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Generate impression based on findings. | Resected stage 3 melanoma of tight cheek and ear. There are postoperative findings related to right parotidectomy and neck dissection. Skin thickening and subcutaneous stranding at the incision site likely represent scar tissue formation. There is no discrete mass evident in the region of the surgical bed. There is no ... | Postoperative findings related to right parotidectomy and neck dissection, without definite evidence of locoregional tumor recurrence of significant cervical lymphadenopathy. |
Generate impression based on findings. | 57-year-old female patient with urothelial cancer status post resection in 2010. Please restage. Note that the lack of intravenous contrast limits evaluation of vasculature, lymph nodes and solid viscera.CHEST:LUNGS AND PLEURA: Scattered bilateral pulmonary micronodules, some of which are calcified and consistent with ... | No suspicious lymphadenopathy or evidence of recurrence. |
Generate impression based on findings. | Hit head two weeks ago, with headache and difficulty concentrating since then. 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... | No evidence of intracranial hemorrhage or skull fracture. |
Generate impression based on findings. | 65-year-old female with metastatic thyroid cancer. CHEST:LUNGS AND PLEURA: No change in bilateral calcified and noncalcified nodules. No new or suspicious nodules. No consolidation or pleural effusions.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Heterogeneous sclerosis in the sternum appears unch... | 1.No evidence of intrathoracic metastatic disease.2.Stable hepatic and skeletal lesions. |
Generate impression based on findings. | Clinical question: Evaluate shunt placement. Signs and symptoms: Same. Nonenhanced head CT:Examination demonstrate interval placement of a high convexity right paramedian approach/burr hole for placement of ventricular catheter. The catheter is noted traversing the right frontal lobe, entering the right lateral ventric... | 1.Expected postoperative changes of right frontal paramedian approach for placement of ventricular catheter. The tip of the catheter traverses the right lateral ventricle, midline and the tip in the left frontal horn.2.No evidence of any change in moderately dilated supratentorial ventricular system. |
Generate impression based on findings. | medullary thyroid CA with mets to liver currently on clinical trial XL184/placebo. HEAD: The brain parenchyma appears unchanged without evidence of intracranial metastases. The ventricles are stable in size and configuration. The osseous structures are unremarkable. There is mild scattered paranasal sinus mucosal thick... | 1.Stable postsurgical findings with unchanged nonspecific right paratracheal focus measuring up to 5 mm in the thyroidectomy bed, but otherwise no evidence of locoregional tumor recurrence or cervical lymphadenopathy.2.No evidence of intracranial metastases. |
Generate impression based on findings. | Gastric carcinoma with peritoneal METs 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: Stable segment 5/6 low-attenuation focus best seen on image 71 of series 3 measuring 2.4 x 1.7... | Stable examination. No change in gastric antral wall thickening. No change in subtle omental nodularity. |
Generate impression based on findings. | 57-year-old male with metastatic lung cancer on chemotherapy. CHEST:LUNGS AND PLEURA: Stable cystic lesion with adjacent solid component in left lower lobe (series 4, image 51). Unchanged scarring/atelectasis in lingula and right middle lobe. Punctate micronodules unchanged. No new suspicious nodules or masses.MEDIASTI... | 1.Stable cavitary lesion in left lower lobe.2.Stable sclerotic lesions in osseous structures. |
Generate impression based on findings. | 47-year-old male patient with hepatocellular carcinoma status post resection. Follow-up. ABDOMEN:LUNG BASES: Bilateral trace atelectasis.LIVER, BILIARY TRACT: Cirrhotic liver morphology. Status post wedge resection of part of segment 6 and cholecystectomy. There is linear low-density liver parenchyma at the resection m... | 1.Postsurgical changes from wedge resection of liver and cholecystectomy. No suspicious hepatic lesions.2.Stable abdominal ascites. |
Generate impression based on findings. | 52 year-old female with abdominal pain, right upper quadrant. Evaluate for cyst, stone, perforation. ABDOMEN: Limits of a non-IV contrast enhanced examination, limiting evaluation of solid parenchymal organs and vascular structures, the following observations can be made:LUNG BASES: No significant abnormality notedLIVE... | 1. High density layering material in the gallbladder which may represent small stones not seen previously or may represent vicarious excretion of contrast from 11/13/13 chest CT examination. Ultrasound would be optimal technique to detect/characterize gallbladder/ stone disease. 2. High density right kidney cyst unchan... |
Generate impression based on findings. | Venous clots-right neck and upper arm. There is non-visualization of the right internal jugular vein, although there is suboptimal opacification of the veins in the neck overall. There has been interval resolution of inflammatory changed in the lower right anterior neck. The carotid arteries are patent. The major saliv... | Non-visualization of the right internal jugular vein is compatible with chronic thrombosis, although there is suboptimal opacification of the veins in the neck overall. Doppler ultrasound may be useful for further evaluation. |
Generate impression based on findings. | Reason: R/o PE History: new onset hemoptysis, new onset scant hemoptysis, sinus tach, chest tightness in this patient with metastases to lung PULMONARY ARTERIES: Technically adequate examination. No evidence of pulmonary embolism. Main pulmonary artery catheter is within normal limits.LUNGS AND PLEURA: Innumerable pulm... | 1.No evidence of pulmonary embolism.2.Interval increase in size of loculated pleural fluid collections compatible with hemothorax. |
Generate impression based on findings. | 54 year-old female with colitis and history of nocardia. Cough, pleuritic pain. LUNGS AND PLEURA: Persistent tree in bud opacities and bronchiectasis in the right lung, worst in right middle lobe. Left lung unremarkable. No consolidation or pleural effusions.MEDIASTINUM AND HILA: Several prominent mediastinal lymph nod... | Tree in bud opacities affecting right lung, predominantly right middle lobe with associated bronchiectasis; overall stable to mildly improved since 2011 and suspicious for bronchiolitis/chronic atypical infection such as nocardia although may also be MAI. |
