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Generate impression based on findings. | 59 year-old female with large B cell NHL. There has been interval decrease in size of the ill-defined superficial left parotid lesion, which now measures 11 x 8 mm, previously 18 x 14 mm. The predominant lesion in the inferior aspect of the gland measures 17 x 15 mm. The right parotid and submandibular glands are unrem... | Interval decrease in size of the left parotid lesion, which now measures 11 x 8 mm, previously 18 x 14 mm. |
Generate impression based on findings. | 77-year-old male, intubated, evaluate for pneumonia versus edema. CHEST:LUNGS AND PLEURA: Interval decrease in left pleural effusion and reexpansion of the left lower lung with persistent basilar atelectasis and consolidation. Left upper lobe resection cavity with air fluid level. Small right pleural effusion and adjac... | 1. Interval reexpansion of the left lower lobe with persistent basilar atelectasis and consolidation and small pleural effusions. Left upper lobe resection cavity with air-fluid level.2. Ill-defined density in the bladder, which represent debris, but a mass cannot be excluded on this noncontrast exam. |
Generate impression based on findings. | 73-year-old male with seminoma, stage I, follow suspicious looking periaortic lymph nodes. CHEST:LUNGS AND PLEURA: Apical scarring. Small calcified nodule is compatible with prior granulomatous disease.MEDIASTINUM AND HILA: Calcified mediastinal and hilar lymph nodes compatible with prior granulomatous disease.CHEST WA... | No lymphadenopathy by CT criteria. Subcentimeter nodule adjacent to the right psoas muscle corresponds to the FDG avid lesion seen on prior PET/CT. |
Generate impression based on findings. | 83 year-old female with vision loss. There is patchy hypoattenuation in the cerebral white matter. The ventricles, sulci, and cisterns are symmetric and prominent, representing volume loss. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collec... | No acute intracranial abnormality. Moderate small vessel ischemic disease of indeterminate age. Brain volume loss. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. |
Generate impression based on findings. | Male 58 years old; Reason: Adenoid cystic cancer of submandibular gland compare to last Ct \T\ measure RML lesion History: post 3 cycles of therapy. CHEST:LUNGS AND PLEURA: Numerous pulmonary nodules consistent with metastases, stable in size and number. Index lesion in the right middle lobe measures 2.5-cm, unchanged ... | Stable pulmonary metastases. No new lesions. |
Generate impression based on findings. | Female 63 years old; Reason: lung ca, on tarceva, left adrenx cyst, pls c/w previous study and evaluate dz status. History: lung ca CHEST:LUNGS AND PLEURA: Bilateral lower lobe confluent disease is seen again with a diffuse ground glass appearance in the right lung base and more solid aggregation of nodules with some g... | 1. Subtle increase in the appearance to basilar confluent lung nodules and groundglass opacities with more solid appearing masses. 2. Subtle increase in size of isolated right upper lobe lung nodule since 9/11/13. 3. Stable size complex left adnexal cyst. Ultrasound of the pelvis advised for full characterization. 4. S... |
Generate impression based on findings. | Non-Hodgkin's transformed follicular lymphoma status post chemo radiation and radical excision of pelvic mass. Allo-sib SCT 2006. Recent cellulitis and left hip infection. CHEST:LUNGS AND PLEURA: Multiple calcified micronodules most suggestive of granulomas. Mosaic attenuation of the lung parenchyma is unchanged compar... | No change in subcutaneous nodules or mild mediastinal lymphadenopathy. |
Generate impression based on findings. | Dizziness, pulsatile tinnitus, hyperacusis, otalgia, and fullness in right ear. On the right, there is dehiscence of the superior semicircular canal along an approximately 4 mm length. The inner ear structures are otherwise unremarkable. The facial nerve describes a normal course. The ossicular chain is intact. The mid... | Right superior semicircular canal dehiscence. |
Generate impression based on findings. | 70 year-old female with history of thyroid cancer CHEST:LUNGS AND PLEURA: Index left lower lobe mass measures 1.8 by one .6 cm on image number 77, series number 12, stable from previous study. However some of the other lung nodules have minimally increased in size compared to previous study. An index right lower lobe l... | Increase in some of the metastatic lung nodules. Minimal interval increase in the size of the tracheal esophageal groove mass. |
Generate impression based on findings. | Histoplasmosis, follow-up. Cough LUNGS AND PLEURA: Postsurgical changes with a partial right middle lobectomy with residual surgical clips in the right lower hilar region and volume loss. Interval removal of the previously described mass. Scattered in a largely calcified granulomata. No suspicious nodules or masses. No... | Partial right middle lobectomy with removal of the suspected neoplasm. No evidence of recurrence or findings suggest residual metastatic disease |
Generate impression based on findings. | Sinusitis. There are bubbly secretions within the bilateral maxillary sinuses. There is also retention cyst formation within the left maxillary sinus. There is opacification of the bilateral infundibula. There is mild opacification of the left anterior ethmoid air cells. There are small air fluid levels within the bila... | Findings suggestive of acute sinusitis. |
Generate impression based on findings. | History of tuberous sclerosis This study is limited due to lack of IV contrast.CHEST:LUNGS AND PLEURA: Multiple small cystic lesions in both lungs consistent with lymphangioleiomyomatosis in a patient with known history of tuberous sclerosis. No lung nodules.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST ... | Limited study due to lack of IV contrast. Patient refused IV access.Lung findings consistent with lymphangioleiomyomatosis.Left lower pole mass which may represent a lipid poor tuberous sclerosis. However renal cell carcinoma cannot be excluded. Small angiomyolipomas within the left kidney. |
