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Generate impression based on findings. | 68 year-old male with possible consolidation on chest radiograph. LUNGS AND PLEURA: Moderate upper lobe predominant centrilobular emphysema. Lower lobe bronchiectasis and bronchial wall thickening, with improvement of previously seen mucous plugging in basilar consolidation. There is complete collapse of the right midd... | 1.Complete collapse of right middle lobe, which may be related to mucous plugging. No evidence of underlying obstructing lesion. Considerations include MAI.2.Lower lobe bronchial wall thickening and bronchiectasis, with interval improvement of previously seen basilar consolidation and mucous plugging. 3.New pleural bas... |
Generate impression based on findings. | 84-year-old female with history of renal cell carcinoma CHEST:Bilateral, new, subpleural predominantly groundglass opacity lesions, more prominent on the right side compared to the left. Their etiology is unknown and there present atypical infection versus thrive reaction.Previously measured left paratracheal necrotic ... | Interval decrease in the size of the necrotic mediastinal adenopathy.Interval development of bilateral subpleural groundglass opacities. There etiology is unknown but may represent atypical infection versus drug reaction. |
Generate impression based on findings. | Reason: advanced NSCLC s/p chemoRT for stage III disease with recurrence treated with carboplatin/pem and pem maintenance now on observation-only with progressive symptoms History: malaise, R sided pleuritic pain CHEST:LUNGS AND PLEURA: Marked interval increase in size and number of multiple pulmonary nodules compatibl... | 1.Marked interval increase in size and number of multiple pulmonary nodules and lower cervical, mediastinal, and hilar lymphadenopathy compatible with progressive metastatic primary lung malignancy.2.Aneurysmal dilation of the infrarenal aorta. |
Generate impression based on findings. | 82 year-old female with dyspnea on exertion and dysphagia. Assess size of substernal goiter. LUNGS AND PLEURA: Punctate micronodule located along right minor fissure, unchanged and likely benign (series 5, image 57). No new or suspicious nodules. No consolidation or pleural effusions.MEDIASTINUM AND HILA: Large, hetero... | Intrathoracic goiter causing compression of central venous structures. |
Generate impression based on findings. | 66-year-old male of pancreatic cancer -- restaging CHEST:LUNGS AND PLEURA: No chest examination for comparison. Scattered nonspecific micronodules -- Dense calcified right lower lobe nodule is seen typical of prior granulomatous disease and the micronodules are certainly consistent with prior granulomatous disease.Sinc... | 1. Minimal change in pancreatic body tumor mass with encasement of adjacent celiac axis and occlusion of the splenic vein. 2. Nonspecific pulmonary parenchyma micronodules, most likely associated with prior granulomatous disease. 3. New right paravertebrally pleural-based air space consolidation -- does not have an app... |
Generate impression based on findings. | 49-year-old male patient with rectus sheath hematoma. Evaluate for change. ABDOMEN:LUNG BASES: Bibasalar atelectasis, improved compared to prior examination. Interval resolution of left pleural effusion with interval decrease in trace right pleural effusion.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN:... | 1.Stable size of rectus sheath hematoma with percutaneous drain.2.Slight interval decrease in size of right psoas hematoma. |
Generate impression based on findings. | Male 43 years old; Reason: History metastatic testicular cancer, assess for recurrence History: none CHEST:LUNGS AND PLEURA: Postoperative changes in the left lung base with a surgical staple line. Left upper and right upper lobe micronodules (images 45, 43 of series 6) are unchanged. Pleural spaces clear.MEDIASTINUM A... | 1.Stable pulmonary micronodules. 2.No new retroperitoneal or pelvic lymphadenopathy. |
Generate impression based on findings. | 71-year-old male with prostate cancer and renal cancer, presents with dyspnea. PULMONARY ARTERIES: Diagnostic quality exam without evidence of pulmonary embolus.LUNGS AND PLEURA: Mild basilar atelectasis. Scattered punctate micronodules, likely benign in nature. No consolidation or pleural effusions.MEDIASTINUM AND HIL... | 1.Diagnostic quality exam without evidence of pulmonary embolus or other acute abnormality to account for patient's symptoms.. 2.Scattered lung micronodules, all measuring less than 4 mm, likely benign in etiology. |
Generate impression based on findings. | Female 78 years old; Reason: 78yo woman with flank pain and hematuria - evaluate for renal stone. History: flank pain, hematuria ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver has a smooth contour. There are multiple well marginated hypodense masses that cannot be further characterize... | 1.Right lower pole calix calcification.2.Probable phleboliths along the course of the left ureter.3.Multiple hypodense hepatic lesions, further characterization with a MRI is recommended.4.Findings discussed with resident for Dr. Rossi for further evaluation with MRI of the liver. |
Generate impression based on findings. | 23 year old male with abdominal discomfort. Mesothelioma workup. LUNGS AND PLEURA: Mild, slightly nodular thickening of major and minor fissures on the right. Ill-defined peripheral opacity in the superior aspect of the right lower lobe, which may be postinflammatory in nature or focal bronchiectasis.No consolidation o... | 1.Mild, somewhat nodular thickening of pleural fissures on the right, suggestive of fluid with small nodular component. 2.Ascites; please refer to abdominal/pelvis CT report for detailed findings. |
Generate impression based on findings. | Malignant neoplasm of connective tissues of thorax CHEST:LUNGS AND PLEURA: Stable right posterior calcified pleural based mass best seen on image 69 of series 9 measuring 4.2 x 1.4 cm.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Left anterior chest wall postoperative findings.ABDOMEN:LIVER, BILIAR... | Stable examination |
Generate impression based on findings. | Male 61 years old; Reason: please evaluate liver lesion previously seen on CT chest History: 61M s/p OHT adm with T1RF, now recovered, though with hypodense lesions seen previous CT chest ABDOMEN:LUNGS BASES: Lower lobe ground glass pulmonary opacities have improved. Trace bilateral effusions and left pleural thickenin... | 1.Hypodense segment IVb lesion is unchanged. It is located adjacent to the gallbladder fossa in the area of prior inflammation and surgery. It may represent sequelae of prior surgery although the imaging features are not entirely specific. Recommend 6 month follow up MRI or CT. |