Generate impression based on findings. | Gross hematuria ABDOMEN:LUNG BASES: Mildly enlarged cardiophrenic lymph nodeLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Benign subcentimeter left renal cyst.RETRO... | Negative for acute, inflammatory, or neoplastic process. Specifically, unremarkable kidneys and collecting system bilaterally. |
Generate impression based on findings. | 62-year-old male with probable pulmonary embolus based on recent neck CT. PULMONARY ARTERIES: Diagnostic quality exam without evidence of pulmonary embolus.LUNGS AND PLEURA: Linear scarlike opacities and pleural thickening in both lung bases. Trace left pleural effusion. Postsurgical changes in left base.Interval impro... | 1.No evidence of pulmonary embolus.2.Laryngeal mass and mediastinal lymphadenopathy, not significantly changed; please see recent neck CT report for detailed neck findings.3.Improved basilar lung opacities, which were likely due to aspiration or infection. |
Generate impression based on findings. | Reason: s/p 7 mo after right thoracotomy, extended pleurectomy, decortication for management of T2N2 biphastic type (90% epithelioid, 10% sarcomatoid) malignant pleural mesothelioma History: f/u CHEST:LUNGS AND PLEURA: Interval decrease in a small right pneumothorax with an increase in the amount of pleural fluid, locu... | 1. Increased diffuse pleural thickening and subpleural consolidation in the right hemithorax.2. New extensive lymphadenopathy in the mediastinum and upper abdomen compatible with recurrent disease. |
Generate impression based on findings. | Newly diagnosed extensive small cell CA. Evaluate for brain metastases. There is an ill-defined focus of hypoattenuation in the left occipital lobe without convincing evidence of associated enhancement. There is suggestion of this lesion on the CT from 2005, although comparison is limited by differences in technique. I... | An ill-defined focus of hypoattenuation in the left occipital lobe without convincing evidence of associated enhancement may represent encephalomalacia. However, MRI with contrast is more sensitive for brain metastases and would be useful for further characterization if there are no contraindications. |
Generate impression based on findings. | 76 year-old female with syncope. 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 collection/acute hemorrhage. The osseous structures are unremarkable. Th... | No acute intracranial abnormality. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. |
Generate impression based on findings. | 74-year-old male with newly diagnosed small cell cancer in the chest. History of non-small cell lung cancer. CHEST:LUNGS AND PLEURA: Status post left pneumonectomy with expected volume loss in left hemithorax.Cluster of nodules in the right upper lobe is increased in size (series 4, image 56). Multiple new micronodules... | 1.Multiple new punctate right lung nodule suspicious for metastases.2.Several new liver hypodensities suspicious for metastatic lesions.3.Interval increase in mediastinal and upper retroperitoneal adenopathy. |
Generate impression based on findings. | 60 year-old female with recurrent laryngeal cancer. CHEST:LUNGS AND PLEURA: Left base is subsegmental consolidation/atelectasis with associated volume loss and elevation of left hemidiaphragm. No suspicious nodules or masses identified.MEDIASTINUM AND HILA: Postsurgical changes in the larynx and upper trachea. No signi... | 1.No evidence of intrathoracic metastatic disease.2.Nonspecific, heterogeneous right adrenal lesion is suspicious for metastatic focus.3.Apparent thickening of proximal stomach wall of unclear etiology but may represent gastric neoplasm or metastatic focus; recommended follow-up with endoscopy or PET/CT. 4.Small amount... |
Generate impression based on findings. | Pierre-Robin sequence with hearing loss. On the right, the external auditory canal is narrow in caliber diffusely. There is thickening of the tympanic membrane. There is also diffuse mucosal thickening along the walls of the middle ear cavity. The middle ear cavity is mildly underpneumatized and leads to an enlarged Eu... | Extensive congenital anomalies of the bilateral temporal bones and sequela of middle ear infection related to Pierre-Robin sequence, as described in the findings section. |
Generate impression based on findings. | 64-year-old male with two episodes of syncope. PULMONARY ARTERIES: Diagnostic quality exam without evidence of pulmonary embolus.LUNGS AND PLEURA: Groundglass opacities in the right upper lobe, nonspecific but may represent infection.Bilateral basilar scarring/subsegmental atelectasis. No pleural effusions.Several nodu... | 1.Diagnostic exam without evidence of pulmonary embolus.2.Ground glass opacities in right upper lobe suspicious for infection, less likely atypical focal edema.3.5-mm nodule in the right upper lobe; consider 6 to 12 month follow-up CT. |
Generate impression based on findings. | 46 year-old female with shortness of breath. PULMONARY ARTERIES: Limited examination due to body habitus, scanning during expiratory phase, respiratory motion, and inadequate opacification of the pulmonary arteries. Within these limitations, no defects are seen down to the lobar arteries.LUNGS AND PLEURA: Underinflated... | 1.Technically limited examination with no evidence of pulmonary embolism down to the lobar arteries.2.Interval improvement of the diffuse mosaic groundglass opacities consistent with air trapping consistent with small airways disease. Although in most cases from reactive airway disease, if this patient has a history of... |
Generate impression based on findings. | 60 year-old male with new right hilar lung mass. LUNGS AND PLEURA: Ill-defined opacity in the right upper lobe adjacent to major fissure measures approximately 1.6 x 3.1 cm (series 4, image 41). No other suspicious nodules or masses.Mild centrilobular emphysema.Mild basilar atelectasis/scarring. No pleural effusions.ME... | 1.Ill-defined opacity in the right upper lobe abutting major fissure is of unclear etiology, especially without comparison studies, and may represent focus of infection. However, this could also be compatible with primary lung neoplasm and follow-up in 6 weeks should be considered to evaluate for resolution.2.Focal eso... |
Generate impression based on findings. | eval vp shunt The patient is status-post right-sided ventriculostomy tube placement which course of the right frontal lobe into the right lateral ventricle with tip in the region of foramen of Monroe. This ventriculostomy tube is new since the prior MRI. Biventricular diameter currently is approximately 52 mm and in a ... | 1.The patient is status post recent ventriculostomy shunt placement. To the extent comparison possible the ventricles appear similar in size when compared to be July MRI exam2.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. Other ... |