Generate impression based on findings. | Female 86 years old; Reason: 86 year old female with History: nightsweats The evaluation of solid organ pathology and lymphadenopathy is limited by the lack of IV contrast. CHEST:LUNGS AND PLEURA: Scattered micronodules are unchanged. Stable 8mm pleural-based nodule in the right lower lobe on image 64 of series 5 a is ... | Significant interval increase in size and number of lymphadenopathy in the visualized chest, abdomen, and pelvis as discussed above. |
Generate impression based on findings. | Clinical question: New onset of seizures. Signs and symptoms : New onset of seizure. Nonenhanced head CT:Less than optimal quality study due to portable technique. There is no convincing evidence of any acute new findings since prior exam. Previously noted subarachnoid hemorrhage is significantly less conspicuous.The c... | No convincing evidence of any acute new findings on this portable nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Seizure. Signs and symptoms: Seizure. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical show sarcoma ventricular system normal CSF spaces and gray -- white matter ... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Evaluate for bleed or other intracranial process. Signs and symptoms: AMS and pinpoint pupils. Nonenhanced head CT:No evidence of acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricula... | No acute intracranial process. |
Generate impression based on findings. | Clinical question : Vertigo and weakness. Signs and symptoms: As above. Unenhanced head CT:Examination demonstrates ectopia of cerebellar tonsils approximately 6 mm below the foramen magnum. There is resultant effacement of the subarachnoid space. There is no convincing evidence of any cerebellar tonsillar deformity.No... | 1.6-mm ectopia of cerebellar tonsils with effacement of subarachnoid space. Recommend follow-up with MRI exam.2.Unremarkable nonenhanced head CT otherwise. |
Generate impression based on findings. | 74-year-old male patient status post cystectomy with ileal conduit present with possible enteric contents from abdominal wound. Please assess for enterocutaneous fistula/anastomotic leak. ABDOMEN:LUNG BASES: Bilateral dependent atelectasis.LIVER, BILIARY TRACT: Multiple hypoattenuating lesions in liver, stable compared... | 1.Fistulous communication between the small bowel and ventral wound at the level of the pelvis. No pneumoperitoneum or abscess formation.2.Trace free ascites.3.Postsurgical changes from cystoprostatectomy with drain in place. |
Generate impression based on findings. | Reason: r/o pe History: sob, cp, h/o PE PULMONARY ARTERIES: Limited examination due to body habitus and motion. Within these limitations, no evidence of pulmonary embolism down to the lobar arteries.LUNGS AND PLEURA: Severe motion artifact. No significant abnormalities noted.MEDIASTINUM AND HILA: No pericardial effusio... | Limited examination with no large embolus down to the lobar arteries. |
Generate impression based on findings. | 48-year-old female with left flank pain, hematuria, and nausea. Rule out kidney stone. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hepatomegaly, unchanged. Lack of IV contrast limits ability to evaluate solid parenchymal organs. Gallbladder and biliary tract are no diagnostic abnormalities... | 1. Punctate left nonobstructing renal calyceal calculus, unchanged. No evidence for urinary tract obstruction. 2. Hepatomegaly. |
Generate impression based on findings. | Male 58 years old; Reason: PMH of non Hodgkin's/ transformed follicular lymphoma s/p chemo/radiation and radical excision of L lat pelvic mass 5/2013 s/p allo-sib SCT 2006 and recent cellulitis and L hip infection requiring drain History: Transformed follicular Lymphoma. Please measure masses in hip and pelvis and comp... | 1.Continued interval increase in size of the soft tissue masses along the anterior thigh and left iliac region compared to previous exam on 9/12/2013 and is again highly suspicious for progression of malignancy given the patient's history of transformed follicular lymphoma.2.Interval complete resolution of the previous... |
Generate impression based on findings. | 12-year-old male with abdominal pain, diarrhea, leukocytosis. ABDOMEN:LUNG BASES: No focal air space opacities or pleural effusions are present.LIVER, BILIARY TRACT: The liver is normal in attenuation and size. The gallbladder is distended. There is no biliary ductal dilatation.SPLEEN: The spleen is normal in size and ... | Colitis of the rectosigmoid, sigmoid, and distal descending colon as described. Differential considerations include infectious and inflammatory etiologies. |
Generate impression based on findings. | Female 60 years old; Reason: NV with ab TTP, mostly in LUQ and epigastrium History: as aove The exam is not sensitive for detecting lesions in the solid organs are vasculature due to lack of intravenous contrast. Given those limitations, the following observations are made:ABDOMEN:LUNGS BASES: Scarring right lung base ... | 1.No specific findings to explain left upper quadrant pain.2.Small abdominal aortic aneurysm. Other findings as abov |
Generate impression based on findings. | 64-year-old female, evaluate renal mass. ABDOMEN: Exam limited in evaluation of solid organ pathology by the lack of IV contrastLUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLAN... | Although incompletely evaluated without IV contrast, the dominant well circumscribed hyperdense left renal lesion has a high probability of representing a benign complex cyst. |
Generate impression based on findings. | Reason: pe? History: shortness of breath PULMONARY ARTERIES: Technically adequate examination. No evidence of pulmonary embolism. Main pulmonary artery caliber is high normal.LUNGS AND PLEURA: Mild centrilobular emphysema unchanged. Mild bronchial wall thickening is again noted and unchanged since 2009.Poorly defined a... | 1.No evidence of pulmonary embolism.2.Stable mild central lobular emphysema.3.Mild bronchial wall thickening is again noted and unchanged since 2009, compatible with bronchitis or asthma.4.Asymmetric nodular soft tissue density in the right breast which has been present since 2009 is indeterminate. Correlation with mam... |
