impression based on findings. | Red eye with pain with extraocular movements & lid swelling. There is mild diffuse left preseptal subcutaneous fat stranding and swelling. However, there is no evidence of post-septal cellulitis. The left optic nerve and extraocular muscles are unremarkable. There are no abnormal fluid collections. The right orbit is u... | Left preseptal cellulitis, but no evidence of postseptal cellulitis or abscess. |
Generate impression based on findings. | Male 60 years old; Reason: 60 year old man with DLBCL in CR. Compare to prior scan. History: none CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedOTHER: ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality note... | 1.Stable exam; no evident lymphadenopathy in the chest, abdomen or pelvis. |
Generate impression based on findings. | Reason: r/o pe History: hypoxia PULMONARY ARTERIES: No significant abnormality noted.LUNGS AND PLEURA: Linear scarring and atelectasis at the lung bases, marginally increased. Small presumed intrapulmonary lymph node along the fissure (image 143/274) unchanged.MEDIASTINUM AND HILA: Cardiomegaly. Scattered small subcent... | No evidence of PE. Linear scarring and atelectasis at the lung bases, marginally increased. |
Generate impression based on findings. | Reason: cad History: chest discomfort, reported history of positive stress test Calcium Score:LM: 0LAD: 136 LCx: 0RCA: 298Total: 434, This represents the 91th percentile for this patients age and gender.Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and trifurcates ... | 1. Multifocal, significant coronary artery disease, most pronounced in the LAD and right coronary artery, as above. 2. Total Calcium score was 434; 91th percentile for age and gender. |
Generate impression based on findings. | Reason: IPF with acute desaturation and drop in DLCO eval for PE History: increased SOB PULMONARY ARTERIES: Technically adequate examination with no sign of pulmonary embolism.LUNGS AND PLEURA: One diffuse chronic interstitial disease with evidence of fibrosis but no specific evidence of honeycombing, compatible with U... | 1. No sign of pulmonary embolism or other acute change.2. Chronic interstitial lung disease with extensive fibrosis, compatible with UIP or fibrosing NSIP, unchanged from the previous scan. |
Generate impression based on findings. | Left level 3 LAD and large, pearly white smooth mass in the midline of the vallecula. There is a uniformly hyperattenuating (>1000 HU), lobulated spheroid lesion arising from the inferior aspect of the uvula that measures 11 AP x 11 RL x 11 SI mm. There is moderate obstruction of the oropharyngeal airway. The oral cavi... | A densely calcified 11 mm diameter mass arising from the inferior aspect of the uvula may represent a pedunculated calcifying fibrous tumor, squamous papilloma, or perhaps choristoma with associated moderate obstruction of the oropharyngeal airway. No significant cervical lymphadenopathy. |
Generate impression based on findings. | History of pulmonary embolus on anti-coagulation and subclavian clot. Swelling of arm and face. PULMONARY ARTERIES: The pulmonary arteries are normal in appearance. Opacification to the level of the segmental arteries is present and no filling defects are seen. LUNGS AND PLEURA: No pleural effusion is seen. Residual ba... | No segmental pulmonary emboli identified. Decrease in lung base opacities. Resolved pleural effusion. |
Generate impression based on findings. | 72-year-old female patient with stage IV chronic kidney disease, hypertension present with abdominal/back pain. Evaluate for renal stone versus aortic dissection. Note that the lack of intravenous contrast limits evaluation of vasculature, and lymph nodes and solid viscera.ABDOMEN:LUNG BASES: Bilateral dependent atelec... | 1.No renal calculi, hydronephrosis or aortic dissection.2.Bilateral fat containing inguinal hernias.3.Left adrenal mass, stable. |
Generate impression based on findings. | 66 year old female with Crohn's disease and prior ileal stricture ABDOMEN:LUNG BASES: Small right pleural effusion.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Coarse splenic calcification.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No sig... | Small bowel obstruction secondary to high grade distal ileal stricture with small bowel wall thickening and hyperenhancement consistent with acute inflammation. Small amount of interloop free fluid without evidence of abscess or perforation. |
Generate impression based on findings. | Clinical question: Altered mental status. Signs and symptoms: Disoriented and somnolence. Nonenhanced head CT:Examination demonstrates a focus of low attenuation involving the cortex and the subcortical white matter left posterior temporal -- parietal junction consistent with acute to early subacute ischemic nonhemorrh... | 1.Acute to early subacute left posterior temporal -- parietal nonhemorrhagic cortical stroke.2.Mild age indeterminate small vessel ischemic strokes and slight prominence of cortical sulci/ventricular system.3.Extensive lytic/sclerotic changes of calvarium suspicious for Paget's disease. |