Generate impression based on findings. | Unspecified cerebral artery occlusion with cerebral infarction The CSF spaces are appropriate for the patient's stated age with no midline shift. A hypodense focus is present in the right putamen.Periventricular and subcortical white matter hypodensities of a moderate degree are present.No abnormal mass lesions are app... | 1.No evidence for acute intracranial hemorrhage mass effect or edema. CT is insensitive for the early detection of nonhemorrhagic CVA.2.A punctate hypodensity in the right basal ganglia is suspicious for lacunar infarct age indeterminant. Please correlate with the patient's clinical symptoms.3.Periventricular and subco... |
Generate impression based on findings. | evaluate size of pontine bleed The CSF spaces are appropriate for the patient's stated age with no midline shift. A hypodense focus is present in the left centrum semiovale which has the general appearance of a mass effect which show when compared to the CT from 11/12/13 has progressedA hypodense focus is redemonstrate... | 1.No evidence for acute intracranial hemorrhage . Findings suggest that there is a calcification in the right pons. This could be a result of a prior hemorrhage at please refer to recent MRI of the brain for further details2.Subacute infarction in the left centrum semiovale continues to evolve without evidence for hemo... |
Generate impression based on findings. | 38 year-old female patient with history of Crohn's disease status post ileostomy and colectomy with retained rectum and kidney stones presents with acute left lower quadrant pain. Evaluate for Crohn's, kidney stones and ovarian cyst. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No signific... | 1.Continuous chronic inflammatory changes in the transverse colon to the rectum. Radiographic findings are more consistent with ulcerative colitis as opposed to Crohn's disease.2.No renal calculi or hydronephrosis. |
Generate impression based on findings. | 80-year-old with critical aortic stenosis status post angioplasty. Treatment planning for AVR versus TAVR. VESSELS:The thoracic aorta is normal in size. No dissection is present.. Conventional 3 vessel arch anatomy. Moderate atherosclerotic calcification affects the aortic arch.Abdominal aorta is normal in size and con... | 1.CT angiography demonstrating moderate to severe atherosclerotic calcification affecting the distal abdominal aorta and bilateral iliac arterial systems. The common iliac arteries are tortuous, right greater than left. Measurements as described.2.Severe aortic valve and mild mitral annular calcification. |
Generate impression based on findings. | Malignant poorly differentiated neuroendocrine carcinoma. CHEST:LUNGS AND PLEURA: Stable right lung base nodule (image 95; series 10) measuring 0.9 cm in diameterMEDIASTINUM AND HILA: Stable left thyroid noduleCHEST WALL: Stable mildly enlarged bilateral axillary lymph nodesABDOMEN:LIVER, BILIARY TRACT: Slight interval... | Interval progression of disease with reference measurements given above. |
Generate impression based on findings. | 50 year-old male with prior drain placement and left upper quadrant abscess. Evaluate for resolution. ABDOMEN:LUNG BASES: Significant decrease in left pleural effusion when compared to prior exam. Small amount of gas within residual fluid may be due to instrumentation. Correlate with recent history.LIVER, BILIARY TRACT... | Almost complete resolution of left renal bed fluid collection. See above.Small amount of left pleural effusion with several gas bubbles. |
Generate impression based on findings. | Thrombocytopenia, unspecifiedIntracerebral hemorrhage There is redemonstration of a left sided intraparenchymal hematoma involving the left caudate nucleus and adjacent basal ganglia and internal capsule measuring approximately 38 x 32 mm axial dimensions which is unchanged since prior exams and associated with a mild ... | 1.Stable left basal ganglia and adjacent to white matter hematoma associated with intraventricular and subarachnoid blood. The lateral ventricle size and the mass effect are stable. |
Generate impression based on findings. | Male 41 years old Reason: r/o septic hip, abscess History: R hip pain, leukocytosis, immune compromised A small amount of fluid is seen layering dependently in the posterior aspect of the hip joint, but no large effusion is evident. There are no frank inflammatory changes in the surrounding soft tissues and no other fi... | Small amount of fluid posteriorly within the right hip joint, but no frank joint effusion, abscess, or soft tissue inflammation is evident. |
Generate impression based on findings. | 37-year-old female with the PEG tube and prior intra-abdominal hemorrhage. Bloody return from PEG tube. Evaluate tube position. ABDOMEN:LUNG BASES: A bibasal atelectasis and small, bilateral effusions which are improved in the interim.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormal... | PEG tube in the stomach.Slight improvement in perigastric hematoma.No significant change in fluid in the pelvis. |
Generate impression based on findings. | Altered mental status. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is extensive encephalomalacia in the left MCA territory with associated Wallerian degeneration and mild midline shift to the left. There is otherwise mild scattered nonspecific cerebral white matter hypoattenuation. T... | 1. No evidence of intracranial hemorrhage, mass, or cerebral edema.2. Large chronic infarct in the left MCA territory with associated Wallerian degeneration and mild midline shift. 3. Mild scattered nonspecific cerebral white matter hypoattenuation, which may be related to small vessel ischemic disease. |
Generate impression based on findings. | Syncope and collapse. Acute, but ill-defined, cerebrovascular disease Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is n... | 1.Significant vertebral-basilar disease with occlusion of the left vertebral artery and 70% stenosis of the right vertebral artery at the level of the origin of the right PICA with 60% RVA stenosis at its origin. Please note that this is associated with very small posterior communicating arteries. The left vertebral ar... |
Generate impression based on findings. | Female, 65 years old, fall possible CVA. Mild periventricular hypoattenuation is a non-specific finding which most commonly represents age-indeterminate small vessel ischemic disease.No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift. The ve... | No acute intracranial abnormality. |