Generate impression based on findings. | 84-year-old female postoperative day 5 status post sigmoidectomy with leukocytosis, nausea, and emesis. ABDOMEN:LUNG BASES: Bilateral pleural effusions with adjacent atelectasis and consolidation, partially visualized. Cardiomegaly.LIVER, BILIARY TRACT: Cholelithiasis.SPLEEN: No significant abnormality notedPANCREAS: P... | 1. Status post sigmoidectomy with fluid-filled, distended small bowel loops and decreased caliber distal ileum suggesting partial obstruction. No loculated abdominal or pelvic fluid collections or evidence of perforation.2. Small residual left lower quadrant subcutaneous phlegmonous collection containing drain.3. Abdom... |
Generate impression based on findings. | 61-year-old male with spiking temperatures --? Source of infection. CHEST:LUNGS AND PLEURA: Evolving changes are seen in the lung parenchyma with slightly decreased. Groundglass opacification and confluence density in the prior noted. Apical infiltrate, slightly increased airspace consolidation in the right lung base a... | 1. Transplant liver, unchanged in appearance. 2. Increasing diffuse ascites without loculation. 3. Evolving parenchymal lung infiltrates, but with increasing peribronchial thickening and nodular changes at both lung bases, most consistent with aspiration/infection. |
Generate impression based on findings. | 48-year-old female patient with history of pancreatic cancer. Restaging. ABDOMEN:LUNG BASES: New large right pleural effusion with associated atelectasis and volume loss. New small left pleural effusion with associated atelectasis.LIVER, BILIARY TRACT: Expected pneumobilia. Mild intrahepatic biliary ductal dilatation. ... | 1.Interval increase in the pancreatic head mass, large amount of diffuse abdominal ascites and interval increase in vascular compromise, consistent with disease progression.2.New bilateral pleural effusions. |
Generate impression based on findings. | 73-year-old male with abdominal pain, rule out diverticulitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Bilateral hepatic hypodensities, likely representing cysts.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality... | Phlegmonous collection adjacent to the proximal small bowel with associated diverticulosis, consistent with perforated small bowel diverticulitis with maturing fluid collection as detailed above. |
Generate impression based on findings. | Reason: aml pre treatment History: aml LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Low attenuation of the circulating blood pool is consistent with anemia.There is no significant mediastinal or hilar lymphadenopathy.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of IV a... | No significant abnormality. |
Generate impression based on findings. | 52 year old female with esophageal varices and neck swelling. Evaluate for SVC syndrome. CHEST:LUNGS AND PLEURA: Bilateral basilar scarring and subsegmental atelectasis. No consolidation or pleural effusions. Bilateral lung nodules noted; the largest located in the right lower lobe measures 4 mm (series 4, image 66); n... | 1.Large thrombus occluding the lumen of the superior vena cava, with extension of thrombus into the azygos and left brachiocephalic veins. Associated numerous collateral vessels are seen in the chest wall and esophagus.2.Several foci of gas in left internal jugular vein, which may be related to recent instrumentation.3... |
Generate impression based on findings. | 69-year-old male with acutely elevated bilirubin and jaundice -- evaluate for biliary mass/abscess. CHEST:LUNGS AND PLEURA: Left pleural effusion minimally changed from prior with increasing bibasilar atelectasis. MEDIASTINUM AND HILA: Pacemaker and associated wires, unchanged in position or appearance. Changes from LV... | 1. Left pleural effusion and bibasilar atelectasis with minimal change. 2. Left ventricular assist device and cardiomegaly unchanged. 3. Gallstones without complication. 4. Aortic aneurysm with internal stent, unchanged. 5. No evidence for biliary obstruction. |
Generate impression based on findings. | Reason: evaluate for signs of PE vs infection History: 58yo F with recurrent lymphomatoid granulomatosis of the lung with fevers, dyspnea, and hypoxia. PULMONARY ARTERIES: Technically adequate examination. No evidence of pulmonary embolism.LUNGS AND PLEURA: Interval increase in left upper lobe consolidation with surrou... | Interval increase in left upper lobe consolidation with surrounding groundglass opacities consistent with history of lymphomatoid granulomatosis of the lung. |
Generate impression based on findings. | 80 year-old male with colon cancer, liver METs and hemidiaphragmatic mass. CHEST:LUNGS AND PLEURA: Large lung volumes and scattered micronodules some of which are calcified and likely represent prior granulomatous disease.Right pleural-based mass abutting the diaphragm measures 4.4 x 6.4 cm (image 87, series 3)MEDIASTI... | 1. Status post right hemicolectomy with hepatic, pleural and abdominal and pelvic metastatic lesions involving the mesentery, retroperitoneum, and abdominal wall.2. Right nephroureteral catheter with marked right hydronephrosis and tumor encasing the distal ureter. |
Generate impression based on findings. | 60 year-old female with left upper lung nodule and shortness of breath. LUNGS AND PLEURA: Left upper lobe nodule slightly increased in size, measuring 15 mm, previously measured 13 mm (series 7, image 23). No new nodules identified.Severe emphysema. No consolidation or pleural effusions.MEDIASTINUM AND HILA: No patholo... | Slightly increased size of left upper lobe nodule, which was hypermetabolic on recent PET/CT and highly suspicious for primary lung neoplasm. |
Generate impression based on findings. | 64 year-old female with lightheadedness. There are scattered patchy hypodensities in the cerebral white matter. 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... | No acute intracranial abnormality. Minimal small vessel ischemic disease of indeterminate age. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. |
