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Generate impression based on findings. | 69-year-old male with history of recurrent hypopharyngeal squamous cell carcinoma, on therapy, reevaluate Head: The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, midline shift, intra- or extra-axial fluid collection/gross acute ... | 1. Interval increase in size of large right necrotic conglomerate neck mass and bilateral cervical lymphadenopathy. The right cervical vessels are encased but remain patent.2. No evidence of intracranial metastases.3. Bilateral pulmonary nodules some of which are cavitary. Please see dedicated chest CT from today's dat... |
Generate impression based on findings. | Facial myxoid sarcoma LUNGS AND PLEURA: No distinct nodules seen. No focal airspace opacities or pleural effusions.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Normal sized heart without pericardial effusion.CHEST WALL: No osseous or soft tissue abnormality. No axillary lymphadenopathy. Left chest por... | Non-specific 1.1 cm hypoattenuating focus in segment 7 of the liver. This is not fully evaluated on this non-contrast examination and dedicated liver imaging with ultrasound or contrast-enhanced CT or MR is recommended. |
Generate impression based on findings. | Reason: s/p 13 yrs after lobectomy with extrapleural resection of carcinoma in 2000 for management of T3N0M0 stage IIB poorly differentiated squamous cell carcinoma History: new right upper lobe pulmonary nodule LUNGS AND PLEURA: Left hemithorax post surgical changes. Stable severe centrilobular emphysema with large bu... | 1.Slight interval decrease of soft tissue component of the right apical dystrophic calcification.2.Slight interval decrease in size of the left lower lobe pleural based nodule. |
Generate impression based on findings. | HPT re-op outside nuclear scan will be submitted. Please help to localize parathyroid adenoma There are several nodules present in the soft tissues of the lower neck . Their locations and serial Hounsfield units on dynamic CT or listed below along with some density units of normal structures:Houndsfield units through n... | 1.There is a 7x17 mm nodule located anterior to the T1 vertebral body and adjacent and to the right of the esophagus which is suspicious for parathyroid adenoma. Venous drainage corresponds to the elevated PTH levels.2.Parathyroid venous sampling. |
Generate impression based on findings. | Reason: tongue cancer History: r/o lung mets LUNGS AND PLEURA: No pulmonary or pleural metastases.Previously reported 8mm ground glass nodule no longer seen.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of enteric contrast material mark... | No sign of metastases, or other significant abnormality. |
Generate impression based on findings. | Lung nodules. History of prostate adenocarcinoma. LUNGS AND PLEURA: Numerous pulmonary micronodules and subpleural/intrapulmonary lymph nodes are noted bilaterally. Reference lesion in the right middle lobe has an appearance consistent with an intrapulmonary lymph node, again measuring 4-mm in size (5/60). Similarly, t... | Benign appearing pulmonary micronodules and intrapulmonary/subpleural lymph nodes are unchanged over one year strongly favoring benign lesions. Additional one year follow-up may be obtained in 11/2014 or as clinically warranted to exclude growth. |
Generate impression based on findings. | 69 year-old female, assess for metastatic endometrial adenocarcinoma evaluate response to hormones. CHEST:LUNGS AND PLEURA: Interval decrease in pleural nodularity and resolution of right pleural effusion. Right middle lobe nodule measures 1.7 x 1.5 cm and previously measured 1.9 x 1.3 cm (image 71, series 5). Addition... | Metastatic disease involving the pleura and mediastinum with interval decrease in pleural nodularity, mediastinal lymphadenopathy and resolution of right pleural effusion. |
Generate impression based on findings. | 60-year-old male patient with melanoma. Restaging scan. CHEST:LUNGS AND PLEURA: Scattered bilateral micronodules are increased in number compared to prior examination and remain less than 3 mm in diameter. Calcified pleural plaques are stable compared to prior examination.MEDIASTINUM AND HILA: No mediastinal lymphadeno... | Increased number of scattered pulmonary micronodules are remain less than 3 mm in diameter. Recommend continued follow-up. |
Generate impression based on findings. | Female 52 years old; Reason: F s/p RYGB, now s/p small bowel bypass of JJ anastomosis, and POD4 s/p washout with increasing leukocytosis. Assess for pathology/abscess History: Nausea, leukocytosis ABDOMEN:LUNG BASES: Subsegmental atelectasis in both lower lobes. Small left pleural effusion.LIVER, BILIARY TRACT: No susp... | New bibasilar atelectasis and left pleural effusion. Multiple small fluid collections, some poorly marginated throughout the lower abdomen and pelvis. Largest collection is in the cul-de-sac. The findings were discussed with the clinical service (pager number 6471) at the time of dictation. Findings also discussed with... |
Generate impression based on findings. | HNC, CRT. CHEST:LUNGS AND PLEURA: Mild septal thickening at the lung bases. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Mildly enlarged mediastinal lymph nodes are unchanged compared to prior examinations. Subaortic lymph node in the region of the AP window 7 mm, unchanged (3/27). Small volume of th... | No specific evidence of metastatic disease to the chest or upper abdomen. Severe cervical spinal stenosis. Subtle increase in volume of anterior pericardial fluid which remains small. |
Generate impression based on findings. | Metastatic head and neck cancer on therapy. CHEST:LUNGS AND PLEURA: Aspiration pneumonia in the right middle and lower lobes. The smaller cavitary pulmonary nodules continue to decrease in size and degree of the wall thickness.Right apical nodule 15 x 20 mm (series 10231, image 23), previously 16 x 19 mm. Although not ... | 1. Severe aspiration pneumonia in the right middle and lower lobes. Six week plain film follow-up is suggested in the adult patient to assess for clearance.2. Mixed response with decrease in the majority of the pulmonary nodules with the exception of the left upper lobe mass which is larger3. Indeterminate 13-mm lesion... |