Generate impression based on findings. | History of renal stones Peery rule-out stone. This is limited secondary to lack of intravenous and oral contrast. Beyond these limitations, the following observations are made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality not... | Nonobstructive renal calculi. Colonic diverticulosis. |
Generate impression based on findings. | 40-year-old male patient with history of type B aortic dissection status post surgical repair presents with chest pain rating to the arm and neck. Evaluate for progression of dissection. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: There is a type B aortic dissection with a narrowing o... | 1.Stable type B aortic dissection with improved flow to the celiac axis, right common iliac artery. Interval placement of stent in the true lumen proximal to the aortic bifurcation and mechanical fenestration of intimal flap.2.Right axillo-femoral bypass graft thrombosis.3.Thrombosed proximal left common iliac artery w... |
Generate impression based on findings. | 77-year-old male with history of ulcer colitis with dehydration and urethral fistula. Abdominal pain. ABDOMEN:LUNG BASES: Ovoid low attenuation area at the right lung base adjacent to the right heart is unchanged from studies dating back to March of 2013 and air present loculated fluid.LIVER, BILIARY TRACT: Left hepati... | Thick-walled loops of small bowel.Stable abnormality right lung base. |
Generate impression based on findings. | Female, 90 years old, status post fall, left ecchymosis, evaluate for fracture. A chronic stroke of the right superior parietal lobule is demonstrated. In addition, moderate periventricular hypoattenuation is seen compatible with age indeterminate small vessel ischemic disease. There is also evidence of a lacunar infar... | 1. No definite acute intracranial abnormality. There is evidence of a chronic right parietal stroke, as well as moderate age indeterminate small vessel ischemic disease.2. Left periorbital soft tissue swelling without evidence of orbital fracture or injury to the orbital contents.3. Probable minimally displaced acute f... |
Generate impression based on findings. | 69-year-old male with thyroid cancer. CHEST:LUNGS AND PLEURA: Bilateral basilar subsegmental atelectasis and scarring. No suspicious nodules or masses. Mild centrilobular emphysema.MEDIASTINUM AND HILA: Soft tissue attenuation in the subcutaneous fat of the lower neck and right chest wall as well as multiple surgical c... | Soft tissue attenuation in lower neck and right chest wall as well as multiple surgical clips around the right gland; please see dedicated neck CT report for neck findings.1.Multiple mildly enlarged mediastinal lymph nodes.2.No evidence of pulmonary metastases.3.Multiple small retroperitoneal lobe nodes.4.Status post r... |
Generate impression based on findings. | 61-year-old male status post fall with left rib fractures, now hypotensive CHEST:LUNGS AND PLEURA: Small left pleural effusion and basilar atelectasis. High-density material in the left lower lung is suggestive of hemorrhage/contusion. Elevation of the left hemidiaphragm, which may be related to splinting. Few micronod... | 1. Mild displaced fractures of the left T7 through T12 ribs without pneumothorax. Small left pleural effusion and adjacent pulmonary opacities suggestive of hemorrhagic product/contusion.2. No acute intra-abdominal or pelvic abnormality. |
Generate impression based on findings. | Female, 56 years old, status post cranioplasty. Since the prior examination, the right pterional craniotomy defect has been replaced. The bony flap is permeated by numerous linear lucencies but is otherwise unremarkable in appearance. A small area of extra-axial fluid is evident subjacent to the craniotomy flap which s... | 1. Postop findings status post replacement of the right-sided craniotomy flap. There is a small amount of fluid, both intracranial and extracranial, surrounding the flap.2. Sequelae of a large right MCA distribution stroke are again seen including encephalomalacia and shift of midline structures. No evidence of progres... |
Generate impression based on findings. | Other specified personal history presenting hazards to health. Other specified personal history presenting hazards to health Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the ... | 1.70% stenosis at the origin of the right vertebral artery.2.60% stenosis at the origin of the left vertebral artery. 3.70% stenosis at its origin of the left subclavian artery.4.A punctate hypodensity in the right thalamus likely represents lacunar infarct age indeterminate.5.Periventricular and subcortical white matt... |
Generate impression based on findings. | 44-year-old male with possible loculated pleural effusion. LUNGS AND PLEURA: Moderate right pleural effusion, which may have small loculated component along anterior hemithorax. Small left pleural effusion.Bilateral linear scarlike opacities and atelectasis, most prominent in right base and right middle lobe. Ground gl... | 1.Bilateral pleural effusions, moderate on the right and small on the left, with possible small loculated component along the right anterior hemithorax. Given the cirrhosis and ascites fluid and anasarca,, pleural effusion is likely due to volume overload.Wall thickening of partially visualized bowel loops, which may b... |
Generate impression based on findings. | 32-year-old female patient with lower back pain, concern for renal calculi. Note that the lack of intravenous contrast limits evaluation of vasculature, lymph nodes and solid viscera.ABDOMEN:LUNG BASES: Linear scarring and atelectasis in bilateral lungs are stable.LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEE... | No evidence of renal calculi or hydronephrosis. |
Generate impression based on findings. | Female, 56 years old, status post craniotomy. Postoperative findings are demonstrated status post replacement of the right pterional craniotomy flap. The bony flap is unchanged in morphology. Since the prior study, there has been some interval expansion of an extra-axial fluid collection subjacent to the craniotomy fla... | Mild interval expansion of an extra-axial fluid collection which surrounds both the intracranial and extracranial surfaces of the craniotomy flap. |
Generate impression based on findings. | 58-year-old female patient with history of sepsis. Evaluate for source of infection. ABDOMEN:LUNG BASES: Trace bilateral pleural effusions with associated atelectasis versus scarring.LIVER, BILIARY TRACT: Heterogeneous liver parenchyma with increased attenuation, consistent with cirrhosis and fatty infiltration. Gallbl... | 1.Diffuse colitis suggestive of Clostridium difficile colitis.2.Stable abdominal ascites. |