Generate impression based on findings. | 23-year-old male with abdominal distention. Mesothelioma ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No signif... | 1. Two nodular foci of peritoneal measurable disease in anterior pelvis correlating with increased PET activity. 2. Large ascites. 3. Peritoneal thickening in the dependent pelvis posteriorly, consistent with peritoneal mesothelioma. 4. Reticulonodular infiltration of the omentum diffusely -- this does not correlate wi... |
Generate impression based on findings. | Colon carcinoma CHEST:LUNGS AND PLEURA: No significant change in numerous bilateral pulmonary nodules. Reference peripheral left lower lobe nodule best seen on image 74 series 5 measures 1.6 x 1.3 cm. Focal left pleural thickening unchanged.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significan... | Stable examination |
Generate impression based on findings. | Clinical question: cerebellar lesion. Signs and symptoms: Ataxia. Nonenhanced head CT:There is no detectable acute intracranial process CT however is in sensitive for early detection of acute non-hemorrhagic ischemic strokes.There are subtle subcortical and periventricular foci of low-attenuation which are nonspecific ... | 1.No acute intracranial findings.2.Suspected mild age indeterminate small vessel ischemic strokes.3.Chronic left lamina papyracea blowout fracture. |
Generate impression based on findings. | Clinical question: Stroke? Signs and symptoms: Weakness. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for early detection of acute ischemic strokes.There are moderate to advanced periventricular and subcortical low attenuation of white matter consistent with aging determinate ... | Moderate to advanced age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Clinical question: Fat Signs and symptoms: Hemorrhage Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for early detection of acute ischemic strokes.Mild-to-moderate periventricular and subcortical low attenuation of white matter considering patient's age likely representing age i... | Moderate age indeterminate small vessel ischemic strokes. A |
Generate impression based on findings. | Clinical question: Rule out acute ischemic event. Signs and symptoms: Gait imbalance. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.There is a tiny focus of calcification in the pons.Examination demonstrates fairly ex... | Extensive age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Reason: assess for PE History: hypoxia, tachypnea PULMONARY ARTERIES: Technically adequate examination. No evidence of pulmonary embolism. Main pulmonary artery caliber is high-normal.LUNGS AND PLEURA: Progression of right lobe opacity now with consolidation and architectural distortion may represent atelectasis or asp... | 1.No evidence of pulmonary embolism.2.Persistent basilar atelectasis and/or aspiration on the posterior right lung base. |
Generate impression based on findings. | Clinical question: Concern for stroke and hemorrhage. Signs and symptoms: Left-sided weakness and numbness. Unenhanced head CT:No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF ... | No acute intracranial process. |
Generate impression based on findings. | 69-year-old female patient with history of CLL presents with neutropenia, fever and LFT abnormalities. Evaluate for lung or liver pathology. ABDOMEN:LUNG BASES: Small bilateral pleural effusions with associated atelectasis, right greater than left and new compared to prior examination.There is a round lesion along the ... | 1.New hypoattenuating lesions within the liver and spleen, suspicious for malignancy.2.Left lower lobe rounded lesion may represent round atelectasis, fluid in fissure or less likely a new solid lesion.3.Interval resolution of retroperitoneal lymphadenopathy.4.Bilateral pleural effusions.5.Height loss in the L3 and L4 ... |
Generate impression based on findings. | Female 63 years old; Reason: Metastatic endometrial cancer receiving chemotherapy with rising tumor marker. Restaging evaluation. History: Rising tumor marker. CHEST:LUNGS AND PLEURA: Small right pleural effusion is stable. Scattered micronodules in the right lung. No dominant lung lesion.MEDIASTINUM AND HILA: . Chest ... | Stable right pleural effusion. Resolution of ascites. Regression of peritoneal carcinomatosis. |
Generate impression based on findings. | 61 year old male with chest pain, vomiting, evaluate for aneurysm or dissection. CHEST:LUNGS AND PLEURA: Mild basilar atelectasis.MEDIASTINUM AND HILA: Few atherosclerotic calcifications of the thoracic aorta. No evidence of aneurysm or dissection. Moderate atherosclerotic calcification of the coronary arteries. Left v... | 1. No evidence for aneurysm or dissection. Moderate atherosclerotic calcification of the abdominal aorta and its branches. 2. Left ventricular hypertrophy. Coronary artery calcification, especially the LAD. 3. Mildly patulous esophagus. |
Generate impression based on findings. | Victim of domestic abuse. Left sided orbital swelling, bruising, one minute loss of consciousness. Head: There is no acute intracranial hemorrhage. The ventricles are normal size and morphology. There is no mass-effect or midline shift. There is no depressed skull fracture. Maxillofacial: There is a minimally displaced... | 1.Minimally depressed fractures of the anterior and lateral walls of the left maxillary sinus and inferior orbital rim and floor, traversing the infraorbital canal, as well as possibly a non-displaced fracture of the left zygomatic arch. The constellation of fractures indicates a zygomaticomaxillary complex fracture2.M... |
Generate impression based on findings. | Female, 82 years old, large substernal goiter, assess for progression in size and compression. Limited intracranial views are remarkable for periventricular hypoattenuation likely indicating age indeterminate small vessel ischemic disease.A large, heterogeneous goiter of the right thyroid lobe is reidentified. The lesi... | Mild interval increase in size of a large right thyroid goiter. |