Generate impression based on findings. | Metastatic papillary cell cancer. Head: There is no evidence of abnormal intracranial enhancement, hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are stable in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The osseo... | 1. Continued interval increase in size of the recurrent papillary thyroid carcinoma within the right tracheoesophageal groove, which now measures up to 23 mm, previously 19 mm.2. No evidence of intracranial metastases. |
Generate impression based on findings. | 65-year-old male with thyroid cancer. CHEST:LUNGS AND PLEURA: Bilateral apical scarring and bronchiectasis is unchanged.Reference right lower lobe pleural-based nodule is unchanged, currently 7 mm, previously measured 7 mm. Remaining punctate micronodules are also unchanged. New ill-defined opacities in the right lower... | 1.No significant change in pulmonary metastases.2.Increased size of mediastinal lymphadenopathy.3.Increased size of osseous diastases.4.Innumerable hepatic metastases, likely not significantly changed.5.New ill-defined opacities in the right lower lung lobe, which may be related to aspiration or inflammatory process. |
Generate impression based on findings. | Clinical question: Evaluate for size of hemorrhage. Signs and symptoms: Right lower extremity weakness and dysphasia. Nonenhanced head CT:A tiny focus of increased density in the right paramedian pons shows no convincing evidence of interval change.There is no detectable new findings since prior exam, CT however is ins... | 1.No evidence of new finding since prior exam.2.Stable tiny focus of increased density in the right paramedian pons.3.Grossly stable findings of age indeterminate small vessel ischemic strokes and ex vacuo dilatation of right lateral ventricle. |
Generate impression based on findings. | Clinical question: Continued monitoring of any acute changes. Signs and symptoms: Intracranial hemorrhage. Nonenhanced head CT:Acute hematoma in the left basal ganglia is again noted identified. Multiple measurements on axial, sagittal and coronal projections demonstrate no evidence of interval change in the size of he... | 1.No evidence of acute new finding since prior exam.2.Stable acute hypertensive dissecting hematoma in the left basal ganglia and its associated mass effect and trace rightward midline shift.3.Stable residual acute blood in the dependent portion of occipital horns and scattered subarachnoid hemorrhage (left > right).4.... |
Generate impression based on findings. | 58-year-old male patient with history of renal cell cancer and thyroid cancer status post thyroidectomy. Evaluate for disease progression of RCC. Note that the lack of intravenous contrast limits evaluation of vasculature, lymph nodes and solid viscera.CHEST:LUNGS AND PLEURA: Multiple subcentimeter, bilateral nodules a... | 1.Stable to mildly improved pulmonary nodules.2.Decreased right inguinal lymphadenopathy.3.Stable mediastinal lymphadenopathy. |
Generate impression based on findings. | CLL. Assessment is limited due to lack of intravenous contrast. There has been overall interval increase in size numerous, bilateral, multilevel enlarged cervical lymph nodes. For example, a left level 5 lymph node measures 10 x 13 mm (image 93, series 4), previously 9 x 12 mm, a right level 1B lymph node measures 14 x... | Overall interval increase in size of the extensive cervical lymphadenopathy related to CLL. Extensive, but partially imaged upper mediastinal and axillary lymphadenopathy. Please refer to the separate body CT report for additional details. |
Generate impression based on findings. | 58-year-old male with diffuse generalized abdominal pain. On chemotherapy for glioblastoma multiforme. ABDOMEN:LUNG BASES: Bibasilar air space consolidationLIVER, BILIARY TRACT: Scattered, benign cysts in the liver. No other parenchymal abnormality seen. Gallbladder and biliary tract appear normal. Vascular structures ... | 1. Bibasilar airspace consolidation -- aspiration/infection likely etiologies. 2. No abnormality seen in the abdomen to account for patient's symptomatology. |
Generate impression based on findings. | Male 73 years old; Reason: history metastatic renal cancer, assess for progression. CHEST:LUNGS AND PLEURA: Moderate left and small right pleural effusions are noted, similar to prior. There is persistent overlying left lower lobe atelectasis. Numerous pulmonary nodules are similar to prior perhaps minimally increased ... | The study is limited due to lack of IV contrast.1.Interval minimal increase in the size of the pulmonary nodules and mediastinal adenopathy2.enlarging right femur. Metastatic lesion.3.New left adrenal mass, suspicious for metastatic disease.4.Other findings are stable from prior study.I personally reviewed the Images a... |
Generate impression based on findings. | PTC treated with total thyroidectomy and resection left recurrent laryngeal nerve and Montgomery implant placed. The patient then developed an increasing mass in the right paratracheal region that caused intermittent VC weakness. The mass was resected, but there airway obstruction developed resulting in a tracheostomy.... | 1. Interval increase in size of the infiltrative recurrent tumor that encases the right common carotid artery within the right thyroidectomy bed, which now measures up to 34 mm, previously up to 30 mm, and increase in size of right level 4 lymphadenopathy, measuring up to 10 mm, previously 7 mm. 2. Interval increase in... |
Generate impression based on findings. | 70 year-old female with stage III non-small cell lung cancer status post neoadjuvant chemoradiation. CHEST:LUNGS AND PLEURA: Interval decrease in size of right upper lobe spiculated nodule, currently measuring 10 x 15 mm, previously measured 15 x 20 mm (series 4, image 24).Mild scarring/atelectasis in the right base, u... | 1.Interval decrease in right upper lobe lesion and mediastinal adenopathy.2.Stable indeterminate right lower lobe ground-glass opacity associated with cyst; continued follow-up recommended. |
Generate impression based on findings. | 45-year-old female patient with pain. Evaluate for hernia. ABDOMEN:LUNG BASES: Trace bilateral dependent atelectasis.LIVER, BILIARY TRACT: Status-post cholecystectomy and roux limb. Pneumobilia.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality... | 1.Interval closure of midline ventral wound without evidence of bowel herniation.2.Interval resolution of pancolitis. |