Generate impression based on findings. | Reason: Restaging scans s/p 6 cycles of oral TKI therapy History: hx of metastatic renal cell cancer LUNGS AND PLEURA: Biapical scarring/atelectasis unchanged. Moderate centrilobular and paraseptal emphysema with an upper lobe predominance not significantly changed from prior study. Multiple scattered small pulmonary n... | 1.No evidence of intrathoracic metastatic disease.2.Interval decrease in size of hypodense lesions in the liver, suspicious from metastatic disease.3.Redemonstration of incompletely visualized large infiltrative right renal mass. |
Generate impression based on findings. | Neuroblastoma. Completed radiation therapy. CHEST:LUNGS AND PLEURA: Dependent subsegmental atelectasis. No distinct pulmonary nodules. No focal air space opacities or pleural effusions.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Normal sized heart without pericardial effusion.CHEST WALL: No axillary ... | 1. Unchanged retroperitoneal lymph nodes.2. No new sites of disease identified. |
Generate impression based on findings. | 57-year-old male patient with severe edema and preserved ejection fraction without proteinuria. Evaluate for IVC clot or mass impinging the IVC. ABDOMEN:LUNG BASES: Bilateral scarring versus atelectasis. Round density in the posterior right lower lobe is contiguous with scarring and is nonspecific. Metallic fragments a... | 1.No evidence of mass compressing the inferior vena cava or thrombosis.2.Rounded density contiguous with scarring in the right lower lobe is nonspecific but an underlying mass cannot be entirely excluded. |
Generate impression based on findings. | Male, 60 years old, melanoma, restaging. No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are intact. Postsurgical findings are redemonstrated including evidence of a left parotid space resection and bilateral neck d... | 1. Redemonstration of postsurgical/post treatment findings in the neck. This includes partial resection of the left parotid gland. There remains some ill-defined and infiltrating soft tissue thickening within the left parotid space. In most areas this is stable and may therefore reflect postoperative scarring. There is... |
Generate impression based on findings. | 70 year old female. Reason: Stage IV gastric cancer please compare to previous scans and provide index lesion measurements and assess previous areas of lung opacities History: As above CHEST:LUNGS AND PLEURA: Increasing bilateral ground-glass opacities which are becoming more solid in some areas. Unchanged nodular opac... | 1.Increasing pulmonary ground-glass opacities which are becoming more solid in areas.2.Decreasing mediastinal and hilar adenopathy. 3.Stable hepatic metastases with reference measurements as above. |
Generate impression based on findings. | 50 year-old male with history of tongue cancer and status post surgery. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure is unremarkable. Reidentified are postsurgical changes of the right sided nodal dissection.No identifiable tongue mass. S... | Stable postsurgical changes in the neck soft tissue with no mass or lymphadenopathy. |
Generate impression based on findings. | Metastatic (pT3N1bM1) medullary thyroid cancer status post RUL lobectomy in 3/06 and thyroidectomy in 4/06. There are postoperative findings related to total thyroidectomy. There is no evidence of recurrent tumor with the resection bed. There is no significant cervical lymphoma. The airways are patent. The major saliva... | No evidence of locoregional tumor recurrence of significant cervical lymphadenopathy. |
Generate impression based on findings. | 58 year male with prostate cancer. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Mediastinal lymphadenopathy with the largest subcarinal lymph node measuring 1.6 x 1.2 cm (image 54, series 4). The heart size is normal. Atherosclerotic calcification of the coronary arteries and aorta.CHE... | Mediastinal lymphadenopathy and scattered prominent retroperitoneal and pelvic lymph nodes. No osseous lesions identified on CT, refer to bone scan for further detail. |
Generate impression based on findings. | Hemangioendothelioma of the lung. CHEST:LUNGS AND PLEURA: Innumerable pulmonary nodules. Index lesion left upper lobe measures 2 x 2.4-cm, previously 1.8 x 2.1 cm (5/30). Postsurgical changes consistent with previous resections.MEDIASTINUM AND HILA: Reference prevascular lymph node 13 mm, previously 12-mm .3/34). Other... | Metastatic hemangioendothelioma with index measurements provided in the body of the report. Increase in number of hepatic metastases. |
Generate impression based on findings. | Reason: h/o HNC, s/p CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Mild interval resolution of partial right middle lobe atelectasis likely compressive from elevated hemidiaphragm. No new pulmonary nodules or masses.MEDIASTINUM AND HILA: No pericardial effusions. Main pulmonary artery cali... | No specific evidence of metastatic disease. Lesions in the liver and spleen are incompletely assessed due to contrast. Lack of change favors benign lesions. Dedicated liver CT may be obtained if clinically warranted. |
Generate impression based on findings. | 60 year-old with prostate cancer. Evaluate disease. ABDOMEN:LUNG BASES: No effusions or lung masses.LIVER, BILIARY TRACT: There is normal in morphology. No suspicious hepatic lesions Hepatic and portal veins are patent. Multiple peripherally calcified gallstones layer within a nondistended gallbladder.SPLEEN: No signif... | No evident metastatic disease. |
Generate impression based on findings. | Reason: rule out CAD, pt has anterior Q wave. History: abnormal ECG, family hx of premature CAD. Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and trifurcates into the left anterior descending, ramus intermedius and left circumflex coronary arteries. There are no s... | 1. There are no significant coronary artery stenoses present.2. Findings compatible with pulmonary edema. |
Generate impression based on findings. | 67 year-old female with headache and vertigo. NONCONTRAST CT HEADThere is patchy hypoattenuation in the cerebral white matter (internal capsules and periventricular white matter). The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect... | 1. No acute intracranial abnormality. Mild chronic small vessel ischemic disease. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. 2. No evidence of aneurysm, significant stenosis, occlusive thrombus, dissection, or vascular malformation. Mild calcified ather... |