Generate impression based on findings. | Clinical question: Recent IVH Signs and symptoms: Monitoring change from prior exam. Nonenhanced head CT:The examination redemonstrates an acute well-demarcated hematoma in the left basal ganglion without convincing evidence of any change in its size, morphology, extent and associated subtle mass effect.Similar to prio... | 1.No convincing evidence of any acute new finding since prior study.2.Stable acute dissecting no basal ganglia hematoma since prior study.3.Stable acute blood in the dependent portion of bilateral occipital horns and scattered subarachnoid hemorrhage since prior exam.4.Stable normal size of ventricular system and maint... |
Generate impression based on findings. | 60 year-old male with hematuria. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Nonobstructive bilateral nephroli... | 1. Mass arising from the right wall of the bladder, highly suspicious for primary malignancy. No evidence of metastatic disease.2. Nonobstructive bilateral nephrolithiasis. |
Generate impression based on findings. | 44-year-old female patient with left lower quadrant pain. Evaluate for diverticulitis. ABDOMEN:LUNG BASES: Bilateral dependent atelectasis, left greater than right.LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No sig... | 1.No CT evidence of diverticulitis.2.Right adnexal cyst, likely physiologic.3.Fibroid uterus. |
Generate impression based on findings. | Reason: r/o PE History: unexplained DOE, SOB, chest pain PULMONARY ARTERIES: Technically adequate examination. No evidence of pulmonary embolism. Main pulmonary artery caliber is within normal limits.LUNGS AND PLEURA: Bilateral band-like streaky changes consistent with atelectasis and/or scarring. Moderate emphysema.ME... | 1.No evidence of pulmonary embolism.2.Mildly nodular adrenal glands bilaterally. |
Generate impression based on findings. | Pain over lumbar and coccygeal region. There is maintenance of the overall lumbar lordosis with grade 1 spondylolisthesis at the L3-4 (4 mm) and L4-5 (7 mm) levels on the basis of significant degenerative change. There is sclerotic change of the S1 vertebral body which is also likely related to degeneration. There is l... | Multilevel degenerative change most prominent within the posterior elements at the L4-5 and L5-S1 levels. No spinal stenosis with mild bilateral neural foraminal stenosis at L4-5 and L5-S1. |
Generate impression based on findings. | 65-year-old female patient with abdominal pain. Evaluate for small bowel obstruction. Note that lack of intravenous contrast limits evaluation of vasculature, lymph nodes and solid viscera.ABDOMEN:LUNG BASES: Trace bilateral dependent atelectasis.LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: Mild peri-splen... | 1.Bowel is normal in caliber without evidence of obstruction.2.Subcutaneous soft tissue density in left breast was not included in the field-of-view on the prior examination and may be secondary to postsurgical changes. |
Generate impression based on findings. | Headache with SDH. There are right frontal and parietal burr holes for decompression of a right cerebral convexity subdural hematoma. There is a residual low to intermediate attenuation right cerebral convexity subdural fluid collection that measures up to 10 mm in width, which is unchanged. However, there is a newly a... | New punctate hyperdense focus of acute hemorrhage within the subacute right cerebral convexity subdural hematoma, which is otherwise unchanged in overall size. Likewise, the degree of midline shift remains approximately 3 mm to the left.Discussed with Dr. Burnet at 9:15 AM on 11/13/13. |
Generate impression based on findings. | Clinical question: Rule-out intracranial process. Signs and symptoms: Worsening right-sided facial droop, dysmetria and dysarthria, abnormal gait. Hemorrhage Unenhanced head CT:Examination demonstrates minimal interval increase in the focus of high density in the right paramedian pons since prior exam and likely repres... | 1.Tiny focus of increased density in the right paramedian pons demonstrate minimal interval increase in its size to 4mm on current exam and likely representing small focus of hemorrhage.2.Stable exam otherwise as detailed. |
Generate impression based on findings. | Female 40 years old. Reason: PTCL s/p auto stem cell transplant 1/2013. Compare to prior studies. CHEST:LUNGS AND PLEURA: Scattered calcified and noncalcified micronodules are unchanged since the previous examMEDIASTINUM AND HILA: No significant mediastinal or hilar lymphadenopathy. No cardiomegaly or pericardial effus... | Stable examination. No new lesions identified. |
Generate impression based on findings. | 60-year-old female with shortness of breath, COPD, and lung nodule. LUNGS AND PLEURA: Severe upper lobe predominant emphysema. Right upper lobe ill-defined nodular opacity is slightly decreased in size and may represent scarring/post inflammatory in nature (series 4, image 28). Several other punctate micronodules are u... | 1.Decrease in size of right upper lobe nodular opacity, which may be postinflammatory in nature. No new or suspicious nodules.2.Severe emphysema without superimposed acute abnormality. |
Generate impression based on findings. | peripheral T-cell lymphoma, stage IVA, status post stem cell transplant. There is no significant interval change in size of the cervical lymph nodes. For example, the right paratracheal lymph node measures 11 x 5 mm, previously 11 x 8 mm. Likewise, a left level 2A lymph node measures 6 x 5 mm, previously also 6 x 5 mm,... | Unchanged cervical lymph nodes, without significant lymphadenopathy by size criteria. |
Generate impression based on findings. | 17 year-old female patient with right adnexal pain. Evaluate for TOA. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, ... | No evidence of tubo-ovarian abscess. If continued clinical concern, suggest dedicated pelvic ultrasound. |
Generate impression based on findings. | 47-year-old male with recurrent head and neck cancer. CHEST:LUNGS AND PLEURA: Right middle lobe atelectasis, unchanged. Stable appearance of left lower lobe nodules, likely intrapulmonary lymph nodes. No new or suspicious nodules. MEDIASTINUM AND HILA: Tracheostomy in place. Left PICC terminates in SVC. No mediastinal ... | Stable mildly enlarged axillary lymph nodes. No evidence of intrathoracic or intra-abdominal metastatic disease. |