Generate impression based on findings. | 68-year-old male with cough. Evaluate for pneumonitis. CHEST:LUNGS AND PLEURA: Spiculated, perihilar right upper lobe mass measures 3.5 x 3.6 cm, previously 3.1 x 3.3 cm (series 4, image 31). Paramediastinal right lower lobe mass does not appear significantly changed, measuring 2.0 x 5.0 cm (series 4, image 49). Innume... | 1.Mild increase in size of right upper lobe, perihilar mass, consistent with primary lung neoplasm.2.Innumerable lung metastases and mediastinal lymphadenopathy.3.No evidence of superimposed, acute lung process to suggest pneumonitis.4.Nonspecific sclerotic focus in left ilium is not completely visualized but likely un... |
Generate impression based on findings. | 43-year-old female patient with history of possible chronic pancreatitis. Evaluate for pancreatic malignancy. ABDOMEN:LUNG BASES: Minimal right upper lobe scarring.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: Focus of coarse calcifications within the pancreat... | Focus of coarse calcifications in the head of the pancreas without findings suggestive of mass lesion. |
Generate impression based on findings. | Testicular carcinoma 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 significant abnormality notedRETROPERITONE... | Negative examination; no evidence for acute, inflammatory, or neoplastic process. No metastatic process. |
Generate impression based on findings. | 69 year-old female with thyroid cancer. LUNGS AND PLEURA: Innumerable pulmonary metastases not significantly changed. Reference left upper lobe lesion measures 12 x 12 mm, previously measured 12 x 12 mm (series 4, image 24). Reference left lower lobe lesion measures 8 x 9 mm, previously measured 8 x 9 mm (series 4, ima... | 1.No significant change in extensive pulmonary metastatic disease and mediastinal lymphadenopathy.2.Increase in size of left fifth rib lesion.3.Left hepatic lobe lesion suspicious for metastasis, not significantly changed.4.Right thyroid bed mass; please see dedicated neck CT report for neck findings. |
Generate impression based on findings. | 63-year-old male with history of pancreatic cancer status post radiation therapy and chemotherapy with abdominal pain. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Marked atherosclerotic calcifications of the coronary arteries, aortic valve and aorta. Unchanged mildly prominent mediasti... | Pancreatic mass encasing the celiac axis with thrombosis of the splenic vein, not significantly changed from the prior exam. No new lesions. |
Generate impression based on findings. | Colon carcinoma CHEST:LUNGS AND PLEURA: Stable left lung scarring.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLAN... | Stable examination |
Generate impression based on findings. | Nasal congestion. There is mild mucosal thickening within the bilateral maxillary sinuses, as well as partial opacification of the infundibula. There is mild opacification of the ethmoid sinuses. The sphenoid and frontal sinuses are clear. There is pneumatization of the left anterior clinoid process. The imaged intracr... | Mild paranasal sinus opacification in a sporadic pattern. |
Generate impression based on findings. | Female 19 years old Reason: fracture 1st left rib History: Need thoracic outlet CT to eval 1st rib There is a nondisplaced transverse fracture of the mid/distal left first rib with sclerosis along the fracture line margins. There is soft tissue density surrounding the fracture. These findings are suggestive of nonunion... | Left first rib fracture with findings suggestive of nonunion. |
Generate impression based on findings. | Three year old female with history of prior neutropenia, now resolved. Evaluate for interval change of small wedge-shaped area of low attenuation in the right apex. LUNGS AND PLEURA: Interval resolution of the previously identified wedge-shaped area of hypointensity in the right apex. No new pulmonary air space opaciti... | 1. Low attenuation of the right upper lobe suggestive of air-trapping. The previously identified wedge shaped area of low attenuation in the right apex is not present on this examination and may have represented a more focal region of air-trapping in the right apex. 2. No evidence of pulmonary infection as clinically q... |
Generate impression based on findings. | 76-year-old female with increasing oxygen requirement. History of COPD, right heart failure with pulmonary hypertension. LUNGS AND PLEURA: Moderate centrilobular emphysema.Small right pleural effusion. Mild basilar scarring/atelectasis bilaterally. Several micronodules bilaterally, unchanged and likely benign in nature... | 1.Small right pleural effusion most compatible with CHF.2.Right sided predominant cardiomegaly and pulmonary artery enlargement, compatible with pulmonary arterial hypertension.3.Compression deformity of L1 vertebral body. 4.Emphysema. |
Generate impression based on findings. | 58 year-old female with metastatic colorectal cancer, restaging. CHEST:LUNGS AND PLEURA: Multiple bilateral large pulmonary masses appear sightly smaller in size, many of which have undergone interval central necrosis/cavitation. Reference left lower lobe mass measures 4.9 x 3.2 cm and previously measured 5.2 x 3.3 cm ... | Multiple bilateral pulmonary metastases many of which appear smaller and have undergone central cavitation/necrosis. No new metastatic lesions. |
Generate impression based on findings. | 49 year-old female with metastatic breast cancer, known adenopathy, liver METs and pleural effusion. CHEST:LUNGS AND PLEURA: Moderate right pleural effusion and adjacent atelectasis.MEDIASTINUM AND HILA: A cystic appearing supraclavicular mass measures 3.0 x 3.3 cm (image 14, series 3) and measures fluid density which ... | 1. Axillary and mediastinal lymphadenopathy as well as cystic appearing right supraclavicular lesion.2. Moderate right pleural effusion.3. Left adrenal metastasis and retroperitoneal adenopathy.4. Lytic and sclerotic osseous lesions likely representing metastatic disease, correlate with bone scan which is more sensitiv... |