Generate impression based on findings. | 36-year-old female patient with Crohn's disease postop day 9 status post laparoscopic ileocecectomy presents with tachycardia, nausea and vomiting. Assess for fluid collection or anastomotic leak. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No sign... | Postoperative changes consistent with distal ileocecectomy without evidence of obstruction or anastomotic leak. |
Generate impression based on findings. | 62-year-old male with cholangiocarcinoma, restaging CHEST:LUNGS AND PLEURA: Numerous bilateral pulmonary nodules, overall decrease in size and number. Reference right upper lobe nodule is no longer measurable. A different right upper lobe nodule measures 7 x 8 mm (image 23 series 10221) and previously measured 10 x 7 m... | 1. Interval decrease in pulmonary metastatic disease with several enlarging hepatic lesions suggesting a mixed response, with reference lesions detailed above.2. Peritoneal carcinomatosis with interval increase in abdominal and pelvic ascites.3. Unchanged osseous metastatic lesions. |
Generate impression based on findings. | Female, 43 years old, history of tongue cancer. Treatment related findings are again seen in the neck including infiltration of the fascial planes as well as scarring and surgical clips along the bilateral carotid spaces. No evidence of recurrent mucosal tumor or pathologic adenopathy is seen.The mandible remains mildl... | No evidence of recurrent disease in the neck. |
Generate impression based on findings. | Other specified personal history presenting hazards to healthAtrial fibrillation The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.A punc... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.A punctate hypodensity in the right thalamus likely represents lacunar. This appears to have been present on CT from 6/14/5 and is likely old.3.Periventricular and subcortical white matter changes of a moderate degree are nonspecific. At this age th... |
Generate impression based on findings. | 74-year-old female status post GIST resection, history of stage I lung cancer ABDOMEN:LUNG BASES: See CT chest report, dictated separately.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality no... | Postsurgical changes of the stomach without evidence of recurrent or metastatic disease in the abdomen or pelvis. See separately dictated CT chest for further detail. |
Generate impression based on findings. | Status post total laryngectomy with bilateral neck dissection and tracheotomy for recurrence left laryngeal poorly differentiated SCCA with widespread lymphatic invasion. Head: There is no evidence of intracranial mass, or abnormal enhancement. Thre are bilateral basal ganglia calcifications. The The ventricles and bas... | 1. No definite evidence of gross residual tumor or significant cervical lymphadenopathy, although assessment is limited in the setting of early post-treatment changes. 2. No evidence of intracranial metastases. |
Generate impression based on findings. | 28 year-old female with chest pain, SOB, elevated D-dimer. PULMONARY ARTERIES: Diagnostic quality exam. Small filling defect in subsegmental branch of the lingula, consistent with small pulmonary embolus (series 5, image 119). No other pulmonary emboli identified.LUNGS AND PLEURA: Punctate calcified and noncalcified mi... | Small pulmonary embolus in subsegmental branch of the left upper lobe. |
Generate impression based on findings. | Reason: history of Wegener's, evaluate for recurrence History: dyspnea, cough LUNGS AND PLEURA: Scattered benign-appearing micronodules are present, some calcified granulomas.There are some areas of subtle ground glass opacity, which can be the residua of pulmonary hemorrhage related to Wegener's granulomatosis.No area... | Subtle ground glass opacities could be the residua of pulmonary hemorrhage related to Wegener's granulomatosis. |
Generate impression based on findings. | 64-year-old male with lung cancer status post 3 cycles of chemotherapy. CHEST:LUNGS AND PLEURA: Status post right upper lobectomy. Right paramediastinal and perihilar post radiation scarring appears unchanged. Several ill-defined, nodular opacities along right major fissure and in left apex appear unchanged (series 4, ... | 1.Postsurgical changes in the right lung. Stable nodular opacities in both lungs. No new suspicious nodules.2.Stable left adrenal nodule. |
Generate impression based on findings. | 76 year old female patient with metastatic colorectal cancer. Restaging. CHEST:LUNGS AND PLEURA: Index right lower lobe pulmonary nodule is no longer cavitary in appearance and measures 9 x 8 mm (series 4 image 55), previously 7 mm. Scattered pulmonary nodules are not significantly changed compared to prior examination... | 1.Increasing size of hypoattenuating liver lesions.2.Interval increase right lower lobe pulmonary nodule. |
Generate impression based on findings. | 66 year old female postoperative day 2 status post aortic arch replacement. Evaluate for progression of thoracic aneurysm. ANGIOGRAPHY:Postoperative changes from aortic arch replacement with reimplantation of the arch vessels. The graft originates approximately 8.5 cm superior to the sinus of Valsalva; the central anas... | 1. Postoperative changes from aortic arch replacement with reimplantation of the arch vessels. There are pseudoaneurysms arising from the the left subclavian artery anastomosis and the distal aortic anastomosis, as described.2. New type B aortic dissection originating at the distal aortic graft anastomosis extending fo... |
Generate impression based on findings. | 31-year-old male with pancreatic cancer status post chemotherapy and resection. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Stable small mediastinal lymph node which measures 7 x 6 mm and previously measured 7 x 6 mm (image 36, series 3).CHEST WALL: No significant abnormality notedABDO... | Status post Whipple procedure without evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 58-year-old female with metastatic lung cancer. Participant in clinical trial status post 6 cycles of chemotherapy. CHEST:LUNGS AND PLEURA: Right upper lobe mass appears minimally decreased, measuring 47 x 36 mm, previously measured 48 x 38 mm (series 5, image 28). Reference left upper lobe nodule is stable to slightly... | 1.Stable to slightly decreased size of pulmonary masses. No new nodules or masses.2.Stable lymphadenopathy.3.Stable right adrenal nodule. |