Generate impression based on findings. | 82 year old female with pulmonary sarcoidosis, now with progressive shortness of breath. LUNGS AND PLEURA: Severe upper lobe predominant chronic interstitial disease again noted, with associated focal areas of atelectasis/consolidation, traction bronchiectasis, pleural thickening, and architectural distortion; not sign... | 1.New left lower lobe ground glass opacities are unclear etiology but may represent mild residual hemorrhage from prior pulmonary emboli. Atypical infection, aspiration, or progression of pulmonary sarcoidosis are also considerations. 2.Extensive chronic interstitial lung disease compatible with sarcoidosis, not signif... |
Generate impression based on findings. | 29-year-old male with history of Wilms tumor status post left nephrectomy and chemoradiation. Follow-up evaluation. CHEST:LUNGS AND PLEURA: No suspicious pulmonary masses are identified. Calcified granuloma right upper lobe. No pleural effusions.MEDIASTINUM AND HILA: A well-defined hypoattenuating mass is again noted i... | No evidence of recurrent or metastatic disease. No significant interval change since the prior examination from April 15, 2013. |
Generate impression based on findings. | 44-year-old male with new diagnosis of esophageal cancer. CHEST:LUNGS AND PLEURA: Mild basilar atelectasis and scarring. Punctate micronodules in lingula and right middle lobe likely represents intrapulmonary lymph nodes (series 5, images 50, 45). No suspicious nodules or masses.MEDIASTINUM AND HILA: Significant thicke... | 1.Mid-esophageal mass with infiltration of surrounding mediastinal fat, compatible with known esophageal carcinoma.2.Multiple enlarged mediastinal lymph nodes.3.Two punctate lung micronodules, which have morphology suggestive of intrapulmonary lymph nodes; however, given patient's known cancer, continued follow-up is r... |
Generate impression based on findings. | 67-year-old male with shortness of breath and abnormal chest x-ray. LUNGS AND PLEURA: Small bilateral pleural effusions, right more than left. Basilar atelectasis/consolidation as well as basilar scarring. The scattered areas of ground glass opacity in the right upper and right lower lobes, nonspecific but may represen... | 1.Multiple pulmonary lung nodules, largest located in the left lower lobe and measuring 6 mm.2.Ill-defined, partially solid nodular opacity in right lower lobe measures 11 mm; while nonspecific and could be inflammatory in nature, adenomatous hyperplasia or minimally invasive adenocarcinoma is also in differential. Fol... |
Generate impression based on findings. | Clinical question: Evaluate sinuses. Signs and symptoms: 72-year-old male with history of multiple myeloma. Status post CT and pulmonary aspergillosis who has chronic sinusitis symptoms. Maxillofacial CT:Frontal sinuses demonstrate minimal mucosal thickening at their base and with occluded ostia.Ethmoid sinuses demonst... | Mild chronic pansinusitis which is worse in the right chamber of the sphenoid sinus as detailed. Occluded left sphenoethmoidal recess and left ostiomeatal unit. Significant leftward nasal septum deviation. |
Generate impression based on findings. | 23-year-old female with metastatic osteosarcoma. Off therapy. LUNGS AND PLEURA: Post-surgical changes at the left lower lobe, with scarring. No nodules are seen. No focal airspace opacities or pleural effusions.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Normal sized heart without pericardial effusio... | Post-surgical scarring at the left lower lobe, without new nodules seen. |
Generate impression based on findings. | Male, 47 years old, history of tongue cancer, on therapy. 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. Extensive postsurgical and posttreatment findings are demonstrated in the neck including total gl... | 1. Redemonstration of extensive postsurgical and posttreatment findings in the neck.2. Ulcerated ill-defined enhancing tissue within the right neck, at the level of the tongue flap pedicle, is again seen, highly suspicious for active disease. Accurate measurement of this tissue is very difficult, but it does appear to ... |
Generate impression based on findings. | 70 year-old male patient with history of bladder cancer. Evaluate for recurrence. CHEST:LUNGS AND PLEURA: Redemonstration of scattered bilateral pulmonary micronodules, most of which are calcified.MEDIASTINUM AND HILA: Calcified mediastinal and hilar lymph nodes, consistent with prior granulomatous disease.CHEST WALL: ... | Stable postoperative changes from cystoprostatectomy and neobladder reconstruction. No lymphadenopathy or evidence of recurrent disease. |
Generate impression based on findings. | Reason: eval for esophageal cancer History: eval for esophageal cancer CHEST:LUNGS AND PLEURA: Bibasilar groundglass opacities compatible with atelectasis. Mild perihilar ground glass opacities may represent edema. These findings may also represent early NSIP.MEDIASTINUM AND HILA: Large hiatal hernia. Eccentric thicken... | Distal esophageal wall thickening with mild adjacent lymphadenopathy. Recommend correlation with PET or endoscopy to exclude neoplasm. Groundglass opacities are suspicious for mild NSIP, |
Generate impression based on findings. | 68-year-old male postop day #1 following transphenoidal hypophysectomy for macroadenoma. There are postoperative changes including a bony defect at the floor of the sella, surgical packing within the sphenoid sinus and loculated air within the sella representing postoperative pneumocephalus. There has been decrease in ... | Postoperative changes related to recent transphenoidal hypophysectomy including debulked intrasellar component of a previously the described macroadenoma with hyperdense material in the suprasellar region. This could represent blood products and/or residual tumor an MRI is recommended to further evaluate this mass and ... |
Generate impression based on findings. | 52-year-old male with esophageal cancer status post two cycles of chemotherapy. CHEST:LUNGS AND PLEURA: New paramediastinal linear opacities and consolidation, most compatible with postradiation change. No suspicious nodules or masses.MEDIASTINUM AND HILA: No pathologically enlarged mediastinal lymph nodes. Thickening ... | 1.New paramediastinal opacities most compatible with post radiation change.2.No evidence of metastatic disease.3.Thickening of the distal esophagus, most compatible with known esophageal neoplasm. |