Generate impression based on findings. | 44-year-old male patient. Pre-kidney transplant evaluation. Note that the lack of intravenous contrast limits evaluation of vasculature, lymph nodes and the solid viscera.ABDOMEN:LUNG BASES: Cardiomegaly with moderate sized pericardial effusion.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significa... | 1.Mild atherosclerotic changes in the abdominal aorta with moderate atherosclerotic changes in the common and external iliac arteries.2.Cardiomegaly with moderate pericardial effusion. |
Generate impression based on findings. | Head and neck cancer CHEST:LUNGS AND PLEURA: Previously seen thin walled cystic lesion in the periphery of the right upper lobe has filled in with solid material currently measuring 12 x 14 mm. The cyst seen previously measured 13 x 15 mm.A nonspecific thin-walled cystic lesion or area of emphysema seen abutting the ri... | Right upper lobe lesion has become solid in the interim. No significant lymphadenopathy. Minimal residual nonocclusive pulmonary artery thrombus in the left lower lobe. |
Generate impression based on findings. | 76-year-old female patient with end-stage renal disease. Evaluate kidney anatomy for possible nephrectomy. ABDOMEN:LUNG BASES: Bilateral atelectasis versus scarring. Cardiomegaly with moderate sized pericardial effusion.LIVER, BILIARY TRACT: Nonspecific hypoattenuating linear lesion adjacent to the falciform ligament i... | 1.Left kidney with percutaneous nephrostomy without hydronephrosis or perinephric fluid.2.Cardiomegaly with moderate pericardial effusion.3.Probable stercoral colitis in the rectum. |
Generate impression based on findings. | Right upper lobe nodule on CT scan. Dyspnea and chest pain. LUNGS AND PLEURA: Right upper lobe well circumscribed nodule measures 14 x 10 mm (5/97). This is not significantly changed from prior outside CT allowing for the relatively thick acquisitions on the outside study which would produce volume averaging (calibrate... | Well-circumscribed benign-appearing right upper lobe nodule containing internal attenuation is suggestive of but not pathognomonic for a hamartoma. CT follow up in 9 months suggested (August, 2014). |
Generate impression based on findings. | Female, 74 years old, head and neck cancer. Ill-defined soft tissue thickening and enhancement involving the right base of tongue and floor of mouth is redemonstrated. Comparison is probably best made in the coronal plane where this abnormality measures 2.0 x 1.4 cm (image 53 series 80412). The prior exam was performed... | 1. Right tongue base/floor of mouth lesion shows no definite change in size.2. Stable adenopathy in the bilateral neck. No evidence of new lymphadenopathy or neck masses.3. Changing appearance of a right apical lung lesion. Please refer to the separately dictated chest CT report for details. |
Generate impression based on findings. | 47-year-old male, assess for small bowel lesion/carcinoid. ABDOMEN:LUNG BASES: Basilar atelectasis/scarring.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No signifi... | Normal caliber bowel without wall thickening or evidence of mass. No specific signs account for patient's abdominal pain. |
Generate impression based on findings. | Reason: h/o met medullary thyroid ca, compare to previous, measurements pls History: none LUNGS AND PLEURA: Stable mild bronchiectasis. No new pulmonary opacities, nodules or masses. Overall stable peripheral endobronchial filling defects. No pleural effusions.MEDIASTINUM AND HILA: No significant mediastinal or hilar l... | 1.No specific evidence of metastatic disease.2.Stable chronic pulmonary changes with bronchiectasis bilaterally consistent with known history of prior MAI infection. |
Generate impression based on findings. | 45 -year-old female with headache, evaluate for subarachnoid hemorrhage or intracranial abnormality Nonspecific subcentimeter mildly hypoattenuating focus in the left basal ganglia.The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially.... | 1. No acute intracranial abnormalities.2. Nonspecific subcentimeter mildly hypoattenuating focus in the left basal ganglia may be artifactual in etiology. If clinically warranted, MRI may be obtained for further characterization. |
Generate impression based on findings. | 8-year-old male with history of pulmonary metastatic embryonal rhabdomyosarcoma. Evaluate for disease. LUNGS AND PLEURA: Postoperative changes are again noted in the left upper lobe appearing similar to the prior study. Micronodules along the right major fissure are unchanged and likely represent benign lymph nodes. No... | No evidence of recurrent or metastatic disease. Stable postoperative changes in the left upper lobe. |
Generate impression based on findings. | GE junction cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Marked decrease in size of distal esophageal/GE junction mass described previously. At a similar level, the esophagus measures 3.6 x 2.8 cm (image 70; series 3). Adenopathy has likewise regressed. The reference gastrohepati... | Marked regression of disease with measurements given above. Thickening of multiple loops of small bowel in the midabdomen; this finding is nonspecific and may represent infectious or drug-related enteritis. |
Generate impression based on findings. | Male 62 years old Reason: Eval glenohumeral joint for deformity History: multiple dislocations with shoulder pain No intra-articular contrast is seen entering the subacromial subdeltoid space indicating that the rotator cuff is intact. There is equivocal mild fatty atrophy of the inferior aspect of the subscapularis mu... | 1. Severe osteoarthritis of the glenohumeral joint.2. Intact rotator cuff. |
Generate impression based on findings. | Dyspnea. Sarcoidosis. Tobacco use, chemo for AML. LUNGS AND PLEURA: Scattered calcified and noncalcified pulmonary micronodules measuring up to 3-mm in diameter (right upper lobe 4/21). Bilateral areas of scarring in the upper lung zones. No pleural fluid or pneumothorax.MEDIASTINUM AND HILA: Thyroid gland is mildly en... | No signs of pneumonia. No suspicious pulmonary nodules or masses. The noncalcified nodules are benign in appearance and may be followed in 6 to 12 months given the patient's history of smoking. No significant lymphadenopathy in the thorax or specific pulmonary findings of intrathoracic sarcoidosis. |