Generate impression based on findings. | Clinical question: No intracranial abnormalities. Signs and symptoms: Worse headache of her life, MVA with questionable loss of consciousness two days ago. Nonenhanced head CT:there is no detectable posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Unremarkable cerebral cortex, cortical sulci,... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: CVA Nonenhanced head CT:Examination demonstrates a large focus of low attenuation in the distribution of right middle cerebral without any appreciable mass effect or hemorrhage. There is expansion of right lateral ventricle likely representing ex vacuo. The finding represent ... | 1.CT is insensitive for early detection of acute nonhemorrhagic ischemic strokes. 2.Chronic right MCA territory large nonhemorrhagic ischemic stroke with ex vacuo dilatation of right lateral ventricle.3.Mild age Indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Clinical question: Increased size of pituitary adenoma? Acute bleed/mass. Signs and symptoms: Headache. Nonenhanced head CT: No detectable acute intracranial process CT however is insensitive for early detection of acute non-hemorrhagic ischemic strokes. No detectable pituitary either normal and normal size of the sell... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | 51-year-old male patient with hydradenitis. Assess for extent of hydradenitis. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Scattered nonenlarged mediastinal lymph nodes.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: ... | Network of superficial subcutaneous phlegmons in the right lower back and buttock with extension into the perineum and perianal tissue bilaterally. |
Generate impression based on findings. | Clinical question: Rule out hemorrhage, large intracranial mass. Signs and symptoms:seizure. Nonenhanced head CT:No detectable acute intracranial process, CT however he is insensitive for early detection of acute nonhemorrhagic ischemic strokes.The cerebral cortex, cortical sulci, ventricular system, CSF spaces and gra... | Negative nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Hemorrhage? Signs and symptoms: Pelvic,sbp addendum to 10. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for early detection of acute non-hemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci and the ventricular system, CSF spaces and gray... | No acute intracranial findings. Unremarkable head CT. |
Generate impression based on findings. | 41 year old female with persistent MRSA bacteremia of unknown source and new opacity on chest x-ray. LUNGS AND PLEURA: Multifocal areas of consolidation in both lungs, highly suspicious for multifocal pneumonia. No significant pleural effusions.MEDIASTINUM AND HILA: Multiple mildly enlarged mediastinal lymph nodes, whi... | 1.Bilateral multifocal consolidation is suspicious for pneumonia. Septic emboli would be considered less likely.2.No significant change in left breast mass.3.Mild increased left axillary lymphadenopathy. |
Generate impression based on findings. | Reason: Evidence of pulmonary embolus History: SOB, tachycardia, cirrhosis from autoimmune hepatitis PULMONARY ARTERIES: Motion degrades the quality of the exam. No evidence of pulmonary embolism.LUNGS AND PLEURA: Ground glass opacity in the left apex. Bilateral diffuse groundglass opacities with increased interstitial... | 1.No evidence of pulmonary embolism.2.Bilateral, diffuse groundglass opacities with increased interstitial markings. Differential includes hypersensitivity pneumonitis, post infectious etiology, or drug reaction. 3.Bilateral dependent and linear atelectasis.4.Poorly visualized lesion in the left lobe of the liver bette... |
Generate impression based on findings. | Clinical question: Lung cancer. Evaluate for metastases. Signs and symptoms: No increased nausea and dizziness. Enhanced head CT:Examination demonstrate no detectable abnormal enhancement of brain parenchyma or leptomeninges to suggest metastatic disease.Unremarkable cerebral cortex, cortical sulci, ventricular system,... | Negative enhanced head CT. |
Generate impression based on findings. | Clinical question: 82-year-old male with history of CVA, MRI, with CABG, presents with falls. Signs and symptoms: Falls. Nonenhanced head CT:There is no detectable acute intracranial process, CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Small focus of cortical/subcortical low a... | 1.No convincing evidence of an acute intracranial process CT however it is insensitive for early detection of acute nonhemorrhagic strokes.2.Left occipital small chronic cortical stroke stable since prior study.3.Mild age indeterminate small vessel ischemic strokes and ex vacuo dilatation of lateral ventricles remains ... |
Generate impression based on findings. | 42-year-old female patient with abdominal pain, nausea, vomiting and previous total colectomy. Evaluate for small bowel obstruction or pancreatitis. ABDOMEN:LUNG BASES: Partially imaged moderately large pericardial effusion is stable compared to prior examination.LIVER, BILIARY TRACT: Hepatomegaly, measuring 23 cm in c... | 1.Interval improvement in small bowel obstruction and dilatation of the small bowel with continued desiccation of stool within the right hemipelvis, consistent with chronic stasis. 2.Loop of small bowel in the pelvis with interval increase in inflammatory changes, consistent with enteritis.3.Moderately large pericardia... |