Generate impression based on findings. | 65-year-old male with history of lung cancer status post right lower lobectomy. CHEST:LUNGS AND PLEURA: Status post right lower lobectomy. Stable pleural thickening and scarring in the right base. No evidence of recurrence, suspicious nodules or masses. Moderate emphysema.MEDIASTINUM AND HILA: Status post gastric pull ... | Status post right lower lobectomy without evidence of recurrence or metastatic disease. |
Generate impression based on findings. | 21-year-old female with headaches and seizures. Near resolution of the previously identified tubular enhancing structure along the left frontal scalp. No abnormal intracranial enhancement is present. Similar to the prior examinations, scattered lucencies are present in the left frontotemporal calvarium.The CSF spaces a... | 1. Near resolution of the previously identified tubular enhancing structure along the left frontal scalp. This most likely represents a venous structure such as a varix.2. No abnormal intracranial enhancement, mass, mass effect, edema or midline shift. |
Generate impression based on findings. | 73-year-old male with pulmonary aspergillosis. LUNGS AND PLEURA: Severe emphysema. Stable appearing scarlike opacities in the right upper lobe.Lobulated mass with several surrounding smaller nodules in right lower lobe measuring approximately 3.8 cm, unchanged (series 4, image 58). Several other micronodules in both lu... | No significant change in right lower lobe mass, consistent with known aspergillus infection. No new nodules or opacities. |
Generate impression based on findings. | 71-year-old male with right upper lobe opacity. LUNGS AND PLEURA: Severe emphysema.New spiculated nodule in the right upper lobe measures 12 x 9 mm, highly suspicious for primary lung neoplasm (series 5, image 23). New punctate micronodule in right middle lobe adjacent to fissure measures 3 mm, most consistent with pul... | 1.New spiculated right upper lobe nodule measuring 12 mm, highly suspicious for primary lung neoplasm.2.New nodule in right middle lobe measuring 3 mm, most consistent with intrapulmonary lymph node given morphology and location.3.Two previously seen scarlike opacities in right upper lobe not significantly changed.4.St... |
Generate impression based on findings. | 36 year old female with abdominal pain, status post multiple hernia repairs ABDOMEN:LUNG BASES: In the right lower lobe is an incompletely imaged density which may be vascular however a nodule cannot be excluded (image 1 series 4).LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality ... | 1. Surgical changes of the abdominal wall without evidence of recurrent hernia.2. Mild chronic narrowing and wall thickening of the transverse colon extending to the splenic flexure, which may be post inflammatory/infectious.3. Incompletely imaged density in the right lower lobe, consider chest CT for further evaluatio... |
Generate impression based on findings. | Clinical question: Evaluate for occlusion, posterior. Signs and symptoms: Dysphagia and hoarseness. Nonenhanced head CT:There is no convincing evidence of any new acute findings since prior study of earlier this date.Stable tiny focus of increased density in the right paramedian pons since prior study.Extensive finding... | 1.Nonenhanced head CT demonstrate no convincing evidence of any new acute finding since prior exam. Stable punctate focus of increased density in the right paramedian pons and suspicious for tiny hemorrhage. Extensive supratentorial (right greater than left) small vessel ischemic strokes.2.Intracranial CTA demonstrate ... |
Generate impression based on findings. | 55-year-old male with cough and lung nodule. LUNGS AND PLEURA: Linear, scarlike opacities and rounded, subsegmental atelectasis in right midlung and both bases with associated pleural thickening, unchanged since 4/2013 but new since 7/2004. No suspicious nodules or masses.MEDIASTINUM AND HILA: No pathologically enlarge... | 1.Right lung predominant scarlike opacities and rounded atelectasis, without evidence of suspicious nodules or masses.2.Cirrhosis with ascites fluid. |
Generate impression based on findings. | Malignant neoplasm of the lung, restaging CHEST:LUNGS AND PLEURA: Postsurgical changes including a right upper lobectomy are unchanged and with associated volume loss and mediastinal shift. No suspicious pulmonary nodules or masses. Scattered small micronodules unchanged. Specifically the previously described narrow an... | 1.No findings of recurrent malignancy. 2.Nonspecific focal hepatic hyper attenuation also unchanged |
Generate impression based on findings. | History of desmoid tumor. Assess for progression of disease. CHEST:LUNGS AND PLEURA: Previously described nodular structure on the posterior segment of the right lung base is not visualized in this examination.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Stable left paraspinal and right inferolater... | Stable multiple left paraspinal and right sided inferolateral chest wall mass. |
Generate impression based on findings. | Male, 4 years old, status post head trauma 12 hours before, loss of consciousness, mom says patient still confused. 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 ef... | Unremarkable evaluation. |
Generate impression based on findings. | Mesothelioma post 3 doses of immunotherapy. CHEST:LUNGS AND PLEURA: Right hydropneumothorax with increase in volume of pleural fluid since the previous examination. Two possible areas of fistulous communication with the pleural space on the right are identified on series 4 and images 58 and 64. Interval increase in siz... | Interval increase in the size and number of pleural masses in the right hemithorax. New right pleural fluid collection with chronic right pneumothorax presumably due to bronchopleural fistula. Given presence of pleural fluid on the current examination, two possible areas of communication are identified in the anterior ... |
Generate impression based on findings. | Mesothelioma, follow-up LUNGS AND PLEURA: Postsurgical right pneumonectomy and diaphragmatic graft placement with a large amount of fluid throughout the hemithorax unchanged. Moderate right to left mediastinal shift again observed. Previously described thickening along the inferior right pleura and posterior costophren... | Postsurgical right pneumonectomy with extensive retained fluid throughout the hemithorax. No evidence of local recurrence or new metastatic disease. |