Generate impression based on findings. | 40 year-old female with head trauma. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses... | No acute intracranial abnormality. |
Generate impression based on findings. | Status post chemoradiation and neck dissection for a T1 oropharyngeal squamous cell carcinoma completed in September of 2009. Streak artifact related to dental amalgam obscures regional anatomy. Within this limitation, there are stable post-treatment findings related to right neck dissection and radiation. There is an ... | No evidence for locoregional tumor recurrence or significant cervical lymphadenopathy on the basis of size criteria. |
Generate impression based on findings. | Reason: RUL lung nodule, annual follow up. SUPER D protocol History: none LUNGS AND PLEURA: 5-mm right upper lobe nodule, "flat" in appearance suggestive of a intrapulmonary lymph node, adjacent to the major fissure image 62 series 8, unchanged as far back as 8/17/2012.Punctate calcified granuloma right middle lobe. ME... | Stable 5-mm right upper lobe nodule consistent with a benign etiology such as an intrapulmonary lymph node. One more annual follow-up is recommended, and if unchanged no further CT follow-up for this nodule. |
Generate impression based on findings. | Dysphagia, choking, coughing no aggressive mediastinal lymphoma. Evaluate for bronchial collapse. LUNGS AND PLEURA: There is extrinsic compression of the airways from the patient's mediastinal tumor. This is most pronounced on the left. Measurements of the airway as follows:Level of the manubrium transverse dimension o... | Severe compression of the airways and thoracic esophagus by the patient's known mediastinal lymphoma. Vascular encasement of the thoracic aorta is noted with a small amount of nonspecific associated periaortic fluid. Moderate left pleural fluid collection. |
Generate impression based on findings. | Male, 68 years old, larynx cancer. Status post laser resection. New baseline evaluation. There is a tiny, 1 mm focus of mucosal irregularity along the left vocal cord (see axial thin section 167, series 3). This is nonspecific and may be postoperative in nature.The right piriform sinus is effaced without evidence of fo... | 1. Mild mucosal irregularity along the left vocal cord. This is nonspecific and may be postoperative in nature.2. No pathologic adenopathy is seen in the neck. |
Generate impression based on findings. | Reason: requesting post-op CT scan for changes; no contrast needed History: 79 yo M hx of RUL wedge resection, 3-7 rib resection for chest wall hemangioma, s/p recent washout of chest wall abscess, requesting post-op CT scan for changes; no contrast needed LUNGS AND PLEURA: Decrease in right posterior paramediastinal a... | 1.Interval decrease in size of previously described right subcutaneous and extrapleural fluid collection.2.Interval reexpansion of the left lower lobe with residual debris seen within the lower lobar bronchi.3.Tube situated in the posterior soft tissue near the apex does not seem to be in communication with the fluid c... |
Generate impression based on findings. | Occlusion and stenosis of vertebral artery without mention of sternal or infarction evaluate vertebral abnormality on MRA 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 aor... | 1.There is a 60% stenosis at the origin of the left subclavian artery.2.There is occlusion of the left vertebral artery at its origin with reconstitution from muscular collaterals from the ascending cervical artery and the left occipital artery.3.There is occlusion of the right vertebral artery within the distal cervic... |
Generate impression based on findings. | Lung mass. Super D. protocol. LUNGS AND PLEURA: Right lower lobe mass measures 3.7 x 2.9 cm (6/70), previously 2.1 x 1.9 cm. There is thickening of the adjacent inferior pulmonary ligaments and a linear band of atelectasis extends peripherally and caudally from the lesion. New 6-mm nodule in the right upper lobe may be... | Interval enlargement of right lower lobe mass with associated subsegmental atelectasis and thickening of the inferior pulmonary ligament. A new right upper lobe nodule is suspicious for a metastasis. |
Generate impression based on findings. | Female, 66 years old, tongue cancer status post surgery. Limited intracranial views are significant for evidence of old ischemia in the left cerebellum.Since the prior examination, extensive new post operative findings are demonstrated including resection of the residual tongue and epiglottis and repair with a soft tis... | 1. Interval resection of the tongue and floor of mouth with soft tissue flap repair. Within this extremely altered background, no definite evidence of recurrent disease is seen. This examination will serve as a new baseline.2. No evidence of pathologic adenopathy in the neck. |
Generate impression based on findings. | 53 year-old male with history of headache and hypertension. 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... | No acute intracranial abnormality. |
Generate impression based on findings. | Cushing's, aspergillus pneumonia. Following up lesions. LUNGS AND PLEURA: Numerous pulmonary nodules and micronodules, some of which are cavitary. The majority of the lesions are in the right lung. For reference, a lesion containing internal cavitation in the right lower lobe measures 18-mm in length (4/57).. A left ap... | Bilateral solid and cavitary lung nodules are nonspecific but remain consistent with hematogenous spread of infection such as semi-invasive Aspergillus as provided in the clinical history. Follow-up to complete radiographic resolution is recommended to exclude a synchronous neoplastic process. |
Generate impression based on findings. | 63 year-old female. Pancreatic cancer. Nausea, vomiting, and abdominal pain. ABDOMEN:LUNG BASES: No effusions or masses.LIVER, BILIARY TRACT: Unchanged hepatic steatosis limiting evaluation for parenchymal masses. Within this limitation, there are at least two nodules which may represent metastases given the patient's ... | Pancreatic carcinoma with encasement of the portal vein. Possible new liver metastasis versus focal fatty sparing. |