Generate impression based on findings. | 76-year-old male patient with history of right adrenal mass. ABDOMEN:LUNG BASES: Two pulmonary nodules in the right lower lobe (series 5 image 19 and 47), largest of which measures 4 mm.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality n... | 1.Right adrenal adenoma.2.Left adrenal gland slightly nodular and low density but without discrete measurable mass.3.Two nonspecific 4 mm left lower lobe lung nodules.4.Enlarged prostate. |
Generate impression based on findings. | 43-year-old male patient with history of sarcoma. Evaluate disease. CHEST:LUNGS AND PLEURA: Scattered bilateral pulmonary micronodules.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Segment 7 hypoattenuating liver lesion is no longer vis... | 1.Interval resolution of segment 7 hypoattenuating liver lesion.2.Interval decrease in right soft tissue inguinal lesion.3.No new lesions identified.4.Scattered pulmonary micronodules, stable. |
Generate impression based on findings. | Bladder carcinoma status post cystectomy 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: Stable left renal cyst.RE... | Stable examination without evidence for acute, inflammatory, or metastatic process. |
Generate impression based on findings. | T cell lymphoma CHEST:LUNGS AND PLEURA: Stable micronodules.MEDIASTINUM AND HILA: Stable subcentimeter right thyroid nodulesCHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Stable bilobar cystsSPLEEN: Stable low attenuation fociPANCREAS: No significant abnormality noted.ADRENAL GLANDS: No sign... | Stable examination. No new adenopathy. |
Generate impression based on findings. | Reason: severe uncontrolled asthma, bronchitis History: cough, shortness of breath, wheezing LUNGS AND PLEURA: Although there is a slight increase in linear scarlike opacities in the dependent portion of the lungs, there has been no other change.Lower lung zone predominant bronchiectasis is present, and there is mild b... | Mild bronchiectasis, and pulmonary scarring, but no other significant abnormality. |
Generate impression based on findings. | Lymphoma CHEST:LUNGS AND PLEURA: Interval resolution of multifocal patchy right upper and middle lobe opacities. Stable bilateral apical posterior scarring with bronchiectasis.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant a... | Interval resolution of patchy right upper and middle lobe lung opacities. Otherwise stable examination. No new adenopathy. |
Generate impression based on findings. | Left lower quadrant pain This study is limited due to lack of IV contrast.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, U... | Limited study due to lack of IV contrast. No CT findings to explain patient's left lower quadrant pain. |
Generate impression based on findings. | 50 year-old female with history of breast cancer status post reconstruction. CHEST:LUNGS AND PLEURA: Punctate micronodule in left lung base measures 4 mm (series 5, image 79), probably benign. No other nodules or masses identified. No consolidation or pleural effusions.MEDIASTINUM AND HILA: No pathologically enlarged l... | 1.Punctate micronodule measuring 4 mm in left lower lobe; most likely benign in nature.2.Multiple hypodensities in the liver, many of which are too small to characterize but most likely represent benign cysts. |
Generate impression based on findings. | 62 year-old female with breast cancer status post 9 cycles of Eribulin. CHEST:LUNGS AND PLEURA: Stable appearing post radiation change in left lateral lung and anterior right upper lobe. Linear opacities in the left base most compatible scarring and subsegmental atelectasis. New trace left pleural effusion. No suspicio... | 1.No significant change in left supraclavicular mass.2.No significant change in mediastinal adenopathy.3.New trace left pleural effusion. |
Generate impression based on findings. | Clinical question: AML pre-treatment. Signs and symptoms: AML. Nonenhanced head CT:Examination demonstrate no evidence of acute intracranial process.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter differentiation.Unremarkable calvarium and soft tissues of the scalp.... | 1.Negative nonenhanced head CT.2.CT of the maxillofacial region demonstrate a small retention cyst in the right maxillary sinus and minute mucosal thickening in the dependent portion of left maxillary sinus. Unremarkable exam otherwise as detailed above. |
Generate impression based on findings. | Stem cell transplant for neuroblastoma and throat pain. There is no evidence of abscess or mass lesion in the neck. The Waldeyer ring structures are unremarkable. The airways are patent. There is no significant cervical lymphadenopathy. The major salivary gland and thyroid are unremarkable. There is a right internal ju... | No evidence of abscess. |
Generate impression based on findings. | 5 days of headache. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are stable in size and configuration with mild cerebral volume loss. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. There are partially ... | No evidence of intracranial hemorrhage, mass, or cerebral edema. However, non-contrast CT is not sensitive for the detection of acute infarct and MRI may be warranted if clinically indicated and there are no contraindications. |
Generate impression based on findings. | Clinical question: Interval progression of previous CVA. Signs and symptoms: Previous CVA, gait problem. Nonenhanced head CT:No detectable acute intracranial process CT however is insensitive for early detection of acute nonhemorrhagic ischemic stroke.There is interval evolution of previously noted subacute ischemic st... | 1.No detectable acute new findings since prior exam.2.Interval evolution of subacute left parietal stroke to chronic changes.3.Grossly stable mild age indeterminate small vessel ischemic strokes |
Generate impression based on findings. | T2N2b left tonsil squamous cell carcinoma treated with concurrent chemoradiation completed in 1/2011. Head: There is no evidence of abnormal intracranial enhancement or mass lesions. There is unchanged moderate patchy cerebral white matter hypoatenation. The ventricles and basal cisterns are normal in size and configur... | 1. No evidence of locoregional tumor recurrence or significant cervical lymphadenopathy. 2. No evidence of intracranial metastases. |