Generate impression based on findings. | Malignant mesothelioma, follow-up CHEST:LUNGS AND PLEURA: Interval enlargement and increased nodular pleural thickening on the left compatible with progression of known underlying mesothelioma. Associated volume loss and increase changes in the lobe left lung base are again observed. Reference measurements are as follo... | Interval progression of known mesothelioma with reference measurements above. Changes include enlargement of existing disease with also additional new foci |
Generate impression based on findings. | Question change in size of nodule. History of latent tuberculosis infection LUNGS AND PLEURA: Numerous groundglass pulmonary nodules measuring from 4 -7mm in size similar to previous. Biapical scarring. Mild bronchiectasis is unchanged.Spiculated nodule in the right lower lobe not conclusively changed in either size or... | 1. No conclusive change in dominant right lower lobe nodule since the previous examination. The lesion remains indeterminate for malignancy. Additional follow-up CT in 6 months is recommended.2. Unchanged numerous groundglass density nodules which may reflect sequela of pulmonary involvement by Crohn's disease though n... |
Generate impression based on findings. | Mesothelioma, follow-up CHEST:LUNGS AND PLEURA: Left sided hemithorax by them loss with pleural thickening and fluid anteriorly, unchanged. Changes associated with pleurectomy and decortication with associated osseous abnormalities. Small loculated fluid within hyperattenuating rim persists along the anterior aspect, u... | Residual stable pleural thickening and fluid, reference measurements provided |
Generate impression based on findings. | 54-year-old patient with persistent back pain. History includes multilevel surgical laminectomies. There are postoperative changes including L4 -- laminectomy and partial fusion of posterior elements with bulky bony material (right greater than left) resulting in fusion of L3-4. There is maintenance of vertebral body h... | 1.Postoperative changes including L4-5 laminectomy with partial fusion of posterior elements.2.Multilevel degenerative change resulting in moderate canal stenosis at L2-3 and bilateral moderate neuroforaminal stenosis at L4-5 and L5-S1. |
Generate impression based on findings. | Female 68 years old; Reason: Evaluate for progression of metastatic disease; compare to previous scan. CHEST:LUNGS AND PLEURA: Bilateral and pulmonary and pleural based masses. Reference left lower lobe mass measures 6.1 x 3 .9 cm, previously 5.8 x 3.3 cm (image 67, series 5). Reference right lower lobe lesion measures... | 1. Very minimal increase in size of the pulmonary and pleural based metastatic masses. No new lung lesions detected.2. Stable size of mediastinal and retroperitoneal adenopathy. 3. Indeterminant renal lesion that has grown since 2009 worrisome for metastatic disease. Although primary neoplastic process can be similar, ... |
Generate impression based on findings. | Intracerebral hemorrhage. There is no significant interval change in the evolving hematoma centered in the right thalamus with associated vasogenic edema and effacement of the third ventricle. There is also no significant interval change in the appearance of the lateral ventricles, although these appear to have slightl... | No significant interval change in the evolving hematoma centered in the right thalamus with associated vasogenic edema and effacement of the third ventricle and no significant interval change in the appearance of the lateral ventricles, although these appear slightly less dilated since 11/12/13. |
Generate impression based on findings. | Lung cancer LUNGS AND PLEURA: Right upper lobectomy with resection volume loss. No evidence of interval focal recurrence. No effusions. Mildly dependent posterior and lower lung patchy nonspecific ground glass and tree in bud deformity, possible aspiration. Largely paraseptal emphysematous changes unchangedMEDIASTINUM ... | Postsurgical changes of right upper lobectomy without evidence recurrence or metastatic disease |
Generate impression based on findings. | Malignant neoplasm of the uterus. Carcinosarcoma. Vaginal bleeding. 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 abnormali... | Enlarged heterogeneous uterus. Small pelvic lymph nodes. No definite evidence of remote disease. |
Generate impression based on findings. | Reason: Lung nodule size. Need for follow-up CT. History: COPD. MAI infection now on treatment. LUNGS AND PLEURA: Severe diffuse centrilobular emphysema.Scarring with surgical staples in the right upper lobe.Flat right upper lobe nodule measuring 8 x 9 mm in cross-section but decreased in thickness on coronal images.Ne... | 1. Stable right upper lobe nodule, slightly decreased in 6/19/2013, compatible with an infectious etiology.2. New partial consolidation and atelectasis in the left lower lobe with associated bronchiectasis and diffuse emphysema. 3. Extensive mucoid impaction in the central airways on the right. |
Generate impression based on findings. | Thyroid cancer with persistent thyroglobulin and 3 stable subcentimeter lung nodules. LUNGS AND PLEURA: No pleural fluid or pneumothorax.4-mm nodule in the right middle lobe (4/47) may contain internal lipid contents (-69HU on the source images).1 to 2-mm right lower lobe nodule (4/46). Subpleural 1 to 2-mm micronodule... | 1. Subtle spherical lucency in the T12 vertebral body suspicious for a metastasis. Recommend correlation with nuclear scintigraphy for confirmation.2. Nonspecific pulmonary micronodules for which 3 month CT follow-up is recommended. Largest nodule measures 4-mm in size but appears to contain internal lipid content whic... |
Generate impression based on findings. | Esophageal neoplasm, evaluate LUNGS AND PLEURA: The discrete well-defined nodule in the left lower lobe (image 63 series 4) remains unchanged at 5 mm. The semisolid nodular densities in the left upper lobe (image 31 series 4) is also unchanged measuring 8 x 7 mm. the referenced right lower lobe semisolid nodule or dens... | Stable part solid nodule in the right lower and left upper lobes. Appearance again suspicious for indolent adenocarcinoma. Reference measurements are provided |
Generate impression based on findings. | New onset psychosis/AMS. There is diffuse volume loss, more so in the cerebellum than cerebral hemispheres. There is vascular calcification which is advanced for the patient's age demonstrated within the right vertebral artery and the bilateral internal carotid arteries. The calvarium is slightly thickened. There are n... | No acute intracranial normality demonstrated. Diffuse volume loss more so in the cerebellum than cerebral hemispheres and large vessel vascular calcification as described. |