Generate impression based on findings. | 66 year-old female with dyspnea and groundglass opacity seen on abdominal CT. LUNGS AND PLEURA: Mild basilar groundglass opacities most compatible with atelectasis. Mild scarring in anterior aspects of both upper lobes, left more than right. Mild centrilobular emphysema.Several punctate calcified and noncalcified nodul... | 1.Ground glass opacities in the lung bases most compatible with mild atelectasis.2.Scattered punctate calcified and noncalcified lung nodules most likely represent sequela of prior granulomatous infection.3.Stable fusiform aneurysmal dilation of the ascending aorta.4.Ill-defined nodular opacity in the left base may be ... |
Generate impression based on findings. | Reason: h/o HNC, h/o CRT, compare to previous, measurements pls History: none LUNGS AND PLEURA: Calcified granuloma left upper lobe, but no pulmonary or pleural metastases noted.MEDIASTINUM AND HILA: No significant mediastinal or hilar lymphadenopathy.Calcified nodes are the result of prior granulomatous disease. CHEST... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | 61-year-old male. Lung cancer screening. LUNGS AND PLEURA: Minimal basilar atelectasis. No suspicious nodules or masses.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of IV and enteric contrast material markedly limits sensitivity for abdominal... | No suspicious lung nodules or masses. |
Generate impression based on findings. | Undifferentiated thyroid carcinoma s/p thyroidectomy, right radical neck dissection, and right pectoralis flap. There are postoperative findings related to recent thyroidectomy, right radical neck dissection, and right pectoralis flap reconstruction. There are several fluid collections that are compatible with seromas ... | Interval recent thyroidectomy, right radical neck dissection, and right pectoralis flap reconstruction with several fluid collections that are compatible with seromas. Nodular soft tissue attenuation areas within the right thyroidectomy bed that measure 16 x 13 mm and 21 x 16 mm may represent residual thyroid tissue an... |
Generate impression based on findings. | 3 year-old male with history of disseminated mycobacterial infection and lymphadenopathy. Follow up examination. CHEST:LUNGS AND PLEURA: No focal air space opacities or pleural effusions. No pneumothorax.Aeration of the left upper lobe appears similar to the prior examination with persistent mild residual atelectasis i... | No significant interval change since the prior study. Persistent mild left hilar lymphadenopathy and residual left upper lobe atelectasis. |
Generate impression based on findings. | 40-year-old male patient with gastric cancer. Please compare to previous scans and provide index lesion measurements. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Right chest wall Port-A-Cath with catheter tip in the superior vena cava.ABDOM... | Interval increase in T6 and T9 vertebral body osseous metastases. |
Generate impression based on findings. | Reason: eval PE size following TPA administration History: see above PULMONARY ARTERIES: Technically adequate examination. Significant interval resolution of filling defects in bilateral pulmonary arteries. Filling defect in the left lower lobe pulmonary artery extending into the subsegmental arteries. Filling defect c... | 1.Significant interval resolution of bilateral pulmonary emboli with residual filling defects at the left and right lower lobe segmental levels.2.New subpleural left posterior lower lobe ground glass opacity may represent an infarct or less likely atelectasis3.Interval resolution of right ground glass opacities. |
Generate impression based on findings. | 57-year-old male with lung cancer, follow-up exam CHEST:LUNGS AND PLEURA: Posttreatment change and scarring of the right upper lobe with volume loss and bronchiectasis appears similar to the prior study. Small right pleural effusion is unchanged.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.CHEST WALL: ... | 1. Posttreatment changes of the right upper lobe without evidence of new recurrence.2. Reference hepatic lesions are poorly visualized due to contrast phase, which was delayed due to technical malfunction.2. No hydronephrosis, hydroureter or ureteral stones. |
Generate impression based on findings. | 59-year-old male with history of metastatic prostate cancer status post 7 cycles of investigational therapy CHEST:LUNGS AND PLEURA: Right apical scarring, unchanged. Scattered micronodules unchanged. No suspicious nodules or masses. No pleural effusion. MEDIASTINUM AND HILA: Enlarged right hilar lymph node is unchanged... | 1.Stable examination without definitive evidence of metastatic disease.2.Stable right hilar lymph node. |
Generate impression based on findings. | 44 year-old female with upper abdominal pain for 3 months and history of gallstone. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No cholelithiasis or right upper quadrant inflammation.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signif... | No specific findings to account for the patient's abdominal pain. No visualized gallstones or right upper quadrant inflammation. Multiple prominent mesenteric lymph nodes are nonspecific but may be reactive in etiology. |
Generate impression based on findings. | 61-year-old male, pretransplant evaluation. ABDOMEN:LUNG BASES: Small pericardial effusion.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality ... | 1. Moderate atherosclerotic calcifications of the aorta and its branches most pronounced medially along the common iliac arteries with sparing of the external iliac arteries.2. Small pericardial effusion. |
Generate impression based on findings. | IL-12 receptor beta1 deficiency with diffuse mycobacterial infection & interferon gamma pathway defect s/p PBSCT. There has been slight interval increase in size of the cervical lymph node, many of which are partially calcified. For example, a left level 2 lymph node measures 11 x 18 mm (series 5, image 62), previously... | 1. Mild interval increase in size of the cervical lymphadenopathy.2. Persistent partially imaged segmental left upper lobe opacification. Please refer to the separate chest CT report for additional details. |
Generate impression based on findings. | 72-year-old male patient. Pretransplant evaluation of aortic and iliac vessels. Note the lack of intravenous contrast limits evaluation of vasculature, lymph nodes in the solid viscera.ABDOMEN:LUNG BASES: Bibasilar scarring versus atelectasis.LIVER, BILIARY TRACT: Cholelithiasis.SPLEEN: No significant abnormality noted... | 1.Mild to moderate atherosclerotic changes in the abdominal aorta. Mild atherosclerotic changes involving the bilateral external iliac arteries.2.Bilateral simple and complex renal cysts. |