Generate impression based on findings. | High grade myxoid sarcoma of her left face, status post recent debulking and chemotherapy. There are interval postoperative findings related to partial debulking of an infiltrative, heterogeneously enhancing mass in the left face with residual tumor that measures approximately 10.5 AP x 6.5 RL x 9.5 SI cm. The mass app... | Interval partial debulking of the transpatial left face sarcoma that extends to the skull base, left orbit, and left maxillary sinus, as described in the findings section. Of note, there is a pathologic fracture of the left mandible body. The tumor abuts the left internal carotid artery without evidence of vascular com... |
Generate impression based on findings. | Female, 42 years old, fever, neutropenia. History of ALL. Evaluate for sinusitis. The frontal sinuses are clear. There is mucosal thickening at the level of the bilateral fronto-ethmoidal recesses, left more than right. The sphenoid sinuses and sphenoethmoidal recesses are clear. The ethmoid air cells are largely free ... | Mild sinus mucosal thickening as above with no evidence of any severe or active sinusitis. |
Generate impression based on findings. | 54 year-old male with history of altered mental status. 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. 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. | Chronic sinusitis. There are postoperative findings related to endoscopic sinus surgery, including septoplasty, bilateral uncinectomy and internal ethmoidectomy. There is moderate mucosal thickening within the bilateral maxillary sinuses. The neoinfundibulum is patent, while the left neoinfundibulum is partially obstru... | Postoperative findings related to endoscopic sinus surgery and septoplasty with moderate bilateral maxillary sinus mucosal thickening and milder scattered paranasal sinus opacification elsewhere is a sporadic pattern. |
Generate impression based on findings. | Acute myeloid leukemia. Neutropenic fever. Evaluate for source of infection. The following observations are made given the limitations of an unenhanced studyCHEST:LUNGS AND PLEURA: A few scattered subpleural micronodules are noted.Atelectasis at both lung bases should be followed. Trace left pleural effusion.MEDIASTINU... | No definite findings to suggest source of infection with the exception of atelectasis at the lung bases. Diffuse fatty infiltration of an enlarged liver. Intrauterine device. |
Generate impression based on findings. | Male 32 years old; Reason: 31 year-old male with a history of seminoma of the testes. History: 31 year-old male with a history of seminoma of the testes. CHEST:LUNGS AND PLEURA: No suspicious primary nodules. The pleural spaces are clear. Nonspecific micronodule in the left lower lobe (image 75/series 5)MEDIASTINUM AND... | 1.Stable exam with no significant change in the subcentimeter retroperitoneal lymph nodes.2.Soft tissue the anterior mediastinum possibly representing thymic tissue, unchanged. |
Generate impression based on findings. | 59-year-old female with history of malignant solitary fibrous tumor. CHEST:LUNGS AND PLEURA: There are again noted multiple, confluent low-attenuation masses arising from the pleura in the right hemithorax. There is continued displacement of the right atrium and right ventricle by masses. Slight interval increase in po... | Progressive disease in the right hemithorax. |
Generate impression based on findings. | Male 71 years old; Reason: baseline prior to starting investigational agent. Please give bidimensional measurements History: hx of metastatic bladder cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion.Right chest wall port terminates at the... | 1.Retroperitoneal lymphadenopathy without evident change. |
Generate impression based on findings. | Chronic sinusitis. Recurrent sinus infections. recurrent sinus infections, nasal congestion, crusting at the right OMU The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated. The nasal septum is mildly deviated towards the left. There is partial opacificatio... | Opacification in the expected location of the right to hiatus semilunaris , middle meatus into the superior meatus is at present. Underlying pathology such as polyposis cannot be excluded. Please correlate with physical findings. |
Generate impression based on findings. | 10 day old male status post VPS. The patient is status post a right parietal approach ventriculostomy shunt catheter placement. The catheter traverses the lateral ventricles and terminates in the left lateral ventricle body. No significant hemorrhage is seen. The catheter appears intact with no fracture or kinking.Agai... | 1. Status post a right parietal approach ventriculostomy shunt catheter placement. Grossly unchanged marked hydrocephalus allowing for differences in techniques.2. Redemonstration of additional intracranial and orbital abnormalities. |
Generate impression based on findings. | 51-year-old male with shortness of breath. PULMONARY ARTERIES: Diagnostic quality exam without evidence of pulmonary embolus. Mixing artifact noted in the main pulmonary arteries.LUNGS AND PLEURA: Normal variant azygos lobe is noted. No consolidation or pleural effusions. Punctate calcified and noncalcified micronodule... | No pulmonary embolus or other acute intrathoracic abnormality to account for patient's symptoms. |
Generate impression based on findings. | 49-year-old female with rectal cancer, chest pain, shortness of breath. PULMONARY ARTERIES: Diagnostic quality exam without evidence of pulmonary embolus.LUNGS AND PLEURA: Lungs are underinflated. No consolidation or pleural effusions. No suspicious nodules or masses.MEDIASTINUM AND HILA: No significant abnormality not... | 1.No pulmonary embolus. 2.Lungs are underinflated, likely due to abdominal ascites and may be cause of shortness of breath. 3.Hypodense lesion in left lobe of the liver, compatible with metastatic lesion from known rectal cancer.4.Ascites and several dilated small bowel loops in partially visualized abdomen; refer to d... |
Generate impression based on findings. | 81 year-old male with metastatic prostate cancer, nausea, vomiting and hypotension. The ventricles, sulci, and cisterns are symmetric and appropriate for the patient's age. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorr... | No acute intracranial abnormality. |