Generate impression based on findings. | Benign neoplasm of the thymus CHEST:LUNGS AND PLEURA: Stable multiple pleural and subpleural soft tissue nodules noted in the left. Suspected metastatic disease grossly unchanged, with the reference lesions measured similarly. The large lesion along the posterior left lower lung remains 5.5 cm (image 70 series 3) and t... | Stable appearing left hemithorax pleural and extrapleural metastatic disease with reference measurements provided. Again noted is questionable invasion of left hemidiaphragm and questionable involvement of the left apical myocardium. |
Generate impression based on findings. | Mesothelioma, follow-up CHEST:LUNGS AND PLEURA: Post operative left pleurectomy changes with volume loss and diaphragmatic mesh all unchanged. A small focus of increased pleural fluid anteriorly and adjacent to the left upper lobe and mediastinal contour is unchanged in appearance. No suspicious new masses or focal are... | Postoperative left pleurectomy without evidence of recurrence |
Generate impression based on findings. | Female 63 years old; Reason: 63 yr old female with h/o aplastic anemia, pre stem cell transplant evaluation. LUNGS AND PLEURA: Scattered bilateral pulmonary micronodules. No suspicious nodules. Mild dependent basilar atelectasis/scarring. No focal consolidation or pleural effusion.MEDIASTINUM AND HILA: No significant m... | No evidence of active infection in the chest.Numerous calcified nodules are consistent with healed granulomas. |
Generate impression based on findings. | Male 66 years old; Reason: Reason: stage IV neuroendocrine small call carcinoma. Please perform a triple phase study. History: pain CHEST:LUNGS AND PLEURA: Stable nonspecific 5 mm right upper lobe pulmonary nodule (series 12, image 34). No new suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND... | 1. Relatively stable diffuse sclerotic skeletal metastases. 2. Decrease in size of reference lesions. |
Generate impression based on findings. | 66-year-old female with mesothelioma status post recent chemo, evaluate and compare prior ABDOMEN: Limited exam in the evaluation of solid organ pathology and vasculature due to the lack of IV contrast.LUNG BASES: See chest CT report.LIVER, BILIARY TRACT: Mild distortion of the hepatic parenchyma from adjacent soft tis... | Anterior abdominal wall soft tissue mass with intra-abdominal extension and abdominal lymphadenopathy, not significantly changed. |
Generate impression based on findings. | 70-year-old male patient with metastatic prostate cancer. Evaluate for progression. CHEST:LUNGS AND PLEURA: Redemonstration of bilateral upper lobe predominant centrilobular emphysematous changes.No suspicious pulmonary lesions.MEDIASTINUM AND HILA: No significant abnormality noted.Index left paratracheal node measures... | Stable lymphadenopathy in the retroperitoneum and chest. Minimal interval increase in mesenteric lymphadenopathy. No new lesions. |
Generate impression based on findings. | Female 52 years old; Reason: follow up lung cancer History: cough. CHEST:LUNGS AND PLEURA: Apical predominant centrilobular and paraseptal emphysema. Again seen is left hemithorax volume loss with extensive pleural thickening. Reference nodular thickening of the pleura measures 1.2 cm (series 3, image 50). Note that th... | 1.No significant interval change in the left pleural disease. Area of rounded atelectasis/tumor in the left lower lobe is decreased.2.Stable to decreased size in the right pulmonary nodules. |
Generate impression based on findings. | Status post lingulectomy and right upper lobectomy for lung CA CHEST:LUNGS AND PLEURA: Postsurgical changes consistent with right upper lobectomy and lingulectomy. No pleural fluid or pneumothorax.There is an approximately 1.5-cm region of nodular and serpiginous neovascularity within the right middle lobe adjacent to ... | 1. 2.6-cm solid nodule posterior aspect of the lower pole of the left kidney continues to enlarge. This remains highly suspicious for a primary renal cell carcinoma and should be considered such until proven otherwise.2. No signs of localized tumor recurrence.3. Unchanged 8mm groundglass nodule in the right lower lobe,... |
Generate impression based on findings. | Reason: He is status post chemoradiation for a T1N2b left tongue base cancer completed in 02/2012. Please re-eval for dz and compare History: as above CHEST:LUNGS AND PLEURA: Multiple calcified and noncalcified pulmonary micronodules consist with previous infection.Bronchial thickening with tree in bud opacity in the l... | Stable nonspecific mediastinal and hilar lymphadenopathy, most likely benign. |
Generate impression based on findings. | Clinical question: Bleed expansion? Hydrocephalus? Nonenhanced head CT:Previously noted acute hemorrhage in the left basal ganglia is no longer identified and presumed resorbed. Examination demonstrate no detectable acute intracranial process in particular no evidence of hemorrhage. CT however is insensitive for early ... | 1.Interval complete resolution of previously noted acute left basal ganglia hematoma.2.Moderate age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | 56 year-old female with abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Status post cholecystectomy. No hepatic parenchymal lesions. Patent hepatic vasculature.SPLEEN: No significant abnormality notedPANCREAS: The pancreas enhances homogeneously. Several tiny hypoattenuating les... | No specific findings to account for the patient's abdominal pain. |
Generate impression based on findings. | aplastic anemia, pre stem cell transplant evaluation. The paranasal sinuses and nasal cavity are clear. The ethmoid roofs are symmetric and intact. The carotid grooves and optic canals are covered by bone. There are prominent probable arachnoid granulations in the left middle cranial fossa with apparent focal dehiscenc... | No evidence of sinusitis. |
Generate impression based on findings. | 5 year old male with history of neuroblastoma status post therapy CHEST:LUNGS AND PLEURA: Dependent subsegmental atelectasis. No distinct pulmonary nodules identified. MEDIASTINUM AND HILA: No cardiomegaly or pericardial effusion. No significant mediastinal, hilar or axillary lymphadenopathy. Soft tissue surrounding th... | 1.Left adrenal surgical bed soft tissue without significant interval change.2.Unchanged retroperitoneal lymphadenopathy.3.Unchanged appearance of the osseous metastasis. |