Generate impression based on findings. | 42 year-old female with head and neck cancer. CHEST:LUNGS AND PLEURA: Stable pulmonary micronodules, with largest located in left upper lobe measuring 4 mm (series 5, image 50). No new nodules identified. No consolidation or pleural effusions.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No signifi... | 1.Stable pulmonary micronodules. No new nodules.2.Stable hypoattenuating lesion in left hepatic lobe.3.No significant change in benign appearing multiple lucent lesions throughout the osseous structures. |
Generate impression based on findings. | Reason: pt with lung ca s/p 2 newer cycles of chemo History: now needs disease evaluation compare to previous scans and comment CHEST: Limited exam due to motion artifact.LUNGS AND PLEURA: Interval increase in moderate left and mild right pleural effusion with overlying atelectasis and fluid tracking into the fissures.... | 1.Interval increase in bilateral pleural effusions, left greater than right.2.Interval resolution of right hydropneumothorax.3.No significant change in right upper lobe mass. 4.Progression of metastatic disease and lymphadenopathy in the abdomen.5.Numerous lesions in the right iliac wing appears suspicious for impendin... |
Generate impression based on findings. | Malignant neoplasm of the extrahepatic bile ducts CHEST:LUNGS AND PLEURA: Subpleural reticulation and ground-glass opacities are unchanged. Scattered nonspecific calcified and noncalcified micronodules are unchanged. No pleural effusions or focal consolidation. MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopa... | 1.Hepatic hilar mass is not grossly changed in size from the prior MRI. Stable intrahepatic biliary ductal dilatation. The portal vein appears patent.2.Enlarging abdominal lymph nodes. Reference measurements are given above.3.Subpleural reticulation and ground-glass opacities are unchanged. |
Generate impression based on findings. | 80 year-old female with lung cancer. CHEST:LUNGS AND PLEURA: Spiculated nodule in right lobe not significantly changed, measuring 14 x 9 mm, previously measured 16 x 9 mm (series 5, image 20). Pleural based spiculated nodule in the right upper lobe also not significantly changed, measuring 23 x 10 mm, previously 21 x 1... | 1.No significant change in lung lesions.2.Increase in mediastinal, axillary, and retroperitoneal adenopathy. |
Generate impression based on findings. | Viral URI symptoms after Mexico trip in July assess for interval clearance. Cough. LUNGS AND PLEURA: Scarring in the upper lobes bilaterally. Minimal residual atelectasis in the right middle lobe medial segment with internal bronchiectasis. No pleural fluid or pneumothorax. Interval clearing of diffuse bronchiolitis an... | Interval resolution of bilateral areas of subpleural consolidation. Near complete resolution of of airway abnormalities with mild residual distal endobronchial debris and bronchial wall thickening. |
Generate impression based on findings. | 74-year-old male with history of cholangiocarcinoma presents for restaging. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are not typically changed in size or number. No suspicious pulmonary masses or nodules. No pleural effusions.MEDIASTINUM AND HILA: Mediastinal or hilar lymphadenopathy. Severe coronary ar... | No substantial interval change compared to prior with the exception of an enhancing area in the dome of the right lobe which should be followed. See above for discussion. |
Generate impression based on findings. | 72-year-old male with metastatic renal cell cancer CHEST:LUNGS AND PLEURA: Unchanged reference right middle lobe nodule measures 1.4 x 1.2 cm and previously measured 1.4 x 1.1 cm (image 62, series 4).Multiple additional nodules are unchanged. New scattered ground glass opacities may represent edema or treatment effect.... | Unchanged reference lesions without new evidence of metastatic disease. New scattered pulmonary ground glass opacity, which may represent edema/treatment effect. |
Generate impression based on findings. | Reason: PT with hx of HNC s/p CRT History: has new cough LUNGS AND PLEURA: Large right upper lobe granuloma and scattered benign appearing micronodules are unchanged.There is no evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Incidental note is made of an aberra... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | Esophageal perforation. LUNGS AND PLEURA: Dependent atelectasis bilaterally in the posterior lung fields. Patchy faint areas of atelectasis and air space opacity in the posterior right upper lobe most suggestive of sequela of prior aspiration event.MEDIASTINUM AND HILA: Trace pneumomediastinum near the level of the tho... | Trace right superior pneumomediastinum without visible site of origin. Large amount of air and debris in the proximal thoracic esophagus above the level of the stent with shouldering. Soft tissue just above the level of the stent likely representing tumoral encasement. |
Generate impression based on findings. | Prematurity (born at 25-26 weeks) with history of BPD, NEC with bowel perforation, PDA, GERD and hydrocephalus s/p reinsertion of VP shunt. There is has been interval removal of a right transfrontal ventricular catheter and insertion of a left transparietal ventricular shunt that terminates in the midline of the latera... | Interval ventricular catheter exchange with a small amount of intraventricular hemorrhage. Interval development of a left basal ganglia porencephalic cyst that measures up to 23 mm with partially effacement of the third ventricle and interval increase in size of the lateral and fourth ventricles. In particular, the fou... |
Generate impression based on findings. | Malignant neoplasm of lower lobe. Status post 15 month after right lower lobectomy for management of T1bN0M0 stage IB adenocarcinoma. Three month follow-up. Also has history of GIST. LUNGS AND PLEURA: Right lower lobe wedge resection. Emphysema. Right pleural fluid collection is smaller. Scattered pulmonary nodules not... | No signs of localized recurrence near the right lower lobe resection site. Mildly enlarged contralateral low cervical and subpectoral lymph nodes are of unclear significance. Pulmonary nodules are stable in appearance, favoring benign lesions. |