Generate impression based on findings. | 50 year-old male with history of CLL and confusional state. 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... | 1. No acute intracranial abnormality. 2. Paranasal sinus inflammatory disease with acute sphenoid sinusitis. |
Generate impression based on findings. | 63-year-old male with new hypoxia. History of cirrhosis. PULMONARY ARTERIES: Diagnostic quality exam without evidence of pulmonary embolus.LUNGS AND PLEURA: Moderate paraseptal and centrilobular emphysema. Basilar atelectasis/scarring, basilar predominant moderate bronchiectasis and mild diffuse bronchial wall thickeni... | 1.No evidence of pulmonary embolus or other acute intrathoracic abnormality.2.Moderate emphysema and bronchiectasis. |
Generate impression based on findings. | 79 year old female with lung cancer, on Tarceva over 9 months. CHEST:LUNGS AND PLEURA: Status post right middle lobectomy and associated volume loss.Previously measured soft tissue lesion located in right mid lung superior to suture line is increased size, measuring 2.7 x 2.6 cm, previously measured 1.9 x 2.2 cm (serie... | 1.Interval increase in size of reference right lung lesion adjacent to suture line. 2.Innumerable new nodules in both lungs as well as increased consolidation in right lung, compatible with progression of disease. |
Generate impression based on findings. | 10 month old male status post fall. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses ... | No acute intracranial abnormality. |
Generate impression based on findings. | 82 year-old female with syncope. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and... | 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. | 4 year-old female with head injury. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses ... | No acute intracranial abnormality. |
Generate impression based on findings. | 59 year-old female with altered mental status. There is scattered patchy hypoattenuation 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 collectio... | 1. No acute intracranial abnormality. Mild small vessel ischemic disease of indeterminate age. However, CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. 2. Paranasal sinus inflammatory disease. 3. Blowout fracture of the left lamina papyracea, likely chronic.... |
Generate impression based on findings. | 65-year-old female patient with vomiting, abdominal pain and known hernia. Evaluate for obstruction. ABDOMEN:LUNG BASES: Trace bilateral dependent atelectasis.LIVER, BILIARY TRACT: Cholelithiasis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormali... | No acute intra-abdominal pathology or evidence of bowel obstruction. |
Generate impression based on findings. | 66 year old female with tongue cancer. LUNGS AND PLEURA: Severe centrilobular emphysema. No consolidation or pleural effusions. 4-mm left upper lobe micronodule along left major fissure is suggestive of intrapulmonary lymph node based on location (series 5, image 46). No other nodules or masses.MEDIASTINUM AND HILA: No... | 1.4-mm micronodule along left major fissure has location most suggestive of intrapulmonary lymph node; however, given patient's history of cancer, continued follow-up is recommended.2.Emphysema. |
Generate impression based on findings. | 50-year-old male patient with CLL status post bone marrow transplant and prior history of graft versus host disease presents with abdominal pain, diarrhea and nausea. Evaluate for acute process including graft versus host disease recurrence. ABDOMEN:LUNG BASES: Interval decrease in right lower lobe consolidation.LIVER,... | 1.No evidence of bowel wall thickening or bowel obstruction.2.Slight interval decrease in size of index lymph nodes. |
Generate impression based on findings. | 78 year-old female evaluate for retroperitoneal bleed. History of recent femoral line placement The study is limited due to lack of IV contrastABDOMEN:LUNG BASES: A bilateral large pleural effusions, increased compared to previous study. Dilated esophagus. Cardiomegaly.LIVER, BILIARY TRACT: Mild splenomegaly.SPLEEN: No... | The study is limited due to lack of oral and IV contrast. No evidence of intraperitoneal or retroperitoneal bleed.Bilateral large pleural effusions, cardiomegaly, ascites and generalized anasarca.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 55-year-old male patient with nausea and vomiting. Evaluate for obstruction or bowel ischemia. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Status post cholecystectomy. Mild intrahepatic and common biliary ductal dilatation, similar compared to prior.SPLEEN: No significant abnormality note... | Fluid collection superficial to umbilical hernia repair mesh. No evidence of bowel herniation or obstruction. |
Generate impression based on findings. | Right distal tibia and fibula fracture status post reduction Oblique fracture through the distal fibula metadiaphysis, in near-anatomic alignment. Comminuted Salter-Harris 4 fracture of the distal tibia, with distinct anterior and posterior components, in near-anatomic alignment. The growth plate is widened to 4 mm. Sm... | Distal fibular and tibial fractures, as described above. |
Generate impression based on findings. | 36 year old female presenting with fever and abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Mild hepatomegaly.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnor... | Left adnexal cystic lesion associated with adjacent inflammation the anterior abdominal wall and small amount of punctate free air inferior and medial to the lesion. Although this lesion may also represent an ovarian cyst and postoperative changes, a pelvic abscess cannot be excluded. Clinical correlation is recommende... |
Generate impression based on findings. | 87 year-old female with headache and unsteady gait. NONCONTRAST CT HEADThere is patchy hypoattenuation 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 f... | 1. No acute intracranial abnormality. Mild small vessel ischemic disease of indeterminate age. However, CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. 2. No evidence of aneurysm, significant stenosis, occlusive thrombus, dissection, or vascular malformation... |
Generate impression based on findings. | 54-year-old male patient with nausea, vomiting, abdominal pain and history of incarcerated hernia. Evaluate for small bowel obstruction. Note that the lack of intravenous contrast limits evaluation of vasculature, lymph nodes and solid viscera.ABDOMEN:LUNG BASES: Right lung base scarring, stable.LIVER, BILIARY TRACT: C... | 1.No evidence of small bowel obstruction.2.Stable abdominal ascites.3.Cirrhotic liver. |