Generate impression based on findings. | Left pleural effusion and wheezing LUNGS AND PLEURA: Moderate bilateral pleural fluid collections, left greater than right with associated atelectasis. No suspicious pulmonary nodules or masses. No areas of bronchial narrowing or obstruction to the segmental level. There are a few scattered areas of the distal bronchio... | 1. Appearance of the left anterior chest wall and adjacent lung is suggestive of prior radiation therapy; skin thickening may be post therapeutic related however tumor could not be excluded without comparison to prior studies. 2. Single 8mm soft tissue nodule in the deep posterior left breast is of unclear etiology; th... |
Generate impression based on findings. | Clinical question: 34-year-old female with history of ALL, pre stem cell transplant eveluation. Signs and symptoms: Evaluate for Maxillofacial CT:There is no evidence of acute or chronic sinus disease.Bilateral ostiomeatal units and the sphenoethmoidal recesses remain patent. There is mild rightward nasal septum deviat... | No evidence of sinusitis. |
Generate impression based on findings. | Male 79 years old; Reason: pt with pleural biphasic mesothelioma History: undergoing 3 cycles of chemo any changes since last CT scan. Compare and comment. CHEST:LUNGS AND PLEURA: Mild interval enlargement of the extensive nodular left pleural thickening with associated left hemithorax volume loss. Reference measuremen... | Moderate interval enlargement of both the thoracic and hepatic lesions. Reference measurements above |
Generate impression based on findings. | Status post chemoradiation for a T1N2b left tongue base cancer completed 02/2012. Please re-evaluate for IJV clot. There is non-opacification of the right internal jugular vein, which displays a very narrow caliber essentially throughout and development of venous collateral in the right neck, compatible with sequela of... | 1. Chronic right internal jugular vein thrombosis with development of venous collaterals.2. No evidence of locoregional tumor recurrence or significant cervical lymphadenopathy. However, there are partially imaged prominent upper mediastinal lymph nodes. Please refer to the separate chest CT report for additional detai... |
Generate impression based on findings. | 63 year-old female with weakness and slurred speech. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The p... | No acute intracranial abnormality. |
Generate impression based on findings. | 53-year-old male. Evaluate for small bowel intussusception. Reason: Pt with hx of BOT Ca; s/p CRT. Please re-eval for recurrent dz CHEST:LUNGS AND PLEURA: Interval resolution of patchy ground glass opacities in the right upper and right lower lobes.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Slig... | No evidence of intussusception. |
Generate impression based on findings. | Male, 58 years old, adenoid cystic cancer of the submandibular gland. Postop findings are redemonstrated consistent with resection of the left parotid gland. Atrophy/absence of the anterior belly of the left digastric muscle may also be surgical. No evidence of recurrent disease is seen in the resection bed. No patholo... | Stable post surgical/treatment findings with no evidence of recurrent disease. |
Generate impression based on findings. | 53 year-old male with history of base of the tongue cancer and status post CRT. The orbits are unremarkable. Mild mucosal thickening noted in the right maxillary sinus. Otherwise, paranasal sinuses and mastoid air cells unremarkable. Limited view of the intracranial structure is unremarkable. Again seen are post treatm... | Post-treatment changes without evidence of disease recurrence or pathologic lymphadenopathy. |
Generate impression based on findings. | Fell and hit head, anticoagulated. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tiss... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Alteration of consciousness. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is partially imaged right ethmoid air cells opacification. The imaged mastoid air cells are clear.... | No evidence of intracranial hemorrhage, mass, or cerebral edema. However, non-contrast CT is relatively insensitive for the detection of small mass lesions and non-hemorrhagic infarct. MRI with contrast may be performed for further evaluation, if clinically warranted. |
Generate impression based on findings. | 69-year-old female, follow up for PTLD. Reason: follow-up for PTLD History: six months post-chemotherapy for PTLD; restaging CHEST:LUNGS AND PLEURA: Interval resolution of bilateral pleural effusions and atelectasis/consolidation.MEDIASTINUM AND HILA: Marked narrowing of the left innominate vein with multiple collatera... | 1. Resolution of thoracic adenopathy and pleural effusions compared with prior CT. 2. Mixed lytic/sclerotic lesions diffusely involving the manubrium.3. High-grade stenosis of the left innominate vein with thoracic wall collateralization. |
Generate impression based on findings. | Episodic dizziness and headaches ongoing for 5 years becoming increasingly severe and prolonged. There is always a sense of fullness in the right ear and sense of pressure at the right skull base. On the right, the external auditory canal is patent and clear. The middle ear and mastoid air cells are well-pneumatized an... | No evidence of perilymphatic fistula. |
Generate impression based on findings. | 59-year-old female patient with history of lymphoma status post 4 cycles of BR therapy. Please restage. CHEST:LUNGS AND PLEURA: Trace bilateral dependent atelectasis.MEDIASTINUM AND HILA: Scattered subcentimeter mediastinal lymph nodes, seen on prior examination. Index node adjacent to the left pulmonary artery measure... | Minimal to significant interval decrease in index lymph nodes. |
Generate impression based on findings. | Chronic sinusitis. There is complete opacification of the right maxillary sinus and infundibulum. There is moderate mucosal thickening within the left maxillary sinus with an air-fluid level, which appears new since 9/30/13. There is also opacification of the left infundibulum. There is diffuse thickening and sclerosis... | 1. An air-fluid level within the right maxillary sinusitis suggests acute sinusitis.2. Chronic right maxillary sinusitis, which may be odontogenic in origin, given the presence of periodontal disease affecting ADA 2 and 3. |
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