Generate impression based on findings. | History of head and neck cancer (supraglottic). Post chemo- and radiotherapy for reassessment. There is soft tissue thickening and edema demonstrated within the hypopharyngeal and supraglottic regions in a mucosal and submucosal distribution resulting in significant narrowing of the supraglottic airway (unchanged). The... | 1.Post therapeutic changes including extensive subcutaneous, scular and mucosal/submucosal edema resulting in unchanged narrowing of the supraglottic airway without CT evidence of active disease.2.Unchanged multilevel spinal stenosis on the basis of ligamentous calcification with superimposed degenerative change. |
Generate impression based on findings. | Chest pain, tachycardia, elevated d-dimer. Evaluate for PE. PULMONARY ARTERIES: Technically diagnostic quality exam with no evidence of acute pulmonary embolus.LUNGS AND PLEURA: Mild dependent and basilar atelectasis.MEDIASTINUM AND HILA: Abrupt change in caliber of the thoracic aorta along the distal aspect of the arc... | 1.No evidence of acute pulmonary embolus.2.Concentric wall thickening of the distal esophagus is nonspecific by CT however the presence of adjacent mildly enlarged lymph nodes could indicate an inflammatory or neoplastic process. Consider correlation with endoscopy.3.Lymphadenopathy in the region of the right hilum and... |
Generate impression based on findings. | 61 years old female with base of tongue cancer, status post CRT. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure is unremarkable. Mild deformity affecting the left base of tongue is not significantly changed. No mucosal based mass lesions ar... | Stable examination with no evidence of recurrent disease or lymphadenopathy. |
Generate impression based on findings. | Back pain. Bony abnormality. There are extensive changes related to prior surgery including fusion of T10-S1. There are transpedicular screws at each level except L3 and through the right pedicle of T12 including within the iliac bones bilaterally. There are bilateral rods which are encased in bone from bony fusion of ... | 1.Extensive postoperative changes which limit assessment as described. 2.Unchanged moderate spinal canal and neural foraminal stenosis at L4-5 on the basis of grade 1 spondylolisthesis, likely degenerative. 3.No acute pathology including fracture. |
Generate impression based on findings. | Pleural mass. Please compare to previous CT scan of 5/2013. Patient did have a chest tube placed on the left after the CT scan of 10/2012. LUNGS AND PLEURA: Left posterior pleural soft tissue lesion at the level of the ninth/tenth rib interspace has decreased in size, currently measuring 7 x 15 mm, previously 10 x 23 m... | 1. Interval decrease in size of left posterior pleural mass, strongly favoring a benign lesion. Follow up to complete radiographic resolution is suggested.2. Interval development of an 8mm irregular nodule in the right upper lobe. 3 to 6 month CT follow-up recommended. Dr. Gottlieb (9498) verbally notified. If the pati... |
Generate impression based on findings. | Male, 65 years old, history of tongue cancer, status post CRT. Treatment related findings are redemonstrated including infiltration of the fascial planes and supraglottic mucosal edema. Similar findings are seen on the prior exam. No evidence of recurrent tumor or pathologic adenopathy is seen.Salivary glands and thyro... | Redemonstration of treatment related findings in the neck with no evidence of recurrent disease. |
Generate impression based on findings. | Reason: h/o salivary gland cancer History: eval for chest mets LUNGS AND PLEURA: Benign-appearing micro-nodule, without evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: Calcified right hilar lymph nodes, but no significant abnormality. CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | Male 42 years old; Reason: AAA, appy History: chest pain, abd pain - pt unable to receive IV or oral contrast ABDOMEN:LUNGS BASES: Heart size is enlarged. Cardiac pacer leads.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENA... | 1.Normal caliber of the abdominal aorta without retroperitoneal hematoma.2.No findings of appendicitis.3.No renal or ureteral calculi.4.Multiple small pelvic and retroperitoneal lymph nodes which are abnormal in number. |
Generate impression based on findings. | Reason: hx H\T\N ca, post CRT, evaluate dx and compare measurements to previous scans History: as above CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN: Absence of enteric contrast material markedly limi... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | Reason: eval for pe History: as abovr PULMONARY ARTERIES: No pulmonary embolus to the subsegmental level.LUNGS AND PLEURA: Opacities of subsegmental atelectasis. No pleural effusion.MEDIASTINUM AND HILA: The heart size is normal. No pericardial effusion.No mediastinal or hilar lymphadenopathy.CHEST WALL: No axillary ly... | No evidence of pulmonary embolus. |
Generate impression based on findings. | Female, 47 years old, bilateral thyroid cysts. The thyroid gland demonstrates normal size and morphology and shows homogeneous enhancement characteristics. No cystic lesions are evident within or around the gland.Bubbly soft tissue material is evident within the vallecula which likely represents trapped secretions. The... | No evidence of cystic thyroid lesions or other specific abnormalities of the thyroid gland. |
Generate impression based on findings. | 69-year-old male patient with left lower quadrant abdominal pain, cramping and diarrhea. Note that the lack of intravenous contrast limits evaluation of vasculature, lymph nodes and solid viscera.ABDOMEN:LUNG BASES: No significant abnormalities in the posttransplant right lung. Left lung with extensive honeycombing, fi... | No CT evidence of bowel pathology to explain patient's symptomatology. |
Generate impression based on findings. | 60 year-old male with metastatic renal cancer CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules are not significantly changed in size. Reference left lower lobe nodule measures 1.1 x 1.2 cm (image 25 series 5) and previously measured 1.2 x 1.2 cm. Interval improvement of right basilar consolidation and removal right m... | Multiple metastatic lesions and renal mass as detailed above without significant interval change. |
Generate impression based on findings. | Reason: lung cancer History: lung cancer s/p resection LUNGS AND PLEURA: Postsurgical findings reflect prior left upper lobectomy. Right-sided volume loss as a result of radiation exposure. Stable bronchial impaction throughout the left lower lobe with diffuse2 left-sided granulomas. Scarlike opacity at the right cardi... | Focus of interstitial thickening within the posterior aspect of the left lower lobe has increased in the size. This is highly suspicious for adenocarcinoma in situ or minimally invasive adenocarcinoma.No mediastinal lymphadenopathy |
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