Generate impression based on findings. | 67-year-old female with history of metastatic lung cancer CHEST:LUNGS AND PLEURA: Index lingular nodule now measures 1.5 by 1.4 cm on image number 49, series number 4, slightly increased in size compared to previous study.Index left lower lobe nodule now measures 2.6 by 2 cm on image number 55, series number 4 , slight... | Minimal interval increase in the size of the lung nodules. Left hydronephrosis and enlarged left inguinal lymph nodes are unchanged. L3 vertebral body likely metastatic lesion, unchanged. |
Generate impression based on findings. | 49 year-old female patient with history of locally advanced rectal cancer presents with abdominal pain, nausea, vomiting, chest pain and shortness breath. Evaluate for masses and ascites. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Segment two hepatic hypoattenuating lesion measures 1.1 x... | 1.Distal small bowel obstruction with transition point in the pelvis.2.Enlarging hypoattenuating liver lesion is suspicious for metastatic disease.3.Metallic stents in the rectum. Wall thickening of the cecum and sigmoid colon. Right adnexal soft tissue density likely representing patient's known malignancy. |
Generate impression based on findings. | 63-year-old male with history of head and neck squamous cell carcinoma This study is limited due to lack of intravenous contrast.CHEST:LUNGS AND PLEURA: There is paramediastinal fibrosis which may be secondary to radiation. In addition there are irregular air space opacities predominately in the right lung. These may a... | Postradiation changes in the lungs and mediastinum. Mediastinal metastatic adenopathy.Irregular shaped air space opacities predominately in the right lung representing radiation changes versus metastatic disease. Follow-up imaging is recommended.Hypodense lesion in the liver which cannot be optimally characterized due ... |
Generate impression based on findings. | History of pancreatic cancer, status post Whipple surgery CHEST:LUNGS AND PLEURA: Scattered micronodules are unchanged.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Superior endplate deformity of T8 vertebral body, unchanged.ABDOMEN:LIVER, BILIARY TRACT: Numerous hypodensities in the liver are gros... | Interval development of omental and peritoneal soft tissue density lesions most prominent in the left side of the abdomen consistent with peritoneal carcinomatosis. Soft tissue surrounding the celiac trunk, main portal vein and stomach is grossly unchanged. |
Generate impression based on findings. | 45-year-old female evaluate for abscess 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... | Anterior abdominal wall periumbilical abscess. Left adnexal mass suspicious for ovarian neoplasm. Further evaluation with pelvic ultrasound is recommended. |
Generate impression based on findings. | 29 year-old female with metastatic melanoma now presenting with acute renal failure This study is limited due to lack of intravenous contrast.CHEST:LUNGS AND PLEURA: Bilateral numerous lung metastases. Moderate-sized left-sided pleural effusion and dependent atelectasis, not significantly changed from previous study.ME... | Significant interval increase in the amount of peritoneal carcinomatosis with interval decrease in the amount of ascites.Lack of oral and intravenous contrast significantly limits evaluation of the bowel loops. There are mildly dilated small bowel loops in the left lower quadrant. Etiology is unknown. Clinical correlat... |
Generate impression based on findings. | 54-year-old female patient with right upper quadrant pain. Evaluate for appendicitis versus colitis versus renal calculus versus biliary etiology. ABDOMEN:LUNG BASES: Left lower lobe cyst. 5-mm right middle lobe pulmonary nodule (series 6 image 30).LIVER, BILIARY TRACT: Hepatomegaly with heterogeneous fatty infiltratio... | 1.No evidence of acute intra-abdominal pathology.2.5-mm right middle lobe pulmonary nodule. Follow-up with chest CT is recommended.3.Hepatomegaly with heterogeneous fatty infiltration. |
Generate impression based on findings. | 58-year-old male with history of lung cancer CHEST:LUNGS AND PLEURA: Postsurgical changes in the left lung with associated pleural thickening and volume loss. Significant interval increase in the air space consolidation involving the left lung which likely represents a combination of tumor growth and pneumonia. Small a... | Interval progression of disease with interval increase in the size of the left lung mass, hepatic metastases, also as metastases and left adrenal metastatic disease.Interval development of right sided pulmonary static disease. |
Generate impression based on findings. | 39-year-old male with history of colon cancer CHEST:LUNGS AND PLEURA: Index right middle lobe nodule measures 6 mm in diameter image number 53, series number 4, minimally increased in size compared to previous study. Other scattered pulmonary nodules have also minimally increased in size compared to previous study and ... | Slight interval increase in the size of the lung nodules which are suspicious for metastatic disease.Extensive hepatic metastases are unchanged.Sigmoid wall thickening. |
Generate impression based on findings. | 34-year-old male with tachycardia and pleuritic chest pain. PULMONARY ARTERIES: Large pulmonary embolus in right lower lobe pulmonary artery branch (series 7, image 159). Additional smaller embolus in segmental branch of right upper lobe (series 7, image 124).LUNGS AND PLEURA: Small left pleural effusion with left basi... | 1.Large pulmonary embolus in right lower lobe pulmonary artery branch and small embolus in subsegmental right upper lobe branch. No evidence of right heart strain or lung infarction/hemorrhage.2.Unchanged collateral flow through hemiazygos and azygos veins from left upper extremity due to known occlusion of SVC and lef... |