Generate impression based on findings. | 58-year-old male with history of type A dissection status post emergent repair CHEST:LUNGS AND PLEURA: Severe centrilobular and paraseptal emphysema is unchanged.MEDIASTINUM AND HILA: Type A dissection status post repair appears similar to the prior study. The dissection flap arises in the supravalvular aorta and exten... | 1. Type A dissection status post repair with no opacification of the false channel lumen in the right external iliac artery representing either thrombosis of false lumen new extension or slow flow in extension of false lumen. Markedly narrowed true lumen in right external iliac artery with full reconstitution in the ri... |
Generate impression based on findings. | 93 year-old female with history of colon cancer and lung mass -- evaluate for metastatic disease. ABDOMEN:LUNG BASES: Right hilar lymph node mass (series 3, image one) incompletely evaluated on first image measures 3.0 x 1.7 cm. Parenchymal air space consolidation more distally represents combination of postobstructive... | 1. Right hilar lymphadenopathy with postobstructive airspace consolidation and probable parenchymal lung mass. 2. Extensive new liver metastases diffusely through liver. 3. Scattered new lytic lesions, most consistent with bony metastases. Bony metastases raise the question of whether this represents a new lung cancer ... |
Generate impression based on findings. | 57 year-old male with hypoxemia and shortness of breath. History of pseudomonas pneumonia and bronchiectasis. History of CLL status post CT on 2/2012. PULMONARY ARTERIES: Diagnostic exam without evidence of pulmonary embolus.LUNGS AND PLEURA: No significant change in moderate centrilobular emphysema and bilateral basil... | 1.No pulmonary embolus.2.Increased subsegmental consolidation in the right base, which may represent recurrent infection or aspiration. 3.New right upper lobe scattered nodular opacities and interlobular septal thickening, also most compatible with infection. Septal thickening consistent with focal mild edema, which is... |
Generate impression based on findings. | Female 36 years old; Reason: repeat UTIs, abd pain History: repeat UTIs, abd 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 evident intra-abdominal pathology detected. In particular, no evidence of renal or ureteral pathology seen. |
Generate impression based on findings. | 81 year old female with history of syncopal episode and outpouching seen in the ascending aorta on echocardiogram. Additional history from the patient's medical record: Patient has history of colon cancer. ANGIOGRAPHY: The ascending aorta is mildly ectatic measuring 3.8 cm in the coronal plane, however the luminal cont... | 1. Mildly ectatic ascending thoracic aorta measures 3.8 cm in the coronal plane. There are no focal contour irregularities or aneurysmal outpouchings and the size is not significantly changed over multiple prior exams.2. Right lower lobe pulmonary nodule and left adrenal nodule as described are not significantly change... |
Generate impression based on findings. | Male, 54 years old, status post tumor resection. Evaluate tumor site. Expected findings are noted status post left frontoparietal craniotomy including pneumocephalus and a small amount of blood product along the resection bed. Previously seen left parietal extra-axial tumor has been resected. No definite evidence of re... | Expected postoperative findings status post resection of a left frontoparietal region tumor. |
Generate impression based on findings. | 83 year old female with neutropenia, rigors, back pain and dark stool -- evaluate for typhlitis ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Benign cyst lateral segment -- no significant abnormality seen in liver parenchyma. Vascularity to liver appears normal. Gallbladder and biliary tract... | 1. No diagnostic abnormality seen in the gastrointestinal tract. 2. Severe degenerative changes in lower lumbar spine and sacrum with spondylo-listhesis as described above. 3. No other abnormalities seen. |
Generate impression based on findings. | 25-year-old female patient with abdominal pain. Evaluate for appendicitis or intra-abdominal infection. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No signi... | 1.Mildly distended appendix with moderate wall thickening without peripelvic fluid collection or perforation. Findings consistent with early appendicitis.2.Left corpus luteum cyst. |
Generate impression based on findings. | Male 50 years old; Reason: 50 year old man with Hodgkin lymphoma s/p allogeneic stem cell transplant. Compare to prior scans. History: Recent onset of abdominal pain. CHEST:LUNGS AND PLEURA: Mild paramediastinal fibrotic changes. No suspicious pulmonary nodules are identified.MEDIASTINUM AND HILA: No mediastinal or hil... | Stable examination without enlarged nodes in the chest, abdomen, pelvis. |
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