Generate impression based on findings. | Total stage IV carcinoid syndrome ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Previously mentioned subcentimeter focus enhancing at the arterial phase in the left lobe liver is unchanged, nonspecific. No other focal lesions in the liver.SPLEEN: Previously mentioned hypodense nonspecific le... | No significant change from previous study. |
Generate impression based on findings. | Clinical information Reason: s/p Right VATS, lobe History: please evaluate and compare to previous CT for changes LUNGS AND PLEURA: Volume loss on the right compatible with previous lobectomy.Multiple nonspecific micronodules compatible with previous infection and intrapulmonary lymph nodes, unchanged.No suspicious nod... | No sign of recurrent disease. |
Generate impression based on findings. | Reason: evaluate cardiopulmonary status, compare to previous chest CT, evaluate for any changes in nonspecific nodule, evaluate for coronary calcifications History: Right upper lobe nodule nonspecific, patient active on the liver transplant waiting list, ETOH cirrhosis LUNGS AND PLEURA: Moderately large right pleural e... | New right pleural effusion but almost complete resolution of a previously described lung nodule which is presumably benign. |
Generate impression based on findings. | 59-year-old female with history of heart is lymphoma CHEST:LUNGS AND PLEURA: Atelectasis in the lung bases, unchanged.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Right axillary Ortolani enlarged lymph nodes, slightly smaller compared to previous study. An index node measures 1.2 x 1.2 cm image nu... | Interval decrease in the size of the right axillary and inguinal lymph nodes. |
Generate impression based on findings. | 67-year-old female with history of pancreas 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: Pneumobilia and metallic stent, unchanged.SPLEEN: Unremarkable.PANCREAS: 2.6 by 2-... | No significant change from prior study. |
Generate impression based on findings. | Malignant melanoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADR... | Bilateral renal stones. No evidence of metastatic disease in the chest, abdomen, and pelvis. |
Generate impression based on findings. | Non-Hodgkin lymphoma CHEST:LUNGS AND PLEURA: Small left calcified lower lobe is unchanged. MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abno... | No significant change from previous study. |
Generate impression based on findings. | Obstructive sleep apnea, status post adenoidectomy. There is micrognathia and mandibular retrognathia with approximately 20 mm of overjet, although accurate measurement is difficult due to the open bite configuration of the jaw. There is mild glossoptosis. There is partial obstruction of the oropharyngeal airway at the... | 1. Micrognathia and mandibular retrognathia with partial obstruction of the oropharyngeal airway at the level of the uvula. 2. The diffuse, symmetric expanded appearance of the upper maxillofacial skeleton and frontal calvarium may be attributable to cerebral palsy and microcephaly. |
Generate impression based on findings. | 50 year-old female with headache. 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. There are frothy materia... | 1. No acute intracranial abnormality. 2. Frothy materials in the left maxillary sinus are suggestive of acute sinusitis. |
Generate impression based on findings. | 41 year-old female with rhinorrhea and sinus symptoms. The orbits are unremarkable. Limited view of the intracranial structure is unremarkable. There is partial opacification of the right mastoid air cells, and the left are clear. There are foamy materials in the bilateral maxillary sinuses. The osteomeatal complexes a... | Foamy materials in the bilateral maxillary sinuses are suggestive of acute sinusitis. |
Generate impression based on findings. | 67-year-old male with history of lymphoma CHEST:LUNGS AND PLEURA: Bilateral mosaic attenuation of the lungs, not significantly changed from previous study. This is nonspecific and may indicate atypical pneumonia or drug reaction. Small right-sided pleural effusion, not significantly changed from the study.MEDIASTINUM A... | Minimal interval increase in the size of the mediastinal and index upper abdominal lymph node. No other significant change from previous study. |
Generate impression based on findings. | 64-year-old male with history of non-Hodgkin lymphoma CHEST:LUNGS AND PLEURA: Right lower lobe. Subcentimeter nodule is unchanged, measuring 7 mm on image number 67, series number 5.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No signifi... | Right lower lobe. Subcentimeter nodule, unchanged. Stable changes secondary to endovascular graft repair. |
Generate impression based on findings. | 42 year-old female, pretransplant evaluation This study is limited due to lack of IV contrastABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormal... | Coarse atherosclerotic calcifications involving the abdominal aorta and its major branches and bilateral common iliac arteries. |
Generate impression based on findings. | 76 year old female with right flank pain radiating to the groin Limited study due to lack of IV contrast.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: Mild hepatomegaly.SPLEEN: No... | Limited study due to lack of IV contrast. No CT findings to explain patient's right flank pain radiating to the groin. |
Generate impression based on findings. | Evaluate for atherosclerotic calcifications before transplant This study is limited due to lack of IV contrastABDOMEN:LUNG BASES: Small pericardial effusionLIVER, BILIARY TRACT: Hypodense lesion in the right lobe of the liver, likely representing cysts. Lack of IV contrast limits optimal evaluation of this lesion.SPLEE... | Limited study due to lack of IV contrast. Left adrenal mass measuring 20 Hounsfield units. This lesion is not compatible with a typical adenoma by CT criteria. Further evaluation with MRI may be helpful.Enlarged right kidney with multiple hypodense lesions of various size and density. Lack of IV contrast limits optimal... |