Generate impression based on findings. | 22-year-old female with right upper lobe pneumonia on chest radiograph. Concern for worsening. LUNGS AND PLEURA: Consolidation in right upper lobe consistent with pneumonia. Scattered smaller areas of consolidation are also seen in the right lower lobe and lingula. Bilateral small pleural effusions with subsegmental ba... | Multifocal consolidation, worst in the right upper lobe, compatible with pneumonia and likely not significantly changed since most recent radiograph. Bilateral small pleural effusions, right more than left, with underlying atelectasis/consolidation in the bases. |
Generate impression based on findings. | History of rectal cancer CHEST:LUNGS AND PLEURA: Scattered bilateral pulmonary nodules, not significantly changed from previous study.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abn... | Minimal decrease in the size of the index lymph nodes and minimal interval increase in the size of the pelvic mass invading the bladder base. |
Generate impression based on findings. | 63 year old female, former smoker, preoperative evaluation for VAD in plant. Evaluate for malignancy. LUNGS AND PLEURA: Bilateral pleural effusions, moderate right and small left, with bilateral basilar consolidation/atelectasis, right more than left. No underlying suspicious nodules or mass identified. MEDIASTINUM AND... | 1.Severe cardiomegaly and bilateral pleural effusions with overlying basilar consolidation/atelectasis, compatible with CHF/volume overload.2.No evidence of malignancy. |
Generate impression based on findings. | 55 year-old female with shortness of breath. LUNGS AND PLEURA: Bilateral basilar groundglass and linear opacities, most compatible with scarring and subsegmental atelectasis. No consolidation to suggest pneumonia. No edema or pleural effusions.MEDIASTINUM AND HILA: No pathologically enlarged mediastinal lymph nodes. Mi... | 1.Basilar subsegmental atelectasis/scarring, without edema, pneumonia, or other acute cardiopulmonary abnormality.2.Moderate cardiomegaly. |
Generate impression based on findings. | 62 year old female with history of uterine neoplasm CHEST:LUNGS AND PLEURA: Bilateral lung nodules, some of which demonstrate central cavitation, suspicious for metastatic disease. An index nodule in the left lower lobe measures 1.3 by 1 cm on image number 54, series number 5.MEDIASTINUM AND HILA: Bilateral small hilar... | Metastatic lung nodules. |
Generate impression based on findings. | Female 53 years old Reason: left knee pain Evaluation of the knee is limited by streak artifact related to the patient's total knee arthroplasty device.Hardware components of a left total knee arthroplasty device are situated in near anatomic alignment. No specific radiographic features of infection are present. There ... | Total knee arthroplasty as above. |
Generate impression based on findings. | 43-year-old male with B12 deficiency ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Nonspecific hypodense lesions in the liver likely representing benign cysts.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKID... | Hepatic and right renal cysts. Normal small bowel. |
Generate impression based on findings. | 63 year-old male with HNSCC. There is focus of hypoattenuation in the left superior frontal lobe. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. Th... | Lack of IV contrast limits evaluation. With this limitation, 1. Mildly enlarged right level 4 node and multiple smaller nodes. 2. Atrophy of the left hemitongue. There is posttreatment change in the left anterior neck. No evidence of mass in the neck. 3. Mediastinal lymphadenopathy and paramediastinal fibrosis. 4. Focu... |
Generate impression based on findings. | 63 year-old male with slurred speech. There is hypoattenuation in the cerebral white matter, left greater than right and most prominent in the left frontal lobe. There is associated ex vacuo dilatation of the left lateral ventricle. There are foci of hypoattenuation in the left cerebellum. The ventricles, sulci, and ci... | 1. No acute intracranial hemorrhage. 2. Left greater than right small vessel ischemic disease of indeterminate age. 3. Infarcts in the left cerebellum and left frontal lobe, probably chronic. CT is insensitive to early detection of CVA. MRI should be considered if clinical suspicion for CVA persists. |
Generate impression based on findings. | 20 year-old male with hearing loss. CT RIGHT TEMPORAL BONEThe pinna is normal. There is minimal opacification of the mastoid air cells, which is otherwise well developed with clear air cells and intact trabeculae. The external auditory canal is normal. The middle ear cavity is aerated. The malleus, incus, and stapes ar... | 1. Normal CT appearance of the otic capsule, labyrinthine windows, and internal auditory canals.2. No CT evidence for abnormality of the ossicles and middle ear cavity. |
Generate impression based on findings. | 67 year-old male with history of head and neck cancer. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Visualized intracranial contents are unremarkable. Stable postoperative changes status post supraglottic laryngectomy and bilateral neck dissection. Diffuse mucosal edema in the upp... | Stable posttreatment changes in the neck without evidence of recurrent or residual tumor or lymphadenopathy. |
Generate impression based on findings. | 37 year-old male with sepsis. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. There is minimal mucosal thickening in the maxillary sinuses. The frontal sinuses, frontal-ethmoid recesses, anterior/posterior ethmoids, sphenoid sinuses, and maxillary sinuses... | 1. Unremarkable CT paranasal sinuses apart from minimal maxillary sinus mucosal thickening. 2. Periapical lucency of the mandibular and maxillary incisors is nonspecific and may represent periapical cyst, periodontal disease or abscess. |
Generate impression based on findings. | 66 year old female, unresponsive. Motion degraded exam. There has been interval progression of supra and infratentorial hypodensities, which involve bilateral watershed zones (right greater than left), basal ganglia and bilateral cerebellar hemispheres. There is blurring of gray-white differentiation and partial sulcal... | Motion degraded exam. Interval progression of supra and infratentorial hypodensities, which involve bilateral watershed zones (right greater than left), basal ganglia and bilateral cerebellar hemispheres. The finding is highly suspicious for acute infarcts. There is no associated hemorrhage or brain herniation. MRI bra... |
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