Generate impression based on findings. | 42 year-old female with chest radiograph concerning for interstitial lung disease. Weight loss, joint pain, night sweats. LUNGS AND PLEURA: Multiple bilateral ill-defined nodular opacities predominantly in upper and mid lung zones, which appear to be in perilymphatic distribution. No evidence of fibrosis, honeycombing,... | Innumerable ill-defined nodular opacities predominately in the upper and mid lung zones, suspected to represent pulmonary sarcoidosis given associated mediastinal lymphadenopathy. Innumerable subcentimeter hypodensities in the liver and splenomegaly may also represent involvement by sarcoidosis. |
Generate impression based on findings. | Reason: Pt with hx of HNC s/p CRT 2011. please re-eval and compare to prior scans History: as above CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules. No pleural effusions.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size is normal. No pericardial effusion. Moderate atherosclerotic calcifi... | No evidence of metastatic disease. |
Generate impression based on findings. | 79-year-old female with lung cancer status post surgery and chemo radiation. Follow-up left apical nodule. LUNGS AND PLEURA: Left hemithorax volume loss and paramediastinal scarring not significantly changed. Interval decrease in previously seen scattered ground glass opacities in the left lung, which may have been due... | 1.Stable 5-mm right apical nodule.2.Interval decrease in predominantly left lung ground glass opacities, which may have been due to radiation.3.Multiple scattered ground glass nodules appear unchanged; continued follow-up is recommended. |
Generate impression based on findings. | 54-year-old female with new polymyositis in setting of long-standing rheumatoid arthritis and bronchiectasis. Evaluate for interstitial lung disease. LUNGS AND PLEURA: Stable moderate paraseptal emphysema. No evidence of groundglass opacities, honeycombing, or fibrosis to indicate interstitial lung disease. Mosaic atte... | Stable paraseptal emphysema and mild bronchiectasis. No evidence of interstitial lung disease. |
Generate impression based on findings. | Reason: lung ca, s/p resection, no adjuv chemo. Pls c/w previous study to evaluate dz status. History: lung ca LUNGS AND PLEURA: Status right lower lobectomy. Mild right basilar scarring at the surgical site. Small calcified and noncalcified micronodules in the posterior left lower lobe and right upper lobe likely repr... | Stable examination without evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Chest pain. History of lobar emphysema and asthma. LUNGS AND PLEURA: Congenital emphysema centered at the superior segment of the right lower lobe, with subsegmental atelectasis. Right middle lobe bronchiectasis. Few scattered ground opacities in the right lower lobe likely represent a small amount of aspiration. Previ... | 1. Congenital right lower lobe emphysema2. Right middle lobe bronchiectasis.3. Mildly prominent hilar and axillary lymph nodes.2. Peribronchial thickening likely representing asthma. |
Generate impression based on findings. | 66 year old female with history of rheumatoid arthritis on methotrexate. Compare ground glass opacities. LUNGS AND PLEURA: Bilateral peripheral honeycombing not significantly changed. Significant interval improvement in previously seen bilateral groundglass opacities.Previously measured right lower lobe nodule appears ... | 1.Significant improvement in previously seen bilateral ground glass opacities, which may have represented acute exacerbation of interstitial lung disease or superimposed edema. 2.Bilateral honeycombing compatible with UIP-like pattern interstitial lung disease not significantly changed, likely secondary to known rheuma... |
Generate impression based on findings. | 47 year-old female with facial pain and pressure. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. The patient is status post extraction of the left first maxillary molar. There is minimal mucosal thickening in the adjacent maxillary sinus. There is no evi... | Status post extraction of the left first maxillary molar. There is minimal mucosal thickening in the adjacent maxillary sinus. There is no evidence of acute sinusitis, oroantral fistula or abscess. |
Generate impression based on findings. | Reason: f/u of lung nodule; current smoker History: f/u of lung nodule; current smoker LUNGS AND PLEURA: Progressive growth of right apical nodule that is partially solid with a peripheral ground glass component. The solid component measures 8 mm (series 5, image 46) previously measuring 6 mm. The total dimension, incl... | 1.Progressive increase in size of partially solid right apical nodule highly suspicious for primary adenocarcinoma.2.Interval increase in predominantly basilar groundglass and reticular opacities compatible with NSIP. |
Generate impression based on findings. | 40 year-old male with abdominal pain, rule out obstruction. 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 sig... | Status post colectomy with ileorectal anastomosis without evidence of obstruction. Large mesenteric lymph nodes indicate chronic inflammation. |
Generate impression based on findings. | 13-year-old male with concern for bronchiectasis on x-ray. Evaluate for pulmonary pathology. LUNGS AND PLEURA: There is peribronchial thickening and large lung volumes compatible with reactive airways disease. Clustered ill-defined ground glass opacities are noted in the right middle lobe which are suggestive of aspira... | 1.Reactive airways disease/bronchiolitis pattern with clustered hazy right middle lobe opacities suggestive of aspiration.2.No evidence of bronchiectasis as clinically questioned. |
Generate impression based on findings. | Neuroblastoma. End of therapy. CHEST:LUNGS AND PLEURA: Minimal dependent subsegmental atelectasis. No distinct nodules seen. No focal air space opacities or pleural effusions.MEDIASTINUM AND HILA: The previously seen midline supraclavicular mass has been resected. No mediastinal or hilar lymphadenopathy. Normal sized h... | 1. Stable nodular soft tissue adjacent to the right adrenal resection bed. 2. Mild nonspecific bowel wall thickening of the sigmoid colon. |
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